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How does high salt diet affect the blood pressure?
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Patient: 1. For each of the following situations, describe the anticipated effect on blood pressure and the physiological basis of the response. A. A high-salt diet____________________________________… B. A blow on the head that damages (disables) the vosomotor center__________________________________… C. An attack by a mugger__________________________________… D. A Hypothalamic tumor resulting in excess ADH production______________________________… Doctor: DEAR USER,THANKS FOR CONSULTING WITH HCMA) INCREASE IN BPB) VARIABLE DEPENDING ON VASOMOTOR AREA INVLOVEDC) TRANSIENT INCREASE IN BPD) IT LEADS TO SIADH THAT CAN CAUSE VOLUME RETENTION AND HYPONATREMIA NOT RELATED TO BPHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
| 23,327 |
Tearing and burning sensation in upper right side of back, near shoulder blade. Treatment options?
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Patient: hello im 24 and as of a month and a half I have had a really bad ripping burning feeling in my upper right side of my back under and now around my shoulder blade and when I turn a certain degree I drop what ever is in my right hand . Please the pain is unbearable and it comes and goes but as of lately its more consistent. Doctor: Hi This can occur due to disc problems in the cervical spine. When there is prolapse of the disc causing pressure on the nerves, it gives rise to this type of pain. Sometimes the pain can go along your arm and can also cause weakness of certain muscles it supply. You are recommended to see your doctor, who will examine you, ask for some scans accordingly and plan your treatment course. Till that time take some pain killers to reduce your pain. Bye
| 113,350 |
What causes constipation after a fall?
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Patient: I took a bad fall 5 days ago.I have been having much pain and back spasms.Luckily I have pain medication and muscle relaxants as a result of previous herniated discs.I seem to be gradually recovering.However I have not had a bowel movement since the fall.I've taken 2 ex-lax last night and 2 more this morning. Doctor: HelloThank You for contacting HCM.This could be due to decreased bowel movement due to fall or electrolytes imbalance. I would suggest you to visit hospital for Per-rectal examination, Xray abdomen & serum electrolytes to rule out the exact cause so that treatment can be started accordingly.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health.
| 96,698 |
Sciatica nerve endings, stiffness, painful while sleeping, cervical pain. Done physio therapy. Will acupuncture help?
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Patient: I HAVE GOT THE SCIATIC NERVE ENDING STIFFNESS AND PAIN IN THE NIGHT WHILE SLEEPING AND I HAVE TO WAKE UP WITH THE SEVERE PAIN BUT WHEN I WALK INSTANTLY IT IS RELIEVED. THIS HAPPENS ONCE IN 2-3 MONTHS IN A YEAR (FOR THE LAST 4-5 YEARS)....CURRENTLY I AM CARRYING THE CERVICAL PAIN IN SHOULDERS AND NECK WITH STIFFNESS FOR THE LAST ONE YEAR. TOOK THE PHYSIOTHERAPY AND ORTHO TREATMENT BUT NOT HELPED MUSH TO ME. NOW I AM ON THE ACCUPRESSURE FOR THE LAST MONTH Doctor: Hi, Can try, in some patients has shown effective as long as no harm has been done. As you have noticed, once you walk, the pain and stiffness is done; so it is better not to stop exercising (walking, or other light exercise) to relieve pain and stiffness. NSAD taken orally or locally can also help. Talk to neurologist if any intervention can be done.
| 112,410 |
Suggest treatment for muscle spasms in the shoulder blade
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Patient: I’m having pain like muscle spasms form the left side of my scapula radiating to an area just under my right clavicle. It’s like sharp pin that lasts for a few seconds and it’s like it’s tearing through. Also having pain in both shoulders with difficulty raising my arms at times. I pain and tenderness down both arms. Kind of hard to describe because there are multiple sites but the most concerning is this pain that radiates from my back through to front upper right chest. Doctor: Hello,The causes for muscle spasm are:1. Injury2. Blunt trauma3. OveruseYou can take tablet Aceclofenac or tablet Myospas D 400 plus. Apply diclofenac gel or cream. Also, apply ice locally and do x-ray and MRI of back and hip region.Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shyam B. Kale
| 127,728 |
When can i start exercising post angioplasty?
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Patient: I AM 65 YEARS OLD,I HAD ANGEOPLASTY FOUR WEEKS AGO AND A STENT IS PLACED,AFTER ONE WEEK I STARTED MY WALK AND NOW I AM DOING 4 KILOMETERS WALK EVERY DAY FINE AND EASY, MY QUESTION IS WHEN CAN I START MY,PULLUPS,PUSHUPS AND OTHER EXERSICES WITHOUT WEIGHT. AND HOW MUCH CAN I DO...THANKS Doctor: Hello , If the angioplasty procedure was uneventful , the heart function is normal and there are no left untreated blocks , you may start doing your workouts right away as it's already a month since the procedure . Another scientific way to decide is to get a Stress test done and based on how you perform there and what workload you are able to reach, a call on what kind of exercise can do safely can be made . Hoping I could help. Regards Dr Priyank Mody
| 25,492 |
Do I have a bruised bone below the knee?
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Patient: I hit my shin below the knee hard today tubing in a creek and afterwards had quite a goose egg on it. Tonight it is sore but the swelling has gone down some. The funny thing is, there s no bruising showing up where I hit it. Could I have bruised the bone there? Doctor: Hi, As with the history it appears you may have hit the bony region of the shin of tibia. Now tibia is a bone of the leg which has very less bulk of the muscles there, so chances of having a bony injury is common, usually it wont be a fracture as tibia is a strong bone. Only thing is that for a safer side x-ray should be taken to see any hairline fracture. Rest assured, with hot water fermentation and rest it should be fine. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,981 |
What causes severe stiffness and pain in the fingers and shoulder area?
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Patient: I have severe stiffness and joints pain specially in my fingers and shoulder area during the night time and i wake up with pain. my ankle has become painful and tight. I had all the blood tests related to RA and other stuff and they are all fine. What could it be?? Doctor: Hello, They probably checked a sed rate, but polymyalgia rheumatica would be one option. Autoimmune diseases are an overall inflammatory process. If only a few areas are affected, it isn't that but localized wear and tear. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Matt Wachsman, Addiction Medicine Specialist
| 215,695 |
How can acne and pimples be treated ?
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Patient: hello doctor, am 15 years old. and i have had severe pimples .. and i still have them, mostly on my forehead , and cheeks . It is very embarassing for me. i cannot concentrate on anthing. i also have acne scars on my face . mainly in my forehead and cheeks. How can i get rid of them quickly? Doctor: Hi....., Thanks for choosing HCM.., Why U are worrying this.., It is common in Ur age..., If U take care of Ur Skin.., It will conrol easily..., This is called..ACNE VULGARIS...., It is due to Hormonal action....ok., 1) Frequent washes with Triclosan soap... 2) Tab Isotretinoin 20 mg daily for 2 months.., 3) Topical apply ZYCLIN-NANO, or CLINXOL.., 2 times daily.., 4) Take plenty of vegetables and fresh fruits..., ok...good luck..,
| 7,761 |
What causes snorting, sweating and pain in mid of sleep in a 3 year old?
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Patient: Hi, my son is 3 years old and my dr. couldn't tell if he has mono or not, but every time he have a nap or go to sleep he snorts so hard and sweets and also wake up screeming in pain, like a headache or something Do I should take him to the Dr.? or hospital? Doctor: Hello dear!.I would like to have a detailed history regarding the symptomsIs your child a mouth breather?Do you have a family history of asthma and allergy?The symptoms which you have told possibly suggest your child has adenoid hypertrophy.Its not the usual age for adenoid removal.Till then you have to treat him symptomatically.Give him a good anti histamine like Levocetrizine 5 ml at night , monteleukast sachet 4 mg,dissolved in water ,give at night (both these for 3 months).Keep his head a little higher and place a pillow below neck to keep airway open to make his breathing comfortable.You can also try some home remedies like one teaspoon of honey in a glass of luke warm water given once a day.Give normal saline nebulization or steam inhalation at bed time.Hope it will help.Wishing your child good health :-)
| 165,827 |
Suggest treatment for abdominal pain and soreness on the back
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Patient: Hello, For over one year i have been experiencing persistent discomfort in my upper left abdomen, actuallu it seems that is the top of my rib cage. I am also feeling a concentrated spot of pain in y upper left side of my back-if I press on this spot(no lump felt) it is sore for a few hours. I don t know if they are related? I did have a complete Robotic hysterectomy approx. 2 yrs ago. which involved an incident where the Physician nicked my intestines in a couple spots-could this be related? Doctor: Hi.Thanks for your query.You have a discomfort in the left upper abdomen for more than a year seemingly at the top of your ribs and also have spot of pain in the back. History of Robotic Hysterectomy 2 years back, wherein the intestines were nicked inadvertently. I think the Hysterectomy and the intestinal perforation may not be related to your pain at the moment since there is a gap of 1 year.Since there is a point at the back and you are feeling this like on the ribs, it looks to me as a case of Costochondritis. Get examined by a Surgeon, get a confirmed diagnosis, investigation if asked for and take a proper course of medicines and you will be fine.
| 86,811 |
How to improve a thin endometrial lining to increase fertility?
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Patient: hi ! i'm 31 yrs old and suffering from PCOD, with blocked falopin tubes. Last yr , I had undergone IVF, which was not successful, as my endrometrium lining was very thin (5mm). I took allopathy drugs but the lining has not improved. Is there a way to incresase the lining? what should I do ? What are my chances? Doctor: Hi, Welcome to HealthcareMagic. There are no 100 % rule to tell the exavt chances of pregnancy. Chances improves if proper treatment taken. For increasing endometrium lining discuss with your gynacologist use of progesterone tablet per vaginal. This will increase blood supply and hence thinckness of endometrium. Hope I have answered your query. RegardsDr.Deepika Patil
| 42,014 |
How does one inject a shot in a nerve of the back for back pain?
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Patient: I am writing for a friend. She has chronic back pain is in lot of pain. she needs a shot put in the nerve in her back the dr. she was going to go to has cancelled her twice what can you do or can do what is your recommendation she to the point she is crying with it PLEASE HELP Doctor: Hi there .From the nature of your friends complaints I assess that she is suffering from a disc prolapse and all the conventional forms of medications have not done her much good .The kind of injection you have mentioned is most probably an Epidural Steroid injection which is administered around the nerve . Unfortunately it can only be administered by either a neurosurgeon or an orthopedician .......and not by some nurse .Take appointment from some other doctor .In the meantime put her on opiod medication like oxycodone an some oral stetoid like medrol under strict supervision .Complete bed rest is must .I hope my advice has helped Good luck
| 112,061 |
What is the bump on the leg which oozes pus?
