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<s>[INST]hi,im 21yrs unmarried woman .i hane complaints of polymenorrhoea{ie 3times in march,}i consulted a gynecologist ,advice USG-it shows hyperplastic endometrium.dr told me to take tab femilon.now im very confuse to take this tab or take ayurveda.please help me through a valuable advice[/INST]**1. Since you consulted specialist for your problem and got diagnosed with specific investigation, thus she must have ruled out other causes of polymenorrhea with suitable examination [per magnum/per spectrum]and investigation [for hormonal disturbances]2. Since proper medical evaluation is sought, thus lifestyle changes such as reduced exercise, stress management, proper weight along with prescribed medicines can be started.PS. There is no specific treatment to stop polymenorrhea. The main treatment is correcting the underlying condition whenever possible. [hyperplastic endometrium in your case]3. Felon [desogesterol and ethinylestradiol] is a low dose oral contraceptive, which apart from preventing pregnancy also helps to regulate your menstrual cycle [menstrual irregularities-polymenorrhea in your case], you should be familiar with some side effects of the Chat Doctor. g. candidiasis), consult your gynecologist to exclude the possibility of any disorder, whether related to the use of Felon.4. In modern aspect: if there is no relief with conservative line of treatment, you need to consult your gynecologist for endometrial curettage & biopsy, if bleeding persists after curettage, hysterectomy is the choice [but since you are in child bearing age [21 yrs, unmarried, ] thus be in regular follow up with your gynecologist to avoid these possibilities.5. In Ayurveda, we treat the disease on the line of Rasta Radar:. Avoid: hot/spicy food, meat,eggs, red chilies, tea,warm milk. Take: old brown rice, amla, pomegranate, cold milk, honey,ghee, pumpkin,moon DAL chichi, black grapes, pears. Take 1 ripe banana with 6gm ghee daily. Prescription medicines which you can take: tablet stepson, Ms tone/forte, pushing churn, lodhra Assam, pat rang Assam, Chan</s>

<s>[INST]while working, i laid my chest on a stack of boxes to lift a rather heavy box, now, i have dull chest pain in the xiphoid process area, it has been a few days now, when i eat i get a full feeling after just a small portion of what i would normally eat at a meal, turning/twisting causes pain in my back and a self exam of the xiphoid process, the right side seems firmly attached to the rib cage while the left side there appears to be about a 1/4 to 3/8 gap and the xiphoid appears to be lower on this side[/INST]Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having both muscular pain and HERD gastroesophageal reflux disease). You have history of heavyweight lifting. This cause muscular pain on bending and movements. You have symptoms of early satiety (small portioning of food gives you fullness), which is seen in HERD. So for HERD, start Proton pump inhibitors. Avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. For muscular pain start painkiller and muscle relaxant. Avoid strenuous exercise. Avoid heavyweight lifting. Apply warm water pad on affected site. Don't worry, you will be alright.</s>

<s>[INST]Hi I have a soar armpit and have for about 3 months it hurts a lot and the dr who checked me out said she was not sure what it was She did blood work and mu lymphauto came back as 394 and the normal range was 250330 I had a test done back in 2012 and it was 323 She has not gotten back to me about it and im about to go to the ER for my armpit pain What does my results say about my lymphs[/INST]ok, about the only thing in the armpit are lymph nodes. They can be normal (and there is an infection somewhere) or they can be abnormal (LYMPHOMA). Both need prompt medical attentions.</s>

<s>[INST]I came down with a very sudden high fever on Monday and experienced numbness in my fingers and very bloodshot eyes Now 3 days later the fever is gone but I have numbness in my legs when ever I cross them or stand Could i have nerve damage from the high fever[/INST]Hi, Your description of the issue fits in some ways with a condition called Raynaud's disease /phenomenon. it would be better if you get in touch with your treating doctor and get to the bottom of the issue, if it's not Raynaud's even then it needs to be investigated, underlying connective tissue disorders of auto-immune origin certainly need ruling out. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon</s>

<s>[INST]I have a period every 3 months and this is the first month i start to not have one. I have been reading a lot of things on the internet about pregnancy and signs. I have been having bad stomach pains, bad back pains, and now my legs are like cold skin deep and i took a test but it was negative. I still think i am because i still feel the same as i did before the test. Does this mean im pregnant?[/INST]His have gone through your complaints. Sorry to say this that you may not be pregnant now with this history .you are saying you read in internet. Not having periods is not only symptom that will tel pregnancy.in the presence of missed period, breast tenderness, nausea and vomiting if present go for urine/ blood pregnancy test or ultrasonogram. First one thing I want to tell you that evaluate for why you are getting once in 3 months.it requires complete work up and then It's important to regulate your periods. If this is done definitely the chance of conception increases. Consult Chat Doctor. Thank youRegardsVasundhara</s>

<s>[INST]Hi, I am a 30 year old female with a relatively clean health history and excellent blood pressure, other than a past history of depression. About 10 days ago I got out of bed with sudden dizziness that I couldn t stand straight, after that I started experiencing nonstop dizzy spells throughout the day with change of head positions. I have never experienced dizziness before this. Few days later my tongue started feeling fat and stiff, when I talk feel like I have to spend extra effort in pronouncing the words. Then last night when I was about to fall back asleep after getting up, I felt a sudden pain inside my right ear as if someone had kicked inside my head. The pain quickly went away then I turned to my body to sleep on my other side, seconds later I felt another strong kick inside my right ear. When I got up thus morning the pain on my left ear has almost disappeared, but I feel a persistent dull, sometimes tingly pain on the entire right side of my face radiating from the ear. I m now dizzy, talking funny, and has a hurting face. Please let me know what I should do?[/INST]Hello! Thank you for your question. I understand your concern. I recommend you see a doctor, have a good physical examination, followed by a head CT Scan. In my opinion all the symptoms you describe may be related to a disorder in your right ear or the right cerebellum poutine angle. Something is wrong with your cranial nerves located there. It may be an infection inside your ear causing these problems. Herpes virus infection can also cause similar problems. But it may also be stroked a tumor, although less probable, by your history. Hope to have been helpful. Thank you for using Chat Doctor!</s>

<s>[INST]Hello Doctor I am Kiran Bala and 49 years old Right now I am on medication for Bone Tv Gastric problems Using the following medicines Macfolate Plus capsules daily 10 PM course for around 18 months RCinex daily before breakfast and PYRI10 breakfast course for 18 monthss I was suffered with this problem continuously to Last year 19 june to this year 2014 I was helpless and there is no recovery so please Help me doc Othere wise I am going to die[/INST]hi,thanks for the brief history of you.as you mentioned you are on medication and also having TB of bone. I will advice you something which will make some help to you. Doing regular meditation and breathing exercises will help you with a good energy to fight against the illness and improve your oxygen in blood. Improving the blood oxygen will help imporve the cellular metabolism and also improve the drug absorption capacity of the cells which will induce the effect of medicine to fight against TB.Also, small exercises to keep the mobile active . As human body is like a river. Designed to move like a water. Any stoppage of the human body will act like a stagnant water and will become the house of viruses and infections. To avoid such situation to occur the body to do some simple exercise as even the hemodynamics of the blood will be maintained and the blood oxygen reaching to the cells will improve.also you need to keep a strong attitude and mind to keep fighting it. TB is the infection of something unwanted from the body. but by improving the mental strength, oxygen in blood and mobility of hemodynamics will help body fight as body is a medicine of its own. also, the supplement provided to you are competitive enough to fight against the TB virus, but improving the drug absorption capacity of cells is of dude importance to fight better.with the grace of God I wish you a good health.</s>

<s>[INST]My mom is suffering from ovarian cancer 2 years she got operated got 6 cycles of chemotherapy aftr a year of operationshe had 2 small cysts in the ovary they wer neutral afr 3 or 4 months one of the cysts got disappeared but one exseted latr now developed in to cancerous cyst its size was of 4040 mm got increased to 7575 mm after 2nd phase of chemotherapythat cyst got reduced back to 4040mm now doctors said that the cyst should be reduced completelybut it didnt even aftr complete 6 cycles of chemotherapy for 2nd phase can we conduct a operation now as even cancerous r no more remove that cyst because that cyst might later develop back to cancerous as it happened last time doctors said that the neutral crst is ok in the human body but I read in the internet that even a normal cyst shouldnt be kept inthe body not more than 8 weeks so i feel doctors neglected at that point 7 yet kept the cyst in the body which now had turned back to cancerous what can be the perfect solution now to treat plzi need asnwer for this thanks[/INST]Hi.. If surgery is feasible now, then surgical removal would be ideal.. The feasibility of the surgery depends on her condition, presence of metastasis, and other parameters.. Her treating doctors will be able to guide you better.. You may take a second opinion from a surgical oncologist providing them with all her reports including that of the scan and decide what best is applicable now...</s>

<s>[INST]Hi doctor My head feels heavy for the past three months and I am having neck stiffness as well I have consulted an orthopedist who gave me Stemetil MD but was of no use I consulted a neurologist and had Sibelium Myoril etc but still the problem is not cured In certain positions I feel my head is spinning Can it be due to loss of inner ear balance[/INST]Hi. Sensation of spinningor dizziness is usually due to improper functioning of balance system. It includes your inner ear, cerebellum (part of brain), peripheral sensory system and eyes. All must work together and synchronize with each other to maintain balance. Problem in any one of the system, will make you feel dizzy. In your case, for neck pain stress may be the cause. However, you need to provide with detail history to make diagnosis. When did this problem start? How was first episode begun? And how long it lasted?</s>

<s>[INST]Hi I am Janice Ingle I found a knot under my left breast on top of my rib cage I had a tumor removed from the left breast when I was 18 I am scared about this because I have a lot of medical problems Where do I go to first to get this checked You know you can never just walk in and say this upper right side of my body needs to be xrayed I have always heard the quicker you get to it the better your chances areSincerelyJanice Ingle[/INST]Hello!Thank you for the query.As you have had breast tumor before, this lump should be treated as another tumor until the cancer wont be ruled out. You need to visit oncologist or surgeon and have an ultrasound and biopsy of this lump done.As you are young person, please consult also genetics center and consider BRCA1/2 genes mutation tests.Hope this will help.Regards.</s>

