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<s>[INST] What causes fluttering in heart while having vasovagal syncope? [/INST] HIWell come to HCMI really appreciate your concern, vasovagal syncope can't be it self because there are many apparent reasons behind this and without that it may not be vasovagal attack and this need to be ruled out and this is only possible when patient clinically examined and history elicited but this is self limiting because this is malaise mediated which directly related with vagus nerve, vasovagal attack causes low blood and not high blood pressure, your sister may not be having any cardiac disease, still it is advisable to get done cardiac evaluation test, in short this is nothing to worry, take care. </s> |
<s>[INST] Q. How can nasal blockage with mucus be treated? [/INST] Hello. Nasal congestion is aggravated by polyps as they cause blocked nasal pathways mechanically. Endoscopy is necessary to understand at what extent the polyps are enlarged to decide for the best treatment strategy. Mucus is trapped and should be on its way to get cleared. But polyps are making it difficult. So continue medication as prescribed and run endoscopy as suggested. </s> |
<s>[INST] What causes persistent diarrhea? [/INST] hi.thanks for posting query at HCM.The cause of diarrhea after gallbladder removal is not certain. Some experts believe that it results from an increase in bile, especially bile acids which may act as laxative in the large intestine. it should subside soon, usually lasts from few days to few months.advise:- Avoid high-fat foods, fried and greasy foods- Add soluble fiber, such as oats and barley, to your diet. But be sure to increase the amount of fiber slowly, such as over several weeks, because too much fiber at first can make gas and cramping worse.- Eat smaller, more-frequent meals. - avoid caffeine and dairy productswish her good n sound healthregardsDr Tayyab Malik </s> |
<s>[INST] What causes pain in chest with a normal report? [/INST] Hi welcome to the health care magic You are having periodic left sided chest pain.. Your EKG normal Hence no need to worry regarding cardiac causes Here pain could be simple muscular pain from abnormal sleep position or any unusual activity to which body not adopted.... You can be prescribed ibuprofen or Naproxen for five days Avoid strenous work for few days Avoid bad sleep posture while sleeping... If you are having any gastrointestinal symptoms like abdominal pain, nausea then gastritis like abdominal condition can lead reffered pain for which USG can be done for further work up Take care Hope your concern solved </s> |
<s>[INST] What causes shortness of breath in a diabetic? [/INST] Hi. Shortness of breath in diabetics may be a sign of heart disease. If it is new and getting worse, it requires urgent attention. Your physician will probably order a chest X-ray, EKG, and blood work. Possibilities include congestive heart failure, angina, possible heart attack, pulmonary embolism (blood clot in your lungs) and possibly anemia which can also cause these symptoms. Hope this helps. </s> |
<s>[INST] Q. Are there any complications associated with panurethral stricture? [/INST] Hello. I welcome you and want to assure you need not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. The panurethral stricture is rather a less common but serious challenging surgical issue the urologists have to face. 2. This surgery is usually challenging as there is scanty tissue to cover the whole length of the urethra. Also as we know the reason for panurethral strictures is usually inflammatory disease, so the results of surgical repair may be less than expected on the scale of satisfaction. It is due to the spongiofibrosis of the repaired tissue. 3. During the post-operative period, infections and breakdown of the repaired tissue is commonly seen as a complication. But with all these risks, still this surgery is going on very successfully throughout the globe. If there is urinary tract infection your physician may prescribe you with Nitrofurantoin (Macrodantin). Take cranberry juice to avoid infection. </s> |
<s>[INST] Q. Kindly advise homeopathic remedy for acne, open pores, and blackheads. [/INST] Hello. I just read your query. Take neem leaves if available nearby you and make a paste of it after crushing them and add a pinch of turmeric powder in it and apply this paste on your face and wash with normal water after fifteen minutes. Use it regularly or on alternate days if there is dryness of skin. It will give you good results. For acne scar, apply aloe vera gel two times a day regularly. It will help in lightening them. For blackheads use an oatmeal scrub and clean them regularly. Do not use harsh soap on the face. Use a good face wash. Protect the skin from direct sunlight. Cover face while going outside. Drink plenty of water daily. Avoid excessive spicy, oily, junk food and caffeinated drinks. </s> |
<s>[INST] Q. Can I try physiotherapy for my shoulder pain? [/INST] Hello. I have seen the attached report (attachment removed to protect patient identity). The MRI film is more helpful than a report on its own. Revert with more information to a fitness expert online --> </s> |
<s>[INST] How can extreme backache and chest pain after an injury be treated? [/INST] Hello, The extreme back pain and chest pain that you have can be related to a muscle spasm. Oral muscle relaxants and hot compress can help you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon </s> |
<s>[INST] Postmenopausal. Takes Anafranil for depression. Getting mood swings, night sweats, not sleeping well [/INST] Greetings.Welcome to the site.Well you may take an one of these two anxiolytic , tranquilizing drugs which shall help you with your prevailing complaints. These drugs are - clonazepam at dose of 0.5 mg at noon ( 12 pm )and 0.5 mg at night (9 pm) or else you may use lorazepam at the same doses of clonazepam. The chosen drug out of these two shall be taken for at least 3 weeks so as to see complete control over the symptoms.Both these drugs belong to benzodiazepine class of drugs and they do not raise the risk of cancer among their users.I hope this helps.Wish you all the best.Regards </s> |
<s>[INST] How to get rid of pain in hand ? [/INST] Hello, As there was no fracture this is just a bony injury and have made the muscles weak now. Doing exercises for the hand muscles is advised along with strengthening the forearm and arm muscles too. This should help remove the pain and get optimum results. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s> |
<s>[INST] Suggest exercises for mild postero cental disc protrution and disc bulge at L4-L5 [/INST] Hi,Thank you for posting your query.I have noted your symptoms and MRI findings.The findings are minor and you can be treated without surgery (conservative management).This would include precautions such as avoiding forward bending and lifting heavy weights. Also, you should do back extension exercises, which can be taught by a physiotherapist.Medications that can help you are pregabalin or gabapentin capsules.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: </s> |
