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<s>[INST] What causes lump on collarbone near to neck? [/INST] Hi,The lump you are talking appears to be enlarged lymph nodes. They are usually when there is infection in the surrounding area. It will be painful and slowly as the infection subsides with or with out treatment, it would disappear.If you want you can get a test called as fine needle aspiration cytology done. It will confirm or rule out anything else if you are worried about.If you have any further queries, happy to help you again. </s>
<s>[INST] How to cure a swollen scrotum on one side ? [/INST] Hi...it could be epidymorchitis. Some times it can lead on to testicular torsion....I suggest you consult your nearest pediatric surgeon at the earliest. I urge you not to ignore it.Regards - Dr. Sumanth </s>
<s>[INST] Suggest treatment for liver blockage [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I couldn’t properly understand exact problem. Probably it might be a hepatic stricture. As of now do an MRI and consult a hepatologist and get evaluated. Wishing you good health. </s>
<s>[INST] Suggest remedy for pulmonary hemorrhage [/INST] Hello, Thank you for trusting HCM.If blood presence in the cranium was confirmed it is of extreme importance to relief the pressure on the brain by getting this blood out. The good news is that your baby is still young and the skull didnt close fully and that what allows for its expansion later on the skull will close and then any pressure on the brain due to blood accumulation will be much more dangerous and life threatening. Please keep following up with your baby treating doctor. Kind regards, Dr. Ahmad </s>
<s>[INST] Q. I missed my period for a month. Can I be pregnant? [/INST] Hi. If the ejaculation is not done in the vagina, then there is no chance of getting pregnant. The delay could be because of hormonal changes. Get a urine pregnancy test done with an early morning urine sample to confirm pregnancy. </s>
<s>[INST] Q. I have hyperreflexia. Can this be neurological? [/INST] Hi. Revert back with the detailed information to a neurologist online --> </s>
<s>[INST] What causes slight bloody discharge from 5 month baby? [/INST] Helloits probably due to duct infection.Give him amoxicillin 125 mg/5ml4 ml three times a day for 5 days along with ibuprofen 100 mg/5ml 4 ml three times a day for 3 dayshope it will help </s>
<s>[INST] Brown spot on the knee. Diagnosed as Benign. Prescribed to get a Biopsy. Serious? [/INST] Hello! Thank you for the query. No doctor is able to tell if the mole is benign or malignant without removing it and sending for histopathology. Dermatologist are able to establish if the mole is in high risk of melanoma malignum. It can be done with dermatoscope. But the final diagnose can be set only when you do remove it and check for cancer cells under the microscope. If the mole changes its size, color, gets painful, redness appears around, gets more prominent, the verges are uneven, the mole is suspicious and should be removed. Otherwise, it should be left alone. Hope this will help. Regards. </s>
<s>[INST] What may be the cause of swelling of knee? [/INST] Hello, As every lab reports have come out to be normal I think you should look for an x-ray of the knee. As due to the early changes in the joint there might be a pathomechanical changes which go unnoticed due to muscle weakness present. I will advise doing some simple exercises like - static hamstring, static Quadriceps and ankle toe movements. Also, perform reverse walking and toe walking. Please see if there are any changes in the swelling. If so then it is a pure muscle weakness which may occur due to muscle weakness and sedentary lifestyles. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s>
<s>[INST] Taking Jolessa. Heavy bleeding, no pain. Should I wait for or go to doctor? [/INST] Hi,Thanks for the query.Better to consult gynecologist once.Hormonal imbalance may be the cause for your bleeding.As you stopped the pills in the middle, that withdrawal might have added to the bleeding.So you consult gynecologist, get examined and take tablets to stop the bleeding.Go for one ultrasound and if your doctor recommends you can go for hormonal profile including estrogen, progesterone, FSH and LH, thyroid profile etc.With this workup the possible cause for your problem can be identified and treated.For more details you can ask me through: care. </s>
<s>[INST] Q. Accidentally, I scratched the inner part of the eye. How long will it take to heal? [/INST] Hello. For further information consult an eye care ophthalmologist online --> </s>
<s>[INST] Suggest treatments for ruptured appendix and swelling in abdomen [/INST] welcome to Health care magic.1.Ruptured appendix itself a complication involving with a lot of infective features.2.Distention of the abdomen post operative period is seen in most of the cases, there is a lot of gas formation.3.You said the drain has placed now, so if there is any collection intra peritoneal will be drained.4.Do not worry things will get better, as the time passes.5.Try to take care of the underlying medical conditions if she has any.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you. </s>
<s>[INST] What causes chest pressure and sharp pain under shoulder blade? [/INST] Thanks for your question on HCM.I can understand your problem and situation.Pleurisy is inflammation of pleura. And pain on coughing is characteristic of pleurisy. Following are possible, common causes for pleurisy.1. Pneumonia2. Tuberculosis3. Pleural effusion.4. Pulmonary contusions etc.So chest x ray is must to rule out these above mentioned causes.Since your pain is worsened (it is now in front also), it is better to get done chest x ray.As listening to chest is not 100% correct all the time.So consult doctor and get done chest x ray. </s>
<s>[INST] Does yellow in the eyes,shoulder pain and mood swings indicate liver disease? [/INST] Hi, The only way to find out for sure is to get tested. If you do have jaundice then your urine should be discolored as well. Jaundice causes brandy-like (brownish) urine discoloration. Sometimes the stool may have a pale color resembling clay. A doctor may evaluate the clinical signs and decide whether testing is necessary. If you do get tested, the most crucial test is serum bilirubin (direct and total). Pain in the back is too broad to draw any conclusions. More information is required like when it occurs, how long does it last, whether there is anything that makes it better or worse, etc. Clinical assessment is of unprecedented value for this symptom. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Panagiotis Zografakis, Internal Medicine Specialist </s>
