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<s>[INST] Q. My friend had a spinal injury and walked after that, but passed away after two days. Why? [/INST] Hello, Welcome to icliniq.com. 1. Yes, the fall seems to be the cause of the fractured neck and the damage to his spinal cord (attachment removed to protect patient identity). 2. Nothing would have changed if you found him one or two hours before. 3. I think that the fall caused the vertebral column fracture. Then, during transport to the hospital, the instability of the vertebral column has to lead to compression of the spinal cord, probably due to a wrong posture. 4. As he had tingling in his legs and could not feel them, these are signs of a spinal cord injury, probably in the posterior part where the sensory columns lay. A person with partial spinal cord damage can walk if the motor pathways in the anterior spinal cord are not damaged. But there is no way to know if he had broken his neck because he had no neck pain. So, it seems that this was a fatal injury. He should not have walked, but even if this did not happen, I am not sure if he could survive. You should know that the most important thing after a spinal cord injury is the swelling of the spinal cord, which increases in size in the next days. That is why his situation worsened the following days. You should know that the respiratory heart nerve pathways and lay on the cervical spinal cord. So, probably as the spinal cord has been swelling in the next days, it has affected this area, causing his death. There is no way to predict that if something changed in the management of the situation, it would make him live. This is because cervical spinal cord injuries have a high mortality rate and poor outcome. I hope you will find this information helpful. If you have any other questions, please do not hesitate to ask me again. </s>
<s>[INST] Q. When it is cold outside, I wake up gasping for air. What is causing this? [/INST] Hello. With your history, it seems you have airway obstruction probably due to seasonal change. Continue Ventolin (Salbutamol). Once your symptoms are settled, do a spirometry test, to assess the level of obstruction. Take care. For more information consult a pulmonologist online --> </s>
<s>[INST] What to do if food particle enters the wind pipe? [/INST] Thanks for your question on HCM.In my opinion if you are not having any symptoms at present than no need to worry. As coughing will remove it from wind pipe.But if you are having symptoms like1. Chest pain2. Fever with expextoration3. Shortness of breathThan you should definitely get done bronchoscopy.As chances of popcorn in trachea is high if you develop these symptoms. Otherwise no need to worry. And still you want to get it checked whether it is in wind pipe ir not, get done bronchoscopy. It is 10 minute procedure only. </s>
<s>[INST] Does masturbating affect sexual life? [/INST] Hello, Masturbation is normal, natural and does not have any side effects unless you overdo it. Masturbation cannot affect childbirth of future sexual life. You can contact me for treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist </s>
<s>[INST] Suggest medication for scratchy throat,cough, sneezing,running nose and low fever? [/INST] Hi, thank you for posting!I read your query very carefully and I understand your concerns.Your symptoms are caused by the complications of a common cold.To relieve your symptoms I recommend:1. Bed rest.2. Taking a lot of vitamins.3. Drinking a lot fluids such as hot tea.4. Taking Acetominophen 500 mg in order to relieve pain.A pulmonary X-ray, a sputum culture and a complete blood count are necessary for the diagnosis. You need an urine test, too.The results of these tests will determine the exact diagnosis.Contact your pulmonologist to discuss about the treatment.All the best.Dr. Behar. </s>
<s>[INST] What causes constant nausea along with rapid heart beat? [/INST] Hello There After going through your medical query I understand your concern and I would like to tell you that sev anaemia or cardiac arrhythmia can be a cause for your syncope and is recommended for proper evaluation.Kindly get a CBC, TSH, RBS , ECG , Echo and a holter ( ambulatory ECG) done and consult a physician with reports for further treatment.Hopefully this information will guide you properly.Kind Regards Dr Bhanu Partap </s>
<s>[INST] Suggest treatment for abdominal pain and constipation [/INST] HI. undergone through the history you have provided, albeit a complex one. The ultrasound is normal. You are taking Lansoprazole- burning pain- constipation- Spams sometimes... Right sided ..I would advise such a patient to undergo upper and lower GI endoscopies to see what is exactly the problem.. A proper diagnosis can lead to a proper treatment.Repeat ultrasonography as sometimes one would miss a few things due to less obvious pathology to be undertaken in ultrasonography and may become obvious now.I would advise you to take a laxative, high fiber diet, Tablet Domperidone 10 my 8 hourly, avoid all such food and beverages that increase the problem. Sometimes a good soap water enema helps a lot as the large bowel is cleared , the intestinal habits normalize faster and better. </s>
<s>[INST] Q. I sleep for about 11-13 hours a day. How to control this? [/INST] Hello. What you are describing is a common sleep disorder known as delayed sleep phase syndrome. It is a disorder of the body clock. This clock is tuned by bright light and blue light. Chronotherapy: Sleep in a room where the sunlight will bathe your eyes in morning, even during sleep. Once awake, spend your first hour in the sun, either having tea, or reading newspaper or jogging. In short, increase the exposure to sunlight in the morning, both when you are asleep as well as awake. Do not sleep in the day at any cost. At night time, reduce your exposure to blue light emitted by TV screens, laptop, phones, etc., by 1) Minimize the usage at night. 2) Install blue light filter or flux applications in your devices. You can also use amber-colored goggles when watching TV or using a laptop, etc. 3) Have curd or a diary product at night. 4) Go to bed at the intended time, make your room completely dark, do not use the night lamp even. Use a band to cover your eyes when on the bed. Do not use your phone while on the bed. If these measures are not helpful, take Melatonin supplements like tablet Meloset 3 mg one hour before the intended time to sleep and hit the bed at the intended time to sleep. Another option if you are fine with taking medicines, is tablet Agomelatine. It makes falling asleep easy and makes you awake and alert in the day. It also has mood-enhancing property. These measures will reset your body clock and solve your sleep issue. I hope this helps. </s>
<s>[INST] What causes lump in rectum? [/INST] Hello!Thank you for the query.Most likely you are dealing with hemorrhoid. Its a kind of enlarged vein in the rectum area. It can be painless however in case of inflammation the pain can appear. You may also have some trace of blood on the stool or toilet paper.I suggest you to consult a surgeon with this issue. Some small surgery might be helpful.Hope this will help.Regards. </s>
<s>[INST] What causes bleeding from the scrotum? [/INST] Hello welcome to 'Ask A Doctor' service.I have reviewed your query and here is my advise.Your testis examination should be done to look for any ulcer or mass if present. USG scan is advisable in your case to find any underlying pathological lesion if present. According to cause specific treatment can be suggested. You can Consult urologist or surgeon for examination. Hope I have answered your question. Let me know if I can assist you further. </s>