<s>[INST] Is there an alternative for cipro to treat kidney and UTI ? [/INST] HiThanks for your queryWhile there are alternative medications available to treat UTI, we need to see the urine culture and sensitivity report. This is to determine if the bacteria is sensitive to the alternative antibiotic.If you could provide this report, I can offer alternative treatment.Hope this helpsGood luck </s> |
<s>[INST] What does this semen analysis test result indicate? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The given report is incomplete. You haven’t mentioned the count and motility. We can make inference only after assessing the count and motility. Please provide a complete report. Wishing you good health. </s> |
<s>[INST] What is the treatment for vasculitis? [/INST] . Treatment in allopathic form includes steriods. Newer treatments are immunomodulants such as cyclophosphamide and azathioprine may also be given. You have not mentioned the symptoms and the systems the vasculitis affected. In fact you have to see a Clinical Immunologist for the correct and newer forms of therapies. </s> |
<s>[INST] Q. How to quit exhibitionism and frotteurism? [/INST] Hi. All the best. For more information consult a psychiatrist online --> </s> |
<s>[INST] Should Tobi be stopped while suffering from apnea? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, you should definitely restart Azithromycin. By your history and description, she is suffering from chronic lung infection. Once she stopped antibiotics, her symptoms appear again. So better to continue Tobramycin via Nebulization and Azithromycin via oral route. Now a days it is studied and accepted to give life long Azithromycin in chronic lung infection. This certainly prevent exacerbation. So you should definitely start Azithromycin in her case. Hope I have answered your query. Let me know if I can assist you further. </s> |
<s>[INST] What causes reduced eosinophils in blood test? [/INST] Eosinophil is found in the white blood cells and help in the prevention of diseases and infections.Low Eosinophil can be caused by steroids. Steroids are a number of hormones with the same basic and chemical structure.RegardsDR De </s> |
<s>[INST] Why the child started pulling back on one leg and not walking well? [/INST] Hi...by what you quote I feel it could be an infantile hemiplegia. I feel that she should definitely be neurologically evaluated by a pediatrician. I suggest you consult her pediatrician.Regards - Dr. Sumanth </s> |
<s>[INST] What should be done for an allergy to isothiazolinone? [/INST] Yes it can be possible that a person might have a allergy from mild to severe symptoms due to paints fumes, if u think so then best treatment would be avoidance of contact with that and if u are suffering from it right now then u can take your physicians advise there are very good medicines available in market. </s> |
<s>[INST] What causes sudden fall of platelets after treatment for malaria? [/INST] Hi,Thanks for asking.Based on your query, my opinion is as follows.1. The platelet count in malaria is reduced mainly due to reduced production. Its one of the common finding in malarial infection.2. Even though platelet count is low, bleeding is rarely seen and not to be worried about.3. Now that its improving, not to worry. If the count were to fall less than 10,000, then internal bleeding possibility is present and needs to be looked into.4. Complete the course of antimalarials. Anybody around, with fever, chills and rigors should get the malarial card test or peripheral smear done. Use mosquito repellents or liquids or screen.Hope it helps.Any further queries, happy to help again. </s> |
<s>[INST] Q. I feel my heart beat hard against my sternum. What to do? [/INST] Hi. For more information consult a cardiologist online --> </s> |
<s>[INST] Suggest treatment for erectile dysfunction [/INST] Thanks for asking in healthcaremagic forumIn short: Visit psychiatristExplanation: Kegel exercise may help you. Search for kegel exercise on net. Or else visit a psychiatrist for counselling and investigation. Till then do not worry , be happy.Good luck. </s> |
<s>[INST] Why is my sternum hurting? [/INST] Thanks for your question on HCM. In my opinion it is mostly related to GERD only. But better to rule out gall stones by ultrasound examination of abdomen. If this is normal than GERD is the cause for your bloating.GERD ( Gastro Esophageal Reflux Disease ) is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause pain in middle of sternum. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid habits like smoking and alcohol if you have. If obese than loose weight. </s> |
<s>[INST] Suggest treatment for renal cancer [/INST] hi Susan.I understand that few issues must have caused your dissatisfaction. however public forum is not medically or ethically correct on our part to suggest any name over another. hence i don't think you will be getting your answer soon. I suggest private message to any of the oncologist will be more appropriate for such situation.I won't be able to suggest any name as I don't know any body in Canberra personally. </s> |
<s>[INST] What does the following semen analysis report indicate? [/INST] Hi, I think the semen analysis is normal. You can try for a pregnancy naturally if your wife's reports are normal. Be in contact with your wife every 2 to 3 days after the periods stop. It will increase chance of pregnancy. Hope it helps. </s> |
<s>[INST] What causes dry heaves after formula intake? [/INST] Hi...if the baby is comfortable you need not worry at all. Usually some babies try to regurgitate the feeds soon after feeding. This is physiological. You need to worry only if the baby's weight gain is not appropriate.Regards - Dr. Sumanth </s> |
<s>[INST] Suggest treatment for high Rubella IgG [/INST] HiThanks for your query at HCM.I understand your concern and situationThe best treatment for rubella is to get vaccinated before planning for next pregnancy. I feel sorry for your loss. But do not worry visit the health care provider and immediately get vaccinated.Hope I answered your queryDr Sheetal Verma </s> |
<s>[INST] Why does one feel very hot & have chills during the day? [/INST] Hi thanks for asking question.You are suffering fro fever with chills.If you have thermometer record you tempereture.If associated muscle pain,headache, sore throat like symptoms then chances of viral infection.Just now do symptomatic treatment with more water, eat fruits and green leafy vegetables more.Avoid smoking.If no improvement in few days then other causes has to be rule out like malaria from doing CBC.I hope my suggestion will help you.Just now no thing to worry much. </s> |
<s>[INST] What can i do to get taller? [/INST] Children s height depends on parents height known as mid parental height...as u are already 15 years old your bones might have attained maximum growth and could have fused...so I think u get adapted to it...good luck.... </s> |