<s>[INST]Hello doctor,l have been taking Neurocare plus OD for the past one month but the pain on my left leg is just too much. Which neuropain killer can I take to ease the pain?[/INST]Hi, Welcome to Chat Doctor.com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Please do not worry. You can start with a mild analgesic such as Acetaminophen or Paracetamol. This will give you relief from the pain. But if the pain persists then you should consult your Physician to rule out any underlying pathology. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care</s>

<s>[INST]hiam married and unable to conceive for past 6 monthshad an abortion on Nov 2011doctor has prescribed for evion 400 and fertisure f tabletmay i know if there is any side effects on this and the use of itmy hubby is also prescribed for blong tablet[/INST]Hi , You have tried for pregnancy since 6 mths & were successful , but got aborted. So you chances for another pregnancy is high.These medicines are Multi-vitamins & Nutritional supplements. It is supposed to improve the health of the egg & sperms. Stay healthy , have healthy food & regular exercise. Avoid too much stress. That's all is needed for healthy sperms & eggs.All the bestDr.Balakrishnan</s>

<s>[INST]Hello I will occassionally get a lump and dark spot on the right side of my tongue Always in the same spot it seems to last for a day or two and then go away I can catch it by running my tongue through my teeth but it is embedded in my tongue and gives like a purple cast to that area normally it is more of an annoyance than anything but this time it kind of hurts I am wondering if it is a cyst or a blood clot Do i make an appointment to go to my doctor dentist or just wait for it to go away[/INST]Hello, Thanks for posting your query, various causes are: ailment oral piercing exposure to chemicals The first step you should take when trying to get rid of unsightly black spots on the tongue is to alter your oral hygiene routine. Brush your teeth at least twice a day to help remove particles throughout the mouth that might be contributing to the dark pigmentation throughout your mouth. Be sure to gently brush the tongue or use a tongue cleaner to help remove the buildup that is turning your tongue black. Black spots on the tongue that are accompanied by other symptoms such as growths in the mouth, pain or difficulty swallowing should be checked by your doctor as soon as possible. I hope this information has been both informative and helpful Regards</s>

<s>[INST]Hello doctor,One of my teeth started moving backward as soon as I started wearing my retainer just at night. It got painful to put the retainer back in, and so I stopped wearing it. I am terrified of orthodontists and dentists, and so did not let my orthodontist know. Now, two of my teeth has moved backwards and a couple are slightly crooked. Should I get braces again or is there another option for this?[/INST]Hello, Welcome to Chat Doctor forum. To correct the relapse of orthodontic treatment, there are two options. It depends on how much tooth movement is required. For more information consult an orthodontist online</s>

<s>[INST]Hi there, last weekend i was suffering from a mouth ulcer , bleedin gum at the back behind my wisdom tooth followed by a migraine , ear ache, and headach on the left side. I couldnt carry the pain for more than five days and i went A and E. The doctor prescribed me these tablets called co- dydramol and told me to buy the mouthwash corsodyl and also to see the dentist ...I booked my first available appointment which is in a week and a half cs they are busy. Its five days since ive been to A and E and the bleeding gum and swelling has gone down however, i have on and off migraines on the left, i feel my left eye has gone smaller, i pressed down hard on my neck line from the back of my left ear to neck and i feel pain and im experiancing bad breath[/INST]Hi, THANKS FOR ASKING QUERY, According to your explanation it seems that you're having peritonitis and abscess with relation to your wisdom tooth. It is associated with pain, swelling, fever, halitosis , bleeding and swollen gums, pain radiating to neck, ear, head of the ipsilateral side. I suggest you to visit your dentist get it clinically and radiographically checked and plan treatment accordingly. Until take tab augmenting 625 mg 2x, tab ability 3x, vitamin supplement, gargle with warm saline water 3 to 4 times a day, apply keno cart ointment topically on ulcers, use antiseptic mouthwash, maintain oral hygiene. Hope this will help you.</s>

<s>[INST]Hello I just noticed I have a bump in my pubic area It s about the size of a kidney bean I haven t shaved lately My boyfriend and I just started having sex again after months of no sex because we had a miscarriage and DC Do you know what this might be[/INST]Hello,Welcome to HCMThanks for posting your query in HCM. Bumps in pubic area are very common because of increased hair present in this region.It might be just a folliculitis that is infection of hair follicle.It may also be a enlarged lymph node or blocked sebaceous gland present enormously in this area.I would advice you to keep the area clean and give hot fomentation to the affected area as frequently as possible.Pain and swelling will come down.If it doesn't get relieved,you need to see your treating doctor for physical examination.Hope you are happy with the answer.Thank you.</s>

<s>[INST]Hi doctor I am 28 year old My sugar level is normal TSH is 291 and cholesterol is 203 I am facing a problem with my pulse rate It is between 115120 when I walk or do any activity But when I am in rest it ranges between 80100 I feel lightheadedness when I walk Is it normal[/INST]Hello. Cholesterol is in upper borderline. It will come down with low cholesterol diet and exercise daily. Heart rate more than 100 while walking is fine. From your history lightheadedness is the only problem. Is this lightheadedness significant? Do you feel like falling or black out? Monitor your BP (blood pressure) while feeling lightheaded. Measure your BP while sitting followed by standing after three minutes. Sometimes people have positional hypotension. Also, do a Holter monitoring (24 hour ECG) with normal activity whole day. So, we can see your heart rhythm pattern while lightheadedness and rapid heart rate.</s>

<s>[INST]Can gallstones develop as a result of another condition such as a large kidney stone Neighbor was diagnosed a month or so ago but had to wait a for lithotripsy Had nausea vomiting which she still has in addition to pain Her skin looks yellowish[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Kidney stones and gallbladder stones are entirely different and they are formed by different mechanism. Gallbladder stones are of two types biz cholesterol stones and pigment stones. High blood cholesterol and sedentary lifestyles may predispose to fall stones. People with increased turnover of red blood cells are also at a higher risk of developing gallbladder stone. However most gallbladder stones are regarded as idiopathic without a particular cause. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain</s>

<s>[INST]Hi thereMy father in law had a stroke 15 years ago therefore a decline in his mental health and paralysis to left side There appears to be an increase in vomiting It is not over a prolonged period more so 1x weekly he also has a catheter do you think this is due to a UTI He is 78 years oldRegardsJulie[/INST]Hi,Thanks for writing in.Vomiting in your father in law is due to stomach related problems and not UTI. Please see that he is taking proper feeds and do not allow him to eat or drink in lying down position because it can cause aspiration and be dangerous to his health.</s>

<s>[INST]My husband is 58 He has hemorrids and itching with bright red blood discharge during his bowel movements He is using preperation H but it is not helping He has a very stressful job and often complains that stress causes the anal itching to get worse but he has also lost about 10 to 15 pounds without trying There is history of prostate cancer in his family and he is worried this could be the problem He does not have any urinary problems though He has given up eating his beloved Hot sauce to see if this helps but no relief so far He does not drink a lot of water and he does consume about 2 or 3 alcoholic beverages per day Could this be something related to liver disease Also do you think sitz baths would help and should we add either Epsom salts or baking soda to the warm water His last colonoscopy was done 4 years ago and was told to repeat it in 10 years He had no polyps[/INST]HelloI appreciate your concernLooking at your description that could be hemorrhoids or fissure in anusI would advise him to reduce your body weight if you are obese, you can do it with dietary restrictions and regular physical exercisesTo be on safe side I would advise you to consult your doctor for per rectal examination and an colonscopy if need be.Meanwhile try to avoid constipation by taking laxatives or stool softening agents like liquid paraffin or lactuloseLignocaine ointment for pain and burning sensationPantoprazole or rabeprazole as an antiacidity medicinesHave pots of fruits and vegetables with dietary fibers sitz bath will definitely help him and it can be related to liver disease as well if you can revert back to me with my answers, I will be able to help you in best possible wayHope this helps you wish you good health.</s>

<s>[INST]my son is 10 years old and had 2 knots come up one on the side of his face close to the bottom of his ear and the other one at thebottom of his face close to his throat. What could this be and do we need to be concerned. They both are sore to the touch.[/INST]Hello! Welcome to Chat Doctor. These are most likely enlarged lymph nodes. Commonly due to some infection in oral cavity, these nodes enlarge. Inflammatory process in them causes pain. In my clinic, I look for source of infection & if found, removed. Antibiotics are prescribed and if there is no obvious source, FNAC - fine needle aspiration cytology of the lump is done. Treatment is done accordingly. Hope this helps. Wish you healthy life. Thanks. Regards.</s>

<s>[INST]I potentially ate some raw chicken for lunch it was not a big piece of chicken and i only about about half of it by the time i realized the middle was not cooked i spoke to the cafeteria workers and they said the chicken was frozen beforehand and went straight from the freezer to the deep fryer the part that was uncooked was very raw but it was also the thickest part of the chicken so like I said Im not 100 sure i actually injested any raw chicken Should I be worried[/INST]welcome to hcm, don't worry nothing will happen by eating a raw chicken. from your conversation i think you have eaten partially cooked chicken pieces.i would like you to remember that during the period of evolution that is when fire has not been discovered people ate uncooked meat and chicken .nothing happened to them. and they were stronger also. if you are feeling ok and if you do not have any feeling of nausea or vomiting sensation nothing will happen. and it will not cause any adverse health effects.hope this explains with regardsDr.Amarnath</s>

