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How to treat the pain after toe injury?
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Patient: sir, i have an injury in my left leg toe finger. i got injured while playing football in feb this year. As on date the toe finger has shifted inside and i have a shooting pain always in the general area. i have stopped running and playing for past one month but i dont have any relief... can u please advice me a good doctor for consultation. Doctor: Hello, It looks like your injury is too old now and you are suffering from frequent pain issues. At present this can be due to:-Unhealed ligament-Non united fracture at your toeIn case of both issues, I shall advise you to at least have an X-ray and confirm for presence of a minor fracture or nonunion. At present a strapping should be done to avoid further injury to your toe. Depending on your X-ray your doctor may decide further treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
| 119,454 |
Could use of Clomid increase PSA ?
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Patient: My boyfriend who is 69 was given Clomid to increase his testosterone level to a more normal range. Now his latest PSA test is elevated from a prior test that occurred before the Clomid. He just went off the Clomid yesterday due to hot flashes. Could the use of Clomid increase his PSA and will it go down when he goes off of it? Doctor: Hi, dearI have gone through your question. I can understand your concern.Clomid is not responsible for high PSA level. PSA is prostate specific antigen and its level increase in carcinoma of prostate and some other condition like prostatitis. He should go for prostate biopsy and then 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
| 200,352 |
Allergy, take citrezine. A pure non-vegetarian and also take beer. Are my habits making me ill ?
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Patient: I am a pure non vegeterian taking chicken 1-2 days/week (mostly chicken fry), fish 2-3 days/week(mostly fish fry), beef/mutton 1day/week. Also I takes 3-4 cans of beer/week. I have allergy , so taking citrezene 2-3 times/week. Since I have to drive to office early morning, and reach home by night (1.5 * 2 hrs driving every day- to and fro) i don t get enough time to do any excercise. I am 28years old and a bit concerned if my habits make me ill in short time..? Doctor: Hello Dear Thanks for your query. I would like to know what health problems are you facing at the moment apart from allergic reactions. If you are having allergy and taking cetirizine for it , its ok but its better to use levo-cetirizine- Montelukast combination OD before sleeping . Your words suggest you have high protein diet and have less dietary fibres.Having high fibre diet in form of vegetables has its own benefits.High protein diet has been often related to increased chance of colon carcinoma.So try to add more vegetables to your diet. You didnt mention your weight or body mass index,It would be better to advice after knowing it.Sedentary lifestyle is related to cardiovascular diseases , so doing regular excercises is always good for your health.You can start with light free hand exercises, it wont take much time. Hope this helps. Update here how you stay. Take care.
| 105,031 |
What are the side effects of taking Dicorate ER for a long duration?
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Patient: Hello Doctor, My brother was diagnosed with Maniac in January 2017. He took 3-4 different types of medicines for 6 months. Now today doctor stopped all his medicines except Dicorate ER500. Dr. advised that he has to take this medicine for 12 to 18 months as there are chances of re-occuring of this. Please advise how it reoccur again and is there any side effects of Dicorate ER500. Thank you so much, Shalini Bisht New Delhi India Doctor: Dear Ms Bisht,Dicorate ER is extended release sodium valproate, one of the main mood stabilisers prescribed in Bipolar Disorder. Usually it is used even after the patient recovers completely so that neither mania(excitement) nor depression comes back.The duration of continuation of Dicorate depends on various factors like number of previous attacks, severity of previous attacks, family history of psychiatric disorders etc.Like all other medicines Dicorate also has side effects.The commonest among them are hair loss, reduced platelet count, pancreatitis, gastritis, nausea and vomiting and raised liver enzymes. Most of these are rapidly reversible and some of these are dose-dependant and very unlike to appear at a dose of 500 mg daily.
| 205,241 |
Report said hypoechoic solid mass with homogenous echotexture. What is tumor condition?
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Patient: my report says, There is a well define hypoechoic solid mass with homogenous echotexture measuring 28.6mm x 25.3 mm in diameter seen in the posterior wall of myometrium hanging downwards Doc said, I should have a baby as early as possible, or the tumor can grow bigger. but i really want to wait at least 8 months to conceive. can u tell me about my tumor condition? is it dangerous? Doctor: Hi thanks for your question. Tumors of uterus are called fibroids.These are benign tumors and grow very slowly.You can concieve with fibroid inside your uterus and can complete pregnancy safely but sometime it can become a cause for infertality.You can get your fibroid removed before planning pregnancy, if it interfers with conception or after completing pregnancy.However sometime it causes bleeding during pregnancy leading to abortion and may also become a reason for postpartum haemorrhage.So there is nothing to worry you can take descision accoerding to your convenience.. Hope this answers your question.
| 159,125 |
What causes loss of memory for a short period of time?
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Patient: Hi, I was recently having a conversation with my dad about politics and I randomly had trouble trying to figure out what word I was trying to say. I didn t really think of it, but I continued talking and it happened again and I couldn t say the word I was thinking of. I had an MRI about 5 months ago because I had a headache that lasted about 3 weeks but it subsided. The MRI cam back fine. Doctor: Hello, Loss of a word of 2 on rare occasion can be due to memory blocks due to stress or being in the "heat" of discussion, especially if it's an active sort of dialogue. If there were an accompanying headache that was severe and caused you to feel nauseous, extremely light or sound sensitive, weak in an arm or leg then, you may have been experiencing what is referred to as a complicated migraine but it doesn't sound like that's what happened. If this has happened on a couple of occasions and you say an MRI in the past was clean then, perhaps the next step would be to consider a neurological examination by a specialist. Document if something were to happen in the future. Occasional problems with word finding get more frequent with age (you didn't specify yours) but we don't really consider it problematic until it starts interfering with our ability to function at home or at work. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
| 140,343 |
Rashes on thigh. Taking steroids, antibiotics for sinusitis. Will steroids help to cure the rashes?