<s>[INST] What causes upper abdominal stomach pain with enlarged spleen? [/INST] Hi ! Good morning. I am Dr Shareef answering your query. With all the findings you have listed in the history, I would advise you to see a medicine specialist (Internist/Physician) soon who would apart from assessing you clinically would also might go for a variety of blood and radiological investigations for an appropriate diagnosis. In the meanwhile I would suggest you to refrain yourself from alcohol and smoking if you do.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef. </s> |
<s>[INST] What is the sore, swollen lump at the base of scrotum? [/INST] HelloThanks for query .Based on your statement i think you have developed infection of hair follicle (Boil) in perineal region and buttock .Both are likely to be in a stage of induration .You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily for a week .If does not subside consult qualified General surgeon for clinical assessment .If needed he may suggest you to get them incised and drained under anesthesia.Dr.Patil. </s> |
<s>[INST] Q. Please explain the poisonous effect of phenol ingestion. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s> |
<s>[INST] Can numbness in fingers and forearm after long usage of computer be symptoms of ulnar nerve damage ? [/INST] Hi, Using computer mouse for very long hours can cause medial nerve compression, though ulnar nerve compression is rare but it does cause that. I would suggest you to take some breaks to relax your fingers and wrist in between. Take some medicines available over the counters, you can use wrist splints as well. If your problem still persists, you should get some tests done:1. EMG/NCV of upper limb2.Sr Vit b12 Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rajesh Hingwe, Orthopedic Surgeon </s> |
<s>[INST] Suggest an alternative medicine for arthritis apart from Tapentadol and Gabapentin [/INST] Hello Brenda!Welcome on Healthcaremagic!I understand your concern and would like to know the dose of gabapentine that you are actually taking. I would not recommend taking for a long time Tapentadol as it may lead to addiction and also tolerance, leading to lower effects after a prolonged intake. Coming to this point, I would recommend increasing the dose of gapapentine or adding an antidepressant like amitriptyline to your actual therapy. Hope you will find this answer helpful!Kind regards, Dr. Aida </s> |
<s>[INST] Can alcohol consumption while on Montair cause liver cirrhosis? [/INST] Hello, The montair LC usually doesn't cause cirrhosis like liver affection. But alcohol can induce liver cirrhosis like irreversible condition. So I suggest you stop alcohol gradually. The montair LC on long term affection can cause chest tightness, gastritis and many other side effects. So stop it and find cause for allergic reaction. For that allergic testing can be done and causative allergen should be avoided. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician </s> |
<s>[INST] What causes recurring rashes above the pelvis bone with blisters and itching? [/INST] Hello. Thanks for writing to us at healthcaremagicSeems most likely that this is herpes genitalis; recurrence and morphology of the rash seems to suggest this.Genital herpes is caused by a virus, herpes simplex virus (HSV Type 2); it is a sexually acquired infection from an infected partner.Herpes is a local infection i.e the infection is localized to the area where it was first acquired.There can be relapses; relapses are caused by virus multiplication which subsequently travels down the nerve and causes fluid filled lesions. The episodes may be accompanied by Itching and burning sensation.I would suggest that you visit a dermatologist in your region for a confirmatory diagnosis.If I was the treating doctor I would like you as well as your partner to be tested for HSV by blood test.Treatment is with Oral antivirals like Acyclovir Or Valacyclovir.Regards </s> |
<s>[INST] Acne in chin and jaw area after marriage, weight gain. Is it hormonal imbalance ? [/INST] Hi Reema, You seem to be having adult onset acne which is basically due to hormonal imbalance. I would suggest you to consult a gynaecologist who would advise the required hormonal assays and ultrasound. Sometimes, sudden onset of acne can be facial or cosmetic induced too. Once the proper cause has been elicited, treatment can be started thereafter to treat it completely. Take care. Regards, Dr Kalpana </s> |
<s>[INST] What could painful muscle spasm in leg followed by swollen feet and ankles suggest? [/INST] HiHope this msg finds you in good health.I have gone thru ur msg & understand ur concern. it may be due to raised uric acid levels. get it checked. apply compressionbandage. local gel.anti inflammatory tablets will help Feel free to ask me a FOLLOW UP QUERY anytime.Take care.God bless. </s> |
<s>[INST] What causes a pocket of fluid to appear in the thigh? [/INST] Hello, It could be an abscess and has to be drained. Consult a general surgeon and get evaluated. Nothing much to worry as it can be done easily under local anesthesia. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician </s> |
<s>[INST] What causes lymph node swelling, abdominal pain and back pain? [/INST] Hi,From history it seems that you might be having some infection in lower abdomen giving this problem.There is possibility of having inguinal hernia or lax recti muscles producing swelling in lower abdomen while walking.consult your doctor and get examined.Ok and take care. </s> |
<s>[INST] Severe back pain while sleeping, frequent urination, little bloody discharge. Clear of kidney infection. Any ideas? [/INST] Hello Thanks for using HCM Forum As you didnt mention your age , it is important regarding your problem. As i can understand Low back pain followed by spotting usually present in case premenstrual tension but it occures in cyclic pattern , if there is not like this you should go for the X-ray LS spine and abdominal sonography examination. ok take care </s> |
<s>[INST] What causes social anger? [/INST] HIThanks for using healthcare magicI think, you have emotional instability. It could be part of your personality or may be due to depression. You should consult a psychiatrist for proper mental status evaluation and that would help to control such mood swings. You should also consult a psychologist for personality assessment to rule out borderline personality traits. if you need further help, you can ask.Thanks </s> |
<s>[INST] Having depression and suicidal tendencies due to family pressure. Meditation has not helped. Any medications? [/INST] Hi, Thanks for using health care magic forum. I have gone through your available history. You are having severe depression with suicidal ideas. You should immediately consult psychiatrist for detailed evaluation and treatment. You may get benefit from anti depressant drugs like escitalopram or imipramine or sertraline. In severe cases, Doctor may consider for electroconvulsive therapy or deep brain stimulation. I hope you will be fine soon. Thanks </s> |
<s>[INST] Suggest treatment for liver stone [/INST] Hi. Have your mother fever ? Did doctor talk you about this forming in liver ? It's cystic formation or which consistency ? If she had a bloody diarrhea some days ago? maybe week ago? if yes, it's 1)entamoeba histolytica, if not it may be pyogenic infection. If entamoeba histolytica, it treats with 3x750mg Metronidazole per day, get this drug for about 10 days. If Pyogenic infetion, it need a little operation. Pls talk to your doctor there. Get well. </s> |