<s>[INST]I had a lobectomy 4yrs ago. They removed the right love of my liver and a 4.3 x 5.0 tumor. Needless to say recovery has been long and difficult with a lot of pain. Naturally I have a left lobe which is fully involved with cirrhosis. So far my left lobe has not shown signs of failure. I would like to nurture any function and regrowth possible. I have taken methadone 120 mg in 3 divided doses per day. Is this the optimal pain reliever or would something else be as effective but gentler on my lobe?[/INST]Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. This is serious disease if cirrhosis is present and quitting alcohol is the most important thing that should be done. Also, medications which are hematologic should be avoided. This is necessary to prevent disease progression which is lethal in most cases. At early stages it can be treated with these measures but in case of progression. Diet should be balanced and healthy and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on Chat Doctor.</s>

<s>[INST]I have taken my clomid cycle 2 and waiting to see my obyn on the 24 of this month to check if the medicine is working I know for sure it will because last month I ovulated and the tww was not a success so we went for round two while waiting i am currently exercising and sitting in the sauna so my question is being in the sauna safe for me[/INST]Hi, Thaks for your query. Let me reassure you that Sauna and clomid treatment have n relation with each other. Continue enjoying Sauna. I hope I answered your query. Regards, Dr. Mahesh Koregol. IVF & Infertility specialist.</s>

<s>[INST]Hi Docmy son is suffering from eczema on his armshe is currently on homeopathy but has not been completely curedIt is been 3yrs of medicationthe medicines have helped in controlling the oozing completely but the itch and the rash seem to be taking its toll He is 12yrs old and[/INST]hi a lot of research on ECZEMA has resulted in newer dimensions of treatment base don the cause.I DINOT KNOW MUCH ON HOMEOPATHY AS I AM A ALLOPATHY DOCTOR AND I ADVISE YOU TO SHOW A PEDIATRIC ALLERGY SPECIALIST NEAR BY TO GET THE PROPER TREATMENT. MOST IMPORTANT IS TO PREVENT THE EXPOSURE TO ALLERGENS HE IS SUCEPTIBLE TO LIOKE FOOD MATERIALS,,DUST ETC</s>

<s>[INST]Im 13, 51, 116 lbs and I have no allergies, rashes, conditions, and Ive sprained my ankle only once. Anyways, Ive been really scared lately because I have chronic lower back pain (that could be from working out days before), today I had a headache, right now I have cramps, and Im not that moody anymore...Im way more happy and normal and not irratitable...AM I GETTING MY PERIOD? Im very scared! I have almost all the symptoms! HELP.[/INST]Hello, I had gone through the case and found that it might be premenstrual syn Chat Doctor. So wait for one week. If menstruation starts then it will subside. If no menstruation then go for vitamin D3 and Vitamin B12 blood test and vision test. After getting the report take the proper treatment. Normally these symptoms are present due to weakness. Take proper diet and do exercise. Hope my answer will be effective for you. Thanks</s>

<s>[INST]I am 54 male 6 160 lbs active runner 40 milesweek bike 50100 milesweek and a bit of swimming Over the past year I have experienced left hand and forearm cold while right hand and forearm are comfortably warm Occurs when running in 4045 deg temperature with no gloves Should I get a cardiacvascular workup Thanks fp[/INST]Hello,Certainly you ll need vascular work up. You should get chest x ray, arterial Doppler of whole upper limb to look for the site of obstruction. This should provide the answer and site of blockages if any. If not informative then you may need ct angiography later. Hope this helps you and get back if you have any doubts.</s>

<s>[INST]my five year old grandson fell over and hit his cheek whilst being treated in hospital they discovered his pulse rate was only 60 after an ecg they said he had an irregular heartbeat he has now been refered the next day his heartbeat had gone up to 79 another ecg still showed anirregularity he is very active and does not complain what are the possible causes[/INST]Hi...by what you quote I feel that your kid might be having a heart block. Mild increase in heart rate does not rule out this disorder. What he needs is a Holter or 24 hour ECG monitoring and an echo cardiogram. I suggest you consult a pediatric cardiologist regarding this.Regards - Dr. Sumanth</s>

<s>[INST]I have a lump inside my left butt cheek it only causes discomfort when I sit on hard surfaces however it is not hard and seems to have enlarged Should I be concerned I had my primary care physician look at it 6 months ago and she thought it was harmless[/INST]Hi ! Good monring. I am Dr Shareef answering your query. It might not be possible to opine on this lump without a physical examination. I would advise you to take an appointment with a general surgeon, and get it assessed by him for a proper diagnosis and treatment.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.</s>

<s>[INST]I take Klonopin for seizures but my EEG s and MRI s show nothing I had gran mal seizures at first Then just auras that scared me Through a doctor in Indianapolis we found Klonopin got rid of them My neurologist says I am fine and my psychiatrist thinks I am a drug seeker I now have a purple spot in the vision of my left eye and smell burning plastic These are my old auras What can I do[/INST]Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Klonopin is a seizure medication but not the first line medication. You certainly have seizure disorder and the same may or may not depict in EEG and imaging. If there is a problem with klonopin then ask you neurologist to shift you to either phenytoin or valproate so that the label of "drug seeker" doesnt bother you.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddyWish you good health,Kind regardsDr. Srikanth Reddy M.D.Neuro-Psychiatrist and Sexologist</s>

<s>[INST]i have this red looking oval patch of what could be dry skin on the right side of my hip i use to get these when i was younger too after i had a tragic situation happen to me and my doctor desnt know what it is and its starting to worry me Could you help please[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of dry skin, my treatment advice is - 1. Use a good glycerin soaps for daily use. 2. Apply an emollient cream like Enmoist cream. 3. Take a vitamin B12 supplement. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]Hello I have recently had lower stomach cramping while having a bowel movement and losing all color in my face becoming very hot extremely light headed and almost passing out Can you please tell me what this might be There was no diarrhea or vomiting Thank you[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * The presentation of narrated symptoms suggest that there can be various reasons for the same as: - Straining due to hard stool - Inadequate evacuation - Associated heart problem which show up particularly during this type of activity as inducible ischemia or others - Bleeding in stool - Other systemic causes. * I recommend to visit an ER without delay for the diagnosis of the same and prevent future such episodes. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]I have a burning pain in my left lower abdomen It seems to get worse as the day goes on The pain becomes so uncomfortable that I need to lay down about every hour this helps reduce the pain This happens a few times a week I recently had a CT of the abdomenpelvis with contrast My digestive tract appeared normal I do have kidney stones and an ovarian cysts I was aware of that previously but the pain is much different when those are acting up[/INST]Thankyou for the QuestionAs there are so many causes of left lower abdominal pain,from those causes ovarian cyst and kidney stones are also culprit for the pain which you have been already diagnosed.Other causes can be ectopic pregnancy,Sigmoid diverticulitis (large colon infection),Salpingitis (infection in the fallopian tube),Gas in the colon,Constipation can also cuase pain in lower left abdomen.For further evaluation You can discuss with gyaenocologist and General surgeon.Hope my anwer is helpfull for you.Plz do not hesitate to ask further regarding your symptoms and signs.regards,Dr.Maheshwari</s>

<s>[INST]I am 25 years old and I have atrial fibrillation My doctor told me that as of now its very mild and I do not need to take any medication unless i experience symptoms from it I am going to a music festival this weekend and am thinking about trying ecstasy I know most doctors will just say not to take drugs period but Im just curious as to how dangerous it would be for me considering my preexisting condition[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It can be dangerous as it may lead to fast heart rate and low blood pressure which may cause collapse. So it's better to avoid and not to take a risk. You might have to rush to ER.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode</s>

<s>[INST]Hiy, masyu I w your health queries right now ? Please type your query here...my husband was in ER this past Friday and had a scope put down his throat to dislodge a piece of food. dr said the opening was the size of a straw. and significant scarring (has acid reflux). waiting on biopsy results. could it be cancer?[/INST]Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Yes, this can be due to cancer. Chronic acid reflux causes constant, persistent inflammation in esophagus. This can lead to metastatic changes in esophageal mucosa. And this causes mass like lesion with narrowing of the esophageal lumen. So his endoscopic finding like straw sized opening and fibrosis can be due to esophageal malignancy. Biopsy isn't needed for confirmation. So collect biopsy report. Also get done CT scan. This will also tell you about size and extend of the mass if present. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.</s>

<s>[INST]The inside of my lips are swollen but they don t hurt and I don t have a fever It has been this way for about 4 days and I m not sure what is causing this I Tried taking Benadryl and Zyrtec but they re still swollen and they get really dry It s not that noticeable on the outside but on the inside lining of the lips I can see That they are clearly swollen When it started my lips felt tingly and when I put Alcohol on them at first it stung Is it allergies or bacterial infection and how can I treat the answer[/INST]show to a specialist</s>

<s>[INST]I hope you can help me or give me some advice I have already had 1 Lettz 2 cone procedures done 2 months ago I had a transformational cerclage put into 2 months ago pre pregnancy Was told yesterday by the fertility clinic that the don t thing I can now get pregnant naturally because of all the procedures Is this through They are also sending me for a HSG which my doc said they might not be able to preform because of the TAC or it might be very painful please could someone give me some advice[/INST]hello Welcome to HCM With 3 procedures done on the uterine cervix - the pre- pregnancy cerclage was the ideal treatment to overcome the problem of incompetent cervix in pregnancy. These procedures can lead to narrowing or stenosis of the cervical canal. This can lead to a technical difficulty like passing a cannula through the cervix. The HSG - as you mentioned can be tried by your consultant under general anesthesia to overcome this problem and to see if the fallopian tubes of the uterus are open. hope to have answered your query Dr Nandita Thakkar</s>

<s>[INST]I am a 43 year old women non smoker with an ESR of 80 was tested first time at 30 and 10 days later at 80 i have itching all over which i am taking antihystamine tablets for but the itching is getting worse and I am itching over my tablets Have been referred for chest xray I do have stenosis in my spine but have been diagnosed with that for over 20 years What could be the reason for such an increase in my ESR[/INST]Hi, dearI have gone through your question. I can understand your concern.There are many causes of high ESR. Tuberculosis, anemia, infection, connective tissue disease, paraproteinemia, cancer all can leads to high ESR. You should investigate for the cause first and then take treatment accordingly. You will get benefit.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.</s>

