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###Human: What is the chance of spread of hepatitis B through food contaminated with blood? ###Assistant: Hello. Well, the whole blood and serum (white fluid within blood) contains large amount of virus, and virus can live on blood spots outside the human body for the duration of one week. So actually it depends upon how much blood, and how much time it has been on the stain that can determine the chances of acquiring infection if contaminated with food. So I guess my answer can be partially answering your query. If you tell me the exact event I may be in a better position to tell you the figures. Otherwise, as a general rule, hepatitis B does not spread via food, having said that, it can still spread if blood contaminated food has been ingested. Since virus invades the human body when comes in close to mucosa (lining of our mouth) and then spread to blood within human. This happens in the same way as one infected person can transmit infection via kissing, hugging, sharing of a towel, spoon, plates, and so on. If you are puzzled with all that information, I want you to simply get a blood test for hepatitis B infection. It is a simple blood test that can give us a clue. I hope this helps. Post-exposure risk stratification. Hepatitis B surface antigen. Hepatitis B core total. Follow up after testing. |
###Human: What would cause a dark horizontal line across nose? ###Assistant: Hi. For further information consult an internal medicine physician online --> |
###Human: There is a lump above my left collarbone. Is it cancerous? ###Assistant: Hello. There is a lymph node in the left supraclavicular region called as Virchow's node. If enlarged, it may indicate a malignancy of the abdominal region as that is the draining pathway of the lymph from that area. A lymph node from cancer is generally very hard to palpate. A soft node is generally secondary to some inflammatory response, generally an infection. Please ask your doctor to have a look at your abdomen and re-evaluate the node, although I am almost certain, it is nothing but an inflamed node. As it is of a short duration, it is highly unlikely to be anything dangerous. I suggest you get the following tests: For further queries consult an internal medicine physician online --> |
###Human: Is it possible to get nerve related problems due to high lipids and blood glucose levels? ###Assistant: Hello. I have seen the details given. The glucose levels mentioned are normal. Only 106 mg shows a pre-diabetic fasting level. These levels are unlikely to affect the nerve function. From your information, I get a feeling that you do not have diabetes. Is that right? In that case the nerve related issue is not due to glucose levels at all. It may be related to your obesity. With a BMI of 37.07 kg/sq meter (normal < 25 kg/sq meter) you are already in grade 2 obesity. Your ideal body weight should be 77 kg (169.4 pounds). Which means there is an excess of over 81 pounds. That could be the culprit. Plus it can be the cause for precipitating diabetes in the coming years. |
###Human: What could be the cause for the burning sensation on my waist? ###Assistant: Hello. Your HVS (high vaginal swab) was negative, so I presume it did not have discharge. Have you done a pelvic scan because if there are infection and collection at the pouch of Douglas, you may not see a visible discharge. Do you have a regular menstrual cycle, like a predictable cycle? The pain you get around be the time of your ovulation could be a sign of an ovarian cyst, pains of the cyst come towards ovulation. Try to do a scan and get back to me through this platform. I may prescribe some antibiotics and analgesics for the pain you can get Ciprofloxacin, Flagyl (Metronidazole) and Doxycycline and take them for seven days, Ibuprofen 400 mg b.d (twice daily) for four days. |
###Human: Is it possible to treat AVN without hip replacement? ###Assistant: Hello. The decision to treat conservatively or surgically depends on clinical symptoms. You have not mentioned anything about your symptoms. How much pain do you have? Is it bearable or unbearable? How much distance are you able to walk without pain? Are you ready to perform your activities of daily living comfortably? What do you do? |
###Human: What does abutment of the nerve root mean? ###Assistant: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: I am a diabetic with swollen and discolored foot. Why does it happen? ###Assistant: Hello. With history, I feel you have left foot cellulitis. It is the infection on the foot. You might need heavy antibiotics for the infection. Is warmth present on the wound? Any pus discharge from the area? Kindly update these details and also the picture of the purple color. And also I would like to know what is your sugars levels in present condition? |
###Human: Prepuce is not getting retracted during erection. What can I do for it? ###Assistant: Hello. Welcome to the icliniq.com. In a flaccid state, the foreskin can be retracted back over the shaft of the penis easily even in phimosis case. However, you have a problem in erection state as well, and hence you have mild degree phimosis. For that topical steroid cream can be used after consultation with your dermatologist. If it does not help, then you can selectively undergo one daycare surgery that is circumcision. But it is an elective operation, which means the procedure can be done anytime as per your convenience. I hope I have solved your query. |
###Human: I am 18 years old and my gums have receded because of improper brushing. Kindly help. ###Assistant: Hello, Welcome to ilciniq.com. Your teeth are stained with yellow plaques, and the condition is called gingivitis. Try this home remedy, 1) Take one tablespoon of baking soda with two tablespoons of hydrogen peroxide to make a paste. 2) Rinse your mouth thoroughly with water after brushing with this paste. 3) Use an antibacterial mouth wash and rinse. 4) Eat lots of vegetable and fruits. 5) Use a soft-edged toothbrush. |