<s>[INST] How to keep bp down during colonoscopy? [/INST] If ambulatory blood pressure monitoring done in your case. ?? If you r on any medication??? If moderate increase in blood pressure is there not much worry... </s> |
<s>[INST] Suggest treatment for glass cut on finger [/INST] HelloI am Dr Aamir and i will be answering your query.You should upload the picture of the wound so that I can have a look.In the mean if you have not taken tetanus toxoid injection , you should take one dose today.You should also take tablet diclofenac sodium 50 mg + serasiopeptidase 10 mg twice daily for 5 days to reduce the swelling and the pain.Also take tablet ciprofloxacin 500 mg for 5 days.Hope i have answered your query if you have further questions kindly let me know. </s> |
<s>[INST] Q. What are the treatment options for Internal Hemorrhoids? [/INST] Hi. In this type of hemorrhoids (internal hemorrhoids), we first give medical treatment and if the condition does not improve, then we can consider for endoscopy and surgical treatment. Advice: Provide details about any other illnesses (if you have) because, we need to identify the causes of this problem. The lab tests that have to be done are CBC (Complete Blood Count) and LFT (Liver Function Test). Revert back with the reports and a detailed history to a medical gastroenterologist online for further follow up --> </s> |
<s>[INST] How long it takes for new born baby to recover from breathing problem? [/INST] Hi.... this is called meconium aspiration syndrome. Sometimes this can cause stiff lungs and the baby may become oxygen dependent for a very long time also. It all depends upon how well the baby is responding for the treatment.Usually if the baby is not ventilated then this might get better in one or two weeks.Regards - Dr. Sumanth </s> |
<s>[INST] What causes a lump feeling in chest? [/INST] Hi Dear !! Thanks for your query to HCM .Read and reviewed your query and health concerns. IN the given situation, You seems to have suffered from-GERD with acid reflux.In the given scenario, chances of Gall bladder stones are less in your cases, as suggested from your query facts.But obesity with high normal cholesterol, needs to rule out hiatus hernia / at this advanced age, with lax tone of controlling sphincters and diaphragmatic muscles.Ekg and repeat stress test to rule out Cardiac dyspepsia, needs to be ruled out for your advanced age .Other causes leading to GERD acid reflux like IBS/ piles / fissure in ano and others, needs to be ruled by Second opinion from GI Surgeon/Physician in your case.Work up on above lines suggested, would help in resolving the issues,in your specific case.Many other causes accompanying, need to be ruled out in planning further care in your case.Second opinion with attending GI- Surgeon would resolve your health .issues in time to come.Hope this would help you to plan further of this complex illness of yours.If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.If you want to update more details and ask more update queries ,You are most Welcome herewith !!Good Day!!Wishing Good Healthy Life in time to come!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS </s> |
<s>[INST] Having fever and Hbsag +ve. Took homeo medicine but no effect. How to cure? [/INST] Hi Bappi kumar das, being HbsAg positive is not a diseased state but only informs you that you have been infected with Hepatitis B virus. If you are asymptomatic you do not need treatment so no need to take any medication, however you should continue to have a healthy lifestyle as you already have now, if at all in the future you have any symptoms of hepatitis then you need to visit your doctor and take treatment for the same. As of now you can be relax and not worry about it . In the future when you plan to marry make sure that your would be bride is vaccinated 2 months prior to any sexual contact as she may get infected by you. It is also advisable not to donate blood and to inform your health care provider of your HbSag positive status. Take care and live healthy. </s> |
<s>[INST] Suggest a confirmatory pregnancy test [/INST] Hello, Thank you for your query. Yes it is too early to think of pregnancy. Premenstrual symptoms can mimics early pregnancy symptoms. One sign of pregnancy is a missed period. If you have missed your period, take a home pregnancy test. If negative and still no period, repeat pregnancy test after a week.If still negative wait for another week and see your OBGYN to check for ovarian cysts or other hormonal imbalances. Thyroid abnormalities, stress, sudden weight changes, major lifestyle changes, illness, travel across time zones can all cause delayed periods. A blood beta hcg level will confirm if you are pregnant or not sooner. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health </s> |
<s>[INST] Suggest treatment for constant chest pain [/INST] Thanks for your question on Health Care Magic. I can understand your concern. Possibility of Coronary artery disease (CAD) is more on your case. You are having high blood pressure and Cholesterol, so you are at high risk for CAD. Ecg s can be normal even if you have CAD. And therefore stress test is important in your case. In this tests, physical stress (trademil running) is applied and continuous ecg is recorded. If ecg changes are present in stress test than you need to get done coronary Angiography to know the severity of blockage in coronaries. So better to first get done stress test and if needed coronary Angiography to rule out CAD in your case. Hope I have solved your query. Wish you good health. Thanks. </s> |
<s>[INST] What is the severe lower abdominal pain? [/INST] Hi.Thanks for your query and an elucidate history. Since you have pain in lower abdomen and you have not mentioned anything about other symptoms like loose motions, bloating, nausea or vomiting, this pain can be related to Gynecological problems like :Salpingitis Ovarian cyst with complications like torsion or bleeding.A simple ultrasonography can give you the most proper diagnosis and get an opinion of a Gynecologist so that you can have a proper treatment as per the findings . </s> |
<s>[INST] What causes severe pain in tooth after a temporary crown placement? [/INST] Hi,Thanks for posting the query, I would suggest you to get a checkup done by an concerned Dentist and look for nay high points in the region, if so get it removed take tab ibugesic plus BD for pain reflief alos get an x-ray done of the region.Take care! </s> |
<s>[INST] What is the treatment for fatty liver grade? [/INST] Hi, How are you?Fatty liver can be caused by excessive alcohol intake (Alcoholic steato hepatitis, ASH) or due to excessive fatty food intake and sedentary life style (Non-alcoholic steato hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary life styles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left un-checked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant.I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight.Stones in the gall bladder are fairly common finding during ultrasound scans of the abdomen. If it is not causing any symptoms, I would not worry about it and definitely not get it operated on. Hope this helped and please do not hesitate to contact me for further details - [email protected] </s> |
