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<s>[INST]I am taking POPs and I know you can t be more than 3 hours late. I take my pill everyday at 11pm. Yesterday, Friday, I had unprotected sex at around 10 am. He did not ejaculate inside but some got on my thighs, not sure how close to my vagina, and we had sex again about 20 minutes later. Friday night I took my pill almost exactly 3 hours late, around 1:58am this morning. Do I need to take plan B? I know it says you need backup for the next 48 hours but I had sex before being late.[/INST]Hello misunderstand your concerned not worry. According to your questions, you are on the regular birth control pill. As you took just after 3-hour delay from your routine, this not affect the contraception effect. If you are on the regular birth control pill then no matter your partner ejaculated in or out the vagina, you are fully protective. Birth control pill is very effective in preventing the pregnancy around 99 percent. So no need of Plan B pill. Dose of birth control pill to prevent the pregnancy as emergency contraception: 4 tablet as early as possible or with in 72 hours after sex and another 4 tablet after 12 hours. But as you are on regular birth contraceptive pill, no need of above doe, just take your regular pill. Hope this may help you Best regards</s> |
<s>[INST]MY DOCTOR HAD PRESCRIBED ME MEGANEURON OD PLUS AS I AM HAVING THIGH AND CALF ACHE FOR FEW MONTHS AND THE MRI SHOWS PSEUDO-BULGE OF L4-5 DISC AND LIGAMENTUN FLAVUM THICKENING IS NOTED AT L4-5 LEVEL, WITH MILD CIRCUMFERENTIAL COMPRESSION OF THE THESCAL SAC. MILD DIFFUSE DISC BULGE IS SEEN AT L5-S1 LEVVEL MINIMAL DISC BULGE IS NOTED AT L2-3 AND L3-4 LEVEL[/INST]Hello, Your MRI result shows that you have aging changes of the disks in the back. The most notable is at L4/L5 level (lower back) where disk changes and soft tissue changes are likely to be causing pressure on some of your nerves. The pain in the thigh and calf may be due to compression of the nerves in the lower back. In my practice, I would advocate for physiotherapy with pain medication to reduce the effect of the disk on the back. If there is no improvement after a number of months (approximately 6), then I would refer you to a spinal surgeon for surgical treatment of the condition. Get well soon!</s> |
<s>[INST]My 4 year old son has high fever since last 8 days crocin is ineefective He has been prescribed MeftalP tests for typhoid jaundice are negative headache before his temperature starts rising is a constant symptom No running nose no cough but mild chest congestion Pls advise what could be the reasons[/INST]Hello,Fever is caused as the body is fighting against the attack from foreign organisms, headache is the first symptom to start with before the rise in body temperature followed by body ache.As you say child is having chest discomfort child needs to be evaluated further with an x-ray of chest and blood test for other fevers like dengue, malaria as well (only typhoid n jaundice is not adequate).Both Crocin and Meftal P drugs have been advised for control of fever. An 8 days long fever needs to be evaluated to find the cause of fever, child has to be seen by a pediatrician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prafulla Srinivas</s> |
<s>[INST]Around 300 am yesterday morning I started feeling a dull pain midabdomen L side worsens when I inhale Then this morning in addition to the above symptom which has persisted I am having numbness tingling down my left arm to my left hand along the left edge with coldness in this hand compared to the other one Not even sure these two symptoms are at all related other than laterality I m not sure what may come next and I do not want to wait to find out Your thoughts[/INST]helloI think you need both orthopeic and heart check up with EKG,chest xray to rue out causes due to heart and lungs, also physical checkup to locate any specific tenderness in upper abdomen due to abdominal organs.In any case, it should be urgently checked in ER.certain blood tests like Treponin T and treponin-I, CBC may also be requiredso Visit an ERget your BP and pulse checked and avoid all physical exertion and heavy meals for a whie till ER visitbest wishes</s> |
<s>[INST]Good morning Doctor my child age is 2years 2 month he is having cough he is not eating foods So i my family doctor gave Blukof Syrubis it have side effects what is the best medicine for having food eating Thanks Sharathkarkera0000[/INST]HiThe most common side effects are nausea, vomiting, diarrhea, stomach pain, upset stomach, headache, rash, palpitations, tremor, and increased heart rate. Most of these are temporary and usually resolve with time. Contact your doctor straight away if you are at all concerned about any of these side effects.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician</s> |
<s>[INST]Respected doctor I am an epilepsy patient and am taking encorate chrono 200 twice a day Now i am advised to take Ginette 35 tablet as a measure for hormonal treatment I would like to know whether i could take ginette 35 since i am an epilepsy patient[/INST]Hi, It is not advisable to take these two medications together. Taking Ginette-35 while on Encorate chrono-200 can cause loss of seizure control or symptoms such as tremors, poor muscle coordination, increased seizures, and changes in behavior. It can also result in increased side effects of Cyproterone acetate one of the active drug present in Ginette-35. Consult your doctor for a dose adjustment or special tests to safely take both medications. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician</s> |
<s>[INST]I have a partner who has extreme back pain in the lower back- we have relief back patches one night, max-freeze two nights and the chiropratic doctor this morning-I have some medical knowledge but certainly dont know what to do at this point. Mysomewhat knowledge tells me-its his kidneys. thank you[/INST]Hi, thanks for writing to Chat Doctor. There are numerous causes for low back pain. The commonest causes are* any problems related to the lumbosacral spine like disc disease, lumbar strain, a nerve irritation, facet joint problem, spinal stenosis, inflammatory arthritis etc.* Intro abdominal causes like Kidney related conditions, liver problems, pancreatic problems etc.* Pelvic inflammatory conditions in female patients* Vascular causes, a detailed physical examination and appropriate investigations are necessary to establish the correct diagnosis. In the meantime, use some analgesics/ muscle relaxant preparations along with ice packing of the affected area once in 2 hours to alleviate the pain. Hope this information is helpful. Good day</s> |
<s>[INST]i pulled a muscle in my back a few months ago and when i get home from work it bothers me and its hard for me to get sleep at night sometimes i dont have insurance and i cant afford to go to doctor tylenol and ibuprofen doesnt help anymore hot pads and creams dont help either[/INST]Hi, Thanks for using HCMIn my opinion you should stop worrying. For immediate relief have tramadol and serratiopeptidase. Do not lie down on soft mattress use hard one instead. When getting up from bed always take a lateral position first then hang your legs down first and then get up. DO not strain your self or over exert. Take complete bed rest for 2 weeks, just walk in room and come and lie down. After 2 weeks start with some back strengthening exercises. Do some hot fermentation if pain is unbearable. You will be fine in 2 weeks.</s> |
<s>[INST]Hi doctor,I have health anxiety and have recently become quite obsessive over my moles. A week or so ago, I became focused on a 2 mm mole on my knee. I have always had it as far as I am aware. I noticed a slightly raised bump towards the top with some small hairs coming out of it and was unsure if it had always been that way. I panicked and squeezed it and clear fluid came out. Since then, the mole has scabbed and is now just slightly raised pink skin. I am worried that when it heals, it will disappear completely and I will have hidden a melanoma. I have attached photos of it now but unfortunately, I have not got any of what it looked like before.[/INST]Hi, Welcome to Chat Doctor forum. The moles which are present since birth are called congenital nevi. They require periodic follow-up by dermatologist for evaluation. As you have got the mole scraped off, and there is no sign of bleeding or infection, you need not worry about malignancy. You can keep it under observation and get it examined once after few months. In case, if there is any change in size or shape of the mole, consult dermatologist immediately. Hope this helps you. Wishing you good health.</s> |
<s>[INST]Our 7 month old babu refuses to eat anything but breastmilk. He weighed 6.2kg at 3-4months but now weighs 5.5kg. We have tried all sorts of things, milk, cereals, but he just doesn t seem to like them. We are worried about his weight. Could it be worms, teething, as some have suggested to us? Thank you.[/INST]Hi... At his age interest in play increases and interest in food decreases. This is quite natural. If he is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed him calorie dense by adding good amount of ghee to it. PLEASE DO NOT GIVE ANY SO-CALLED APPETITE STIMULANTS AS THEY ARE NOT VERY SCIENTIFICALLY PROVEN AND THEY HAVE THE SIDE EFFECT OF EXCESSIVE Chat Doctor. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.</s> |
<s>[INST]Hello doctor I have recently developed a double urine stream from last week I have anxiety and had all sorts of urinary tract issues and bowel issues with anxiety Frequent urination splashing urination and trouble urinating and I think double urination is the next in line I had an ultrasound two weeks ago and result said no significant findings of the prostate gland I had a TURP transurethral resection of prostate two years ago So they compared my prostate to that one Psa 15 and prevoid 265cc and post void 22cc normal jets Currently I am on 75 mg Effexor Now the two streams happen 30 of the time and if I pinch my penis it goes back together But sometimes not I have seen it come together midstream and go apart midstream Doctors here feel the double stream is linked to pressure on the bladder from anxiety What do you think[/INST]Hi. The split stream can be due to narrowing of the urethral opening or sometimes due to voiding with high pressure. If you consult your urologist, get a uroflow test done. If there is any narrowing, it will show in the flow. Splaying of the stream can sometimes be prevented by pissing with foreskin fully down (non-retracted) provided you are not circumcised. Also, if frequency and urgency are problematic, add an anticholinergic. Consult your specialist doctor, discuss with him or her and take medications with their consent. You may upload uroflow reports when you have them. For more information consult a urologist online --></s> |
<s>[INST]Hello, I am a 38 yr old male w/ lumbar spinal stenosis, both foraminal and central canal areas at L5-S1,L4-L5, and L3-L4. I am very active and would obviosly like to stay that way. I did get a minimally invasive hemi laminectomy at all levels noted on 2/08. I am just starting to get pain now after ~ 3 yrs. My question... If things progress is my only option fusion and if so can you still be fairly active after getting a fusion?[/INST]Vertebral column is built to provide you with a great deal of flexibility. When you bend, the movement is divided into bits amongst all those bones. Now say supposing three of the bones are fused (which incidentally may occur as a part of many diseases), the division of that motion is divided in less number of bones. So yes, the mobility will get restricted. However I think day to day activities should be largely unaffected.</s> |