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Patient: Hi I have sinusitis I m taking steroids and anitbiotic. A week prior to me starting medication I have a rash purple not spotty but in and area not itchy on inside of my thigh by my knees and just noticed on my butt also it mirrors each other bith legs both sides of my butt . My blood pressure is also elevated 140/100 I am going to get checked tomorrow but I can t see a dermatologist until Monday . I tried anti fungal cream very slight difference . I would think the steroids would take it away . Doctor: Acocrding to ur history might be u r suffering with frictional dermatitis. These type of dermatitis seen in atopic person or u have tinea infection. Confirm diagnosis can be done after seeing the lesion.Bilateral lesion on both legs n butt favour toward the dermatitis. But if u took steroid for long time tinea infection may be.U r not mentioning the duration of treatment. Sodon't start steroid self , first of all done skin scraping for koh mount confirm the diagnosis &thn o ahead under supervision of dermatologist.Idon't think it is related to ur bld pressure.
| 15,698 |
Suggest medicine for muscle spasm
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Patient: My son has spastic CP and began experiencing severe muscle spasms several nights a week. We finally had a Baclofen pump implanted. It has helped some, but the spasms will start up again after a month or so. Then we need to increase the baclofen pump dosage again. The baclofen has taken away all his leg strength used for standing and walking. Could Tizandine be used to stop severe muscle spasms on an as needed basis? Doctor: yes Tizanidine can be used but dosage and frequency are adjusted according to age severity and weight so recommend going back to your doctor Good Luck
| 131,256 |
What are the signs of male infertility?
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Patient: My boyfriend has clear, watery sperm. Some people have told me that clear, watery sperm means that the man is infertile. Its a little sticky, so it obviously has some density. He is young and he is a vegetarian, and his sperm has always been like that. Could someone tell me more about that? Is he sterile? Doctor: Hey thanks for your faith in the health care magic.i have gone through your question and understood your problem.its better to do semen analysis for better idea..following are some of signs that help to you understand signs of infertility in men:-difficulty with ejaculation, reduced sexual desire or difficulty maintaining an erection (erectile dysfunction)Pain, swelling or a lump in the testicle areaRecurrent respiratory infectionsDecreased facial or body hair or other signs of a chromosomal or hormonal abnormalityHaving a lower than normal sperm count (fewer than 15 million sperm per milliliter of semen or a total sperm count of less than 39 million per ejaculate).Hope I have answered your query. If you like my answers and wish me to answer in future, bring it to my attention
| 41,452 |
Could having unprotected sex and missed periods while being on implanon cause pregnancy?
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Patient: I was in hospital at the end of January excessive bleeding & clotting .. tests done all clear and was advised to have implanon implant out ASAP which I did.. Weeks following I had unprotected sex with my new partner & still have not had a period although I had pregnancy urine & blood tests done over 2 weeks ago which proved negative? Could I still be pregnant and should I do another urine test? Thank you.. .. never mind I will see my GP again who bulk bills my account & try & find out what is going on.. Doctor: Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. 2 ) I will suggest you to get morning's first sample of urine tested for pregnancy, at least 15 to 20 days after your last episode of unprotected sex act. In case of doubt blood beta HCG test and USG will be of help. Tests done earlier than this period may not give predictable results. 3 ) If you are not pregnant then you can simply wait for the onset of periods or induce the periods with progesterone tablets. Your treating doctor can guide you further about it. 4 ) Even If you are pregnant, you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar
| 1,195 |
Suggest treatment for infertility
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Patient: Hi, Im 26 and my husband is 33 were TTC for 5 months but still Im not yet pregnant. I have a long cycle of 33-37 days, I had a pelvic ultrasound and it is all normal. We have intercourse 2-3 times a day per day. How long should I wait before I need to consult a specialist? Doctor: Hi,Thanks for writing to HCM.I suggest you to get your follicular study so that you will come to know you are ovulating or not and also time of ovulation. So that you can plan intercourse at proper time. If follicular study is normal you may try for another 6months and show to infertility expert if you don't conceive.If any problem in follicular study then you need to take treatment for that.Hope I have been helpful.RegardsDr. Ashish Verma
| 42,656 |
Is knee replacement needed if not able to walk properly due to pain in left knee?
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Patient: my name is Rabbani and i am from Bangladesh. I have had a back injury one year ago( on my right waist ). I was getting treatment since then to a local orthopedic. Now my problem is i can not walk properly as my left knee remains painful for a month. I have taken pain killer and other medicine but did not work. Do i need a knee replacement at this age. I am 27 years of age. Doctor: Hello, It looks from your details that you had an injury to your back. Most probably this back injury had weakness your muscles due to long rest as well as limited activities. At this age knee pain can be due to injury induced ligament or meniscus problem. In your case this can also be due to weak muscle. You should do strengthening as well as stretching exercises. Meanwhile you should also avoid cross leg postures, climbing up or down the stairs. There are some alternatives to knee replacement like taking medicines which supplements cartilage like glucosamine, chondroitin and collagen supplements. There are some herbal supplements also which you can find out about online. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
| 119,490 |
What does this semen analysis report mean?
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Patient: Doctor this is normal result? Age of sample 1.50 (reference range Abstinence 3 (2-7) days Volume 2.1 ( =2.0ml) Ph 8.0 (7.2-8.0) Viscosity normal Count 147 ( =30mil/ml) Motility Rapid 00 Sluggish 51 Non progressive 05 Immotile 44 Total progressive motility 51 ( =50) Normal morphology 01 ( 14% normal/fertile 5-14% fertile/subfertile 0-4% subfertile) Agglutination mild Round cell 0.9 ( Comment teratozoospermia Doctor: Hi,Welcome to healthcare magic. I have read your question.I would like to reply as below:1) This is oligospermia.2) Low motility.3) Get antioxidant prescribed by your doctor.If you have any further queries, let me know so that I can help you much better.Wish you good health.Dr. Soumya
| 42,401 |
What causes hydronephrosis and thinning of cortex in the kidney?
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Patient: hi i had an ultrasound on my kidneys the results where i had hydrophrosis on my left kidney which was also large 14 cm but also my right was small 8cm and the wall was slightly thinned i went for further tests ct scan and 2 other scans a renagram and mri i think when i went to talk about my results whith the urolagist he was not concerned with my right and didnt say much about it and the left kidny will require surgery to remove a blockage he also said i was born with this but i am worried because i have read many things on the internet saying that slightly thinned cortex is kidney disease can you help me ? Doctor: Good day and thank you for being with healthcare magic! The Ctscan and the renogram would say a lot about renal function and since your Urologist is not concerned with your right kidney then I wouldn't be worried as well. On your left kidney you have a condition called ureteropelvic junction obstruction (UPJO) which would require surgical correction.I am thinking maybe the thinned renal parenchyma is on the left side which is common on UPJO.yours truly, Dr Manuel See IV
| 47,345 |
How to prevent cancer from spreading further ?
