text
stringlengths 106
5.21k
|
|---|
<s>[INST] Suggest remedy for sudden knee pop and knee pain [/INST] It may be because of Meniscus tear or ligament injury. Will be able to see better on MRI. Its good that you already have MRI scheduled. Let me know the reports. </s> |
<s>[INST] What causes blackouts while suffering from severe cough? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Don't worry so much. Usually after or during a strong episode of cough might happen a black out. It is a normal reaction of the organism. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Suggest treatment for elevated SGOT and SGPT levels [/INST] HelloIncreased SGPT may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile, medicines,auto immune causes etc.Since you have slightly raised SGPT,you may only need follow up.It is good that bilirubin level is within normal limit.AST in non specific and it increases in many conditions.Get well soon.Take CareDr.Indu Bhushan </s> |
<s>[INST] Abdominal pain, hurts to walk, frequently passing gas. Any idea? [/INST] Hi mlawson ! Take dicyclomine for abdominal pain. But we still don't know the cause. You can go for stool examination for occult blood, it will show is their any internal bleeding. But if result is negative still pain go for full abdomen ultrasound. I am sure you will know the cause. And if stool examination is positive go for contrast x ray or endoscopy . Will relief you from your doubt. Take care. Bye. </s> |
<s>[INST] What does this MRI report of spine indicate? [/INST] Hi,Thanks for writing in.Your MRI findings are explained below in simple language.1.Loss of lumber lordosis is notedThere is a spasm of muscles in lower back.2.No other remarkable vertebral abnormality is seenThe bones of lower back are normal3.Neural foramina and facet joints are normalPassages of nerves is normal4.Sagittal diameter of bony spinal canal measures as follow L1=14mm,L2-13mm,L3=12mm,L4=12mm,L5=12mm.The canal containing the spinal cord is normal.5. Diffuse annular bulgings of L3-L4, L4-L5 disk are noted causing effacement of epidural fat.Mild disc bulges are noted at L 3 - L 4 and L 4 - L 5 levels. This is a mild degenerative change.6. The Thecal sac shows normal signal characteristics.The sac containing spinal cord is normal.7. Visualized portion of the spinal cord is normalSpinal cord is normal in lower back regions8. Paraspinal soft tissues are normalSoft tissues on both sides of spine are normal.In conclusion you have mild degenerative disc changes with muscle spasm in lower back. This is treated with ointments containing pain reliever and muscle relaxants. Please do not worry. </s> |
<s>[INST] Suggest remedy for scabs after head injury [/INST] Hai tis could be due to sum foreign body impacts of the previous scar, although 10 years is long time, more unlikely to produce such thick discharge. Pls meet a surgeon, dont fiddle with the scar, it could also be an infected keloid scar </s> |
<s>[INST] Q. What should I do for back pain that developed 2 years after C-section? [/INST] Hi. For further information consult an anesthesiologist online --> </s> |
<s>[INST] What does this MRI report indicate? [/INST] Hello and thanks for using HCM.I have read your question and understand your concerns.Neural cysts are most likely Tarlov cysts (or dilations of nerve root sheaths filled with cerebrospinal fluid).Synovial cyst also is an abnormal fluid collection of the articulations coverings and membranes.Disc bulge is the first stage of herniated disc disease.Nerve cyst on L5 could be evacuated if it is causing symptoms. Different techniques ( minimally invasive ) exist for this purpose.Synovial cyst doesn't need treatment usually.Disc bulge is treated first with physical therapy and NSAID drugs.Hope you found the answer helpful.Greetings. </s> |
<s>[INST] What causes pain in left shoulder blade, under arm shoulder? [/INST] Hello, I have studied your case.MRI may show tear in rotator cuff around shoulder.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start IFT ,or ultrasound which is helpful in your case.You may need to take rest for early healing.Also check your vit B12 and vit D3 in your blood.If not relieved arthroscopic treatment will help.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take careRegards Dr Vaibhav </s> |
<s>[INST] My poop is liquid and i have stomach ache [/INST] Hurting of abdomen can be due to periods and also due to infection that is causing loose poops. In diet mix dried pomegranate seeds cumin onion tomato salt and sugar. have 2-3 spoons with each meal. amongst medicines have sanjivini vati and chitrak vati. </s> |
<s>[INST] Suggest treatment for stress and high BP [/INST] hi,There are multiple options for treating depressive disorder, the one which your mother appears to be suffering from now. Before starting treatment I want to be sure of few things. I want to know her Thyroid levels in blood. Has she attained menopause and for how long? If not, Is she having disturbed menstrual cycle?How is her appetite and sleep?Also we need to get her liver function and blood cells checked.Once we are sure that depression is not due to other physical problems she can be started on antidepressants like Escitalopram, Florentine, sertaratline. There are numerous other medicines which will help her. The best could be chosen, once she is examined properly.You can also take her to a Psychotherapist so that few sessions of therapies like cognitive behaviour therapy coikd be taken. She can discuss her problems there and she would be enlightened with new understandings and also will be taught with some new skills which she might be lacking!!Regular food, sleep, exercise are all the first steps that you can right away start with. She can be definitely helped with so get her to psychiatrist for a detailed evaluation by the earliest. </s> |
<s>[INST] Been diagnosed with adenocarcinoma, squamous cell carcinoma cervical pre cancer. Recommended to get ovary removed. Correct? [/INST] HIThank for asking to HCMI really appreciate your concern, first thing I would like to clear you that right now you do not think about the ovarian cancer, you already have such thing you first try to come out of this, if the ovaries has got no pathology then why to remove it, more over if there is no problem with your uterus then why to remove it also, If I would be your Doctor then I would definitely ask you for to wait some time, think several time before taking such surgery in hand, nothing to loose even if you wait for some time and take time to think about it, just no need to worry every thing will be fine, have nice day. </s> |
<s>[INST] How to overcome dreams about things that happened during the day? [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. Sincerely speaking, you are a victim of negative thinking. There is nothing wrong with you. You have nothing more or nothing less. You are just an intelligent person. Don't think that you are extra gifted, which can spoil your life, as can be seen now. What ever thoughts cross your mind, ignore them. be what you are and do what you are supposed to do. Study, play, study, play, enjoy.If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. </s> |