<s>[INST] Suggest treatment for wound on forehead [/INST] Hello,Thank you for the question.Pimples on your forehead can be sometimes really dangerous. They are close to the veins which collect blood from your brain. Picking a pimple in this part could cause infection into your brain. It will also aggravate your skin problems.The wound it has left it's not just a matter of beauty. You should treat it with an ointment with antibiotics like Gentamycine or Tetracycline.It will help.I advice you see a dermatologist for your skin problems.Hope to have been helpful.Best wishes Dr Abaz </s>
<s>[INST] Suggest treatment for sluggishness in performing daily activities [/INST] Hello,Go for his thyroid level I think he has hypothyroidism one tablet daily will help him a lot. So dont worry. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Awadhesh P Singh Solanki </s>
<s>[INST] Suggest treatment for carcinoma cancer [/INST] Hi, dearI have gone through your question. I can understand your concern. He has nasal cavity cancer. Treatment depends on type and stage of cancer. In early stage surgery can be done to remove cancer tissue. In later stage surgery will not helpful. Radiotherapy or chemotherapy is the treatment of choice. 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] I am farting a lot. What is the reason ? [/INST] If you do not eat then it could be the problem, farting is the gas in the stomach. How does the gas enter it, either by you swallowing the gas or due to digestion of carbohydrates in the food that you eat. So you should be swallowing some by carbonated drinks, sodas, straw use, speaking or laughing while eating etc. So avoid these. To reduce the gas avoid cabbage, cauliflower, baked beans and broccoli and also pulses. To remember one thing it is said that lot of raw fruits and vegetables shall also cause gas creation in the stomach. </s>
<s>[INST] How does the CT scan indication of chronic ischemic changes in the right cerebral hemisphere mean ? [/INST] Hello, Chronic ischemic changes are mostly related to changes in blood pressure (hypertension mainly). Subdural hemorrhage may be caused by minor trauma and follow up is necessary. Discuss with your Doctor for these issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical </s>
<s>[INST] What causes swelling in testes? [/INST] HelloThanks for query .Pain and swelling in the testis could be due to infection of Epididymis (Epididymitis).Though pain has reduced with medicines you need to continue it for one more week to prevent recurrence of symptoms .Dr.Patil. </s>
<s>[INST] Suggest treatment for papules on scrotum [/INST] Hello, Papules are not usually cancer. To diagnose, you should consult a doctor and show him the affected part. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist </s>
<s>[INST] Could fatigue and muscle weakness be due to cholecystectomy? [/INST] hi.your cholecystectomy 5 years ago is not related to your fatigue and muscle weakness. and the course of your surgery seemed unremarkable from the time of your operation. you have other medical concerns which are more important to look at. a consult with your doctor is best for physical examination and clinical evaluation. diagnostics and management will be directed accordingly.hope this helps.good day!!~dr.kaye </s>
<s>[INST] Suggest remedy and precautions for hepatitis b [/INST] Hello and welcome to HCM!To summarize it briefly: you are amongst those persons who, when contacting hepatitis B virus, cannot get rid of it. Almost 10-15% of all persons contacting hepatitis B virus can not eradicate it and become the so-called "a Hepatitis B carrier". There are two types of hepatitis B chronic carriers: active carrier and passive carrier. An active carrier is a person infected with hepatitis B and that shows signs and symptoms of the disease. A passive carrier is a person who has the disease in its body but it doesn't manifest any signs and/or symptoms. Since you report that you did several test back in 2011, and you are feeling perfectly healthy, then I guess that you are a passive carrier of hepatitis B and probably you will continue to have this status for the rest of your life if you do not engage in excessive unhealthy behaviors such excessive alcohol intake, etc. Unfortunately, there is no ultimate cure for chronic B hepatitis. You can try with interferon therapy, but this is expensive and in a good proportion of cases it can only achieve a lowering of the titer of HBsAg surface antigen without eradicating it. On the other hand, treatment of hepatitis B with interferon or other anti-viral drugs is advised only if there are signs of liver damage but this is not your case. Vaccinating against hepatitis B at this stage is of little benefit as well, even though it is not harmful.However, please not that you can pass the infection to other people through unprotected sexual intercourse or if your blood comes in contact to that of other people. Therefore, you can not donate blood anymore. Therefore, my advice would be: do not engage in unhealthy behaviors such as excessive alcohol intake, in order to not "wake-up" the silent disease. If you are careful then you can live a perfectly healthy life. Lastly, carriers of hepatitis B need to measure the levels of liver enzymes such as ALT and AST periodically in order to monitor its function.I hope I have answered your concern! Best! </s>
<s>[INST] What can i do to improve my situation as i am having a long history of bladder cancer? [/INST] since you were recommended bcg therapy it means you had early stage disease. Follow up is for 5years. after 5years investigations are done if clinically warranted only. So be glad that you dont have bad disease and you have chance of cure! </s>
<s>[INST] What causes a sore lump in the armpit? [/INST] Hi,Yes, I agree that the most likely causes for the swelling would be related to being run down and possibly a sore throat. If this is the case, the lump should reduce over the next few weeks. If it remains by 6 weeks, you should see your doctor for investigation. I hope this is of help. Regards,Dr K A Pottinger </s>
<s>[INST] Skin rashes. Painful, itchy. Having sore throat, sneezing. Treatment? [/INST] Hello thanks for the query posted I would be pleased to answer your query . I would suggest that to get treatment you will need to book an appointment with the physician Dermatologist . Viral fever with rash , sore throat would be better off treated with Oral Vitamin C 1000mg per day , Oral Antibiotic like Azithromycin 500 m twice a day for 3 days and topical applications of Calamine lotion . Please do book an appointment with the Dermatologist to discuss the same . Thanks and Take care </s>
<s>[INST] Can bed bug bites affect pregnancy? [/INST] Thanks for contacting HCM with your medical questionyou are concerned that you have come in contact with bed bugs and their bites have affected your pregnancy. Bed bugs are more of a nuisance and are not associated with any known disease. To get rid of the infestation you may need to have a professional exterminator. The bed bugs live not only in the mattress but also among the bed frame and carpeting around the frame. You can treat your areas with calamine lotion and will resolve over timeHope this answers your question. Please contact us again with your medical concerns and questions </s>
<s>[INST] Suggest remedy for itchy bumps [/INST] Thanks for your question on HCM. Track malignancy is very common after operation for the cancer.So we need to rule out this first.So better to consult dermatologist and get done clinical examination of bumps.If necessary you may need biopsy of the lump to rule out cancer.Since it is coming and going with itching, less likely to be malignant . May be due to allergy or infection. Better to consult dermatologist and discuss all these. </s>
