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<s>[INST] Is a broken implant dangerous? [/INST] Hello and welcome,I understand your concern well.We do not know if your symptoms were due to the implant or some other reason without an examination. However since the implant is broken then the contraceptive efficacy becomes questionable. We do not know how much drug it is releasing now as it is not meant to be used when broken. However it mostly releases drugs slowly so there may not be any immediate danger.So I suggest that you please see a gynecologist and explain your concern as well as get their opinion about it. I am sure they will help in removing it. So do not worry. Just see your gynecologist. Hope this was helpful.Thanks for asking us. Feel free for further queries.Dr Madhuri BagdeConsultant Ob gyn. </s>
<s>[INST] What is the cause of back pain? [/INST] Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you to do physiotherapy exercise to strengthen your back muscle. Analgesics you can take as and when required but it is not he definative treatment. You should also think of getting X-ray chest and neck for vertebral abnormality. You can also think for heat therapy to reduce pain. In long duration of treatment exercise is the only way of reducing your back pain. Please do Serum Vitamin B12 and Vitamin D level to check for any abnormality.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease. </s>
<s>[INST] Could dizziness, bruising, headache, shortness of breath with constant fatigue be due to being anemic? [/INST] the symptoms described by you can be explained with anemia BUT anemia should be significant enough. morover the brusing over leg is definately not result of anemia. its strongly recommended to do a complete blood count with peripheral smear and consult physician with reports. </s>
<s>[INST] What is the effect of electric burn or shock? [/INST] hi iam dr.nallammaiwelcome to hcmelectric burns wont lead to hallucinations..it would lead to dehydration,that black color wat u say is calld eschar,which should be removd as stated by ur doctor..make him to drink lot of water..for hallucination u should take advice of psychiatrist..both r nt related.. </s>
<s>[INST] Suggest remedy for tooth pain [/INST] Hello, Thank you for consulting with HCM.When you have fallen there might be trauma on your front tooth also, that is why it was hurting at that time.Now because of trauma there might be some infection in the apex of the tooth which is causing this abnormal feeling.You must visit your dentist and get an x-ray done of the tooth, as it will show the infection and its area, according to which the treatment will be done.Hope it will help you. </s>
<s>[INST] What causes varying blood pressure readings besides taking Amlodipine? [/INST] Hi, Your blood pressure reading is all within normal range to me. Do not make yourself uncomfortable if the readings seems sometimes high, it is all normal. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist </s>
<s>[INST] What to do for lump between eye and nose? [/INST] HI. If this is a small one with a history of 2 years , this can be a cyst or so. Nothing much to worry.If there is watering of the eye on the same side , there is a possibility of dacrocystitis. One needs an operation to get this cured. Now-a-days the surgery is done endoscopicaly through nose. </s>
<s>[INST] Why had lower back pain after having cabbage soup and bowel movement? [/INST] If you had a lot of bowel movements, with the cabbage soup diet, then there is a distinct possibility that you developed bowel problems, such as hemhorrhoids from the straining. It is less likely to be mechanical/musculoskeletal back pain simply from a course of cabbage soup. I would see your doctor and have the gastrointestinal system checked. Another possibiliyt is the Pilonidal Cyst, which is an infection of the hair follicles around the anus. This can swell up and become exquisitely tender, and would have to be drained. So, again, go see your doctor. </s>
<s>[INST] What is the right diet for a person who has recently recovered from chicken pox? [/INST] Hello,Welcome to HCM,Chicken pox is a disease caused by varicella virus which is transmitted by droplet infection and nuclei.It is highly infectious and communicable 2 days before the rashes to 4 days aftre the rashes. The rashes and symptoms will be more in a patient with reduced immunity. As such there is no food restriction but you have to consume food which boost your immunity. Protein rich food helps to increase the immunity and fight against thus virus.Thank you. </s>
<s>[INST] How to treat chest pain? [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Since your all extensive reports are normal, no need to worry for major heart and lung related diseases. In my opinion, you should get done vitamin B12 level, vitamin D3 level and calcium levels to rule out deficiency because deficiency of these can cause similar kind of pain. Another possibility is trigeminal neuralgia. It is clinical diagnosis. You can start pregabalin or gabapentine and if you are improving then chances of trigeminal neuralgia is more. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>
<s>[INST] Does taking I-pill after intercourse have any side effects? [/INST] Hello dearI understand your concernDo not worryDelayed period is due to the side effect of the I pill.I pill contain high progesterone level.It prolong the second phase of the cycle and cause delay in the period ny 1-2 week.So your period will come in next 7 days.Meanwhile avoid stress, take healthy diet, do regular exercise and drink plenty of water.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar </s>
<s>[INST] Suggest remedy for soreness in arms and fingers after tetanus and dpt vaccination [/INST] you can apply moist warm cloth to the site and if u take a wet wash cloth make sure it will not so hot that it burn you. This will increase your blood flow to area and aid in healing plus provide you comfort. The things up told is nothing to worry happens after vaccination so use moistwarm cloth this will relief you. You can also use ice pack. but use ice pack or moist warm cloth only one thing at a time to relief yourself. </s>
<s>[INST] What causes persistent bumps on scrotum? [/INST] Hello, It could be a sebaceous cyst. Consult a general surgeon and evaluated. Surgical removal might be required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>