<s>[INST] What causes increased salivary secretion? [/INST] Welcome to HCM!Thanks for posting your question on HCM!Apparently your mother is suffering from oral thrush caused by yeast infection (candidiasis). This is an important side effect of antibiotics or immunosuppressive drugs.Since she has been prescribed treatment for the eradication of Helicobater pylori infection, there are two antibiotics used in this regimen so invariably this could have been the cause of oral thrush.Oral nystatin solution is effective in the treatment of candidiasis.Regards! </s>
<s>[INST] Can the semen spread into the vagina through the pants? [/INST] Hi I am awre of your concern. No it is unlikely that the sperms could have entered into her vagina. As it requires deep penetration for getting the spetms into her vagina and conceive. So don't worry </s>
<s>[INST] What causes incoherent and unmanageable nature of a person? [/INST] hi, I can understand the stress you must be through currently. From his complaint, it appears to be a case of psychotic disorder overlapped with an episode or two of delirium, considering his high age.The symptoms of muttering to himself. talking irrelevant and disorganised behaviour, all suggest a possible psychotic disorder. For further diagnoses of its subtype I'll need to know a complete elaborate history and progression of symptoms from you.the medications appear to be going inadequately the doses can be adjusted. I would suggest considering stoppage of one of the drug.Ill need to know his CT brain findings.welcome for futher consultation.hope to have satisfied your query.thanks Dr Pankaj Borade </s>
<s>[INST] Back, head, legs and neck burning sensation, pain in calf muscles. On warfarin. Why did this happen? [/INST] With warfarin there can be no clots. Your neck episode may be due to spondylitis which is curable. Just do neck movement exercises in all directions for 10 minutes to initiate muscles. Gradually do isometric neck exercises in which you hold the movement of neck by your hands putting a resistance in all directions . This will strengthen muscles and relieve pain </s>
<s>[INST] Suggest medication for high BP [/INST] Hello ThereAfter going through the medical query I understand your concern and I would like to tell you that most likely you are facing menopausal symptoms and is advisable for you to take Tab MenoJoy along with your Anti-hypertension meds .Hopefully this information will guide you properly.Kind Regards Dr Bhanu Partap </s>
<s>[INST] Is angioplasty necessary if having chest pain after physical exertion? [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Yes, angioplasty will definitely work in your case. Your symptoms are classical of coronary artery disease (CAD) which is confirmed by angiography. You are having blockage only in 1 artery (single vessel disease). So angioplasty with stenting is treatment of choice for this. Stent will remove the blockage and keep it open so that blood supply through artery is patent. So get done angioplasty, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>
<s>[INST] Q. Can I take Norethisterone after taking I-pill to delay periods? [/INST] Hello. You have to understand that I-pill is a high dose Progesterone pill, much stronger than Norethisterone. So, if your aim is to avoid pregnancy then you have to wait for the withdrawal bleeding for the endometrium to be shed out to confirm pregnancy safety. Your menses if were due in the next two days, then they are naturally likely to be delayed because of I-pill intake by about 4 to 5 days because of high Progesterone content. If you intend to delay menses and at the same time ensure pregnancy safety together then it would be difficult to ensure any pregnancy safety, because if you get pregnant then this Norethisterone would further support the pregnancy and not prevent it. The I-pill increases tubal motility and hence if Progesterone is not withdrawn, as after its single dose, pregnancy may happen and I-pill may fail. So ideally wait for your menses now within next seven days and if the bleeding is heavy then you may take antifibrinolytics to reduce the bleeding but do not delay it this time, for pregnancy safety takes an upper hand over your intended delay of menses. </s>
<s>[INST] Is flying safe while having lump on left side of chest? [/INST] HiWelcome to hcmYou may be having rib fractures. You have to do x ray chest as early as possible. Rib fractures can cause pneumothorax/air in chest or hemothorax/blood in the chest which will be seen on x ray. Only rib fractures needs no treatment except pain killers. But if pneumo or hemothorax is present that needs ICD tube insertion in the chest. In that case air travel should be avoided.Regards </s>
<s>[INST] Constant stomach pain. Was prescribed hydrocodone. Isn't there an antibiotic for stomach ulcers?ul [/INST] Hi, Thanks for posting your query. With the available described symptoms, there could be possibility of peptic ulcer disease, acute pancreatitis or cholecystitis. Peptic ulcer disease is caused by Helicobacter pylori bacteria and which may be in form of follicular gastritis, nodular gastritis, gastric and duodenal ulcer, and adenocarcinoma of stomach. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for ultrasound imaging, endoscopy and serum amylase and lipase. You should also go for urea breathe test for H. Pylori. You should also take proton pump inhibitors along with antacids. Eradication of H. pylori is required for complete treatment of peptic ulcer disease. Take care, Dr. Mayank Bhargava </s>
<s>[INST] What causes fluid to fill in lungs causing death? [/INST] HelloI am sorry for your father.In his case the fluid in the lungs was due to melanoma,called malignant pleural fluid and nothing might help him even draining it.RegardsDR.Jolanda </s>
<s>[INST] Q. Please explain the poisonous effect of phenol ingestion. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s>
<s>[INST] Q. I need a second opinion regarding my father's scan reports. [/INST] Hi. Relax and do not worry. I have gone through the reports (attachment removed to protect patient identity) and I will explain you in detail. For further information consult a urologist online --> </s>
