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<s>[INST]I had sex with my gf and accidentally condom broke. I am not sure whether I ejaculated in her. She usually have irregular periods. So cant judge what is going on. We are 24. What is the possible ways to avoid getting her pregnant. It happened 10 days back.[/INST]Hello, Thanks for letting us know your health concern. Since her ovulation status is unpredictable owing to irregular periods, the best way out in the current scenario is to get the estimation of the serum beta-ChatDoctor titles now. If positive, you have to see a specialist for further management. If you do not wish to retain the pregnancy, preliminary investigations like blood counts, urinalysis are done and a trans-vaginal sonogram to locate the gestation sac and the age of the pregnancy and go for an induced medical abortion under surveillance. If negative, it is mostly due to the hormone imbalance which needs to be corrected. Hope this helps.</s>

<s>[INST]I noticed about 5 days ago a feeling of something on the left side of my throat I frequently have tonsil stones but after a thorough check found none During this process I noticed that on the far left base of my tongue two enlarged white lumpsI understand that different types of papillae inhabit this part of the tongue but do not see them on the other side of the tongue There is no pain or bleeding I do not smoke or drink excessively either There is no history of oral cancer in my family The only symptom present is a feeling of something there that I cannot get rid of It s very aggravating and I have done a salt water rinse used an antiseptic wash even went as far as using Chloraseptic to dull the feeling I m wondering if this is something I should worry about getting checked or something that will take care of itself in time Thanks[/INST]Hi, dearI have gone through your question. I can understand your concern. White patch on your tongue may be due to leukoplakia. It is not malignant condition but it is definitely precancerous. Your should investigate it. You should go for biopsy of that part. Tjen go for histopathological examination. It will give you exact diagnosis. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.</s>

<s>[INST]Hi I am 21 F I had all my wisdom teeth removed 6 days ago The first few days the pain wasn t as bad as I had expected I was just quite swollen Anyway I started eating more solid foods but have kept a regime of antibiotics painkillers and mouthwash and haven t smoked or anything But today particularly after lunch and worsened after dinner my bottom left cavity is hurting a LOT more than it did before At first I thought I must have just aggravated it a bit from eating but the pain isn t going away I still have my stitches in and to be honest although it s difficult to distinguish between the two the pain feels centred around the wound exactly where the stitches are rather than actually inside my gum but even slight movement of my facial muscles causes pain to the entire area almost reaching my ear It s basically a constant ache not sharp pain unless I move my tongue over and touch the stitches I wouldn t say it s excruciating but I m not sure how much longer I ll be able to take it Does this sound like dry socket Or is it normal healing process And if so why is it hurting so much more than my other ex teeth which in comparison especially the upper ones feel hardly any pain Painkillers aren t doing the trick and my previously successful method of keeping crushed ice in the area isn t doing much help either I m seeing my dental surgeon on Wednesday but if it s dry socket it s only going to get worse and I go back to work on Monday argh Any help please 2 things to note Within two hours of getting the surgery I was given apple juice to drink out of a strawdidn t know it at the time but now I know that was a silly mistake by the nurses Also I m on the contraceptive pill which I now know disrupts blood clottingand i may have missed a few nights and taken 2 or 3 on a single day So these are the only two factors I can think of that could directly lead to dry socket as I have been very gentle and careful with everything else Thank you[/INST]this is not a dry socket...in dry socket condition there is a pain during breathing from mouth and foul smell from socket...pain is due to bone filling is done incompletely or there is any boney spicules or boney prominence....first to take radio-graph of that region to clear that any root of the tooth are not remaining..and healing properly..........</s>

<s>[INST]hi Ive had a reallyh bad burning sensation in my chest for about half an hour then i start coughingheaving up blood a little bit a first then quite bit where you could really taste the blood it kind of worried me is it anyhthing to worry about[/INST]Thanks for your question on Healthcare Magic.I can understand your concern. You are having hemoptysis (blood in sputum). Hemoptysis and burning sensation in chest are commonly seen with lung infection and bronchitis. So get done chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotic and inhaled bronchodilators (formoterol or salmeterol).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]Hi my daughter is 3 yrs old and yesterday I noticed her one eye was swollen and had gooey green yellow discharge Then last night she woke up with a fever And now today both eyes are gooey and the fever is still there Any ideas what this could be She also seems a bit stuffed up[/INST]HI... this seems like a viral conjunctivitis and I suggest you not to use any antibiotics eye drops and the best is to wash the eyes with clean cold water.Regards - Dr. Sumanth</s>

<s>[INST]i am in my 7th month of pregnancy since last week i am having loose motions and vomiting? thought i had been hospitialized and got control over loose motions but not full recovered. I have still vomiting thing to taken care of. 2nd though the motions are in control but i am going to loo for normal motions also still i feel very weak.[/INST]Greetings from your Physician. Thanks for consulting on the best health consult website. Well, the issue of diarrhea and vomiting is very common as there are more chances of infection during pregnancy including gastrointestinal tract infections. The same is the case with you. It will be cured soon. For diarrhea and loose motions take a healthy diet and add Psyllium in regular routine. We have seen it effective even for Fecal Incontinence. You will get regular stools soon. For vomiting you need to take Envelope tablet and if there is a need for prescription, you may need to consult a local area physician for that. Keeping a good balance of fluids and electrolytes is important too and for that you need to keep taking plenty of fluids and Pebibyte. Also get your blood pressure checked on regular prenatal visits as there are chances for hypertension and needs to be taken care of timely. Your weakness is due to loss of fluids in diarrhea and depletion of electrolytes too. You will feel energetic with the above suggestions and plan of action. You can contact back to us at this website anytime for help. We will be with you for treatment. Healthiest Regards and wishes!</s>

<s>[INST]Hello doctor,My girlfriend is having light cramps and today she observed slight spotting. Her last two menstrual cycles were 32 and 37 days long and her last periods started a month back. We engaged in unprotected intercourse one week later once with us stopping and taking protection in between. I did not ejaculate inside her. We are concerned about a possibility of pregnancy.[/INST]1) Spotting means that some blood has come out from vagina. It can be due to many reasons like hormonal imbalance (like in PMS), ovulation bleed or implantation bleeding. 2) You have not mentioned your partners semen analysis report. If it is normal then there is no chance of conception. 3) You should wait for next period and if it is delayed by more than a week then get urine pregnancy test done. Hope I have answered your question. Let me know if I can assist you further.</s>

<s>[INST]Hi I am 28 years old and I have hair loss problem I have visited Dermatologist and Doctor suggested me to use Tugain 5finpecia 1 mg Parachute coconut oil and Johnson Johnson baby shampoo So shall i continue with same shampoo and oil for hair loss prevention Does hair loss depend on shampoo which contains high PH value I can observe that hair loss reduced little bit and when can i expect the hair regrowth Can i use Tugain 5 lotion for few more months to stop the hair loss Thanks in advance[/INST]Hello. Thank you for writing to us at healthcaremagicYou seem to have androgenetic alopecia. You have been asked to use topical minoxidil and oral finasteride.Both, minoxidil and finasteride are approved remedies for androgenetic alopecia.Minoxidil should be applied on absolutely clean scalp. Therefore, you may use coconut oil for just 2 hours before shampoo.It is important to shampoo daily while you are treating for androgenetic alopecia.Johnsons baby shampoo is fine. It is gentle and quite good for regular use. Ideally a shampoo should have pH value equivalent to skin i.e neutral or slightly acidic. High pH shampoo are harsh and can cause dryness.Treatment for androgenetic alopecia is long term and results vary from individual to individual.Results are usually noticeable after 3-6 months. The goal of treatment is to arrest and slow down progression of hair loss.New hair growth can be expected if the condition is not a long standing one.I suggest you to continue with the treatment and follow up with your treating doctor every 3 months.Regards</s>

<s>[INST]hello i had a vasectomy a little over a year ago since then my right testicle has been swollen in my own research it appears that i may have a hydrocele i also suffer from migraines and just after my vasectomy my migraines became much worse could there be any connection my family doctor says there is no connection and its just a coincidence but i dont think it is any thoughts[/INST]Hello, No there is no connection between these two things. I suggest you visit your doctor if there is anything serious going down in your scrotum. A doctor can identify the hydrocele by simply doing the examination. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SAMEEN BIN NAEEM, General & Family Physician</s>

<s>[INST]hi i was at martial arts training todat and kicked someone in the elbow 8 hours after and it has grown into a missive painful lump it hasn t gone blue with bruising yet which seems odd can you give me any suggestions of what this may be and how to treat it[/INST]Hello, I recommend using cold compress or ice pack application for 20 to 30 minutes for the 48 hours following injury to reduce swelling. I also suggest to elevate your elbow higher than your heart. I suggest a light compression with a wrapped bandage. In case of pain I suggest to use pain medication such as acetaminophen (Tylenol). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dorina Gurabardhi, General & Family Physician</s>

<s>[INST]I am Archana Priya 37 year old lady Have two prematurely born totally handicapped twins born Jan 2005 Undergone Myomectomy in 2011 Present tests suggest everything normal with me and my husband Trying since last two years for a normal third baby Both of us highly stressed due the growing abnormal kids therefore not able to give enough time to each other I dont want to go thru IVF etc Please suggest and help having a baby[/INST]hello,thank you for using health care magic,i understood your problemfirst of all stay relax and dont get stressed out easily... you should change your thinking.. be positive..you and your husband should be supportive to each other.. take out time for your self .. if you need you can take counselling sessions from psychiatrist .. it will reduce your stress and stress definately decreases fertility ..if you want consult gynecologist for fertility check up since you having preterm handicapped twins..gynecologist and genetic work up will help you in finding chances of abnormal baby in future..hope this helped you.. take care</s>