<s>[INST] Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> </s> |
<s>[INST] How to overcome depression? [/INST] What going in in your mind needs to be understand for better treatment. Are you feeling low and sad. Kindly tell us. </s> |
<s>[INST] Can an electric shock cause headaches with concentration issues? [/INST] Hi,Depending upon the intensity of exposure to the electric shock, it may cause this type of problems. As you have described that you have to be in hospital for 10 hr, which means intensity was there and you are suffering form post electric shock effects. This should subside in few days, however if you are having problem in your day to day work and life, then I would suggest you consult your doctor regarding this. </s> |
<s>[INST] What does a normal ultrasound of the liver look like? [/INST] Hi, I read carefully your abdominal ultrasound. it is everything normal except " There is a slightly coarsened echotexture of the liver" it means that the smooth structure of the liver is slightly lost. In this case, since you are Hep B carrier I would recommend doing: - HBV DNA - HBeAg To better determine the role of B virus in this situation. Another cause of this findings is fatty liver due to alcohol use or obesity. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Klerida Shehu, Gastroenterologist </s> |
<s>[INST] Smoker, diagnosed with lung cancer, with many medical condition. Any treatment? [/INST] Hi Larared sorry to hear about your mom and I can feel your concern. Non resolving pneumonia should be worked up and malignancy is one cause of this...I don't know to what extent it was pneumonia radiologically and was it followed up properly or not. A significant weight loss should prompt a clinician to aearch for cancer. Stage 4 lung cancer means it has metastasized or spread to different parts of the body including liver, adrenals, bone, brain etc....and that would have been cause of pathological frature you stated. In your case it is yet to find out that where was the primary ....was it in alimentary system because there were symptoms of GI disturbance or was it in the lung itself and has spread to the two parts vice versa. Now regarding the treatment stage 4 lung cancer requires Only palliative treatment i.e palliative chemotherapy can be given and that too depends on the general condition of the patient called performance scores. The cancer might have been there well before the symptoms have started to come........ Had it been diagnosed early incidentally or planned workup then it might have been possible to atleast palliate the symptoms but then also survival would not have been too much...... may her soul rest in peace.. best wishes </s> |
<s>[INST] Suggest treatment for L4 & L5 disc damage [/INST] Hello,It may be due to stenosis. For that you may require MRI back, nerve conduction studies after spine surgeon consultation. You may require surgical intervention after surgeon consultation. Take tablet pregabalin and multivitamin after consultation. Continue physical therapy. Avoid forward bending. Hope I have answered your query...Let me know if I can assist you further.Regards,Dr Shyam kaleFamily and general physician </s> |
<s>[INST] What are the symptoms of cysts? [/INST] Thanks for posting you query to health care magic.cyst are fluid filled sac and formed below layer of skin or in the internal organ . usually they produces symptom depend upon compressive effect on neighboring organ . Cyst are filled with blood or pus only when they become secondarily infected .if you are having any pulsatile swelling it will not be cyst but somethig else .treatment of cyst is surgical removal so you should contact to General Surgeon for local examination and then take treatment accordingly.Hope you would be satisfied with my answer . Feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist </s> |
<s>[INST] Suggest remedy for painful lump behind the right ear [/INST] Hi,Dear,Good Morning.Thanks for the query to my HCM Clinic.I studied your query indepth.I am concerned about the worries you have.In my opinion,you have scalp infestation / infection with acute lymphadenits moslty / or it could be-insect-bedbug bite ? I would advise you to consult a ER Surgeon-who would treat as follows-Tbr-NSAIDs,Antibiotics,and review after 5 days time.This would resolve in 1 wks time.If not CBC, with Surgeons Review would fix your problem.This is the remedy for your lump.Hope with this you would be relieved of your worrysome query.Wellcome again to HCM.Have a good Day. </s> |
<s>[INST] What causes weakness in legs in an 8 year old? [/INST] Hi...keeping in mind his age and insidious onset of symptoms and normalcy till now, I feel that it could be type of muscular dystrophy. I suggest you consult your pediatrician or pediatric neurologist as soon as possible and get your kid evaluated.Regards - Dr. Sumanth </s> |
<s>[INST] Q. I have to undergo an extraction today, and I am panicking. Please help. [/INST] Hello. I have looked at your pictures and x-rays (attachment removed to protect patient identity). For more information consult an orthodontist online --> </s> |
<s>[INST] Is travelling safe while having low hemoglobin level? [/INST] Hi, dearI have gone through your question. I can understand your concern. Your hemoglobin is slightly low. But you should take care of that. Before going on trip you should go for investigation. Complete blood count, peripheral smear examination and ultrasound abdomen are needed. Then start treatment accordingly and if no any major issue then you can continue with your trip. 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] What is the remedy for continuous sneezing without curing from intake of montair Ic? [/INST] HelloThanks for the query to HCM.Montair lc i.e.monteleukast +levocetrezine both are most potent antihistamine drugs ,but in your case not effective .In such type of cases I usually prescribe monteleukast +bambuterole combination as this act as anti allergic with bornchodilator.Sneezing is usually due to allergy and sinusitis. Bronchoconstriction is the main cause of sneezing and allergy and in my opinion monteleukast + babuterole is a perfect combination . Use whenever require , once you get relief , don't take .Hot coffee, steam inhalation are also effective.Avoid pollen , mold , dust , mite, spray , fumes .Good luck.Dr. HET </s> |
<s>[INST] What is thalassemia? [/INST] Hi, dearI have gone through your question. I can understand your concern. Thalassemia is a disorder of hlobin chain synthesis. Basically there is defect in hemoglobin production. There are many type like alpha and beta thalassemia. B thalassemia is common. homozygous and heterozygous variant are also there. 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 back pain, nausea and headache? [/INST] DearI am sorry for the symptoms you are suffering It seems you are suffering from a minor back pain even if it is immobilizing youIn my opinion you should consult a neurologist and start treatment with lumbar fortress, pain killer and miorelaxants Hope my answer will help youRegards </s> |