<s>[INST]My daughter just got her braces off and received an acrylic retainer. Since she started wearing the retainer, she has had mouth pain, severe itching and red bumps all over her tongue. She has severe eczema and has extremely sensitive skin. Could this be some kind of allergic reaction to the retainer?[/INST]Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have small daughter having retainer yes problem of mouth pain, red bumps can be due to retainer if it has sharp edges or air bubbles causing irritation. Don't worry on tongue and painful gums you can apply anesthesia ointment McCoppin or Colonel twice daily for 5 days Consult dentist and go for trimming of retainer if any problem is there Do warm saline gargle two - three times a day. Hope this will help you. Wishing her good health.</s>

<s>[INST]My child was born with mild club foot Had casting bracing heel chord cut at 4 Now at 8 the foot is trying to revert and the heel chord is extremely tight again Currently under PT and some correction thru stretching is seen but PediOrthopod will most likely recommend another heel surgery followed by casting My question is would Botox Injection into the calf allowhelp the PT to get full range of movement with stretching immediately following the injection Thus avoiding surgery[/INST]Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Botox injection won't be able to achieve full range of movement. If surgery is advised by Orthopedic doctor then you should go for it. Hope I have answered your query. Let me know if I can assist you further.</s>

<s>[INST]Hi my name is jeleesa and I have a 5 year old son, that fights with his older brother alot just yesterday he said that they bumped heads while playing but the next morning a hard painless knot almost the size of a golf ball appeared under the left side of his jaw what is that? Please help me[/INST]Reclothe swelling below the jaw may be hematoma due to injury. You said that the trauma was on head and the site of swelling is around jaw. This swelling may be unrelated to the trauma. The most common cause of swelling below the jaw is lymph node swelling. Uncommon cause is swelling of salivary gland. Sometimes swelling may remain unnoticed, and it is detected incidentally. I would request you to consult a pediatrician for proper evaluation of the swelling and management accordingly. Regards</s>

<s>[INST]Hello doctor,I have blood coming in loose stool for the past one year but I do not feel any pain. What is the reason?[/INST]Hi. Blood in stool is not a normal condition as you are having the problem for one year. It should be investigated in detail and the following work-up will be useful. Rectal, anal area examination, stool routine microscopic examination, proctoscopy examination, colonoscopy, if needed. If needed during colonoscopy, biopsy taken from the abnormal area if found for histopathology examination. This work-up will be helpful to rule out causes for blood in stool like a polyp, proctitis, piles, colitis, diverticulitis, any growth, if present, etc. If the color of blood in stool is of brown-red color than bleeding is from the upper gastrointestinal tract. If colour is bright red then the cause for bleeding is from the lower gastrointestinal tract. So, from your provided history, this work-up should be done and above causes should be ruled out. One diagnosis cannot be given. Consult general surgeon or gastroenterologist for examination and above work up and according to cause identified further treatment plan can be decided.</s>

<s>[INST]Hi I am a women in her early 40 s and the back of my knees where the cease are have been sore I just looked in the mirror and notices purple bruising in the ceases Should I be concerned I am active and workout alot and just had a bloodwork done Not sure if the checked my blood count or anything but everything was normal Should I be concerned[/INST]HiIf there's swelling and pain, it may be bursitis..if no swelling, then take advil tab for 3 days, apply voltaren gel, it will be okayThanks</s>

<s>[INST]Hi doctor I am a 24 year old male weighing 221 lbs I felt a fluttering in my chest yesterday for the first time which only lasted for five seconds and I felt short of breath I got an ECG xray CBC and HbA1c done today I am worried about my ECG being abnormal I am scared that there could be something wrong and I have no other symptoms besides shortness of breath[/INST]Hello. Do not worry because the probability of any serious illness at this age is low. However, these are probably an arrhythmia like atrial fibrillation or PVC (premature ventricular contraction), which are not a serious condition. These can cause all your symptoms and can be managed with medicine. Revert with the reports to a cardiologist online --></s>

<s>[INST]My father is a patient of cancer prostate with bone met. Now has as underwent TURP surgery with this surgery his front urine has stop. He is on SPC. One month back has UTI Infection and bleeding in urine, doctor suggested Radiation so that his bleeding will stop. But unfortunately it is still bleeding now his Hb is 6.0. Can Orofer FCM injection 500 ml is advisable for his . If yes how many days ? How much his Hb level raised. Please advice ?[/INST]Hi, Thanks for writing in. Since you have said that he is on supra public catheter, I understand that he is unable to pass urine through the normal urinary passage after surgery. Unfortunately he has developed complications causing bleeding and his hemoglobin is low if it is 6.0 gm/ DL. This cannot be treated by self-medication and in my opinion, after consulting your doctor blood transfusion might have to be given to increase hemoglobin to 10 gm/ DL. Giving roofer only may not increase hemoglobin levels sufficiently therefore it can be given after the hemoglobin increases following blood transfusion. With all measures the target raise in hemoglobin must be at least 10 gm/ DL. The bleeding area also has to be checked and treated if there is no relief after radiation therapy. Please do not worry.</s>

<s>[INST]Hi doctor,I have been diagnosed with oral lichen planus a year back and now I can feel a small cut like thing in mouth again. Can you help me up to diagnose if this is a normal cut or some other thing. I am 30 years old male.[/INST]Hi there, If it is a small cut-like thing that you can describe as, then it could be an ulceration of your oral mucosa due to any cause. It is best that you visit your dentist for proper examination and get referred to an ENT specialist for further evaluation and management. Hope I was able to provide you with the information you were looking for. Please let me know if I can assist you further.</s>

<s>[INST]My daughter is taking sprintec birth control She has been spotting off and on and is now rather heavy and still on her birth control The doctor gave her a generess fe sample pack to stop her cycle I have forgotten how she needs to take it This has happened once before but never used it cause her period simply stopped How does she take it with her birth control to stop her cycle She has been on it for 2 wks now[/INST]since she taking ocp pills there may hormonal imbalance leading to her spoting there is no probelm in taking the iron supplements</s>

<s>[INST]Iat least four have had skin problems for to to three years no Ive been to dermatologists Being diagnosied with Rocea seborrbiac dermantis possible sjorgns disease and stap infection Ive taken so many antibotics its unreal Not counting the creams etc My hair line is receding having weird skin apperance and black dots at my hair follicules I have patchy areas red then it seems just under my skin are skin color oddities It looks like I have patchy white trails just under my skin It actually seems like some of these trails have something inside them like little worms I keep having diarrehia and feel really weak a lot of the time My regular doctor gave me two pills of Ivermectin 3mg each I do not think the dosage was strong enough I read about Dariers disease before but didnt have the info I found on this siteAlso my hair follicules seem to be infected everywhere What do you suggest I desperately need help Denise[/INST]Hello, I suggest you take oral finasteride 1mg once a day. In addition, I suggest you use minoxidil 5% solution, 1ml, twice daily. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist</s>

<s>[INST]My 5 year old has been tired and swollen lymph nodes We have been to doctor twice and they have taken blood both times and they said his blood looks like a viral infection He had blood in his urine at the last visit This has been going on for a week and a half He is not getting better but getting worse They put him on an antibiotic and he is on 24 hours of it and still spiking fevers off and on I don t know what to do please help[/INST]dear user, your history suggest your son has a viral infection, most probably EB virus. it usually cause high grade fever, lympadenopathy, skin rash and tiredness.blood film may show leucopenia. fever may last upto two weeks. antibiotic will not help in viral infection. it will be cure by itself with 2 weeks, only symptomatic treatment for fever is needed. avoid aspirin use in this disease. drink plenty of water.</s>

<s>[INST]Hello doctor,I am 26 years old, and I have never used any product for my hair or skin. I am working in IT night shift, and I have dark circles. I came across a video from a bright side that Aloe vera can reduce dark circles. So I wanted your suggestions on this. Can I start using Aloe vera gel for my skin and hair? And for hair can I use it as a styling gel which means can I leave it after applying on my hair or I will have to wash it after a few minutes or hours? Please advise.[/INST]1) Yes you can apply aloe vera gel directly to the face and also to your scalp if you want. It is safe and natural.2) For hair you can use it as a styling agent but it should be diluted with some other oil like coconut oil. You can not just keep it overnight.3) If you do not have any allergy then you can try out the aloe vera products. You may get some relief.</s>

<s>[INST]Hi,I was supposed to get my period on the 19th of this month. Generally, my period lasts 25 days, but it did not arrive this month.After taking a urine test using a pregnancy detection kit, I received a positive result. So, I think I am pregnant. I have not taken a scan or contacted a doctor. I do not want to carry my pregnancy.Is it necessary to have a scan performed before taking abortion pills or can I take the pills directly? If so, can you please make suggestions as to the pills I should take and how to use them? Also, what is the last date for me to terminate my pregnancy using pills? If there are any side effects, please mention them as well.[/INST]1) Yes it is possible that you may be pregnant.2) You must confirm your pregnancy by ultrasonography/blood tests.3) It is advisable to consult an obstetrician / gynecologist who will advise you regarding termination of pregnancy with medicines.4) Medicines like Mifepristone followed by Misoprostol (Cytotec) is used for early abortion up to 7 weeks of pregnancy.5) The pill regimen is available in the form of tablets and also in vaginal suppository forms.6) After taking the first medicine, you need to come back after 48 hours to take the second medicine.7) The last day to take the pill is usually 10 weeks from the first day of last menstrual period.8) Side effects include heaviness in the abdomen, cramps, nausea, vom</s>