<s>[INST] Have primary infertility. Back ache, vaginal itching. Swab shows colonization of staphylococcus [/INST] Hi,Thanks for your query , Infertility can be caused by numerous different factor - Reason - Inability of the egg to attach to the uterus lining . Inability of the egg to travel to the uterus. Inability to produce egg. Autoimmune disorder. Hormonal imblances. wishing your good health. Regards, Dr.Sharmila </s> |
<s>[INST] What causes pain and numbness in the thigh? [/INST] Hi, As you have mentioned, one of the causes would be a radiculopathy. However, I think since the MRI is negative, another possible cause that needs to be ruled out is a neuropathy- an isolated single nerve involvement, called mononeuropathy. I agree with the testing of the MRI abdomen. However, I think you should also be tested with an Nerve Conduction study of all 4 limbs- sensory as well as motor. This may need to be followed by a nerve biopsy. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s> |
<s>[INST] Painful holes in gums, discomfort in moving mouth, talking or eating. Remedy? [/INST] hello and welcome to HCM forum, according to the history presented by you i would like to inform you that i won't be able to provide you with the diagnosis , as clinical check up needs to be done first. you have mentioned that you have sensitivity ,this is due to recession of gums and dentine exposure. These holes seem to be periodontal pockets, and need a dentist's attention. as you said your teeth are crowded, therefore in such cases, periodontitis is very common. i would recommend you to visit your dentist, get your teeth cleaned, as well as maintain your oral hygiene. i wosh you good health, take care. </s> |
<s>[INST] Suggest treatment for gettting pregnant? [/INST] then I m suggested plz try for Ayurveda treatment..in ayurveda there is uttar basti treatment vary helpful to conceive </s> |
<s>[INST] Is pregnancy possible despite taking I-Pill? [/INST] Hello dearUnderstand your concernYes in some case around 5 %, there may be chance of pregnancy as it has some failure rate. Bleeding after 7 days after taking pill is breakthrough bleeding due to high progesterone as a side effects of I pillBut I think chance of pregnancy is less as you had sex just after complete the period and it is safe period.Since 2 months you did not get period, you have to consult the gynecologist to find the cause of delayed period.First do home pregnancy test and or blood HCG and USG to rule out the pregnancy. In absence of pregnancy other causes are hormonal imbalance, ovarian cyst/PCOS, adenomyosis and thyroid disorder should be rule out.In absence of pregnancy, period can be induced by progesterone injections in case of hormonal imbalance.Take healthy diet and fresh fruits, avoid stress and do regular exercise.Hope this may help youContact HCM for additional queryBest regardsDr. Sagar </s> |
<s>[INST] What causes visible veins on arms and little spider veins on penis? [/INST] Hi, dear. I have gone through your question. I can understand your concern. Many persons have visible blood vessels on arm. Its not abnormal. If you have lean and thin body structure then its common. Spider vein on penis is also not a significant abnormality. It you don't have any symptoms then no any treatment is required. Just be relaxed. 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] What should be done to help fatty liver? [/INST] HelloFatty liver is a reversible condition.It is often seen in diabetic patient due to metabolic disorder.It is due to deposition of fat within the liver cells.Fatty liver may also be due to many other reasons like obesity,sedentary life style,altered lipid profile,hepatitis etc.You need few more investigations like routine hemogram,lipid profile,liver function test.It is good that you are following dietary restrictions.You may need to take few medicines after proper evaluation.You should also increase your physical activity and go for brisk walk.Get well soon.Take CareDr.Indu Bhushan </s> |
<s>[INST] Suggest remedy for loose motion in hepatitis b positive patients [/INST] Hi thanks for contacting HCM..Noted you are giving history of positive acute hepatitis b...Here In your report HBSag negative with negative other antibody also....So chance of acute hepatitis b is less.Even if you are infected with hepatitis b virus it might be resolved now....Take low fat diet.Include more fruits and green leafy veg in your diet....One tsp crushed carom and cumin seed with water taken in morning.Repeat test with liver enzymes and viral marker after few days...If needed molecular methods or ELISA used for viral marker study....Take care....Dr.Parth </s> |
<s>[INST] What causes frequent chest pain that lasts for a minute? [/INST] Hi, it's not a cardiac pain, it's may be due inflammation of lining of lungs, acidity problem, musculoskeletal problem. It's a benign condition and needs no specific treatment except You try antacid like pantoprazole 40 mg beforebreakfast once a day, and over the counter medicine like tab diclofenac 50 mg whenever needed.is there any other symptoms like fever, facial rash, weight loss, then you need evaluation. </s> |
<s>[INST] Severe toothache, rinsed with alcohol. Swelling and burning in hard palate. Is it irritation or infection ? [/INST] hello and welcome to HCM, Tooth ache indicates bacterial decay or infection in the tooth that involves the exposed tooth nerve tissues . such infected tooth needs to be treated by a root canal procedure so please consider getting the treatment done by consulting a dentist. you may need a X RAY examination done for your teeth to confirm the spread of infection. i would suggest you to start with antibiotic Augmentin 625mg along with analgesics like aceclofenac two times daily for 3 to 5 days . Swelling and burning sensation in the hard palate is due to prolonged use of alcohol , this will subside with time dont worry. discontinue the use of alcohol , apply oral antiseptics like dentogel topically over the affected area. i hope this helps , take care. </s> |
<s>[INST] What foods to be avoided after having stroke? [/INST] you should avoid high cholesterol foods. Also avoid taking dairy products in close association with Calciguard and Dizam. if difficulty in chewing or swallowing take purred diet or full liquid. </s> |
<s>[INST] Q. I vomited two combined pills after 12 and 14 hours respectively. Am I still protected? [/INST] Hello. Yes, still you are protected, 1)If you vomit more than two hours after taking your pill, you are always protected from pregnancy. 2) If you vomit within two hours of taking your pill, take another medicine right away. 3)If you do not take a replacement pill within three hours of your normal time, use a backup method for the next 48 hours. </s> |