###Human: I have some weird taste of the water as if my mouth is salty associated with excessive thirst. Kindly help. ###Assistant: Hello. This condition called polydipsia, felling excessive thirsty. Tongue taste is due to dehydration. What about urination, passing more? Usually, this is a symptom of diabetes, are you are in a hot and humid place? For anxiety and panic disorder are you on any medication? Immediately go for investigation such as FBS (fasting blood sugar), PPBS (postprandial blood sugar), HbA1c and urine, sugar ketone RFT (renal function test), LFT (liver function test) and review. If sugar is high go for the treatment. |
###Human: Is stage 2 liver fibrosis a reversible condition? ###Assistant: Hello. Interpretation of reports. With this advanced fibrosis, it could not be reversed back. |
###Human: I have a male pattern hair loss. Please suggest if Finasteride can help in hair sustenance. ###Assistant: Hello. Can you please upload a few pictures if possible to advise the appropriate treatment. Are you married? If yes, did you complete your family? |
###Human: What is the treatment for numb and painful hands and fingers? ###Assistant: Hi. Long time keeping hand in freeze or ice cold things, your blood vessels constrict to avoid heat to escape from the body. Continuously blood vessels constriction will not allow blood to reach to the hand tissues and nerves. So, numbness and pain comes. If you are diabetic or hypertensive, condition will be worse. So, in between your work just rinse your hand and fingers in warm water, not very hot. Use thick rubber gloves to avoid direct cold to your hand. |
###Human: Why does weight loss occur in a patient with TB and pneumonia after an extensive phase? ###Assistant: Hello. I guess the symptoms of cough and chest pain are resolving. If she compliants with her anti koch regimen she would not be losing much weight. But it is well known that chronic illness like tb and pneumonia can cause extensive weight loss and anorexia which again add to the weight loss. You need to see a dietician for prescribed dieting to help increase your calorie intake. Multivitamin should also be taken to improve appetite. Also do a chest X-ray to see the extend of the lesion in the chest with sputum afb. |
###Human: How can chronic body pain associated with movement be tested? ###Assistant: Hello. The normal ESR and CRP essentially rules out inflammatory conditions. Uric acid levels, if high, can lead to joint pains, not body pains. Based on you height and weight, your body mass index is 37.3. This is considered morbid obesity. People with high BMIs can have issues like obstructive sleep apnea, impaired glucose tolerance and high blood pressure. Obstructive sleep apnea can present with manifestations like chronic fatigue and chronic body pains among others. If you are known to snore, have apneic spells (spells during sleep where your breathing stops for several seconds intermittently), feel fatigued and sleepy during the daytime, have frequent headaches and irritability, ask your doctor to screen you for obstructive sleep apnea. If present, that may explain your chronic body pains. Even if you do not have symptoms of OSA, losing weight can improve your overall health and prevent development of metabolic diseases like diabetes. If you want to lose weight, I suggest cutting down on carbohydrates and consuming healthy fats. This is a low carbohydrate, high and healthy fat diet (otherwise called ketogenic diet). |
###Human: What causes inflammation of urinary tract after protected sex? ###Assistant: Hello. If you have symptoms of inflammation of urinary tract than you have to rule out urinary tract infection. For that, I suggest you investigate with urine routine microscopic examination report and urine culture for primary work-up. You can revert back with reports once done. Meanwhile, drink lots of water and avoid excess spicy foods intake. Cranberry juice extract tablet also needs to be taken for seven days. You have done protected sex so chance of sexually transmitted diseases is very unlikely. |
###Human: Please provide opinion on my complete blood count report. ###Assistant: Hello, Welcome to the icliniq.com. In the mentioned history hemoglobin level is low and MCV (mean corpuscular volume) is high, So macrocytic anemia is present (attachment removed to protect patient identity). The cause for which has to be ruled out. Hypothyroidism, vitamin B12 deficiency, liver disease, etc. are some of the causes. B12 deficiency is a common cause, so rule it out by serum B12 estimation. Second reversal of CD4 to CD8 ratio can be from defect in the immune systems like immunodeficiency problems or autoimmune disorders. Chronic illness like HIV also can lead to reversal ration for which fourth generation HIV, ELISA (enzyme-linked immunosorbent assay) testing can be done. Your further workup can be done in the form of peripheral smear examination so that it can guide you further. I hope this will help you. Consult your physician for further examinations and investigations. |
###Human: I feel pulsations in my upper stomach from yesterday. Why? ###Assistant: Hello, Welcome to icliniq.com. I want to know when did you last have Albuterol. It is is used in asthma for air pipe spasm. It has common side effects such as tachycardia (increased heart rate more than 90 minutes when the person is at rest) where people feel there heartbeat. I also notice your heart rate is 90, which seems to be secondary to Albuterol. Pounding of stomach however, is an unusual phenomenon, but can occur due to certain drugs and sometimes without any cause. The condition is called tachygastria. You can simply decrease the dose of Albuterol to see if it works in your case. I hope this helps. Tachycardia. GI motility disorder. Drug side effects and tachycardia. Reduce the dose of Albuterol. |