<s>[INST]My white blood cell counts were slightly elevated so my primary Dr referred me to a Hemotoligist they took 10 tubes of blood its been three weeks I just spoke to a nurse because im concerned I want to no whats going on the Dr is only in on Thursdays just so happens he is off to day so I have to wait another week but she told me that my U jak2 was negative and not to worry to much is that true[/INST]Hi, dear. I have gone through your question. I can understand your concern. You may have some infection. That leads to high wbc count. Your jac 2 mutation is negative so you don't have any myeloproliferative disease mostly. Consult your doctor and take a course of antibiotics. Thanks for using health care magic. Wish you a very good health.</s> |
<s>[INST]I have recently been diagnosed with several nodules on my thyroid by ultrasound Blood work has returned to my general prac with no thyroid hormone abnormalities but high in calcium I am awaiting a call from general prac on what she will order re calcium irregularities and have an appt next week with endocrinologist I am not on calcium supplements only Cymbalta Vit D and Premarin vaginal cream 2xwk What could high cal be indicative of[/INST]Hi, dearI have gone through your question. I can understand your concern. Your high calcium level has no relation with your thyroid. It may be due to vit D or some parathyroid disease. You should investigate for parathyroid hormone test. Take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.</s> |
<s>[INST]Hi[/INST]Hello,Assuming the Mild facial palsy is Bells Palsy, it can be treated with a short course of steroids for 7-10 days. Steroids reduce the recovery time. Ideally treatment should be started within 3 days of symptom onset.Antivirals like acyclovir are recommended only in severe cases as their benefit is doubtful.If there is difficulty in closing the eyes, proper eye care including artificial tears, protective glasses during day and eye ointments and eye patch to keep eyes closed at night can be used. Usually there is good and complete recovery in mild facial palsy. Other modalities of treatment like surgical decompression and electrical stimulation needs to be considered only in severe cases.</s> |
<s>[INST]hello doctori am female 25 yearsi have problemwhen i am sleepingabout to be in deep sleepsuddenly my breathing stopand due to this my heart beat increases and i wake upit happens dailyevening time acidity is the problem so please guide meas i am not getting proper treatment[/INST]Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would like to know more about your symptoms like whether you have recurring nose allergies, nose obstruction, sinus symptoms, stress, etc.From your given history, I would think of 3 possibilities:a. It may be obstructive sleep apnea, usually due to nose obstruction due to allergic rhinitis, sinusitis, etc or some other obstruction in upper respiratory airway. In that case, I would suggest you to get examined by a ENT specialist who will examine your nose from inside and may identify the cause.b. It may be gastroesophageal reflux causing choking at night. As you have acidity, this is also a possible cause. In that case, I would suggest you to take an antacid like ranitidine daily before meals for at least 4 weeks.c. It may be night terrors, especially if stress is a problem for you. In that case, relaxation and consulting a psychologist may help you.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards.</s> |
<s>[INST]hi my daughter fell over a bike that was lay on the ground back in march She was 21months at the time This left a lump on her shin and bruising The bruising has gone but she still has a lump on her leg it doesnt seem painful to touch but is this normal for a lump to still be there[/INST]Hi, dearI have gone through your question. I can understand your concern. she has history of trauma and injuries. It leads to hematoma formation and produce lump. It will clear with in few days. She should take anti inflammatory drugs to clear that. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.</s> |
<s>[INST]Hello my name Is emily okeefe The past 6 days I have been feeling nausea in my stomach off and on It gets really cramped up to the point where I want to get sick Im a 16 year old junior and its the end of the school year and I cant offord to miss anymore school I feel fine in the morning when I go to school but about a period or two in I start to feel sick and have my parents come sign me out My parents thought it was a stomach bug at first but are now concerned because of how long it has been going on for Please help me[/INST]Hi, Thanks for posting your query. With the available described details, there appears to high possibility of Acute gastroenteritis.You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should go for complete blood count, erythrocyte sedimentation rate, ultrasound imaging, and serum electrolytes, renal function test. You should take complete antibiotic therapy, antispasmodics, probiotics, antipyretics, and antiemetic. Frequent watery diarrhea and vomiting may cause weakness due to loss potassium.You should maintain your hydration status by taking potassium rich liquids. Take soft diet along with yogurt and banana. Avoid milk and all milk related products. Take care, Dr. Mayank Bhargava</s> |
<s>[INST]Dear Doc My daughter is suffering from fever 104 F her head and face is hot but hands and feet are cold I am giving her Pedadol 100mg and oxmapox 125 mg for her throat and chest infection I cannot take her to a doctor as it will be to difficult The fever is not coming down for last three hours please advice could I give her calpol syrup after every 4 hours[/INST]Hi,There might be having viral or bacterial infection giving rise high temperature.But as antibiotic medicines are continue, nothing to worry.Give Calpol syrup round the clock to bring down the fever.But important is to give plenty of water and keep her well hydrated.If high fever continued then consult your doctor and go for investigations like complete blood checking and routine urine check up.Ok and take care.</s> |
<s>[INST]I have lower back pain on my right side It is very hard to stand in one place for more than a few minutes and bend and pick things up Last week I had an episode where I couldnt move it at all without screaming in pain That was an extreme but this has happened now about three times in the last two years The pain standing and bending happens all of the time I have RA and I am not interested in steroids or pain meds I just want this to stop I am only 42 and I can no longer excersize like I used to I have Florida Blue do I need a referral to see a back doctor[/INST]Hello, Thanks for your query.It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.You can get the appropriate drugs prescribed from your Orthopedician after examination.Meanwhile you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. - Improvise your posture while sitting.- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions.I do hope that you have found something helpful and I will be glad to answer any further query.Take care</s> |
<s>[INST]my wife has a blood disorder I am not sure what it is called she is seeing a cancer doctor her problem is she is low on platelets she had atransfusion of 2 pints a week ago and has already lost that she had a scope down the stomach to see if she was bleeding she was not the doctor has been giving her antibiotic transfusion alsoshe is real weak and she has been diabetic for more than 20 years she is 52 and I am very worried I am going to talk to doctor Monday was wondering if you would have any suggestions[/INST]Dear sir, Please note that consulting a hemato-oncologist does not mean the patient has cancer. I am a hemato-oncologist and nearly half of my patients suffer from benign blood problems. Even if she has a cancer, there is no need to get very much upset. Many of blood cancers can be treated easily, as excellent medicines which are available now. If after platelet transfusion there is no increment in counts, there is a high probability of a benign disease called as immune thrombocytopenia. For diagnosis of this problem a thorough history of symptoms, clinical examination of patient and careful look at peripheral smear would be needed. Sometimes we may do a bone marrow examination, if there suspicion of any other problem. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat</s> |
<s>[INST]Hello doctor Just wanted to ask if you can get an STD from wet toilet door handles I live in a place with shared toilet and was having a standing up urinating I received a text message whilst urinating and got out my phone to check whilst I was still urinating and I noticed the back of my phone felt a little damp I am not sure why it felt damp possibly my hand may have been a little sweaty or I may have got my own pee on my hand a little but I am now really worried in case it was water from the toilet door handle I am worried as I may have touched my penis with the hand that held the phoneI know I am probably worrying needlessly but wanted to confirm[/INST]Hello. There has been no STD (sexually transmitted disease) identified which can spread through such modes. So, I do not think you need to worry. STD, as the words define, spread by sexual activities and sometimes from mother to fetus. They do not spread through touching doors or shaking hands. For more information consult an internal medicine physician online --></s> |
<s>[INST]I am 16 my father has a history of schizophrenia Im hearing voices and seeing images in my mind I dont sleep at night My mood will be perfectly calm one second and the next ill be depressed When im alone the voices speak aloud to me and cause me physical harm My mother doesnt believe that this is happening to me I dont know what to do Im afraid for mself This is my last resort to find help otherwise I fear I will have to live with this not knowing what could possibly happen[/INST]Dear User,Thanks for using health care magic.From the available description and family history it appears to me that it is beginning of schizophrenia. Most of the schizophrenia problem start during adolescence. You need to seek help from a doctor and need to convince your mother for a consultation. Tell her that this causing lot of problem for you and meet a doctor. I hope your doctor will do the necessary counselling so your mother understands the problem.'Hope I have answered your query. If you have any further questions I will be happy to help".Thanks</s> |
<s>[INST]im 37 yrsold i had infection on UTI the last urine test is ok now But on my belly button lower part still bothering me do i have infection on my ovaryi tried to used lust cream for one time just curiosity lust cream can made infection if i mess up on how to used thanks[/INST]Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Lust cream can't cause infection.But unhygienic condition when applying cream can cause the infection.In my advice you should apply antibiotic ointment over the umbilicus. This can cure the infection and give your relief.Polysporin ointment can be used for the infection cure.Please maintian good local hygiene by frequent cleaning and dressing.Ovarian or urinary tract infection won't spread to the umbilicus. Please avoid swear in the respected area, and wear a cotton undergarments.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.</s> |