<s>[INST] Why is an infant not passing stools normally? [/INST] Hi...if the infant has not passed stools with in 24 hours after birth then it definitely needs evaluation. There is a congenital condition called Hirschsprung's disease where in the large intestine motility is affected and it will in turn result in constipation. But It is only a possibility and not a definitive diagnosis. I suggest you see a pediatric surgeon and the course of action will require a rectal biopsy to be taken for definitely establishing the diagnosis.Regards - Dr. Sumanth </s> |
<s>[INST] Is it the right prescription if prescribed Tugain 5,finpecia 1 mg , Parachute coconut oil and Johnson baby shampoo for hairloss? [/INST] Hello. Thank you for writing to us at healthcaremagicYou seem to have androgenetic alopecia. You have been asked to use topical minoxidil and oral finasteride.Both, minoxidil and finasteride are approved remedies for androgenetic alopecia.Minoxidil should be applied on absolutely clean scalp. Therefore, you may use coconut oil for just 2 hours before shampoo.It is important to shampoo daily while you are treating for androgenetic alopecia.Johnsons baby shampoo is fine. It is gentle and quite good for regular use. Ideally a shampoo should have pH value equivalent to skin i.e neutral or slightly acidic. High pH shampoo are harsh and can cause dryness.Treatment for androgenetic alopecia is long term and results vary from individual to individual.Results are usually noticeable after 3-6 months. The goal of treatment is to arrest and slow down progression of hair loss.New hair growth can be expected if the condition is not a long standing one.I suggest you to continue with the treatment and follow up with your treating doctor every 3 months.Regards </s> |
<s>[INST] What causes rash on the top of feet and ankles with white bumps in children? [/INST] Hello,I read carefully your query and understand your concern. The symptoms seem to be related to fifth disease. If the rash itches, an antihistamine can be used. In case of fever, anti-inflammatory pain relievers such as Ibuprofen can be helpful .Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician </s> |
<s>[INST] Lump on right jaw line, lymph node. Related to cancer? [/INST] Welcome to HCM Greetings of the day Namasthe Cancer of the neck never reduce in size on their own they are all known for progressive growth. As You have mentioned it has reduced in its own so it's unlikely to be cancer. So be assured. It could be chronic infection of salivary gland may be due to stone in it. Consult a general surgeon. Take care Regards </s> |
<s>[INST] Is it necessary to do CT angiogram with normal echo and stress test? [/INST] Hello!Welcome and thank you for asking on HCM!I carefully passed through your question and would explain that it is important correlating your tests with your clinical symptomatology. If you have typical chest pain which raises high suspicions of coronary artery disease, or changes in your cardiac enzymes, or wellknown coronary risk factors (smoking, hypertension, diabetes, obesity, etc.) further tests like coronary angio CT scan or coronary angiography may be needed. Otherwise, considering your normal cardiac tests, no further tests are needed. Hope you will find this answer helpful!Kind regards, Dr. Iliri </s> |
<s>[INST] What is the suggested treatment for hernia and divarication? [/INST] Hi,Surgery is the only treatment in cases of hernia. Hope it helps. If you have any other question please do not hesitate to contact us.Regards,Dr. Atishay Bukharia </s> |
<s>[INST] What causes pain and feeling of electric current in my knee? [/INST] hi,thank you for providing the brief history of you.A thorough clinical examination is advised.As you are getting a sharp shooting pain in the lateral side of the knee, it could be related to the pinched nerve in the lumbar spine. As many a times, the indication of the pinched nerve comes this way and an MRI can help assist to understand the mechanism of the soft tissue.Also, undergoing physical therapy like - core strengthening, pelvic floor strengthening, spine muscle strengthening, lower limb strengthening will help keep safe guard the spine and avoid future injuries.In my clinical practice most patients respond well to physical therapy and avoid future issues.RegardsJay Indravadan Patel </s> |
<s>[INST] Is there any drug that can stop drooling & excessive saliva? [/INST] Hi Mr Daniel,Thank you for posting your query.I have noted your symptoms.I am glad to note that you have managed your Parkinson's disease well despite the lapse of 20 years after its onset.To reduce the drooling and excess salivation, glycopyrolate is useful. If that does not help, you can go for botox injections in the salivary glands.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: My blog: </s> |
<s>[INST] Suggest treatment for frustration and anger [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Disappointment in life always triggers frustration and thereby anger. Once you know about your mother's anger, it is always better to consult a psychologist for counseling and assessment of anger.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. </s> |
<s>[INST] Suggest treatment for leg and ankle swelling with numbness after an injury [/INST] Hi you had injury in tour leg following grazes by studs of football shoes which are fairly deep and 5" long. You also have swelling , numbness with bruise. yes , numbness can come after bruise or deep injury due to damage to superficial nerves. I would recommend pain killers , antiseptic dressing , Limb Elevation and support with crepe Bandage for 2-3 weeks. During this period ambulate only if very necessary. </s> |
<s>[INST] Q. 2. 5 year old suffering from stomach ache. Which medicine has to be given? [/INST] Hi. I can understand your concerns. Complain of abdomen pain with vomiting suggests that your child probably has acute gastroenteritis or food poisoning. Since, antibiotic is already given and now there are no loose stools or vomiting, there is no need to give antibiotic again. For abdomen pain, you can give syrup Cyclopam (Dicyclomine hydrochloride and Paracetamol) 5 mL on SOS basis (as and when required) that is when abdomen pain occurs. Whenever a child becomes sick, there is decrease in his appetite which improves as child recovers. Now, you should give him all the foods that you were giving him earlier. If he is not eating then you can start Glucon-D in water thrice a day for one or two days. Start a multivitamin like syrup Bevon 5 mL once a day for 15 days. Keep patience. Child will eat properly now as he has recovered from illness. </s> |
<s>[INST] Suggest remedy for pain in nipples in males [/INST] hithis is due to the sensitive nerve endings,thats why the pain reduces on cold applicationsometimes it can be hormonalthere is no specific treatment for your complainttakecare </s> |
<s>[INST] What causes fluid in the chest cavity after thorascopic wedge resection? [/INST] Thanks for your question on HCM. In my opinion you should first get done repeat chest x ray.Post procedure pleural effusion can be seen in many conditions ,but the common ones are1. Reactionary effusion. 2. Infective effusion.3. Leakage from bleeder (small arteries may left open by mistake and slow blood trickle can be seen.So better to get done chest x ray again. If fluid quantity is more than you may need diagnostic aspiration. And treatment according to the cause. So better to consult pulmonologist and discuss all these. </s> |