<s>[INST]Hello Dr. Chandan,I do have a tight foreskin. I came to know that betnovate cream is useful for that and it helps in stretching/loosening the tight foreskin. Is it true? If yes, can you please share about what quantity of that betnovate gel should be applied?[/INST]Hi, Thanks for writing in. Betamethasone 0.1% ointment (Renovate tube) is a topical steroid. Usually applied to the foreskin 2-3 times per day. It may take a few months of application before a response is seen. 80% of people will respond to topical dexamethasone when it is applied correctly 3 times per day for 8-12 weeks. The function of the steroid is to gradually thin the skin and make it stretchy. This will allow the head of the penis to begin to dilate the foreskin as it is stretched over the head. Application of the cream should be done with the foreskin retracted until it is tight and shiny. The cream is then applied to the foreskin. The foreskin should be held in the retracted position for 20 seconds to allow the head of the penis to gradually dilate the foreskin.</s>

<s>[INST]I am a 37 year old female 5ft 130 lbs activerunner yoga I have endometriosis and was diagnosed with fibromyalgia 5 years ago Last weekend I spent 4 hours painting a house About two hours after I stopped I started feeling like I was being stung by a bee on my right side upper ribcage under armpit between breast and back There was no beethere is no red spotit looks normal Could this be fibro related[/INST]It is just under accustomed over exertion and nothing else, so try to use the services of the painter for his work, otherwise you end up paying in some other way. Take Tab. Local twice daily and apply Sensur Ointment locally after hot fermentation and you should be ok in 3-4 days</s>

<s>[INST]Hi doctor,I had protected sex 75 days ago and tested for STD, syphilis, chlamydia, herpes, and HIV. It came negative after three weeks. Again, after eight weeks, test with EIA is done. HIV came negative. Is there any chance of getting HIV and STD after protected oral and vaginal sex? Do I need to test for HIV again after 12 weeks? When I was born, I was a premature child. Recently, I got hepatitis E infection. Would these conditions cause any effect on the test results?[/INST]Hi. The chances of transmission of HIV (human immunodeficiency virus) by protected intercourse is impossible if used in a right manner. The HIV test is negative after eight weeks is good. The chances of HIV test results coming positive is impossible after eight weeks. You can go for HIV antibodies test after twelve weeks to get totally relieved of anxiety. It will be negative too. There is no further risk exposure. Preterm or hepatitis E does not affect the test results. For more information consult an HIV AIDS specialist online</s>

<s>[INST]My daughter who is now 16 years old is suffering of a type of a skin disorder since 2009. We consulted a skin specialist last month and he didnt reveal the name of the disease but said that it is a type of skin allergy and advised to use olive oil for cooking and prescribed an ointment for application and a capsule for treatment. And after the use of the ointment and the prescribed capsule; and after the change of the cooking oil to olive, my daughter is showing nice improvement. The ointment and capsule are as follows:SORVATE CWINOFIT - NAWhen I searched for the purpose for which this ointment is used ,I came to know that this is prescribed for psoryosis. It was heart breaking to know that it is not completely curable. Please let me know from you about the truth whether she suffers from that desease or realy it is an allergy?[/INST]Hi, Thanks for writing in. Sorvate C contains calcitriol+ clobetasol a steroid. This combination is used for treatment of psoriasis. Winofit has essential fatty acids also used for psoriasis. It is likely that your daughter has psoriasis. Psoriasis is not as bad as it sounds, with correct treatment and care it can be kept under control to a minimum level. She can lead a normal life with regular skin care. Hope this helps. Regards Chat Doctor.</s>

<s>[INST]I woke up with a sharp stabbing pain in my upper back between my shoulder blades felt short of breathe and haven t felt the best today my blood pressure is good and oxygen level is good ive seemed to have heart burn the past few days and diarrhea was wondering if I should be concerned about it being my heart the pain in my back by my spine seems to hurt more when I breathe in thank you[/INST]hi,thank you for briefing the history of you.As you mentioned the sharp stabbing pain in the upper back and in between the shoulder blades, this could be due to two factors.One - the cervical spine disc degenerative changesTwo - inter-scapular muscle spam.The cervical spine disc degenerative changes can be assessed by an MRI scan and some special orthopedic tests. Post which a physical therapy is advised and 99% of cases recover with the same. Correction of the posture is also important.The inter-scapular muscle spasm is related to the poor posture. Due to the poor posture the muscles of the thoracic region becomes weak and then leads to inflammation and pain. For which a physical therapist will help with the therapeutic ultrasound therapy and TENS therapy for pain relief and inflammation reduction. Post which an exercise regimen will be implemented to strengthen the muscles. Correction of the posture is of due importance. 99% cases recover soon.With the grace of God i wish you a Good health.RegardsJay Indravadan Patel</s>

<s>[INST]I have a dx of Giant cell vasculitis of the brain. My BP is quite high when sitting or standing (roughly 200/100) and normal (roughly 125/60) when lying down. I have real problems with headaches, even worse when my BP is normal rather than high. Several years ago I had a stroke in the right pons, before getting the vasculitis dx. I am intolerant of steroids and NSAIDS. I would like some explanation if you have one. All I find is information on postural hypotension. I have postural hypertension.[/INST]Hi, Thank you for posting your query. Postural hypotension is most likely related to side effects of the blood pressure medications. Please send us a complete list of medications that you are taking at present. If medication as a cause is ruled out, then, we need to exclude autonomic dysfunction as a cause of postural Chat Doctor. There are several bedside tests that a doctor can perform to exclude a diagnosis of autonomic dysfunction. I hope it helps. Please get back if you require any additional information. Wishing you good health,</s>

<s>[INST]My 23 month old daughter started having fever last night highest she s had was 1042 We gave her infant s tylenol which have helped but she s still having fever of 1008 latest I also noticed a very foul smelling urine when I changed her diaper Other than that she doesn t have any other symptoms I already made an appt with the doctor to see her Could it be a sign of UTI Thanks[/INST]Hello dear,welcome to HCM forum.Well,it can be UTI,especially if the child is crying excessively on micturition.This can be treated with antibiotics and antipyretics for a few days.As you already have an appointment,doctor will guide you.Meanwhile,give as much milk/fluids as possible to maintain a proper hydration.Hope this answer will help.Wishing for a faster cure.Thank you.</s>

<s>[INST]can exposure to raw sewage in a home with faulty plumbing cause staff infections and other skin issues? I have also had to have surgery on my eye to scrape the tear duct due to repeat infections. I do have chron s disease and my immunity is compromised.[/INST]Thanks for your query at Chat Doctor! Yes it is possible that repeated exposure to raw sewage can cause Staphylococcus infection. Staphylococcus aureus is a gram-positive pathogen that causes a variety of diseases. Staphylococcus also are widespread in untreated water, raw milk and sewage. Yes it can cause variety of skin problems (folliculitis, cellulitis, etc.)Practice hygiene, wear gloves to dispose sewage. Wash hands before handling leftovers and use clean utensils and surfaces. Practice "Handwashing" with soap water. Take care!</s>

<s>[INST]Hi there Dr How are youMy name is AAAAA and I have an extremely sore back Its an on going injury and my Dr GP has prescribed Naproxen Codine phosphate Baclofen and Paracetamol to attempt some relife from constant painToday as I got out of the pool I tweaked it again and nun of these drugs has given me relief Right now Im laying down on my stomach with a hot wheat sack on my lower backMy question is Can you suggest a better pain medicine than the ones Ive already listed please[/INST]hi iam dr usmani can understand the pain you are going through. hope you get a sppedy recovery. in my opinion you should have campex capsules 01 cap twice daily at least for a week. its a good and effective pain killer. it contains toradol. also get an mri of back done as soon as possible to look for the causating factor as it helps in long term treatment. you can add zeegab 1 tab 75 mg daily to start with. it helps relieve neuropathic pains as in your case. thanks</s>

<s>[INST]Dr., my 65 yr. old friend revealed that he was diagnosed several month ago with Multiple Myeloma. They have not done a bone marrow, which I thought unusual. He is experiencing back pain and it takes him a while to stand after sitting or lying down. He is an avid body builder. A comment from one of the persons mentioned Revlimid that her 78 yr old father has been given in low doses. The cancer has gone into remission. I am concerned that he is not getting the treatment he requires. The doctors he has seen are saying he has a bad aortic valve and herniated discs.[/INST]Hi, dairy have gone through your question. I can understand your concern. First he should go for protein electrophoresis and bone marrow examination. Confirm the diagnosis of multiple myeloma. Ain multiple myeloma thalidomide and dexamethasone is helpful. Rituximab is also helpful in some cases. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.</s>

<s>[INST]Dear Doctor, I am suffering with the blood in the motion at the end. No pain in the rectum but at least 1 or 2 spoon of fresh blood is coming at the end. I am scared to visit doctor, thinking it may be cancer something. It started almost 7 to 8 months back, and was not there at all after 3 to 4 months when I was in UK (London) for my project work, Now after coming back to India again it is started. Now it is 2 months i am in India and daily I see the blood in motion at the end. My brother in law(my sisters husband who is doctor) also had the same symptoms and now he is suffering from Rectum cancer by last one year. So I scared to tell my problem to anybody in family. I am 32 year old married and working for software company. ( YYYY@YYYY ) my personal mail id. Please suggest me.[/INST]Hello! Thank you for the query. Fresh, not mixed blood in stool is most often caused by hemorrhoids, so you should not be so scared. Especially that your work forces you to sit for many hours. I suggest you to visit a surgeon and have rectal examination. Colonoscopy might be necessary, but only to definitely diagnose that this are only hemorrhoids. To improve your symptoms, you should avoid constipation, increase fiber rich products and mineral water intake, avoid fatty foods and soft Chat Doctor. Physical activity should be also very helpful. Sitz baths with Quercus Cortex and hemorrhoids suppositories should help as well. Such treated hemorrhoids should stop bleeding and partially disappear in a week or so. Hope this will help. Regards.</s>

<s>[INST]Hello doctor,My actual period date was over a month ago. I missed my period. A small dark spotting was seen. The pregnancy test is positive. Please suggest an abortion kit.[/INST]Hello, Welcome to Chat Doctor forum. As you have missed your menses and the urine pregnancy test is positive and as I believe this is an unplanned pregnancy, firstly before considering an abortion pill, you must rule out an ectopic pregnancy as an abortion pill would then be ineffective. So, please get a transvaginal ultrasound done to confirm intrauterine pregnancy and follow up. Regards. For more information consult an obstetrician and gynaecologist online</s>