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Patient: I have a swollen red bump on my leg at first I thought it was a bug bite then a pimple but when I squeeze it puss comes out and then blood now it and my mom has one to at the moment and went to the doctors but they only gave her antibiotics and it is somehow worse. Do you have any idea what this is and possibly a cure for it? Doctor: Hi,From history it seems that there might be having soft tissue bacterial infection giving ris this problem.Continue with antibiotic medicine for 5-7 days.It is advisable to clean the part with proper removal of pus and slough by your doctor and then go for dressing.Improper removal of pus and slough will take more time to heal.Ok and take care.
| 65,885 |
What causes tingling in head to jawline, stiffness in neck, shoulder pain?
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Patient: Ive been experiencing some unusual symptoms and I m kinda worried bc I have epilepsy, worried it might be ms or fibromyalga. I have tingling in left side of my head behind my ear and down my jawline like my head has fallen asleep, stiff neck and pain in shoulders, sharp pains in my left shoulder when I inhale followed by numbness in my left armand fingers, numbness in my legs and toes, also have uncontrolable twitching in my legs mainly when I lay down at night resulting in less sleep, anxiety through the roof, irritability and severe sudden mood swings. My boyfriend has noticed changes in my behavior and attitude as well as my manager. This is obviously effecting me and my everyday tasks..I feel a lot of pressure in my face and my sinuses are constantly blocked like a sinus infection. Plz help me, I m really concerned seeing I m a single mom supporting my 6yr old on my own..thank-you Doctor: consult a neurologist you might be having severe cervial spondylosis. nothing to worry, physiotherapy will help you but prior to that u need to go to the doctor
| 147,816 |
What causes pain in the lower abdomen on the left side?
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Patient: My 15 y.o. daughter has had idopathic lower left quadrant abdominal pain for a couple of years. It seemed to get better but has come back. She has been nauseous for about 6 mos. and vomits occasionally (once every 2 wks?), also has some reflux. On top of that she has a right ovarian cyst. As of right now, she is experiencing a lot of pain (8 out of 10), she can t taste anything she eats (new symptom as of this morning). No fever. She was born with infantile hemangiopericytoma, which was excised at 8 days old and had myofibromatoses (about 10-bird seed sized) removed at 8 mos. old. Our family is hyper mobile and there is M.S. and Lupus in our family. Her latest blood tests came back normal (included ANA). She has an upper GI scheduled this coming Friday and endoscopy and colonoscopy scheduled next month. Is there anything we can do in the meantime as she cannot function well? She is currently taking Fluoxetine, Ranitidine, Cyproheptadine, Ondansetron and birth control. Doctor: Hello,Idiopathic left lower quadrant pain with the history of surgery after birth for hemangiopericytoma and myofibromatosis needs all the relevant tests like CT scan of the abdomen, barium enema with motility studies, colonoscopy and endoscopy, tests of blood and particularly stool for three days.Ondansetron may be changed over to another medication if it is not working for nausea and occasional vomiting as domperidone can give results.IBS that is irritable bowel syndrome can be considered if all the relevant investigations are normal. Birth control pills can cause lots of metabolic changes and add-on to the present problems. Psychological evaluation by a Psychiatrist if all the clinical evaluation and investigations are normal.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. T Chandrakant
| 86,135 |
Suggest treatment for hemorrhage
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Patient: i had my daughter 4 and a half months ago. I haemorraged after delivery and still bleeding. I had a scan, no abnormalities. I had swabs, no infection. smear was normal.the doctors arent bothered now really but its getting me down. what can i try next? I've had tranexamic acid but it eased the bleeding and once i stopped it continued. please help. Doctor: Hello and welcome to HCMContinuing bleeding after delivery despite treatment can be due to disorders of coagulation system.I suggest you to consult a hematologist for clinical assessment and relevant investigations- platelet count, bleeding time, clotting time, prothrombin time and activated partial thromboplastin time.In case any abnormality is detected in any of these tests, further management can be done.Thanks and take careDr Shailja Puri
| 115,141 |
How to treat the springer problem?
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Patient: I HAVE A SPLINGER PROBLEM, I GOING TO SEE MY DOCTOR ON FRIDAYTO SEE IF I SHOULD HAVE SLING PLACEMENT DONE OR NOT. I AM 75 YR YOUNG. I HAVE HAD CANCER SURGER REMOVAL OF PROSTRAATE QUAD BYE PASS SUREGERY 1995 1996 I AM JUST THINKING WHAT SHOULD I DO I JUST FOUND ON THE ENTERNET AND ITEM TO USE FOR KEGEL EXERCSIE IT CALLED MPT MAXIMUM PELVIC TRAINER SO I AM THINKING TO TRY THIS OUT AND SEE IF IT WILL WORK OR NOT SORRY FOR THE SPELLING ECT I AM A LITTLE TIRED, RIGHT NOW. THANK YOU, NICHOLAS L HADDAD Doctor: hiThanks for the query yes you can use the kegel execiser .Basic function of kegal execises is to provide strenght to the muscles of pelvic floor region.These execises can be done and learnt under supervision of a physiotherapist.However if you are more comfortable with machine you can try with it also.As you are post bybpass surgery dont overstrain yourself increase things gradually.Thanks
| 152,776 |
Is conceving at the age of 40 possible while having heterogeneous endometrium
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Patient: I am 40 years old with no kids I have a pelvic ultrasound done an my doctor says I have endometrium is heterogeneous in echotexture throughout and poolr visualized measuring 8.6mm can this be fix and if so do I have a change of having a bady I have lots 5 by miscarraige Doctor: Hi,You can conceive but first of all you need to do some investigations for your recurrent miscarriages. Do a thyroid profile and prolactin and APLA profile to see for cause of abortions. Uterus alone can not cause abortions. The other thing is that with age the quality of embryos decrease anxiety thus abortions occur. I think you should go for an IVF for good embryo selection and then they will be transferred when your endometrium is good. This will reduce chance of abortions.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya
| 2,711 |
Can pregnancy happen with intercourse performed during a period?
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Patient: I did sex with my wife when she got period. She got period in 1st of this month & 5th of this month her period has stopped. & I did sex with her yesterday night (5th of this month ) now she is not sure that when we did sex at that time her period was continued or stopped. So, we are confused that she is pragnant or not ? So , how we will find out the answer ? Doctor: Hello dearI understand you concernPregnancy is not possible when sex was done during the period.You have did sex on last day of menstruation and it is very safe period of the cycle.During this time there is no release of the ovum so no further fertilization will take place.Pregnancy is possible when sex was done during the fertile phase of the cycle.No matter whether period was continue or stopped, chance of pregnancy is nil.Avoid stress, take healthy diet, drink plenty of water and do regular exerciseHope this may help youContact HCM for further health queryBest regardsDr. Sagar
| 3,220 |
What causes short term memory when suffering from parkinson disease?
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Patient: My 77 year old father has parkinsons for sevarl years. He has no dementia but the medications he is on seems to have made him more dull and able to comprehend and communicate clearly. His short term memory seems to be affected. A recent brain scan shows his brain working normally. Should we ask the doctor to revaluate his medications Doctor: Hi,Thank you for posting your query.I have noted your father's diagnosis and current symptoms.Memory and language problems may occur in people with Parkinson's disease (PD), especially after several years of suffering.It is good news that CT can of brain is normal, as it excludes other problems such as brain stroke, tumours, etc.Medicines used for treating PD may cause e=adverse effects, so, i would request you to send the medication details, along with the dose and timings.It would be also worthwhile discussing the medications with his neurologist.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: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in
| 147,155 |
What relieves the pain in the chest and injury not healing?
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Patient: I got hit on the right side of my chest three four weeks ago when i was training MMA at the gym.. it was a back kick from my coach when i was sparing with him.. but the problem is that the pain isn't healing and the injury isn't covering.. i feel pain when i breath and when i try to sleep on my face in bed..and sometimes when there's no pain or it's very low when i touch a specific place on my chest i feel pain... (there is no broken ribs and the place i got hit on didn't make any marks "blue - yellow etc..") any help please how to heal very quickly... oh yeah.. after several days from the hit i started to feel better, but when i was making sports exercises i felt the same pain again like i just got hit... and yesterday i fell on my back when i was training and that was it.. i couldn't move or speak or do anything and now i'm in pain 24/7 Doctor: Consult an orthopedic doctor.Theres a need for x-ray of chest.it maybe deep seated soft tissues bruise with lingering inflammation
| 130,269 |
Suggest treatment to cure high level of SGPT and SGOT
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Patient: 60 years old female,having high level of SGPT 111, SGOT 126 Gamma GT 104,present complaint generalised abdominal pain,( past history: hypothyrodism since 14 years, oesteoproses moderate 1 year, on medicine:-thyroxin !00 Mcg od, tab centrum silver 1 daily, Zyloric 100 mg od, osteocare 1 tab od ,methycobal 1 tab od, what is the treatment management. Doctor: Hi ....Noted here you have elevated liver enzymes.You have history of many drug intake....Do you might have drug induce hepatitis ...Close follow up necessary...Fried food taken less.Avoid alcohol.Fruits more.Take one tsp crushed carom and cumin seed mixture with water daily....Meat , butter , cheese , pizza avoided.If you have heart problems , myositis etc then also liver enzymes elevated.If still they remain elevated viral marker , USG and complete liver function test done...Take care.
| 54,782 |
As an abdominal tuberculosis patient will I have any problems after marriage?
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Patient: hi i am abdominal tuberculosis patient, i am under treatment, i am taking medicine since two months , doctor suggest me that treatment will be for six month at least, so my question is regarding my marriage.. i am planning to get married next month.. please suggest , there is any problem if i get married or should i wait to get married after my treatment, Doctor: Tuberculosis needs prolonged treatment for 6 months at least. There is a possibility of complications with pregnancy which could definitely affect your marriage and married life in the future. In case of abdominal tuberculosis, fibrosis and adhesions could occur which could entangle the fallopian tubes and thereby creating problems with subsequent pregnancy. But this might not be the case if it has been detected early and such complications occur in only a limited number of patients. Your treating physician can investigate and comment better. In any case, I would strongly insist that you discuss the situation about your disease and its treatment with your prospective spouse.I have taken the assumption that you are a female although it is not mentioned in the question. If that is not the case, the pregnancy complications do not apply. But still be sure to discuss the issue of your disease with your prospective spouse.
| 88,589 |
Is rabies shot necessary after a dog bite?