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Patient: my mom is suffering from uterus cancer stage 3B.She is undergoing radiotherapy.Dr. told that it is curable.Plz tell me what type of precautions should be taken after treatment and how to prevent it from spreading furthur after treatment?How to diagnose that any cancer related problem is occuring, after treatment?Also tell me whether any pain( in hands etc.) or any type of lump can be related with that cancer? Doctor: hello wellcome to health care magic ,cancers always accompanied by loss of weight ,the lump of the tumors are painless ,to check its activity should go to radiologist and have consultation and take chemotherapy regularly.take care
| 160,083 |
What could cause a sharp pain under the breast for a person having upper respiratory infection?
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Patient: I had a upper respiratory infection a month ago got medicine for that. Two weeks later I started having sharp pains under my left breast and still had a cough so went to after hours clinic nurse practitioner said she thought it was pleurisy. Did a chest X-ray everything was fine gave me cough medicine. My pain continued to get worse with a sudden move or deep breath. One day I was in the shower and noticed my ribs under my left breast was swollen and I still have pain. I made me an appointment with the nurse practitioner I normally see and she did a X-ray of my ribs and that X-ray was fine no fractured ribs gave me a steroid shot for inflamation and pain medicine and this seemed to help with the pain and swelling. Well yesterday I was at work and sneezed felt a pop the most aweful pain shot through my body. It hurt to breath to move a certain way and the swelling is back. Went straight to see that same np she gave me another steriodshot and a muscle relaxer and told me to go home and rest. Today I'm in bed still having shooting pain with certain movement and still have swelling. What is going on? Doctor: HelloAll these symptoms , you are having for one month , however, off & on.Taking irregular treatment without any proper diagnosis .As you mention that there was cough one month ago , some what improved .Now pain is in the ribs and not improving ever after steroid shots .May be due to these reasons, these include.1 Tuberculosis .2 Consolidation of lung ( left side ).3 Cancer .4 Pleural effusion.In my opinion consult a pulmonologist and get his opinion.
| 36,520 |
What causes numbness in face and arms with dizziness?
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Patient: Hi DoctorI have numbness in my face and arms with dizziness specially after training, this happened to me before two years until now, last week I discover there is H.pylori in my stomach so maybe there is relation ship between H.pylori and numbness or vagus nerve? Doctor: No, there should not be any relationship between H. pylori and numbness in the face and arms.Nor should there be any relationship with the vagus nerve.
| 141,690 |
Doe Asperger s have violent tendencies?
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Patient: Hi, I think my son who 18 has aspergers. Do they act on any violent tendencies? He may mention something, but he is very passive, but may say aggressive things, not to me his single mom ... we live by ourselves, but to my boyfriend who is very outspoken an always on the go. We have just found this information out, an my boyfriend is shameful of some of the things he has said to my son. When my son has asked to only be left alone an not deal with my boyfriend. Is there reason to fear my boyfriend may be hurt, ? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Asperger syndrome (AS), also known as Asperger disorder (AD) or simply Asperger's, is an autism spectrum disorder (ASD) that is characterized by significant difficulties in social interaction and nonverbal communication, alongside restricted and repetitive patterns of behavior and interests.Due to the complicated symptoms and irritation associated with it, violent behavior patterns are usually noted. Cognitive Behavioral Therapy should be used on such patients. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. 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.
| 206,063 |
White patches on the body, Vitiligo. Medication and treatment options?
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Patient: hello doctors... Am XXX from XXXX... Am suffering from white patches on my body.. I am nt confirm abt tat is it vitiligo? Its appeared in my body around 12- 13 years ago... Bt @ very small parts.. Bt recently its starts to spread and am very affraid abt it.. Bt sme patches of my body automatically disappeared recently.. Is it completely treatable...? Which type of medical treatment is best for this? Homeo? Or ayurvedic? Plz answer me Doctor: advise you to stop mik and diary products no ils mustard coconut walnut groundnut almonds soya apply olive cook in olive no milk and nut containg soap oils creams and ointments take oil free and greese free diet tab doxitab 100 mgm bd for 10 days apply clindac a gel morning and evening calamine in after noon afternoon toy apply placentrx ointmenton spots and exposed to sun for 15 mts take methotrextate 2.5 mgm once weekly do 3 months and post
| 11,902 |
How can necrozoospermia be treated?
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Patient: Hello, My husband and I have been trying to have a baby for a year now. This will be our 2nd child. I had two miscarriages over the past year during this time. He recently went for a semen analysis and the results came back that he has necrozoospermia. I wanted to know if you knew anything about this and if it is something that might be able to be cured. Thank you for your time. Doctor: Hi welcome to healthcaremagic.I have gone through your question.As necrozoospermia should be investigated. Is there any infection in recent past as you had conceived two times earlier in last year.Then should be find out and treated.I would also advise to go for ultrasound scan of scrotum to rule out varicocele and see vascularity if testes.Hope i answered your question.Would be happy to help you further.Take care.
| 41,801 |
What is the treatment for rapid heart beat and leg pain?
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Patient: Hi, may I answer your health queries right now ? Please type your query here... I ran a 10K race yesterday and half way through my heart beat was racing, and my legs went heavy, I turned very grey and pale in the face and when I finished the race my heart rate was very high. I am a very fit person who trains at the gym four times a week and cannot believe how I felt yesterday even though I had done the 10K before. I felt exhausted when I had finished. Thanks Shona Doctor: Hello, Shona. I understand how are feeling, but no need for worry. I have read your complaints and I can say you are having "exhaustion". It is normal for the heart to beat faster during physical activity and your legs felt heavy due to the pile up of lactic acid. As much as working out frequently is good for your health, the body risks been exhausted when you over do it. You have to take some time off, at least 2-3 days without doing any intense activity. You should change your gym plan to 3 days. Hopefully you will be fine. Warm regards
| 21,421 |
What causes red, itchy and swollen spots on skin post an insect bite?
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Patient: My 88 year old mother is being bitten by something in her house. Through process of elimination, we believe it is mites. She has had the outside and inside of the house professionally treated with insecticides. Two companies have come out - neither can find signs of any insecticides. She has been to the dermatologist twice. They gave her Ivermectin. She has taken it twice- one week apart. She is still getting bit- on upper body, mostly torso. They are red, swollen, very itchy spots. Is it possible that the insect is hosting on her and not in the house? What should she do to stop the biting? Doctor: Hi,From history it seems that she might be having Scabies infection as there is typical site and having itching spots on torso.Scabies parasites remains under blister spots mainly on torso.So unless there is break in the spots and then scabicidal lotion can enter in the lesion and gives its effect.Consult dermatologist and discuss about this.Ok and take care.
| 30,723 |
Is it safe to use clindamycin for staph infection?