<s>[INST] What causes high sugar and protein in the urine while on Percocet? [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Percocet tablets are unlikely to cause any "leakage" of protein or sugar in urine. This happens particularly if you have developed high blood glucose, (above 180 mg) then only glucose is excreted in the urine by kidneys. This is a sign of developing diabetes. As regards protein in urine, normally no proteins are excreted. That is a sign of some problem with kidney function. It can happen in various conditions including diabetes. So it is essential to get your blood glucose tested (fasting, PP, and HbA1c%) also kidney function test done. That will clarify the reasons.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Prabhakar Laxman Jathar </s>
<s>[INST] What causes hand shake and loud heart beats while talking to others? [/INST] Hello,I think you have anxiety issues.This dosent look like social phobia as you have problem while talking only. Do you feel anxious of trivial issues or most of the time of the day? If the answer is yes, then you need to take anti anxiety medicines as this might increase if left untreated and make it difficult for you to work. Late treatment also makes the problem chronic. There are several safe and good medicines available now a days like, escitalopram and sertraline. Please go to a doctor and discuss the problem in person and in detail. Regular exercise and deep breathing also helps, but nothing is as imoortant and as effective as the correct medicine. Good luck. Dr. Manisha Gopal. MD Neuropsychiatry </s>
<s>[INST] What causes persistent pain in lower back? [/INST] I have gone through your question and appreciate Your concern. U should not neglect your back pain. Consult orthopaedic spine specialist.Get Mri of spine done.General measures to lessen back pain.Avoid bending forward and lifting heavy Weights. Hot fomentation thrice a day. Local Analgesic gel for local application Muscle relaxants and analgesics will help Muscle relaxants and analgesics will help To reduce pain.Muscle strengthening exercises will help in longTerm after pain subsides. Thanks U can write me back for any query. </s>
<s>[INST] What causes high blood pressure while on Lisinopril and Atenolol? [/INST] hello,You spaced out medicine, like take lisinopril in D morning and atenolol in the evening. Try to avoid to stress. 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 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.. If doesn't help then needs to increase dose of atenolol. </s>
<s>[INST] What causes swollen lymph nodes in abdomen along with abdominal pain? [/INST] Hi...it could be a gastritis or a splenic pain. But this can occur in viral illness too. If the kid is otherwise active do not worry. But I suggest that she needs work up for infectious mononucleosus and other chronic viral illnesses.Regards - Dr. Sumanth </s>
<s>[INST] Will the facial and ear numbness subside? [/INST] Hello. I have reviewed your query and here is my advice. The reason for your feeling of numbness are threefold. One the medicine's effect which will subside within 3 days. Two The stress of extra blood flow. Three the stress you created because of your apprehension. Forget all these. You should feel well within a week max.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] Is metastatic ovarian cancer in an elderly person a concern? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The metastatic ovarian cancer has pure prognosis and low rate of survival. In this case its favorable for the patient to undergo chemotherapy. Hope I have answered your query. Let me know if I can assist you further. </s>
<s>[INST] Want to conceive for the second time. Cannot conceive. Advised to take cerophene. Didn't help in the first pregnancy. Suggestions? [/INST] Hi,If you cannot conceive naturally after trying for at least six months, you should see an infertility specialist and have further investigations and treatment. It cannot be predicted what medications suit you before knowing the cause of your infertility. Please do not self medicate yourself as this is going to lead to unwanted complications later. Take care. </s>
<s>[INST] Suggest remedy for burning sensation at the tip of tongue and brownish urine [/INST] Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Burning at tip of tongue is usually due to nutritional deficiency of Vit B-complex. Vit B12, thiamine or niacin, all can cause. You need to take B-complex vitamins to treat it.2. Brownish urine, could be concentrated urine, due to reduced water intake. You need to take more fluids. After taking more fluids, if it is still brown, you will need to get your urine examined for rbcs. Hematuria or hemoglobinuria will require evaluation.3. Not need to stop any of the medications. continue treatment. At present, take B-complex and plenty of fluids.Hope it helps.Any further queries, happy to help again. </s>
<s>[INST] Suggest medication for swelling of the elbow [/INST] Hello, I passed carefully through your question and would explain that it is necessary for performing an X-ray study and inflammation tests (complete blood count, PCR, ESR). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist </s>
<s>[INST] Suggest treatment for cough and cold [/INST] Hello dearwelcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with underlying systemic disorder which requires intensive evaluation with necessary tests .* Ailment of cough , cold can be managed with primary gargles and dietary precautions to some extent .Hope this will help you .Welcome for further guidance .Regards dear . </s>
<s>[INST] Could infection with flu cause string in bowel movement and rashes on legs? [/INST] Thanks to HCMI can understand your concern flu is due to infection of virus ,which may occupy in gastro tract this cause string like situation in bowel movements.rash appearance on legs indicate th viral infection in blood so I would like to suggest once have a test of CBP,ESR, CUE and blood culture .plz take antihistaminc like atarax 25 for 5 days once daily . antibiotic like azithromycin 500 once daily for 3 days and acecloplus for 3 days .. tab .pan 40 once daily for 5 days.avoid cold and cold iten , not to roam in overcrowded area be in isolation room as it spread to other family members ok don't worry it will subside once report come consult your family doctor or HCM continue medication .OK </s>
<s>[INST] What does my chest x-ray suggest? [/INST] Thanks for your question on HCM. Your x ray report is good. It suggests, presence of old fibrotic scar lesions. You must be having active tuberculosis or pneumonia in past. Any lung infection, after treatment heal by following mechanism. 1. Fibrosis 2. Calcification 3. Fibro calcification 4. Bronchiectesis 5. Rarely complete resolution. Fibrosis and calcification are more common. They are permanent and appear life long on x ray. Since these lesions are old, inactive, non infectious, scar lesions, no treatment is required for it. </s>
<s>[INST] Suggest treatment for severe cough [/INST] don't worry just keep him drink warm drinking about three times daily and can take any good antitussive but you must known the cough may take about 2 weeks to disappear. </s>
<s>[INST] What cause dry mouth and lips? [/INST] HIWell come to HCMChances of stomatitis need to be ruled out, because of the infection particularly fungal infection may be the reason of your symptom of dry mouth, some time dental infection may be the reason, even without the infection or in absence of infection such symptoms may be possible and this could be due "folic acid" deficiency, condition need to be differentiated for all the possible reasons, hope this information helps. </s>