<s>[INST]MY HUSBAND IS ON DIALYSIS FOR 2 YEARS. HIS LEGS AND FEET HAVE BEEN SWOLLEN FOR 3 MONTHS AND HIS RIGHT LEG HAS STARTED SEEPING BLOOD AT FIRST NOW IT IS NOT SO MUCH BLOOD, JUST FLUID. HE DRINKS WHISKEY AND TEQUILA EVERYDAY. HE ALSO SMOKES. THE LEG IS VERY RED, BUT HE SAYS IT DOESN T HURT AND HE ISN T RUNNING FEVER. I VE TRIED TO GET HIM TO GO TO DR. BUT HE WON T . WHAT IS CAUSING THIS AND HOW DANGEROUS IS IT FOR HIM TO LET THIS GO.[/INST]Hello and welcome to Chat Doctor. Your husband has a CRF (chronic renal failure), or total kidney failure, which requires urgent treatment in the form of hemodialysis, by a nephrologist. The swelling over the legs is due to fluid accumulating in the body and extremities. By taking alcohol and smoking, his medical condition will deteriorate for certain. Try to convince him along with a friend, to see the nephrologist</s> |
<s>[INST]HiI think I have the flue , for two days I hav been in bed and although my body does not ache anymore, I have a block nose,my ears hurt a little and I have a sore throat which does not allow me to sleep well at night. What should I do so I can feel better[/INST]Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of upper respiratory tract infection (URI) is more. And viral infection is the most common cause for this. Influenza is the most common virus causing this. So better to follow these steps for better symptomatic relief. 1. Avoid oily and spicy food. 2. Avoid hard to chew food. 3. Chat Doctor.</s> |
<s>[INST]my son is 9mths old and he is teething, and has been for months. but today he did hit his head, normal baby falls, he was trying to stand up, hrs later while eating his left side had invlountary spasms, but he hasnt done it in a few hrs, should i be worried[/INST]Hi, A toddler at nine months generally has a few falls as he supports himself to stand with support and gradually start to stand without support. A fall and hit to the head generally should not cause many problems. But if the child has loss of consciousness seizures it needs to be investigated for any brain damage by doing a few tests like ct scan head. Hope I have answered your query. Let me know if I can assist you further.</s> |
<s>[INST]HI there I have been experiencing a strange feeling in my head like dizziness and feels like something is moving in my head I have pain in my temples especially the right one and my face feels sore as well this has been for 2 months nowI do not experience this when I am asleep but when I wake up it starts and continues until I go to sleep I went for a ct scan it is not my sinus I also feel pressure on my ears[/INST]Hello!Thank you for your question on HCM!Regarding your concern I think your troubles are very suggesting for tension type headache. It is a common headache caused by contraction of the scalp muscles. Your normal CT scan is another argument in favor of this diagnosis. If I were your doctor I would recommend treatment with an antidepressant like amytriptiline. You must take it under medical prescription and a cardiologist consult as it can cause heart problems. Other drugs I would recommend are paroxetine, citalopram. I recommend you to take one of these drugs for some months. It will be very helpful.Hope to have been helpful!Best wishes Dr Abaz Quka</s> |
<s>[INST]hello i am 17 years old, male, about 140 pounds, skinny, and have this weird thing going on, ok so whenever i stand up my heart beats hard and at a low rate but not life threatening rate maybe like to 55 or 60 then it speeds up really quickly, when im having this thing, i feel kind of out of breath but i can breath fine but it feels like i have to breath a little harder, and rarely it happens whenever im sitting down. also when im taking a hot shower my heart races. i tryed to look this up all i found simular to this was orthostatic hypotension, because it feels like im going to black out, but it onlys happens for about 5 seconds then my heart races goes to normal after that please can anyone tell me what do i have, also i have not fainted or blacked out before, my family and i have gone through 10 tests on my heart and went to a cardiologist to take a cardiogram, to take pictures of my heart, and they said i was fine, but dont know what going on right now, so if anyone can help me with this or if i can get treatment for this?[/INST]Hello! Thank you for asking on Chat Doctor! I carefully passed through your question and would explain that your symptoms could be related to orthostatic intolerance. In orthostatic hypotension there is a decrease in your blood pressure during standing up. I would recommend measuring your blood pressure in sitting and then in standing up position. A decrease more than 20 mm Hg when standing up from sitting position could indicate possible orthostatic intolerance. Another disorder, related to orthostatic intolerance is Postural tachycardia. In such case heart rate increase more than 30 bpm while standing up from sitting position. A head Up Tilt test is necessary to rule in/out this possible disorder. Hope you will find this answer helpful! Kind regards,</s> |
<s>[INST]my name arunimaage 26 follicular study day13 endometrial thickness147mms right dominant follicle215mms is it normal day14 scan result follicle ruptured fluid seen in the POD ovulation please inform me doctor pregnancy chances today day 16 I have backpain doctor is it normal[/INST]Welcome to HCM. It is normal responce.Backpain and pain in lower abdomen occurs at the time of ovulation.Try to go for successful intercourse ,chances of pregnancy is there. If backpain is severe than you can take any routine pain killer medicine. Consult your gynecologist for better guidance and proper medical management.</s> |
<s>[INST]hello well when i was a kid 6 or 7 years old i slipped and bit my tongue and had stitches and i bit it in the midle perfectly and now im 13 and have always had a lisp and as a child i went to speech therapy but it didnt work so im going to go back but im realizing my lisp a lot more i was wandering if this was the cause of my lisp or if i just have to go to therapy[/INST]Hi..Thanks for the query..Lisping commonly occurs due to improper articulation of the tongue to the palate and it causes difficulty in pronouncing certain words..In case if it started after stitches on the tongue then it can be due to certain deformation caused due to injury..Other causes can be overjet and overbite, tongue thrusting habit, large spaces between teeth, tongue tie condition etc..So my suggestion is to first of all consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations to rule out the exact cause of the lisp that is either functional or physiological causes and then only it can be treated accordingly..once the anatomical cause is rectified a proper speech therapy will help you to speak properly and the lip can be very much improved..Hope this helps..Regards.</s> |
<s>[INST]Hello doctor I met with a girl a few months back She had been rubbing her vagina and then put her finger in my backside She said she was clean but hard to know After about three months I got tested for STD panel and came up negative with everything including HSV 2 except for HSV 1 which came up positive However the test used was herpeSelect Elisa IgG which I read is known to have false positives My score was 33 I read if the score is less than 35 then it could be a false positive A week later I retested using herpeSelect immunoblot which is supposed to be more accurate and tested negative for HSV 1 and 2 However for the past three months I am having itching in my backside which could be due to sweat and anxiety Do I have anything to worry about or trust the latest results that I have no herpes and put this to rest[/INST]Hello. 1. The manifestation which you are saying are not of herpes, they normally present as grouped vesicles on an erythematous base. 2. Herpes has an incubation period of five days, it means symptoms would have to develop within five days of infection. 3. Your test are absolutely normal and you do not have to worry about it. 4. If you would have any vesicular eruption which is extremely painful, then you would have chances of herpes, so go for Tzanck smear and DFA (direct fluorescent antibody) test for it. 5. Always indulge yourself in safe sex practice because herpes genitalis caused by HSV 2 (herpes simplex virus) is an incurable condition.</s> |
<s>[INST]hello i am 18 years old i am 65 and a male i have been having chest pains and abdominal pains today and when i regurgitate it gives me brief relief is there something else i should be doing besides regurgitating Also do you have any idea what can be wrong with me[/INST]Hello,Welcome to HCM,This can be due to spicy, fatty, acidic foods and carbonated beverages. Abdominal pains and chest pains with regurgitation giving relief can be the symptoms of indigestion and Gastric oesophageal reflux disease. As per your symptoms you can take a homoeopathic medicine Nux Vomica 30, 3 to 4 doses in a day for one or two days.Eat mild, non spicy food, non acidic and easily digestible food for few days. Give rest to your stomach and don't do over eating.Avoid outside food, sour food, carbonated beverages. Drink lots of water. Take rest.Do some exercise regularly.I hope this will help you in relieving your problem, if not then consult doctor.If this condition occurs frequently then you should consult a nearby doctor soon.Hope this will helpTake CareRegardsDr. Shuchi NagoriConsultant Homoeopath</s> |
<s>[INST]hi i have pancreatic infection due to gallbladder stone and they removed gallbladder, due to this my sugar level is showing high even after surgery. my sugar level is fluctuating some times very low and some times very high. after my first pancreatitics again after 2 years now i got the same problem and admitted in a hospital for a week. why this is happening again and again. and how to control my blood sugar. i am now taking glugonorm vg1 tablet and obimet sr 500. pls advice[/INST]Hi, dairy have gone through your question. I can understand your concern. You have gall stone, and it leads to secondary pancreatitis. You have gone through surgery for gall stone. So now no need to worry. Just take treatment for pancreatitis. You should take a course of antibiotics and fluid therapy. Regularly check your lipase and amylase level. You will be fine within short time. You should check your fasting and post radial blood sugar as well as HAC. It will give you exact idea regarding sugar level. Then you should set the dosage of anti-diabetic Chat Doctor. 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]one week ago a needle or something on floor jabbed in th side of my big toe spurted bloodcouldn t find needle or whateversoaked it in Epson salt wateruse Neosporin still swollen and much painwhat can I do next THANK YOU[/INST]Hello,You need to see a doctor. It is possible that you have an infection from the puncture wound and need to be on antibiotics.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kathy Robinson</s> |
<s>[INST]Last night I got severe chills I took a hot bath maybe too hot and today I am very tired and sore with a headach very low fever I have a rash on my stomach but I think it may be because I had the bath water too hot Do you think it is just a virius or some type of flu[/INST]HelloWelcome to HCM, The symptoms are suggestive of some flu like condition probably of viral origin.The symptoms of high grade fever with chills along with some rashes on the abdomen are in favor of viral infection. For this condition I would suggest you to follow1. Oral Antipyretics2. Oral Antibiotics like Zifi3. Oral antihistamines. These medications helps to reduce the symptoms, but these can be taken only after getting prescription from your doctor. Thank you.</s> |