<s>[INST] How long does pernicious anemia take to recover post treatment? [/INST] Hello and welcome to HCM,Pernicious anemia leads to deficiency of vitamin B 12 in body.Deficiency of vitamin B 12 leads to macrocytic anemia.Vitamin B 12 injections will correct the deficiency of vitamin B 12 and you will feel better after 5-7 doses of vitamin B 12 injections.The injections thereafter will maintain sufficient levels of vitamin B 12 in body and prevent its deficiency.In pernicious anemia, the ability of the gastric cells to absorb vitamin B 12 is lost.Thanks and take careDr Shailja P Wahal </s>
<s>[INST] What is the cause for dark red bubble in between the two teeth on the gums? [/INST] Hello, thank you for consulting with healthcaremagic. This dark red bubble can be a gum boil which occurs because of gum infection. Please do not bite it as it will create other problems. Better you should visit a good dentist and get complete examination with cleaning of teeth done. Hope it will help you. </s>
<s>[INST] What to do for pinched nerve? [/INST] Hello, Thanks for your query.Treatment:-- Avoiding aggravating factors like pressure on elbow- Avoiding full flexion- avoidance of pressure with elbow pads- Night splints to prevent elbow flexion- Avoidance of repetitive movements- nonsteroidal anti-inflammatory drugs for pain reliefI do hope that you have found something helpful and I will be glad to answer any further query.Take care </s>
<s>[INST] Q. I am unable to do intercourse as I could not retrct my foreskin. Is circumcision necessary? [/INST] Hello. I understand your concern. You are having phimosis. In phimosis, the foreskin does not role back and it is difficult to do intercourse. The other thing which can cause foreskin not to roll back are genital candidiasis but as per your description, you are having phimosis. You should do circumcision, it is the best treatment available and it is very effective. You should consult a general surgeon or urologist, they will do the procedure in your penis. Do not worry circumcision is a minor procedure done under local anesthesia and it is an out patient procedure. It will take only two weeks to recover completely and it will solve your problem permanently and also it will help you to enjoy sex also. I hope this helps. </s>
<s>[INST] What causes tingling and numbness in the tip of the tongue? [/INST] Hello, Sorry to hear about the uncomfortable experience with the physician. Well, I think you need to provide some more details, as this has been from over a year, I would like to first ask this, have you underwent any dental procedure?? As while providing anesthesia, there might be small damage to the nerve and gets unnoticed by most. Next, if not the above one then have you been suffering from pain or anything like that? because this is related to the cranial nerve and pathology of the same. We need to do some cranial nerve testing and then figure out what exactly it is and why the issue is. I would recommend you to undergo some cranial nerve tests, you can find this online too. It's a basic test and nothing difficult to perform but it will be good is any neurologist or physiotherapist performs the same. To get better accuracy. Once we figure out which nerve is involved and the entire history of you about the dental procedures that we can plan the treatment. In my clinical practice of 12 years, most patients get ignored post dental procedures and have cranial nerve issues. but timely assessed and examined the treatment begins and they are better with. Please note, I am not claiming that dental procedures have done damage with purpose but the human body can act in any direction without prior notice. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s>
<s>[INST] Q. Severe stomach pain after taking two I-pills in 48 hours. Will she get pregnant? [/INST] Hello. There was no requirement for a second dose of I-pill. The pain in the abdomen is due to the Progesterone effect and that can be countered by increasing the water intake. The withdrawal bleed starts only after 4 to 5 days of taking an I-pill, so you should have been patient. Presently, if the pain is more, then she can opt for an NSAID for pain relief and hot fomentation. Please ask her to take 3 to 4 liters of water in the day and that shall soothe her symptoms. She is unlikely to get pregnant as she has taken the first pill within 24 hours but should have waited for the bleed to start. Now, she needs to wait and watch and keep herself hydrated. Once the bleed shall start it shall indicate that she is not pregnant. If the pain is not controllable then she should be visiting a gynecologist at the hospital for pain relief. For more information consult an obstetrician and gynaecologist online --> </s>
<s>[INST] How do I prevent hereditary hair fall? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.In my opinion, you are suffering from a condition called Alopecia areata. Continue the treatment as per your Dermatologist's advice. You should rule out any underlying thyroid disease. Also, you can add Minoxidil after consultation with your Dermatologist.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Siva Subramanian. </s>
<s>[INST] Suggest treatment for chronic obstructive pulmonary disease [/INST] HelloThis is probably because in COPD patient the oxygen should not be so high but in low percentages because it deterioretes the pCO2 howeever might happened smth else in his situation as well.RegardsDr.Jolanda </s>
<s>[INST] Suggest treatment for hard sold lump on my neck [/INST] Hi.Ligament calcification is a perfect diagnosis, if diagnosed by X-ray or any scan / ultrasonography. The same modality of test will help in diagnosing the another one. The best way is to get the disease excised/ removed. This will give you a permanent relief as no medicines will help you.And the diagnosis is confirmed. </s>
<s>[INST] Is Vomikind safe during pregnancy? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.It is true that it is preferred not to use any medicine during the first trimester in a normal pregnancy. However, to tackle some of the effects like nausea, vomiting, dizziness, gastritis, etc., which are troublesome, limited safer medicines are prescribed. Vitozyme is an enzyme and has not shown any adverse effects in pregnancy. The effects of vertin have not been documented so, I would ask you to consult your doctor before taking. Vomikind also is considered safe in pregnancy. In addition, avoidance of stress, healthy diet, and adequate rest are needed. Frequent small bland meals help to avoid indigestion.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shanti Vennam </s>
<s>[INST] Suggest remedies for lumps on the back with excessive tingling sensation [/INST] Respected user , HiWelcome to Healthcaremagic.comI have gone through your concern in depth .* This seems neurological compression of the underlying nerve structures through lipoma .* If confirmed clinically and investigations wise , excision of the lump is the curative treatment .Hope this clears your query .Wishing you fine recovery .Regards . </s>