###Human: What does abutment of the nerve root mean? ###Assistant: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: I used water bottle of a person who was diagnosed with Mono. Am I at risk? ###Assistant: Hello, Welcome to the icliniq.com. I can understand your concern. Do not worry, and I will clear your doubt. Infectious mononucleosis usually caused by EBV (Epstein-Barr), and it can spread through saliva mainly. So sharing of the objects like water bottle or glass object can spread infection. So you are at risk of spending it. But do not be panic. The symptoms are fever and sore throat, mainly with enlarged cervical nodes. Splenomegaly also can occur. If fever, malaise, and sore throat occur than investigate by CBC (complete blood count) and serological test for EBV, which includes ESP (extrasensory perception), Ig M (immunoglobulin M), and Elisa (Enzyme-linked immunosorbent assay). Infectious mononucleosis usually resolves by its own with time. Anyway if you suffer from fever and sore throat that will discuss further and you can consult a nearby physician for examination at that time. It is advisable not to share an object with an infected person. I hope this will help you. Get back with more query if you still have doubt. |
###Human: I am seven weeks pregnant. Can I take both Susten and Duphaston? ###Assistant: Hello. As you had previous miscarriages and ectopic pregnancy, your doctor might have prescribed all these tablets for the maintenance of pregnancy and to prevent abortion. As Susten (natural micronized progesterone) and Duphaston (Dydrogesterone) both are progesterone with the same action, you can go for any one drug. Susten is preferable as it is natural micronized progesterone and category B drug in pregnancy. You have to take these tablets until the viability of pregnancy that is around 28 to 30 weeks. |
###Human: I have burning feet, warm palms and slightly warm penis after treating STD. What can I do? ###Assistant: Hello. You have given a history of STD treated, What type of STD it is? If it is syphilis, is it cured completely? If it is not healed completely may lead to a complication called tabes dorsalis. When syphilis is untreated, the bacteria damage the spinal cord and peripheral nervous tissue. This leads to the symptoms of tabes dorsalis (neurosyphilis). Tabes dorsalis is now very rare because syphilis is usually treated early in the disease. Do CFS (chronic fatigue syndrome), CT brain, and spine. Repeat VDRL (venereal disease research laboratory test), FBS (fasting blood sugar), and PPBS (post-prandial blood sugar). |
###Human: Why is there a dull aching pain above the back of my knee and buttock? ###Assistant: Hello. You lie down on your back, stretch your legs straigh, then lift your left lower limb up without bending knee joint. If you get severe pulling pain from buttock to whole leg, then it is sciatica. This test is called (SLR) straight leg raising test. Hamstring muscle pain in the back of the thigh and lower buttock when walking, straightening the leg, or bending over. Do the SLR test to know there is sciatica or not. |
###Human: I received handjob. Can STD transmit this way? ###Assistant: Hello. I understand your concern. This is true. Only direct genital contact or contact through cuts on genitals, blood, semen or saliva can lead to STDs, not hand job. Take care. |
###Human: What does abutment of the nerve root mean? ###Assistant: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
###Human: What can be done for insomnia? ###Assistant: Hello. Is this the first time you are experiencing insomnia or there has been a previous history? Sleep problems can happen if you are stressed, anxious or have a mood problem. Is there anything stressful going on in your life ? Do you do shift work? Try to address the root cause and learn relaxation strategies. I see that you are talking Zolfresh 10 mg (attachment removed to protect patient identity). It is fie to take it for a few days but not recommended to continue for a longer period. Try these self-help interventions: 1. Relax atleast an hour before bedtime. You can listen to music, or take a bath. 2. Go to bed at the same time. 3. Have a comfortable bed, keep the room dark. 4. Avoid drinking tea, coffee in the evenings. 5. Avoid watching TV or looking at bright screens in the evenings. It can affect your natural sleep inducing hormone secretion. 6. Avoid day time naps. 7. Do regular exercises. 8. Avoid eating heavy meals before sleeping. Take care. |
###Human: Is it normal to have high platelet count in a high blood pressure patient? ###Assistant: Hello. The hypertension is multi-systemic disease and can affect many organs in our body including kidney as well. So hypertension need to be controlled with medication. Kindly attach your kidney reports so that I can look how much damages have occured. Your platelet count is very much high. You have to rule out essential thrombocythemia for that. I suggest you consult nearby hematologist for detailed evaluation. |
###Human: Will taking Effexor increase my anxiety level? ###Assistant: Hello. Some people can experience worsening of anxiety when starting Effexor (Venlafaxine) also nausea, and dry mouth can happen as well. They usually settle by two to three weeks. You are only on a low starting dose so hopefully should settle in due course. Discuss with your prescribing doctor during the next review so that dose titration can be done very slowly as needed. If the side effects do not settle, then, other options need to be considered. You can use Klonopin (Clonazepam) as needed up to four weeks to manage excess anxiety during this period. Do not continue Klonopin beyond four weeks. Keep using CBT(cognitive behavioral therapy) or psychological therapy strategies to manage anxiety and OCD (obsessive-compulsive disorder). Also, try deep breathing techniques and progressive muscle relaxation exercises to manage stress and anxiety. |