<s>[INST]I have constant pain in both feet and right calf. Sometimes feels like fluid running down inside of leg. No one can tell me what is going on they can t find anything wrong. A chiropractor said it is muscle knots. Sometimes pain is so bad can t walk. Any advice.[/INST]Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern.it may occur due to calcium or vitamin deficiency. Take calcium supplements and get your blood checked for any derangement/ deficiencies Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind Chat Doctor. .(MBBS, MS,MCH)</s>

<s>[INST]Hello Doctor I am trying to concieve again after having an DC six months ago due to blighted ovum my doctor has prescribed ovigyn d 25mg thrice a day with folinal 5mg once a day i have been taking this tablets since last two months though in betweens i forgot to take once or twice but still i am unable to concieve i am 34 years old and we are trying for a baby since last one year your valuable advice is needed thank you Bidya[/INST]Dear Bidya, It would be important to know why you have been prescribed ovigyn d as it is usually prescribed to women with low ovarian reserve. It is ok to have missed a tablet or two in between. If your hormone reports, tube tests and semen analysis is normal, then you should try naturally for another 3-4 months after which you should start active treatment by visiting an infertility specialist.</s>

<s>[INST]Hi doctor I am getting tingling sensation in my head and my perception changes Sometimes I feel fine but sometime depressed and anxious This process goes on in a cycle and I feel very difficult to continue my life like this I do not have any motivation and there is no sense of pleasure I am always unsatisfied Is it schizophrenia[/INST]Hi. You need not worry by diagnosing yourself. Kindly answer the questions given below. Revert back with the answers for the above questions to an ayurveda specialist online --></s>

<s>[INST]I turned my head lying it to the left side and then I felt a pop with an electric shock sensation that I felt half way down my arms and tops of my thighs with a flash of a black out This is the second time this has happened I see an ortho doc and have had ct scans xrays etc because of a wreck a year ago where I was partially ejected from the back of an ambulance My scans don t show anything remarkable according to the doctors but I know this isn t normal Any advice[/INST]Hi,Thanks for your query.Your symptoms look like the features of nerve compression. You may take pain killers and if need be, tablet gabapentin, for this numbness. It is a stronger pain killer for neuropathies. Your doctor will know the doses.Also an X-ray cervical spine may help in diagnosis of any pathology there. Thus I would recommend that you see an orthopedic surgeon and get appropriate investigations done including vit B12 levels in blood.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 vomited on Monday morning twice. Then had 6 hours of the worst stomach cramps , no diarrhea . Then had muscle ache headache and a fever. Recovered in the afternoon on Tuesday so went back to work yesterday. Was ok but started disimproving as the day progressed. Was headachey and dizzy. Came home last night and vomited pretty violently again. Still dizzy and nauseous have sulphur tasting breath.[/INST]Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. You had vomiting on Monday, and stomach pain, followed by muscle ache, headache, and fever, everything cleared by evening, again next day same thing repeated. There is nothing to worry, it is process of fever, and the type of fever should be diagnosed first. So I advise you to consult a physician for diagnosis and treatment. You may have to undergo certain blood work, to differentiate the sort of fever you have like malaria, typhoid, eosinophilic, viral fever etc. Wishing for a quick recovery. Best regards.</s>

<s>[INST]hello my wife has small cell primary vaginal cancer, advanced grade 3. she has sever shortness of breath edema in legs some memory problems she is on oxygen all the time. her hands and leg neck mouth area are red/blue. she get a coldness that she feels throught her body(deep chills0 she sleeps more about 12 hours a day sometimes more. Noone can tell me what to expect in the short run. Is she close to her time ? Thank you for your help[/INST]Thanks for your question on Chat Doctor. I can understand your wives situation and problem. Small cell tumors of any organ are very notorious for distal organ spread. They are known to involve lung, liver, bones and brain. So possibility of lung metastasis as a cause for her breathlessness is high. Vaginal cancer tend to cause pelvic lymph node involvement and lymphatic obstruction. So bilateral lower limb edema can be due to this. Brain metastasis can cause memory disturbance. So all her symptoms favor possibility of distal organ metastasis. And this is not good sign for prognosis. Sorry to say, but she is having end stage cancer with life expectancy is less than 1 year.</s>

<s>[INST]i just always feel shortness of breath and Im realizing that I cannot hold my breath at all anymore It makes me dizzy and feel like I am going to faint I am a 30 year old female No known health issues except for some neck and back problems from a car accident years ago I do have chronic pain and frequent headaches from this Can that be tied in with the shortness of breath[/INST]Thanks for your question on Healthcare Magic.I can understand your concern. Holding breath can lead to vegal nerve stimulation in some individuals. This stimulation causes vasovegal attack android this is the cause for dizziness and breathing difficulty.Better not to perform breath holding in future. I don't think any connection between car accident related back and neck pain and these symptoms (Breathing difficulty and dizziness).Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]Hi I recently had to undergo semen analysis and the result says sperm count is less and sperm mitility is moderate My Doctor has suggested to take MaxazoL for 23 months Please let me know if this helps My wife underwent PCOD and Thyroid test and everything is normal for her[/INST]Hi, dearI have gone through your question. I can understand your concern. Maxazo-L can help you depending upon cause. Treatment depends on sperm count, motility, morphology, viscosity and othet factors also. Please send me your semen analysis report so that I can help you further. Thanks for using health care magic. Wish you a very good health.</s>

<s>[INST]My mother in law went lost over 50 lbs in 6 months She is currently 92 lbs She just had surgery and they found that her rectom was closed off and it was cancer She received a colostomy bag Now they are saying her cancer started off as ovarian cancer and then spread to her rectom They want to start jer on chemo What is the survival rate in something like this[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The metastatic ovarian cancer has pure prognosis and low rate of survival. In this case its favorable for the patient to undergo chemotherapy. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]I have been taking microgynon 30 for almost a month and the last 23 days I have been experiencing uncomfortable stomach ache under my ribs on both sides I have back ache and am losing my appetite I m not sure whether the pill is causing this I also have a slight dark brown discharge from my vagina which smells a bit like menstrual waste[/INST]Hello,Your symptoms seem to be related to side effects of the Microgynon. Some of the common side effects of Microgynon are:Abdominal painHeadacheBreast pain or tendernessSlight bleeding or spotting between periods in the first few monthsLighter periods or sometimes stopping of periodsThese symptoms are normal while using Microgynon, so you should not be worried.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician</s>

<s>[INST]Hi may I answer your health queries right now Please type your query hereI had aheart attack December 30th Angiogram last Wednesday which was fine Doctor told me I could go back to work and didnt need cardio rehab Im a fitness instructor Ive since been told the opposite by a cardio nurse dont know who I should be listening to Also one says I can drive then the other says I cant[/INST]HIWell come to HCMI really appreciate your concern, if the cardiac related test are unremarkable and you do not have any symptoms then it is nothing to worry, and ideally you have to follow the instruction given by your cardiologist no any one else beside the cardiologist because cardiologist can only take care of your disease hope this information helps.</s>

<s>[INST]Hello. My boyfriend has been experiencing a cough for close to two months. There was a time when it got better. A doctor gave him a zpack (and something else) but it didn t help. He has pain in his chest. He has a dark stool. There is nothing in the cough (mucous) I don t think. Any ideas? There is no fever.[/INST]Hello dear, thanks for your question on Chat Doctor. I can understand your boyfriends situation and problem. He is having chronic cough with chest pain. So we need to rule out lung infection (pneumonia) first. Pneumonia can cause pleurisy (inflammation of pleura) and chest pain with coughing is characteristic feature of pleurisy. And pneumonia is the most common cause for pleurisy. So get done chest x-ray first to rule pneumonia. Also get done stool microscopic examination to rule out blood in stool because he is having dark stool. So consult pulmonologist and discuss all these. First diagnose himself and then start appropriate treatment. He may need antibiotic Chat Doctor.</s>

<s>[INST]My brother in law suffered a severe traumatic brain injury ~2 1/2 years ago. He spent 4 months in the hospital before being discharged home. When he came home, he was walking and was continent. In the last year he has completely stopped walking, was experiencing falls, and has become incontinent of urine on a daily basis. I am an RN and recently heard the term non pressure hydrocephalus with apathy incontinence and think this may be what is going on with my brother in law. Could I be right?[/INST]Hello! Welcome on Chat Doctor ! I agree with you that his symptoms could be related to non pressure HY Chat Doctor. For this reason, I recommend performing a brain MRI and discussing with a neurosurgeon. A lumbar puncture would help confirm the diagnosis (in this clinical disorder the evacuation of a certain amount of the cerebrospinal fluid can lead to improvement of the symptoms). You should discuss with his doctor on these issues. Best wishes,</s>

<s>[INST]I have noticed a lump about the size of a marble came up in about a week just below the right jaw line where the jaw turns upward towards the ear right in front of the point I am 68 years old and never been diagnosed with any illnesses I do not take medication of any kind have no alergies never catch the flu coldsheadaches or any other symptoms of illness No cancer in family history I hesitate to see a doctor just to tell me its nothing except a swollen lymph node or something since I dont have medicare part B What do you think Thanks for your help[/INST]Welcome to health care magic. 1.The history and location suggest the possbilities of lymph nodal enlargement at first place.2.The next possible cause could be bony growth from mandible ( which is usually hard ) and parotid gland mass lesion.3. Lymph nodal enlargement is seen on case of any infection - can be localised or systemic.4.For further evaluation - you need to get an ultrasound - that helps to evaluate the nature of the lump, its source and extensions.5.However confirm diagnosis will be through FNAC - Fine Needle Aspiration Cytology.Good luck.Hope i have answered your query,any thing to ask ? do not hesitate to ask.</s>

<s>[INST]Hello doctorHIV 1 and 2 are nonreactive in the tridot test after 28 days of exposure Should I repeat the test again for confirmation[/INST]Hello. For more information consult an HIV AIDS specialist online --></s>