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Patient: Hi, a dog bit me 23 days ago. I didn-t get the vaccine because we were waiting for the owner to hand over the dog for examination. Long story short, dog was never examined and I never got the shot. Dog is alive. Should I still get the rabbies vaccine anyway? Doctor: Hello,Welcome to HCM,Rabies is a disease transmitted by dog bite which is 100% fatal but it is 100% preventable by proper and adequate treatment.As you were bit by a dog 23 days for which you have not taken any treatment. Don't take any risk with dog bite.Incubation period in case of dog bite is 2 weeks to 6 months, so I would suggest you to follow 1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28.2.If there is any bleeding, I would suggest you to take passive immunization with RIGs around the wound.3.Inj TT, 0.5 ml, intramuscularlyThank you.
| 35,044 |
What could cause thickened wall of gallbladder?
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Patient: Hello, I recently had an ultrasound done on my gallbladder. It showed a thickened wall. The woman doing the ultrasound told me that my doctor would prob opt to take it out. My doc called me the next day and confirmed that I did have a some thickening on my gallbladder wall ( no stones) but said since their was no more pain that it is usually just ignored until pain comes back??? Is this normal? Seems like he should have tried to find out y i have a thick wall?? Doctor: Hi,Thanks for posting your query.There are three common causes of gallbladder wall appearing thick -1. Benign causes like cholecystitis 2. Could be due to malignancy3. Could be a normal contracted gallbladderYou can discuss with your doctor about these possible causes.Regards.
| 57,230 |
Any suggestion for developing hematoma in frontal lobe after diagnosed with schizophrenia?
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Patient: my grandson was recently diagnoised with schizaphrenia. He is 17 and will be 18 on March 27. He was living in California and was homeless. On Feb 11. he got jumped by three men. He was knocked on conscious, hemqtoma in the frontal lobe and 15 stitches in the face. How can I get him help? He needs to nbe reevaluated because I think that diagnose was wrong because he was coming down from being addicted to methadone Doctor: HIThank for asking to HCMI really appreciate your concern, look this is really situation, and this has to be taken seriously, in such cases I actually advise the relatives of the patients to get the patient admitted, in good psychiatric ward under the care of psychiatrist this is the only option you have and this is the only best one, he will be taken good care there, hope this information helps you take care of him, bye
| 147,907 |
Smoothly marginated hypoechoic lesion in breast, lymph node seen in left axillary region. Cancer?
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Patient: smoothly marginated hypoechoic lessoon is seen at 2B of right breast measuring 0.57 x 0.55 x 0.34cm.there is lobulated,solid hypoechoic lession at 2-3B of the left breast measuring 2.10 x 2.24 x 1.27cm. intrammamary ducts are not dilated Skin, subcutaneous tissue ,and retroareolar regions are unremarkable. A 1.30 x 0.85 cm lymph node is seen in the left axillary region DO I HAVE CANCER? Doctor: Dear neelieonyal, It is better to see your family doctor. firstly we have to rule out if it is not an inflamatory process. if necessary according to him get Fine Needle Aspiration done. If it is suspicious exicision biopsy may be needed. All breast lumps should be thoroughly evaluated. Truly, Dr. j. Ticku
| 159,048 |
Can tylenol, insulin and pain medication lead to memory lapses?
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Patient: my father is in the hospital cause his memory is kind of out of whack he takes a lot of medication and the last one was tynenol with 500 nmilligrams insulin and pain medication for his feet hes have time rememerbing our names and hard to talk to hes 80 years old Doctor: Hi80 years old person is likely to suffer with dementia that involve memory also .Other then age diseases from which he is suffering lead to memory probem so why blame drugs.Out of drug which you have mentioned some pain medication with central action may effect memoryTake care of patient with loving feelingshope and wish him good healthDr LalPsychiatrist
| 148,579 |
How to treat seizure?
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Patient: About a month and a half ago I started itching along my bra line. I thought it was just my mole being irritated until a few weeks later when I looked in the mirror to see why I kept itching there. When I looked I noticed it wasn t that same mole it was what looked like a bump with a red center and what appeared to look like a pimple underneath that. My friend had had staph not long before and she said that s what it looked like so I thought that s what it was.well it kept growing and changing colors but I didn t think no thing of it because I figured it would go away. Last weekend I had my first seizurewhich led me to the er. I have bad migraines so they did a ct scan which resulted in yet another perfectly fine ct scan. As soon as the doctor looked at my spots he immediately said that looked just like melanoma cancer. But I was left wondering why I had a seizure out of the blue?! But the spots have changed to black and scabbed over. I peeled the scab off thinking it would just be skin c underneath but I was wrong it is a black spot that looks like a mole but it looks like it is deep in my skin not like most of my moles which are flat on top of my skin. And also my skin on my hands and feet are peeling. What do you think this is? The mole also looks like it has pus around it sometimes. Doctor: Hi, I understand your concern and would explain that your symptoms seem to be related to a skin infection. For this reason, I recommend consulting with a dermatologist for a careful physical exam of your skin. A skin biopsy and other blood lab tests may be needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
| 140,820 |
What causes to wake up with numb hands and inner thighs pain?
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Patient: for the past 2 days, i've awoken with my hands numb, left more than right. i can't make a fist. today i noticed that i have pain in my inner thighs too, when i walk. what is going on with me? i feel like i have compartment syndrome in all four limbs. Doctor: hiI'm Dr Rohitdon't go by google diagnosiscompartment syndrome is absolutely rare without any trauma or causative factorswhat you are facing is during sleep you might be sleeping in wrong positions which causes your arteries to block the flow leading to numbnessoryou may have put pressure on nerves leading to physiological blockage of nerve conduction leading to numbnessboth these conditions recover after removal of pressureit may be said as mild form of Saturday night palsy regarding the thigh also same Theory
| 129,162 |
What does high creatinine levels in report suggest?
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Patient: Just curious, my mom had a urine microalbumin test done a week ago. She is diabetic and has cirhosis of the liver from hep b. Her results are as follows: albumin/creatinine ratio 115 high (range 0.0 - 19.0mg), urine creatinine 11.3 low (range 40-133mg), urine microalbumin 13.0 normal (range 0.0-22.0). What do these tests mean??? She also has a cyst on her kidney measuring 4.7cm...can that effect the urine microalbumin results? Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Generally, a high serum creatinine level means that your kidneys aren't working well. Your creatinine level may temporarily increase if you're dehydrated, have a low blood volume, eat a large amount of meat or take certain medications. The dietary supplement creatine can have the same effect.If your serum creatinine level is higher than normal, your doctor may want to confirm the results with another blood or urine test. If kidney damage is a concern, it's important to control any conditions that may be contributing to the damage. It's especially important to manage your blood pressure, which often requires medication. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
| 52,842 |
What is the solution for discomfort in ribs after recovering from non-Hodgkin s lymphoma while suffering from enlarged spleen?
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Patient: my name is Patricia. I miraculously came through non-Hodgkin s lymphoma 7 years ago after being told had only 3-6 weeks to live. The last year have been suffering with discomfort under left rib - told I have enlarged spleen - just a few tiny nodes a bit lower - ( 1 1/2 years ago) but lately very tired - no night sweats - just feeling unwell - left lung hasn t worked properly since damage to lining after drained 7 years ago - but I am a outgoing person - and have faith - so am not distressed - but just want to know if I should see specialist soon. Am a happy - busy 71 year old. I understand insolent (slow) and last time it was fast. Maybe?? Doctor: Dear Patricia,Though you have recovered from Non Hodgkin Lymphoma but after a gap of say 7 to 10 yrs there is a come back possibility. There is no harm in getting a specialists check up done at your convenience.In your age mild rib pain might be due to osteoporosis. calcium Vit. D tablets should help you.Truly,.Dr. J. Ticku
| 157,053 |
What is the reason for itching in the scrotum?
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Patient: Im 15, 6'1, 150pounds, never ever had any problems health wise. A couple days ago I came back from the beach and my scrotum was itching bad! So i obviously itched it. The next day i noticed i had red rashes here and there on my scrotum. they almost look like they are scabs. what is this? Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.All these symptoms are suggestive of epididimitis which is inflammation of part of testicle and not uncommon in males. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequances. MAsturbation and intercourse should be avoided till pain persist. Some more serious conditions such as tumors or torsion are rare but in doubtful cases you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
| 196,822 |
Does the Plan B pill effect the results of general physical and pap smear test?
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Patient: hello, i have just taken the plan b pill after a condom broke. i am scheduled for general physical and pap smear in 2 days. i read somewhere the pill can affect the results of the test. should i rescedule for a later date? does the pill induce your period? thank you Doctor: Hello,The plan B pill does not affect the cervix or the pap smear result so I do not think you will need to reschedule the examinations another time. On the other hand, the plan B pill may cause your menstruation to be one week earlier or one week later, so you may have your periods when you do not expect them. In this case, if you are bleeding, the doctor may decide not to do the pap-smear because the presence of blood may affect the results of the pap smear.I hope this answers your query. I remain at your disposal for further medical assistance.Regards,Dr. Antoneta ZotajGeneral and Family Physician
| 85,508 |
What type cream helps for pimples and spots ?
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Patient: hey ....good morning sir...........actually when i was small i was very fair looking and also i didnt have any spot but i suffered from T.B at the age of 2 from then my color started to darken.............and now my color is extremely dark and its full of pimples acne and spots ........please suggest a cream with chemical name ..............and theirs a request as i m not so rich please prescribe a little cheap cream Doctor: hi u need to first consult dermatologist and find out the reason it may be due to drug which u have taken for tb as it is common it may be due to heredity or nutritional or sun damage if damage in deep layer of skin then there is little hope and if it is in upper layer then u will get ur skin back there is nothing like cheap or costly u required per fact cream ,without examine it is not possible apply sun screen lotion twice a day .
| 9,027 |
Does Meftal have bad effect on kidneys?
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Patient: Hello Dr. My child is 23 months old and he has high fever and has got ceasers attach twice. Once in nov. 2009 and again last week. Dr. in Chennai have given Mental P but i heard giving Meftal P for long time is very bad for kidney. Is it true and if yes what are the side effects? Doctor: Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology
| 161,408 |
Does trigil tablets cause swelling of legs?