###Human: Why is there pain in opposite tooth after root canal treatment? ###Assistant: Hi. I can understand your concern regarding dental health. In this condition, it will take time to have healing of the ligament and tissue at the end of the root of the root canaled tooth as it was previously affected by the infection. So do not worry and take antibiotics and analgesics prescribed by your dentist. If the pain persists even after all these, then go for check up with a radiographic investigation of the same tooth. |
###Human: Does swollen lymphnode everywhere in the body mean cancer? ###Assistant: Hello. Generalized lymphadenopathy cannot always be due to cancer. However, lymphoma blood cancer is one of the cause for that. I suggest you investigate with biopsy of grossly visible enlarged lymph nodes or FNAC scan to identify the cause for enlarged node. If you have lymphoma, then it will be evident by histopathology of biopsy specimen. It is advisable to rule out HIV also by combo ELISA testing. |
###Human: What does abutment of the nerve root mean? ###Assistant: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Is surgery the only option for nontuberculous mycobacteria infection? ###Assistant: Hi. It is unfortunate that you have to undergo repeated surgeries due to the infection. A combined therapeutic approach including surgical drainage, debridement, and prolonged treatment (more than three months) with combined antimicrobial agents, has been used in managing cases of atypical mycobacterium. In some cases based on clinical assessment, successful treatment requires aggressive debridement of all infected subcutaneous tissues and skin. Surgery does play a major role for these kinds of infections and may have to be repeated. I should be able to give you more inputs if I see the scans and reports. Kindly revert back with the same. |
###Human: I am suffering with sudden bouts of loose motion. Please help. ###Assistant: Hi. Such diarrhea is seen in Irritable bowel syndrome (IBS). IBS is of three types: You seem to be suffering from IBS diarrhea predominant. However, IBS is a diagnosis of exclusion. We investigate suspected cases of IBS with thyroid profile, fasting blood sugar and ultrasound abdomen. If all investigations are normal as you have mentioned blood and stool test (considering these investigations have been performed), then you are probably suffering from irritable bowel syndrome. In case you ever have had blood or mucous in stools, you require a colonoscopy to rule out any evidence of inflammatory bowel disease. I advice the following for treatment of IBS: Idiopathic. Routine. IBS. Stress free life. |
###Human: Is it safe to do extraction without wearing gloves? ###Assistant: Hello. Getting a tooth removed is a terrifying experience for all. It is the dentist's responsibility to address the patient's concerns and make them feel comfortable. Ideally, the procedure should be explained to the patient beforehand. Infection control is very important for the safety of both the dentist and the patient. A dentist must wear gloves and face mask before any treatment. As far as using a hammer and a chisel, these are the instruments usually present in dental clinic. They are a part of the dental instruments used for teeth extractions, especially in difficult cases. Although, a local anesthetic injection is given prior to removing a tooth, anxious patients may need more than one injection. Also, while the local anesthetic is good for numbing the area, patients can still feel the pressure sensation during tooth removal. In the end, it all comes down to proper communication with your patient and constant reassurance during the procedure. |
###Human: My fiance ejaculated on my hand. Could I be pregnant? ###Assistant: Hello. Please do not be worried. There are no chances of pregnancy at all. Firstly, because you had washed your hand with soap which carried the sperms and sperms do not survive on contact with detergent or soap. Secondly, you have taken an i-pill within 72 hours. Hence, your menses are likely to be delayed due to high progesterone pill you have taken. Now, you should get a withdrawal bleed within next 7-10 days from the day of pill intake. So, you should be patient and wait for the withdrawal. However, if you are anxious then as on today you may get a serum beta hCG test done to rule out any pregnancy conclusively. If the hCG levels are less than 5ng/dL then you are surely pregnancy safe and you can then calmly wait for your menses to arrive naturally. |
###Human: Is it possible to insert GPRS chip inside ear? ###Assistant: Hello. Yes, it is technically possible to implant a small GPRS (general packet radio service) chip in your post aural region. But, that type of device cost a lot. I do not think that anyone can access to that type of device as shown in most of spy movies. So, do not worry. Nobody is going to track you. If still you have any doubt then you can do an x-ray of mastoid region to clarify it. |
###Human: I used hydrogen peroxide for my clogged ears and now it is stuck. Please advise. ###Assistant: Hello. I hope this helps you. Do not worry. It is most likely to be impacted wax. For further queries consult an ENT otolaryngologist online --> |
###Human: Is it normal to have foamy urine? ###Assistant: Hi. I appreciate your vigilance. Mild frothing of urine is usual, but excess of frothing denotes protein leakage in urine. What is your age? Do you notice any swelling of your feet and face? Do you have any other medical problem? To be sure get a urine routine microscopy report and follow up with that. Revert back with answers to the above questions to a nephrologist online --> |