<s>[INST] Been trying to conceive over a year now [/INST] what is your problem why u are not conveiving is all decided by the doctor and based upon that he will decide which treatment option, how come you urself decide clomid treatment for yourself, </s> |
<s>[INST] Feeling tired and weak, nausea. High bilirubin levels. Had an open heart surgery in the past. Any suggestions? [/INST] hello welcome to health care magic Elevated bilirubin levels indicates that your liver is not functioning properly or it may elevate because of increased breakdown of red blood cells.. You didn't mention about other symptoms like pain in the abdomen.. it is unrelated to your previous heart surgery.. kindly consult physician and do all the liver function tests..and according to him do an ultrasound.. hope you get satisfies with my answer. thank you Dr.siddartha </s> |
<s>[INST] Are renal cysts a matter of concern? [/INST] HiThanks for your query.You have not mentioned the size of the cyst or its appearance.Renal cysts are often diagnosed incidentally. If they are not too big and look benign on the ultrasound then no active treatment is required.All we need to do is monitor them by doing an ultrasound every 1-2 years.Hope this helpsGood luck </s> |
<s>[INST] What causes chest pain during smoking? [/INST] Hello!Thank your for asking on HCM!Regarding your concern, your symptoms do not seem to be related to the heart. You are too young and with a short experience as a smoker, to have symptoms related to chronic smoking like angina or coronary artery syndrome. I think that your symptoms may be related to other causes like anxiety or musculo-sceletal issues. I recommend you to perform a resting ECG and routine blood test, kidney and liver function tests, blood electrolytes, and a chest x ray to exclude other causes. Meanwhile I recommend you to avoid smoking, if this is the only triggering factor of your symptoms. Hope to have been helpful!Greetings! Dr. Iliri </s> |
<s>[INST] What causes pain in inner thigh of a child? [/INST] Hi..such a sever pain which stops before you go the doctor could be a muscular spasm. If I were your kid's pediatrician I would investigate the kid for reason for recurrent muscular spasm like low calcium levels or low vitamin D levels.Regards - Dr. Sumanth </s> |
<s>[INST] What causes dizzy spells and vomiting while traveling by air? [/INST] HI, thanks for using healthcare magicIt may be anxiety related to flying.Anxiety can present with physical symptoms including those mentioned above.It can also commonly cause chest pain, abdominal pain, palpitations and even diarrhea.You may want to speak to your doctor prior to your flight to see if you can get medication to relax you while you fly.I hope this helps </s> |
<s>[INST] What is the cause for gas and a loose stool caused by eating lobsters? [/INST] Hi there,Thanks for your query.Your symptoms are highly suggestive of either, food allergy or, food poisoning. It is unlikely to be due to lobsters since you have been having them throughout life. It is therefore possible that your symptoms were due to some chemicals, pollutants, or bacteria/viruses in the water where the lobsters were harvested; or, due to additives used in cooking lobsters.You can make enquiries from other people- who purchased lobsters from the common source- if they too had similar symptoms. This will confirm that lobsters were contaminated/infected.If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take careDr. Rakesh Karanwal </s> |
<s>[INST] Q. How long should my husband and I wait to try for a baby if we did cocaine? [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> </s> |
<s>[INST] Suggest treatment for fever and dry cough in baby [/INST] dear parent , I understand your concerns . for fever you should give ibuprofen syrup or acetaminophen syrup every 6-8 hours.for dry cough you should give a cough suppressant as dextromethorphan . you should only offer soft and easily swollen food as soup , yoghurt and jelly </s> |
<s>[INST] Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? [/INST] Hi. For further doubts consult a sexologist online --> </s> |
<s>[INST] What causes loss of breath and crushing tightness in my chest? [/INST] hello, Yes this could be a cardiac problem due to blockages. You should get your ecg and echo done. You ll need tmt test if your ecg is normal. so visit cardiologist and get these things done. You should avoid heavy activities till your evaluation is complete. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity and symptoms atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.. You should get tab Sorbitrate 5 mg sublingually whenever chest tightness occurs prescribed and have rest during such symptoms. </s> |
<s>[INST] What causes pain in the midway between ribs and hip? [/INST] Hello, You can go for a CT scan of the abdomen and pelvis to get a better clinical picture. Ultrasound may not pick up all lesion and the sensitivity will be low. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain </s> |
<s>[INST] Why is my daughter feeling weak, cold and sweating? [/INST] HI...feeling weak and tired and cold can occur apart from fever in certain conditions like low sugar levels, excessive blood loss in periods or in hypovolemic states. I suggest you get her examined by a pediatrician or a physician and get her vitals and blood sugar levels checked at the time of such an event occurring.Regards - Dr. Sumanth </s> |
<s>[INST] Could the painful thigh lump be staph infection or MRSA? [/INST] HiThanks for askingBased on your history and query, my opinion is1. There is a possibility of having contracted a infection from your friend, as the bacteria could have gained access through raw areas or skin abrasion.2. But this needs to be confirmed by getting a culture sensitivity of the pus. 3. Based on the nature of organism, you can be treated accordingly.4. Do not worry much as there is treatment for staphylocoocus infection if it comes positive on culture.Hope this helpsRegards </s> |
<s>[INST] Wheezing, cough. Cure and suggest reason? [/INST] hi, it looks like you have asthma which is mild now. asthma could be due to many reasons. you have dust allergy or seasonal allergy. you need to do complete work up your lungs. get a lung function test done to confirm asthma. then also you may have to do allergy test to know if your allergic to something.if you have allergy then you can start immunotherapy before your asthma symptom increases. go to both pulmonologist for asthma and immunologist for allergy testing. your symptoms of asthma has just started it can controlled very easily at this stage. also improve your general health ,as it may be because of that your symptoms have come back. thank you dr.mukesh </s> |