<s>[INST]Dear Dr, My brother aged 48years old has been diagnosed with ameoebic liver abcess it is size of a grapefruit, he was taken very ill two weeks ago and treated with anti-biotics in hospital. We have been told that drainage can only be done with support of blood products. Unfortunately due to religious beliefs he is very against taking blood products to support drainage and has refused this treatment on these grounds. At present he has been discharged with two lots of anti-biotics and will be re-scanned in 4 weeks time. We are extremely worried about this abcess and rupture although his general health has improved, less pain and temperature etc... Do you think he can battle this with anti-biotics alone and is the risk of rupture higher if not drained?[/INST]Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. I think that surgery should be done since such abscesses are rarely treated and cured with antibiotics only. Even if conditions improves for a while, it may later relays and cause complications. So surgical Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.</s> |
<s>[INST]I have sever small cuts or slight abrasions on penis foreskin for over 6 months. I have no pain or any type of puss or shows of infections. I do masturbate a lot and it seems to that the skin is tearing from masturbation? I also have extremely dry skin? Could it be herpes?[/INST]Hi, Thanks for writing in. Herpes usually presents with blisters which might be painful and itchy and/or ulcers in the genital area, itching, burning or tingling sensations in the skin and some individuals may develop fever, body aches and swollen lymph nodes. Since you do not report blisters, and it is less likely that you have herpes manifestation. The cuts on your foreskin are because of rough masturbation. This can cause infection and complications as your skin is Chat Doctor. Please decrease masturbation and use a lubricant to avoid friction and abrasion on skin.</s> |
<s>[INST]tension headachesHello -My name is Brittany. Ive been experiencing pressure, starting in the back of my head, that makes it difficult for me to sometimes hold my head up. It feels like my ears are clogged and someone is squeezing my head. My primary care doc has said that it could have something to do with my scoliosis and prescribed me muscle relaxers. I worry about this because my mother suffered permanent injury from a TBI from which she had a congenital cyst on her brain. What could be causing these headaches and do you think I should get an MRI?[/INST]Hello Brittany! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to tension type headache, which is a benign type of headache caused by anxiety. Cervical spondylarthrosis and a wrong position of the head during the day, a bad billow during sleep, can trigger this type of headache. No one of the above-mentioned causes is concerning. So, I would recommend you to perform a lot of physical activity, try to correct your posture and use an orthopedic pillow during the night. If headache does not improve from painkillers, I would recommend performing a brain CT scan or MRI to exclude other possible causes that may trigger these symptoms. Hope to have been helpful! Kind regards,</s> |
<s>[INST]hi,, I want to know can somebody gets pregnant with paragard iud ??,,,,,,, I got mine paragard iud on sept 18,2013,,like 3 months ago,, and I got regular periods for 2 months this is my third month and 5 days late with my period and no sign even,, am I pregnant ??[/INST]Hello, I have gone through your query and understand your concern. It is very rare to become pregnant with Intrauterine device. If someone conceive, then it may usually end in missed abortion. One rare and life-threatening is ectopic pregnancy. Coming to your query, It is usual to have the irregular periods up to 6 months after IUD insertion. In some, these irregular period may extend up to one year and eventually comes to normal. If you had the periods (Even if late), nothing to be concerned about this. As I said it is usual and need not worry about pregnancy. You should consult your treating doctor, if you have any abdominal pain or missed periods, fever etc. This may need necessary attention and proper treatment. Hope this helps. Please write back for further queries. Wishing you good health.</s> |
<s>[INST]I have been taking omlezest 20 and nebi 25 for last 2 years as my blood pressure was high Post taking these medicines the BP is normal I am also taking Fibator 10 mg for Trigylgerides for last 3 years when my triglycerides were above 450 Since taking Fibator my trigyclerides are in normal range for last 2 years Also taking 375mg Thyronorm for thyroid Please advise in case I can reduce the dose of Fibator or change the medication for BP and Trigyclerides My cholestrol levels are within normal[/INST]Hello, Thanks for using Healthcaremagic. i had gone through all the data you have posted. as you told your blood pressure is under good control you need to continue both medications for blood pressure. kindly continue lifestyle modifications like avoid pickels, low salt, diet rich in fruits and vegetables, regular physical activity along with BP meds. coming to cholesterol, as you said for triglycerides when they are very high we use medication to decrease to normla levels and then you can stop medication for triglycerides but you need to continue for LDL. it would have been helpful for us to decide if you have posted the full lipid profile report. FIBATOR 10 what you were using might be a combination of atorvastatin + fenofibrate of which fenofibrate can be stopped and atorvastatin should be continued 1 tab daily night. common reason for elevated triglycerides are eating oily foods, alcohol, diabetes and hypothyroidism. so thryoid treatment can be continued, decrease the oil food content, quit alcohol so that TG levels may not rise after stopping tablet. continue regular physcial activity.hope this helps...</s> |
<s>[INST]i spit blood very regularly been to multiple docs and no one can figure it out Caridologist neurologist endocardologist pulmonologist 3 ENT sdentist primary doc have had multiple ct s mri s upperendoscopies blood seems to just appear never cough it up mouth gets very dry i will split alot in saliva and then it will be gone not consistent my blood pressure and anxiety are all over the place from not knowing but it is a material amount of blood on occassion Sometimes bright red sometimes brown Any idea could it be high blood pressure causing bleeding anything else desperate for answers Has been going on everyday for 18months[/INST]Hello, I would recommend seeing a hematologist too. This could be a problem related to blood cells. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anila Skenderi, General & Family Physician</s> |
<s>[INST]hello Doc iam 35 yrs old and i had ivf done this cycleI had a 3 day embryo transfer and now iam on day 7since last 23 days i have been emptying out my stomach with littlecramps and bowel movement is semi solid I am on metformin and on thyronorm hypothyroid 75 apart from the progestron injections and grafeel injection Iam worried because i also suffer from low glucose and hence put on metforminIndigetion normally happens to me normally few days before my periodso iam very tensed is this the sign of implantation failurepls respond[/INST]Hi, Thanks for query, Nothing to worry,go for routine ultra sound check up for progress of growth of embryo. Take rest, Take light diet to avoid gastric upset. You can take more carbohydrate like juices,sugar as you are on metformin. Ok and bye.</s> |
<s>[INST]Hello Doctor, I m AAAA, 21 years old. I have acnes since eight years but it is too severe for the last three years. I am in treatment for 3+ years. I m using Faceclin gel, Clearz plus and aczee scrub soap. If I stop using these then it appears again. I have some pores, blackheads and scar too on my nose and chin . My skin is sensitive one and oily type . Can you help me to get rid of these problems please?[/INST]Hi there. I note your history with interest. I take it your problem will have been explained in detail to you by your treating dermatologist so shall be brief. Also, note you have an acne regime that seems to work but recurs if I read you right. There is no fail-safe method for management of acne. It is tailored to the patient in question. Hence, I recommend you visit your nearest dermatologist & will be happy to suggest one should you tell me where you are located. The most definitive method will have to be oral isotretinoin tables (common name roaccutane) to completely clear your skin. Your dermal will clue you into the details. Cheers & Good luck</s> |
<s>[INST]hi sir/madam i got married since 10 months and my problem is after 2 months of my marriage i got severe stomach pain & mensural periods again starts after 8th day of my normal periods and bleedind continues to 2 months .now i have normal periods.not yet conceived.my husband s sperm count is 35 million.is any problem in that? and i suffered from the lower abdominal pain before 1 week of mensural periods start. what is the reason of my problems.[/INST]Hello Jose , this is not actually your time to think about infertility, you are just count as newly married couple, don't get impatient about this matter now at present your periods are normal and one thing which I must tell you that your husband sperm count is also absolutely normal, the reason behind may be your timing of intercourse is not right, my advice to you is first you should calculate that you menstrual cycle is of how many days?than for example if it is of 28 days then you should do intercourse starting from 12th day to 16th day after your periods at least once in 24 hrs, then only you should aspect for positive result, best of luck take care.</s> |
<s>[INST]For a couple of weeks I have had on and off episodes When moving my head from side to side simply getting the hair out of my eyes I have experienced extreme sharp pain that starts at the base of my skull a few inches behind my left ear and it shoots to the top of my skull and explodes and spreads The episodes last only a couple of seconds but during that time I am imobilized and have a sudden distorted and sometimes black second or two of vision What could be the cause[/INST]Hi,Thank you for posting your query.The symptoms are suggestive of neuralgic pain.Medications such as pregabalin or carbamazepine would be helpful in relieving the symptoms.You may get MRI scan of brain done to rule out any secondary causes for your symptoms.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My email: drsudhirkumar@yahoo.comMy blog:</s> |
<s>[INST]My 80 year old mother was experiencing a chronic cough that has gotten worse and is worse when she lies down at night She also has shortness of breath chest pain and back pain All symptoms are getting progressively worse Instead of her primary starting a workup other than general lab work he has chosen to send her directly to a cardiothoracic surgeon without doing even a chest Xray She is relatively healthy has hypertension and type 2 diabetes and is overweight Any reason why her doc would choose this path She is a nonsmoker but grew up in a bar and around passive smoke We are really concerned that he is looking for lung cancerbe[/INST]Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* The chronic cough and shortness of breath at 80 must be first evaluated for emphysema or obstructive lung disease with x-ray chest and other supportive data rather than jumping to cardiothoracic surgeon .* It does not indicate lung cancer at all .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards .</s> |