###Human: Is it normal to have palpitations with high blood pressure? ###Assistant: Hi. You have done many tests with cardiac point of view? First of all, raised blood pressure in very young age, 12 years in your case, should be investigated. It must be secondary to some other disease. One of which is called pheochromocytoma. This condition causes both high BP and high pulse rate, along with sweating, fever. These symptoms are sudden and episodic. Pheochromocytoma is basically a tumor of adrenal glands. Other cause of high pulse rate may be hyperthyroidism in which thyroid gland is overfunctioning. Other symptoms include warm hands, sweaty hands, heat intolerance, weight loss despite good appetite, fine tremors, diarrhea, reduced sleep, thyroid gland may also be enlarged, some changes in eyes, etc. As you said your diet is not good, so it may have caused anemia. Anemia leads to fast heart rate. Another cause may be your sedentary lifestyle. As you said you are not active, it causes fast heart rate on slight activity. These are some non-cardiac causes of fast heart rate. Cardiac causes may be atrial fibrillation, inappropriate sinus tachycardia, atrial tachycardia, etc. Detection and differentiation of these requires ECG. If one of these is diagnosed, then next step is to detect the cause of it. Then treatment is done for the cause. So, possibilities of your condition are many. There is a huge list of differentials both cardiac and non-cardiac. Proper diagnosis requires focused investigations. Please provide your previous tests (ECG, holter, etc.) so that I may devise a plan for diagnosis of your condition which may require some other tests as well. Also send a record of daily BP and pulse rate of one week at least. Remember, if pheochromocytoma is the cause, then high BP and fast pulse may be present only during episodes and normal between episodes. Beta blocker is good to control heart rate. So please follow-up with your medical record and BP, pulse rate record. |
###Human: What does polycythemia (JAK 2 negative) mean? ###Assistant: Hello. Your present CBC report is not suggestive of polycythemia especially polycythemia vera which is blood cancer condition (attachment removed to protect patient identity). Your JAK 2, EXON 12 study and bone marrow report is normal as per history. So polycythemia vera is very less likely. Your high hemoglobin could be due to secondary polycythemia cause. Secondary polycythemia is pure benign condition. The causes for that include respiratory problem, cardiac problem, smoking, severe dehydration, etc. I suggest you drink lots of water especially three litres per day. Avoid smoking if having habit. It is advisable to repeat CBC again after a few days. |
###Human: Had ECG for palpitations. Please have a look and assess further steps. ###Assistant: Hello. I reviewed carefully your ECG images (attachment removed to protect patient identity) and would explain that besides right axis deviation, I also noticed the presence of prominent P waves in DII lead, which indicates a pattern or left the posterior fascicular block. For this reason, I would recommend performing a cardiac ultrasound to examine the heart and exclude possible structural abnormality. Regarding the tingling, I would also recommend checking the thyroid hormone levels and blood electrolytes for possible imbalance. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. cardiac structural abnormality. Cardiac ultrasound. |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: What does abutment of the nerve root mean? ###Assistant: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: I am having the symptoms of frequent urination, dizziness, and white thin cervical mucus. Will I be pregnant? ###Assistant: Hello. I have gone through your query. You have been sexually active during your fertile period till the end of last month. Now, the presence of thickening of cervical mucus is a possible sign of conception but not conclusive. The earliest now, considering your anxiety, you can be tested conclusively for pregnancy is after eight days post last intercourse is with a serum beta hCG test (blood test). If the hCG levels are more than 5mIU/ml, then you are surely pregnant. So please get the test done and follow-up with the report. |
###Human: My facial hair is less. Can I take DHEA supplements for beard growth? ###Assistant: Hello. I think it is very normal to have less hair on the face. Even if you have little hairs, it is normal. Do not worry about your DHEAS level. You should not be taking any hormonal treatment unless it is required and so you can consult an endocrinologist for it. If you have normal sexual functioning, you should not worry about it. If it bothers you too much, you can ask a hair transplant surgeon and get a nice beard transplant. Focus on a healthy diet and regular exercise. |
###Human: Why does the pulse rate fall in a 4-year-old after administration of Epinephrine? ###Assistant: Hello. An ECG should have been done immediately to see if the child was having VT, SVT, or anything else that would require you to slow down the heart. Based on the ECG, the next step could have been planned. This is because you have only written to me about the heart rate. The other aspects, like breathing and circulation (blood pressure), also decide the modality of treatment. Does it make sense to give epinephrine to a child having tachycardia? However, if there was no pulse afterward, epinephrine should be given at that particular time. |