<s>[INST] Why is my 22 month old screaming after bowel movement? [/INST] Hi dear,I understand your concern .Actually, he can have fissure of anus or irritation around.You should wash, then dry properly, then apply Pilex ointment after every bowel movement or apply olive oil.Hope it helps </s> |
<s>[INST] What causes elevated sgpt level? [/INST] Thank you for posting your query.Lab results reveal hepatitis.SGOT (AST) and SGPT (ALT) are liver enzymes located inside the liver cell.these enzymes play an important role in the metabolic processes.an increase in the level of these enzymes reflect an INJURY to the Liver. medically, the condition is know as Hepatitis.Hepatitis maybe caused by- Virus (A, B, C, D, E) - one of the most common causes - Drugs - Alcohol - certain food (including Pork consumption) - Increased Fat content in the body - certain bacteria, amoeba may also cause hepatitis/ abscessMy advice:- get Viral serology test for HepB and HepC- Avoid Pork altogether ( Avoid alcohol- Recheck your Liver Enzymes and Liver Function Test after 4 to 6 weekswish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik </s> |
<s>[INST] What causes sacral chordoma? [/INST] Hi,Thanks for writing in.Chordomas are cancer cells that arise from rest cells which start to grow in an adult. Chordoma involves the clivus area in skull and sacral region in the lower end of spine. These are two common locations where it might occur. However rarely it might involve the rest of the spine.Since the chordoma has spread to the liver, lungs and bone, therefore he might be having advanced disease. His kidney function is to be monitored closely for any changes in function and also infection which has to be treated urgently. Cancer patients get week due to low immunity and this is the reason infection causing bacteria find it easy to attack various systems in these patients. Kidney function is studied by doing serum creatinine and blood urea levels which also gives the glomerular filtration rate. Please discuss these levels with his doctor.Please do not worry. </s> |
<s>[INST] Suggest remedy for tooth infection [/INST] Hello, Read your query, as you have pain and swelling this can be due to infection in tooth due to carious tooth or periodontal infection which leads to spread of infection in periodontal ligamnents or periapical region of tooth. For this you should consult your dentist for examination of oral cavity and investigation IOPAxray of swelling, if infection is due to carious tooth then you should discuss with your dentist and go for Root canal treatment if possible and if due to periodontal problem then go for Scaling and root planning. In meantime you can do warm saline gargle two - three times a day, you can take medications like Amoxicillin CV and Ofloxacin , and painkiller like ketrol dt or diclofenac sodium by consulting with your local doctor . Hope this will help you. Regards, Dr. Priyanka tiwari </s> |
<s>[INST] Suggest medication for breathlessness and low BP [/INST] Hello. Thank you for your question and welcome to HCM. I understand your concern. I would start my answer by giving you some information about your condition. Mitral valve prolapse is not an uncommon finding in young females. In fact, it is as 16% as often in young females, totally asymptomatic and is found in routine echocardiograms. It is known even in ancient life, when it was called "young ladies' disease". It takes up to 30-40 years to decompensate the heart, increase heart and lung pressures, and then produce symptoms. My opinion is that, at this period, you should not be concerned about your diagnose, and live a healthy life without limitations. As about the blood pressure, I think that this can be a some-time thing during a day. In my experience, combining these figures with your age, there is nothing to worry about. These figures are borderline low, and can be found in every active 30 year-old, due to resting after a physical activity and climate changes, especially when it is hot. If this a constant finding, feel free to contact me again. Take care. Best regards. </s> |
<s>[INST] How to treat cyst on fibula and swelling around talus? [/INST] Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.If the cyst is oozing you need to get that cultured and evacuated completely before it gets infected and spreads into your joint. You also should clean it daily and keep it covered so bacteria from outside does not contaminate it. See your primary doctor certainly for further recommendations and possibly antibiotics.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Samuel Parmar </s> |
<s>[INST] How to remove painful lump from armpit? [/INST] Hi, dearI have gone through your question. I can understand your concern. You may have enlarged axillary lymphnodes. 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 health care magic. Wish you a very good health. </s> |
<s>[INST] What causes lower right stomach pain, mood swings and acne? [/INST] HI.Thanks for your query and an elucidate history. The symptoms of right lower abdominal pain, changed uterine flow, acne, increase in size of breasts as you have explained all are suggestive of the following:Ovarian Dysfunction causing hormonal changes causing all the symptoms you have.-I would advise you to consult a Gynecologist for clinical examination;-Hormonal assays;Ultrasonography for ovarian evaluation to see for PCOS and other related problems of uterus and so on. To get started with treatment as per the investigations. </s> |
<s>[INST] Had gall bladder removed. History of pancreatitis. Vomiting, red marks on abdomen, itching. Your thoughts? [/INST] Hello,i went through your statement. Acute pancreatitis is confirmed by elevated serum Amylase. The indication for removal of gall bladder is not mentioned as well as were you jaundiced. Any patient with their gall bladder removed must take for certain period fat free diet and life long with minimum fat.The off shaped red marks may be due to multiple reasons. Unless a Dr sees them personally it is very difficult to comment on it. Sorry.With best wishes </s> |
<s>[INST] Suggest treatment for degenerative disc disease at C3-C4 level of spine [/INST] this is basically saying you have arthritis of the spine. there is no treatment to reverse the process so the only treatment is surgery. whether or not you need the surgery depends on your symptoms. there are many medical treatments for pain but surgery is the only treatment for weakness </s> |
<s>[INST] Suggest remedy for the torn frenulum [/INST] Hi, You must consult ana urologist personally, you can do surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist </s> |
<s>[INST] What does a cyst on upper arm of a child indicate? [/INST] Hi,Thank you for asking question on health care magic.It is difficult to say without seeing the patient or X-ray.Probably it is a benign cyst arising from soft tissue or bone.It may need excission, better consult surgeon.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics </s> |