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Patient: Hello. My 15 month old son was diagnosed with staph. He was admitted into hospital for three days. He is doing better, but stil has a low grade fever and taking 7mL clindamycin three times a day. Besides diarrhea, what sides affects should a be concerned about with this medication. Doctor: HelloAlthough clindamycin is not used as a first line medicine for staph infection it has a good coverage for staph infection.Side effects are very less.Minor side effects like diarrhea,nausea,vomiting,rash,mild irritability can be there.Regards
| 168,159 |
What causes difficulty in urination , stomach pain and weight loss?
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Patient: I have been having problems with urination and stomach pains and excessive weight loss. i have seen a doctor and waiting to get results tomorrow. but tonight i went pee and a few string looking things came out i pulled one out before it went into water and it looks like a string of skin, what could this be? Doctor: HI.The string like thing coming out of the urethra is a desquamated mucosa of the urinary bladder in response to infection called cystitis , a part of urinary tract infection or bladder cancer.Since you have excessive weight loss with difficulty in urination and stomach pain, the possibility of urinary bladder cancer has to be ruled out ASAP.I would advise you to consult an Urologist and get a physical examination, investigations of blood and urine, Cystourethroscopy and biopsy; CT scan of the abdomen.Further treatment will depend upon the findings; till then get started on an antibiotic and supportive medicines, take plenty of water orally.
| 88,744 |
What causes increasing head indentations with soft spot sensations, BP and dizziness?
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Patient: I have over the last 6 months noticed indentations on the top of my head. They are getting bigger and now seem to be moving down onto my forehead. The have increased in size. They feel like the soft spot on the top of a baby s head. No other symptoms other than low blood pressure and occasional dizziness. Should I seek medical assistance? Doctor: Hello!Thank you for your question on HCM! I understand your concern. The new indentations on your head may be caused by different disorders affecting your skin, soft tissues, bones and brain covering layers( the meninges). These may be inflammatory, infectious, traumatic causes. You don't refer any head trauma.A vitamine D deficiency could also cause bone deformations with these changes.So I would recommend to have a good physical examination by your GP, a full blood work, Vitamine D and Calcium levels and a head xray in two directions to evaluate better the problem and find the possible cause. Hope to have been of help!Best wishes!Dr. Abaz Quka
| 145,136 |
leproscopy shows that the utrus is bulky can my wife conceive ?
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Patient: leproscopy shows that the utrus is bulky can my wife concieve or not she is 40yearsold both tubes and overies are normal she has given leuprolide acetate 3.75 twice . Doctor: Does she have ant other findings/signs etc?? Cause it is difficult to assess her fertility without knowing test results.
| 45,442 |
Suggest treatment for back pain
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Patient: Hello, Roughly around three weeks ago i was tumbling in my front yard. Haven t done so in a while. Nothing seemed to bother me that day. I woke up with my back causing me so much pain.The Feeling was in the middle of the spine. Feels like It constantly needs to be popped. About a week later i start having horrible pains in my rib area. Right under my breast. So i finally go to the doctor the take xrays of my lungs to make sure its not a collapsed lung. Nothing found. I can t sleep at night. I find it more comfortable sleeping on the floor. And sometimes in the middle of the night i have so much pain in the back/rib area i feel the need to get up and vomit.The MRI on my spine is next..? Doctor: As you have not mentioned your age it is very difficult to plan the treatment because age is very important determinant as far as back pain is concerned. But from your narrative I think you are an young adult and you are most probably suffering from disc prolapse so you just have to take some pain killer with muscle relaxants like tab dan-mr or tab osteonac-th twice daily after meals when your back pain is worse enough to disturb your work along with tab shalcal 500 mg once daily after meals with tab rantac or tab famotid twice daily before taking meals. You can also use volidup gel or powergesic-plus gel for local application. It is also quite beneficial in relieving back pain and provide you some comfort. Apart from these you can also go for physiotherapy exercises after an expert opinion of physiotherapist. Also you have to sleep on plain surface as you are doing because it is a good practice in case of back pain which is due to disc prolapse.
| 108,400 |
What causes penile discharge and burning sensation while urination?
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Patient: I have some problem i am 16 i masterbate. When i walk or sit i notice some gel type drops coming out of penis. Also when my penis erected and when its soft. And little burns during urinating. Pls help i am really worried. And i dont want to go to docter. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to history provided you are having acute urinary tract infection that can be in the form of acute urethritis. Masturbation is a safe practice and don't worry about that and don't feel shy in Consulting doctor. Your urine routine microscopic examination should be done and if it shows pus cells and bacteria and urinary culture should be done for further work up. Antibiotic course can be prescribed for your condition and you have to take more fruit juice. Hope I have answered your query. Let me know if I can assist you further.
| 195,529 |
What causes bulging of heart and less blood content in body?
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Patient: Dear doctor,My mother has heart problem, we have consulted in hospital, they told that, heart is bulged with water and blood content is less in body, ...she is using the medicine and has to use every time, please suggest the parmanent remedy for this problem, we are ready to show any where. Doctor: from the symptoms which you have provided your mother appears to be suffering from congestive heart failure with pump failure ..she may be having having low ejection fraction ..the treatment depended on the cause which caused this condition ..some factors as anaemia or hypertension or ischemic heart disease are treatable others are not ...majority such patients are treatable with drugs ...so please wait for a while ...give some time for drugs to work
| 19,636 |
Is there a limit for RT given to stop bleeding in a mouth cancer female?
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Patient: my wife has diagnose mouth cancer (ca(r)lateral border tongue ct4an1mo) my querry is she is bleeding now and is there any tab/ cap to stop her blood and she was given pall. RT (20gy/5fr) and after that she was send for the review for surgery in ENT bt they still suggested to continue for the RT now my question is . Is there any limit for the RT that one can be given the maximum RT (in no.) plz tell Doctor: HIThank for asking to HCMI really appreciate your concern, this is not the limit of Radio therapy but it depends upon the control of lesion once the lesion regressed then they stops the radio therapy, now for the bleeding vitamin C is the safe and best agent you can try and this can be given 200 mg three times in day, I hope this answer would help you have nice day.
| 157,073 |
Red pimples around penis tip, white foreskin. Blood tests negative for STD, virus. Causes for red pimples?