<s>[INST] Is there a concern to travel having diagnosed with hepatitis C? [/INST] Hi welcome to HCM.I understand your query and concern.Its not completely safe to fly in your case as even though you are currently asymptomatic,there is a high chance of bleeding manifestations at high altitude due to very low platelet counts.The normal range of platelet count is 1.5-4 lakhs/cc of blood.Also a complete normal liver panel is mandate before you fly.A complete consultation with your hematologist along with correction of platelet count through platelet transfusion in mandate.A check on viral DNA levels is also mandate before you fly.A high level of viral load is a big contraindication to your air travel.You seem to follow good dietary pattern to protect your liver from additional insults.A clearance from your treating Hepatologist is must in your case before you set to fly.Discuss the same with your doctor.Post your further queries,if any.Thank you. </s>
<s>[INST] What does high neutrophils and RDW indicate in a child? [/INST] Hello,The values of CBC as provided by you along with mother having history of chorioamnionitis strongly recommend full evaluation of baby and need for early antibiotic therapy. Babies born to mother with proven chorioamnionitis have 10% risk of sepsis and low platelets, neutrophilia, etc., suggest need for full laboratory evaluation along with culture and antibiotic therapy.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad </s>
<s>[INST] Taking ovranette contraceptive, missed it. Emergency contraceptives recommended? [/INST] Hi, Based on the information provided it seem that you are on oral contraceptive pill and keeps on forgetting to take them often. And wanting to know is it necessary for you to take an emergency contraceptive pill in the morning. First of you should not take 2 pills in a day even if you forgot to take it previous night. Now about the emergency contraceptive pill is not needed unless you are around 12-16 day after your cycle and had unprotected sexual intercourse. Advice:- You keep forgetting to take the medication is not a good way to have a contraception, and in turn you are create an imbalance in your hormonal imbalance in the body. I would recommend to start using condoms, or copper -T (intrauterine device which works up to 5 yrs straight with our much care.)ThanksDr.JAY PATEL </s>
<s>[INST] How can panic attacks be treated? [/INST] Dearpanic attacks can be treated with medications and psychotherapyAlprazolam is short term anxiolytic Anti anxiety medication after proper evaluation by psychiatrist is neededIf feasible psychotherapy cn be helpful tooRegards </s>
<s>[INST] Why does my daughter's heart rate spike up to 195 during workouts? [/INST] Hi, For the age below 20 years average exertion heart rate is up to 200/minute. So don't worry during exertion in young age it is common. If she experiencing any giddiness or fatigue or synchope then you may need to consult your cardiologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu </s>
<s>[INST] Q. How can pacemaker affect arrythmia? [/INST] Hi. The rate in AF is controlled with beta blockers, calcium channel blocker or Digoxin. You are taking Sotalol which is a beta blocker as well as the anti-arrhythmic drug. The permanent pacemaker is implanted when there is tachy-brady syndrome. It means sometimes there is tachycardia episode and sometimes bradycardia episode. If we control tachycardia, during bradycardia episode there will be even more severe bradycardia and if we control bradycardia, tachycardia episode will be severe. So, in this situation, a pacemaker is implanted to avoid bradycardia, and for the tachycardia, medicine is continued. The pacemaker is programmed to pace the heart when the rate drops to a certain threshold such as 60 bpm. Paroxysmal AF is one in which rhythm is restored to sinus within seven days, persistent is seven days to 12 months, long-standing persistent is more than 12 months. Cryoablation technique is used to revert rhythm back to normal sinus. It is done in paroxysmal AF, but some trials exist even for persistent and long-standing persistent AF as successful ablation can be done. Please consult your cardiac electrophysiologist about the possibility of this procedure in your case. </s>
<s>[INST] What causes headaches with fever in 8 year old? [/INST] I think this fever is separate and not related to the previous seizures and headache...do not panic..wait for fever to subside.if not subsiding after four to five days then you can consult doctor .that is just to rule out bacterial infection. </s>
<s>[INST] What causes pain down both my arms? [/INST] hi its nothing to worry as you do gym and physical work this happens as done lot of physical activity and muscle also need rest so take small rest between activity and don't stress yourself a lot take protein diet .wish you good health </s>
<s>[INST] Q. Is premature ejaculation related to small penis size? [/INST] Hello. Small penis is not at all related to PME (premature ejaculation). What is the timing, as you mentioned that you are suffering from PME? Then only, I will be able to suggest a treatment. Small pimples over the tip of penis is normal. Also, send details like color, consistency of these pimples, are they painful or causing itching. Kindly answer all these questions, so I will be able to help you better. Revert with more information to a general practitioner online --> </s>
<s>[INST] Had periods. Pregnant now. Opt for abortion when fetus is not spotted? [/INST] Hi, it will take atleast 6 weeks for fetal pole to appear, cardiac activity will appear after 1 week. so get ultrasound then. all the best. </s>
<s>[INST] What should i do as i am having chronic back pain? [/INST] Hi,Having chronic back pain at this age is not common.It shows that you might be having sedentary life style with lack of physical exercise.Do not go for oxycodone medicine as it might produce habit formation with tendency to increase the dose.Do regular physical exercise like running, jogging, swimming daily for 30-40 minutes for 5 days in a week.Quit taking oxycodone tablet gradually.Take some NSAID medicine like ibuprofen as and when required.Ok and take care. </s>