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Patient: I have used trigil tablets for 3 months, and then stopped as per doctor advice for non-availablity of medicine and ban. After that, for the past 2 to 3 months toe (Kanukkal) swelling both the legs. Is it the side effect of trigil or some other reason. now I have taken tribose m3 2 tab twice in a day i.e. morning and evening. Even after taking diabetic tablets, I feel banning sensation on right leg patham upto upper side. Please answer Doctor: Hello sir,The tablets are not responsible for your complaints.The diabetes is; diabetes causes the complaints over feet due to neuropathy .To stop the progression of this,you have to control your blood sugar level ,exercise and life style midification .and it has to be measured every month and also the status of you control can be estimated by doing Hba1c evaluation.Kindly consult your diabetologist for sugar control.Thank you
| 133,276 |
What is the treatment for back pain and disc bulge?
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Patient: Sir, my age is 53 Years/Female. I am suffering from back pain since last two years. MRI scan report is as under: 1. Hypertrophied Ligamentum Flavum At Multiple Lumbar Level Compressing The Posterior Thecal Sac 2. Disc desiccation at L2-L3, L3-L4, L4-L5 & L5-S1 3. Posterior annular bulge of disc at L4-L5 & L5-S1 level compressing the ventral thecal sac and along with hypertrophied ligamentum flavum are narrowing bilateral neural foramina compressing the L4 & L5 exiting nerve roots significantly Please suggest me appropriate medicine for proper treatment. I have been consulted doctor but did not get relief. Doctor: Hi, Welcome to healthcare magic.After going through your query I think you may be suffering from degenerative spine with multiple level disc prolapse in lumbar spine. Many of my such patient got relief by analgesics such as diclofenac slow release tablets(if pain is more than strong analgesic such as tramadol is useful), Diacerine, Glucosamine and neurotropic agents such as mecobalamine. You can discuss with your treating Doctor.Hope I have answered your query. If you have any further questions I will be happy to help.Wishing you good health.Take care
| 110,179 |
When will i recover from jaundice to start normal food?
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Patient: I am suffering from jaundice. My bilirubmin level was 9.7 on 11th jan. Now after i took ayurvedic medicine for 5 days it has come down to 3.2. I wish to know about the recovery process and how can i start having my normal food as i will be travelling next month. Doctor: Hi dear thanks for asking question.Yu have not mentioned cause of jaundice.Your bilirubin level decreasing that is good sign.For at least 20 to 25 days try to avoid outside food.For few days take following measures I am advising you......More fruits.Avoid smoke and alcohol.Refined food not taken.Avoid trans fat like cheese, butter, meat , chips etc.Use very less oil in food.Use only good oil like sunflower oil or peanut oil.Take papaiya seed with lemon juice twice daily.Licorice with honey also good herbal remedy.Don't worry you will recover and can enjoy tour after 1 month.Till that take care.Dr.Parth
| 55,136 |
Suggest remedy for yellow green bowels with seeds
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Patient: My 4 month old daughter is having a bowel movement every time I feed her and it is yellow and green with the seeds but is watery and smells acidic. She also sometimes cries very hard when I put her in a inclined position. What could be wrong?Thank you Doctor: Hi, This is a completely normal phenomenon and you need not worry about this thing related to any disease process. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology
| 162,002 |
Spinal stenosis, liver disease, fluid in lungs
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Patient: my boyfriends 71 year old father is in I think in the last stages of Spinal Stenosis he also has Liver disease .He cannot move his limbs and is listless.We had to bring him to the emergency at 3 in the morning , he has alot of fluid in his lungs. I would like to know if he is going to recouver or should we brace our selves Doctor: Thank you for writing in HCM. The said gentleman has 3 problems all three of which are incapacitating and without much treatment options.A delicate balance has to be achieved in order to reverse the changes. Again the prognosis depends upon the severity of the disease processes. the lung problem is due to the bedridden state. Overall the prognosis in the said case is not satifactory. Regards
| 60,143 |
Suggest treatment for bloating during pregnancy
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Patient: Hi.....I have not had my period in almost 2 years. It came a couple of days ago very lightly for 2 day and I usually get it for 5 days. I thought I was pregnant so I took a pergnancy test and it came back positive, but I have the bloating, running back and forth to the bathroom, and also eat alot what can be wrong with me. Doctor: Hallow Dear,At the outset let me congratulate you on your pregnancy. Let me solve your queries one by one:1. Frequent urination is one of the cardinal symptoms of pregnancy. This is due to the pressure of growing uterus on the urinary bladder. Therefore, if you do not have any other urinary problems, you may ignore this issue. 2. You are eating very frequently and that too sumptuous amount of food. This is naturally leading to bloating due to gaseous distension. Please modify your eating habits. Have small feeds 6 times a day at the interval of 3-4 hours. As far as possible have bland diet. Avoid spicy food. This should take care of your gaseous distension. Moreover, for immediate relief, you may take some carminative like plain Soda or Gasex tablets. During first three months, I would not press you for any specific diet or any medicines. Eat what you like and what you can digest. If you can tolerate take Folic acid tablets. After 3 months, you will be advised about the diet and medicines when your nausea and vomiting will go away.I hope this helps you. Dr. Nishikant Shrotri
| 220,747 |
On Methadone for severe back pain, have stenosis, took various steroids. Will it cause further problems ?
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Patient: I am on Methadone for severe pain in my back due to 3 lower disk, one that is bone on nerves on bone with arthuritis now. The other two are stenosis and in bad shape. I've had 6 MRI'S in 10 years. I've taken or tried many different pain meds, this is the only one I don't crave more over, and yet it takes away my pain. I've ben to Spinal surgeons who have told me there wasn't a who lot they can do. I've been to several pain management doctors. They have all pumped me up on so much steroids, I'm not a loud to have any, anymore. No wrecks or job claims, simply happened. Some say the cortisone made it worse. I'm 58. I can't sleep or do house work or play with my grandchildren without help. The doctor I see now gave me the Methadone and Klonopin and It really helps. But he has moved away. The one who is taking his place had a fit! He doesn't understand that the Methadone helps with the pain and I don't crave it. The other helps with stress. It is Methadone 3X's a day at 10mg. THe Klonopin is 2 times a day, 1 mg. The new doc says I'll be dead in 1 week or on kidney dialysis even though I take a blood test every month and all is, as my doctor says, perfect! He shows it to me! So should I believe this new doc who says I couldn't be hurting as much as I say, and get off of the meds? If I do, I'll be in bed all day and night! Just need a second opinion! Doctor: Hi, if your doctor says some thing it is for your good only, and there is a possibility of being craving for the drug, and there is possibility of withdrawal symptoms. I to my patients with such a condition prescribe neurotropic injections for 10 consecutive days, and NSAID when ever necessory. Thank you.
| 112,627 |
What does the ct scan indicate calci foci deposits in my left cerebullum?
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Patient: Recently I hd undergone ct scan of my brain....the reports says I hv small ti y calci foci deposits in my left cerebullum...need to know what is it and how does it can happen to one person...what are the precautions to be taken...also the doctor has ibformed me having migraine problem..is these related Doctor: Tiny small deposits of calcium in the brain are always thought to be not related to any other medical disorder of the brain.(migraine)One cannot take any precautions for getting calcium deposited in the brain, not it is harmful unless the size of the deposit is so large that it can cause seizures( it is rare)
| 147,594 |
What causes intermittent pain in chest while deep breathing?
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Patient: I am 57 years had triple vessel graft 2 years ago and on full medical treatment . I still have chest pain at rest and when taking deep breath plus feeling of sob which last one to two hours when i walk there is burning sensatin after 10 min which diappear after 4to5 min rest what should I do now thanks Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. Since you had cardiac surgery in the past, we should first rule out cardiac cause for your symptoms. Your symptoms like intermittent chest pain, shortness of breath etc are commonly seen in heart diseases. So first get done ecg, 2d echo and if needed coronary Angiography to rule out heart diseases. If all these are normal than get done chest x ray and PFT (Pulmonary Function Test) to rule out bronchitis. As bronchitis can also cause similar symptoms. So you should consult doctor and discuss all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 79,435 |
Follicular study report endo 8mm, Fertomid. Can I get pregnant?
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Patient: i am 36 yrs old and wish to conceive. my doctor suggested me take fertomid 50 mg on 2nd day of my periods and to go for follicular study. my reports shows, uterus-normal in size. myometrial echotexture is normal.no focal lesion . endometrial thickness normal.both ovaries shows normal appearence. follicular study report-9th day- endometrium 6mm, RO follicle, DF 15x14mm, LO-NO DF. POD, No free fluid . 11th day-endo-8mm, RO f-20x16mm, LO F-NO DF, pod-No free fluid....is everything normal, can i get pregnant? Doctor: hello welcome to HCM the treatment given to you - is fertomid and the scan done shows you have responded to the treatment The chance to get pregnant is high if the other parameters like semen count and motility, fallopian tube patency are good If trying naturally the success per cycle is 9 - 15% please try and wish you all the best hope to have answered your query Dr Nandita Thakkar
| 44,568 |
How to treat seizures?
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Patient: I have one daughter (17 years old) and a son (13 years old) both of them have seizeres only after three years of their age. Now my daughter is on zeptol 300 mg (1-0-1), lacoset 100 mg (1-0-1) and zonisep 100mg (0-0-1). my son is on zeptol 300 (1-0-1) encorate cron 300mg(1-0-1). daughter memory and IQ is poor and son develops autistic behavior and he cont speak. for both of them seizere is not controlled. MRI and other scans were normal. what is the cause for this seizere? and is the disorder is due to the long term medication please advise for the further action Doctor: HiThanks for using healthcare magicIn most of cases of seizure disorder, it is very difficult to find the reasons of attack. In your case, they are already on lot of drugs and if still, seizure are not getting control, better to consult a neurologist and ask him to increase the dose of the drug accordingly. Medicines help to control seizure, so there is no need to think about this. In case, you need further help, you can ask.Thanks
| 209,582 |
What causes bleeding and uneasiness during motions?
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Patient: my baby name is, geethika is feeling uneasy ,while is going 2 motin, when is going to motion , in that blood also coming why it is causing ? she is 10 months baby only, only when she is going to motion she is feeling uneasy , otherwise she is good, why it is going like that? pls answer to my querstion sir Doctor: HiI understand your concerns but don't worry. The most likely reason can be an anal fissure in your baby. It can be easily managed. I would recommend you to visit a pediatric surgeon for proper clinical evaluation and definitive treatment.Take care
| 169,177 |
How to treat a 21 year old who is under depression?