<s>[INST]iam 14 year old female and i have aso titer from more than 1 monthi daliy feel pain in my joints and in asotiter was 3142 when i do blood test may because now i feel pain doctor give the medicine penicillin pen g400i have taken medicine i would like to know wht food is very good for aso titer patient and wht food the patient should avoid too eatand please also tell me what i must do for to control my high aso titer my mother suffer every day i have youngerage please give me nees[/INST]Dear patient you have got Rheumatic fever which is associated with sore throat, fever , joint pains and high Aso titre in serum. This is caused by streptococcus infection of throat and subsequent autoimmune reaction of body. You are taking penicillin G and is the drug given mostly. You should avoid cold food such as cold drinks , icecream etc. Aso titre should be rechecked after 21 days of starting antibiotics and take time for reducing. Regular course of antibiotics as prescribed by your physician will reduce ASO TITRE and you need not to worry. Regular check up for heart involvement is also must.</s> |
<s>[INST]Hi, my step dad is 76, he was diagnosed last year with stage 4 cancer, tumor in the pancreas, in the lung, spots on the liver, and surgery at the same time for cancer in the hip, putting a steal rod in, followed by radiation. They were going to do radiation on the brain, after the hip, but decided not to on the brain. He has a non currible cancer, treatable, but fast spreading, he just found out today he has 3, 3cm tumors on the lung, 1 effecting his esaughagus, which is causing him to have trouble swallowing and breathing. He will recieve a double wammy of chemo on Tues. When would a Dr. stop chemo? My dad would never tell the drs if the chemo made him sick, thats why he is getting strong doses. He has been sick everyday in the last year.[/INST]Hi, Thanks for writing in. Pancreas cancer is a challenging condition and survival depends on the stage of detection. In most patients having stage 4 cancer the survival can be extended up to 2 years with recommended treatment and supportive care. Your father has a stage 4 disease and therefore requires chemotherapy to extend his survival. Since the cancer has involved the pancreas and also seen in esophagus, liver and lungs, unfortunately he might be in the final stage of disease. The fight against cancer is till the end and if his general condition permits then his chemotherapy can continue till he is able to withstand the treatment. His pain relief also requires attention, and he must be allowed sufficient pain relief medicines and live in comfort. Please do not worry.</s> |
<s>[INST]My husband has a nut shape lump just under the ear and it happens every once in awhilewhen he eatsThe doctor said it was a stone but of course she is not back from pregnancy leave until June It is sore and only bothers him every once in awhile It can be sore for a few days or maybe half a day Could this be a glandular stoneThank you[/INST]Hi! this is a lymph node and not a stone!Thanks for writing to us and sharing your husband's case of sore lump under the ear with HCM!The lump disappears sometimes it means it is not a stone in salivary gland/parotid; this is definitely a lymph node getting enlarged due to some scalp/ear/nose/throat infection; and soreness indicates the severity of inflammation and the tension on skin/soft tissue! A needle biopsy is necessary, however, to see the possible reason behind it; therefore, just don't worry!Hope you got the answer; regards,</s> |
<s>[INST]Hi I am 43 and have just had a failed ivf using donor eggs I have fibroids which my gynecologist said were making my womb bulky The doctor who did the embyro transfer was aware of the fibroids as I had an MRI scan done beforehand I get a bad dull ache down the front of my right leg on and off Is this related to the fibroids Im just wondering if my failed ivf had anything to do with the fibroids Does it depend on how big the fibroids are[/INST]Hi,Thanks for your query. I read your query and I understand your concerns.Following is my reply:1) Your problem see to be due to fibroids.2) Failed IVF as well as backache points to fibroids.3) Please undergo laparoscopic myomectomy as treatment which might improve your condition.I hope I answered your query.Write back to me if you need more clarifications.Regards,Dr. Mahesh KoregolIVF & Infertility Specialist</s> |
<s>[INST]Hi, my son has eczema, but hasnt had a flare up for months now. We have recently moved to Panama and now he has a rash that started around his neck and is spreading down his back and front. It looks like little red bumps. Is doesnt seem to trouble him too much. Since his eczema flare-ups we have been using Diprobase ointment to cover him at every nappy change to keep his eczema at bay - which has been successfull until now. I am just wondering if this is heat rash or eczema. If its heat rash, how do we treat it?Many thanks,Gmlmje[/INST]Hello, It could be great if you can send a photo of the rash to me, so I can analyze myself. It could be heat rash, that might precipitate eczema flare-up. However, the photo will tell&help more. If Airbase ointment is working, then, continue using this. Try to keep the room temperature optimal to make them disappear. And do not expose to high temperature. Bathing with cold water and non-soapy shower gel can help. Avoid toweling, instead, let air- Chat Doctor. If the rash will disappear, then, it's from heat rash. Hope I have answered your query. Let me know if I can assist you further. Take care</s> |
<s>[INST]Hello doctor,I have hemoptysis.[/INST]1. It is good that you have been advised to get an x-ray chest. I would advise you to do it as soon as possible. It will help confirm or rule out any lung infection.2. You should also get your blood checked for CBC and ESR.3. In the meantime, if you have any cough, I suggest you take a course of antibiotics like cephalosporins and antihistamines.4. If the x-ray chest comes normal then we can think about other causes of hemoptysis like bronchitis etc.5. I hope this helps.</s> |
<s>[INST]Hello Doctor Im Balaji Mahalingam from India While I searching about the spinal decompression on web I have spinal compression problem from 2009 whenever I get compression I go to my Ortho Specialist Dr Senthil Kumar MBBS Ortho and the Physical Therapist In few visit my pain will get relief But recently I got sever back pain i went to Clinic they took MRI scan The scan clearly say i have disc compression it pressing my left side of my nerve root the pain go down all the way to tip of my toe For the last one month Im doing 1 hour continues Traction Therapy at home and last two week Im doing exercise But still I have pain in my left leg I dont wish to take surgery so please help me this[/INST]Hi balaji , You are suffering from low back pain with radiculopathy probably due to posterior inter vertebral disc prolaps and requires your neurological status and clinical evaluation with investigations hence visit orthopaedics hospital preferably specialist in spine management . There is no point in refusing surgery in these condition if your orthopaedition suggests you for it ( otherwise once permanent neurological damage occurs then prognosis is poor). So in my opinion visit orthopaedics hospital & Till then 1) avoid bending forward strictly (with rest)2) warm compression3) regular physiotherapy (posterior spinal exercise )4) Tab methylcobalamine once a day5) Analgesic (NSAID), muscle relaxant with proton pump inhibitor for pain for a week and then as and when required .HOPE THIS WILL HELP THANKS AND REGARDS</s> |
<s>[INST]i fell 3 months ago and ended up with a hematoma on my thigh ,it is still sore and the swelling will not go down ,do you think that i should get it surgically removed and what are the complications.i work at a fish plant which requires standing on a cement floor 8 hours a day, do you think that could be making it worse.[/INST]Hi, dear. I have gone through your question. I can understand your concern. Your treatment depends on size of hematoma. If it is of large size then you should go for surgical removal. If it is of very small size then it SIL regress by itself. No need for surgery. You can go for surgery there is no any major complication except routine complications. So consult your surgeon go for examination and take treatment accordingly. Thanks for using Chat Doctor. Wish you a very good health.</s> |
<s>[INST]my wife had partial knee replacement 2 weeks ago she has both prescribed hydrocodon was recently given samples of zorvolex in your opinion is one drug better or more powerful or dangerious than the other she is in extreme pain at night and can t sleep[/INST]In your situation hydrocodone will bring better psin relief so use that preferably .It will also help her to sleep off .</s> |
<s>[INST]Hello doctor My penis length really frustrates me I have read that it is the average size I am still a virgin 19 I want to know if there is anything that I can do to surpass this kind of fear or doubt that I will never please a woman in bed[/INST]Hi. The dissatisfaction with penis size is one of the commonest issues with men. The roots of this insecurity about self lie within our cultural prejudices and fears. Let me tell you that the length of the penis or shape of the penis has nothing to do with sexual satisfaction and the ability to have good and enjoyable sex. It is the way you handle your partner in and out of bed. You need to show how much you take care of her emotional needs and how much you love getting intimate with her. Women are aroused by the emotional component of sexual intercourse rather than by the size of your penis. A good foreplay followed by gentle yet passionate sex is what makes them happy and content rather than the size, color, and shape of the penis. So, do not worry and be confident about yourself.</s> |
<s>[INST]Iam in the age of 25 I need to put a tooth clips But for that I was supposed to undergo one minor operation in my upper jaw Because one new teeth was grown on top of another teeth which was not fallen for me from my childhood And I was suggested that I need to remove 4 last teeth to clip my teeth So pls suggest me what i can do in this case I am unable to spend more money in this treatment I stay in karnataka India[/INST]Thanks for your query, I have gone through your query.The mal aligned teeth should be corrected with the help of braces. The last 4 wisdom teeth has to be removed if they are not in a ideal position. The first premolars might be removed to create space and move the teeth to a proper position. Regarding your financial problem, you can go to any government or private education dental institute where the treatment charges or less or completely free. Before starting any treatment you need to take radiographs like OPG and Lateral cephalograph.I hope my answer will help you, take care.</s> |
<s>[INST]Hi I have a 3 year old son he was complaining about his tummy hurting tonightwell the he tells me he has to poopso I took him to the bathroom he used it the poop looked fine but the water looked like it had oil in itwhat could this be It s also the first time this happened[/INST]Thank you for the query.By your description of the problem, at this juncture its advisable to wait and watch.Quite possibly this time it was simple cleaning of bowels.But it is advisable to consult a doctor if he develops lose motions, fever or pain in tummy continues or worsens.</s> |