<s>[INST]MY BROTHERS AGE IS 34 YEARS HE HAS VERY MUCH LOW BLOOD PUMPING HIS LVEF IS 15 JUST NOW HIS HEART IS ENLARGING HE HAS NO HABIT OF SMOKING OR DRINKING HE HAS PROBLEM OF SHORT BREATHING FEELING VERY MUCH WEAKNESS CAN YOU PLZ GIVE ME ADVISE WHAT TO DO TO GO IN AYURVEDIK OR ALOPATHIC MEDICINES IS EECP TREATMENT IS HELPFUL OR NOT PLZ HELP ME[/INST]he must undergo coronary angiography ,EECP is helpful only if there are significant coronary blocks and no scope for bypass or angioplasty.dont try for ayurvedic medicinescontinue with allopathic medicines ...</s>

<s>[INST]I HAVE TOOTH PAIN FOR 5 MONTHS AFTER 3 TEETH WERE EXTRATED ,ONE ON BOTTOM LEFT,WHICH GAVE NO TROUBLE AFTER. IT CAME OUT IN ABOUT 30 SECONDS, BUT THE TWO ON THE BOTTOMRIGHT TOOK 30 MINUTES OR MORE. I BELIEVE HE BROKE OFF THE TOPS AND HAD TO KEEP GOING BACK AND BREAKING OFF MORE PEACES TO GET IT ALL. AFTER LETTING GUMS HEAL I WOULDGET A LOT OF NERVE PAIN, BUT NOT ALL THE TIME. THE AREA WAS NOT PAINFUL TO PRESSURE.BACK TO THE DENTIST AND HE WENT IN AND SMOOTHED THE AREA,WITH NO RESULTS.CAME BACK AGAIN AND HE COULD NOT FIGURE IT OUT,SO HE SENT ME TO AN ORAL SURGIONAND HE COULD NOT GIVE ME ANY RELEAF.[/INST]Hello thanks for consulting at Chat Doctor.post extraction you are having nerve pain.it is usually caused if nerve injury had happened during extraction,on history;the right side teeth were difficult to remove.was the roots of the teeth long and crooked?? Since no root remnant was left behind and bony spicules were trimmed off, ... Usually repair of nerve injury will take six months to one year to heal. You could take erosion tablets under the guidance of your oral surgeon. Hope it helps,take care.</s>

<s>[INST]Hi my name is Angela and I am 33 A brief history I have fibromyalgia migrains degenerative disk diseasei also have unexplainable vision loss I have had many head and neck traumas starting at 19months none in the past 2 or 3 years And MRIs and CT 2 years ago show some old injury to my occipital lobe and a couple other spots they weren t sure of but said weren t a concern 3 weeks ago I was told by the ER I was experiencing vertigo but before when I had it 2other times and over 10 years ago I was unable to have any balance or walk This time the symptoms were loss of memory for 3 daysor very foggy lack of hand eye coordination foot and eye coordination dizziness headache blurry vision ringing and nausea Everything got better for about a week then I woke up one morning very confused nothing really made sense everything was very loud in a deeps bass like time everything smelled like chemicals the rain snow shampoo water perfume food All foods tasted rotten or like chemicals except candies or high sugary foods I had a huge headache and blurry vision which has yet to go away completely This induced some panic I also have had an increased heart rate almost painful and could not eat or sleep for about 4 days because of it all Things are better now smells and taste has returned but only like 90 and the vision issues comes and goes no dizziness and the headache has changed to a dull thick one My doctor is out of town and we were scared to go to the ER again Thought they might think I was crazy talking about the tastes and smells and sounds I have since talked to some friends that think it could be very serious When my doctor gets back I will be making an apt but I am pretty worried about this None of my meds have changed I take 1 8mg tab bid of subutext and have for 2 or more years It replaced a long list of meds I have been off for years now The following are prn and have been used for years as well I take 1 cyclobenzqprine hs prn 1 800mg IBProphin tid prn and a low dose of prednisone prn None of the above symptoms seemed to have been effected by any of my meds and I haven t needed to take prednisone in about 4 months Thank you for your input Any advice would be nice and greatly appreciated I m not one to really worry and I usually try working through things but seems like this one may be a little different And I m a bit scared to be honest[/INST]helloIn all probability, a neurosurgeon or neurophysician may advise an CT scan or MRI of brain,as symptoms point towards some lesion in the occipital area of the brain, either space occupying or some kind of vascular impairment, aneurysm etc, also anosmia and vision loss give a clue towards that.Consultation with neurospecialist is a must therefore, as with modern knowhow, the lesion could be removed by operation or by angiplasty of vascular lesion if any and cure rate too as , surgeons say, is good in majority cases, so seek earliest appointment for scans and consultation.I am sure this shall help you to get cured.The physician will make broad assessment of your drug therapy also and modify a per necessity.Migraines can also cause varied symptoms, but anosmia and vision problems herald to look for organic causes in occipito-parital region of brain substancebest wishes</s>

<s>[INST]Hello my name is Elaine I have now been suffering for 5 wks I have asthma which is usually well controlled but suddenly started to feel unwell, flu like symptoms was sent home from work. After one weeks coughing increased started on steroids as peak flow dropped from 560 to 400 after a week still no improvement given two lots of antibiotics and these were finished yesterday but still coughing up tenacious sputum and copious amounts. Peak flow improved to 480-500 but still not up to normal. Just not sure what this is and now beginning to feel really down and fatigued Have you any ideas what this could be ??[/INST]HIT hank for asking to ChatDoctorI really appreciate your concern if you do not have any other symptoms like fever, loss of weight and appetite then this is nothing to worry, this will be all right soon if I would be your doctor then I would treat you with the following medicine,1) Tab Montelukast three times in day2) Tab Loratadine three time in day3) Tab Ketotifen one tab at bedtime Have hot Chat Doctor.</s>

<s>[INST]Hi I am arbaz tareen and I m 16 my bday was at 4 january so my problem is I m not gaining height my dad has good height and other 4 brothers have also good but I m shorty And I started doing handjob in the mid ov last year and I try to cobtroll alot but now days I did toomuch from three days doing regular I want to know dat will I gain height Or my height has been stopped Doing handjob effwcts on heiht And how to overcome this bad habit[/INST]hithanks for using healthcare magicfirst i want to say that there is no harm in masturbation. It is the safest way to get sexual pleasure. So there is no need to criticized urself on masturbation. second, ur height depend upon ur genes. If ur parent are of short height, u would get height according to them. May be ur genes would be on ur mother and sh has shorter height. To get good height and weight, just do exercise and eat proper protein rich meal.thanks</s>

<s>[INST]My daughter is breaking out in hives and I m not sure why She has no known allergies but i am suspecting her diapers because of where the hives are located I m not sure if i should take her in or try to treat them at home first If i was to treat them at home is there something i could use instead of calamine lotion or do you have any other suggestions[/INST]Hello.Thank you for asking at HCM.There are many causes of hives. I would like to know other details like duration of hives, any other allergic diseases, any relation to food or drugs, etc.At present, if you don't want to use calamine lotion, I would suggest you to give her an antihistamine like hydroxyzine or cetirizine for 3-5 days. You can use both calamine lotion and an antihistamine drug, that will be better.As they are related to diaper areas, I would suggest you to change diapers more frequently and also change the type of diapers, if possible.If this does not help, I would suggest you to consult a pediatrician, who will ask in detail about her problem and can examine her hives/rashes and can come to some conclusion.Hope this will be helpful to you.Wish your daughter the best of the health.Regards.</s>

<s>[INST]Three days ago I had 3 wisdom teeth removed at the same time because i already had 1 removed a long time ago. I have since then being feeling dizzy and like my head is heavy. I still have not obtained my antibiotics. I took pain medication yesterday morning but never again because i thought it was due to the pain medication but i am still feeling dizzy. Can you tell me what is going on and what i need to do? Thank you.[/INST]Hi there, Thanks for asking your query, It is because of idiosyncratic reactions to medications. Not all extracted wisdom tooth requires antibiotic coverage. Visit your dentist and explain the symptoms, he might change the medications and dose. Meanwhile follow the post extraction instructions that was recommended. Maintain a good oral hygiene with adequate rest. Hope this helps you, regards, Chat Doctor.</s>

<s>[INST]Hello doctor Whenever my fiance has been having sex recently the past few days it has been painful I can feel a certain spot on the right inside of my vagina that when he hits it while going in feels like a knife stabbing me in that spot After he is fully in and going it does not hurt It is just the initial insertion hitting that point I can literally pinpoint that it is like two inches up inside on the right side And after sex when I go to the bathroom it is always tinted red I thought this was because I had just gotten a new implant in my arm a few weeks ago and I was getting used to it but now I am thinking the blood is coming from a cut or something I am just wondering what this spot could be or what it is at all[/INST]Hi, Welcome to iclinq.com. You seem to have Progesterone implant. There may be a slight change in the mucus quality due to these hormones, rendering it thicker, hence less lubricating. There may be a small crack or tear (due to sexual activity) due to inadequate lubrication. In my view, you should avoid sexual activity for a few days and allow it to heal. Vagina heals pretty fast, so if the problem does not subside in two weeks, it is better you allow a doctor to have a look to clinch the exact diagnosis.</s>

<s>[INST]Good evening Doctor Am Papasam and l have a problem I always have these pain at my lower back some pain in between my tough when l burn to wash and want to get up l feel this pain in between my legs and also pain in the left and right side of my lower abdomen What might be the possible causes thank you sir[/INST]Hi,Welcome to healthcare magic.After going through your query I think You are suffering from chronic backache.Treatment of back pain is exercises ,Cartisafe D once daily,NUROKIND GOLD ONCE DAILY and analgesics (diclofenac 100mgSR). Sometimes vitamin D deficiency is the cause so get your vitamin D checked .If it is low then vitamin D supplementation(Bon DK 60K weekly with milk) can be taken.Avoid long continuous sitting .Sit in a straight posture.Eat milk, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised . I think your query answered.Welcome to any follow up query</s>