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Patient: hi...i m a girl of 21 years....i m suffering from depression . i want to be happy....but i m always trying to be sad..i dont know why?i just irritate people around me...i m feeling like coward to face a little prblms of life...i m sick to going college and to talk my frnd nd classmate...i alwayz think about suicide how to kill myself...i want to live happy please help me ...i m sick ....please...please Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are feeling depressed and this seems to be affecting your routine life in many ways. There are different treatments for depression available - in the form of medication as well as psychological therapies. However, it is important that you first have a proper and detailed assessment to arrive at a correct diagnosis, so that the appropriate treatment can be initiated. So, I would advise you to see a psychiatrist in your place for a detailed evaluation and further treatment.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist
| 210,419 |
Suggest remedy for problem of loosing balance
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Patient: dear sir iam 42,when i was 29 i had problem of loosing balance,when i lay down in the bed at night. it was like spinning.then i consulted a doctor and advised me vertin 16 tab for 10 days. and i felt ok.After 4 years i got the same problem and consulted the same doctor and asked me to take some blood tests and advised me the same medicine.and told me it was the problem in the ear and i felt ok then. Actually have been traveling from sea level to 1500ft high place everyday 4hours(up and down) for my job since last 4 years.Now i feel loosing balance while looking down. Sir is it a serious problem? I beg your valuable advice. Doctor: Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. As the scenerio explained by you,the most probably cause of your vertigo is menneire's disease(related to ear). yes this is serious problem if not get treated on time and if treated its nothing just like blood pressure and diabetes problem.. so i would like to suggest you to visit ENT consultant and get the underlying cause of this problem so that you can enjoy comfortable life ahead.Hope this may help you. Let me know if anything not clear. Thanks.
| 144,861 |
What can be done for the recurring contractions in 37th week of my pregnancy?
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Patient: My name is Jennifer Rivera and I am 37 weeks preganant and Having trouble. See I am having contractions every 7 minutes lasting 1 minute to 2 minutes and I am having all kinds of different pain that I did not have with my first. Everytime I go in to the hospital they tell me that I have a blader infection. but my test result are fine. I would like to know what more I could do. Doctor: HI, Thanks for the query. I understand your concern. Pain in abdomen in late month of pregnancy can be due to- - Mild contractions of uterus which move baby down in pelvic cavity. - Constipation/ gasses due to disturbed digestion. - Frequency of urination,which is normal at the late pregnancy, still infection has to be excluded as pain suggests infection.. which needs treatment - Infection of vagina or pelvis needs to be excluded. - Calcium/ vitamin D deficiency can cause such pain & is relieved after replacement. * So you need a through check up with needful investigations to exclude infection/ diagnose & get specific treatment. Thanks.
| 222,266 |
What causes gushing of fluid through vagina during pregnancy?
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Patient: Yesterday, while grocery shopping I began gushing liquid, and I am almost certain that it was not urine. It felt like blood during my period, but it was clear and would not stop. I went to the hospital and they checked me out and saw plenty of fluid around the baby and didn t see any amniotic fluid inside me when they did a swab. What could it have been? Doctor: Hello dear,I understand your concern.Iam happy that the leaked fluid was not the liquor.As enough liquor is present and the vaginal swab has ruled out it to be amniotic fluid it might be mostly vaginal discharge.Sometimes the vaginal discharge will be so excessive and mistaken to be liquor.So relax.Avoid stress.Observe for fetal movements.Take adequate fluids upto 3 litres per day.In case of any excessive thick curdy white or any yellow vaginal discharge I suggest you to rule out vaginal infection.Best regards...
| 221,237 |
What causes breathing difficulty along with wheezing and anxiety?
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Patient: Having trouble breathing. am wheezing and anxiety related to not breathing. No pain. just a harsh sounding cough. Symptoms originated from a flu or bad cold. Have had this once before. very stressful. When i try to relax or take a warm shower, the symptoms improve a little bit Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Breathing difficulty is a common symptom when yo have anxiety. But you need to get yourself checked by a physician for other possible breathing problems before concluding. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand
| 204,428 |
What causes trouble in stomach and chest after having epidural steroid injection?
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Patient: Hello , i have had IBS since i was around 20 and have always suffered with it but what im experiancing now is a major life changing thing ! i have slipped discs and had an epidural steriod injection last year in june , since then ive had nothing but trouble with my stomach and chest ! ive had barium swallows ecg`s and chest xrays but all come back inconclusive , as i type i have this pain in my stomach upper abdo and in my cheast like stabbing pains i been experiancing this since june ! im only 28 years of age but its getting me so depresed as my doctor doesnt really know what it is i just had some blood tests and the results come back ok , this is really affecting my life and just wanted to know what you htought about it ? im due for an endoscopy end of this month where they want to film how my stomach is working does this sound right ? Thanks Doctor: Hello, If you have had a series of tests already which have failed to show any definite pathology in the stomach or related organs and you have been examined by a doctor who wishes to perform an endoscopy then. By all means have that particular test completed before anything else. However, if this is also unable to demonstrate any pathology then, I believe you may wish to consider that anxiety and stress may be to blame for the symptoms. Abdominal pain, bloating, gassy feelings can be brought about by such psychological pressures and it may be worthwhile speaking to someone on how to perform relaxation exercises and on how to use breathing techniques to feel more comfortable both physically and mentally. You may wish to become part of a gym and get into a workout routine as well as this can also divert painful vague symptoms away from the referred area and improve your ability to relax once you've exerted yourself a bit. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
| 139,961 |
What medication is suggested for hernia?
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Patient: 44 yr old male with a hernia began having diarrhea 1 week ago complains of abdominal pain in lower portion of stomach and groin area. relief is found with sitting down last night pain as intense with every bowel movement any ideas if this is from the hernia ?doc appt is sched for thurs original thought was IBS Doctor: HelloThanks for query .You have been known to have Inguinal Hernia .The severe bouts of pain that you are getting repeatedly is most likely to be due to hernia getting obstructed in inguinal canal (Obstructed Inguinal Hernia )There is no medicine that can can cure Hernia.The only treatment option for hernia is surgery of Herniotomy and Herniorhaphy.Consult qualified General surgeon for clinical assessment and get operated at earliest to avoid to face an emergency situation .Dr.Patil.
| 197,146 |
What causes dizziness and tingling sensation in the legs after having shingles?
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Patient: I am 69 years old , lately I have tingling on my legs up to my body , plu i have dizziness and my left leg is num sometimes plus cold, Thi is happen after I had shingels in ocgt. last year . I was to the doctor and i tooc antivirus . Should I be concert , . What I should do . I will appreciate very much your answer . Thank you very much . Doctor: Hello,As per your clinical history is concerned, please follow like this-1) Do a clinical examination by your family doctor and do complete blood count (CBC) with differential to confirm.2) Discuss with your doctor [iron and vitamin B 12 injections], and you need to take it weakly.Do follow lifestyle modifications like this-1) Do take iron-rich foods which include beef and other meats, beans, lentils, iron-fortified cereals, dark green leafy vegetables, and dried fruit.2) Take folic acid, which can be found in citrus fruits and juices, bananas, dark green leafy vegetables, legumes, and fortified bread, cereals, and pasta.3) Do take [Vitamin B-12], and this vitamin found naturally in meat and dairy products. 4) Take foods containing vitamin c such as citrus fruits, melons, and berries that help increase iron absorption.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Uday Nath Sahoo
| 29,043 |
Suggest treatment for erectile dysfunction
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Patient: My husband is having hot flashes and sometimes can t get an erection. The hot flashes also bring on leg cramps. He as been eating bannanas for the leg cramps. Sould he see a doctor? He is 55 years old and never had a problem with getting an ererction. Doctor: Hello I am Dr Aamir and I will be answering your queryDoes he have morning erections?Does he have in night penile tumenesece?Yes he should see an urologist
| 200,735 |
Have prostate cancer, biopsy positive, increased PSA level. Surgery best option?
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Patient: Hi my dad was just diagonised with prostate cancer ....His psa was 4 last year and it jumped up to 9 this year...A biopsy was done 5 of the 12 core came back with a posiitve result...my dad has a small prostate...the doctor has recommended surgery. My dad is 62 very healthy and has had no problems intil now...Is surgery the best option? Doctor: Your dad can undergo surgical removal of the prostate, or prostatectomy, which is a common treatment either for early stage prostate cancer or for cancer that has failed to respond to radiation therapy. The most common type is radical retropubic prostatectomy, when the surgeon removes the prostate through an abdominal incision. Another type is radical perineal prostatectomy, when the surgeon removes the prostate through an incision in the perineum, the skin between the scrotum and anus. Radical prostatectomy can also be performed laparoscopically, through a series of small (1 cm) incisions in the abdomen, with or without the assistance of a surgical robot.Regards and take care
| 158,083 |
Suggest treatment for back pain
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Patient: i am having pain in the upper to middle right side of my back it started last week and lasted 2 days and then moved to my chest and it hurt to breathe then the next day it stopped and now a day later it has started in my back again what should i do? my step dad said to go to the doctor but if its nothing then i dont want to Doctor: Looks like its a muscular pain towards your affected side shoulder blade muscle. In medical term it is called as medial border scapular muscle pain.It happens due to loss of cervical curve or else over use injury. But conformation can be done only from cervical x ray. If you want to avoid going to doctor in general I can suggest not to carry weight on same side shoulder as well not to sleep on it. Also avoid doing any thing which pains you on that shoulder as for example: doing over head activity must be painful.You can also use hot and cold pack frequently and regularly at home to reduce inflammation and produce healing effect at micro level in soft tissue which will also help you for some more pain relief. Also correct your work posture to suit your body need. At any time if you feel the pain is more in intensity as well has become more frequent then I suggest to visit orthopedic or physiotherapist and do needed test and plan for treatment as per that. Remember early detection and treatment will be more helpful. Because once if damage happens in disc that will be permanant or else only surgery a can correct it.Take care.
| 108,382 |
Could daydreaming and getting lost in thoughts once in a while be beginning of some problem ?