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Patient: hello, Im 41 yrs old, I seen a doctor about my cluster like form of red pimples around the tip of penis, and looks to be white in color around foreskin shaft..I was tested for all types of STD , Virus, an any other diease possible..the blood tests came back negative of everything..the doctor was an infectous disease doctor and he could not figure out what these were..he told me to see a dermatologist ..should i seek another opion its bothering me to no end i want to know what these red pimples are...do you have any idea..thank you Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have red pimples at the tip of your penis .These pimples could be due to inflammation of terminal part of urethra and external urinaru meatus secondary to acidic vaginal secretions of your female partner who is likely to have vaginal infection.Please get her examined by a qualified Gynaecologist .Since you do not have STD proved on screening test you need not worry at all.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil.
| 202,613 |
Experiencing continuous lower back pain. MRI shows mild posterior disc herniation indenting the thecal sac. Solution?
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Patient: Good Day Sir, I am 25 yrs old. I have been experiencing continuous lower back pain for past 2 yrs. The MRI scan report is as follows: Mild Broad based Posterior disc herniation is seen at L5-S1 level indenting the thecal sac and abutting against right S1 nerve root without significant nerve root compression. Remaining intervertebral discs are normal. I used to do physiotherapy exercises regularly as suggested by the therapist. However, the pain has not reduced. And even I had almost stopped the exercises for past 6 months. Anyhow, my query is Do I need to do anything more or just continue with the exercise and also take the required precautions.?? Your expert advice in the case will be really appreciated. Many Thanks in advance. Doctor: Hi Thanks for your query Welcome to HCM As per your MRI report you had slipped disc or prolapsed disc problem . Prolapsed (slipped) disc is a problem where the inter-vertebral disc is forced out of the Annulus fibrosus (the outer covering of the disc) Which causes severe lower back pain. Pressure on exiting nerve root causing severe pain radiating to leg.which is known as rediculopathy. Drugs do not play any role in the treatment of disc prolapse except for a short period in the relief of pain and inflammation. Lumber belt, avoid forward bending and weight lifting with pain killars and muscle relaxant are beneficial for short duration. Surgical options are lamine ctomy etc. Take car
| 113,354 |
Suffering from infertility,taking clomid but not satisfied with the treatment
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Patient: pls is there any drug that will help me to make babies i have tried clomid but nothing happen yet since last year i have been trying can fabroid make one not to have babies? Doctor: HI, Welcome to HCM, First u need to find out the reason for infertility, please consult ur doctor and both spouse had to be evaluated for the diagnosis and then treat accordingly. Regards
| 44,917 |
What causes dizziness, vomiting, sweating and feeling of fainting?
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Patient: trying to figure out what is wrong with me, started about a month ago... everything comes in waves from feeling dizzy, like i have to vomit, sweaty palms, feel like im going to pass out, when i am driving and i am stopped at a light or stop sign it still feels like i am moving. i always get hot and sweat then shivering cold? what is wrong with me???? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Causes of dizziness, vomiting, sweating, and fainting are : 1. Hypovolemia2. Anemia3. Hypotension 4. Stomach infection 5. Hypoglycemia6. Hot environment7. DehydrationKindly do complete blood count, CT scan brain, blood sugar level, and blood pressure monitoring. Treatment mainly depends upon the underlying condition. Kindly follow with reports or consult with a physician. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Arnold Zedd
| 141,650 |
What causes small boils on the face of 1 month old?
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Patient: kind of very small boils or acne appearing my baby s face .. doctor said it could be due to the harmone transformation from mother to child. is this correct do i need to take any precautionary measure . he has not suggested any medication. seems to be developing throughout the face. pls reply urgently she is 30 days OLD Doctor: Dear parent, I understand your concerns but I agree with your doctor as newborns commonly develop acne and boils in response to leakage of maternal hormones to the baby's circulation. this requires no medication and this is self limited condition. this means it will go away on its own when the maternal hormones clear eventually from the baby's circulation.
| 166,567 |
What causes low milk consumption in babies?
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Patient: My baby, 3 months and 3 days old, is not taking milk, not with the bottle nipple not with the spoon and not taking direct breastfeeding also from 3 weeks. we have tried various type of nipple but didnt work. he is taking 1-2 oz may be after 8-9 hr only with the spoon. and if we fed him forcefully he is vomiting. what to do? we have done all blood and urine test also ..no infection is there..please help.. Doctor: The gold test for feeding-related issues is to check her body-weight periodically, and to assess her general health. If she is looking healthy, sleeps well, plays well, and so on, and if she is gaining at least 20 grams of weight per day, then she is okay for her age.Dr. Taher
| 179,007 |
What causes cyst on uvula in an infant?
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Patient: My 8months old son have a pus / cyst on the uvula. It s been there for around 4 months. Does this affect his feeding or growth in any way? I ve check with an ent doctor and he said it won t affect him. I m worried. Should I get the doctor to remove it? Doctor: Hello,Thanks for consulting HCMRead your query as you have swelling on uvla yes this will not effect your pregnancy but I will suggest you to consult oral surgeon for clinical examination of soft palate and uvla and go for treatment afterward.Hope this will help you.
| 182,170 |
Suggest treatment for severe numbness on the thigh
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Patient: Hello, i recently went to the Er this past sunday and recieved a shot in my upper left thigh of muscle relaxer. Well something was not right after my shot. Immediately my thigh started getting numb above the shot area. It is completely numb above my knee. What could this be? And is this normal. I still have it and its going on 3 days. I am worried. Doctor: hi i appreciate your concern.as per your description,i learn that some medicinal injection was given in muscle of ur thigh.developing numbness shows that nerve suppling that muscle is affecting ?probably due to chemical in inj.it is advisable to consult your neurophysician at the earliest to find out type and nature ,extent of damage if any.thanks.i will be happy to answer further quary.
| 136,505 |
What is the remedy for extreme fatigue due to lowered red cells in the body?