<s>[INST] Suggest treatment for hives [/INST] Hello,Thank you for asking at HCM.I went through your daughter's history and would like to make suggestions for her as follows:1. I would like to know more about her milk allergy symptoms. How was milk allergy diagnosed? If she is really allergic to milk, taking any milk product (be it curd, buttermilk, butter, milk biscuits, milk chocolates, etc) can cause her allergic reactions.2. If she is not taking any milk products and still she develops allergic reactions, I would suggest allergy testing for other foods such as soy, ground nut, wheat, rice, egg, sea foods, tree nuts, etc. This will help you to identify the allergy, if any.3. Hives can occur even without allergies. Possible causes are viral infections, bacterial infections, parasites, drugs, etc.4. As she is getting hives since 2 months, I usually suggest my such patients investigations like serum total IgE, allergy testing for common allergens, complete blood counts, ESR, stool examination, urine examination, etc. However, before suggesting investigations, I always take a detailed history about her each and every symptom, diet, environment, drugs, etc etc. This may minimize requirement of investigations.5. For symptom management of hives, I usually suggest my patients cetirizine which causes less sedation as compared to chlorpheniramine maleate (Allerid).6. Please trim her nails regularly to make sure she does not scratch and damage the itchy skin as scratching would only aggravate itching. 7. Application of moisturizers or calamine lotion over her dry/itchy skin and rashes would also help.Hope above suggestions will be helpful to your daughter.Should you have any further query, please feel free to ask at HCM.Wish your daughter the best of the health ahead.Thank you & Regards. </s> |
<s>[INST] What causes flu like symptoms? [/INST] Hi,Your symptoms indicate a viral infection.Joint pains , malaise is common in this condition. Since it is a viral infection antibiotics wont work. Hence, kindly consult a physician and take Ibuprofen(analgesic) and take lot of rest and drink lots of fluids and water.If there is any associated secondary bacterial infection causing sore throat then kindly take antibiotics. You should recover in a weeks time as viral infections are self limiting.Thanks </s> |
<s>[INST] What does torso muscle discomfort indicate with difficulties swallowing and breathing? [/INST] It may be due excess cold or may be due to dry cough. Sometimes its irritate for long times use ginger juice with honey for few days it may be heal if problem of cold. Or consult to ENT </s> |
<s>[INST] Suggest remedy for dark circles [/INST] Hello,I am quite empathetic to your dark circle problem. It seems that you developed dark circles because of genetic as well as nutritional problem. Your hydration level suggests the improvement on getting properly hydrated.I suggest you to first improve your diet and liquid intake. A plenty of fruits with vitamin C especially helps a lot in reducing the dark circles.In my patients I suggest to apply a cream containing kojic acid or azelaic acid at night time to give additional advantage to the patients.All the best. </s> |
<s>[INST] kidney stone, lower back pain, frequent urination, passed stone in urine [/INST] Hi. Sorry I am not able to understand your query. Since you are aware that you have stones you need some investigations to decide further course of action. Frequent urination may be because of stone in the bladder, lower end of ureter or urinary tract infection. It might not be painful while passing small stones. Plain CT scan of the abdomen is the best investigation for stones. Please consult a urologist.Regards </s> |
<s>[INST] Suggest tretament for painful and stiff knee in infants [/INST] hi it might be due to some local trauma because its an monoarticular involvement sometimes infection also might lead the same so some investigation need to exclude the infection and some imaginary views (uss abdomen)until the cause identify need some painkillers toolater on physiotherapy </s> |
<s>[INST] What causes chest pain and shoulder spasms while on Levofloxacin and Benzonatate? [/INST] Hello,Levofloxacin and Benzonatate can not cause chest pain, headache and muscular spasm. So we should definitely search for another cause for it. Since she is above hundreds of years, we should definitely rule out heart diseases for these symptoms.So better to take her to the doctor and get done blood pressure monitoring, ECG, 2d echo. If all these are normal, then no need to worry about heart diseases. Simple musculoskeletal pain can be the cause. So give her painkiller like paracetamol or ibuprofen. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Kaushal Bhavsar </s> |
<s>[INST] Q. Is there any permanent cure for erosive antral gastritis? [/INST] Hi. Along with chronic gastritis, you seem to be having hypertension and might also have diabetes. You must get your HbA1C (glycated hemoglobin) levels done. The chronic gastritis is basically of 3 types, environmental, autoimmune and least common diffuse antral gastritis. As you have reported above yours is an antral type. The problem with antral type gastritis is that it is associated with increased acid output from the gastric glands and might lead to duodenal ulcers. PPI (Proton Pump Inhibitors) are H+ion (proton) inhibitors, they block acid secretion and hence are helpful in this type. Now the catch here is H.Pylori. Usually, H.Pylori is harmful and causes destruction of gastric glands, but in case of antral Gastritis where the gastric glands are hypersecreting, the destruction of these glands provides symptomatic relief. In your case H.Pylori is negative and hence you are having these symptoms. Your symptoms will remain suppressed while you take PPI and whenever you will stop PPI there would be an exacerbation of these symptoms. You should get yourself thoroughly investigated and other organic causes should be ruled out. Some lifestyle modifications you can try, which I have already answered in this link. Here was a study performed in China, where it was found that "green tea" reduced the risk of gastritis by 50%. I hope your treating physician would have tried giving you Sucralfate or Gefarnate. If not you can try the above either of the two. Also, you should keep a check on your blood sugar levels and exercise regularly. An hour of a brisk walk for five out of seven days in a week will definitely help. </s> |
<s>[INST] Severe back pain, pain in left leg, swollen foot, difficulty in walking. Cure for symptoms? [/INST] Hi ,Thanks for posting your query.From description , it seems you might developed muscular or ligamentous strain over back.I would suggest getting this evaluated by an orthopedician for an accurate diagnosis and appropriate management. Meanwhile following measures will help with the pain• Lie on a hard bed.• Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required • Avoid forward bending.• Avoid strenuous activity & lifting heavy weights.• Apply diclofenac gel on the affected area. Warm compresses will also help.Hope this will helps you. Warm regardsDr Saurabh GuptaOrthopaedic Surgeon </s> |