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Patient: I am a bit of a daydreamer and get lost in thought once in a while. Now and then I get a feeling like I've done something wrong or that someone is mad at me, but I can't remember what it was about. I'll have to take a step back and go through the last hour or so to remember there was nothing and clear my head. I am currently taking a nonstimulant prescription for a.d.d. But I have only taken it for a few months and the feeling/thoughts have been around a lot longer. Should I talk to someone? Could this be part of or the beginning if another problem? Doctor: HIThank for asking to HCMI can understand your problem this is absolute psychological condition and you do have some functional conditions and you are taking some medicine for this, so looking to this such symptoms are just possible and nothing to worry about this, this wont be harmful to you, hope this information helps you have good day.
| 210,670 |
Suggest treatment for bee sting which causes swelling & bleeding in index finger
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Patient: I live in northern Indiana. One hour ago I picked up a handful of leave in an outdoor stairwell and was bitten on my index finger by something I never saw. It felt like a bee sting with a small amount of bleeding. I treated it right away with hydrogen peroxide but I m concerned. The pain is less now. Not much swelling. Still aching. Doctor: HelloWelcome to HCMi understand your concern.Most of the people with bee sting will have localized reaction to a bee sting. In the normal reaction to a bee sting, the skin will be reddened and painful. Swelling and/or itching may also occur, but the pain usually disappears over a few hours.So,i would advice you to 1.apply ice packs over the bite area2.Clean the area with soap and water, then apply hydrocortisone cream to the site to decrease the severity of the reaction3.Take antihistamines like chlorpheniramine maleate for itching and pain killers like ibuprofen.Hope you are happy with the answer.Thank you
| 37,816 |
Suggest treatment for a lump on the jaw
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Patient: HI, I HAVE HAD A SMALL WORRY GO ON FOR A FEW WEEKS NOW. TO START EVER SINCE I WAS LITTLE I HAVE HAD A FEW SMALL STIFF, BALLS , IF YOU WOULD, MAYBE THE SIZE OF A PEA, ONE IN MY JAW, CHEEK, NECK, AND BEHIND MY EAR (COMMON PLACES OF LYMPH NODES). THEY HAVE BEEN STIFF AND PAINLESS FOR AS LONG AS I CAN REMEMBER, SINCE I WAS PROBABLY 14, I AM NOW 24. AS OF LATELY (3-5 WEEKS) I HAVE HAD CLOGGED EARS, SMALL PAIN IN MY JAW, AND UNDER MY JAW (WHERE MY LYMPHNODES ARE). I HAVE GOOGLED THINGS AND ALL THAT DOES IS STRESS ME OUT. AS FOR LYMPH NODES IN MY ARMPIT OR GROIN I REALLY CANT EVEN FEEL ANY, SO NO PAIN OR ANYTHING WEIRD OR OUT OF PLACE THERE. NO NIGHT SWEATS OR WEAKNESS EITHER. I WAS JUST CURIOUS IF THIS IS SOMETHING TO BE WORRIED ABOUT OR AM I STRESSING OVER NOTHING? ANY ADVICE WOULD BE HELPFUL! IF I SCHEDULE A DOCTORS APPOINTMENT WOULD A EAR NOSE AND THROAT DR BE APPROPRIATE? THANK YOU VERY MUCH Doctor: Hi Dear,Welcome to HCM.Understanding your concern.Thanks for your query . The symptoms you mention in query are clearly indicating that the lump is lipoma . LIpoma are over growth of fat tissue under the skin . They are generally painless . But the become painful if any nereve (sensory nerve ) or blood vessels involve with them.Sometimes they can also be called as angiolipoms when they become painful. I would suggest you to consult dermatologist as well as surgeon for proper examination and to rule out other causes like lymphadenopathy . Doctor may surgically remove lipoma , perform liposuction , may prescribe antibiotics .For now give warm compresses twice a day and take ibuprofen(if not allergic) and acetaminophen for pain.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari
| 64,336 |
Suggest remedy for bronchitis
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Patient: My daughter has bronchitis for two weeks was put on Zithromax she still has it we went back to dr today she said her oxygen level was alittle low and put her on amoxil and nebulizer 3x a day...,should I be concerned I m leaving for vacation in three days out if the country and I m now nervous Doctor: Thanks for your question on HCM. .If your daughter is not maintaining normal oxygen saturation and not getting relief from this treatment, in my opinion you should get done chest x ray to rule out pneumonia. She may need higher antibiotics too.Bronchitis will not cause fall in oxygen level.But untreated pneumonia can cause low oxygen level.So better to consult pulmonologist and get done chest x ray. She may also need sputum culture and sensitivity to guide antibiotic therapy.
| 81,964 |
How to cure swelling of left collarbone with lump ?
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Patient: Swelling above left collarbone, a large visible swollen area, when pressed u can feel lump. Have had thickening of endometrium.I m 54.Postmenapausal for 12 years Doctor: Hi, Large visible swelling in this region could be due to a no of reasons. Get an X-ray of the area first to rule out any bony lesion. Then after further examination, we can determine the problem and treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon
| 123,046 |
Suggest treatment for severe testicle pain
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Patient: left testicle feels like its being squeezed causing discomfort, however over a week ago i had a terrible pain in back left side under ribcage which I received pain relief for. This recent testicle pain started roughly 5 days ago. What is your recommendation? Doctor: HelloThanks for query.Pain in left testicle with pain in left loin could be mostly due to one of the following three reasons.1) Stone in the lower end of Ureter 2) Varicocele .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis .1) Routine urine test 2) Ultrasound Scanning of abdomen and scrotum3) Color Doppler study of Scrotum.Further treatment will depend upon the results of these test and final diagnosis.Dr.Patil.
| 199,872 |
Does uncontrolled BP cause vertigo?
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Patient: I was diagnosed today with vertigo and referred the neurological out patient clinic for Vestibular therapy. Medical diagnosis: BPPV All my medications were reviewed and no changes made, told to drink 6-8 glasses of water and take BP 3 times per day because that might be the problem. Does this sound right? eb Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. BPPV is due to a problem in motion sensors in your inner ear usually following mechanical trauma. Vestibular therapy and some drugs will help. High blood pressure is probably an incidental finding. Hope I have answered your query. Let me know if I can assist you further.
| 18,380 |
Suggest treatment for a swollen finger
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Patient: I was playing with a dog where it unintentionally bit my index finger cracking the nail bed right down the centre. 24 hrs later finger feels really swollen and lots of pressure under the nail. No red streaks. Minir reddening at nail bed Is there anything to do to relive the pressure even tho the nail is split Doctor: Dear patient First of all you need to take anti rabies injection asap preferably within 48 hours of bite. Take complete dose if not taken already. I would advise Xray of involved finger to rule out fracture. So daily dressing of wound with betadine and hydrogen peroxide solution. Take tab augmentin 625 mg thrice a day for 5 days with tab metronidazole 400mg thrice a day for 5 days to prevent secondary infection. Nail removal is advisable if it's crushed so that new nail grows from base. All the best.
| 139,300 |
What causes abdominal pain?
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Patient: My husband has had pain in his abdomen for the past 3 days. He says it feels like pins and needles. When he walks he limps because of tbe pain or when he sits for a long time the pain moves to his back and shoots all the way down to his hamstrings. What could be the cause of this? Doctor: Hi. The typical Pins and needles sensation in the abdomen along with reference to the back and then to the hamstrings can be due to a disc in the spine. Get an MRI of the Spine to find where is the compression, Consult a Neurosurgeon and get operated .
| 89,552 |
What is the cause of a lump on the knee?
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Patient: I have a lump on the outer side of my knee that comes and goes. It seems like it appears when I am on my feet for long periods of time or I do a lot of climbing. I did a lot of snow shoveling today and now its back and is somewhat painful. What could be the cause of this? Doctor: Hi, If I were your treating Doctor for this case of a lateral-of-knee lump, I would come up with only one and one possibility that is varicose veins or bursa! Nothing to worry about this and try not to get infected there!I suggest you to go for an FNAC test/USG dppler of the lump for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
| 66,644 |
What causes delay in pregnancy?
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Patient: pregnancy been on depo for 3 months and once off the shot started bleeding heavy for weeks and two months later came on my cycle again and started bleeding heavily. Took numerous pregnacy testes and they all came back negative but just September started to feel movements n my lower stomach and took a couple of more pregnancy test and they still came back negative what is wrong? Doctor: Hi there, I have understood your concern. I will suggest you the best possible treatment options. If you are feeling baby movements and pregnancy tests are negative repeatedly, then please get USG done. This will help to know about presence of pregnancy and also the reason for getting heavy periods. Please seek prescription support from your treating doctor for getting Tranexamic acid and Mefenamic acid, to control heavy bleeding during the periods. If you are planning for pregnancy, you need to be in touch with your gynecologist for the further treatment. Sometimes it takes 4 to 6 months to restart ovulation after stopping the depo injections. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar
| 1,545 |
What is causing my severe hair loss?
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Patient: Sir,I am 41 years old lady staying in Jamshedpur having hair fall at an alarming rate that i feel in few months i will become bald.I have tried different forms of treatment from Homeopathy, Ayurveda and presently I am taking B complex with zinc after showing to a dermatologist in Chennai who said that i am having form of psorasis for which he has given HH salic lotion to apply and shampoo sebowash which has had no result...My father who is 73 years is bald in the centre. Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of severe hair loss which could be due to many reasons like improper hygiene, nutritional deficiencies, genetic factor, fungal infection, improper cleanliness and hormonal changes. Need not to worry. I would suggest you to wash hairs after proper massage with olive oil. I would suggest you to consult dermatologist for proper examination. Doctor may order blood test, skin patch test and can do physical examination . Doctor may prescribe you drug like finpecia at least for 2-3 months or antifungal treatment along with minoxidil spray. You should maintain complete hygiene. You should use Finasteride preparations. You should take supplements like Vitamin A ,Omega-3 and Vitamin E.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari
| 9,829 |
What causes intermittent chest tightness while having sinus tachycardia?
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Patient: My wife has inappopiate sinus tachycardia, and a family history of heart problems. For the past 2 days she has been having tightness in her chest. It was coming and going, but has been constant for about the past 3 hours and has been accompanied by a tingling in her left arm. She is only 26 and in good health besides the stated heart condition above and a thyroid problem. Based on these symptoms we are planning to go to the ER, but we were wondering if this could be something stress related and an ultimately an unnecessary ER trip. Doctor: Hello,Some of the heart disorder can be very serious and fetal so better to go to the emergency room and get her checked up properly.You should also get an Echocardiography and a Holter Monitoring for a minimum of 48 hours done to exclude the risk of fetal arrhythmic disorder or structural disorder.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhanu Partap
| 19,057 |
What causes vomiting in a child while feeding?
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Patient: My baby is 15 months old. Sometime she doesn t chew the food and take it in as it is, sometime she started coughing and then vomit while feeding. Our dr has suggested to use junior lanzol 15 once in a day. She is having some cough too so i am little worried whether she vomits is due to cough or something else is causing this. Any help or suggestion would be of great help for me to understand the problem. Doctor: it may be GERD .continue junior lanzole.it will help.do barium swallow to rule out GERD.GERD- Gastro esophageal reflux disease
| 166,141 |
Can dental work be done under sedation if suffering from acid reflux?