<s>[INST]hi i have pimples problem from past few yearsmy age is 25[/INST]Welcome to HCM. Pimples problems at this age is due to hormonal factor. Treatment depends upon your type of your skin otherwise you can apply clindamysin cream if you are not sensitive for it. Take care for local hygiene, wash your face properly. Avoid oily and spicy foods,avoid stress. Take good healthy diet. Consult dermatologist for better medical management.</s> |
<s>[INST]one month ago i had a stomach virus. i felt gassy and stomach ache. i did not drink anything all day and it was very hot and i worked outside for 6 hours latter on i felt dizzy and had a syncope for about 20 sec. i went to the er where they didi blood work and also ecg over a 9 hour period my troponin levels went up in the second blood test but in the third blood test they went back to normal, did i have a heart attack. all 3 ecgs were normal.[/INST]Hi, I understand your concern and I'll try to help you. Troponin is a marker of heart muscle called myocardium injury. The elevation of troponin in the blood suggests that there was some injury to the myocardium of your heart. There are several causes for these injuries from inflammation due to viral infection, known as myocarditis until myocardial infarction. The picture that you reported, the association supposed abdominal viral infection, electrocardiogram unchanged suggests myocarditis. However, it is necessary to rule out that this situation has not been a heart attack. If myocarditis, we must investigate if there was damage and loss of function of your heart. You must look for a good cardiologist to organize this investigation. The most important tests for this are heart resonance and even a coronary catheterization. Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health.</s> |
<s>[INST]About 30 hours ago while eating a banana, the left side of my jaw line swelled and throbs. I had this happen for the first time a couple of years ago, and went to a walk in clinic as I was in Arizona at the time. The Dr. gave me an antibiotic, rinse with salt water, and suck on lemon drops. I am treating myself this time by taking two 800mg two times yesterday and three times today Amoxacillin. Rincing with salt water, and sucking on lemon drops which make it swell and throb worse as it does when I try to eat anything. Also very painful to touch. Any advice?[/INST]HI. This is a classical swelling of the sub-mandibular salivary gland, producing the thick saliva necessary for chewing process. Most probably there is an obstruction in the duct which carries saliva into the mouth. I would advise you to continue the medicines and Visit an ENT Surgeon who would ask you to go for some tests, mainly the ultrasonography / CT Scan to confirm the diagnosis as also would palpate the gland and mouth. The findings would guide for the further treatment.</s> |
<s>[INST]My son is 16 months oldsince 4 months due to teething he is passing lose motions with severe stomach contractions and has fever till 102 every monthas per the doctor suggestions i gave him econorm and crocin and meftal alternatively during first 2 visits and within 2 days he recovered and last month he had same problem i continued the same and since yesterday he again started motions with temp rising upto 102 But this time he had vomitings3 followed by fever and motions3 with contractions of stomach I gave him same medications So my Question is can i use these medications every month are they safe or do i have to take him to hospital Last month my doctor said to wait for 2 days and get if not recovered but he recovered So please suggest me what to do[/INST]Thanks for consulting at Healthcare Magic.Fever, diarrhea and vomiting suggest your son is probably suffering from gastroenteritis.Gastroenteritis may be caused due to bacterial, viral or protozoal infection, but viral infections are more common.Since it's been four months your son is having such complaints, it will be better if you consult a Pediatrician. Pediatrician may advice investigations like Stool Examination, USG Abdomen, CBC etc to find out exact cause of such complaints Treatment may include antiemetic like Ondansetaron for vomiting, ORS solution to prevent dehydration and Antibiotics if bacterial Infection is suspected.</s> |
<s>[INST]My husband has cirrhosis of the liver. He had an ultrasound last week followed by two days of bloody stool. Today he had an MRI and now has bloody stools again. Stool is like dark bloody diarrhea. He is also vomiting. Is this caused by his cirrhosis or by the test? He sees his liver doctor on Monday. Should he go to the hospital?[/INST]Hello, Thank you for the query. I have gone through your query and understood your concern. I don't think that MRI caused bloody stools as it doesn't causes any radiation exposure lie other tests. But the culprit in your case is liver cirrhosis in my opinion. And hospital visit is always needed as increased blood loss will lead to hypokalemic shock which is not an acceptable condition if the blood loss is no much then it is fine, and you can wait for the change but if it is more you need to consult your treating doctor for sure. Thank you.</s> |
<s>[INST]Hi doctor,I am a 22-year-old male with ulcerative colitis since the age of 9. I woke up with a nasty fever, mucus filled coughs, and runny nose. I was curious how a Z-pack would affect me.[/INST]Hi, Welcome to Chat Doctor forum. I understand your concern. You have been suffering from Ulcerative Colitis for last nine years. As per your history it seems to be an Inflammatory Disease, in which there is chronic inflammation of the intestine. It may lead to bleeding or obstruction of the bowels. You should take proper treatment under the supervision of a Gastroenterologist. The symptoms mentioned by you like fever, cough, and sputum suggest that you might be having an upper respiratory tract infection. You should consult a physician for further evaluation. Take care.</s> |
<s>[INST]Hello doctor I feel itchiness and burning sensation in my anal hole It has been for a long time Maybe for one month I thought it is because of outside food and spices Though I do not feel that much pain or anything more than like anything But today I wanted to see the area I found one round like mole or wart has formed I touched it It feels to itch No much pain at all No blood I searched in net I did not figure out what it is exactly Piles or any other infection I go to the gym and to weight training too Please help me in curing this by knowing about it[/INST]Hello. I can understand your concern and will try to help you sort out your problems. You have anal polyps and also anal infection which needs treatment. Kindly take antibiotic prophylaxis like Ofloxacin or Norfloxacin full course dosage based on body weight after prescription from any nearest practitioner. You once need to get proctoscopy done to know if those anal polyps are troublesome. If so get it removed under local anesthesia. For more information consult a family physician online --></s> |
<s>[INST]Hi Ive been feeling pains they feel like menstrual cramps but their not in my upper abdominal area I feel it the most when Im standing or walking around Sometimes it comes on really strong for a minute or two and I feel nauseus and a little dizzy if I turn too fast My moms been saying that its probably just the stomach flu but Im just not surecould you help me[/INST]Hi,From history it seems that you might be having intestinal colic giving this problem.This might be due to infection or irritation to GI tract due to some spicy or junk food.Take antispasmodic medicine like Meftal spas or Cyclopam as needed for pain.Avoid taking spicy,fried and junk food.Take light diet for 2 days.Take plenty of water.Ok and take care.</s> |
<s>[INST]Hi Sir.. 24yrs old and diagnosis with Hepatitis A Jaundice. But my LFT reading is concerning me.. SGOT 922 u/l. SGPT is 2446u/l... total bilirubin 4.58. Direct bilirubin 4.286 Hospital discharged me with Uidilv 300, silyborn 140, pentocid dsr, Ebast DC , Mucolite Do i need to get admitted to another hospital as above readings are alarmingly high or just rely on this tablets? How long approximately will it take for these readings to come to normal Thanks alot in advance.[/INST]Hello, Liver enzymes may be raised because of various causes. In your case, some may be more possible but in every case, it requires evaluation of the cause. Most common causes of such liver derangement are Alcohol, Viral hepatitis, Nonalcoholic fatty liver disease, Chat Doctor. Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep control over it. If you don't take it, you need the following tests: hepatitis virus markers, Ultrasound Abdomen, and HIDE scan. A lot many times, liver dysfunction is due to Non-Alcoholic Fatty Liver Disease (NAFLD). So, if you have any evidence of fatty liver in Ultrasound and your other tests are negative, this rise is liver enzyme would be attributed to NAFLD. For this, you need to reduce your weight, reduce fat in the diet. This is my personal opinion based on the details available here. If you still have any other query, you may please ask me. Stay Healthy. Hope I have answered your query. Let me know if I can assist you further. Take care</s> |
<s>[INST]I found a small lump on my groin its smaller than a pea its been there for 3 weeks and it doesnt look or feel like acne its turned a strange purple colour and is painful to touch Its right at the fold where my leg ends and groin begins What could it be[/INST]Hi! Good evening. I am Dr Shareef answering your query.Your lesion needs to be examined clinically to have an approximate diagnosis. However, from your history, it seems like an inguinal lymphadenitis (inflammation of the inguinal lymph node) due to infection in the draining sites like foot or in the genital region. Till you show it to a doctor, you could go for some anti inflammatory drug for a symptomatic relief. The doctor might prescribe you with some broad spectrum antibiotics.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]Hi i was advised to take goodova plus 50mg from last 3 months but egg size like this Right overy 11x10mm from day11 to day15 no increament in egg size Previous year siphene used at that time egg size Right overy day11 18x17 day12 23x17 day15 not visveized Is it correct prescription or not Please tell me the reason[/INST]Hi goodova plus and siphoned are same. So sometimes it can happen because of difference in dose. Might be the dose taken by you earlier was 100 or 150. So you need to increase the dose this time. With high dose you might respond. Even if you don't respond to higher dose, some injections might be needed.</s> |
<s>[INST]Hello doctor,It all started with leg pain some two years ago. At that time my vitamin D3 level was only 8. Then, I took Uprise-D3 60000 weekly dose for two months. I was cured and fine. But after six months, the problem started again. I did my blood tests again and it was 30. I started taking vitamin D3 again and got about 70% relief. Three months later, my vitamin D3 level was 66. But when I stopped taking vitamin D3, the symptoms occurred again. Kindly help. My uric acid is 7.6 and calcium level is 10.5.[/INST]1) Vitamin D deficiency can cause muscle weakness, bone pain, tingling sensations in hands/feet & other nerve related problems.2) Your uric acid levels are low which could be due to Vitamin D deficiency as well.3) You should check your vitamin D levels regularly, if they fall below normal then you need to take supplements.4) Avoid excessive intake of meat, fish, eggs etc. Vegetarians have lesser chance of developing this condition. Hope this helps</s> |