<s>[INST] Q. Can high BP with migraine cause stroke? [/INST] Hello. I would largely comment from cardiac point of view. So overall, other than BP, your cardiac status is normal. Your heart function is normal and no RWMA, your blood vessels were clean on CT coronary angiography (attachment removed to protect patient identity). So, I do not think there is anything to worry from cardiac perspective. Regarding chest pain, if BP is elevated then it can cause some strain over the heart and cause chest pain. But it would be limited to time during which BP is elevated. Now considering that you did not have any chest pain during stress test and BP was elevated during stress test, pain is probably unrelated to BP or heart. If you are having any ventricular ectopics or extra beats then it can cause some dull ache in chest. Now other aspect is BP. You have tendency for BP elevation due to your genetic make up which is part of PCOS, etc. How much do you weigh? Also, your psychological issues tend to worsen BP. BP may rise during exercising and considering your high BP tendency, it may excessively rise during exercising. Other factors which can worsen BP is stress, high salt intake like pickles, NSAIDS like Brufen or other pain killers, migraine medicines or even any pain can worsen BP. So, avoid pain killers other than Paracetamol or Tramadol, plenty of fruits, have low salt diet, regular exercises, try to keep weight under control. If BP elevates then you may have an additional dose of Telmisartan. Maximum you may up-to 80 mg in a day. Also, while taking BP readings, you should keep your arm relaxed, take 2-3 readings at a time and take BP after rest of 5-10 min. If BP is rising persistently in the evening then additional dose of Telmisartan may be added in the afternoon 2 hours before the expected BP rise. Your average in last abpm was fine and occasional high readings are not worrisome. Regarding inflammation, best way to settle inflammation is healthy lifestyle like avoiding fatty oily and high calorie diet. Having regular exercises like brisk walking or running according to capacity. Also, you should get your lipid profile done and statins like Rosuvastatin prescribed to settle this inflammation. Dinner should be light. Now, regarding your stroke risk, it is better to get a neurologist opinion. The changes may be related to inadequate BP in the past, but you should also obtain carotid artery Doppler for source of emboli. Also, transesophageal echo should be obtained to rule out possibility of patent formanen ovale as a source of emboli. </s>
<s>[INST] Can perianal abscess be treated permanently? [/INST] Hi dear, I have gone through your question and understand your concerns.If the perianal abscess is small, then it can be treated by antibiotics.However, if it is large and extensive, involving more of the perianal area, then the drainage should be done.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma </s>
<s>[INST] Hospice care. Had stomach cancer. Did it spread to liver? Why did he vomit black liquid? [/INST] Hi there, Vomiting black liquid seems most likely as altered blood though bile may be brownish sometimes as well. It looks like he is in final stage of cancer. Morphine is a pain killer and if he is not in pain he is unlikely to be started on it. The perception that morphine is given to put someone out of misery, is rather for pain really. Many patients morphine is given short time and is stopped when pain is relieved. Do speak to your hospice nurse and get a clear picture and usually they explain the situation on day to day basis. Regards </s>
<s>[INST] How to treat the mass on my left sub-mandibular gland? [/INST] Hi.Thanks for your query and an elucidate history.The gland which shows such changes you have described needs surgical excision... There is no other way. Tooth if not getting restored properly , should be extracted as this will act a focus of infection life-long. </s>
<s>[INST] How to manage the pain in the body and joints without metformin, Xanax? [/INST] Trust your rheumatologist ,disclose all your detailed history of symptoms.After tests results final evaluation will be apparent if any auto immune process, rheumatoid or fibromyalgia issues.There are many medications for all above diseases processes and substitutes for Xanax.metformin is oral hypoglycemic and depending on blood sugar status can be modified in dosing or substituted plus other distic and supportive measures may be advised.physical therapy offers good respite from joint , muscles aches symptoms. </s>
<s>[INST] What causes spider veins on face and suggest treatment? [/INST] Hi, dear. I have gone through your question. I can understand your concern. Many a times birth control pill produce this side effects. you should consult your gynecologist and ask for that. If it is due to that then you should stop or change it according to his advice. 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] Can vaginal fungal infection be treed with the medicines listed below? [/INST] Hellowelcome to healthcare magicyour physician has given you proper medicine.Doxy is antibiotic which prevent other bacterial cross infections.Other are anti fungal drugs which will reduce your itching and other complains.Take the madicines as advised by your phycisian regularly.If your husband has same problem, he should also take treatments and avoid intercourse for some times as advise by your doctor or use condoms.Take care and thanks for contacting us </s>
<s>[INST] What are the small lumps on the head of my penis? [/INST] HI.Do not worry.The lumps with the size you mentioned and its location on the head of penis is suggestive of enlarged normal glands and nothing serious about it - unless they grow- itch- change color and so on. This settle with time and if still you have doubts, take an opinion of a Dermatologist. Do not worry if you did not have any intercourse during the last one year. </s>
<s>[INST] I have amoebic mucous problem returning whenever I stop medicines. Can an online doctor help me ? [/INST] hi welcome to healthcare magic you should take latest antiamoebic drug which cure from it, keep hand wash whenever u r going to eat, drink plenty of boiled water, consult ur doctor thank you </s>
<s>[INST] What causes pain in the testicles with white spots on the penis? [/INST] Thanks for asking in healthcaremagic forumIN short: Check up for STD mustExplanation: His dizziness, occassional pain in testicle may not be related to this. White spots may be visible sebaceous glands(fordyce spots) which are harmless. So, if you still insists on STD , take him to a doctor to investigate for STDs. </s>
<s>[INST] What could be the black spot on my aorta? [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, it is calcified or scarred plaque like structure. Black spot on CT is mostly due to dead, scarred tissue. Aorta is likely to have scar or calcification. So these benign lesions are more likely in your case. Your doctor didn't bother too much about this and he didn't call cardiologist, so no need to worry for major illness. Such black spots are mostly due to scarring and calcification. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>
<s>[INST] What is the treatment for high BP and erectile dysfunction? [/INST] Hi, Chronic diabetes patients are prone to neuropathic complication. Make sure your blood sugar is under control. Doing a Doppler study of penis can help diagnose the cause. Also, check for hormonal issue - thyroid and testosterone. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist </s>