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Patient: OK I am anticipating having some dental work done. My dentist is suggesting sedation dentistry. His office uses a Dr. Atlas to administer the medication. I am trying to find out about this Dr. to put my mind at ease. I am not comfortable with being put out due to the fact that I have acid reflux and have not laid flat in years. I need to know that he and my dentist will take me seriously about not being put all the way down in the chair due to that problem. How can I find out about Dr. Atlas and do I need to worry about this? Doctor: Thanks for using health Care Magic.Read your query.The dental work is using done on local anesthesia ,it is not clear why the dentist is using general anesthesia ,since the treatment plan of the dentist is not elaborated here.Acid re-flux is usually overlooked,so it is absolutely necessary for you to keep the dentist and the anesthetist updated and treatment you are taking for reflux.It will help in avoiding any complications during and after the procedure.Preventive measures can be taken .Hope this was useful and you have a successful procedure .Thanks and regards.
| 184,362 |
Is slight pain in ribs associated to enlarged liver ?
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Patient: I was just told I have an enlarged liver. I am 47years old and in good shape. I have slight pain below my ribs. The enlarged live was found on an ultrasound and when my md dd a physical palpating he did not notice an enlarge liver. Otherwise I am energetic training for a 30 k race. Doctor: HIThank for asking to HCMI really appreciate your concern if the liver enlargement is suspected clinically the this need to be confirmed with scanning, if you have rib pain then this might be muscular pain and not related with the unconfirmed liver argument, if this is could be liver enlargement the also it may not cause any rib problem unless have some serious pathology, just forget about this, take it easy, no need to worry about the pain this could be functional pain, hope this information helps you have nice day.
| 57,370 |
Suggest treatment for infected wound near stitch site on abdomen
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Patient: sir, my wife has been laying up in bed for 1 year caused by ill effect of wound secreting putrefied fluid after she got stiched at the time of sezure. The place of stiching at abdomen is affected with reapeted and chronic hole with white fluid surrounding after a long course of painfull swell area at times. Now the place around stiching finds no such problem except one wound created by hole secreting fluid very little. Whats ur opinion about her cure for ever completely. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It is the postoperative wound infection.It is type of chronic infection.In such a case Grams staining, culture and sensitivity should be done. And treatment should be taken as per the report received. Please take the full course of antibiotic treatment as incomplete treatment can cause repeated infection. Please take drugs under your doctors guidance.Good hygiene is the key for early cure of infection. You should maintain good cleaning and dressing. Dettol and betadine should be used, polysporin ointment can be applied at the time of bandaging.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
| 35,019 |
What are the lumps on two sides of my belly?
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Patient: I have two lumps on two sides of my belly, they are like peanut size. I have no pain, they r firm, and in same place . I have been watching them for 3 years. And the colour over them are normal skin colour. I have also noticed two other lumps on two sides under my arms with same character. Could you please help me? Doctor: Hi, thanks for sharing your health concerns with HCM and also for youe detailed description! Well, you said, 'I have no pain, they r firm, and in same place . I have been watching them for 3 years. And the colour over them are normal skin colour' and actually the description itself tells us about the benign nature of the small nodules!Anyways, If I were your treating Doctor for this case multiple lumps, I would come up with three possibilities, these include: 1. a lipoma or benign fatty tumor or neurofibroma or in worse condition a dermatofibroma2. The second possibility is of benign cyst or fibroepithelial polyp-like skin papillomas 3. The last possibility is of accessory breast tissues in females or histiocytoma-like benign skin tumors...! Overall, it is benign and not to worry about this but you could go for FNAC test for confirmation if still worried!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
| 66,338 |
What causes mild cough and sore spot on the collar bone?
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Patient: Got a little cold this morning and placed a towel over the chest area and got warm, but realized the estimated 3 below the trach. and 2 left was a bit sore. The nickel size is right on the bone line of the collar bone. Right side is normal, flat and not puffed under skin. I do have sinus drainage and mild cough. Is this something to be concerned about? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. If I understand you correctly you are talking about enlarged nodes in your neck with discharging sinus. If I am right it is a cause of concern and will require detailed evaluation and investigations for the same. Kindly consult your doctor at the earliest for the same.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
| 78,766 |
How to overcome the uncomfortable feeling associated with OCD?
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Patient: Hi, i have OCD and people just dont understand me and sometimes i dont understand myself. My mind complicates things and seems so complex. Im on tablets and i know the cause of my OCD. I am ok with the cause of my OCD i am no longer afraid of it, but because i have felt afraid of it for so long and have felt uncomfortable over it for so long, the uncomfortable feeling will not go away and every time i touch something associated with a bad thought i feel sick. I just want it to stop. Doctor: Hello,I suppose that the doses of drugs which you are taking is inadequate for your OCD.This uncomfortable feeling occurs when OCD is not under control.Please consult your treating psychiatrist and discuss your doses with him.Thanks.
| 207,031 |
How to improve low Hemoglobin level in the body?
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Patient: Hello , My wife is suffering from very low Hemoglobin level her age is 30,Kindly consult me on How to increase Hemoglobin level in Body, also best time table to diet means when to eat like meat, when to drink juice , & important juices and foods , mal. etc . Best regards CG. Doctor: Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that treatment of hemoglobin deficiency should be started according to degree of deficiency of the hemoglobin. As you mentioning it to be a very low HB I suggest you to start with the injectable iron treatment. If it is very very low than you should go for blood transfusion. Best source of iron is the meat. In addition to meat also eat wheat items which is also a rich source of iron. other mentioned materials you can take according to your need. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank
| 117,440 |
What causes recurrent dizziness, loss of vision and syncope?
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Patient: I have experienced several episodes of lightheadedness, with a crashing waves sound in my head, temporary loss of vision, and syncope. The whooshing sound changes or pauses if I turn my head either way. Episodes last about 20 minutes and gradually return to normal Doctor: Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Your symptoms could be related to different possible causes: a inner ear disorder, orthostatic hypotension or low blood pressure or seizures. The fact that these episodes are modulated by head movements is very suggestive for an inner ear disorder. For this reason, I would recommend consulting first with an ENT specialist for a physical exam and performing labyrinthine tests. A Head Up tilt test for orthostatic hypotension and an EEG for seizures, would be the next step, in case an inner ear disorder is excluded. You should discuss with your doctor on the above tests. Hope you will find this answer helpful!Best wishes!
| 141,962 |
What is the dosage of potassium pills with numbness in hands and face?
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Patient: I had to go to the hospital on Sunday I had lost all feeling in both hands and the face, they said all they found was low potassium, they gave me potassium pills and within an hour I started to feel again, but still 2 days later I am feeling funny, howw do I know if my potassium level is ok, or if I need to take more? Doctor: Hello,Potassium pill should be taken only for a few days. I suggest to use them as prescribed by your doctor. If your potassium was low enough to cause symptoms, it may take a few days of treatment for the weakness and other symptoms to go away. Then you should stop them. You can also check the potassium blood level at the hospital.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 120,568 |
Suggest treatment for disc prolapse
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Patient: my husband is 39 years old n.is slim.5 years back he suffered from disc prolapse .after that he continued back exercises.but in nov.1 he again suffered disc prolapse with acute pain in back .he took bed rest n now started doing exercise.but after 3 months he is still not fully recoverd.he cannot sit n walk for long time.he cannot drive.he is bit frustated.for 5 years he was fully fit with caution.but for the last 8 years he is drinking very heavyly.almost daily half bottle.for the past year or two he is trying to reduce it.he is now taking alcohal 4 days a week but half or sometimes more than half at a time.twice or thrice he has vomitted in 5 months.he also has high BP n he daily takes its tablet Nebilong 5mgMY question is,is it right for him taking this much alcohal and for his disc problem. Doctor: Hello, As per your history, it may be due to disc prolapse. For further assessment you may require MRI back after spine surgeon consultation. You may require surgical intervention after consultation. You may require tablet Pregabalin after consultation. Till then you can take tablet acetaminophen. Avoid forward bending. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician
| 122,523 |
Is blood coming with stool normal after seizure?
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Patient: my boyfriend had a seizure two days ago and has a lot of blood in his stool? is this normal? he does not have epilepsy, this was his first ever seizure. we have an appointment with a neurologist as the hospital scans did not turn out any brain abnormalities such as tumors or lesions... please help.. Doctor: Hi, Blood in stools is not a part of epilepsy. He needs evaluation by a gastroenterologist to determine the cause of the same. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist
| 140,205 |
Suggest treatment for nodules on hand
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Patient: i had a biopsy done on some nodules on the back of my left hand. the rhuemotologist thinks it might be fish tank granuloma. The lab messed up the culture and i need to do another biopsy. Dr is suggesting to start the antibiotics while we wait. I m 42 yr old female with past breast cancer. I had 1 beta fish in a little tank that may have caused the infection. Started May 2014 and was on 4 diff antiobiotics. Been to ER and family doc and oncologist and everyone thinks it is something different. Not sure if taking another round of antibiotics will help Doctor: Hi, dearI have gone through your question. I can understand your concern. You should go for another biopsy. Because without exact diagnosis there is no meaning of taking antibiotics. Go for biopsy and make sure about diagnosis. Then take treatment according to your diagnosis. Thanks for using health care magic. Wish you a very good health.
| 67,826 |
How can i get improvement in neurological disorders other than physiotherapy ?