<s>[INST] What causes swelling in pisiform bone? [/INST] Dear Sir, thanks for question. I have understood your concern, see swelling indicates injury or inflammation at site affected, as you mentioned pain in piriform bone may due to accute immediately compression to underlying tissue. as you mentioned that you were doing triceps curls so might be there was higher compression injury around bone, might ligaments and tendons may injury temporary. so first you need to consult orthopedic surgeon and get x ray done to rule out any fracture in the bone. if there is no fracture then need to take physical therapy in the form of ultrasound and tens modalities which inhibit pain and swelling. I hope you have satisfied with the answer. feel free to ask again. provide feedback. </s>
<s>[INST] Prescribed vicodin for pain after falling into manhole. How to overcome panic attacks having at night? [/INST] Hello.Lorazepam addition, it is important the prescription of aeffective antidepressant for panic attacks for example Paroxetine.I treat my patients with Paroxetine 20 mg per day+Lorazepam 1mg thrice a day when Panic Attacks is the diagnosis.Please consult your local doctor for a prescription.I wish you good health.(If the answer has helped you, please indicate this) </s>
<s>[INST] Suggest treatment for sciatic nerve pain [/INST] Welcome to health care magic. 1.The possibilities of your back pain radiating is due to the spinal canal stenosis and nerve rood compression.2.In this case you need to have a balanced diet with exercises - especially back exercises that will help to get relief from the nerve compressions.3.Increasing in winters is due to the inflammatory cause due reduced immunity.4.Breast cysts / lumps need to get a regular followup of the growth an transformation in to the complex features and its extensions.5.No there is no direct link with fibrosis and the breast lesions. If any possibilities are there please get a MRI lumbar spine to see the present status. Good luck.Hope i have answered your query,any thing to ask ? do not hesitate to ask. </s>
<s>[INST] What causes spasms in the bladder post masturbation? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. 1- masturbation has both positives and negative effects positive effect is that it will remove the sperms from the body and make room for newer sperms as the process of sperm formation is ever going in men, it is bad in a sense that excessive masturbation does leads to loss of libido and lesser stimulation by natural intercourse 2-in routine masturbation does not causes prostate problem but keep in mind that during ejaculation the prostate also squeezes to release its fluid which contributes in semen so transient urinary obstruction due to prostatic contraction or pain in elvis may occur 3-no masturbation does not cause shrinkage of testes 4-yes there are studies that proves the relation of excessive masturbation with prostatic cancer as excessive masturbation will cause more testosterone to release and this will have effect on prostate which could cause prostatic cancer the proof of this is that the castrated males who were castrated in there early teens never develop prostatic cancer. Hope I have answered your query. Let me know if I can assist you further. </s>
<s>[INST] How to treat "Degenerative disk disease and sciatica nerve"? [/INST] Your problem is most likely due to nerve compression syndrome which is caused by recurring disc herniation. If pain medicines and physiotheraphy not helping , as a pain physician we have number of day care procedures like nucleoplasty, ozone therapy, epidural steroid injection, cooled RF ablation of disc to cure you of this problem within few hours. Consult a pain physician for further advice.Dr Anurag AggarwalMD, DA, FAPA, MIASSP( USA)PAIN PHYSICIAN, fortis Hospial Noida,U.P, India9958830005 </s>
<s>[INST] Suggest remedies for a chipped teeth [/INST] Hello and thanks for consulting HCM.i have gone through your query and understand your concern, if the tooth is broken from the crown part and the pulp (nerve tissues) are not involved then you can go for normal cosmetic restoration or a artificial crown over that tooth.if the pulp is involved then you have to go for Root canal therapy (RCT) followed by post and core and artificial crown (depending upon the extent of tooth is lost).you must visit a dentist for all this. if you cant afford more money then a removable partial denture (RPD) can be a good option.Hope this answers your query. Take careRegardsDr. Shesh </s>
<s>[INST] Q. Why do periods get delayed after first time sex? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> </s>
<s>[INST] Q. Had Duralast for premature ejaculation and felt drowsy. Is there any alternate medicine? [/INST] Hello. At your age, it is unusual to have premature ejaculation. PME is called when intravaginal ejaculation time is less than 1 minute, and there is a lack of satisfaction from coitus. Yes, Dapoxetine is an effective drug for premature ejaculation. 30 mg is the dose to begin with, which can get increased gradually. Besides Dapoxetine, Paroxetine can also be used. Once started it needs to be continued for a period of about four to six months, then after gradually stopped over a period. If taken for a more extended period, its efficacy decreases, cardiac and GI symptoms can also occur. Before starting it on your own, do consult a psychiatrist. Thank you. </s>
<s>[INST] What does this report signify and is it enough matched to undergo a transplant operation for CKD patient (stage V) ? [/INST] You have a less than perfect match. If you do not have any other donor,You can still go ahead with transplantation but with the use of an induction agent like Anti thymocytic globulin and higher immunosuppression. You will have an increased risk of graft rejection than others with a better match. </s>
<s>[INST] Will contraceptive pills cause dizziness and nausea? [/INST] Hi,Dizziness or fatigue can occur with contraceptive pills. Your body may need to adjust to the hormonal levels. Watch the pattern for the next few days and if the dizziness continues, it could be because of the drug.Side effects may reduce in the subsequent cycles and hence continue the drug for few more days. Anti-emetics can be taken for a few days half an hour before taking the drug.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician </s>
<s>[INST] Could stress be the cause of rapid heart beat and breathlessness? [/INST] Hello and thanks for writing.I can understand your concern and would try to help you in the best possible way. Yes, stress, anxiety or panic attacks could be a cause of these symptoms especially in young patients. However if the problem is recurrent then other conditions like hyperthyroidism may be considered.I suggest you consult a doctor who would enquire for her full medical history and perform relevant investigations to rule out secondary causes.In the mean time try to engage her in physical activity, yoga and other relaxation techniques and have family talk sessions to reduce any stress she may have. </s>