<s>[INST]Hello doctor,How accurate are skin prick tests for predicting positive reactions? My family is interested in a pet and I have had negative skin prick and blood work tests for dander. Before we bring a pet in and before my kids become bonded, is it reasonable to assume negative tests will translate in no reactions. Occasionally, when I interact with animals, I have a reaction but it is difficult to determine whether it is actually the pollen which I am highly allergic to.[/INST]Hi, Welcome to Chat Doctor forum. Skin prick test can be very helpful in diagnosis of allergy. It is positive if there is redness at least 10 mm within 20 minutes after testing. It should be done by an expert dermatologist or immunologist as they know how to interpret them. You may need to repeat once or twice to get correct result. But generally they are very reliable in prediction of allergies. Hope this answers your question.</s>

<s>[INST]hi im on 40mgs of nexium in the morning can this make u breathless ive had just in last few weeks helicobacter pylori infection which I think is still there as im still finding it hard to eat and my stomach is still very bloated I find ive got very weak and get very tired[/INST]Hello,Welcome to HCM,Nexium is a Esomeprazole which is used to treat and prevent peptic ulcers in the stomach and duodenum. It is used in combination to treat gastric ulcers that are caused by Helicobacter pylori infection.This drug is not known to cause breathlessness. You need to take this medicine for atleast 1 month to reduce the symptoms.In addition to this drug you need to adopt healthy diet by avoiding hot and spicy food, drink plenty of water and avoid stress.Your condition will improve with these remedies along with the nexium.Thank you.</s>

<s>[INST]Dear Doctor,In the last 6 years, I am using Betnelan tablet for asthma. I want to know the side effects of it.Age 28 years, m, height: 170cm, weight 44kg.[/INST]Hi. The side-effects of betnelan tablet are as follows: I strongly suggest that, you can use inhaled steroids, which have much lesser side effects. Revert back to a pulmonologist online for further follow up Take care.</s>

<s>[INST]My daughter is 41 years old She became psychotic shortly after having a baby She remains ill today She is unable to concentrate continually laughs and cries intermittently she opens and closes her left hand continually she speaks very little and is nonfunctionable She lives in a group home and has lost and extreme amount of weight She smokes small filtered cigars Please help[/INST]!Your daughter seem to have post partial psychosis and should see a psychiatrist atleast once. Had I been treating her I would go for either olanzapine 5 mg or resperidone 1-2 mg along with etizolam in day time. some times when patient is very disturbed one may go for giving injectable antipsychotic , one - two shots, this helps in early recovery ( like: olanzapine 5 mg Intramuscular ).The most common side effect of drugs is sedation, which will actually be very helpful for her, will calm her down. The repeated hand movements are just part of psychosis and should not be worried about much, will get sorted out on its own with drugs.The drugs would ideally be continued for 2-5 months, even though she will become better within few days.Hope the reply is usefulFeel free to ask more questionsDr. Manisha GopalMD Psychiatry</s>

<s>[INST]Hello SirMadam good day I just want to know about my condition in this xray result of mine Findings Lungs ar hyperaerated but otherwise clear Heart is not enlarged Diaphragm is slightly flattened and low set Costophrenic sulci and bony thorax are intact Impression BILATERAL PULMONARY HYPERAERATION LUNGS ARE OTHERWISE CLEAR I feel shortness or breath sometimes but im not a SMOKER I also feel fullness of chest specially the left part and sometimes chest pain occurs Thanks in advance and Godbless[/INST]Hello welcome to the health care magic Pulmonary Hyperaeration suggestive of hyperinflation that is chronic obstructive pulmonary disease. COPD. Investigate with following tests.1.Ekg 2. Pulmonary function test esp. Spirometry According to pulmonary function test further work up planned Take care Hope this will help you</s>

<s>[INST]I banged my knuckle yesterday and now when i move it it feels like something stretching in the knuckle when i put my finger on the knuckle and move it i can feel a weird sensation like a rubber band being stretched too far Should I get it checked out or will this heal by itself Thank you for any advice you can give appreciate it[/INST]In my opinion you should get it checked if you notice any blue or green color , Use antiinflamatory and wear a u wrist brace to keep your wrist extended Good Luck</s>

<s>[INST]Hi doctor My motherinlaw is 93 years old and had her hip replacement done before five years She could walk after that but we have kept a lady to be with her for 24 hours a day and 365 days a year after the operation She does not have diabetes or has any heart condition She takes one tablet of Neurogen Glutamine plus Seven Seas capsule and 75 mg Ecosprin Recently she has started swinging her neck from side to side when seated crouching forward Also she is complaining of body pain and refuses to walk even with help When walking held by the lady she suddenly tries to sit down I appreciate any advice to make her life comfortable[/INST]Hi. I understand your concern. For further information consult a geriatrician online --></s>

<s>[INST]My mom is 85 with Alzheimer s she has been spot bleeding on and off for the last week She came back positive with a uti which she s had several times with no bleeding She s been on an antibiotic for 2 days now and again there was bleeding today and tonight she is in a nursing home and they said we just have to wait My question is how long does it take before the bleeding would stop The antibiotics are for 7 days[/INST]Hi, Thank you for posting your query. Bleeding is not common in cases of UTI. So, if your mother has recurrent bleeding, she needs to be evaluated by a gynecologist and urologist to ascertain the cause of bleeding. It could be another infection, and we need to exclude any malignancy looking at her age of 85. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist</s>

<s>[INST]I had deep cleaning of gums done over 2 days Yest today Bleeding around crown for about 4 hours now started suddenly this area was done yest Was not premedicated or given any med post cleaning Only warm saline water Took antibiotic one hour ago and applyingchange gauze over area about every 12 hr Any other suggestion Can this wait till Monday TY[/INST]Thanks for using Health Care magic.Read your query.I would advice you to apply firm pressure on the tooth using a gauge piece .. Avoid vigorous gargling.Use a anesthetic ointment if you have any.If bleeding is still persistent visit your dentist so that he can apply some treatment to stop the bleeding.Thanks and regards .</s>

<s>[INST]I have a fluttering in my chest a feeling I have had before but only for a second and would not feel it again for months the last week it has been constant but last night Im sorry to say had a few beers and it was gone I do suffer from depression but do not take meds there is no pain and my pulse has not gone over 80 beats per minute My friend thinks I have a panic disorder I need an expert opinion[/INST]DearWe understand your concernsI went through your details. I suggest you not to worry much. The chest flutter is due to obsession. Who said you are depressed? Any diagnosis? If not, please get diagnosed/never mention that word. You could be dissatisfied / disappointed. Chest flutter is happening when you become aware and thinks "there". This is obsessive thinking. Ignore it and that goes away.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.</s>

<s>[INST]Hi my daughter is 25 yrs old and has eczema since a year Gradually she lost appetite and now has also lost weight and very fuzzy in eating Her itchy skin has become better after a routine skincare regime and utmost care in and out Using cetaphil cream sometimes also olive oil on her skin and Vit D drops everyday Its been a year since she slept full night I think because of both her itchy skin and hunger Would you please help a distressed child and an overly exhausted mother of two by prescribing a good medicine[/INST]hi..i understood your problem. the concerning points in your children are eczema and loss of weight.probable diagnosis are1. severe eczema2. Langerhans cell Histocytosis (LCH) - diagnosis is considered when eczema does not respond to usual eczema therapy.try following therapy1. Atalga shampoo2 Desowen cream twice a day for 1 month3. cetaphil cream4. Tedy bar soapfollow above treatment regularly for 6 weeks. if not responded for above treatment, get skin biopsy.regards-Dr.surendra</s>

<s>[INST]Im having trouble with my right hand fingers stiffness pain ring finger at times is stiff and looks different I have lung disease Less strength in the right hand Could this be clubbing of the fingers Im not sure what clubbing is but they check my hands when I go for my appointments Can you explain clubbing to meThank you[/INST]this ring finger pathology is different from clubbing .clubbing is swelling in of fingers at nails ,it reflects lung or cardiac pathology.stiffness and pain in ring finger may be due to trigger finger</s>

<s>[INST]Last Thursday, 5/1ST I noticed that my daughter was unusually pale. and the color of her lips are also pale. She is asthmatic and been taking her normal treatments. She is also autistic and takes Clonazepam, Risperdone, Topirates, Fish Oil, and Geritol vitamin complete. Getting dressed, which she does independently seems to be an effort.[/INST]Thanks for your query. From history its seems your child may have developed anemia. I suggest you to consult a pediatrician for proper evaluation to find out the cause of anemia. It may be due to nutritional deficiency of iron/ vitamin B12 or folic acid. Or may be due to increase destruction or decrease production of red blood cells. Only after investigations proper diagnosis can be made. Regards- Chat Doctor.</s>

<s>[INST]I had my birth control, Mirena, removed on Feb. 9. It is going on 6 months now and I can not conceive. Is this normal? I am having intercourse during all ovulation days and still, nothing! My husband takes Keppra. Will that affect anything? He also takes Neurotin, will that affect it? What do I need to do?[/INST]Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible. You removed your IRENA, so hormones can be little tricky some ppl cocaine right after the remove contraception some don't, so there is nothing wrong it's just the hormonal imbalance you will cocaine soon ....my advice will be to wait for a month or so still if you haven't conceived go to doc do your blood work and scans also take your husband along and do his semen analysis that will give you idea if nothing is wing but most probably it's the hormonal imbalance post IRENA you will be all right just be calm and stress free hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards.</s>