<s>[INST]I am 18 5 6 and 170 lbs I have a skin colored bump right above my buttocks More recently however part of the bump turned red and has begun leaking a bloody pus It will sometimes heal up and the bump will appear to shrink But eventually it will regrow to normal size and continue to leak bloody pus Any insight on the matter would be most appreciated[/INST]welcome to Health care magic.1.It looks like a carbuncle or an abscess in infected status.2.It need incision and drainage and clean the site in aseptic conditions by a surgeon, and close the wound accordingly will cure.3.An antibiotic treatment after the procedure will heal the area.4.So do not ignore before it complicate - see your doctor as soon as you get your appointment.Anything to ask ? do not hesitate. Thank you.</s>

<s>[INST]hi i m just wondering i have been doin alot of excercise latley running espiecially and ive had a sore throat over two weeks ago but i felt fine after a week i then noticed twice that i coughed up a small little bit of blood it only happend twice with a week apart just wondering should i be worried[/INST]Hithank you for asking your concern and welcome to Chat Doctor. The description you have given above gives the impression of a viral sore throat. In viral kind of cough this may happen as the cough is mostly Chat Doctor. During the cough some irritation to inner skin of throat causes expulsion of little amount of blood, it is similar to any injury outside the body. If you are not having cough with some amount of sputum or fever or decrease appetite or decrease weight in last two weeks then you do not need to worry at all. If you have any of it then I would suggest you to take antibiotic like amoxicillin or azithromycin after consulting to your physician. otherwise no worry. You can do salt water gargle to decrease some discomfort. I hope I answered your concern thank you regards</s>

<s>[INST]My granddaughter is 8 years old She has had consistant hiccups since she was a baby She only seems to get them when she is excited or laughs a lot I have noticed recently that when she gets exhurted she raises her hand to her heart I have asked her what she is feeling and she says it s fast and bouncy What might be causing both these things to happen to her thank you[/INST]Fast heart rate which can ne felt by oneself can occur due to any factor which increases force of contraction of heart. Most common reason for this is anaemia. so your child need work up for anaemia and other nutritional deficiencies and also need ECG to rule out rhythm disturbances.</s>

<s>[INST]Hi, i have a 6 month old child and had no period yet. have all symtoms of being pregnant, even pregnant shaped tummy and no weight anywhere else. done several preg tests over 8 weeks all negative. I am taking 60mg fluoxitine for pnd, could this affect the result of home preg tests? what can i do?[/INST]Welcome to Chat Doctor and I want to say thanks for choosing us as your health partner. No it doesn't work like that. Fluoxetine HS no effect on pregnancy test. Now your question to what you need to do: Please go to the nearest laboratory for Pregnancy test. When you get the reports, go to your ORGAN for consultation. Your ORGAN will go for an Ultrasound to confirm what's going on with you right now. Remember! Ultrasound will not miss the findings, and you will feel relaxed to take care of your family even better. Hope it was all you needed an answer for. Let us know if you need more help regarding any issue. We are the team of best physics from all over the world and always prepared to help patients in need from all over the globe. Healthiest Regards!</s>

<s>[INST]I was fine all day yesterday but when I went to bed last night, I was shivering even though it was very warm in the room (according to other people in the room). Throughout the night I developed a very high fever and my whole body was really really warm. I got up in the middle of the night to go to the bathroom and get water, and could barely walk because I felt so weak. I couldnt pick up the water pitcher with one hand because my muscles were so weak, and I could barely grip on to anything. I slept for about 12 hours, and now my fever is mostly gone but my entire body still aches. What do you think this is?[/INST]Hi, I am sorry for the health situation you are in. Your symptoms are indicative for possible common viral infection. I advise to:- take more rest- Chat Doctor. )- have light meals (chicken breast soup or yogurt)- take OTC painkiller or flu medication to relieve the aches - take it. C supplement to increase body energy to fight infection. If no improvement within a week or the symptoms will get worse, should consult with your physician for further evaluations. Wish fast recovery!</s>

<s>[INST]Semen analysis report Colour off white activity motile 25 Volume 20 ml sluggishly motile 15 Consistancy thick dead spermatozoa 60 Liquefication in 30 minutes morphology 65 are normal Smell semeniferous puss cells 34 HPF Ph epithelial cells nil HPF Blood nill red blood cells nil HPF conut 320 Mml Normal count 60 150 M ml[/INST]Hai, the quoted semen analysis report is normal.count is within the normal limit.volume is also perfect. active motile is okay.this semen report indicates subject is fertile.Thanks and regardsDrS.Senthilnathan</s>

<s>[INST]I missed my period since 28 Oct 2010 I took PrimolutN in December 2010 and i got my period on 29 Dec 2010 my period was 6 days I had sex on 9th Jan 2011 with the pullout method He pulled it out about 5 min before he ejaculate can i be pregnant[/INST]Hello,No, if the semen didn't go inside you can't be pregnant. He ejaculated outside so it's unlikely you are pregnant.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal</s>

<s>[INST]hi am 32 yr old weighing around 75 kgs short in stature recenty have been getting irregular cycles and at times get extended to 10 days also my doc has advised me Hyponidd once every morining and siphene one at night frm day 2 of my cycle this month which was 13th april can you guide as to which would be the right time to come in contact for conceiving as we are planning for a baby what precautions to be taken and the diet change if any[/INST]Hello,Do serum TSH and serum prolactin then do HSG on day 8th of the cycle then do follicular study after taking Clomiphene from day two till follicle reaches 18 mm and rupture then IUI.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal</s>

<s>[INST]I just had back surgery and they put me on vicodin 5 mg I hurt my back four years agoand my family doctor has been prescribing me vicodin 10 for almost four years my surgeon directed me to take 1 5mg every six hours they are not helping at all but he wontgive me anything stronger for painmy back is killing me because he told me that I probably have permanent nerve damage what di I do[/INST]Hi, even after the surgery also you are having so much of pain, means that you are not maintaining the posture, and not following the physiotherapy. I advise you to sleep in the hard bed or with out pillow. I to my patient with such pain prescribe , neurotropic injections for 10 consecutive days, and to be followed by periodically every week, one injection. Thank you.</s>

<s>[INST]Hi, I recently suffered kidney inflamation from infection. It was extremely painful. I was under antibiotics for 1 week. However, after 2 weeks, Im feeling the UTI is still there and my kidney is starting to hurt again. Can I get antibiotics from my pharmacist? Thanks[/INST]Hello and welcome to Chat Doctor. The infection of kidney is called pyelonephritis, and it is not easy to get it fully cured like a regular UTI. The return of the symptoms suggest that the infection has not completely subsided, and you require higher antibiotics. You cannot get them from your pharmacist. My advice is to visit a Urologist, and he will do a urine culture and antibiotic sensitivity and Ultrasound scan of abdomen. Then you will be admitted and will start on antibiotic injections for a week, depending on the test result. Hope this discussion will be helpful to you. Thank you.</s>

<s>[INST]Hi I m quite young But I ve always felt like I ve had a disease I don t believe I m depressed because I am very happy But even if something small happens that makes me mad or sad and I wish bad things will happen to me I know that I will NEVER go through with anything so thats good But I kinda wish that something slightly bad happens just to see what my friends family will do If they even care I also think I have diabetes But thats another story I frequently feel like I m someone else but myself I fell like Im gonna make a difference in the world I had bacterial meningitis when I was born and I have a very low immune system I ve always had migraines too And I cry over almost anything Please help I scare myself[/INST]Hi and welcome to Healthcare Magic. Thanks for your question... You seem to have an anxiety-related or a personality-related problem. Many of your symptoms are indicative of borderline personality traits. You will need a detailed psychological assessment to plan therapy accordingly. There are good psychotherapy / counselling techniques which can help you handle your emotions better. Please consult a psychiatrist in your area for help. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist</s>

<s>[INST]I have a white sore on the outside corner of my mother just where the lips come together It has been there for about 2 weeks now It does not hurt but althouth I had a similar one the other side of my mouth that went away this one hasn t gone away[/INST]Hi,It seems that you may be having angular cheilitis.I would like to say few things about angular cheilitis...Angular cheilitis is a common inflammatory condition affecting the corners of the mouth or oral commissures. It is also called angular stomatitis and cheilosis. There may be some cause..Dribbling of saliva, Overhang of upper lip resulting in deep furrows,,Dry chapped lips,Proliferation of bacteria (impetigo), yeasts (thrush) or virus (cold sores),denture,poor nutrition, iron,folic acid and riboflavin deficiencies,systemic illness likeulcerative colitis, atopic dermatitis, drugs like isotretinoin and genetic factors..There may be..Painful cracks, fissures,Blisters, erosions, ooze, crusting, Redness, Bleeding..etcYou consult dermatologist for firm diagnosis.Nutritional supplimentation,antifungal,antibiotics etc may be cosidered. Antibiotic cream, antifungal cream or emmolient may be applied.I hope you got my answer.Thanks.Dr. Ilyas Patel MD</s>

<s>[INST]Hi I have a terrible toothacheIve been to the dentist about 6 months ago and he said there is a n abscess in my toothso no extraction was doneI cant afford extraction right now because there will be stitches involved as the tooth is brokenAlso I have an intense fear of dentistsI cant bite on it at alland it gets flare up where it throbs and when I drink hot or cold thingsI want to screamAny effective way I can heal this without a dentist[/INST]Hi ...Can understand your concern...As per your query about treating tooth abcess under a tooth which is broken is ...as the tooth is broken it needs to be extracted probably but I would suggest you to consult an endodontist in your nearby locality to get it's evaluated if it can be saved by some advanced method like post and core etc.If it is not possible to save it you need to get it extracted soon to avoid more infection and complications.You need not to fear about dentist and it will be a painless short procedure.Xray of the involved tooth is needed to be taken along for examination..Antibiotics and pain killers can will provide relief temporarily but root cause can be treated only by visiting dentist....I hope the information helps you.Take care.</s>