<s>[INST] Sudden onset of pain from the base of teeth, no bump or swelling on gum area, history of abscess. Suggestion? [/INST] hello i read your problem.pain can be of various reasons and is not always accompanied by swelling or abcess. there are chances you might have deep caries ,your gums are infected because of food lodgement or may be wisdom tooth erupting. get it diagnosed clinically by a dentist and get a xray done of that area. kindly never take expired drugs as these may cause harm you can take amoxicilin 500mg twice for 5days with painkiller like diclogesic under doctor prescription. rinse mouth with warm saline water . regards dr.sapna </s>
<s>[INST] Suggest protein diet to control hairfall [/INST] Thanks for the query,Practicing yoga especially "sirsasana" is good for hairs as it increase the blood circulation to the scalp,,,so, continue with that...Protein rich diet and vitamins and minerals are essential for healthy hair growth...yes you shoud take 1mg/kg/day of proteins through natural or processed source...But remember hairfall is not always due to lack of nutrients as in androgenetic alopecia which has multifactorial causes like hormonal, environmental and genetic causes...Which i think is true in your case...I advice you to in addition to lifestyle modification you should include topical medications like minoxidil 5% twice a day for 3-6 months over the effected area for better results...Hope you find it helpful </s>
<s>[INST] What is the lump near the neck and ribs? [/INST] Hi,Dear thanks for the query to HCM virtual clinic.I studied your query in full details updated from you.I understood your health concerns.Based on your query data, In my opinion ,Dear You seem to suffer from NHL-Non-Hodgkin Lymphoma,which possibility could be ruled out,if you want to rule out cancer fear,which you seem to have.With no further information I would suggest you to Consult a Surgeon / Physician to investigate these lumps at these neck/ near rib site and treat it accordingly.A detailed physical information with proper investigation would only lead to the right treatment of your lumps with scanty information from Your query.Hope this reply would help you to evaluate your case and treat it with your doctors in time to come.Hope this would resolve your query and worry and Anxiety accompanied with it.Welcome for any further query in this regard to ME.I would love to help you out.Awaiting for any further query.Wish you fast recovery from this intriguing health problem.Have a Good Day.Dr.Savaskar M.N.M.S.Genl-CVTS -Senior Surgical Consultant </s>
<s>[INST] How to treat a hard lump at the base of my penis? [/INST] Hi, If you had any recent unprotect sex ( 1 Month ) need to think of sexually transmitted infection. If not it can be bacterial or fungal infection _ share a picture for conformation. Local use of antibiotics / fungal can help you. 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 medications can be taken to treat common cold during the 14th week of pregnancy? [/INST] Hello, Excedrin is not hod to be used in pregnancy neither aspirin. It would be better if you use acetaminophen, Paracetamol. Also you can use Tylenol which is mostly used in flu. Hope I have answered your query. Let me know if I can assist you further. General & Family Physician </s>
<s>[INST] Suggest remedy for fever and runny nose in infants [/INST] Hello,From the information you provided, I think that these are signs and symptoms of a common viral infection. Rash could be due to fever.Therefore, please do the following to manage the condition of your infant:- Apply physiological isotonic water to your infants' nose (to each nostril) for 2-3 times a day. This simple and cheap procedure will improve her nose condition and will ease nose blockage by secretions.- If your infant is 3-6 months old, apply paracetamol, 10-15 mg/kg/dose every 4-6 hours. If your infant weight 10 kg, then you can give between 100-150 mg of paracetamol every 4-6 hours.- If your infant is more than 6 months old, paracetamol could be alternated with ibuprofen in order to dominate fever. Ibuprofen is given 4-10 mg/kg/dose every 6-8 hours. If your baby weights 10 kg, then you have to give between 40-100 mg of ibuprofen every 6-8 hours.- Keep your baby well hydrated and fed (liquid food).Please monitor your baby for another 2-3 days (usually viral infections last for 7-10 days) and if the condition does not improve, fever is not dominated or there are signs of laryngitis (dry cough, difficulty in breathing), severe and prolonged crying, difficulty to sleep, et cetera, then you have to consult your pediatrician for further care.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ervin Toçi </s>
<s>[INST] What does knee pain indicate despite taking Ibuprofen and wearing compression braces? [/INST] Hi, I understand your concern. The female patient is young 15 years old. The knee pain could be due to knee trauma. Get her visited by an orthopedic specialist, get an x-ray of the knee done and possibly MRI if nothing is found. We should ensure there is nothing torn there. Hope this helps. </s>
<s>[INST] Q. Can I get a spinal block for laparotomy instead of general anesthesia? [/INST] Hi. Spinal anesthesia is good for surgeries below umbilicus eg., pelvic surgeries, and ovarian cyst as in your case. But the size of your cyst is large, more than 10 cm and it is a complex cyst (not simple) which would mean surgeon may have to see other intrabdominal structures also and may take more time to complete surgery, also you may feel uncomfortable if he has to extend incision above the umbilicus. So he has advised you for general anesthesia which is the most reliable option in your case. For more information consult an anesthesiologist online --> </s>
<s>[INST] Suggest treatment for fatigue and depression [/INST] Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Fatigue could be a symptom of depression.The first line is the use of escitalopram 10 mg per day for depression.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy </s>
<s>[INST] What is the lifespan when in final stages of Ovarian cancer? [/INST] Based on the history she has approimately days to weeks.If the fentanyl is not working try Other opiods along with adjuvant drugs. </s>
<s>[INST] Suggest treatment for ITP in a child [/INST] HelloITP is immune throbocytopenic purpura.Here no diet restriction is needed.You may give whatever the child wants.In most of the cases platelet count increases over a period of time without any specific treatment.I suggest you to get repeat test done after 7-10 days to know the platelet count.In very few cases low platelet may persist for longer duration.In that case I would suggest you to consult your pediatrician for management.Regards </s>
<s>[INST] What causes "jittery and nervous feeling" in lower back? [/INST] Hello,His symptoms could be related to nerve damage. For this reason, I recommend consulting with a neurologist for a physical exam and performing some tests:- A thoraco-lumbar spine MRI study- A nerve conduction study to examine the nerves- Blood electrolytesHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Aida Quka </s>
<s>[INST] What causes extremely vivid dreams which seem real ? How can these dreams be prevented ? [/INST] Exact reason for Why we dreams is still unknown, but frequent & extremely vivid dreams can be manifestation underlying psychological turmoil. Many psychiatric illness can have early manifestation of extremely vivid dreams of fearful or strange nature. Depression, Anxiety, Primary sleep disorders etc. are major psychiatric illness presenting most of the time with vivid dreams only. It can be due to side effect of many over the counter medication used for different reason. Improper use of sedatives & hypnotics now easily available OTC for minor sleep problems, are most common cause for vivid dreams in my opinion. Among the sedatives short term use and sudden withdrawal of alprazolam is most notorious for causing disturbances in dreaming processes. There is no need to prevent dreams at all. What you need is proper evaluation of your problem by a psychiatrist.Thank You </s>