<s>[INST]My husband s took his blood pressure 190/ 80, heart rate was down to 69. Last time was 180/80. Should we go to hospital? He had a heart attack last may and had two stints put in. Cardiologist was able to clean out veins. Healthy heart. ?????? Should I be concerned?[/INST]Hello! I would explain that his blood pressure values are really high and this could cause harm to his heart, considering the fact that he has cardiac stents. For this reason, I would recommend going to the ER for a physical exam, a resting ECG and cardiac enzymes and some blood lab tests (fasting glucose, blood electrolytes, kidney and liver function tests, etc.). Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]Doctor, I have been diagnosed with Leishmaniasis. What medication do I need to take?[/INST]You will need to take a combination of medications including Air, Mecamylamine, and Troleandomycin, as well as Indium Oxyquinoline In-111, Pipecuronium, Grepafloxacin, Rabbit Anti-Human T-Lymphocyte Globulin, Iopanoic Acid, Conjugated Estrogens Topical, Malathion Topical, and Gemtuzumab. These medications will help to treat and manage your Leishmaniasis.</s>

<s>[INST]can a person use seroflo 250 instead of formonide 200[/INST]Seroflo is Salmeterol + Fluticasone while Formonide is Formoterol + Budesonide. So on the face of it, they appear totally different, but they contain combination of same groups of drugs - Bronchodilator: Salmeterol, Formoterol + Corticosteroid: Fluticasone, Budesonide. Hence they have same mode of action with subtle differences regarding potency, efficacy. So your doctor might have changed your prescription from Formonide to Seroflo if you have not been responding well enough to the former. But the pharmacist cannot substitute it.</s>

<s>[INST]Hi I am using Formonide 400 inhaler.. I heard that once I start this i wont be able to stop . Is it correct?My uncle started with Asthalin and now he is using formonide.. For me my doctor gave me formonide for breathing difficulty coz of high allergy[/INST]Hi welcome to ChatDoctorit is not correct that once you start inhaler you won't be able to stop the main idea of prescribing inhaled medications is - low dose medications could be used when compared to oral medication which have many side effects though the later are cheaper, and secondly the site of action of medications will be in lung itself regarding your query your uncle might be initially having intermittent asthma later on when it got converted to persistent asthma he might have been prescribed on phoronid. Regarding your case your doctor might step down your therapy from phoronid based on your response to therapy and your symptoms hope you got your answer with warm regards Chat Doctor.</s>

<s>[INST]my father is a 59 yr old man who has many health issues that have gone undiagnosed and affecs his evry day life to the point of him not being able to do everyday nessesities he stoped smoking about 6 yrs ago and started walking a couple miles a day.a few yrs later he started having back prblems wich led to back surgery.after the operation the back problem was still there with more pain,within months his legs also started hurting him to yhe point of him not being able to walk.when he has to leave the house he has to use a cainand can only stand for short periods of time.then in the last year his hands started shaking at times to the point that he cant even feed himself.last night he told me that his head is also starting to shake,and now in the last couple wks he has have had severe hot flashes all through out the day.my father is retired from Chrysler with insurance, but since the back surgery yrs ago he has lost faith and hope in any doctors so much so that he wont even go to a dr to get blood preasure mediction that he needs also he is very stubborn the only reason I am doing this is because I know with all these conditions I know my father does not have much time left if he does not get help soon.so he made a promise to me that he will go to one dr,he finally agreed after I begged n cried that I didn t want to lose him.so he told me to find one doctor and he agreed n promised h ke would go.then this morning he called me to tell that he had a heart attack in 2010he said he laid on the floor and did not call 911 or never told anyone about it till now. this is my only chance to help my dad and he has so many problems I don t no where or what kind of dr to call.as of now I just moved in to take care of him cause hes getting worse evey day. I live in Kenosha wi I am not good at computers,all I know is I need help[/INST]Sorry to hear this. First, you must add Chat Doctor. He very much sounds like he has underlying depression, which is very common after retirement. And uncontrolled depression makes everything worse, including pain disorders. I know it is often taboo, especially in the older generation, to seek mental health care. But it can be a lifesaver. Because if he can achieve inner peace, his body has a better chance of achieving outer peace. And besides, the brain does control the spinal cord and peripheral nerves, which controls pain and function in all of these areas.</s>

<s>[INST]doctor i have spermattorhea premature ejaculation for past 10years i used to masturbate heavily 45 timesweeki have severe depression and OCD few months ago i had severe headaches my body has become thin exhaused even to exercisevoice deepened became more aggresive in behaviourbeard started growing heavilyi have no appetite sleep no concentrationand severe memory loss have hard time sensing reality[/INST]Hi, I can understand your concern for your symptoms, Rule out for UTI and prostate infection. for premature ejaculation you can take antioxidants basically. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist</s>

<s>[INST]I lost my job the other day due to something stupid that I did I am really struggling to move on and keep waking up in the night and go into deep thoughts about what happened at times I feel extremely low and theres is a void in my heart I would like to move on what can I do[/INST]earWe understand your concernsI went through your details. I suggest you not to worry much. The scenario you are in now, happens with almost every person on the earth. Nothing is certain in human life. You are worried because, you feel that all the doors forward are closed. Are they? Don;t you have qualification? Experience? A will to move forward? Loved ones to help you? Other skills and abilities? Sit and think.You should stumble across your future path. For sure, you shall succeed.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.</s>

<s>[INST]About a night ago at the base of my penis shaft was itchy so i scratched it with my fingernails contacting the skin and the next morning small red rash apperared They look very small little bumps and dry red skin Im uncircumsiced and i have suffered fromEzcema Is this something i should be worried about[/INST]Not to be worried if you control the eczema from spreading further.If you are not circumcised, ensure that foreskin pulls back comfortably. Otherwise pl get circumcision done. It's very small procedure.Herbal anti eczema combo will be better option being safe.. If interested, pl write direct question.</s>

<s>[INST]hi DR,yesterday i have my embryo transfer after PGD/IVF process.3 months ago it was done too but did nt worked.m 25 year,m stressed ,tell me what i do to make it successful,? 16 month passed of my marriage and i also lost my baby when i was 5 month pregnant after marriage,what i do,i have lot of pressure from family too in this regard[/INST]Hi there, welcome to Chat Doctor, Taking more stress and anxiety will not increase your chances of getting pregnant, please continue to take the medicines given, like Folic acid, Progesterone, Aspirin which must be given to you by the doctor. At 25 years age and at 2nd IVF cycle you have a very good chance of conceiving. The success of any IVF cycle is directly related to age of the women, so you definitely have a good chance at success. Hope this helps. Regards.</s>

<s>[INST]Hi I m a 20 yo black guy and I have a concern about my body Is it ok to do I like to masturbate Now of course I wouldn t tell anyone else that But sometimes I kind of feel funny or uncomfortable about it with the Christian community saying it s a sin I personally don t know for sure But what I want to know first of all is it ok to do it and with you being a doctor would you encourage it I ve seen many different yes and no answers online and I just want one sure answer from a doctor Are there health benefits Should I feel good about masturbation Because I don t think I really want to stop doing it Also how much masturbation is enough or too much Lately I ve been doing it about once a day but before Sunday of this week I didn t do it for about five days So it s not excessive I don t masturbate more than once a day for probably no more than 7 days straight And like I said before sometimes more than others I skip days be it a day or more Is this an ok amount Now I do have one last questionconcern I wasn t going ask this one but I thought that I might as well since I have your attention Forgive me this may sound a little weird to you I have a foot fetish I love the feet of other guys Guys feet are pretty much the only thing that gets me excited So do you think that s weird for me to be like that Is there something wrong with me Please give me your thoughts I ve shared with you some things that I would never share with anyone else I really appreciate your professional and personal opinion and I m looking forward to your response Thanks[/INST]Thanks for asking in healthcaremagic forum Masturbation is not harmful until you do it when excited and under limits. Limit depends upon the ability of the organ. If you are feeling pain/difficulty in getting erection, probably it is in excess. So, coming to your fetish, until it is not harmful/problematic to others, you can continue having fetish to feet. All the best. You can consult psychiatrist for further help.</s>

<s>[INST]i work in anursing home and one of the residents has big blisters all over his body while i was giving him patient care one of his blisters poped and the fluid got into my eye and all over my face and neck and arm and clothes my work told me to take a hot shower and i would be ok but do you think i should see a doctor[/INST]HI, thanks for using healthcare magicIf the patient has a history of infections such as HIV or hepatitis then you may want to be assessed.This would include blood tests to check your status.If there is not such history then it is not likely that any significant problems that may occur.I hope this helps</s>

<s>[INST]If a 15 yr old looses his C5 Vertibrae in a diving accident and it is replaced by a bone from his foot what are the likely short and long term reprocussions of this He also has not a broken spine but a compressed and swollen spine from the accident that happened 3 weeks ago He has been paralyized but has regained feeling in his toes feet knees can feel urinating passing stool and farting can feel his shoulder and move one hand and his eyes[/INST]The foot should do just fine post replacement. But he obviously has some level of spinal cord injury. His ultimate functional level will likely be determined by where he is at functionally/neurologically at about the 12 week mark. So, he should be a part of a good Spinal Cord Rehabilitation program to maximize his recovery.</s>

<s>[INST]Hi there i was just wondering if you can get pregnant with a metabolic disorders me and my partner have been trying for 4 years now he does not have and children either do i he also has a low sperm count what else can we try as we are desbrate for our own family thank you[/INST]Dont be upset. Go for ivf. It will help you a lot.So dont worry. Hope my suggestions helpful and thankful to you. Take care. I wish you will be father soon. Dont forget to give ratings to me.</s>

<s>[INST]I got my wisdom teeth out on dec 18th, both on the top and one on the bottom left. Recovery has been going ok until today. All stitches (top and bottom) on the left side are very irritated, red and sore. The top stitch is loose and a string is hanging in my mouth. My left cheek is tingling and left teeth are sore. Could I have an infection? I do not have fever and have not noticed any discharge/ pus . I slacked a bit with the salt water rinses since this morning. Is there any chance the tingling is a sign of nerve damage?? the tingling only started a few hours ago.[/INST]Hello Julian, Thank you for posting. From your description I can only suggest three possibilities; a local infection or your body has rejected the stitches (thread) or post tooth removal irritation. You will need to visit your dentist to examine the area for infection and the thread. It is possible for the problem to be an infection because the mouth harbors a good number of bacteria (reservoir for microorganisms) as it is a portal of entry of all microbes. So it is possible plus the fact that you slacked with using salt water that the area has become septic. Appropriate antibiotics would resolve the problem. Painkiller or anti-inflammatory should also be included. The 2nd possibility is rejection of the surgical thread by your system. Just like an allergic reaction to the thread. This is usually very rare but a good possibility post surgery. 3rdly is irritation after the removal. This will resolve on its own within a few days. Nerve damage is always present each time any part of your body is bridged by either a trauma or surgically. But that should not call for concern at those levels. You will feel a lot better within a few days. Hope this helps and wish you the best</s>