<s>[INST] Will the thumb burn injury with swelling heal by itself? [/INST] Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, it depends on the depth of burn, what the outcome will be, you should see a hand surgeon and discuss your symptoms.I hope that answers your query. If you want any more clarification, contact me back. </s>
<s>[INST] Suggest home remedy for muscle pull [/INST] Hi there.Thanks for writing in.You are already on pain relieving medications. What you can do is avoid sleeping on the affected shoulder .Serratiopeptidase might help relieve the internal swelling/ edema.Vitamin C tablet might help improve healing process.Application of pain relief gel like diclofenac gel might help. The gel should be lightly applied and not massaged on the affected area. If massaged, can cause burning sensation in the skin.Half an hour after application of gel, do hot fomentation on the affected area. Do hot fomentation 3-4 times a day.If none of the measures seem to help, do consult a physiotherapist.You might also want to get your Vitamin B12 levels checked.Hope my answer was helpful to you.Regards,Dr. Divya Kuttikrishnan </s>
<s>[INST] What does my MRI report indicate? [/INST] Hi, if pain is not going down, then you should consider getting a Laparoscopic surgery for the local problem. Consult a good Orthopedic surgeon who does laparoscopic spinal surgery. It will give you relief--regards </s>
<s>[INST] What causes increased BP and vision problem while suffering from PCOD? [/INST] Hello ma'amAfter reading your medical details I want to inform you that both your Blood pressure as well as sugar levels are within the normal recommended limits. Kindly describe what sort of vision problem you are having?Yes PcOD patients are prone to develop diabetes so need to keep your self active by doing daily exercises and keeping your weight under control, avoid eating junk food and stop smoking completely if you do.Good luck </s>
<s>[INST] Is scarlet fever contagious? [/INST] Hi thanks for asking question.The organism (sterptococci)lead to scarlet fever can spread through personal contact.It can be hospital acquired also.Scarlet fever mostly affect child and it have no long term serious side effect on health.It can be treated with antibiotic.So dont worry about it.If you have symptoms then antibiotic will be taken.I hope i have solve your query </s>
<s>[INST] What causes constant pain in lower back? [/INST] First of all you have not mentioned your age which is very important in case of back pain. For treatment take some pain killer preferably biozobid-plus or osteonac-th along with some calcium supplements like toscal-gem or shalcal-d once daily. Take some multi-vitamins like metilda-forte or neurokind-plus once daily. You can do some physiotherapy exercises after an expert opinion of physiotherapy. I will also advice you to sleep on a plain surface. </s>
<s>[INST] Severe upper abdominal pain and vomiting after eating. Had a gastric bypass surgery. Reason? [/INST] You should meet a gastro doc to rule out pancreatitis or other possibilities and get a upper endoscopy if needed </s>
<s>[INST] Can stress cause chest pain and cough? [/INST] Thanks for your question on Healthcare Magic. I can understand your concern. Your mother is having cough, hemoptysis (blood in sputum) and loss of appetite. All these are common symptoms of tuberculosis, pneumonia and bronchitis. I don't think, stress can cause these symptoms especially hemoptysis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray to rule out tuberculosis and pneumonia. 3. PFT (pulmonary function test) for the diagnosis of bronchitis. She may need antibiotic, anti tubercular drugs and inhaled treatment on the basis of these reports. Don't worry, she will be alright. First diagnose herself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>
<s>[INST] What causes fluctuations in the BP level despite taking Levothyroxine? [/INST] Hello What you had mentioned asymptomatic. So the readings which you have mentioned are likely a false reading and machine error. Because it's possible for any person to have such low BP without any symptoms. One would have dizziness syncope etc. So I think no need to worry about it especially of you are not having any symptoms. And recheck the BP with arm lying relaxed and straight. There should not be a bend at elbow which may falsely lower the BP. Hope this helps you and get back if you have any doubts. Regards Dr. Sagar Makode, Cardiologist </s>
<s>[INST] Q. Why do I have painful red spots and skin cracks on my penis? [/INST] Hello. You may be suffering from balanitis or pearly penile papules or sexually transmitted disease. If you have any sexual contact with an unknown person, then we can think of HPV warts (human papilloma virus) which comes under sexually transmitted diseases where you need investigation and start you on antiviral and surgical removal of the wart. If you had sex with a known person, maybe you would have caught simple infection and that can be treated. If it is due to condom allergy, balanitis inflammation due to painful sex, simple antibiotics and anti-inflammatory will help you. Another condition is pearly penile papules where there is no need to worry about infection. Sometimes it will heal on its own, or you need to meet a dermatologist to confirm the diagnosis for its removal. I hope I have answered your query. If you have further doubts, I would be happy to help you. </s>
<s>[INST] Is there any chances of getting pregnant with unprotected sex? [/INST] Hello dearI understand your concernYou are on primolut N to delayed period since last week.If you did sex when you are on primout N then it itself act as contraception and prevent pregnancy.But if you did sex before starting primout N and during fertile phase of period then there is chance of pregnancy.If period will not occur 7 days after stopping primout N then go for urine pregnancy test and or blood HCG test to confirm pregnancy.Avoid stress, take health diet, drink plenty of water, do regular exerciseHope this may help youContact further if follow up neededBest regardsDr. Sagar </s>
<s>[INST] Q. Is anejaculation a side effect of Silodal? [/INST] Hi. Infection. 1. Per rectal examination by urologist. 2. Uroflow test. 3. DTPA scan (Diethylenetriamine pentaacetic acid scan) for pujo (pelvi-ureteric junction obstruction). CPPS (chronic pelvic pain syndrome). Chronic prostatitis. Antibiotics. Revert back with the investigation reports to a urologist online.---> </s>