<s>[INST] What causes painful heart palpitations after slight exertion? [/INST] Painful heart palpitations after exertion suggest that certain area of your heart might be getting less blood supply as compared to what is needed. Plus the associated radiating pain in left arm and leg also point towards the same. However, in some cases, palpitations might also happen due to some anemic disease where cardiopulmonary reserve is low. Consult a cardiologist and get your ECG, ECHO and Stress TMT tests done which will rule out any serious cardiac disease. Also, as you father suffers from angina, their is a slight increased probability of you suffering from the same. </s> |
<s>[INST] Had two periods after stopping birth control, tiredness, chest heaviness. Related to birth control? [/INST] I want to know what pill has she taken? I suggest she should go to the doctor who prescribe this pill for a discussion, and find the root cause of problems. </s> |
<s>[INST] Suggest treatment for fatty liver [/INST] With all those above-mentioned normal test results I don't see a serious wrong thing with your liver. Fatty liver with normal transaminases and bilirubin is a common finding in our practice . And about treatment I'd suggest you to be more cautious will diet, just to control your cholesterol. As for the liver Milk Thistle for a month would be a good choice. </s> |
<s>[INST] Suggest treatment for low blood pressure [/INST] Although blood pressure is on lower side, no treatment is needed. This is probably normal pressure for you. however increasing fluid and salt intake will help.is there a history of chest pain or cardiac Illness, if no need to worry. if yes then should seek cardiologist. </s> |
<s>[INST] What causes bleeding from the gums? [/INST] Thanks for your query, I have gone through your query.The bleeding in the oral cavity could be because of the gum infection secondary to the deposits below the gum.The other possible causes of bleeding can be because of any cuts in the oral cavity or pulp polyp or any bleeding disorders like idiopathic thrombocytopenic purpura. Consult a oral physician and get these things ruled out. Get a complete blood investigation along with INR to rule out the bleeding disorders.If any gum infection then get your teeth cleaned and use topical gum astringents like strontium chloride (stolin) gum paint.if pulp polyp is there then get it root canal treated.If bleeding disorder is there then consult a general physician.I hope my answer will help you, take care. </s> |
<s>[INST] Suggest treatment for difficulty in walking and pain in thighs [/INST] in case of pain in anterior thigh you need to be sure that there is no involvemnt of the hip joints.so you need to get an xray or an mri of the hips.and fevers could suggest an increased activity of your lupus. </s> |
<s>[INST] Is tegretol advised in case of high fever convulsion? [/INST] HiWelcome to the HCMAs per your description, it's clear that your child has an epileptic disorder. Don't worry as they can be very well controlled now a days with new drugs. Children with family history of epilepsy are more likely to inherit this condition. Sodium valproate ( Epilex) is definitely a better drug as compared to the Carbamazepine (Tegrital) for most of the epileptic disorders in childhood. Just go for a liver function test before continuing epilex as it may affect the liver in some children. Also clobazam is a good antiepileptic to add on whenever she has high grade fever spikes because they may lead to break through seizures.I think this treatment plan is fine and you can continue it with full compliance.In case of any further information, you may always contact me. I would suggest you to upload your daughter's reports for my reference so that I may help you in a much better way.Take careDr. Archana Verma </s> |
<s>[INST] Q. I am having large floaters in my eyes. Is it possible that it will decrease with time? [/INST] Hi. I reviewed your history. It seems from the history that you have floaters. Eye floaters are because of problems in the posterior part of the eye involving vitreous and retina. Hence, this requires evaluation by indirect ophthalmoscopy, to rule out vitreous degenerations. Most of the floaters are caused by vitreous degenerations and may not require treatment. These will resolve over time. However, evaluation is required to look for associated retinal problems, like retinal tears which may be seen rarely. </s> |
<s>[INST] Taking birth control pills, to control bleeding, depo shot. Is it going to stop the bleeding? [/INST] Hi. I think you must have been given a combination of estrogen and progesterone and depot shot does not cause heavy bleeding. It may cause irregular bleeding. taking the pills 3 times will certainly stop bleeding but once you stop it you are sure to have withdrawl bleeding. Get a scan done to see the cause of bleeding and continue the drug for a longer period in tapering dose to keep bleeding stopped. Thanks. </s> |
<s>[INST] What causes moderate pain on the left heel during walk? [/INST] Hello, I think maybe is Plantar fasciitis which is a painful inflammation of the plantar fascia, a fibrous band of tissue on the sole of the foot that helps to support the arch. Plantar fasciitis occurs when the plantar fascia is overloaded or overstretched. I suggest to rest, use ibuprofen and wear comfortable shoes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician </s> |
<s>[INST] Q. Kindly give your opinion about my father's heart operation for block. [/INST] Hi. I have gone through all the reports of your father (attachment removed to protect patient identity). He has got a triple vessel disease and all the three major coronary arteries are critically blocked. The main problem before giving a suggestion is that you have not enclosed the report of his 2D echo and left ventricle ejection fraction is to be known before giving a valid suggestion. So, kindly enclose a copy of 2D echo of your father. As of now, I would suggest you to go for MICAS. MICS CABG (coronary artery bypass graft) or MICAS stands for minimally invasive coronary artery surgery. It is a relatively new and advanced technique of heart surgery by performing coronary bypass for coronary artery disease. In this technique the heart is approached through the side of the left chest through a small 4 cm incision. This cut is placed just under the nipple. The chest is entered between the ribs without cutting any bones and by splitting the muscle. Similar to a regular heart surgery, the operation is performed using all arteries or a combination of arteries and veins removed from the leg. The vessel from the leg in these operations is also removed endoscopically without cutting the skin over the leg. Highly advanced instrumentation and advanced techniques allow for the operation to be performed very safely. MICS CABG has several advantages over the traditional technique. The best part is that all the blocks irrespective of their location in the heart can be bypassed in a safe and predictable manner. I think MICAS is a very safe option for him and much better than open heart surgery. Revert back with the reports to a cardiologist online --> </s> |