<s>[INST]I am a generally healthy 32 year old with no past medical problems I am 51 and weigh 180 still dropping baby weight I am 6 weeks post cesarean sectiontubal and now have very poor circulation in my hands and feet Even holding my arm upright to brush my hair makes my hand go totally asleep I never had trouble prior to the surgery Is this common should I be worried[/INST]Hello and welcome to HCM,Caserean section is unrelated to circulation disorder in hands.Decreased circulation in hands / upper limb is probably caused by some kind of abnormality of brachial plexus.Brachial plexus is the group of nerves and blood vessels which run from chest to upper limp through the axilla.Thus, I suggest you to consult an orthopedician for clinical assessment, relevant investigations and thus management.Thanks and take careDr Shailja Puri</s> |
<s>[INST]I have bee treated for hypo for last 9 months Started at 16 so was prescribed 50 synthroid Came down to10 then 5 latest 39 Dr said I am okay but feel crappy Still cold hair breaking and still many other symptoms Just this week symptoms getting worse Shouldnt I up my synthroid Dr said I am ok even though I still feel awful Missing work more now Thanks[/INST]Hi and thank you so much for this query.I am so sorry to hear about this hypothyroidism. The treatment of hypothyroidism should be closely guided by the clinical symptoms then laboratory findings. So long as you don't feel good and symptoms persist, as your physician I would not drop your daily synthroid requirements for any reasons. Instead, they should be increased to relieve you of your symptoms. Please talk to your doctor and let him consider relating you and not the results.Th results look great but you are not feeling good and should warrant your drugs to be revisited.I strongly feel that you should increase your dosage but first talk to your doctor and get his backings. I hope this helps and I wish you well.Thanks for using our services and feel free to ask more questions if need be.Dr. Ditah, MD</s> |
<s>[INST]Hi i recently noticed that my foreskin was geting tighter and like scabbing dry skin was developing around it Also i have clear bumps that have developed in a small area on my foreskin and its a lil painful My girlfriend has recently been checked for all std s and was diagnosed with a clean bill of health I also had been checked for herpes in the month of september and was clean Any suggestions on what this could be[/INST]Hi,from history it seems that you might be having belanoprostitis due to collection of smegma under fore skin leading to developing scabbing and sticking of fore skin on glans.This might be due to not cleaning smegma regularly.Make a habit of cleaning the glans by averting fore skin while taking bath.Now apply antibiotic cream after proper cleaning.Gradually fore skin will be loose.Ok and take care.</s> |
<s>[INST]I have a small lump on the side of my neck half way between the base of head and collarbone. It has been there for a few months now it has grown a small amount since finding it initially, but seems more defined.It is not painful. I am 37 years of age, 165cm tall and weight is 55kg.[/INST]Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should 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]hi i had diagnosed with spinal tuberculosis one and half year ago At that time my doctors told me that its primary stage because of no spine deformationi took the medicine for 9 month and took 3 month total bed rest Now i dont have any back pain normally but some time when i sit for 45 hours in collegethen i have little bit painand as i have gain too much weight due to bedrest and medicine can i start light exercise or gym[/INST]Hi,Thank you for posting your query.The level of physical activity would depend on the status of your spine. If your TB has healed and the spine/vertebrae are stable, then, there is no problem in doing exercises. This can be confirmed by doing an MRI scan of the spine.Please discuss this issue with your treating doctor.I am sure that with one and a half years of good treatment, your disease would have healed and you should be able to start exercises.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG:</s> |
<s>[INST]my son aged 31 years is diagnosed as mild mental retardation with seizures with psycotic component habephrenic schizophreniahe is on drugseptoinrespirodonedivalproex sodiumHis seizures is under controlHE IS NOT ORIENTED IN SPACE TIME hE IS DEPRESSED SOMETIMEShe has old memory but now he is not intersted in anythinghis eegct brain are normal CAN HE BE MODIFIED BY VARMA THERAPY[/INST]DearWe understand your concernsI went through your details. I suggest you not to worry much. It is marma therapy. Marma therapy is an ancient system. Such therapy has very few scientific explanation or backing. Presently there are no experienced practitioners of that system. Therefore please do not deviate from the current medical procedure. For the given problem, current treatment is apt and perfect. Work with your psychiatrist and co-operate with him.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.</s> |
<s>[INST]Hi im a 36yr old female and ive noticed that on my right side a little below my ribs i fell what appears to be little hard sometimes soft lumps thats moves and im tender in the area as well ive been having bloating and weight gain lately and bowel issues im scared and i have no health insurance to see a doctor do you know what it might be[/INST]Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-the right lump below ribs-appears to be wart?sebaceous cyst?lipoma-dercums disease?epigastric hernia?or a boil?.I would require more information by clinical examination.-Still from the given facts it appears- to be-epigastric hernia -as you have belching and gases and bowel issues with it.If not the bowel issues and belching could be due to un-related and other reasons.-Remedy-Your doctor would advise-treatment according to cause.Hope this would help you to get normal health fast.Wellcome to HCM again for any more queries.Have a Good day.</s> |
<s>[INST]I was lift a heavy box and heard a pop sound and now my ring finger is painful both at rest and in flexure I think it may be a tendon I am wondering if I should let some time go by to heal or if surgery is need am I better to go get it looked at now Thanks for your time[/INST]the complaint is more suggestive of an hairline fracture. an X-ray of hand is advised here.I strongly suggest to see a local orthopedist.Regards</s> |
<s>[INST]i am mdr patitent i m taking canamycine inject hencypran 100 combutol 800 and moxy isuffer of jondice so stop all med for one month now jondice nearly clear i start inject 05 ten days befor moxy start 7 days a go will b start other medicine by time iafferaid my tb will be cure[/INST]Thanks for your question on HCM.MDR tuberculosis needs atleast 24 months treatment with at least 6-7 drugs.The drugs are as follows1. Kanamycin2. Levofloxacin3. Ethambutol4. Ethionamide5. Cycloserine6. Pyrazinamide7. Para Amino Salicylic acid (PAS).So your treatment is not according to the standard guidelines for MDR tuberculosis.So better to consult tuberculosis specialist and discuss all these.Moxifloxacin and capreomycin are used in XDR (extremely drug resistant) tuberculosis not in MDR.</s> |
<s>[INST]my 9 month old has excema and it came to a stage where a strong steriod cream had to be used to help it Im using it along side diprobase I have been told to use the steriod when it gets bad however sometimes a period of only 7 or 8 days go by before i use it again is that too soon and is it ok to apply to the nipple area as thats where she gets excema too[/INST]Hi!there is no harm in using the steroid when your child eczema worsens; as it greatly controls the condition and relieves your childs discomfort. it can be applied in the nipple area too, but make sure you dont exceed the amount recommended by your doctor. steroids are better jus applied and not to be rubbed into. concentrate more on applying diprobase. apply liberally , jus after you give your child a bath with a mild soap.</s> |
<s>[INST]E-CTA chest w/wo cont showed positive for pulmonary emboli - thrombi seen within pulmonary arteries extending into right lower lobe, right middle lobe, right upper lobe, left lower lobe. some are near occlusive. thoracic aorta shows atherosclerotic changes present. Would this rule out pulmonary hypertension?[/INST]Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having pulmonary embolism in your report. And it is involving major pulmonary vessels. So this can definitely cause pulmonary hypertension due to back pressure changes. So you will likely have pulmonary hypertension and the cause for the same is pulmonary hypertension. So better to consult pulmonologist and discuss all these. Start treatment as soon as possible.</s> |
<s>[INST]Hi our 12 year old son had a collision a t school yesterday with another child wearing a cricket helmet He blacked out briefly and was sent home with a large egg and grazing under his eye We initially iced the lump and just monitored him for the day He stayed fairly quiet but this morning his eye was almost swollen shut He stayed home from school today and rested but although he assures us he is fine he is still quiet and a bit teary Should we be concerned or just continue to monitor him[/INST]Hi,Most probably this is a contusion around the orbit that will come down in 3-5 days. If he do not have eye pain or photophobia (discomfort in bright light), just give paracetamol, continue icing and apply local antibiotic drops in eye (like Tobramycin eye drops 2 drops 4 times a day). Take him to an ophthalmologist if there is photophobia (suggesting corneal injury) or the eyes are red.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician</s> |
<s>[INST]Hello doctor I have had ovulatory dysfunction for about seven years About a year ago my husband and I decided to try starting for a family Not seeing any success we visited a fertility doctor about two weeks ago she prescribed hormone blood tests My test results are estradiol serum 13 pgml prolactin 416 ngml AMH 197 ngml FSH 741 mIUml and LH 193 mIUml Can you please suggest a way forward for me to start a family Do I need to take a treatment considering my numbers[/INST]Hello. How are you doing? Hope I have clarified your query. All the best. For more information consult an infertility specialist online --></s> |
<s>[INST]Hi, my boufriend is 30 years old and has a lot of health concerns. He suffers for a strange pain that moves from his chest, back, neck, arms, and legs. He will complain that his chest feels heavy as if there is a weight on him or as if his chest does not have enough room. He has had sever eegs and no sign of heart attack. His back hurts mainly between his shoulders but the lower at times. He feels stabbing pain beside his right shoulder blade. His neck is so tight that it is staight from his jaw down on the right his right side, his right shoulder looks longer and lower then the left. His neck is very tense pulling his ear down and chest up, his Right chest looks higher then the other side. he has terable stomach pains and diareaha a strick diet is helping his bathroom issues but still stomach pain. The newest symptom is a red rash or spot that is on his adams apple. It is the size of the adams apple. He ofter complains of a sore throat and trouble swallowing. We have been to many doctors who become overwhelmed run blood work, book mris and we wait. He has been like this for 3 years and is getting worse[/INST]As per your explanation I realize it's a chronic issue with all sort of consultation done all ready. But It's difficult to answer every thing by reading text here. I am trying my level best for you. He might have problem with spine, heart, or calcium as well as via d deficiency. Now we have to rule out all one by one. If heart is fine then next check the spine for scoliosis, ankylosing spondylitis also called as stiff spine or bamboo spine. If this is also not there then do a test for calcium and vitamin D. And check this both. Once every thing is done start treatment as per the issue. And also ask him to do regular walking and breathing exercise to warm up his body and muscles. This should help him. In case if you need to discuss further mail me on nirajmodish@gmail.com Hope this was useful for you. Take care</s> |