<s>[INST] What causes pain in chest with a breast pain? [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, your son is having pulmonary embolism. It is blood clot in pulmonary artery. Since his age is only 3 weeks, possibility of congenital coagulation defect is more. Coagulation system is there in the body. There are two kind of chemicals, coagulants and anti coagulants in the body. Coagulants will form blood clots while anti coagulants will prevent clot formation. So in your child's case there must be higher coagulants and absent anti coagulants. Such diseases are as follows. 1. Protein C deficiency 2. Protein S deficiency 3. Homocysteinuria4. Hypervitaminosis K etc. So better to consult hematologist and get done blood levels of these chemicals. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. </s>
<s>[INST] How to treat hematuria? [/INST] HelloThanks for query .Hematuria and pain while urinating can be either due to stone in kidney or UTI and needs to be investigated .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis In the mean while take antibiotics like Ciprofloxacin and Nitrofurantoin with urine alkalizer like Citralka twice daily.Further treatment will depend upon result of these tests and final diagnosis. Dr.Patil.. </s>
<s>[INST] What does this MRI report of spine indicate? [/INST] Hi,Thank you for posting your query. I have noted your clinical and MRI details.Based on MRI spine report, your nerves in lower back (lumbar) region have got pinched due to slipped disc. Disc is the soft tissue located between two bones (spine) in the lower back.Symptoms of disc prolapse include back pain, leg pain and tingling of legs.Initial treatment would consist of pregabalin or gabapentin capsules.Physiotherapy and back extension exercises would also help you.Only if the above measure fail, would you require epidural injections or surgery.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] Q. I suffer from premature ejaculation and poor erection. Please advise. [/INST] Hi. Take tablet Uphold (Tadalafil and Dapoxetine) one hour before intercourse. Do not take it on regular basis. It is for erectile dysfunction. Take tablet Duralast (Dapoxetine) 30 mg one hour before the intercourse. It is for PME (premature ejaculation). Nanoleo is ayurvedic preparation, commonly prescribed for low sexual desire patient. So no need of it. Ultra D3 is Calcium tablets. You can take it if you want. Sperm cure (Coenzyme Q10, Lycopene, etc.) is also not needed daily. Take a healthy diet. Do regular exercise. Do you have any anxiety or depressive symptoms? Review after 15 days. </s>
<s>[INST] What are the symptoms of anxiety and depression? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Excessive energy is hyper behavior pattern and is unipolar disorder. But immediately after that you fall depressed or low in energy. From the given symptoms it can be termed as symptoms related to anxiety disorder. I suggest counseling and psychotherapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand </s>
<s>[INST] Suggest management for sternum and whiplash injury [/INST] HI THANKS FOR POSTING YOUR QUERY ON HEALTH CARE MAGIC.WHIPLASH INJURY IS EVALUATED WITH MRI CERVICAL SPINE.IF AN ABNORMALITY IS FOUND,THEN SPINAL DECOMPRESSION THROUGH LAMINECTOMY IS DONE.CORTICOSTEROIDS ARE VERY HELPFUL.STERNAL INJURIES ARE OFTEN ASSOCIATED WITH CARDIAC CONTUSIONS.THIS EXPLAINS THE CARDIAC SYMPTOMS IN YOUR CASE.CONSIDER HAVING 2-DIMENSIONAL ECHOCARDIOGRAPHY.CONTINUE WITH ALL THE PRESCRIBED MEDICATION.KEEP IN TOUCH WITH CARDIOLOGIST.THANK YOUTAKE CARE </s>
<s>[INST] What causes difficulty in breathing? [/INST] HIWell come to HCMYour breathing problem could be due to allergic condition only, you can wait for some time because this may come around even without medicines, if this does not improved then I would suggest the following treatment1) Tab Levocetrizine 10 mg three times in day have a hot drinks, steam inhalation, everything would be fine soon, take care. </s>
<s>[INST] What causes dizziness with a forehead headache? [/INST] It could be something that is innocent, and likely to go away, or it could be the start of something else. You need to get her BP checked, her urine examined, and also a good neurologist to look her over to rule out any internal problem. Do not ignore the symptom as it is occurring everyday.Dr. Taher </s>
<s>[INST] Q. Will Nano-Leo give permanent solution for erection problem? [/INST] Hi. For further doubts consult a sexologist online --> </s>
<s>[INST] Suggest treatment for diarrhea and abdominal pain in a child [/INST] diarrhoea with abdominal pain can be due to other causes also so need to treat with medications like ofloxacin with metronidazole.. .along with bifilac syrup and zinc supplementation. </s>
<s>[INST] What are chances of getting MRSA infection from children? [/INST] Hello,Welcome to Health Care Magic.Thanks for writing.I am Dr.Nitasha Khan. I have read you question completely, i understand your concern and will try to help you in best way possible.wel to get mrsa you need to have source like wht is the source of their infection how did thy get sick find that out and also you can get sick only if you dnt take care as long as you dnt have any cntact with the patient like you dnt touch thm have their food you wil be fine I hope this answered your question.If you have more queries I am happy to answer.Otherwise rate and close the discussionRegards.Dr.Nitasha Khan </s>
<s>[INST] What is meant by calcific densityleft in a chest x-ray? [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Chest x ray is taken in posteroanterior view. In this view ribs are overlying lungs. So sometimes it is very difficult to say whether calcification is on the ribs or on the lungs. This is the limitation of chest x ray. To remove this confusion, it is better to get done CT scan of thorax. CT scan will confirm where the calcification is. So in my opinion, instead of going for another chest x ray, you should go for CT scan. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>
<s>[INST] What diet is good for hepatitis ? [/INST] Hi, Welcome to Healthcare magic forum, Avoid oily and spicy food, No junk food, Eat Boiled vegetables, Eat bread, idly, rice bland, Drink 3 lts of water a day Cereals u can it, bland. fresh fruit juice u can have. Hope I have answered ur question, Regards </s>
<s>[INST] Is Paget’s disease of the vulva a type of cancer? [/INST] Hi, Paget's disease of the vulva is an unusual kind of skin cancer that arises from glandular cells. This disease appears as a red, velvety area with white islands of tissue on the vulva. Most people with the condition will experience itching and soreness. Almost all patients are postmenopausal, Caucasian women. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Esmeralda Sera, Oncologist </s>