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Patient: I am extremely fatigued and just had blood work done and my red cells are all down from last May and I m having difficulty getting a cleansing breath but not all the time. My hematocrit is down from 42.3 to 26.0 and hemoglobin Dow from 14 to 8 Red count is down from 4.77 to 3.12 MCH down from 29.4 to 25.6 MCHC down from 33.1 to 30.8 and RDW up from 14 to 16 Had a chest xray which was ok and an ekg also good Doctor: Hello In my opinion you need to be explored if you are loosing blood or if your bone marrow is not producing red cells (blood). so you need to be consult from haemathologist and gastroenterologyst you need to be examinet with myelogram upper endoscopy colonoscopy sideremia ferritina abdominal ultrasound wishing you fast recovery
| 118,388 |
What causes severe pain in the stomach and cramps in the groin?
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Patient: hello, I ve been off the pill for 3 months now trying for a child but since coming off the pill about a week before I come on I have been getting severe pains in the stomach and cramps in the groin. It also hurts to bend, twist (any movement that involves my lower abdomen). I ve never had this before, i have had a child and am 33. Doctor: you need to have comlete examination of your abdomen and pelvis. You may need ultrasound as well is there are findings on exam, which are not normal.
| 219,676 |
What causes gait and girdle weakness?
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Patient: complaint history Gait- Unable to stand Tone nutrition normal Proximal girdle weakness motor evaluation right lower limb- hip-flexion/extension-grade-4 knee-flexion/extension-grade-4 ankle-flexion/extension-grade-4 palntars downwards bilateral knee jerk brisk bilateral knee jerk brisk After MRI & XRAYS Report (Dorsal spinal cord compression) (Pre and paravertebral Abscess) (Cord Edema) HPE REPORT- EVIDENCE OF TUBERCULOUS OSTEOMYLITIS (OPERATION NOTES) UNDEER ALL ASEPTIC PRECAUTIONS PAINTING & DRAPPING DONE. D6 TO L1 LEVELS MARKED & CHECKED UNDER C-ARM. MIDLINE EXPOSURE INCISION TAKEN & EXPOSUR DONE. D9 & D10 LEVEL DECOMPRESSED. D6 TO L1 PEDICLES MARKED & PREPARED. PEDICLES SCREWS PIT ON PEDICLES AT EACH LEVEL D TO D8 & D11 TO L1 ON LEFT SIDE & AT D6 , D8, D11, L1 ON RIGHT SIDE. RODS PLACED WITH TRANSVERSE CONNECTOR & SECURED. CLOSURE DONE IN LAYERS OVER NEGATIVE SUCTION DRAIN. DRESSING DONE.) Doctor: Hello,It looks from your details that you may be suffering from potts spine or TB of spine.Your notes show that you are operated for same. If you are in recovery phase then you should wait for 3-6 months for your recovery. It takes time to recovery from such lesions.Meanwhile your doctor will put you on anti tubercular medicines & physiotherapy.This will help you in your gradual recovery. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
| 120,499 |
How to maintain healthy skin and tone?
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Patient: hi, could you please recommend some tips on how to maintain healthy pimple free glowing skin. what products are best to be used like which face wash , moisturizer ? pimple cream . also could u plz suggest ur opinion on tri o bloc cream and adaferin gel Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you want to maintain healthy skin tone which is spoiled due to pimples. You should start with kojic acid cream as it is very safe for long term use and natural extract of mushrooms which is very effective in treating condition like yours . This cream should be applied twice a day . Vitamin C serum is also very effective for skin and it can be use at night . It nourishes the skin and prevent infection.If condition persist or doesn't start getting better i a month then consult dermatologist for proper evaluation and treatment . Doctor may recommend procedure like laser therapy, chemical peeling or microdermabrassion.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari
| 8,269 |
What does my follicle study indicate?
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Patient: Hi doctor ,Am usha on my 11th day right ovary follicle is showing as 12*12mm , 9*9mm,7*8mm and left ovary follicle is showing as 8*8mm,8*7mm,7*7mm and endometrium is showing as 11mm .So please check and confirm is there any problem in that my Doc told the egg is not growing properly and please confirm is there any changes to get pregnent withus readings.Awaiting your reply.Thanks inadvance. Doctor: Hi ,Thanks for writing to HCM . Your size of follicle on day 11 is not that satisfactory. But some ovulate later. I suggest you to continue your follicular study to know whether your follicle grow and rupture or regress. I would suggest you to start with ovulation inducing drugs like clomephine under your doctor guidance . This will help multiple follicles to mature and rupture . Thus increasing chances of pregnancy .Your endometrium growth is good so no treatment for that is needed. You will conceive soon . Be stress free .Stress is main cause of infertility.Hope I have been helpful .RegardsDr.Deepika Patil
| 42,761 |
Suggest treatment for amebic liver abscess
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Patient: doctor my daughter is 10yrs old and admitted to hospital and diagonised as amebic liver abscess, metrogly is been giving including other antibiotic for the past 11 days and the pus was drained using (Ultra sound) by niddle aspiration two times, and our doctor told us that, the pus has been removed completely second time, and pus may form again or it may not. Please advice us doctor, after two complete sucessful aspirations why the pus again form and till how long it take to cure completely, pls. advice and help in this regard. thankyou kumar (hyderabad-india) Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I will try to help you as much as I can.Pus is formed because not all the pus is evacuated last time and small parts of parasites are left in liver. Treatment of amebic liver abscess may be long and difficult and usually metronidazol treatment isnt sufficient so aspirations may be required. even aspirations may be unsuccessful and as a last option, surgical drainage can be performed so you should consider this with your doctor especially if sepsis or ameba dissemination occur.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you good health.
| 53,108 |
Suggest opinion on masturbation by 9 year old
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Patient: I m concerned - I discovered my 9 year old daughter masterbating with her teddy bear. It began with her rubbing herself with a blanket about a month ago. I told her this was something to do in the prrivacy of her bedroom (after reading on-line not to make her feel bad or ashamed) and now I found her with her teddy bear and she seems to be having an actual orgasm. She said it feels good and she is in her room where I told her was a safe appropriate place for this. I am going to talk with her pediatrician but I m confused and concerned. Doctor: this type of behaviour is normal in this age group. but privacy and sex hygine has to b maintained. dont do a thing which embarace the child.
| 167,281 |
What does this X-ray of chest indicate?
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Patient: Can you please tell me the meaning of this x-ray result. Thanks in advance!There are minimal hazy and reticular densities in the right upper lobe.The pulmonary vascular pattern is normal.The cardiac shadow is not enlarged.The diaphragm and costophrenic sulci are intact.The osseous structures are unremarkable Doctor: Thanks for your question on HCM.In my opinion no need to worry for your x ray report. As your x ray findings are suggestive of old healed lesion. Hazzy opacities with reticular pattern suggestive of fibrosis only. So you may have TB or pneumonia in the past and after completing the treatment the lesion healed by fibrosis and this looks like hazzy reticular pattern. So no need to worry as it is old fibrotic lesion. If you still want to confirm get done CT Thorax.
| 82,116 |
Which medication to be taken for fast healing of epididymitis?