<s>[INST] What causes water bubbles on foot? [/INST] Hi, your condition suggest that of heat blisters, that arises due to constant friction due to pressure points produced by your shoesIf i were your treating doctor then i would suggest1) try changing to new pair of shoes that comforts your foot.2) If the blisters are open clean with antiseptic and cover it with non adhesive bandages.3) the bubbles on your foot is mostly due to your shoes, hence following above steps would help you a lot.Hope I have answered your question. If you have any further questions I will be happy to help </s>
<s>[INST] What causes a white lump under the eye? [/INST] hi.based from your description, it could be a sty. it will resolve on it's own in 5-7days time. do not manipulate your affected eye and wash your hands frequently.hope this helps.good day!!~dr.kaye </s>
<s>[INST] Blood tests done, hemolytic anaemia. Whats the diagnosis, is it realted to liver disorder or B12 deficiency? [/INST] Hi, We can not confirm that it is hemolytic anemia with a normal reticulocyte count. However, mild hemolysis can happen in the bone marrow itself in B12 defeciency (ineffective erythropoisis) and can elevate your bilirubin. As your liver function tests are not done (or not posted), we can not rule out liver disease like Gilberts syndrome or Crigler Najar syndrome (normal SGOT/SGPT raises the possibility). you may undergo bone marrow aspiration to look for the presence of large precursor cells which will add to the possibility of B12 defeciency. All the best </s>
<s>[INST] Q. I have a severe pulsating headache from 20 days. Please help. [/INST] Hello. Is it half-sided? If yes, it is likely a migraine headache. How frequent is this? If this is too frequent then I suggest starting some medicine on a day to day basis for prevention. Have you tried Paracetamol 650 mg for pain relief? If this is giving relief then you can have it whenever needed up to two to three times a day. Otherwise, I suggest Sumatriptan 50 mg with the earliest onset of headache and look for a response. For nausea, you may take tablet Emeset (Ondansetron) 4 mg whenever needed up to two times a day. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Sleep in a calm environment during the episode of headache. Hope this helps you and get back with some information or have any doubts. For more information consult an internal medicine physician online --> </s>
<s>[INST] Sharp pains in back. History of heart disease and non cancerous tumours. Reason for pain? [/INST] Hellow, Diagnosis: Myofasciitis-Trapezeiitis with Referred Pain from Viscera Treatment: Rest assured to know occult things, get PET SCAN done. Till then REST-physical, psychological & mental rest, analgesic & supportives. Get radiograph of cervical spine to focus on C2-C3-C4-C5 LEVEL DISCS. Wish you good health Dr Vijaykumar Sadulwar, M.S.ORTHOPAEDICS & FELLOW IN SPINE SURGERY </s>
<s>[INST] Q. Why do I overthink and feel anxious around people? [/INST] Hello. I understand what you must be feeling all this time. You are suffering from social anxiety disorder. That is why you always feel anxious, frightened. I would advise you to try deep breathing exercise, meditation, yoga, etc. If this thing does not work, you can try a medicine. There is some behavioral therapy which is also instituted for same. Thyroid stimulating hormone. Medicines, Therapy. </s>
<s>[INST] Q. Could cocaine use two days before blood draw cause the LFTs to be elevated? [/INST] Hi. I have read through your query in detail. Please find my observations below. Revert back to a general medicine physician online for further follow up --> </s>
<s>[INST] Suggest treatment for inflamed and painful lump [/INST] Hi,From history it seems that you might be having non specific enlarged lymph node in the neck.It shows that there might be having minor infection on scalp.If infection in surrounding area is present there might be pain and tenderness in lymph node.Rule out any chronic infection on scalp like dandruff, fungal infection on scalp.Wash hair with good shampoo or conditioner.Ok and take care. </s>
<s>[INST] Suggest non surgical treatment for kidney stone [/INST] HelloThanks for query.Your wife has 6.4 mm stone in the lower portion of Ureter with mild back pressure changes (Hydronephrosis).There are high chances of this stone getting passed down spontaneously.Ensure that she takes more water to produce more urine so that it can get flushed out with urine .Taking smooth muscle relaxants like Drotaverine and Tomsulosin twice daily will help to pass it down with ease .Repeat Ultrasound Scanning after two weeks . Dr.Patil. </s>
<s>[INST] Taking Previfem, history of ovarian cysts. Ultrasound showing ruptured ovarian cyst. Suffering from heavy bleeding [/INST] Hello. Thanks for writing to us. The heavy bleeding that you are having could be due to a hormonal disturbance caused by the ovarian cysts. Instead of regular combined pills higher dose pills will help you.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,[email protected] </s>
<s>[INST] Q. I have a skin condition that has not got cured since 15 years. Please help. [/INST] Hello. I have gone through your query and viewed the images (attachment removed to protect patient identity).  Regards. For more information consult a dermatologist online --> </s>
<s>[INST] What cause my finger pad become reddish and swollen? [/INST] Hi, It seems that some autoimmune disease process is growing in. It needs to be investigated. Kindly consult a skin specialist &/or rheumatologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon </s>
<s>[INST] What causes brown membrane come from cyst operated area? [/INST] Hi,It seems that there might be having sac of infected cyst might came out.There is all chances of recurring cyst if complete sac is not removed.Now consult you treating doctor and discuss about this.He might remove sac completely with scraping the cyst wound.Ok and take care. </s>
<s>[INST] What causes pain in the tailbone? [/INST] Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion you are suffering from a condition called anal stricture / Fissure , where the anal canal is very tight , leading to constipation and pain which may be more during defecation or after that. I suggest that you start some laxatives after dinner daily for few days to ease out passing stools and relieve the pain. If no relief then you may have to consult a physician. This pain is not generally from tailbone. Hope I have answered your query. Let me know if I can assist you further. </s>