<s>[INST] Suggest post treatment precautions for typhoid [/INST] dear,as typhoid have been cured so u can start light diet and than move towards ur regular diets, but keep ur body well hydrated and give proper rest to body , avoid street food and do not take any stress,regarding hair loss it is called telogen effluvicium and it doesnt occur in all patients but if combined with other risk factors like stress or improper diet or relapse of fever it may occur,lastly i will suggest u take a lot of liquid/fruit and no stress.thanks </s>
<s>[INST] Why has the shape and texture of areola changed and itches from inside? [/INST] hi.based from your description, it could possibly be a cyst, a fibroma (fibrous tissue formation) or fibrocystic changes of the breast, which are all benign breast lesions. it is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. diagnostics such as breast ultrasound and mammography may be recommended. management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye </s>
<s>[INST] How to cure bruise and pain at the lower back? [/INST] Hello, I have studied your case with diligence.As per your symptom and history there is possibility of acute muscle spasm in neck or there can be cervical disc compression.Due to compression of this nerve root there is pain associated with it.For these symptoms muscle relaxant with analgesic and neurotropic medication can be started consulting your treating doctor.Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and interferential therapy will give quick relief.You may need to do MRI cervical spine if symptoms persist.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care. </s>
<s>[INST] Child has abdominal pain. Having vomiting, difficulty in passing stools, headache. Cure for symptoms? [/INST] Hello sory to hear your problems. ...there are two possible reasons first lets discuss simple one your child has simple constipation. ...due to the toxic gas accamylation she has headache and raised intracranial pressure cause vomiting. .cure give ger lit of water .vegetables avoid junk food..sevond cause if she has yollow eyes too she has acute jaundice ...do ALT of your daughter..now a surgical cause the nature of pain and vomiting mostly occur with appendicitis. .it neefs surgery..I would say taje your daughter to surgeon for proper diagnosis.stay blessed </s>
<s>[INST] What causes low appetite and tiredness? [/INST] HI as per your query,Pallor may be due to decreased hemoglobin in the blood which decrease his oxygen carrying to all body parts .This will make him easily tired and weak.Please get his Hb checked and consult a child specialist who will examine him and start on Iron syrup as required.Please give plenty of veggies fruits and lean meat/liver if he likes.Hope this is helpful for you </s>
<s>[INST] What is causing the pain from my toe to hip? [/INST] Hello,I read carefully your query and understand your concern. The symptoms seem to be related to sciatica pain.Sciatica usually affects only one side of the lower body. Often, the pain extends from the lower back all the way through the back of the thigh and down the leg. I recommend using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest gentle stretching exercises. If the symptoms continue, I suggest to see a neurologist and get evaluated. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician </s>
<s>[INST] Paralysis feeling on the left side of lip a week after lower wisdom tooth extraction. Cause? [/INST] hiii its nothing to do with your wisdom tooth extraction....as extraction was done of the opposite side. it seems that there might me some sort of infection on your left side of the oral cavity which is causing the compression of the nerve which is resulting in these symptoms. the neural tissue takes time to repair....from days to months & some times even years well it may also be bell's palsy.....it is facial paralysis of half side of the face.....its pretty much treatable condition. i would suggest that you should consult a dentist as soon as possible for the correct diagnosis & prompt treatment. </s>
<s>[INST] Will frequent masturbation reduce sperm count? [/INST] Hi,Masterbation is a safe way of satisfying your sexual desires and it has no side effects.Semen is produced daily in our body and masterbation will not affect memory or fertility. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. B. Radhakrishnan. Nair </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] Suggest treatment for heaviness on the knees [/INST] Hello, I think maybe you have lose weight and the skin wrinkles because the adipose tissue that was there has gone. Also, I suggest you to not over-exercise. The symptoms you have are because of tiredness. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Blerina Pasho, General & Family Physician </s>
<s>[INST] Q. I am having irregular periods with abdominal pain and cramps. Please suggest medication. [/INST] Hi. The main issue for you is your weight. Once you lose weight, the medicines will act better. Kindly do join a gym and reduce your weight and bring BMI to at least 25. You must lose weight in a healthy way and not only by dieting. Avoid junk food and follow a healthy lifestyle. Medicines that were prescribed to you are correct and do not cause weight gain. So do not worry. I cannot prescribe medicine online. But you may continue taking Ginette along with weight reduction. Only then it will cure the disease. If you are not able to reduce weight despite gymming, consult a bariatric surgeon. </s>
<s>[INST] Q. Every time I eat spicy food, I poop blood. Why? [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> </s>
<s>[INST] Is the severe leg pain related to lung cancer? [/INST] Hi,Thanks for writing in.It will help to get her examined clinically to rule out ny serious concern like a clot in the leg viens. Many patients with history of cancers might develop a tendency of blood gtting clotted in the deep veins of leg. This is known as deep vein thrombosis and is a life threatening condition if not treated on time. However this is not the only condition that can cause leg pain and other conditions must also be evaluated for.The pain in deep vein thrombosis is usually in the calf muscles and there is swelling and redness of the entire lower limb in many patients. Please consult her doctor and get her examined to clear douts regarding any potentially dangerous condition. Spread of cancer to the bone is less likey but not unheard of. This requires clinical examination. Please do not worry. </s>