###Human: Please have a look over MRI and suggest that the fibrotic is still visible on the MRI. ###Assistant: Hello. I saw the MRI (attachment removed to protect patient identity), the sclerotic tissue from which we have to confirm that the pain you are experiencing is mainly neuropathic and emerging not from the sclerotic tissues as much as from the adjacent structures that are rich with nerves and blood vessels. Due to the anatomic changes that the eye has gone through, all the adjacent structures are still adapting to those newly acquired conditions, and that is what most probably is causing the pain. Whether it is from the compression or the disturbance in blood supply, currently, there is not much to do but to keep reducing the inflammation and prevent future reoccurrence with the prednisolone, but specific preventive measures such as undergoing a comprehensive eye exam as per the ophthalmologist recommendations are necessary. That examination should include tonometry - intraocular pressure, perimetry-visual fields, and optical coherence tomography to exclude any newly acquired changes that might require intervention. As for the diagnosis, although not much changes to the treatment will take place, it should be enforced with a blood test called ANA (antinuclear antibodies) profile to exclude any autoimmune disease that might develop on other organs. I would add a course of Neurobion, which is a complex of vitamins group B and might want to consult a physiotherapist on a method to improve blood circulation in the affected area. I hope I have cleared a few of your questions, and please feel free to follow up with additional inquiries or test results. |
###Human: Why do I get wrinkles on the glans penis after using Lobate cream for pimples? ###Assistant: Hello. Lobate gm (Clobetasol, Miconazole, Neomycin) cream contains a steroid, and because of continuous application, your skin gets thinner. I hope there are no pimples at present on your glans. If you have pimples or any rash, then you should consult a dermatologist. Apply two drops of coconut oil after bath and at night time after cleaning your glans with water. Do not use any soap over glans. |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
###Human: Will taking Sibelium for migraine delay the periods? ###Assistant: Hello. On the aspect of missing your period can be Sibelium (Flunarizine) because it has some effect of blocking the dopamine receptor in the brain. Besides, it is a calcium channel blocking effect. So the possibility is that by blocking the dopamine receptor that will cause a central increase of prolactin. Prolactin will lead to galactorrhea and in turn, alter the menstrual cycle. So it is a possibility that is if you have done a pregnancy test and it is negative. So that dopaminergic antagonistic may cause amenorrhea. |
###Human: I am unable to focus and something is running in my mind. Please help. ###Assistant: Hello, Welcome to ilciniq.com. Continuous something running in mind if it is unwanted is called brooding or rumination. The more you continue it, the more problems it may create. Problems like making you more lethargic. Better start behavioral modifications like exercise, distraction techniques, keeping yourself engaged, etc., with a proper timetable. Watch yourself for anxiety, and depression symptoms if any, then seek help accordingly. |
###Human: My TSH level is 0. 022. Why do I feel so depressed? ###Assistant: Hello, Welcome to ilciniq.com. A blood pressure of 100/60 is normal for a woman in your age group. However, if you are feeling lightheaded upon standing, then you need evaluation to see if your blood pressure drops when you stand up. Your blood counts and urinalysis are normal. Your thyroid hormones Total T4 and Total T3 are within normal ranges. A single low TSH (thyroid stimulating hormone) reading may need confirmation with a repeat test. Are you on thyroid hormone supplements? What are your height and weight? You have been prescribed an antibiotic (Mahacef plus). There is no reason for you to take medicines. I suggest stopping it. Also, no indication to take Citro Soda (you do not have a urine infection). Your health is fine, and so you can stop all the medicines. Your symptoms may have other causes like lack of sleep, stress, etc. You will need further evaluation. You can start by getting a repeat TSH test done at a standard laboratory. Stop the medicines you have been prescribed currently. Once you have the repeat TSH level, you can get back to me. |
###Human: I am a PCOS patient and my prolactin level is 42. Kindly explain. ###Assistant: Hello. The serum prolactin levels are high, which indicate hyperprolactinemia. This can cause hypomenorrhoea or shortened menses even though the cycles may be regular. The PCOD (polycystic ovarian syndrome) element further adds to insulin resistance and putting on weight. The aim of the treatment should be the PCOD regimen and Dopamine agonists like Cabergoline tablet to control and treat both PCOD and hyperprolactinemia, respectively. The classical sign of hyperprolactinemia is the discharge of watery substance from breast nipples, also known as galactorrhea. This often leads to breast heaviness and tenderness. |
###Human: What should I do to treat the constipation in a 8 months old baby? ###Assistant: Hello. Your kid is suffering from an anal fissure that is a cut at anal mucosa. Give syrup Duphalac (Lactulose) one teaspoon full once a day at night time after meals. Apply several ano ointments (Lidocaine, Metronidazole, Sucralfate) locally three times a day for 15 days with the applicator. According to me stop milk from 8 am to 8 pm and give semisolid diet like dal, dalia, khichdi alu kela rice, apple, upama, halwa, rab kadi idle poha satu custard, etc and from 8 pm to 8 am give mother milk is preferable if not give top milk without water and add sugar as per your taste . To start with stop milk for four hours for 15 days and give semisolid diet, next stop milk for eight hours and give semisolid food, lastly, stop milk from 8 am to 8 pm and provide semisolid diet. As 100 ml milk gives 70 calories of energy, 100 ml juices give 55 calories of energy, and 100 gm of semisolid food gives 350 calories of energy. When giving a semisolid diet, provide water as the baby requires. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Continue all the above for at least 2 years of age. |
###Human: What does abutment of the nerve root mean? ###Assistant: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Kindly suggest the management for extreme hair fall. ###Assistant: Hello. Use Trichospire hair kit and Qilib men lotion twice daily. I hope it helps. If you have any other question, please do not hesitate to contact us. |