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Patient: Hello Doctor, I had STD ,last year and got it treated,within some months i had to go urine and had to look into the sperm duct and saw a sore,which i was scared and didnt tell anyone at first,later i was feeling internal itch ,which i had to use the normal antibiotic which only stopped the itch and not healed the sore in there,So i told a friend who told me to try agumentin which i did,I felt relief but not sure if the sore healed,so i had sex again,but i felt pains again,My friend told me to go get get another agumetin and use for a week,I need to know if there is any stronger antibiotic i could use,i read about drugs like Doxycycline , trimethoprim , levaquin ..Pls i needto get rid of this epididymits because i am scared it could lead to somethin else.. Thanks. Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have Epididymitis and have been taking antibiotics antibiotic.off and on .Epididymitis in your case may be secondary to STD that you had .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1)Routine Urine test and Urine culture to find out the organisms causing this infection and antibiotics to which they are sensitive to.2)Ultrasound scanning of the scrotum .There is no term like strong antibiotic to combat any infection it is appropriate antibiotic detected on culture that helps to control infection.Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.Please note that Epididymitis takes long time to get cured hence you will need to take antibiotics continuously for 3-4 weeks.Dr.Patil.
| 202,656 |
What treatments are suggested for frontal lobe atrophy?
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Patient: Last May I had to go into the hospital after fainting and hitting my head. I had to be put on insulin, no longer controling blood sugar with oral medication. After a CT Scann I was told I had frontal lobe atrophy. Is there really anything I need to do now?? Doctor: Hello, As you had a fall this would have caused atrophy and this is for little time and would have gone vanished by now without any kind of trouble. so don't worry about the atrophy. Taking to your blood sugar levels, I Will advise you to monitor that. as being on insulin is for symptomatic treatment to control the blood sugar levels. Modifying the diet, doing regular exercises will help control much. Please make assure your sugar levels don't drop below the normal limits as it may lead to fainting and fall. Research studies have shown significant help of exercises and diet along with medications in high blood glucose levels. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 140,575 |
Suggest treatment for severe pain and restricted movement in the leg
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Patient: HI. I am 63 years old. Was just walking across my bedroom today and felt a sharp pull in my leg. I have arthritis in my knee and also a torn meniscus. Now it is really painful and I can barely walk on it. It seems to hurt mainly in back of my leg. What the heck could this be? Doctor: hi sir/madam,Let me advice you for your problem.Low back ache may be a pre-monitory (prodromal) symptom in fistula in ano, sciatica, gouty arthritis, hernia, emaciation disorder etc. Pain is confined to lower part of the spine (back bone) especially lumbar region or lumbo-sacral area (rarely sacro-iliac region also). If it is secondary, earlier history of fall or injury may be associated. Rarely, radiating pain may be complained by the patient towards lower limbs. But it is quite common in low back aches if the defect is in the discs between vertebrae (back bones). Often the movements of lumbo-sacral region like flexion and rotation are hampered either partially or completely.Low back pain may be found in mild form in case of anemia, sciatica, rheumatoid arthritis, hemorrhoids, urinary calculi, uterine disorders etc also.Line of treatment as per Ayurveda:-The general principles of treatment of vata dosha are adopted in case of katishoola (low back pain). It includes various measures to suit its varied clinical entities, stages and associated complaints.1. Snehana (oleation) – by sneha dhara (pouring oil), abhyanga (oil massage), avagaha (tub bath with oil or oleaginous medicaments), kati basti (retaining medicaments on the back) etc.2. Swedana (sudation) –avagaha sweda (sweating treatment with tub bath), pizichil (kayaseka), nadi sweda (sudation through a tubular device – local sudation), panda sweda (sudation through medicated paste or powder) etc.3. Mridu Samshodhana -mild purgation.4. Basti (medicated enema) like eranda basti, vaitarana basti, pippalyadianuvasana basti etc.Formulations indicated in Low back ache as per Ayurveda:-1. Dashamoola kwatha.2.Maharasnadi kashaya.3. Rasnaerandadi kashaya.4. Sahacharadi kashaya.5. Gandharvahastadi kashaya.6. Trayodashanga guggulu.And for local application these oils will help:-1. Ksheerabala tail.2. Mahanarayana tail.3. Dhanwantaram tail.4. Maha narayan tail.Avoid these for better results:-1.Bitter, astringent and pungent food2.Cold water3.Fear4.Exhaustion5.Standing6.Driving7.Cold food and beverages etc.Hope i was helpful.Have a healthy day.
| 128,529 |
What causes pain in chest and coughing up blood in smokers?
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Patient: i am a 20 year old male. light smoker - 3 cigarrettes a day. recently i have been waking up in the morning with tightness/slight pain in the chest and a weird tightness in the stomach area. also a chronic cough/clearing of the throat. this morning i coughed up a small amount of bright blood, which was a bit shocking. what could this be a symptom of? there is no history of lung cancer in my family but i realise this might not mean much.. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since you are smoker, possibility of bronchitis is more for your hemoptysis (blood in sputum). I don't think you are having lung cancer as you are too young (20 years) for lung cancer. But better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray 3. PFT (pulmonary function test). Chest x ray is must to rule out lung cancer. PFT is needed for the diagnosis of bronchitis. You might need inhaled bronchodilator and inhaled corticosteroids (ICS). And please quit smoking as soon as possible as this is not a good habit. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 75,801 |
Suggest treatment for chronic diarrhea in a child
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Patient: Hi my daughter is 2 n hallf yrs old.shez suffering from diarrhea .doc.prescribed zioral and nizonide -o .the frequency of the loosemotion is less but nt y recoverd watecer shez eating shez passing stool which is greenish in color wd mucous .the nizonide -o dosage is over .still nt fully recoverd.wat shuld i do??? Doctor: Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.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).,
| 173,652 |
Suggest remedy to stop loose motion in children
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Patient: Hi, may I answer your health queries right now ? Please type your query here... please suggest me that what medicine should be given to a 3 year old normal boy to cure loose motion. is oflomac-m forte syrup ( each 5 ml contains ofloxacin I .P 100 mg,metronidazole benzoate I.P. equivalent to metronidazole 200 mg ) safe and appropriate to loose motion ?.what dose should be given to him. my email i d is sawan.krishnajaiswal@g WWW.WWWW.WW . THANKS. Doctor: -OFLOMAC M SYRUP...........10 MG/KG BODY WEIGHT in 2 divided doseslacto bacillus sachet.............one sachet thrice daily mixed with 50 ml waterPlenty of oral fluids
| 167,429 |
What causes back outs and getting angry for no reason?