<s>[INST] What do red spots on spine indicate? [/INST] Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., </s>
<s>[INST] Can oral surgery be done with local anesthesia? [/INST] Hi, dear. I have gone through your question. I can understand your concern. Oral surgery is possible with local anesthesia. If your father has breathing problems then you should not go for general anesthesia. Because there are many complications in high risk groups. So I would like to advised for local anesthesia. You can go it with any surgeon. Its common surgery. No need to worry. 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 causes lack of bowel movements for 2 weeks? [/INST] Hi Dear,Welcome to HCM.Understanding your concern. As per your query your son is having symptoms of lack of bowel movements for 2 weeks which could be due to many reasons such as - Due to decreased gastric motility- Inadequate intake of fluids and fiber rich diet- Eating a lot of dairy products- Some medications like antidepressants, acidity.- Irritable bowel syndromeNeed not to worry. You should avoid intake of sharp, spicy and hot food substances. I would suggest you to consult gastroenterologist for proper examination. Doctor may order colonoscopy or other tests to look for blockages in your colon , barium studies and blood test for hormonal changes. You should start with drinking a lot of water , do light exercises and avoid fatty and heavy meals. Doctor may prescribe fiber supplement, osmotic laxatives , stool softeners and medicine to reduce acidity.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari </s>
<s>[INST] What causes indigestion in the child [/INST] Although test is negative your child must be having celiec.biopsy is confirmed test .but your child responded to gluten free diet is very imp clue. </s>
<s>[INST] Suffering from stomach ache, gets worse when I am hungry. Suggest some cure [/INST] Hi As per your query,you are suffering from Duodenal ulcer. Please take a good PPI like Rabeprazole 20mg ,once daily You should avoid spicy foods,junk foods & cool drinks. Stop Alchohol if you are an alchoholic. If you are a smoker,quit smoking You should eat in time. If the symptoms still persist,you should get an Upper GI endoscopy and also test for H.Pylori infection. If you come back again with the above reports,i will further clarify Wish you good health Regards </s>
<s>[INST] Suggest treatment for fever & loose stools [/INST] Hello,Thanks for posting in HCM. Fever for 7 days which is not getting controlled with paracetamol with cough and loose stools should be addressed cautiously. As you already have tested for malaria which is negative, there might be other causes like pneumonia causing cough or acute gastroenteritis causing loose stools.I will advice you to get him hospitalized as he will need blood investigations, chest x rays to diagnose the exact problem and treat the causative agent with IV antibiotics if required.If you need any more help kindly write back, will answer your query.Thank you </s>
<s>[INST] What causes a white spot inside the nostrils? [/INST] Hello, Read your query, as you have white spot inside nostril it can be due to folliculitis , nasal polyp, sinusitis, or deviated nasal septum for this I will suggest you to consult ENT specialist and go for investigations like PNS view for deviated septum and its treatment. Hope it will help you. Wishing you good health.Regards, Dr. Priyanka tiwari. </s>
<s>[INST] Suggest remedy for cold and minor shivering of body with feverish feeling [/INST] HiThanks for your query at HCM.I understand your concern and situation.It is likely that it is allergic reaction which you develop often causing cold. I would suggest you decongestant and nasal steroid spray like Nasacort that can help reduce nasal congestion, sneezing, and a drippy nose. You may consult your doctor to get allergy shots (allergy immunotherapy). It will be required that you take these shots regularly for about three to five years and get long-term allergy relief. Yes you may get complete blood haemogram and skin/blood allergy testing done. I would suggest you not to go for EMG as of now. If you have pain you may visit chiropractor and pulmonologist. Eat protein rich healthy and balanced diet and drink plenty of water.Hope I answered your query.Best of health.Dr. Sheetal Verma </s>
<s>[INST] Is there treatment in homeopathy for headache due to epidermoid cyst? [/INST] Hello,I had gone through the case and found that you must take homoeopathic medication for epidermoid cyst.There is Hope for treatment. But we need your complete history.So consult your local homoeopathic doctor.Hope my answer will be effective for you.Thanks </s>
<s>[INST] What causes heart palpitations and stomach discomfort? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I recommend you to do a 24-48 hour ECG Holter monitoring and based on the results, the doctor would choose the right treatment for you. I don't know about your past medical history but signs you're writing that heart sonography was fine that means your heart has a good function. I would be more for a beta blocker med than Hope I have answered your query. Let me know if I can assist you further. </s>
<s>[INST] What causes hallucinations? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Ok. It may be hallucinations but it is important to have more information about this symptom to make sure it is a true hallucination. So it is the case to contact with a psychiatry doctor to get help. Faster you ask for help better is. Hope I have answered your query. Let me know if I can assist you further. </s>
<s>[INST] Could using Cerelac cause constipation? [/INST] HI...Cerelac alone cannot be causing constipation. It also depends on how much water and fibre is going into his system. I suggest you give him adequate amount of water and fibre too. Natural methods are the best to relieve constipation. Maximum milk consumption per day should not exceed 300-400ml. Minimum 3-4 cups of fruits and vegetables to be consumed per day.Regards - Dr. Sumanth </s>
<s>[INST] Benign breast disease, lump and cyst on breast, bruise-like patch on leg. Early stage of cancer? [/INST] HiThanks for your query.This particular skin manifestation does not seem to be related to cancer. It may be some of skin disorder. But you should not disregard the increase in size of the breast lump and consult your doc.Hope this helps.Regards </s>
<s>[INST] Suggest treatment for sinus infection [/INST] Hello Dear. Your potassium levels are bit low. Normal levels 3.5-5.0 milliEquivalents per liter (mEq/L). You can eat the pulp of tender coconut daily which will increase your potassium levels.For sinus infection you can try home remedies till you go for surgery1. Humidify. Use a humidifier in rooms where you spend a lot of time. Follow the instructions for regular cleaning.2. Breathe in steam vapors. You can either run the shower and sit in the bathroom, or breathe in steam from a bowl of warm (but not too hot) water. Adding vicks vaporub to warm water is good. The steam vapors ease congested and swollen nasal passages.3. Use warm heat. Put a warm, wet towel on your face. It can take off some of the pressure.4. Try a nasal saline solution. While they don't contain medicine (saline is salt water), they can help keep your nasal passages moist.Also your doctor might have given you antibiotics to take. Antibiotics like amoxycillin 500mg three times a day, for one week will effectively help in sinusitis.Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the bestWith warm regardsDr Sanjay Kini </s>