###Human: What is the treatment for chronic dry cough? ###Assistant: Hello. Chronic cough since long time suggests some allergic condition like asthma. For proper diagnosis you should do a chest x-ray and spirometry test. Other symptoms can be suggestive of some infective cause like tuberculosis. So, ultimately after an x-ray and spirometry test we can make a definite diagnosis. Vertigo can be because of chronic cough. But, clinically it is very difficult to say. Some blood test may also be required for making a diagnosis. Usually, the asthmatic patients have some other allergies also. You have not specified any other symptoms in detail. Please do not hesitate to contact me after doing the above mentioned tests. Treatment mainly depends on the reports. Allergy. Chest x-ray and spirometry test. Asthma. Inhaler medicines. Avoid known allergen. |
###Human: Is PET scan necessary for epilepsy diagnosis? ###Assistant: Hello. For benign childhood epilepsy (BCE) your child is on 6.25 mg/kg/day of tablet Topiramate (anticonvulsant) which is a medium dose and is fine. Side effect to look from Topamac is dehydration. For dehydration, he needs to drink at least 700-1000 mL water daily. He can get tingling in finger which usually responds to taking high potassium diet like banana or raisin. Occasional side effects are kidney stones and word finding difficulty. All anti-epileptic medication comes with some side effects and one has to choose between them and benefit one can have with control of seizures. PET scan is performed in epilepsy patients for surgical evaluation in refractory cases. Is your child still having seizures after taking these two medicines? Also, has he been tried on other medicines before? |
###Human: Please explain my chest x-ray report. ###Assistant: Hi. We are here to help you. The treatment would be based on the symptoms that you might be getting. I would advice in such case to first get a HRCT chest (high resolution CT scan) along with sputum for AFB (acid-fast bacilli) done, which would rule out the evidence of tuberculosis. Rest for rheumatoid arthritis, your treatment is going in right direction. Further treatment decision would be based on CT chest. Rheumatoid arthritis. CT chest. Avoid smoking. |
###Human: There is white tongue with swollen lymphnodes. Why? ###Assistant: Hi. White patches on the tongue can be oral thrush caused by candida albicans seen in severe imunosupression especially stage 3 or 4. Pain on swallowing can be from involvement of the larynx and oesophagus of the thrush seen in stage four. Persistent lymph node is also common. The kid should be put on PeP very important just to avoid getting infected, because there could be an open wound in the child's mouth through which the virus can gain entry. |
###Human: Can I completely get rid of HBV in six months? ###Assistant: Hello. If your HBsAg was positive on the second occasion, but negative 53 days before that, you have acute Hepatitis B infection. Most of the time, HBsAg is discovered incidentally. It is not common for Hepatitis B to be diagnosed in the acute phase. More than 90 % of patients with acute hepatitis B recover completely and do not progress to chronic hepatitis B. Less than 10 % develop chronic Hepatitis B. I suggest you consult a medical gastroenterologist or hepatologist or an infectious diseases specialist. |
###Human: What causes strain in groin and pain in testicles during exercise? ###Assistant: Hi. It seems the exercise put much stress on your groin, the pain could be from strain or tear of the inguinal ligament around that area, could be from the associated attached muscles to the ligament around that area, the associated left testicular pain may be because the spermatic cord which also carries nerves that supply the testicle which also travel via the groin to the scrotum was strained in the process making the pain to appear in the testicle of same side. Is there any testicular swelling? You can use an analgesic Ibuprofen 400 mg BD for five days, apply Diclofenac gel on your groin and massage it thoroughly three times daily. You can also take antibiotics just in case there is an associated epidydymoorchitis. Tablet Augmentin 625 mg BD for six days. You may feel better. |
###Human: What can be done for sharp pain in tailbone area while sitting or standing up? ###Assistant: Hi. Yes, it is worth having a second opinion and clearing your doubts. But I think your doctor is absolutely right about the cause of pain. This is due to a slightly curved spine in the lower back causing the tailbone pain. Chiropractic adjustments and physiotherapy should help solve this problem. You should also try out anti-inflammatory medications to reduce the inflammation around your tailbone causing the pain while sitting. Medicines like Ibuprofen or Naproxen (for about 5 to 7 days). This medicine should only be taken if you are not allergic to it and if you are not suffering from bronchial asthma. If you have a lot of pain while sitting, you should use a doughnut shaped pillow or cushion for a few weeks. But yes, your previous doctor was spot on with the diagnosis. Coccydynia. |
###Human: How can wrist pain with numbness in fingers be treated? ###Assistant: Hello. The pain is in the palmar aspect of your wrist or on the dorsal aspect? Was there any history of fall ,fracture before this and was there a huge swelling? There is a possibility that swelling lead to compression of the nerves that passes through the wrist to supply your fingers leading to severe pain and subsequently numbness. This is most likely a compartment syndrome. Can you still move the fingers? You need to do an X-ray of the hand and then see an orthopedic surgeon let them check you thoroughly. |