<s>[INST] Suggest cure for sickness in the stomach [/INST] Hi.Thanks for your query. Read the history about your Mother and understood it. The cause of sudden mottling on the stomach after the drain is removed after modified Whipple's surgery can be due to following reasons:-Commonest reason is some sort of allergy, for which a detailed history is need. -There might have been leakage of pancreatic enzymes, which can cause this. -The spread of infection in the subcutaneous planes can also cause this. If the vomiting is persistent, if the other signs or symptoms develop like continuation of vomiting, distension of abdomen, constipation or obstipation, fever an so on, she needs to be admitted; Nasogastric tube passed and kept on intravenous fluids and antibiotics. Blood and urine investigations will be done. CT scan of the abdomen will help to diagnose a few more things and the course of action will depend upon the progress of the symptoms / signs / vitals and complications if they develop. Take care, get her admitted and do not take your Mother home till she is cured well. </s>
<s>[INST] Suggest treatment for dry cough [/INST] Thanks for your question on HCM. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray. 3. PFT ( pulmonary function test ). You are having uncontrolled upper respiratory tract infection ( URTI ). And this can lead to lung infection (pneumonia) and bronchitis. So chest x ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. So consult pulmonologist and first diagnose yourself and then start appropriate treatment. </s>
<s>[INST] Taking birth control pills. Always have protected sex. Having brown discharge. Should I be concerned about pregnancy? [/INST] NamastheWelcome to Healthcare-MagicGreetings of the dayFrom your history of religiously using pills and other form of contraceptive like condom, its unlikely to be Pregnancy. Its likely pill induced hormonal bleeding.It does not call for any alarmIn case you need any further assistance, will be glad to assist you.Wishing you happy and healthy lifeTake CareBest RegardsDr Deepak K KMBBS,MS,MCH </s>
<s>[INST] Mum has pulmonary edema, her feet,ankles,knees and abdomen are swollen, struggles to breath. Suggestion? [/INST] Pulmonary edema is collection of excess fluid in lung tissue.This will compromise lung's ability for gaseous exchange.Her pulmonary edema might be secondary to heart failure (congestive cardiac failure).This needs medical supervision and hospitalization.If left untreated she might suffer from respiratory/cardiac arrest which is life threatening. Hope this helps. </s>
<s>[INST] Suggest treatment for ADHD and diabetes [/INST] I am sorry to hear about this behavior I can understand it must be distressing to you and your daughters. It is important to assess whether he was in the right frame of mind when this behavior occurred. ADHD is usually not the cause for this. Possibly he may have been in low blood glucose (hypoglycemia) or high blood sugar (hyperglycemia) wherein his consciousness and judgment may have been clouded and hence he exhibited this disinhibited act, but there is no definitive explanation for this.Regarding the ADHD he must visit a professional psychiatrist or counselor and gauge how to maintain his focus and attention. With regards to the diabetes you must have a regular follow up with the endocrinologist and see whether his blood sugar has been controlled and whether he has ever had other times of altered judgment. If the behavior is absolutely unrelated to the diabetes, then you have even greater reason to visit a mental health professional to look into this. Please feel free to connect with us anytime for further queries. </s>
<s>[INST] What is the treatment for chest pain? [/INST] Thanks for your question on HCM. By your history and description, you are mostly having GERD associated pain. But better to rule out cardiac cause first because you are hypertensive. So get done 1. Ecg 2. 2d echo 3. Stress test. If all are normal then you are mostly having GERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central burning chest pain and gaseous feeling in stomach. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors. Don't worry, you will be alright. </s>
<s>[INST] Suggest remedy for holes due to lumps in armpit [/INST] Hi,From history it seems that there might be having ingrown hair follicle infection producing pustules and pus pocket giving this problem.Go for one oral antibiotic medicine course for 5 days.Go for proper dressing with antibiotic cream after proper cleaning the part.Within few days you will be alright.Ok and take care. </s>
<s>[INST] What is an effective drug for masseter muscle spasm? [/INST] Thanks for your query, I have gone through your query.The muscle spasm can be treated with a combination of analgesic and muscle relaxant like Tablet flexon MR {ibuprofen (400mg)and chlorzoxazone )}. you can take these medicines twice daily for 5days. You can apply cold and hot fomentation over the massetter muscle for every 10sec for 5-10min. I hope my answer will help you, take care. </s>
<s>[INST] How to treat the recurring chest pain? [/INST] Thanks for your question on Health Care Magic. I can understand your concern. Yes, possibility of lung related causes is more in your case because of your smoking habit. Recurrent chest pain in smoker can be due to lung infection or bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. In any case, it's better to quit smoking as soon as possible. It is not a good habit. So first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. </s>
<s>[INST] What causes cracking of foreskin post intercourse? [/INST] Thanks for asking in healthcaremagic forumIn short:If your foreskin is tight then it may crackExplanation: Usually whenever foreskin is tight and difficult to retract then it may rack causing pain. Also if it is dry/ if you forget to pull it back after retracting can cause cracking and pain. I would like to suggest you to retract and protract your skin daily once and can apply oint clobetasol locally for 3-4 days can relive you of your problem. For cyst like thing, I would like to suggest you to visit a doctor so that he can examine you and suggest remedy. Good luck </s>
<s>[INST] Is it safe to take malarone, if I am allergic to penicillin ? [/INST] Hi . The antimalarial class of drug is not known to cause any adverse reaction to peniclilin, as they have not been commonly documented .But every drug combination can cause idiosyncratic reactions or unpredictable reactions. Hence better to evaluate yourself specifically for any drug allergies or this formulation by consulting the physician. Wish you good health </s>