<s>[INST]hi i am 23 years old man my face is very oily but some places on my face is not so oily when i wash my face with soap or face wash cream then i fill fine but after 5 to 10 minutes later its look like so oily how can i get a fresh face all day long[/INST]Hello. Thanks for writing to us at healthcaremagicOily face is due to overactive sebaceous glands.While cleansing is an important step in those who have oily face, it should be gentle and not harsh; it should not over dry skin because that will in turn cause sebaceous glands to produce more oil and therefore rebound oiliness, shortly after washing.I usually ask my patients to use either a salicylic acid based cleanser Or take a few sessions of salicylic acid peel. Salicylic acid inhibits oil production and deep cleanses pores.Another alternative is to start patients on a low dose of Oral Retinoids e.g Isotretinoin. Retinoids are sebostatic; reduce the size of sebacous glands and in turn reduces sebum production.I would suggest that you visit a dermatologist in your region for the needful.Regards</s>

<s>[INST]I fell a few days ago and a ladder bar went between my legs and must of hit my tailbone , I was very on the ladder so I was more concerned about hanging on than any injury . I didn t notice any pain at the time . But now I have a small bump on the side of my tailbone. It is semi painful , it s uncomfortable to sit in some ways . I m asking whether or not to go to see doc or can I just ride this out[/INST]Hi, thanks for writing to Chat Doctor .you seem to have tail bone injury, not necessarily a fracture since you didn't have immediate pain. Please take following treatment:1. Avoid sitting on hard surfaces.2. In fact for sitting you should buy a ring pillow or doughnut cushion which has a hole in between, so when you sit on it, your tailbone area keeps hanging in the air. You can also buy a coccyx cushion for this purpose.3. Avoid sitting for a long time4. Till you get hold of one such pillow you can manage by alternate sitting on each side of your buttocks5. Do sat bath-take warm water in a tub and dip your bottom in it. Do it 3-4 times a day.5.take a mild anti-inflammatory like ibuprofen or naproxen.6. Avoid constipation- take high fiber diet. This will avoid strain on your tail bone while passing stools .it should improve in 2-3 weeks hope I have answered your query .if satisfied, please rate my reply thank you</s>

<s>[INST]I am a 41 female advance stage 4 squamous cell carcinoma in remission 3 years I had a staph infection to porta cath and my vagus nerve was cut during cancer surgery leaving me with severe neurapathy and severe gastroparises I am a forced vegan that barely eats because of GP have sever neuraopothy pain and reoccurring chest pains where staph infection was and hearing loss moderately from radiation in right ear I am bedridden and feel like most think I am a lost cause I am not on any heart or pain medicine but use zofran ultram marinols and ativans sometimes but pain in chest persist especially after a bowel movement The ER drs keep telling me its just anxiety but I really feel that the staph infection left my heart weakened but not sure how to prove this Please help me anyone My quality of life is can be improved after cancer treatments but at a loss how to help myself before its too late Thank you for your time and patience[/INST]Hi, if there is staph infection then it can be proved by blood culture. have you done any blood culture. long term iv access can lead to staph colonization. what are the medications used for neuropathic pain? though it is difficult to control still some options like tricyclic antidepressant , some anticonvulsants like carbamazepine etc can be tried. morphine is also an option. please consult your doctor . I am sure you will get relieved from your distress .</s>

<s>[INST]Hi I have a history of irregular periods and was suffering from Primary Infertility for around 8 years On 28th Jan I had a ve result of the preg testy at home and further went to alab test and the test was also positive Today I had my 1st USG which showed a empty gestational sac I am confused with my last period date which was most probably on 10th or 20th od Dec 2010 I am having the pregnancy symptoms What should I do[/INST]Hello, this is all due to pregnancy hormones which take 2-5 days to disappear after abortion.Alternatively it can be a delayed conception so repeat scan after ten days is a good option. In case you have any questions in future you can contact me directly on</s>

<s>[INST]Finally soon meeting with a allergy asthma specialist my 8 yr old son suddenly been diagnosed with severe asthma in august His doctors never took chest xrays nor blood work just weekly visits we have been going He gets so bad you can hear the rattling in his back thats when we go to the docs they then give him steroid pillsmore neb treatmentsnew inhalers Its so frustratiing since the steriods didnt work last time and my little guy still cant breathe and i can hear his lungs filling up again The nebulizer gives him a very bad outcome it works but leaves him so sore for days after he cant walk nor can you touch his body I am so scared i just want my son back it is affecting his love for the outside since he cant play in the snow it sets him off I guess my question is whats your opinion on the reaction to the nebulizer Also would he be better off living in a warmer climate We live in New York and I am willing to move whereever to help him Thanks so much[/INST]The asthmatic patients are usually comfirtable between 20 degree temp to 35 degree environ mental conditions. but according to your history it seems to be milk allergy Stop all milk and diary products Get blood serum tested for milk specific antibodies After stopping the milk and diary the same medicines will work which are not workin now</s>

<s>[INST]I have been tying for a baby since 5 months, had a thyroid issues, it got controlled five months back, then got to know have mild PCOS ...since then takig treatment, last month had done folicile study, the result was good enough as it ruptured at 22mm on 17th day however cudnt concieve. Doctor said once again go for folicile study. but some relative of mine is saying that i should get HSG checked this month...wat should i do? as the doctor has said i cant go for both the test together....please suggest?[/INST]Hi, If you want to get the tubal patency test done, you should better avoid follicular study in the same cycle as there will be delay in the study owing to the timing of Hysterosalpingogram, as it is done during the follicular phase of the cycle. So, you can ask your doctor to suspend follicular studies in a cycle and go for a HSG test if he finds it reasonable and if you want to get it done. It is always good to exclude problems of tubal patency. Take care.</s>

<s>[INST]hi i didnt eat on time eat a day ago and ever since am getting some pain in my chest if i breath in deep if i laugh cough it hurts so i have to take short breaths would a hot cup of tea stop the pain am 23 height 5 3 weight 1444 and with no medical history[/INST]HiI do not think the tea should stop the pain.Talk with your doctor for further examinations.Dr.Jolanda</s>

<s>[INST]Two nights ago while doing laundry including picking up old clothes in the bottom of my closet floor to wash I noticed a red area on the crease of my elbow that was almost a perfect square 125 inches or so Assuming it was a bug bite as bugs are common in my building I ve tried Benadryl no help as well as hydrocortisone cream and caladryl The creams help but when I come back up my apartment the redness goes back to what it was at first It doesn t itch but is warm to the touch Only other detail worth mentioning is a few hours before I got furniturewood stain on my arms and legs and used a wipe to try to get it off maybe it reacted just on my elbow I don t know Help[/INST]Hi,Thanks for the query. This can be due to stain allergy.Best treatment to allergy is to avoid it.You may get relief with tab allegra 120 mg once daily which you can start consulting your doctor.If not relieved then you may need blood investigation and ultrasound examination.Hope I have answered your query. I will be available to answer follow-up queries. If you are satisfied with the answer, please give your review at the end of the discussion.Wishing you good health. Take care.</s>

<s>[INST]Hi Doctor ; My wife is a 38 years old lady.She is using tablet Olepra 2.5 mg ( Olanzapine ) for the last about three years being psycho patient ( Illusion ). There are certain negative side effects of this medicine like gaining weight and stoppage / irregularity in menses (periods).Can you please advice regarding solution of said side effects. Is there any other latest medicine for this disease having no such negative side effects.[/INST]Hello and welcome to Chat Doctor. Thanks for your query. Weight gain and irregular periods could be side effects of Olanzapine. If these side effects are causing significant problems, then other anti-psychotic medication can be considered. There are other medication which do not have these particular side effects, but this treatment decision has to be taken after carefully weighing the benefits and risks due to the medication. So, please discuss further options with her psychiatrist. Regular exercise and diet control are also important to be followed, especially when on anti-psychotic medication. Wish you all the best. -</s>

<s>[INST]Hi Dr Rynne I was diagnosed years ago with right bundle branch block Recently my doctor prescribed cyclobenzaprine for a different problem Online I see that one of cyclobenzaprine s contraindications is heart conduction problems Am I safe to take this drug[/INST]Thanks for your question on Healthcare Magic.I can understand your concern. Yes, cyclobenzaprine can affect conduction system of heart and worsen underlying cardiac conduction defect.Since you are known case of right bundle branch block (RBBB), it is better not to take cyclobenzaprine as it would worsen your RBBB.Better to talk with your doctor for alternative drug. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s>

<s>[INST]my aunt had pancreas ca She had total gastrectomy and total pancreactomy Now she has severe abdominal pain 30 60 min after eating . she is eating small portions of food,lying down 30 min after eating. but she isstil having pain she is also using dramamine, acarbose for dumping sydrome . What can you recommend for pain relief. Thanks[/INST]Hi. The patient who has undergone gastrectomy with total pancreatectomy for Cancer of pancreas can have such problems as the intestine is directly connected to the esophagus and there is a blind loop carrying the bile via the Y limb.First your Aunt should stop all the foods and beverages increasing this type of pain. I would advise for Endoscopy and barium studies to find out the cause of pain and rectify it surgically if warranted. Till then, she can be kept on fluids only. She should walk around after feeds. Continue the medicines she is already on.</s>

<s>[INST]i need to know that what are the major symptoms of 1st stage of cancer may be lungsand i am having some kind of pain in my chest area from around 34 daysand before that i had some difficulties in breathingaround 1 month before this painand yes i do smoke[/INST]The major symptoms of 1 st stage of lung cancer areA Cough That Doesn’t Go AwayShortness of Breath With ActivityPain or Aching in Your Shoulder,Repeated Infections Such as Bronchitis and PneumoniaFatigue, decreased appetite, unexplained weight loss, or even depression .RegardsDR De</s>