<s>[INST] What causes bleeding bump on scrotum despite having Cephalexin? [/INST] Thanks for asking in healthcaremagic forumIn short: Do not meddle with the lump if it is not giving problem.Explanation: Sebaceous lumps are very common on scrotal skin so if its that, please do not meddle with it. Meddling might have caused you bleeding. So, if you have any discharge from your lump then you can take antibiotic otherwise not requires. Please visit a dermatologist for its removal. Do not try yourself. Good luck </s> |
<s>[INST] What is the pain in chest and armpit when I cough? [/INST] Thanks for your question on Healthcare Magic.I can understand your concern. Yes, possibility of cold related chest and arm pain is more likely. So take simple painkiller like paracetamol or ibuprofen along with cold medicines. Drink plenty of fluids orally and keep yourself hydrated. This pain will subside in 5-7 days.If after 1 week pain still persist then get done chest x ray to rule out internal lung pathology.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s> |
<s>[INST] Asthmatic, having some tightness in chest, short breath sensation [/INST] Hi, you must take preventive treatment for your asthma such as inhaled corticosteroids or long acting bronchodilators in order to improve your asthma control.you must visit your doctor and after the examination he will decide for the dosage of treatment you need. </s> |
<s>[INST] What causes an umbilicus lump? [/INST] welcome to Health care magic.1.No it is not a lymph node, lymph nodes will not be felt in that area in the way you are describing.2.Most likely cause is umbilical hernia, which is bulging out when there is an intra abdominal pressure increased.3.If you are my patient, after examination i would have ask for a ultrasound abdomen sitting/lying/with cough reflux to identify the defect, and depending on the finding refer for a surgical correction.4.So suggest you to see your GP and get needful investigations and treatment done.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. </s> |
<s>[INST] What are the signs and symptoms of factitious disorder? [/INST] Hi, Thanks for writing to us, Yes, the right person to visit would be a psychiatrist. He/she would be able to guide you through dealing with her in the right way. Hope this helps,Dr A Rao </s> |
<s>[INST] What could be the reason for having constant bloating, pelvic and abdominal pain, no appetite and severe lower back pain? [/INST] HIThank for asking to HCMI really appreciate your concern, If I would be your doctor then I would surely treat you with the course of antibiotic because such symptoms may be due to the protozoal infection and in such situation I usually treating my patient with the Metronidazole 400 mg twice in day for 7 days and get good result, here in your case I would also start "Dicyclomine with Acetaminophen tab. three times in day and "Chlorodiazepoxide" three times in day this will surely relieve your problems, have nice day. </s> |
<s>[INST] Suggest treatment for pain after spraining a foot [/INST] Hi, You have probably a torn ligament. In my opinion, apply ice on the swelling every 2-3 hours. Use a crepe bandage and take pain killers. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon </s> |
<s>[INST] Suggest treatment for numbness in arm [/INST] Hi,Thanks for writing in.One of the most common sensory problems associated with MS is numbness. Numbness occurs when the nerves that transmit sensations do not conduct information properly. As a result, sensations in that particular area are either lacking or nonexistent. Since you are having an active life and still playing tennis twice a week therefore you must get yourself clinically examined and if required a MRI scan. This is necessary as it can pick up any new areas should there be MS specific changes in your brain. Seeing a neurologist is essential at the moment. Please describe completely the symptoms and severity experienced by you. </s> |
<s>[INST] Suggest remedy for lump near anus hole [/INST] hi.based from your description, it could be an anal polyp or hemorrhoid. it is best if you have it checked by a doctor, preferably a general surgeon, for medical and physical examination. further diagnostics (such as proctoscopy) and management (medical and/or surgical if indications are found) will be directed accordingly.hope this helps.good day!!~dr.kaye </s> |
<s>[INST] Will i face complications in scaphoid fixation surgery? [/INST] Hi, Yes, truly marijuana addiction affects in giving anaesthesia.But I think you need not to worry much these days because they can give you brachial block which only anaesthetise your affected limb. And If you are to be given general anaesthesia there are good drugs available which will harm you less. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gaurang B Shah, Orthopaedic Surgeon </s> |
<s>[INST] What is the cause for a fleshy bump containing white puss on my penis with a history of HPV? [/INST] Hi, It might be a possible:- genital infection - hair follicle infection (due to shaving methods you use)- re-activated HPVI advise to: - get a good genital hygiene, wash with warm water and hypoallergic soap- rinse it well with warm-and-then-cold water- apply otc betaine locallyIf no improvement within few days (up to 5 days), should consult an OG specialist and run further test to rule out HPV and get proper treatment with oral and local antibiotics. Hope it helped!Dr.Albana </s> |
<s>[INST] What causes inability to get erection of penis? [/INST] Hello. I have reviewed your query and here is my advice. The first, second or third sexual experience even for married people could be like this and the reason is said to be performance anxiety. Nothing to worry. will be alright in a couple of months.Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand </s> |
<s>[INST] Suggest remedy for breathlessness during bronchitis [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You are worsening on Ventorlin. Ventorlin is a short acting inhaled bronchodilator, so it's action stays for only 2-3 hours. You were also not given mucolytic and expectorant drug along with inhaler. So your secretions are not coming out and you become more symptomatic. So in my opinion you should start 1. Ultra long acting inhaled bronchodilators (Indacaterol and Glycopyrronium). 2. N acetyl cystine (NAC) along with inhaler. NAC is pulmonary anti -oxidant, mucolytic, expectorant and anti inflammatory drug. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health! Thanks. </s> |
<s>[INST] What does these enlarged prostate result indicate? [/INST] HelloYour USG findings suggests mildly enlarged prostate and it is age related finding.It generally doesn't causes any problem in sexual intercourse.Mildly enlarged prostate need clinical correlation and further investigations.PSA(prostate specific antigen)should also be assessed in enlarged prostate.After clinical evaluation,you may need medicines to take like alpha-blockers and 5-alpha-reductase inhibitors.You should consult nephrologist.It is not a very serious finding.Get well soon.Take CareDr.Indu Bhushan </s> |