<s>[INST] What relieves mouth ulcers in a 64 year old? [/INST] thanks for your query, i have gone through your query. the ulcer could be because of chronic irritation by sharp edges of the denture or it can be recurrent aphthous ulcer. consult a oral physician to rule out these two conditions. if it is denture related then get the denture borders reduced or smoothened and use topical ansthetic and analgesic like anabel gel.. if is aphthous ulcer you can use topical steroids like triamcinolone acetonide(0.1%). i hope my answer will help you take care. </s>
<s>[INST] How safe is giving Paracetamol 5ml and Amoxicillin to a 11 month old for fever? [/INST] Hi dear Welcome to the HCM,Dose of Paracetamol seems to be ok for about 10 kg wt child.Amoxicillin cannot be measures in terms of ml . It depends upon the mg /ml to know the exact doses. If it is 125 mg per 5 ml then doses are quite adequate for the child.Baby to be investigated if fever do not respond in day or two with these medicines.Hope the query is answered.thanks </s>
<s>[INST] What does this lab report of lungs indicate? [/INST] Thanks for your question on HCM.In my opinion this x ray reporting is suggestive of mass like lesion. Mass in the lung can be1. Malignant2. Benign.But possibility of malignant lung mass is more in your case.I advuce to get done CT THORAX first for better evaluation of mass. And if possible biopsy from the mass for confirmation of the diagnosis.If it turns out to be malignant your patient should eat healthy food like fruits, vegetable. Give her multivitamins for nutritional support. </s>
<s>[INST] Suggest treatment for imbalance and slurred speech with MSA [/INST] Hello,Drugs that are used in Parkinson's disease (levodopa for example) may be used for movement symptoms in MSA. If your father showed orthostatic hypotension, droxidopa may be used also. Antidepressants may be used for mood disorders. Discuss with the Neurologist for these issues.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical </s>
<s>[INST] What causes pain in the groin area while suffering from syphilis? [/INST] Hello,Since you have been early contacted with syphilis, there is still a chance of secondary syphilis development in you, so it is better you should undergo the nontreponemal test, or an RPR to rule out secondary infection of syphilis.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Medhavi Agarwal </s>
<s>[INST] Suggest remedy for pain,inflammation and pulsating in gum between front teeths [/INST] Hello,Try to reduce your tissue inflammation with warm salt water rinsing, proper brushing, flossing with threaders and interdental cleaners. Anti-inflammatory medication can help your treat your discomfort. A prescription rinse with an anesthetic could be requested. Your symptoms should resolve, but increased inflammation is common while braces are on your teeth. Accelerate your professional cleaning schedule to every three months instead of six months.Call your orthodontist and report your level of discomfort. The doctor will advise you if this is unusual for your specific treatment and schedule an appointment to adjust your braces if needed.Thank you for your inquiry. I hope my suggestions are useful and you begin to feel better. </s>
<s>[INST] Suggest treatment for fever after swimming [/INST] Hi...Thank you for consulting in Health Care magic.You did right in giving him Ibuprofen.Fever of few hours 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 viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., </s>
<s>[INST] Bumps in gum for long. Got after injecting anesthetic. Anything to worry? [/INST] Hi,Thanks for asking the query,Lump on the gum which is painless can be a due to inflammation and swelling at the time of administration of LA, injury by food products, cracked tooth, vitamin B12 deficiency, tobacco use, smoking, low immunity.Stress and hormonal changes may also lead to such lesions.So i would suggest you to consult to an oral surgeon get the clinical examination and evaualtion done, take necessary x-rays. If annoying can be removed surgically.Hope you find this as helpful,Regards... </s>
<s>[INST] Suggest remedy for swollen penis [/INST] Hi,It seems that there might be having some infection on glans due to not cleaning smegma leading to soreness and swelling.Clean local part with warm water and apply antibiotic cream.Ok and take care. </s>
<s>[INST] Suggest treatment for severe headache and nosebleed in a child [/INST] Hi.. By what you quote I feel that it could just be a passing viral illness. But if the nose bleeds recur again or if his behavior is altered you need to consult a physician. Bad head ache associated with vomiting / reeling sensation of the head / unconsciousness/ seizures / ENT bleeds is an indication for evaluation. As there is nose bleed - I suggest you consult your pediatrician for this as soon as possible.Regards - Dr. Sumanth </s>
<s>[INST] Can warm milk concoction help cure ostoearthritis? [/INST] Hello, Milk & Dairy products might help in building your bone strength. But just depending on Milk might not be a remedy for your problems. Osteoarthritis might not involve Polyarthralgia (multiple Joints Inflammation), so it's better to get a proper diagnosis. You should go for Investigations to rule out RA, Gout, and Osteoporosis. It's better to visit a Rheumatologist for proper Diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Saurabh Singh Rajan, Sports Medicine Specialist </s>
<s>[INST] Feeling dizzy suddenly while standing up [/INST] Hello!Welcome on HCM!Your symptoms seem to be related to orthostatic hypotension. I recommend you to closely monitor your blood pressure in sitting and then after 3 minutes of standing up position. If there is a decrease more than 20 mmHg of your systolic blood pressure and more than 10mm Hg in the diastolic blood pressure this would indicate orthostatic hypotension. In such case a Head Up tilt test would be necessary to confirm the diagnosis. Other lab tests would help exclude other possible causes that may trigger this situation: - complete blood count for anemia- blood electrolytes for possible imbalance. You should discuss with your doctor on the above issues. Hope you will find this answer helpful!Kind regards, Dr. Aida </s>