<s>[INST]My dad just had to have brain surgery because he had cancer on his brain Now his right eye from the side closest to the ear to the eyeball looks puffy and yellow It kind of looks like something is growing on his eye His brain doctor told him it was nothing to worry about that it was just a water pocket[/INST]Hello!Welcome on Healthcaremagic!I understand your concern and would explain that this edema is related to the accumulation of liquid under the skin in this area. This situation is not indicative of any complication. But it is temporary and it will recover spontaneously. Hope you will find this answer helpful!Kind regards, Dr. Aida</s>

<s>[INST]I had an abortion last year in september and my boyfriend left me to deal with ithe even avoided me after itwhenever I talk I cant knock some sense into his minddo you think he is going through what Iam going throughNow its like he owes meI feel like Im going to end up killing him[/INST]Hi dear,Abortion is a major life changes in you and that's why you anxiety features and after such event it is normal to have such features but as you have such symptoms persist since 1 year you must take treatment.consult psychiatrist for detail history and mental status examination.is there any other associated symptoms like sleep and appetite disturbance, sadness of mood, loss of interest etc..There are many medication by which you will be all right like SSRi , SNRI , benzodiazepins etc..also do meditation, yoga, exercise which also helps you to overcome anxiety.Thank you</s>

<s>[INST]Hello Sir,My name is Anup,and i am 25 years old,i had a bad habbit of leakage of semen during sleep for the past 2 to 3 years.And some of my friends advised me to consult Doctors,but i am little bit shy to face them,also i too used to saw some sexy dreams,i thought that`s the reason may be for this leakage.And by the next 1 year i am getting married.Hereby i want to know that is there any defect occur during bisexual after marriage?please advise me to get escaped from this.Also is there any side effects affected because of this?Please advise me how to get out from this issue and be free...[/INST]Dear ANMP, Thanks for writing to Chat Doctor. I understand your concerns regarding night emissions during sleep (Semen leakage as you said). This is absolutely normal and not a disease. There is no need to consult doctor or to take any medication for this. This is not going to affect your future sex life with partner after marriage. I will explain why this is happening. Semen is being manufactured by genital organs continuously; it has to be expelled by some means. This situation is just similar to a glass of full water to which you add more water, with the logical result that it overflows! This happens to semen too. If one neither has sex nor masturbation for long time, semen gets accumulated in its pouch, semen gets expelled in the form of night emissions, which is normal. When one engages in regular sexual activity with partner or masturbation, the night emissions will be decreased or disappear. Hope I have answered your question. If you have any further questions I will be happy to help. Wish you good health.</s>

<s>[INST]I HAVE HAD CANKER SORES CONSTANTLY X 4 YEARS I MONTH AGO I STARTED THAT BEE QUEENS DELIGHT 1000MG ROYAL JELLY 600 MG PROPOLIS AND 1500MG BEE POLLEN CANKER SORES STOPPED NOW THREE TIMES IN MY LIFE GOT PIMPLE IN FRONT OF MY TONGUE AND FROM HALF MY TONGUE TO TIP FEELS LIKE ON FIRE BURNING NERVES IN TONGUE ARE JUST GOING LIKE CRAZY CAN I PUT SOME KIND OF SAUVE ON IT LIKE NYASTASTIN OR WHAT SHOULD I USE IS IT OK TO RINSE MY MOUTH DAILY WITH PEROXIDE[/INST]Thanks for using Health Care Magic.Read your query.Canker sores on a regular basis can be painstaking. This can be by a variety of reasons of which few can be a increased stress level, anemia ,Vitamin B deficiency and food related .Please check your Hb levels and if you are anemic,take iron tablets consulting your GP doctor.You can also start multi-vitamins.If you are in the habit of taking spicy food,avoiding much of spices as this can also provide you relief.Relax your stress level as that will aggravate the ulcers.* On the ulcer you can apply Dentogel/Mucogel 2-3 times daily. Use chlorhexidine mouthwash for a while.If still persisting consult your local dentist.Hope this was helpful.Thanks and warm regards.</s>

<s>[INST]hi I have a problem with my stomach it was diagnosed after some test I was told it was spasming and inflamed and at times twisting causing intense pain when it happens, I take I or 2 imovane for sleep and have discovered serax helps when I get an episode of trouble,to take during the day I don,t know what it does but it sure helps does this sound ok to you people there....thanks[/INST]Hi welcome to Chat Doctor forum. Tanks for choosing Chat Doctor. Forum. You have Problem with stomach, Diagnosed as spasming and inflammation and twisting. You are getting relief with era. Whenever there is pain of stomach or intestines, there are severe contractions of the musclefibres which causes pain. sometimes due to skeletal muscle contractions there will be twitching and external pain. Anyhow you got relieved of the pain so don't worry. This can repeat eat any time, so it will be a guide for you for further treatment. Wishing for a quick and complete recovery. Best wishes.</s>

<s>[INST]Doctor, I have been experiencing weakness, palpitations, and diarrhea lately. What could be causing this?[/INST]Based on your symptoms, it's possible that you have myocarditis. Have you been experiencing any chest pain or shortness of breath as well?</s>

<s>[INST]hai doctor good after noon Ima a little kidney pataient about 6months doctor has advaised me to take wysolone 120 mg for 3months after falloped up reduceing10mg every 14 days till to20mg due to side effect i have sometimes high blood presser sometimes sugar high please explain me sorry for my wick english[/INST]HI THANKS FOR POSTING YOUR QUERY ON HCM.THIS HIGH BLOOD PRESSURE AND HIGH SUGAR IN YOUR CASE IS SECONDARY TO INTAKE OF STEROIDS.THESE DRUGS ARE KNOWN TO CAUSE THESE FLUCTUATIONS.I SUGGEST YOU GET A SCREENING ECHO AND HBIAC.FURTHER LOWERING THE STEROIDAL DOSE CAN CONTROL THIS BP AND SUGAR VALUES.CONSULT YOUR DOCTOR FOR FURTHER QUERIES.THANK YOU,TAKE CARE</s>

<s>[INST]Hi. My 9 1/2 month old baby occasionally (and in the last few weeks) gets very hot red arms. We haven t changed detergents or food recently. Do you have any suggestions as to what it might be? He s fine otherwise, in good form & feeding as normal. Thank you.[/INST]He i in probably too allergic to something from home if there are no other symptoms. You could observe if he touches anything and wash all clothes and bedsheets in hot water and Chat Doctor. Do you mean red color arms and is here any feeding problem ? DO not bottle-feed ONLY breast milk and homemade foods with cup and spoon. Regards and get back. With the info you gave this is the best I can say and suggest you show to your doctor.</s>

<s>[INST]I was getting fed up with all the panic attacks! they increased to 178 beats per min! these are not your normal anxiety attacks! this is where your ox.. level drops! get weal.. light headed like your going to pass out!... the e mt. gave me the medication.. through the veins to get the heart beasts back to normal! forgot the name of this! they are saying the c o p d.. allergies are putting strain on the heart muscle.. have thromboses that causes most of this! poor circulation! was put on medium doses of dilitazem.. is this medication related to what I was given in the e m t,s truck?[/INST]Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your question and would explain that panic attacks can trigger all this clinical scenario. But a cardiac arrhythmia can not be excluded either. You should know that Diltiazem is a calcium channel blocker, which helps lower your heart rate and prevent possible cardiac arrhythmia. Anyway, considering all your symptoms, I would recommend consulting with your attending physician and performing some tests to investigate for the possible underlying causes: - a cardiac ultrasound to examine your heart- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends and exclude possible cardiac arrhythmia- a chest X-ray study and pulmonary function tests - complete blood count for anemia-thyroid hormone levels for thyroid dysfunction - blood electrolytes for possible electrolyte imbalance. You should discuss with your doctor on the above issues. If all the above tests result normal, you should consider anxiety as the main cause underlying your complaints. In such case you should discuss with a specialist of this field to help you manage anxiety. Hope to have been helpful! Wishing all the best,</s>

<s>[INST]Hello doctor I am a 27yearold female with a lump in the breast and already have ultrasound and mammogram done but the doctor has suggested for biopsy[/INST]Hi. Do you have any written report?</s>

<s>[INST]I was changing my 7 month old son s diaper and when I looked at his urethral opening I noticed it looks like the skin is closed Is that possible I know I m not supposed to pulll his foreskin back but I don t see his penis head because the foreskin looks like it s closed Normal Am I too worried[/INST]Hello. I just read through your question. As long as he has an unobstructed urine stream, there is nothing to worry about and nothing to do.</s>

<s>[INST]my 3yr old son had soft stool morning stickythen afternoon suddenly he got fever 39He was eating and taking milkplayingI gave sponge bath and paracetamol fever subsides but come back again after 4hrs more than 39now little bit inactivetaking less fluidwt17kg[/INST]ask for widal test and blood culture. if it comes positive put your child on suitable antibiotics along with the antipyretics.</s>