<s>[INST]Hi I am 21years old and have been on depo provera for 4years, I have not gone back for my next injection due to wanting to concieve. I havnt had a period since Ive been on this birth control, can I still get pregnant without a period? Also my endometrium lining is 4mm thick is this bad? Ive heard bad things about this drug because of my age do I have a good chance of concieving?[/INST]Hello dear, I understand your concern. In my opinion the absence of periods and irregular bleeding are the most common side effects of demo shots. I suggest you to do a urine pregnancy test. If the test is negative there is no chance of pregnancy and the absence of periods might be due to side effects of demo proverb. It will take some time for the hormonal imbalance to get back to normal.Don't worry. Once the hormones get normal the chances of conception increases. Best regards...</s>

<s>[INST]I am 56 years old. I have shingles for the second time in 6 months. This time the rash is on my arm near my elbow, about the size of an egg in size. The rash has lasted now for almost 3 months. It got better after about one month, but now has just stayed the same with no further improvement. Should I be concerned that it is not going away?[/INST]Hello, Welcome to Chat Doctor. Varicella booster or shingles is a viral infection caused by human herpes virus III. The lesions can present in any part of the body and distributed along the affected nerve dermatome. The virus remains as dormant in the nerve endings for very long period, when ever the body immunity comes down it will flare up produces the rash on the particular nerve distribution. This is a self limiting disease, and it will reduce by itself. I would suggest you to Apply cold packs on the lesion which will reduces the hives and pain, You can apply antiviral and steroid cream on the lesion. Oral antiviral Chat Doctor. Thank you.</s>

<s>[INST]I am a 18 year old male in good shape. Here recently however I have had trouble with breathing i dontGasp it just feels difficult especially when i bend over. I Also noticed when i laugh it is very uncomfortable And almost impossible. What could this be?[/INST]Hi welcome to Chat Doctor... Here first your resp examination and auscultation has to be done to look for any abnormality if present ... If suspicious auscultation than digital chest x-ray needed for rule out resp cause .(Spirometry done if needed)Is still cause not clearer than EKG needs to be done ... If no cardiac cause as well as it could be musculoskeletal pain ...for which simple analgesic useful along with warm compress... According to cause treatment given ...Don't worry. Take care Advise : pulmonologist consultation</s>

<s>[INST]I have been ill and sore for over 2 years with no one being able to figure out what was wrong with me It was always written off as a weakness or stomach infection Then 1 year ago the severe vomiting started I was discovered with hepatitis b From last 1 year i am on herbal treatment i have reduced just 200 points out of 4500 points of hepatitis the improvement is very slow and I still feel severe pain in head so tirenauseous and in constant pain I am just sick and tired of feeling sick and tired i am just 23 years old weight 48 kg height 51 feetand i have 4500 positive points of Hepatitis B is it cureable at the moment Please reply at your earliest possible convenience[/INST]Hi thanks for contacting HCM...According to your complaint you can have chronic liver infection by hepatitis b antigen...If HBSag positive after 6 month then it will remain life long.....Here you have to consult gastroenterologist for detail physical examination and investigation...Certain life style modification with regular follow up can prevent complication and healthy life can be lived....Take low fat diet.Use less oil in cooking...Trans fat diet like pizza , junk food , non veg kept limited....Fruits and green leafy veg more....HBeag and enzyme estimation For three month with HBV DNA done for detecting chronic active stage ...for which antiviral drug needed.USG also done...If active hepatitis there one tsp cumin seed with water useful ....If doctor wants staging and grading then biopsy might done...Take care.Hope your concern solved.....Dr.Parth</s>

<s>[INST]Hi I am a 30 year old female who has an open bite which I am very self conscious when speaking to people and smiling is there any solution to this? as its only my 2 front teeth which doesnt overlap with the bottom teeth. I am thinking of extracting my four front teeth and have partial dentures so that I can have a perfect is that advisable?[/INST]Hi! Welcome to Chat Doctor. I read your query. Open bite can be due to jaw relation disturbance or occlusion disturbance. Extracting front four teeth won't provide a solution for this. You need to visit an orthodontist, who will study your jaws and teeth, take few x-rays and then decide the treatment. Usually teeth alignment is done using braces for 9-12 months varying from case to case. Extraction of one or more premolar may be required for making space. Then fixed braces will be attached to teeth exerting required force to move teeth in desired alignment.Nowadays composite braces are available, which are esthetically better. Hope the answer helps you. Thank you!</s>

<s>[INST]My son at the age of 13 for the past 2 months he is suffering watery tools with blood and lower abdominal pain right side In the motion culture test culture GROWTH OF ESCHERICHIA COLI GRAM NEGATIVE RODS kindly give your suggestion and treatment[/INST]Hi,Thanks and welcome to healthcare magic.From your investigation report we can deduce that the baby is suffering from E.coli diarrhea ,probably enterohemorrhagic E.coli infection.Antibiotic may be known from the sensitivity report.Ofloxacin ,Septran ,ciprofloxacin may be used empirically to trea diarrhea .Sporolac daily by oral route for 4-5 days will help controlling diarrhea .Zn-20 5 ml daily for 14 days to prevent diarrhea .Cyclopam syrup gives relief from colicky pain.Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.</s>

<s>[INST]my 8 year old along with several classmates has a virus Threw up 2 days ago badly and has had fever continuous for 2 days Tried to feed a little and he threw up again Hes hungry but what is the best thing to feed him he could hold down Able to drink water and has no loose stools[/INST]Hi,Welcome to Hcm,As you have rightly pointed that the symptoms are surely suggestive of a viral illness. These problems are commonly seen with viral illness. Not able to eat is also associated. The appetite decreases and child feels very lethargic. Best treatment in such situarion like this is to support with as much liquids as possible. Fruit juices, rice porridge, tender coconut water, bread etc are usually liked. He needs to be given paracetamol round the clock and rest. He should recover in couple of days. If still fever persists after 5 days, get his blood and urine tested . hope this helps. Happy to clear any further queries. Take care.</s>

<s>[INST]Hello doctor,Sometimes I see flashes of light as kind of line in the side vision. That too where more light focus is there on the walls, etc. That too if I observe clearly.[/INST]1) It could be just an illusion, but it needs to be ruled out with your ophthalmologist.2) There can be many causes like retinal detachment, glaucoma, etc., so it should not be ignored.3) The most common cause for this is a migraine headache.4) Another possible cause may be an ocular allergy or an eye infection.5) If you have any other symptoms then these need to be investigated by your ophthalmologist.6) In case of any doubt please consult your ophthalmologist and get evaluated.</s>

<s>[INST]people hate me and annoy me without reasons i realize what i say when i walk in the street even people who not know me annoy me molest me by their lips or nose i want to know the solution the second problem is that every day i masturbate i get nightmares iam egyptian male 31 years my email YYYYYYYY[/INST]DearWe understand your concernsI went through your details. I suggest you not to worry much. From the details you gave in the first part about people, it is because you are having paranoid personality disorder possibly. Paranoid personality disorder (PPD) is a mental disorder characterized by paranoia and a pervasive, long-standing suspiciousness and generalized mistrust of others. Individuals with this personality disorder may be hypersensitive, easily feel slighted, and habitually relate to the world by vigilant scanning of the environment for clues or suggestions that may validate their fears or biases. Paranoid individuals are eager observers. They think they are in danger and look for signs and threats of that danger, potentially not appreciating other evidence.Due to the PPD you are having nightmares when you masturbate. These are inter related. In my opinion, you should see a psychiatrist for the treatment.Hope this answers your query. Available for further clarifications.Good luck.</s>

<s>[INST]Hi doctor I am keep on getting unwanted thoughts and feelings related to the environment around in the vicinity I am getting images of god food items fecal matter song lyrics animal skin feeling sensation etc There are countless examples I am getting some racing feeling while resisting my thought These thoughts and feeling are being like quite instantaneous mild and unavoidable They go in the background as a part of mental chatter These things had been there for a long time But I am getting trapped in them now I afraid that I am the only one who is experiencing them I get confused with the way I should deal with them I am affecting myself everywhere because of it I get in competition with my mind as not to think or have those feelings while doing a particular task but I end up having those thoughts and feelings I searched on the internet and found that it was related to some white bear syndrome I fear that this problem would spread and make my life miserable Please help[/INST]Hi. I can understand your concern. For further information consult a psychiatrist online --></s>

<s>[INST]I am an 18 year old college student with vasovagal syncope and have had three or four cases of fainting in my life. I have not had a case of fainting in a couple of years and have learned a little bit how to prevent vasovagal episodes by drinking Gatorade and tensing my leg muscles and sitting down as much as possible. However, many times I still feel dehydrated and/or dizzy. At my school, we have a 30 hour dancing event to raise money for charity and I would love to do this year. I just want to know if you think I would be able to get through 30 hours of dancing. There are some breaks and there is most likely plenty of water, however, I am afraid that I will have a vasovagal episode at this event. What is your advice?[/INST]Dear, here are certain things that you can do to prevent unconsciousness-1) wear calf-length tight stockings or high length socks during longstanding activities.2) carry a bottle of glucose with electrolyte Chat Doctor. 3) take breaks from physical activities at regular and scheduled time.4) avoid high altitude adventure or places.5) carry an identity card always with you. Hope these are some lifestyle modification can help you. Besides, keep a regular consultation at your family doctor. Thanks</s>

<s>[INST]I have tingling in my feet lately and pain in my lower back at least twice a day while I am walking with the pain in my back and tingling in my feet It started out slowly and has lately begun to get worse to the point that I even fall down when it happnes Sometimes I get very dizzy with it too Then if I sit down for a while it will go away This begun to happen daily Do you have any idea what it could be or if I need to see a Dr and if so what kind of Dr Thank you[/INST]It could be neurogenic claudication. It happens when you have spinal canal stenosis. It could be due to disc prolapse, due to degenerative changes, ligamentum flavum hypertrophy etc. Diagnosis can be confirmed on MRI spine. You should consult a neurologist or neurosurgeon for the same.</s>