<s>[INST] Persisting lower back pain radiating to left upper and the stomach, had taken Levaquin 500 mg. Cause? [/INST] Hi, Welcome to Healthcaremagic. Pain radiating from back to front suggests that it could be one originated from pancreas. I would suggest you to get a Ultrasound scan which can give clues into what the problem exactly is. Do continue the antibiotics you are on. Wish you good health. </s>
<s>[INST] Q. Can depression medicines cause tremor, weakness and fast heartbeat? [/INST] Hello. All the symptoms you described could be due to anxiety disorder per se and not because of medicines as they are out of your system now. Sometimes there are few problems when medicines are started but they usually go spontaneously within 2 to 3 days. Medicine dosage can also be adjusted accordingly. So, stopping the treatment is not a good option. In my opinion, you shall consult the treating psychiatrist and start treatment with dosage change as per the current situation. Remember, every problem has a solution. You just need to try solving it and help is just a step away. For more information consult a psychiatrist online --> </s>
<s>[INST] How can fever with ear pain be treated? [/INST] HI..Greetings from Chennai...there are few possibilities - 1. Ear infection - otitis media2. Evening colic3. Acute CNS infection/ Pyogenic meningitisThe 1st two are not dangerous, but the last one is. Fever of a 3 1/2 month old kid with inconsolable cry, the third possibility should definitely be considered and the baby might need an expert Paediatric opinion and investigations including a CSF analysis.Regards - Dr. Sumanth </s>
<s>[INST] Diabetes, high blood pressure, high serum creatinine level. Advice? [/INST] hi gothi, you need to consult a nephrologist for this. you may have to change some of your medications. the nephrologist will also advice further tests, including 24 hour urine protein to see if your kidney is leaking proteins etc. good control of diabetes and BP can protect your kidneys for longer time. be on regular follow up. take care. </s>
<s>[INST] Will penicillin cure gum problems also? [/INST] thanks for the query, penicillin is effective in tooth infection but if it is gum infection then you can go for doxycycline or metronidazole...first consult a oral physician to confirm whether the pain is because of gum infection or some bone spicule or remnent of tooth root...take radiograph and rule out..i hope my answer will help you.. </s>
<s>[INST] Does evion and fertyl help to conceive ? [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Well the sperm count is good and the motility has improved now and the tablets will help in improving your sperm count and motility since one of them is vitamin E which helps. I think you should continue the medications and try for next 2 to 3 months and see if it helps.Take care!Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Akshith </s>
<s>[INST] Can I take rabeprazole for severe abdominal pain and flatulence? [/INST] Rabeprazole can be taken. There can be manyy reasons for abdominal pain. Alcohol intake can also cause abdominal pain. Rarely, high bp can cause ischemia of the intestinal walls causing pain.it depends on the age. </s>
<s>[INST] Does tiredness and abnormal breathing indicate COPD? [/INST] Hello,Usually, we recommend you to do spirometry test to see if one person have COPD (Chronic Obstructive Pulmonary Disease).Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jnikolla </s>
<s>[INST] What causes an increase in the body weight during pregnancy? [/INST] Hello dear,I understand your concern.In my opinion the excess weight gain needs to rule out the diabetes.Changing the diet pattern is important like take low carbohydrate diet.Avoid all oily and high calorie food.Take healthy nutritional diet like fruits,veggies etc.Practice antenatal yoga or pregnancy work outs daily.Walking for an 30-40 minutes daily also is helpful.And diabetes and any hypothyroidism should be definitely ruled out.Don't worry.Avoid stress.Due to change in lifestyle the overweight is a common problem these days.And with good care leads to happy pregnancy and delivery.So relax.Hope this helps.Best regards... </s>
<s>[INST] Need treatment for bulging and herniated disc with dizziness and blurred vision [/INST] Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you From What you have described, i find that you are suffering from Cervical Spondylosis. The Vertebral Artery (Blood Vessel supplying your brain stem) is likely to be compressed and this can cause the dizziness and blurred vision I would suggest you to consult a Neurosurgeon at the earliest Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. </s>
<s>[INST] Suggest treatment for mental illness [/INST] DearWe understand your concernsI went through your details. I suggest you not to worry much. From the description given, it is not possible to diagnose the problem correctly. Getting angry and not listening to elders are not considered as mental disorders. Disappointments and other simpler triggers do cause such troubles. Do understand. Talk to your sister regarding this. If you cannot talk to her or if she do not accept your intervention let other elders of the home do it. Don't irritate her. If need be, please consult a psychological counselor.If you require more of my help in this aspect, Please post a direct question to me in this URL. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck. </s>
<s>[INST] How further can hepatitis C be treated? [/INST] Assalamo alaikum.Thank you for posting query at HCM.increase in the level of liver enzymes reflect an INJURY to the Liver. medically, the condition is know as "Hepatitis". it maybe caused by:1. Virus (A, B, C, D, E) 2. Alcohol 3. drug induced 4. Gall bladder or common bile duct pathology 5.Fat excess and many otherYour cousin has HepC.you need NOT worry.HepC can be cured completely now. There are drugs like sofosbuvir/ribavirin which may completely aid in curing the disease.you may adviced a special diet ( fat free), abstinence from alcohol and smoking.You may visit hepatologist and take your blood reports as soon as possible.if any further questions, feel free to ask.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik May 14,2016 (question viewed and answered date) </s>
<s>[INST] Does purpurex cause dizziness in an asthmatic patient who is on amlodipine? [/INST] Hello,Welcome to HCM,The drug purpurex helps to reduce the senile purpera and it has showed excellent results with this medicine.As such it will not cause any dizziness but asthma itself can cause dizziness in some patients as it decreases the flow of blood to the brain.Drug interaction between purpurex and amlodepine is yet to study this effect.Thank you. </s>