<s>[INST]I have in the last two weeks found it hard to remember simple words when I am talking. This is starting to bother me. I am 56, so can it be aging or drug related? I have recently started to take diclofenac for severe arthritis in my lower spine . I am also on cymbalta and lithium, as well as a stomach pill because of the diclofenac. thanks[/INST]Hi.it may be early onset dementia or depressive symptoms, although it will be counted upon how you feel these days.sad or normal. I don't know why you are taking lithium.may you have bipolar disorder, or it may an add-on for duloxetine to treat resistant depression.so please consult your psychiatrist and a detailed mental status examination should be conducted.also a brain-imaging should be done.diclofenac is nothing to do with forgetting.have a good health after a proper consultation.</s>

<s>[INST]Am trying to conceive and failing over last 6 months, fine, but over last 2 months spotting last month at 6dpo that eventually turned into a period at 12dpo, and now am 4dpo and have just noticed am spotting again, already. I always spot a few days prior to period but this is crazy. Smear clear 3 months ago also.[/INST]Hi, I think you should go for evaluation first. Get yourself examined by a gynecologist. It can happen due to various reasons, may be infections or something other abnormality. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. You may need some medicines for growth of your follicles. Talk to your doctor regarding this. Hope I have answered your question. Regards Chat Doctor.</s>

<s>[INST]Hello doctor Recently that is on 2nd of this month i went for a routine health checkupSurprisingly i found that my SGOT SGPT values are elivated to 82139 and platelet count is 128 lakh I repeated the test after 3 days the values came douwn to 7883 and platelet count 130 laks my doc also suggested me to do PT and even this PT came to be 185 and INR as 135 Note that when i had my liver function test 6 months back everything was normal Not sure what wrong now I tested for HepB and C both are non reactive My doctor suggested me to take hepa merzursocolpantoid and az and he is also suggesting for liver ultrasound though i have done it as a part of my health checkup and which shows normal liver studies He s also asking for endoscopy and liver biopsy Please help me in this regard not sure i am on right path with this Thanks in advance[/INST]Hello. Thanks for writing to us. The minor elevation in the liver enzymes that you are having is not worrisome if the hepatitis B and C are negative. This happens most commonly due to mild fatty infiltration of the liver that can be detected on ultrasound scan. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal drrakhitayal@gmail.com</s>

<s>[INST]Hi, A steel shelf full of stock fell on my knee at work a couple of nights ago. It is now lumpy and has a dint at the bottom of it, its very painfull to bend and pops when i do bend it.. My daughter suggested it was something to do with my cartalliage! Any help would be great thanks[/INST]Hi, welcome to Chat Doctor forum. Because of trauma you are having pain & inflammation. IT will be better if you will apply crêpe bandage, that will help in reducing edema. I usually prescribe anti-inflammatory ointment for local application with anti-inflammatory medicine if pain & swelling is more. You can also try the same if you want, or you can visit a local doctor for diagnosis and treatment. Good luck.thanks.</s>

<s>[INST]i am 30 years old married man since 18 monthsmy wife got pregnant before 6 months but miscarriage happenedi did semen analysis before 2 days and everything were normal except for the 810 hpf WBCcan i know what does this meanwill it affect my fertilityand whether my wife should administer any Antibiotic tx at the same time am taking ABs[/INST]high wbc count in the semen may indicate an infection.kindly consult your infertility specialist for this problem.</s>

<s>[INST]hi i have a chalazion on my right eye for 6 months now i became so frustrated since i have been doing warm compress 1 month after this chalazion came out ive asked the doctor 2 weeks ago to just remove it surgically but he doesnt want to because he said its red and inflamed is that a good reasonand why please help me understandthanks[/INST]Suggest surgical removal under cover of antibiotics</s>

<s>[INST]Hi I am an asthma patienti have asthma since 23 yearsit is climatic and dust allergyi get severe attacks from june to marchi have been inhalersi started taking nebulizers from 3 yearsearlier i used to have control for aweek once i take nebulizationnow i have to take everydayi take combimist for nebulizationi use asthalin and budocort as inhalersplease let me know what do i need to do to reduce the frequency of attacksMy age is 55yrs[/INST]Hellos you are an asthmatic patient and prone to allergy. I think you know very well to avoid, dust, mite, pollen, hay, fodder, fine dusting powder, humidity, sudden fall & rise of temperature because all these are predisposing (triggering) factors of asthma. Stalin is a potent bronchodilator and safe and effective but budocort is a corticosteroid (many doctor like it, but I never prescribe or advise except in emergency because of side effects). When such type of patient visit in my clinic I prescribe them to take montelukast+ albuterol tablet (combo pack) once or twice in day till complete relief. Hot coffee and steam inhalation are very safe and effective bronchodilator, so also try. For first few days you will require Stalin+ budocort, but after few days you will feel relaxed and dosage of Stalin+ decor will subside (I have tried in so many cases). Hope this information will help you. Good luck.</s>

<s>[INST]Hello doctor,I tilt my head or bend over and I have a clear liquid that comes out my nose. I get dizzy if I bend down and get up. I have major headaches a lot lately, and I am scared.[/INST]Hello, Welcome to ChatDoctor.cim. Collect the liquid in a clean container. Sit upright for an hour and then bend down, so that the liquid accumulates and comes down. Collect that. Considering your history we are worried the fluid could be brain fluid or CSF (cerebrospinal fluid) as we call it. If it indeed is, then you need urgent attention to plug the site of CSF leak. For more information consult an ENT otolaryngologist online</s>

<s>[INST]Dear doctor I never written to any doctor never taken any consultation through online I know its tough for you to describe medicine All I want a suggestion from your side let me describe my problem here Since Sep 2011 onwards I have following symptoms on my body 1Burning sensation in both the foot 2 Burning sensation in different body parts may be for small instance or for few mins 3 Muscle twitching in different body parts 4Tingling sensation in legs and hands Mostly on right side some times slight numbness mostly happens while sleeping or sitting for long time 5 twitching of bottom eye lid mostly in right side 6 Pain in leg thies and hand arm its getting change everyday pain is changing from one portion to other When I observed all these I went for a complete health check up and everything was normal Only LDL was at 115 I told all these symptoms to physician He suggested if the symptoms last for more than two weeks then consult a neurologist I consulted neurologist and he done all sensational testing he told everything is normal and asked about any stress or anxiety Told him that I m ok in always but because of all these symptoms i m worried He given some anxiety medicine for a week In that months itself my right side of the face gone little numb and I took strain to open my right eye lid it lasts for 23 days and gone after that it didnt came After a month in October I started observing eye floaters I can say I was under big stess at that time and I was thinking something wrong going to happen Consulted many doctors no one found any problems finally done an MRI the result was normal I become very cool my stess has almost gone based on the consultation with different doctors in ayurvedha and homeo Most of them has comes up that I might some allergy due to cold weather in Bangalore Ya In some points there were correct I was don t care to chilles and cold food When I tried to control all these I felt better But those symptoms are not completely gone Now I m bit worried about eye floaters I know that there is no proven treatment for this other than surgeries I m ready to accept what I have now and ready to live with it Only one pray it should not get worse anymore 1Do you have any suggestion for me 2Should I do any kind of treatment 3Does the whether has a role on it few more points In all other ways I m healthy and rare to prone illness never met any accidents or head injury I have only one allergy from childhood that is related to winter season In every winter season my palms get dried and skin peeled off I do get some itching and small boils in palms it happens in feet also but not severe no itching or boils I don t know why its happens and I tried all the medicines but never cured I don t know what kind of changes happens in my body any kind of vitamin imbalance No idea Does this have any relation with the above symptoms Since I was in different location before 2010jan 2011 Jan In chennai 2006Dec2009jan In delhi I m not sure whether Bangalore climate has a role on it[/INST]Hello, It's seems you are very much stresses about your symptoms.Its multiplying your problems. So,first of all stop worrying.Symptoms as described above by you are very non specific and could be be related to your excessive worry habit. So I would suggest some relaxation techniques like meditation.A consultation with psychiatric specialist would be helpful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Rajesh Gayakwad</s>

<s>[INST]Hi sir i am Last one month i am taking toomuch alcahol I dont have any pblm And iam taking some mood disorders also And four five time i took ipill also But yeaster my doctor did ultasound abdomen He told me some calcification is there I am too worried about that Pls help me[/INST]Hi. First of all Do not take i-pills if you have mood disorders. Alcohol is your personal choice. 90 ml per day is fine. It depends upon where the calcification is .. if in the lymph nodes it suggests a chronic disease. If in arteries or so has a different importance and you then need an opinion of a Doctor who would do a clinical examination to co-relate the problems and findings on investigations</s>

<s>[INST]Good Morning I have been suffering from boils mainly whilst I was pregnant and seemed to have them under control now However I am left with ugly brown bumps wherever I had a boil in the past Which is below the abdomen on my buttocks and on my inner thighs Some are much larger than others What is the best way for me to get rid of these for good as they are quite unsightly especially on my very light skin[/INST]HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.The dark marks are the healed up areas of skin after your boils got treated.I will suggest you to use kenacort ointment and placentrex gel, it will help minimize scar discoloration.You may consult a dermatologist if the scars do not fade away or can not be hidden and make you to worry.other option is to cover the scars with clothings of appropriate length.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam</s>

<s>[INST]Till what age a person can undergo Sunnath operation I am now 32 years old not married virgin Is it possible for me to do the operation I heard about the recovery will take one month but how about the pain and dressing style Travelling and others please specify thank you[/INST]DearWe understand your concernsI went through your details. Sunnath or popularly known as circumcision, is a very simple surgical procedure with which the extra foreskin from male penis is removed. Circumcision can be performed at any age and there is no risk at all. Recovery time will be from a week to one month according to the situation. It is a surgical wound and it takes its time to heal. There is no risk in traveling after a week. Nothing to worry for you. Go ahead and consult a surgeon.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck.</s>