<s>[INST] Suggest cure for mouth ulcers [/INST] hello,yes bicosules are helpful in mouth ulcers.but iron folic acid tabs are more precise for that.bicosules are to be taken once daily.masturbation is completely normal and physiological act.but anything in excess is bad for health, even water.but i dont see any real connection between your fatigue and over masturbation.it might be due to your overthinking over the same.but i suggest you should decrease the frequency up to with in normal limits.and good exercise and good balanced diet would do for your energy levels.thanksregards </s>
<s>[INST] What causes leg cramps in the nights despite taking Hydroxychloroquine? [/INST] Hi Went through your post, you have mentioned that you are 70 years and on hydroxy chloroquine for leg cramps. I would suggest you1. stop hydroxy chloroquine as it is known to cause eye damage after 65 years and is not given after 65 2. Hydroxy chloroquine is given in autoimmune arthritis which you don't have 3.Do your vitamin D level if low can cause cramps and Start calcium supplements with good sun exposure daily to your body, things will be better. Regards. </s>
<s>[INST] Does drilling through bladder worsen kidney stone condition? [/INST] Contrast scan itself won't cause renal (kidney) stones and it should be done if surgeon has advised. The contrast might cause kidney damage in some people especially diabetics. It can be prevented by proper hydration. If not hydrated properly this might cause renal stones also. </s>
<s>[INST] Is it okay to fly while taking bronchitis medicine? [/INST] HI, thanks for using healthcare magicThe fever could definitely be as a result of your infection. You can consider the use of antipyretics such as aspirin, paracetamol or ibuprofen to help reduce your temperature.In terms of flying, you should be able to fly. If you are experiencing any symptoms of shortness of breath due to the infection, you may want to speak to your doctor prior to your trip.I hope this helps </s>
<s>[INST] Need treatment for pneumonia [/INST] Thanks for your question on Health Care Magic. I can understand your concern. Pneumonia is an infection most commonly caused by bacteria. But in some cases pneumonia can be caused by fungal infection, parasitic infection, viral infection and tuberculosis. So we need to rule out all these in your friend's case. And for this she needs to undergo bronchoscopic evaluation with BAL (bronchoalveolar lavage) analysis and biopsy. These will isolate the causative organism and guide us about effective antibiotic treatment. By this we can reduce total duration of treatment and speed up the recovery. Hope I have solved your query. Wishing good health to your friend. Thanks. </s>
<s>[INST] Lower back pain training for marathon. X-ray, CT scan normal. Used nurofen, voltaren gel. No relief. Suggestions? [/INST] Hello, Welcome at HCM.I have read your query.It looks that you are having back pain since long time.There are various reasons for such chronic or long time back pain--Degenerative disc disease ,where there is age related changes in disc & it becomes decreases in size & resiliency.-Prolapsed disc between the vertebrae of spine.-Arthritis of joints between the vertebrae which forms the back bone.-Abnormal posture.-Chronic muscle strain due to working in odd conditions .-Lumber spondylosis(This is a degenerative disease of spine)& various others.By looking at your details i shall advice you to consult to a orthopedic doctor.You should ask for complete investigation including complete blood examination & a MRI of spine to rule out the disease.At present with mild analgesic like advil ,you may take the help of a good physiotherapist .This will give you relief.Hope this all will help you.With best wishes. </s>
<s>[INST] Can staph cause infertility ? [/INST] Hello Thanks for nice query. Any infection including staph can cause infertility by blocking the fallopian tubes . ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery” </s>
<s>[INST] Q. My fiancee had two I-pills within 10 days. Was that necessary? [/INST] Hi. For further queries consult an obstetrician and gynaecologist online --> </s>
<s>[INST] Nausea and bloated stomach. Could it be due to stress? [/INST] Dear friend.Thanks for sharing your concern.Stress leads to production of some chemicals like catecholamines,more than required in our body.They can very well cause gastric disturbances.Also excessive production of acids leads to hyperacidity and damages gastric mucosa.therefore please take food in time and adequate rest.Also remember physical and mental well being is very important for good health.Hope it helps.Thanks.Take care. </s>
<s>[INST] Why the itchy rashes of chicken pox are still on my granddaughter s skin? [/INST] Thanks for putting up your query at HealthCareMagic. I understand the cause of your concern. In general if a child is properly immunised for chicken pox, the disease does not occur, at least within a certain period of time. But it is not impossible altogether. Moreover, there are many viral infections that cause rashes with fever and this is more likely to be some other viral infection that your granddaughter is suffering from. If the rashes itch, better use Caladryl lotion (Calamine lotion) or any other moisturising lotion which is expected to give some relief.I hope that helps. Feel free to revert back with further queries if any. </s>
<s>[INST] Reason for vomiting feeling when in a car? [/INST] HiThanks for using healthcare magicI think, you boyfriend has specific phobia, that why he has anxiety symptoms only in your car. In that case, few antidepressant with relaxation exercise could help him. He can also do exposure therapy that would help to decrease the phobia or anxiety symptoms about your car.Thanks </s>
<s>[INST] Is it safe to take clomid and injection for egg bursting while trying to get pregnant? [/INST] Hi,If your doctor felt there is a need for inducing ovulation, you can take the injection to facilitate release of the ovum which has been induced to mature by using clomiphene. Monitoring through ultrasound and clinical guidance is needed in such procedures since there is always albeit a slight risk of causing ovarian hyper stimulation. You need not be apprehensive of the procedure since it has been tested time and again and proved successful in many. Please take adequate rest and good diet. Take care. </s>
<s>[INST] Is liquid Risperidone safe to be given to Alzheimer s patient? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Risperidone has got many side effects including abnormal movements. You can try other drugs in the intravenous injection formulation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain </s>