<s>[INST] Have TBI, problems with muddled thinking. Taking toprol, improved focus, concentration. Would more COQ10 or omega3 help? [/INST] Hi,Thank you for posting your query.Cognitive symptoms following traumatic brain injury (TBI) spontaneously improve over time. However, CoQ 10 and omega 3 fatty acids may help (there is no hard data in literature though regarding their efficacy).Another medication that could help you is piracetam.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My blog: </s>
<s>[INST] What could a painful lump on the wrist be? [/INST] Hello!Thank you for the query.The most probable lump in such location is a ganglion. Its a kind of joint herniation which leads to a lump formation. Such lump is soft in touch, painful and filled with clear gel like fluid. It does not increase cancer risk. However as a pain is present, I suggest you to have it removed.Please consult a surgeon, have an ultrasound of it and consider surgery.Hope this will help.Regards. </s>
<s>[INST] Are there any side effects of taking Nutriliite? [/INST] Hi there,Welcome to HCM,Nutrilite is a nutritional supplement and improves overall health if your diet is not balanced. For PCOS, it may not be particularly helpful.For PCOS you need to take specific treatment. The most important advice with PCOS treatment is diet and exercise, women with PCOS, if loose atleast 5 -6 kilos are known to have regular periods, which tremendously increases their chances of conceiving.Medications such as metformin and clomiphene are helpful.Hope this helps.Regards. </s>
<s>[INST] What causes a lump between the buttocks? [/INST] Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems most probably a pilonidal sinus as per the description , which needs confirmation with physical examination and proper line of management .Wishing you fine recovery .Regards . </s>
<s>[INST] Q. What is the relation between lead poisoning and heart problems? [/INST] Hello. It saddens me to hear of the whole difficulties you have gone through in the past years. I must recommend you for staying strong in the face of all these difficulties. I have thoroughly gone through all your detailed explanation and here is my view. Although I have not had clinical experience of a patient with such complications, I have thoroughly researched to find enough evidence to bring me to the conclusion that lead poisoning can lead to heart diseases and stroke, but no much evidence of asbestos causing cardiovascular diseases. These below are my findings. 1. In a study that involved 60,000 participants, it was concluded that lead poisoning was associated with cardiovascular events. Most commonly but not limited to hypertension, especially in lead blood levels below 5 μg/dL. 2. Another article also detailed the complications of lead poisoning to the cardiovascular system, although the mechanism is unknown. 3. A study by the Harvard school of public health (HSPH) also detailed the effects of bone lead to increase cardiovascular complications. In my conclusion, there is more than 50% chance of a cardiovascular complication due to lead poisoning. Although they might argue the fact that only a few cases have been reported. I feel strongly that more than 50% of it caused your heart complications. Your level of lead exposure will help your case. </s>
<s>[INST] Suggest treatment for gallbladder stones [/INST] 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.In most cases, treatment of gallstones is considered necessary only if you are having symptoms. Of the various conventional treatments that are available, surgical removal of the gallbladder is the most widely used. Some alternative treatments have also been found to be effective in alleviating the symptoms of troublesome gallstones.When deciding what course of action to take for symptomatic gallstones, doctors usually choose from among three main treatment options: Watchful waiting, nonsurgical therapy, and surgical removal of the gallbladder.Though a gallstone episode can be extremely painful or frightening, almost a third to half of all people who experience an attack never have a recurrence. In some cases, the stone dissolves or becomes dislodged and thereby resumes its "silence." Because the problem may solve itself without intervention, many doctors take a wait-and-see approach following the initial episode.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. </s>
<s>[INST] What is lump under jawbone after filling of cavities? [/INST] Hi,from history it seems that there might be having some infection in teeth filled cavities giving rise swollen ,enlarged in sub mandibular and neck lymph nodes.Go for one course of antibiotic medicine treatment for 5-7 days.Take some anti-inflammatory medicine course for 3-5 days as well.Ok and take care. </s>
<s>[INST] Q. Please explain the poisonous effect of phenol ingestion. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s>
<s>[INST] How to treat gallbladder wall thickening? [/INST] HelloGall bladder generally becomes thickened due to cholecystitis,ascitis etc.Your daughter need clinical correlation.I presume that there is no calculus in gall bladder then pain may be due to acalculus cholecystitis.She may need broad spectrum antibiotics and analgesics.Gall bladder thickening in ascitis is called as pseudo thickening and it is not due to inflammation.This condition doesn't require any specific treatment.Get well soon.Take CareDr.Indu Bhushan </s>
<s>[INST] Suggest treatment for pain in extreme right side of abdomen [/INST] hello dearthanks for askingas you have mentioned a very lucid and detailed history...the now developed pain on right side of abdomen has nothing to do with the past surgeries....i am of the opinion that you better do some basic investigations and do an ERCP.as if there is some stricture in bile duct it need to be released. </s>
<s>[INST] Q. Why does my friend forget her own identity? [/INST] Hello. For further doubts consult a psychiatrist online --> </s>
<s>[INST] What is the treatment for hip pain? [/INST] If x rays are normal i advise my patients for physiotherapy including swd and usg that provide relief in pain .also use hot fomentation by heating pads etc. Most important is back strengthning exercises and correction of ur posture. Avoid too much bending forwards and rely more on fomentation rather tha medicines for pain releif for fear of drug abuse. </s>