<s>[INST] What could be the cause of vomiting and diarrhea for colon cancer patient with recent key hole surgery? [/INST] Hello,I suspect it to be due to food poisoning or Acute Gastro Enteritis (AGE).Because 1. she was alright after surgery for few days2. she was on normal diet without any abdominal pain or other symptoms.3. Now she is feeling better after few episodes of vomiting and diarrhea.Please follow my advise1. Drink plenty of water2. Take oral re hydration salt solution to balance electrolyte loss3. Routine stool examination4. Stool culture to rule out any infectionThen consult your treating physician if the symptoms persists even after 3 days or investigations shows anything positive.Hope this helps.Please write back for further queries.Wishing you good health. </s> |
<s>[INST] How soon can pregnancy be attempted after removal of Implanon? [/INST] it might take some time before fertility is resumed . you may decide to use condomz for 2 months before you attempt a pregnancy </s> |
<s>[INST] Suggest treatment for paralysis on left side [/INST] Hello, In such cases, some degree of paralysis is permanent. Improvement is usually not complete but is possible. Physical therapy and guided exercises are necessary for this purpose. Care should be shown for the blood pressure control in order to prevent any recurrence. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Erion Spaho </s> |
<s>[INST] Slight OCD, sometimes constipation, sometimes frequent bowel movements, unable to concentrate, hairloss, pimples around nose after masturbation. What could this be? [/INST] Your have really explained your problem very well and I appreciate it. The current symptom profile is suggestive of mild Generalized anxiety disorder in you. You are always on a tight side, and seem to worry a lot and remain preoccupied with your somatic symptoms. you seem to have an irritable bowl which is common with generalized anxiety, hence your bowl habits tend to be moody. The wet dreams followed by pimples on nose are unexplainable and I recommend you to consult a dermatologist if the swelling persists and becomes troublesome. Do not worry as there seem to be no symptoms of depression or OCD currently. You may benefit from a course of Low dose anxiolytic agent ( say a Low dose SSRI with pregabalin) along with daily practice of Meditation / Muscle relaxation exercises. You may need some initial training in learning formal procedure and may consult expert for it or there is enough genuine material on net to learn meditation techniques / relaxation exercises. </s> |
<s>[INST] What causes severe pain in the back and the chest? [/INST] Hi,It seems that you might be having some infection in the body giving this problem.Commonest cause might be having urinary tract infection at this period.Go for routine blood and urine test to know the type of infection.Consult your Obst and get examined.Routinely at this stage of pregnancy due to fullness in the abdomen due to child carrying stage backache is common due to change of posture but as you are having fever so infection is to be ruled out.Ok and take care. </s> |
<s>[INST] Prescribed Lyco and Kinol for non-mobile semen. How long to conceive? [/INST] Hello Thanks for your query.As per your statement your husband has what is termed as Asthenospermia .Normal;y active motility of the sperm to result a pregnancy should be more than 50 % .And unfortunately whatever medicines are prescribed by the specialist or Doctors in different faculties of medicines have not been proved to improve the motility of sperms.Instead it will be better if you consult some Infertility specialist who can help you and guide you about IVF or ICSI .to conceive </s> |
<s>[INST] Q. I have bowel pain with negative calprotectin and lactoferrin tests. Why? [/INST] Hello. I can understand you must be very upset about your ill health. So the comprehensive stool analysis is well within normal limits-particularly calprotectin and lactoferrin which are inflammatory markers. Their absence theoretically excludes any inflammation within the bowel, hence a good finding. The MRE examination and its reporting is a subjective findings means it is interpreted by a radiologist and may sometime have an error in reporting because of differential enhancement pattern within bowel and bowel movements at the time of scan, plus given your colonoscopy report afterward also showed no pathology, suggest it was possibly an error in interpretation. The colonoscopy is however, the best modality to explain the MRE (magnetic resonance electrography) reported findings. Given normal colonoscopy suggest that the possibility of inflammation is unlikely. Now coming to your symptoms and use of medication that you believe helped for some time. From your history, I understand you have been given Mesalamine for the duration of seven months after a colonoscopy that showed colitis and biopsy showed non-specific inflammation. So first of all, Mesalamine is an anti-inflammatory drug which is commonly being given among patient suffering from inflammatory bowel disease (IBD). The IBD is further classified into ulcerative colitis (UC) which is a superficial inflammation usually of large bowel starting down from rectum and goes above to involve large bowel. The other one is Crohn's disease (CD) which is somewhat deeper inflammation of the gut wall having a tendency to involve almost every part of the gut starting from the mouth toward the anus. Given your symptoms of mucus or pus discharge and presence of pancolitis on one of your colonoscopy make me think that there is a possibility of ulcerative colitis. Plus the response you observed to Mesalamine is also favoring this diagnosis. Your second colonoscopy did not show any inflammation, possibly because of the remission of the disease. The UC tend to have an intermittent course with flares and intervening remissions. Possibly at the time of second colonoscopy, the disease was in remission. Given your recent stool test and recent normal colonoscopy, make me think that you do not have active disease at the moment. Your disease seems to be controlled with Budesonide or previous Mesalamine you took. The mucus/pus discharge suggests that there may be some other problem such as anal fissure, anal fistula, or anal sinus which may accompany the ulcerative colitis in its course. For this, I want you to examine your perianal (bottom) area and see from where exactly the mucus is coming. The abdominal pain may be just because of stress and anxiety accompanying the current situation and not necessarily the active disease. For such pain SSRI (selective serotonin reuptake inhibitors) are helpful. For treatment, I need to have the biopsy report of your colon (both the previous one and recent one), as I can see there is ongoing microscopic inflammation. Budesonide is an expensive drug and it is recommended in UC where the inflammation does not go beyond the left side of the colon. You had pan colitis (inflammation involving the whole colon) and that is why oral steroids such as tablet Prednisolone is more effective than Budesonide. The physician prescribes Budesonide over oral Prednisolone if the patient is unable to tolerate the systemic side effects which accompany oral Prednisolone, or patient has diabetes and bone mineral deficiency. Your physician probably kept this thing in mind. So to summarize: 1. You likely have ulcerative colitis because I did not see biopsy of your bowel, and as you said it was nonspecific. 