<s>[INST] What causes red circle like bruise spot on cheeks? [/INST] Hello,I can understand your concern. As the skin is red and hot and you are feeling a lump underneath, it seems that your daughter is having some sort of bacterial infection in the area.There are various possibilities regarding the infection in the area such as tooth abscess in the upper jaw, parotid gland infection, skin infection etc.I would advise you to visit a pediatrician for the physical examination of the area regarding the size, color, texture and exact location. If it is infection, she might have to take a course of antibiotics to combat the infection.I hope this information helps you. Thank you for choosing HCM. I wish your daughter feels better soon.Best,Dr. Viraj Shah </s>
<s>[INST] Low bilirubin. Done phototherapy. Transfusion not required. Cause damage to brain? [/INST] no .need to worry as chances of brain injury is low in pt.who responds well to phototherapu.let bera htest be done at 3 mo.of age.consult pead.regullarly for develemental delay if any. </s>
<s>[INST] What is the cure for alopecia areata and its medicinal side effects? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of alopecia aerata, my treatment advice is - 1. Take good nutritious diet full of green leafy vegetables and milk. 2. Apply a Tacrolimus 0.03% ointment on affected part. 3. Take an iron supplement and vitamin B12 supplement. Hope I have answered your query. Let me know if I can assist you further. </s>
<s>[INST] Q. Why am I having gum bleeding when hot or cold water hits my teeth? [/INST] Hi. I have gone through your query. You have mentioned two situations and let me cover one by one. Firstly, bleeding gums. This is due to inflamed (simply, swollen) gums. The most probable cause is calculus (hard deposits) and plaque (soft deposits) irritating your gums. The treatment for this is to get a professional cleaning (scaling) done by a dentist. You can do lukewarm salt water gargling to give some relief to the gums. Mouthwash (preferably, Chlorhexidine) can be used but use it after diluting it with water and once or twice daily till the gum condition is very severe. After that, you can continue just lukewarm salt water gargling, as Chlorhexidine can cause teeth discoloration. Next, pain in the molar. This can be due to deep caries (cavity) or an impacted tooth, or simply because of the inflammation of the gums covering the partially erupted tooth (pericoronitis), or some other cause. This can be confirmed only after examination. Kindly send a picture of the affected tooth to guide you with a provisional diagnosis. X-ray (IOPA or OPG) and clinical examination will be required for final diagnosis. The treatment will depend upon the condition or diagnosis. It can either go for root canal treatment or filling or removal or just scaling might be enough. Do you have any difficulty in mouth opening, pain during sleep, any swelling, fever, pus discharge, lymphadenopathy (swollen lymph node below the angle of jaw), sinusitis, or any other symptoms or problems? Do you smoke or consume tobacco? If yes, try to avoid it slowly and get rid of it as these can also cause gum inflammation, destruction of tooth-supporting structures and bone loss, in turn leading to tooth mobility and tooth loss, and cavities too, and other mouth problems. Take care. For more information consult a dentist online --> </s>
<s>[INST] Will my wife be able to conceive as I have varicocele ? [/INST] Hi Justin, Its risky to have unprotected sex before marriage, the varicocele does not prevent pregnancy, she has taken pills but she has missed 4 days. Better to do a urine pregnance test as soon as possible to confirm. If she is pregnant consult ur doctor for further treatment, if not then u can wait. my sincere advise use condoms everytime u have sex. Hope I have answered ur question, Regards </s>
<s>[INST] What causes pain in my upper abdomen? [/INST] Hello, thank you for writing in to HCM.You seem to be suffering from Acid peptic disorder. Take small frequent meals instead of three main ones. Include a lot of fiber in your diet along with plenty of oral fluids. Try to get into a proper routine of going to sleep & waking up. Also include some form of excercise in your day to day routine.Take pentataprazole tablets with domperidone on empty stomach fast acting tablets . If pain is unbearable you can take Tab acuvin after that .Also, if you're constipated you can take a mild laxative. Even if get relieved You must see a doctor for investigations like ultra sound abdomen or even gastroscopy so that your future course of medicine is decided if at all required. Hope this was helpful. </s>
<s>[INST] Could exposure to black mold from A/C vent cause lung problems? [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Yes, chronic exposure two black molds can cause lung diseases like fungal pneumonia, bronchitis, ABPA (allergic bronchopulmonary aspergillosis) and pulmonary embolism. Possibility of pulmonary embolism is less but it can be seen. Your D dimer is also high along with positive VQ (ventilation perfusion) scan. Pulmonary embolism is commonly associated with high D dimer and filling defect on VQ scan. So we should definitely rule out pulmonary embolism(PE) in your case. CT pulmonary angiography is the gold standard test to confirm PE. So get done CT scan. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>
<s>[INST] Suggest treatment for allergy and sneezing [/INST] HI, thanks for using healthcare magicSome women can have periods may frequently than normal. This is called polymenorrhea. Polymenorrhea is defined as a period that occurs at intervals of 21 days or less.It can occur due to stress, infection, hormonal disorders, inadequate nutrition.If this occurs in the next few cycles, then she should see her doctor for assessment.I hope this helps </s>
<s>[INST] Can stomach pain, fever and numbness in legs be connected? [/INST] Hi Belinda.Thanks for your query.Read the history of your son having pain in center of abdomen for 7 days - appendix not located on USG - lymph nodes in two regions - Surgery in town is closed - wants to know the reasons.The commonest reasons for pain in the center of the abdomen of a child are- Lymph node inflammation. Get a CT scan done to get a confirmed diagnosis as early as possible as it is already 7 days. Get started a course of an antibiotic and anti-inflammatory like Ibuprofen and probiotic. This may settle and CT scan will the final diagnosis. If there is no cure even after 5 days a Diagnostic Laparoscopy to know and treat the problem can solve the problem. </s>
<s>[INST] Q. Kindly suggest some exercises to cure friction in kneecap. [/INST] Hello. Kindly provide me with additional details regarding your issue to help me prescribe or to suggest exercises. As of now, do knee pressing against a small towel kept below the knee and hold it for 10 seconds done for 15 times. Lying on the stomach and bending the knee against the resistance offered by another knee (another leg is placed over the foot or calf of the bending leg). Sitting with leg stretched forward reaching for your toes and holding it for 30 seconds. Standing and bending your knee with the heel touching towards the butt. </s>