<s>[INST]HI good morning My 4 and half year son has been vomitting from morning for me it looks like food poisoning no fever and he is active no loose motion also just that what he throws out smells bad shall i start with zanocin liquid for 3 days or 5 days[/INST]HiWelcome to the HCMAs your child has vomiting without any diarrhoea or fever, it may be due to food poisoning or gastritis. There is no reason to start any antibiotic so early.I would recommend you the following measures to help him:1. You can give him antiemetic such as ondansetrone or Domperidone to relieve vomiting. Also use lansoprazole tablet for gastritis.2. Offer him oral rehydration therapy such as lemonade, soups, Buttermilk or oral rehydration solution to prevent dehydration.3. Give him proper rest.In case of fever episodes, acetaminophen or ibuprofen can be given.Hopefully he should be fine.In case of any further questions, you may contact me.Take care</s> |
<s>[INST]Hello doctor I am a 34yearold female I am on my second pregnancy My last menstrual period was a month ago Last month my beta hCG was 2708 mIUmL and transvaginal ultrasound showed GA LMP 5 weeks Gestational sac 066 cm no yolk sac or fetal embryo seen A single intrauterine pregnancy with left corpus luteal cyst I was suggested to take Ecosprin 75 mg Folic Acid and Progesterone injection weekly Kindly advice[/INST]Hello. Your details show that there is no yolk sac seen on the scan until now (attachment removed to protect patient identity), but you have not mentioned any query. I suppose you are worrying for absent yolk sac. I would suggest to repeat a scan after a week or so and also repeat beta hCG after 48 hours of the previous test date and check if it is almost doubling or not. If it is nearly doubling that would mean that your pregnancy is viable. And soon yolk sac will appear, but if the level is falling, then it would mean that abortion might be there. I hope it has helped you. If you have any further queries, please do not hesitate to contact me.</s> |
<s>[INST]My 80 year old mother is suffering from Parkinson s disease since 10 years she is now on Syndopa 110 12 tablet four times a day amentrel once a day and Ropark 05 3 times a day Her condition is deteriorating stiffness has increased and her lips quiver Please guide as to what course should be taken now[/INST]with addition of a herb along with above treatment further progress may be checked. This herb is Kaunch. A medicine under brand name of this herb is also available Zandopa. I have seen good results with combination of dhara therapy along with kaunch and vrihat vat chiintamani ras. please note that treatment being offered for such a long period should not be discontinued abruptly.</s> |
<s>[INST]Doctor, I have been experiencing white discharge from my eye, along with pain and redness in my eye. I have also been seeing double recently. What could be the problem?[/INST]Based on your symptoms, it seems like you might be suffering from a corneal disorder. We will need to run some tests to determine the exact cause of your symptoms, but rest assured we will do everything we can to treat your condition effectively.</s> |
<s>[INST]Eight year old daughter had mono 4 months ago, now has rash for 2weeks all over torso and neck, feels like is going to throw up at night and has always had a belly that protrudes more than others , aand will have random joint pains. Im getting concerned that something is wrong.[/INST]Hello, As with the symptoms, I think you should get this check with the pediatrics. Because sometimes kids develop some infection which can lead to other symptoms. Having checked in early stages is better for the kid always. As you said the pain keeps moving from one joint to another we can get a feeling of rheumatism, but your kid is too young to fall in that category. Having a physical meet up and examination by the pediatrics will be surely needed rather avoiding it. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.</s> |
<s>[INST]When i eat almonds hazels nuts walnuts cahews almost all nuts even peanuts but i can eat peanut butter i get little sores on the inside of my mouth no problems breathing and i never had child hoodalergies it developed when i was 25 is there anything to worry about[/INST]HIWell come to HCMBecause of the hard consistency of nuts this might have traumatized the oral cavity and which must be causing painful condition else this is nothing to worry because this would come around soon, this is nothing to take with the pervious history of allergy, take care and have a nice day.</s> |
<s>[INST]my mother is suffering from achalasia disease related to food pipe which doctor i have to concern in hospital means in which department[/INST]Hi.. Achalasia cardia is a speciality of gastro surgeon.. You may consult one for better treatment. If you do not know one, you can consult your surgeon and he will refer you to gastro surgeon.</s> |
<s>[INST]Hello doctor,I had unprotected sex with a sex worker five months back. After that every month I have taken CMIA fourth generation test. After almost 100 days, I took WB test. Then today I took again CMIA test. It is all negative but every month the index values are getting increased from 0.10 to now 0.24. since today it is 110 days over after post exposure. Now I did not do any sexual activity to date. So please confirm me whether I need to wait for six months or it is conclusive of HIV negative? Nowadays I am getting headaches and dry lips. I have also had sinusitis issue.[/INST]1. Negative results in repeated tests means no reason to worry about HIV infection. The increase in index value does not mean anything but may be due to some other causes like anxiety etc. 2. There is no need to wait for 6 months. You can get tested for HIV at least once a year if you are sexually active. 3. Headache and Dry lips are common side effects of stress and anxiety. Sinusitis needs to be treated properly.</s> |
<s>[INST]My son is having intense coughing now with nose bleeds. The coughing is getting worse. It lasts for about 1-2 min. and only a few minutes in between spells. He is having a difficult time with coughing and breathing. Should I take him to and ER or wait to get in with his primary doctor?[/INST]Thanks for your question on Chat Doctor. I can understand your sons situation and problem. In my opinion, you should immediately take him to hospital and start treatment. Nose bleeding, coughing and breathlessness suggest possibility of bronchitis more. But chest x-ray is needed to rule out lung infection. Detailed examination of nasal cavity is also needed to rule out internal cause for bleeding. He may need antibiotics, antihistamines and inhaled bronchodilators with inhaled corticosteroid (ICS). So better to consult doctor, first diagnose himself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.</s> |
<s>[INST]Hi my son was bending down putting on his socks when he experienced extreme lower back pain and coul not move THis is now radiating into his right testicle and down his inner right thigh analgesia and antiinflammatories don t seem to be helping much BOwel and bladder function okay Thank you christina[/INST]Dear Christina,we have a cushion like structure between our vetebral bones.I think somehow this cushion structure has been displaced in this case.so nerves running between vertebrae are feeling pressure,thus causing pain.and this nerves goes along the inner side of thing,causing pain in those areas.complete bed rest for 1week will help those cushions to come back in right position ,thus causing him relief.my best wishes for your kid.</s> |
<s>[INST]Hello doctorI had a sevenday monitor and I have attached my reports Nothing has been added about whether I need medication etc This sounds dangerous should I be worried[/INST]Hello. Can you upload the report again? I did not get the part narrow complex 5 qrs hr etc. Do you have any chest pain or discomfort heaviness on exertion, or shortness on exertion? These are ectopics or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), caffeine, alcohol, thyroid problems may aggravate these. But, considering your age, we should rule out ischemia in you. You should also get a thyroid test done. So should get a stress test like stress thallium or TMT (treadmill test) done. You will need beta blockers like Metoprolol to keep these under control. If there is any evidence of ischemia, then you can opt for antiplatelets and Statin. I hope this helps you and get back if you have any questions.</s> |
<s>[INST]My 78 year old wife experiences a relief in her chronic leg pain after a bowel movement She underwent chemo and radiation therapy 2 years ago to treat localised small cell carcenoma She also had a spinal fusion about 35 years ago d5d6 Is it possible for a full colon to apply pressure to the leg nerves[/INST]Hello,Nerves supplying to lower limb passes through lower part of abdomen and exit through posterior aspect of hip behind the bones. The nerves are generally under cover of muscle and fat. In case of excessively loaded colon, there may be slight pressure over the nerves which can be relieved by passing bowel movements. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon</s> |
<s>[INST]Doctor, I have a mass on my eyelid and I'm having a lot of pain in my eye. I've also been seeing spots and clouds in my vision. What could be causing this?[/INST]It sounds like you may be experiencing symptoms of aphakia. Have you had surgery to remove the lens in your eye?</s> |
<s>[INST]my sister has got an almost scale like pattern on her arm. its not a rash and we think its something to do with the blood because its underneath the skin. We have tried researching what it could be but arent sure. do you have any idea of what it could be? thanks.[/INST]Hi, dairy have gone through your question. I can understand your concern. You need examination about color, texture exact site and location. You need examination and routine investigation. Go for complete blood count, sugar, creatinine and coagulation profile test. Examination plus above investigation help you find the cause. Then you should 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]I m 19 years old male medical student I have proteinuria but with normal of all investigation of kidney clearance so by doing 24 hr urine collection I gained normal GFR protein conc 32 mgdl my doctor said I must drink lots of water then repeated analysis he suspect of allergy other wise I m not well I have stress for 5 years begin not eat from year ago so my weight is loss severely i have loss of appetite abdominal pain after eat any small thing with cough after eat too I don t feel well so is my proteinuria is due to my malnutrition emotional stress or as my doctor say[/INST]first known causes of protein loss is to be ruled out.check urine routine for rbc and pus cells,urine for AFB morning sample daily for three days,24 hr urine protein.as u are having abdominal symptoms abdominal Tuberculosis is to be ruled out</s> |
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