2. The UC is in remission 3. The pus and mucus have to be closely examined by you or by a physician by doing a digital rectal examination. 4. The UC can frequently accompany depression and anxiety and that should be taken care of abdominal pain possibly related to stress and you consider taking SSRI at minimum dose like tablet Escitalopram 10 mg daily 5. Discuss with your primary gastroenterologist regarding oral Prednisolone if he is convinced enough. You may share your biopsy reports, I can advise you on this as well. One more thing, since you do not have any sign suggestive of active disease, the steroid are not required at the moment. You need to be given some immunosuppressive medications to control and prevent relapse/flare. The one more reason for your doctor prescribed Budesonide is he might have considered microscopic colitis which is entirely a different diagnosis and requires entirely a different management approach. You share me the biopsy and colonoscopy reports that will make me in a good position to tell you what to do now. And sorry for such a huge description and lengthy message. But I am sure this will really help you to understand your condition. I hope this helps. Ulcerative colitis in remission. Done already. Need biopsy reports of both colonoscopies also images of both colonoscopies. Crohn's colitis Ulcerative colitis. Follow up with biopsy report. </s> |
<s>[INST] What could cause a warm feeling in the knees in the night? [/INST] Investigation should be done first like Serum uric acid, knee x ray and if normal, knee MRI should be done. </s> |
<s>[INST] Semen analysis showed oligoasthenospermia. What is the problem? [/INST] Hi Welcome to HealthcareMagic You are suffering from severe oligo-astheno-teratozoospermia that is all important sperm paramenters( count, motility, morphology) are depressed. Hope you have got semen analysis done from standardized laboratory. Get yourself examined by fertility specialist/Urologist. Get your hormone levels ( FSH & Testosterone ) done. In the mean time you can start taking antioxidants tablets which helps to improve sperm parameters. Try to lose weight if you are overweight, include citrus fruits and green vegetables in your diet. Chances of pregnancy will be low if you try naturally. IUI may help. If condition doesnt improve IVF/ICSI is last resort. All the best </s> |
<s>[INST] Suggest complications with myeloid leukemia [/INST] Hi, dearI have gone through your question. I can understand your concern.He has prostate enlargement and urinary retention. He may have prostatitis. His raised esr may be due to infection, inflammation, tuberculosis, autoimmune disease or malignancy. So from high esr it can not be said that he has chronic myeloid leukemia. He should go for complete blood count and peripheral smear examination. It will give you exact diagnosis. then he should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health </s> |
<s>[INST] What to do for breathlessness and dizziness? [/INST] Hello dear, thanks for your question on HCM. I can understand your situation and problem. In my opinion we should rule out cardiac cause first for your symptoms. Because hypotension can cause breathlessness, giddiness , dizziness and vomiting.So better to get done1. Ecg2. 2d echo. If both are normal then no need to worry much for cardiac cause. Get done chest x ray and PFT ( pulmonary function test ) to rule out pulmonary cause like bronchitis. So better to consult doctor and discuss all these. First diagnose yourself and then start appropriate treatment. </s> |
<s>[INST] What cause very bad itch around perineum and base of penis? [/INST] HiThank you for asking HCM. I have gone through your query. Your problem can be most likely due to dryness and fungal infection. Avoid using soaps and irritants to wash the genital area and instead you can use saline or warm water. Using ointments with combination of antifungal like miconazole and corticosteroid like flucinolone will be helpful to get rid off this . Also avoid using tight underwear. Hope this may help you. Let me know if anything not clear. Thanks. </s> |
<s>[INST] Why do I have painful and sore breasts while on mirena? [/INST] Hi,I understand your concerns.Following is my reply:1) Mirena is a progesterone hormone which causes these symptomsYou can contact me anytime directly to ask question by pasting following link in your browser: </s> |
<s>[INST] Endometrial cancer, colorectal cancer, bronchiectasis. Have had a hysterectomy, colectomy. Help [/INST] Hi there, if your histology is adenocarcinoma stage IA Grade 2 then observation is recommended option, in case there is some other poor risk factor and you are offered brachytherapy then brachytherapy can be given by LDR (low dose rate) which you are mentioning is long time etc and other is HDR (High dose rate ) which is given usually 2 to 3 sessions and is over in minutes and is very comfortable. Ask your radiation oncologist to offer you HDR brachy or refer you to centre with such technology. With HDR brachy I don't foresee any significant trouble for you though theoretically it can cause side effects of diarrhoea and urinary frequency but its very well tolerated and no problems occur practically either during RT or after RT.Regards </s> |
<s>[INST] What causes sticking of bones around the throat? [/INST] hi,thank-you for providing the brief history.A thorough clinical examination is advised. As you are feeling some sort of Tightness in the neck region it can be muscle spasm. Also the back of the neck contains bones called vertebrae and the front of it contains cartilages. What I am understanding by your history is the spasm of the muscles of the front of the neck which is making you discomfort . This can be related to cramps but with a thorough clinical examination and some diagnostic tests for thyroid can help understand the matter better.Regards Jay Indravadan Patel </s> |
<s>[INST] What is the cause of pain in arm and dizziness? [/INST] HIThank for asking to HCMI really appreciate your concern looking to the history given here suggestive of some muscular spasm and may be peripheral nerve compression more than enough pain can cause dizzy feel, this condition can be treated with the non steroid anti-inflammatory drugs, and the best drug is "Tab Diclofenac 50 mg sustain release once in day" hope this information helps you, have nice day. </s> |