<s>[INST] What causes red spot below the injection site? [/INST] Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain a quarter sized lump a few inches below the injection site can be due to allergic reaction to the medication injected while it can also be unrelated to the injection and can be due to any bug bite or insect bite..I would suggest you to take anti-allergics like benadryl, apply a steroid ointment over it and do cold compresses..In case if it does not resolve in a week consult an Allergist and get evaluated and treatment can be planned accordingly..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. </s>
<s>[INST] What causes depression and mood swings post intake of a new seizure medication? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Symptoms that your child have are side effect of Banzel (Rufinamide). Since he has switched on to Banzel you can watch for a few days and in this time period try to give quality time to your child. Keep him happy & busy. Take him outdoors. Note if he has drowsiness, headache, increased/decreased appetite, nausea/vomiting, blurred vision or irritability after you are trying a lot to make him happy & comfortable with your efforts. Do report these changes to your treating doctor, so that your child may be under proper medication. But, if you see symptoms like swollen glands, painful sores, difficulty in coordination while walking, dark urine, stomach pain, flu like symptoms or worsening seizures you need to meet your doctor in ER and get your son examined. Then your may have to stop Banzel. Keep your son well cared. Give him healthy food, quality time & love. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K </s>
<s>[INST] Q. I am having allergy for onion and finding difficult to quit onion. What should I do? [/INST] Hello. From your allergy report, it is obvious that you are allergic to onion. The value of 0.69 suggests mild allergy. Still, you can not guarantee that after exposure, a severe reaction can not occur. A positive allergy test indicates sensitization to an allergen but does not necessarily predict that a clinically relevant allergic reaction will occur. The best way to treat allergy is to avoid the trigger, but it is very difficult, especially in Indian recipes. First, find out if cooked onion causes less symptoms than the raw one because the allergic trigger is protein present in raw onion. So after cooking, it gets denatured and can not cause allergic symptoms. Over counter tablets like Levocetirizine, Desloratadine, or Rupatadine will alleviate allergic symptoms like itching and redness. Antacids will help to relieve acidity, specially liquid antacids than tablets. So prevention is the key messege. Even if it is said that food does not contain onion, the flavouring agents, sauces or many toppings contain it and cause an allergic reaction. Even other food from the same family can sometimes cause allergy like garlic, carrot, etc. It is the matter of just trial and error as per your tolerance. </s>
<s>[INST] Suggest treatment for high lipid levels [/INST] Hello, I understand your concern and would explain that some natural ways to reduce cholesterol levels without the need for statins would be: - reduce fat and sugar intake (Mediterranean diet is recommended, food rich in omega 3 fatty acids like walnuts, fish, fish oil, etc.) - try to lose some pounds if you are overweight. - practice aerobics and regular physical activity. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist </s>
<s>[INST] What are the causes & medications for pain in arm pit? [/INST] Pain can occur under your arm for a number of reasons1.Certain infections can cause pain under the arm ,Lymphangitis is caused by an acute streptococcal infection of the skin that infects the lymph node ducts, and many of these ducts exist under the arm. This can cause pain Other infections, such as skin abscesses, can cause lumps to form under the arm that are painful. Hair follicles can become infected and a large lesion can develop. Sometimes these abscesses require drainage and an antibiotic.2.Lumps under the armpit are often painful, and they have several causes. Cancer, such as Hodgkin's lymphoma and metastasized breast cancer, can cause a painful lump to form in the armpitsuggestions If the lump is due to infection caused by bacteria, it should go away with a course of antibiotics in few cases, an extremely painful knot under the armpit may need to be surgically removed.Hope this is helpful </s>
<s>[INST] Suffering with allergic bronchitis, get pain in back, lower part of stomach. Could this be kidney problem? [/INST] the inhalers and rotacaps cause acid reflux leading to symptomps with inhalers and rotacap it is required to drink lot of water take lot of warm watere add liquid antacisd and rhinitidine 150 mg empty stomach if it persists can go for ultrasound kub and other investigations of blood to rule out extra problems </s>
<s>[INST] Suggest ways to terminate pregnancy [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] Please follow the rules of the land where you stay, for the abortion process. 2] termination with pills is safe till 9 weeks of pregnancy, get it done only under medical supervision.3] It involves, Tab MIFEGEST 200mg followed by Tab MISOPROST 800mcg 48 hours later; also an appropriate dose of antibiotics is advisable.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam </s>
<s>[INST] How to treat Behcet syndrome? [/INST] Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Behcet syndrome is a disease involving inflammation of blood vessels.2. It is mainly due to immune system over-reaction.3. There is no complete cure, as it is an auto-immune disease. During periods of flaring up - location specific treatment like skin creams, mouth rinses and eye drops will be necessary.4. Colchicine can be tried for skin rashes (if not controlled with skin creams) and also in arthritis.5. In severe behcets, immune modifiers like corticosteroids, azathiprine, cyclophosphamide, or interferon can also be tried. Hope it helps.Any further queries, happy to help again. </s>
<s>[INST] Is bump in the center of chest after being kicked serious ? [/INST] Hi dear thanks for the query on HCMYou need to take your child to a physician.There may be injury to the ribs or muscle contusionHe will do a clinical examination and may suggest a chest xray pa/ ap view to see if any internal organ injury(lungs) or the musculoskeletal involvement.Based on the above he needs treatment.Better to take at the earliest.Or else he may have a lump permanently in the region Thank you </s>
<s>[INST] Suggest treatment for hayfever [/INST] HI, thanks for using healthcare magicSince you experienced these symptoms for over 20 years you may want to consider allergy testing to determine the source of your reaction.If the cause of your allergic reaction can be determined then it may be possible to eliminate it.If it is related to dust then the use of mattress and pillow casings may help. In addition it would require the consistent removal of dust from furniture, carpets and rugs.Medications such as montelukast which prevent the release of chemicals that promote allergic response.I hope this helps </s>
<s>[INST] Q. Could you help with my terrible periods pain? [/INST] Hello. For further information consult an obstetrician and gynaecologist online --> </s>
<s>[INST] Why my SGOT level is high? [/INST] Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Age cause only a mild increase in SGOT levels.2. Diet containing hepatotoxins like alcohol etc and medications can cause increased SGOT levels.3. Followup after a month. If SGOT levels are within this range not to worry. It it crosses more than 100, will require further evaluation.Hope it helps.Any further queries, happy to help again. </s>