<s>[INST] Can teething cause cold sweats and low body temperature in a child? [/INST] Teething dont cause cold sweats and other problems. It only cause irritation at the eruption site so the baby wants to bite anything for soothing. </s>
<s>[INST] Suggest treatment for chest pain , acid reflux and severe cough [/INST] Thanks for your question on Health Care Magic. I can understand your concern. Recurrent chest infection and acid reflux cause bronchitis. And this can further worsen cough, breathlessness and wheezing. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of bronchitis is based on severity only. Along with antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS) are beneficial in bronchitis. At present stop lifting heavy objects. Start appropriate treatment fir bronchitis. Once you are feeling well, you can resume your work. For acid reflux take proton pump inhibitors, avoid hot and spicy food. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>
<s>[INST] Do I need Mohs surgery having been diagnosed with basal on back? [/INST] Hi, dearI have gone through your question. I can understand your concern. You should go for wide excision surgery. You can go for routine surgwry with wide excision and margins should be free from tumour cells. Consult your doctor and plan 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] Can tooth extraction lead to dizziness and stomach cramp? [/INST] Dear user,Thanks for using healthcare magic.I had gone through your query and understand your concerns.Probably it is not related with your tooth removal.It may be due to irritation of adjacent nerve or loss of excessive blood.The other possibility is vagal attack but that won't last for six month or more as in your case.I request you to get your basic biochemical blood tests and try the antispasmodic agent after getting prescription from your physician.'Hope I have answered your query. If you have any further questions I will be happy to help". Thanks. </s>
<s>[INST] What causes persistent left-sided lower back pain? [/INST] Hi,With above clinical picture I am inclined to think in terms of Left Sacroilitis -- Inflammation of Sacroiliac joint. I Suggest Pain killers SOS, and Spinal Extension Exercises on regular basis.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Gopal Goel </s>
<s>[INST] Suggest treatment for fever and high WBC count [/INST] These are the signs of infection . body reacts by increasing numbers of neutrophils and platelets . I presume your doctor will give appropriate meds to counter the infection . </s>
<s>[INST] What causes pressure in the middle of the chest? [/INST] thanks for your question pressure in the chest can be due to- gastritis- cardiac issues- mediastinal issuesyou need to visit a chest physician or a general physician who can request for a chest X-ray and a ecg to evaluate and diagnose the problemin my patients I generally start them with proton pump inhibitor and investigate themcontinue with the medications and physiotherapythanksfeel free to ask more questions </s>
<s>[INST] What is causing rashes on neck and under eye?suggest treatment. [/INST] You have developed angiodema with urticaria..In this patient have recurrent episodes of swelling of periocular and perioral area along with transient raised itchy rash over body...As anti histamines are the first line treatment start with oral fexofenadine or levocetrizine under dermatologist supervision.Steroids have a place only if antihistaminic wont help...Treatment should last for long without gapping for earlier relief...thanks </s>
<s>[INST] What causes persistent fever despite medication? [/INST] Hi....your daughter seems to be having a recurrent viral infection. Rather than using antibiotics without knowing what it is I suggest you do an immunodeficiency work up for your kid after consulting with your pediatrician. I am telling this because every month she gets fever of 10 days, which is very unusual and she is underweight too.Regards - Dr. Sumanth </s>
<s>[INST] What can I do for pain in the mouth due to a mouth ulcer? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Ulcer on palatoglossal arch can be due to infection or injury.It can also be due to burning with any hot foods or can be due to bacterial infection.Do not worry it will get better in 3-4 days.You can start doing warm saline gargles and antiseptic mouthwash gargles for relief.Also you can suck Cepacol lozenges to relieve pain.Drink plenty of water..Take soft and bland foods and avoid spicy foods.Take a b complex pill daily for a week.In case if pain is annoying then take Advil.If there is no improvement in a week consult an Emergency room and get evaluated.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora </s>
<s>[INST] Can pure Hoodia Gordonii capsules be taken if suffering from high blood pressure? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to tell you that it is not safe to take Hoodia gordonii when you are already suffering with high blood pressure. Hoodia gordoni has a bad effect on your heart as it can raise your blood pressure and your heart rate. Kindly adapt lifestyle modification with DASH diet to loose weight. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Bhanu Partap </s>
<s>[INST] Hi. i m ali from Pakistan. i am sending you [/INST] Hellowelcome to HCMPlease get semen test done and see if the reports are similarThe you can get a few blood tests like FSH , total testostrone and prolactin which will help to come to a diagnosisyou can meet a urologist who will examine you and see if everything is normalwish you all the bestdr nandita thakkar </s>
<s>[INST] Suggest treatment for poly cystic kidney disease [/INST] Hi, Prostate hypertrophy is not related to your kidney condition and may be due to prostatitis. You can continue antibiotics and get a PSA done after one week. If PSA is elevated after antibiotic therapy, it is better to go for a prostate biopsy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>
<s>[INST] Q. How do girls maintain glowing skin? [/INST] Hi. 1. They drink plenty of water that keeps skin hydrated and fresh. 2. Fresh fruits and antioxidant diet. 3. Avoidance of sunlight and proper sunprotection. 4. Use of Vitamin C cream on regular basis. 5. Good moisturizer application to prevent from capping and weathering condition. 6. Avoidance of cheap fairness creams from market. 7. Use of good cosmetic products and its removal followed by cleansing of skin. 8. A good sunblock in daily routine. 9. Exfoliation and massages to remove dead skin. 10. Stress free and anxiety free life style with proper sleep. </s>