<s>[INST] Want to have baby, having unprotected sex. Done ultrasound. What can be the problem? [/INST] Hi, Welcome to HCM, After going through your history,your tests are normal this is good, you have not mentioned about your husband he was also tested or not if not then he should be examined to see every thing is fine and apart from routine blood test his Seman analysis and Ultrasonography of abdomen and Scrotum should be done. If every test of your husband is also comes normal then you must know ovulation takes place 14 days before next expected date of cycle. There are kits in the market by which you can test ovulation and you can plan sex during those days to increase your chances of conception. You can take advise from your Gynaecologist if there is any need for any medicine. Wish you good luck. </s> |
<s>[INST] What causes recurring cold and blocked nose? [/INST] Hi dear,I understand your concern. With such presentation in my clinic i will suggest- Nasoclear 2 drops 3 times.-Sodium Sulfacyl(Albucid)2 drops 3 times for 5 days.-Kuka syrup 5 ml twice a day for cold relief.-Tulsi juice 5 ml daily for boosting immunity.-Zincovit 5 ml for boosting immunity.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and baby good health. </s> |
<s>[INST] Suggest treatment for rashes and bumps on face after shaving [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.In my opinion, you rahes are due to folliculitis. Do not apply detergents as they can cause irritation of skin. Apply Fusidic acid cream on bumps for a week. In case if you do not get any improvement, do consult your dermatologist.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Siva Subramanian. </s> |
<s>[INST] Numbness in face, trouble eating, excessive drooling, weight loss. Done root canal [/INST] Hello Welcome to HCM I would like to ask you few questions like:- -does she has loss of expression on that side? -is she able to close her eye lid of that side completely? -does this problem started after getting RCT started? If all these symptoms are present then its a case of BELL'S PALSY due to facial nerve damage. It might have happened because the anesthesia given while starting RCT was probably given at wrong site i.e. somewhat in parotid capsule near facial nerve. If that's the case you should concern oral & maxillofacial surgeon for getting it treated. Take Care Regards Dr.Neha </s> |
<s>[INST] Taking novelon, missed pill and had sex on same day. Chances of getting pregnant? [/INST] Hi,Thank you for asking question on health care magic20 hours delay will not make much differenceyou have taken 2 pills in place of one within a gap of 4 hoursthe chances of becoming pregnant are almost negligibleHope this answer will serve your purposeTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics </s> |
<s>[INST] What remedies are suggested for swollen & bruised knee with difficulty in walking? [/INST] Hi you have been hit by a softball below knee and are having large bruise and swelling.It is painful and walking and bending knee is difficult. To me it appears that you have probably torn some muscle like gastrocnemius and there is hematoma( blood clot fromation) with spread to Calf causing pain and disability. Take complete bed rest with legs elevated on two pillows , pain killers , creppe bandage for few days. If it does not subside then go for medical check up including Doppler and x rays. </s> |
<s>[INST] Kidney pain. Had infection weeks ago. Normal urine. Recommendations? [/INST] It depends what is ur dx.recurrent kidney infection is possible if u r not adequately treated ,if ur dx is Vur that means vesico ureteric reflux .if u r on prophylactic antibiotic chances of reinfection r less.be calm ur DMSA will help u </s> |
<s>[INST] What causes horrible nightmares? [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. Yes. You are right. The night mares were due to the agony and pain you were in. The nightmares should be discontinued around three to six months time. Just try to ignore them.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. </s> |
<s>[INST] Is chest pain normal after drinking beer? [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Yes, this kind of symptoms are common after heavy beer drinking. Beer is alcoholic drink. And alcoholic drinks are known to cause GERD (gastroesophageal reflux disease). GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms burning central chest pain, nausea, vomiting etc. So better not to drink beer or other alcoholic drinks. Take pantoprazole and levosulperide combination on empty stomach for symptomatic relief. Avoid hot and spicy food. Avoid junk food. Avoid stress and tension, be relax and calm. 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 causes sweating, vomiting, headache and tremors? [/INST] Hello. I have been through your question and understand your concern.All of your symptoms can be explained by a simple viral gastrointestinal infection. But, you should be sure to rule out any cerebral involvent. That is why I recommend a CT scan of the head to rule out this eventuality.Hope this helps. Best regards </s> |
<s>[INST] What causes a vibration in the center of the chest? [/INST] Hello, Your symptoms do not seem to be related to the heart. For this reason, I recommend you to take an antiacid for possible acid reflux. If this feeling persists, I recommend checking thyroid hormone levels for possible thyroid gland dysfunction and performing a resting ECG. 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] 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] Can adverse reactions to changed Parkinson’s medication after a fall be treated? [/INST] Hello, Though it is possible and even likely that medications are playing a role in his mental status changes and confusion I would be concerned for an underlying organic basis for his confusional states. Even if he really wasn't exhibiting anything significant in your mind until the fall. Also keep in mind that sometimes the trauma from something like a fall followed by hospitalizations and changes in familiar environments combined with medications that could be adding to the mix will UNMASK an underlying cognitive disorder. Therefore, if not already done he should be worked up with tests such as Vitamin B12 levels in serum, Thyroid hormones such as TSH and FT4, ESR and CRP in case there may be an underlying or occult infection somewhere in the body that has not been detected. DEFINITELY, a URINALYSIS should also be done since this test detects of the most common sources of mental status changes in the elderly, URINARY TRACT INFECTIONS. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist </s> |
<s>[INST] Q. Which is an effective contraceptive that is safe for long-term use? [/INST] Hello. Kindly mention your future plans for pregnancy. Personally, I am not in favor of hormonal contraception especially for long-term use as they harm the liver and suppress ovulation and decidualize endometrium. If you use it for two years, then immediate pregnancy might be difficult. Bones also get demineralized. Better to use condoms and Today vaginal tablets or spermicidal jellies. You can use nonhormonal contraception Saheli (Ormeloxifene) which has very less side effects. Consider the side effects. No need to bombard the body with synthetic hormones. Make clear choices weighing pros and cons. For more information consult an obstetrician and gynaecologist online --> </s> |