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Patient: Dear Dr., I am a male in gender and 64years of age and a neuro patient during one year,now I can`t move my left leg and can`t sign with right hand . I visited Dr.Trishit Roy( Neurologist at kolkata)privately and continue his prescribed medicine Tab.-TRIBANTIN-300 and under test- MRI but reports are normal and I am under physiotherapist daily also but no improve any.May you suggest something for improvement? thank you, BIMAL PODDAR Doctor: Hi Bimal. Thanks for your query and using Health Care Magic Based on your symptoms, its clear that you cannot move you left leg and cannot use your right hand. The left and right side of the body is controlled by different areas in the brain. The normal MRI which you are mentioning is likely of the Brain. You will need further evaluation to find ut the root cause of your problem. This will include, 1. MRI of whole spine, 2. Nerve Conduction studies of both upper and lower limbs and 3. Electromyogram With this, we can 100 % pinpoint to the cause of our problem. Only then a definitive treatment can be advised. Do consult your neurologist for these tests. Thanks
| 151,876 |
Suggest remedy for lumps in elbow
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Patient: I am 67 male and have had follicular lymphoma for 2 years on watch and wait. I recently fell off my bike and have had a fractured skull approx 2 weeks ago. My worry is I have a lump come up on my elbow outside edge where I fell and I also have a cough and cold which has lasted over 10 days... Can you tell me what to do go to dr or consultant? Thank you very much John Doctor: Hi John! Good evening. I am Dr Shareef answering your query.If I were your doctor, I after a proper clinical examination of your elbow and the chest, would apply a pressure bandage on the lump presuming that it could be a hematoma following the trauma which would gradually get absorbed. In addition, I would also prescribe you with an anti inflammatory and a proton pump inhibitor and a serratopeptidase product for a symptomatic relief. If the cough has lasted for over 10 days, this would be an indication of going for a x-ray chest PA view to rule out any gross pathology in the lungs. However, both need to be assessed by an orthopedic surgeon and your treating doctor for the lymphoma. Therefore, I would advise you to get assessed by these doctors in your place.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.
| 66,458 |
What causes high bilirubin?
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Patient: Dear Doctor, I am suffering from high bilirubin levels of upto 52.8 (as on date 8/6/14). Initially 5/5/14 i was suffereing from hep E Then the sgpt ot and other lft levels came down to normal on 24/5/14 except the bilirubin level (22). Then after this i was put on heptral 400mg ( BD ) for next 10 days. But the bilirubin levels kept going up till 52.8. Then i was put on progressively decreasing dosage of omnacortil 30 mg till omnacortil 5 mg And ursocol 450 mg sr. I did saw a decrease in the bilirubin level and it came down to 33 but then its still on 34 level now as on 21/6/14. Kindly suggest what should be followed as levels are not going back to normal. Doctor: Hi thanks for contacting HCM.It is good that after infecting with hepatitis E , your enzymes level are now decreased ..Your bilirubin value will be normalise gradually within time....Meanwhile strictly follow some good advise below.....Take fruits and green leafy diet more.Use very very less oil in cooking.Avoid bad fat diet like cheese, ice cream , beef meat, cookies , butter , baked pestry etc....Avoid refined food...One tsp carom seed and one tsp cumin seed crushed into powder , mix them and swallow with water daily...Grind the carrot and spinach leaves to get juice and taken early in the morning.Avoid alcohol if habit.Take care...Dr.Parth Goswami
| 54,980 |
How to overcome my abdominal discomfort?
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Patient: Hi there, I have some abdominal discomfort, on the upper left side of my abdomen (my left side). It's a throbbing, pulsating sensation, and moves slightly to the middle of the abdomen (above the naval area) during the day. Other symptoms include loss of appetite, bloating, fever, muscle soreness (especially near the lower back of the body and kidneys) and headaches. I look forward to your answer,With best wishesIzak van Zyl Doctor: Hi. Thanks for an elucidate history.left upper -throbbing, pulsating, moving to center= I am worried this can be an aneurysm. You need an urgent color doppler / CT abdomen.Other symptoms can be due to associated changes around the diseased part giving you loss of appetite, bloating an all.Make this an urgent affair.
| 91,576 |
What causes pain and restricted movement in the arm and shoulder?
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Patient: I few days ago I went wakeboarding. It was my second time out. I fell a few times but not hard. I didn t feel any pain at the time. But yesterday when I woke up my arm/shoulder hurt to use. I can t lift it past a certain point without it zapping. What could this be? Doctor: Hello,Thank you for using Healthcaremagic.I read your question and understood your concern.It could be anything from supraspinatus muscle tendonitis, to rotator cuff tear so I would suggest you to get e shoulder MRI and orthopedic consult.I wish you quick recovery.Dr. Selmani
| 129,011 |
What is the cause to have burning and tingling in my left nostril ?
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Patient: about my nostril buring and stinging could be having a bad eye tooth casue it what casue me to have burning and tingling in my left nostril been going on for about month or more, and what can i do to correct the situation?. i am a diabetic ! [email protected] Doctor: Hi Beanin, , This can be peripheral neuritis which is common in diabetics. But, you need to get yourself thoroughly examined by an apt ENT specialist to look for any other problems inside the nose. Also take vitamin B-complex, drink plenty of water and use saline nasal drops to keep your nose moist. Take care Regards Dr. Naveen Kumar
| 106,192 |
Could paracetamol and ibuprofen be cause for elevated liver enzymes in blood?
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Patient: Doctor i am 43 year old male. My gamma gt level is 93. My SGOT is 90 and SGPT IS 91. I dont drink alcohol or fizzy drinks. I had typhoid fever for three weeks. I was on antibiotics and paracetamol and ibuprofen. Could these medications be the cause for elevated liver enzymes in blood? How can i bring down these levels? Doctor: Welcome to health care magic.My dear friend as you told that you had typhoid fever.I want to tell you that in typhoid also SGOT,SGPT increases and take time to come within normal value.Paracetamol and ibuprofen can not increases SGPT and SGOT to 91 and 90 respectively until uses in very high doses.No need to worry and repeat SGPT,SGOT and GGT after 1 weeks after approaching your nearest Physician.Avoid oily foods in diet which will also help you to decreases SGOT and SGPT.Thanx for your query.
| 118,285 |
How to get rid of cyst on the base of penile shaft?
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Patient: i have a cyst on the base of my penis shaft... the doctor said it was not threatening and to just leave it alone... i cant very well leave it alone when trying to have intercourse... there was no pain originally but now has started being sore to movement and to the touch cant tell if its getting bigger or about to rupture. should i get it removed? Doctor: HelloThanks for query.You have what is called as Sebaceous Cyst over base of the penis.The skin in genital area is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If needed it may need to get excised in Toto (Completely along withthe sac)Dr.Patil.
| 201,156 |
What is the treatment for blunt trauma injury?
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Patient: My husband had a blunt trauma injury to his rt shin around 2 pm today. Tonight he noticed that his leg was hurting and looked at the injury. The lump is large, white, egg size, approx 2.5 inches round. He is 60 and is not on blood thinners. Is there a risk of a clot dislodging and traveling to his lungs? Doctor: no need to worry. it's May be a minor fracture or bony injury led to blood collection. do a regional X-ray..and put it here. ice packing and a knee cap is necessary..
| 130,327 |
What does sudden tingling and dizziness indicate?
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Patient: Something strange happened this evening. I was walking through my house and felt a shock like feeling start in my heals and go all the way to my neck and felt dizzy. Ever sine I'll get a shock like tingle just about anywhere and feel a little dizzy. What could that possible be? Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have diabetes or vitamin B12 deficiency or some other cause. It can leads to tingling sensation. You should check your fasting and post postprandial blood sugar level and vitamin B12 level. Then you should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
| 32,403 |
Dizziness when head turned right, scalp tightness. Solution?
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Patient: Hi doctor.. Me and my family is going through a terrible phase for the past 5 months. I want to ask about my brother s health who is 22 years old (Height 6 Ft; Weight 75 Kg). It all started 23rd May, 2012. After coming back from college he was complaining a bad day. he felt dizziness .. all of a sudden at night after having dinner he became so dizzy that he was unable to stand up himself. He started vomiting too.. We took him to nearest hospital where after injections and initial treatment vomiting stopped but he was still feeling very severe dizziness which doctors named vertigo . antibiotic were given to him and he was discharged after 4-5 days. He used to feel better when their was some support at the back of the head and when the head was elevated. His neuro tests (MRI Brain, CTA Brain, CT Scan Brain) all came normal. Doctors thought its an ear infection and it will go itself with time. Though dizziness is reduced now but he feels as the improvement has stopped. He doesn t feel dizzy when his head is turned toss right side but he feels dizzy when head is turned right, upwards or downwards. The thing which makes us more tensed is that he complains of constant tightness pressure in the left side of the head. When he raises his Eyebrows he feels the scalp tight. He feels like there is some glue above. Right side of the head is normal. He sometimes feel that some fluid drops moving inside the scalp. This moving sensation goes away when he itches the head or when he starts walking. Please doctor help us and give us a solution to the problem. Thanks & Regards Nimra Doctor: Hi Nirma,Thanks for your query.More information is required for a definitive diagnosis.However, from the brief information available, the possibilities are :-* High cervical spondylosis with possible compression on spinal cord.* Intermittent Vertebro-basilar insufficiency. This usually occurs due to cervical spondylosis.* Basilar migraine, due to verterbro-basilar artery involvement.Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.In case of any further queries, revert back to me THROUGH DIRECT PREMIUM QUERY (Paid), addressed to me personally. You will receive- almost immediately- my response in great details.If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice dayDr. Rakesh Karanwal
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Itchy rashes on stomach, back, arms, legs. Applied cream, taking antihistamines pills. Help?
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Patient: i was stung by a wasp om the 25th of august and had an alergic reaction since then as i was in italy i was put on antibiotics and have seen my own dr since but i am now expeirenincing an itchy rash all over my torso ie my stomach back arms and parts f my legs my own dr said just keep putting on loads of cream and take antihystimine pills is this normal for this still to part of the wasp sting reaction jacqui Doctor: it has developed in allergy antibiotics donot hel;p as it decrease immunity and causes further allergy allergy can develop at any time with any substance it can be oils shampoo ointment creams medicines foods or anythingget allergeologist consultation top find the causetill use anti allergic tab and ointments
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Can eptoin tablets cause cancer ?
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Patient: can eptoin tablets dose cause cancer because my father had a cancer and in the biopsey eptoin tablet chemical is found between them Doctor: Thanks for the query No phenytoin is not known to cause cancer. Phenytoin was found because it was being used by your father. I could have helped u better if u had told me what cancer he was suffering from Have a healthy living
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What is the best treatment to get pregnant?
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Patient: Hi, Me and My husband have been trying to get pregnant...I am supposed to start My period on the 31st and I got it this past saturday on the 25th..it wasnt like a regular period but brown/red discharge and light..I am irregular sometimes but never this early with this kind of discharge..I have been getting very nauseus and light headed alot lately. Can You give Me some insight on this? Thanks Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] It's good idea to be parents.2] I will suggest you to take B 12 , folic acid, omega 3 supplements. that helps avoid many problems during pregnancy. 3] Day 10 to 20 are fertile days of cycle, try to have sex at least on alternate days in these days.4] It is advisable to get USG and HSG- tubal patency test(X ray) and Semen analysis done. If all reports are normal you stand good chances to get pregnant.I hope my answer helps you.Thanks.
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