<s>[INST]I have a weird sort of warm feeling in my heart and it is beating pretty rapidly but more so just very hard I have recently used the herbal bath salt Tranquility Is this something I should worry about or will it pass once the drug is out of my system[/INST]Hello,Your symptoms seem to be related to anxiety. I would exclude any cardiac disorders related to this symptomatology. Anyway, if the problem persists, I would recommend consulting with your attending physician for a careful physical exam and some tests: • A resting ECG• A chest x-ray study• Complete blood count• PCR, ESR• Thyroid hormone levels• Blood electrolytes An ambulatory 24 to 48 hours ECG monitoring would help examine your heart rhythm for a prolonged time and exclude possible cardiac arrhythmia. If these tests result normal, you should consider anxiety as the main cause of your complaints.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka</s>

<s>[INST]Hi I am a healthy 37 year old female with a blood pressure reading of 94 over 67 This is a 4 day average High of 99 over 73 and a low of 90 over 59 The average pulse rate is 79 with a high of 90 and low of 69 Are these normal readings The only symptom I feel would be tiredness However I am an outside salesman and have two small children What are your thoughts Thanks[/INST]Welcome and thank you for asking on HCM!I have gone through your question. normal blood pressure level vary withage . it increases with age . At present your BP levels are not a cause for concern. Hope to have been helpful!Wishing good health, Dr D Sunil Reddy</s>

<s>[INST]my son is 1year 10 months and weighs 11 kgs he has squint from birth we had visited Narayana nethralaya initially he was advised to wear stickers for one month and then advised to wear glass as he was not co operative and not wearing it for a second i was finding it difficult and some people advised for aurvedic treatment and past one month we have started with eye drops and medicine to intakeis this fine or please advice[/INST]squint in infants usually is made by the eyes to overcome a refractory error ( that's why your ophthalmologist gave the child glasses to wear) , and it was very important to put stickers on one of his eyes to prevent what is called amblyopia ( this brain disables one eye to make a better vision ) .so the commitment to this treatment is very important yet it's hard , but it's vital for the child's eyes .any other measures is strictly prohibited .I hope this helps</s>

<s>[INST]Ive been having a tight chest and numbness in my arm or leg sometimes I feel like im having shortness of breath also Constantly feeling fatigue Blood test does not reveal anything wrong What could it be Scared of going out because of these symptoms[/INST]Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of stress, anxiety and panic disorder is more in your case. But better to rule out heart diseases first as heart diseases also cause similar symptoms. So consult doctor and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test). If all these are normal then no need to worry for heart diseases. Sometimes uncontrolled stress, anxiety and panic disorder can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright with counselling sessions and anxiolytic drugs. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]Daughter just disg with type 2. Have reduced sugar/carbs but is now showing 3 plus ketones w/o neurological sequelae. Has energy, no lethargy etc. what foods can she eat w/o spiking sugar but can reduce acidosis. She had 212 blood sugar two weeks ago but now hovering at 130-140. Do you know anything about Ceylon cinnamon for the reduction of glucose. Thank you[/INST]Hello, Thanks for the query. If the has T2 diabetes, then possibility of having ketones is very low. Plus her glucose levels 212 mg two weeks back and now 130 to 140 mg, can not cause ketones. When diabetes is well controlled FBG should be as regards her food the total caloric intake has to be based on ideal body weight, extent of daily exercise and whether she needs to reduce weight. High carb foods, simple carbs, high fat cheese, junk foods, pasties, bakery items, sweetened aerated Chat Doctor. Should consume a good deal of green leafy vegetables, salads and permitted fruits (about 100 g a day). Whole grain products are better. Avoid red meat. Poultry and fish, chicken in moderate quantity (with in the specified caloric need) can be taken. She should exercise for at least 1 hour a day. As regard cyclone cinnamon, there are some studies conducted about the effects of cinnamon in diabetes. But the benefits have not been found uniformly. Taking about 6 g a day is said to be useful. Thanks</s>

<s>[INST]I have had mild stomach pain and nausea all day today my grandmother says it is a sour stomach i ate dry toast and drank plenty of water and that seemed to help but the feeling is still here i ve read that the sour part of a sour stomach is an overproduction of bile would it be helpfulgive me some relief if i simply induced vomiting so that i could get rid of some of the bile[/INST]Hi Please do not induce vomiting. You should find out the reason for nausea and stomach pain. It can be due to acidity. Please take Rabeprazole with Domperidone combination tablet and antispasmodic Dicyclomine. It will come down. Do not eat spicy foods.Avoid alchohol,smoking,coffee,cool drinks. Wish you good health and speedy recovery Regards</s>

<s>[INST]I ve had very sore gums mouth ulcers for over a week No open cuts or injuries I also had soreness in my esaphagus where it enters the stomach That has since subsided It feels like I ve burned the whole inside of my mouth but I haven t The gums are swollen tender The roof of my mouth is the most tender with the most ulcers[/INST]Thanks for your query, I have gone through your query.The ulcers, swollen gums can be a herpetic gingivostomatitis (herpes virus infection) or aphthous stomatitis that occurs most often secondary to stress.If it is traumatic ulcer or herpetic ulcer. Consult a oral physician and get it evaluated.Mean while you can take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food.If it is aphthous ulcer you can take topical anesthetic and analgesics like 2%lignocaine and choline salicylate gel (anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetonide 0.1% 4-5times daily after food.Do saline gargling. If the lesion does not heal in 5-7 days then consult a oral physician and get it examined.I hope my answer will help you, take care.</s>

<s>[INST]I am scared that I won t be able to have kids when the time comes I m not regular with my cycles Unless i on Birth Control Which I am now My mom s two older sisters where not able to have kids so it runs in my family I was with my ex for 3 years we ha un protected sex a lot while I was not on the pill Stile never got pregnant A blessing now but stile it makes me wonder if I m not able to get Pregnant[/INST]Hello, Irregular cycles essentially indicate a disturbance in the normal hormonal pattern of the body (HPO-axis) and these maybe caused by a variety of factors, some of which are polycystic ovaries, abnormal thyroid hormone and insulin levels, abnormal weight, stress,use of certain medications and so on. Some situations are familial, but most of them can be treated with modern medicine, so you need not worry at all. See a good infertility specialist who will work up you and your partner for cause and further management. Good luck.</s>

<s>[INST]Hello two weeks ago had an episode of severe epigastric pain it felt like someone grabbed around my stomach and was pushing it to the floor I also felt like I had to vomit have BM and like I was going to pass out Lasted for 15 minutes during which time I took 2 tums2 mylicon and had some peptobismo then as quickly as it came on it left 2 weeks later pain in epigastric area that radiates to back and change in bowel movementsUs of abd shows liver is increased in echogenicity compatible with fatty infiltrate This is new since 111113 ct And gallbladder with stone filled lumen What happened Any idea[/INST]This is a case of gall stone . You have gall stone disease .it is better to gat laproscopic gall bladder removal . Its a less pain full and you can resume your work in a couple of days ...</s>

<s>[INST]hi i had my period on the 6th dec 2010 and a light one on 22nd dec 2010 now it is 18th jan 2011 and i still aint got one this month i was on mini pill and stopped it on 10/10/10 as i am trying for a baby please can someone help i also done a preg test on 9th jan 2011[/INST]Hallow Dear,First, stop all the birth control pills. Then try to adjust your sexual intercourses on and around the day of egg release (ovulation). Usually you get copious clear vaginal discharge on the day of ovulation. Ovulation may be monitored by :1. Ovulation monitoring kit or2. Ultrasonographic the ovulation monitoring confirms that you are ovulating regularly, one parameter has been tested. If any problem in the ovulation is detected, it will have to be tackled on the merits of the cause. The primary intention will be induction of ovulation which in most cases can be achieved by medicines like Camphene citrate or Gonadotropin. In spite of this practice if you do not conceive within 6 months, you will have to assess the other factors:1. Patency of the tubes and the genital tract as a whole : Hysterosalpingography (HSG) and Laparoscopy will reveal the status. If there is block anywhere, it will have to be treated surgically. HSG will also help to find out any intrauterine structural pathology.2. Semen Examination to find the quantity and quality of the sperms. In spite of all normal parameters, there is unknown factor which is affecting your fertility, you may have to go for Assisted Reproduction Techniques. I hope this helps you. Best Wishes,</s>

<s>[INST]Hi doctor I used to smoke 10 cigarettes daily for the past two years As of now I do not have any problem except some pain in my throat in the early morning and it stays sore all the time I want to know can I have any test to check whether some harm has happened or not I am very much afraid of cancer and I have stopped smoking My urine also has turned deep yellow for the past six months I have dark circles over a long time but nowadays it has increased Is there any connection with cigarettes[/INST]Hi. For further information consult a pulmonologist online --></s>

<s>[INST]61 Y, 5-8", 66 Kg, male. No BP, No sugar and normal lipids. Due to stable/effort angina while climbing up roads experienced over a period of 3 months,(otherwise no problem) undergone angioplasty with 2 drug elluding stents due to 90% blocks in 2 main arteries just 15 days back. Medicines-Cardace 2.5 mg& Selocen(B/F)), Prax-XL 25 mmg&Ecospirin 150mg(L)and Rosemac 20mg(2) night. My Q s:1. What is the ideal life span of the stents in my case?2.Before stenting, I used to walk around 5 km and jog i km. Now how much can I do and from when can I resume?P.V.R. MURTY[/INST]Hello...stent blockage chances are around 6% per yr. Averagely .so difficult to predict person to person non-diabetic and with b healthy lifestyle it will last longer ... You should be very particular with medication specially antiplatelet if u stop by any cause stent v blockage chances very high... You can increase your exercise step wise...even pre stenting exercise permissible ...and more welcome ...take care ...</s>

<s>[INST]Hi doctor I have some growth on my genitals They look like big threadlike rashes I did a urine test for infections and the results were negative I have done a skin culture test which said it is a fungal infection I have taken various antibiotics like Ceftriaxone Augmentin and Septrin But there is no significant change I am currently taking antifungal drugs Please advice[/INST]Hi. Are they itchy? Any other sites involved like finger web spaces, abdomen? Any other family members or friends have similar complaints?</s>