###Human: Is it normal to have bulging veins in arms and legs with pain? ###Assistant: Hello. Your problem looks like varicose vein. Veins will bulge when you are standing or moving around when unlike down it regressed and blood flows back into the deeper veins and empty back into the heart. Varicosity is due to incompetence or weakness in the valves within veins which prevents the blood from flowing back as the blood has to be returned to the heart for recirculation. Due to weaknesss in the calf muscle which contracts and compress the deeper veins causing blood to be squeezed out of then for upward emptying into the vena cava and into the heart. Blockage of the pathways of flow or deep veins due to venous thrombosis, usually common in women, tends to increase with age, and with use of contraceptive pills and with pregnancy because of increased intraabdominal pressure which in turn comprises the vena cava and affect return of blood back to the heart. Complications can be venous thrombosis due to increased stasis of blood. If there is so much build up of pressure for long time can cause venous ulcers. Management is elevation of the leg when lying down. Use compression stockings to support and collapse the veins, avoid use of high heels. Change your standing or sitting position from time to time. You can do Doppler ultrasound scan. |
###Human: Will penis extender cause shortening of size instead of enlarging? ###Assistant: Hello. I want to know the reason for which you are using a penile extender. Do you have a very decent size why you want to increase it further? It is like your height is 6 feet but you want it to be 6.3. Everything you do has got side effects. If not done properly can lead to trauma and hence shortening. Are you diabetic or hypertensive? Any other chronic illness? |
###Human: What does abutment of the nerve root mean? ###Assistant: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Advice some supplements for hair thinning and hair fall. ###Assistant: Hello. PCOS (polycystic ovary syndrome) clearly has an effect on hair growth on patients. Dietary carbohydrate causes more insulin release in women than men. This stimulates production of testosterone from ovaries in women. First try restrict carbohydrate from diet for few months before starting antiandrogen as a treatment. To avoid food rich in carbohydrates such as rice, milk, yogurt, ice-cream, potatoes, etc. |
###Human: I am anxious because I failed in my exams and scared to inform parents. Please help. ###Assistant: Hello. Failure in exam is quite common and always remember that it is only a temporary setback. Almost all successful people would have failed an exam at some point in their life. Do not put too much pressure on yourself by hiding it from your parents. It can be a difficult burden. Your parents may be upset, but eventually, they will get over it. After initial disappointment settles down, they will support you. Learn to develop coping strategies to manage frustrations. You will come out stronger in the long term. Try to distract yourself and relax for some days. Then plan to retake the exam with better preparation. Make sure you eat well, sleep regularly, listen to relaxing music, talk to supportive friends and family. If anxiety is just situational nothing to worry, it will get better when the situation improves. But if it is persistent, you will benefit from some counseling to manage anxiety. |
###Human: What could be the reason for persistent cough and the feeling of having something in the throat? ###Assistant: Hello. The cough you say is it dry or sputum? Are you losing weight? Is there any drenching night sweat and persistent low-grade fever? Is there any history of contact with someone with a chronic cough in your locality? Do you smoke, is your occupation such that you are exposed to industrial dust, and asbestos? Is there any associated chest pain, any difficulty in breathing, etc. A small thyroid nodule may not make you cough but if the nodule is impinging on your trachea that can irritate which you claim you notice in your throat. The thyroid check you did was it thyroid function test to know the thyroid hormone profile, because a solitary thyroid nodule may be toxic and can be abnormally producing excessive hormones thyroxine which may cause other possible symptoms such as excessive sweating, weight loss, anxiety, intolerance to hot weather, diarrhea, palpitation (as if your heartbeat is audible to you). If non of these is the case, then you have to do screen for TB, do sputum AFB (acid-fast bacilli) and do GeneXpert, that will rule out tuberculosis. If you can help me by uploading some of the tests you did, that would help make a definitive diagnosis in this case. |
###Human: I feel like something is stuck in my throat associated with acidity. Kindly advice. ###Assistant: Hello. Have you been back to your doctor after he recommended Pantoprazole? I think that you need to have an upper endoscopy to look at your esophagus and what is causing this problem. It sounds like you may have a Zenker's diverticulum. This is an outpouching of the lining of the esophagus. There are treatment options for this, but you have to Consult a gastroenterologist who may be able to fix the problem through the endoscopy. I hope this information is helpful. |
###Human: What does it indicate when my T3 and T4 are normal but my TSH is 8. 5? ###Assistant: Hello. What was the reason that you had your thyroid checked? Do you have a history of thyroid disease? Have you had your cholesterol checked? The number you provided is consistent with subclinical hypothyroidism. That is a low function of your thyroid that would not account for your low body weight. We usually do not do anything about these findings except to monitor them. I would recommend that you have your thyroid checked again in one to two years. I also recommend that you have your cholesterol checked and followed if necessary. If you develop any symptoms related to hypothyroidism, then you should see your physician immediately. Symptoms include heat intolerance, changes to your skin or hair, weight gain or loss. |
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