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Patient: i've been having problems for the past 3 months now.... i've been getting black outs and angry i do things i dont no i have done.... like i will sit there and just start shouting.... the other day i hit my girlfriend and didn't no anything about doing it and am getting really worried.....!! Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do you get angry to circumstances outside your home as you get angry at your house? Your office, bus stand, railway station, neighbors etc. If yes, you might need to get evaluated for anger issues. If NO, just understand and compare the two situations and you can be better yourself.If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. 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.
| 206,934 |
Reddish rash on the face. Diagnosed as allergic reaction. What is cause for allergy?
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Patient: I have a red rash on my face, it can become very hot, like burning. I have had it for about 4 days now but the rash gets big but sometimes it gets tiny so you cant see it. Help ! ny age is 15 btw. i went to doctors they said it was a allergic reaction but i havnt had anything different for it to be a allergic reaction. Doctor: Hello,Red facial rash can have several diagnoses and the clinical context of when you get the rash is important:1. If the rash gets worse on exposure to sunlight, then it is a photosensitive rash and you need sun creams with SPF30 before you go out. If the rash becomes very red and burning, you will also need blood tests such as complete blood count, ANA profile to exclude an autoimmune nature of the rash.2. If the rash comes and goes without a scar, and occasionally you get lip swelling, urticaria is a possibility and long-acting antihistamines like fexofenadine 180mg is the treatment.3. If the rash was after applying a make up, you will need to get patch tests to know what chemical allergy you have and avoid it in the future.Overall, an antihistamine tablet or calamine lotion can be tried to see the effect as they are not harmful.Best Wishes.
| 104,915 |
What causes achy bones and joints with fever?
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Patient: I Dnt know what s wrong with me I have aching bones and joints all day long and even worse at night I am 30 I just turned it at night I feel feverish my body throbs of aching pain constant till I pass out from it I can t sleep cause of it now the feverish feeling part of it is happening in day now any sugestions. Doctor: Hello, The symptoms seem to be related to a viral infection. I recommend to use Acetaminophen 500 mg three times a day to relieve the fever and the pain. I also recommend to drink liquids, eat healthy and rest. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 122,169 |
Suggest treatments for an abnormal ear lobe in a child
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Patient: my baby is 3 weeks old, and her left ear lobe is not looking normal. it looks like pinched and looks like double lobes. what shall i do to correct it? some tells me it will come to normal as she grows. But, it doesn t look like it will become normal. Doctor: HiEar lobe abnormality may be associated with other organ anomalies. You consult a pediatrician to evaluate your child. If it is isolated deformity get his hearing assessment, if it is only outer ear shape problem consult a plastic surgeon after child grow up.Best wishes
| 164,616 |
Suggest treatment for loose motion and rashes in an infant
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Patient: hi,my son is 8 months old and is passing loose motions..4-5 times a day.he has his bottle regularly and iam giving him solids..rice wheat and aaple creals..he dont like drinking water..he just has formula in liquids.. .he has become cracky..is crying ofen by raising his voice..his diaper area has gone red...and when i wash or apply a cream its burning for him..i need any medicine for both..motions and for rashes.. Doctor: Hi...It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).For rashes - Siloderm ointment for external application.Regards - Dr. Sumanth
| 170,032 |
What causes breathlessness with frequent and painful urination?
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Patient: Hello my name is Andre and I m trying to find out what is causing me to have a hard time berating while showering because I really don t know what this is caused by or came from but I really do wanna find out what s been going on with me.... In not only that I been having shortness of breath & the shower but also I been having trouble breathing while on the bus and train... Also I been having problems going to the rest room alot And I been having bladder problems in lots of pain below the belly area..... Doctor: Are you taking hot shower? If yes than stop so and switch to water heated on gas and used by bucket. If this helps, get your geyser and shower cleaned/ serviced. Do give feedback.
| 78,599 |
How long can diabetic with unstable angina survive?
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Patient: I have recently been diagnosed with unstable angina. I have previously had an MI, I am 42, with a family history of Heart Disease and Type 2 Diabetes. I am a poorly controlled type 2 Diabetic, overweight and a smoker until 2 weeks ago. I have been told that a bypass or further angioplasty is not an option for me. I take about 24 tablets a day. Could I have a realistic estimation of life expectancy, as I`m guessing its not too good ? Doctor: Hello, I would like to review your cardiac ultrasound and coronary angiogram report, in order to be able to give a more professional opinion. I remain at your disposal for any further questions whenever you need. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
| 17,749 |
Can I see a dentist at 38 weeks of pregnancy?
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Patient: i am 20 years old. 5foot 8 and 250 lbs. 38 weeks pregnant. i have a tooth that broke almost in half and is giving me extreme pain all day long. i was wondering if it is safe to go to the dentist to get the tooth pulled or whatever needs to be done to it. Doctor: hello thanks for consulting at hcm..ur full term, u can visit the dentist for ur pain relief..they can do emergency root canal treatment if needed, either ways do salt water gargle,consult ur dentist asap,, or u could take analgesics under the guidance of ur obg and dentist,,hope it helps,,tc
| 186,293 |
What is the cause and treatment for white spots on penis skin?
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Patient: Hello doctor am 27 yrs old male , i just experienced some itchy few days ago on skin around penis area inner thigh may be i guess because of sweat and i have applied a itch guard cream and got relief .And i noticed 5 small white spots on skin below penus shaft where hair grows. There is no pus and no pain or ellergy they are small white spots can u suggest any cream or medicine for that . Am worried is that any symptom of STD ?? Doctor: Hello I share your concern, i will try to help you out in best possible way.Looking at your description this could be STD or infected ulcer may be due to trauma during masturbation or an allergic reaction.I would like further information help you better relevant medical history like metabolic disease or hormonal disorderAny recent exposure to unprotected sex?You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test Blood for CBC and liver function test or urine test are advisable if it is a chronic issueMaintain good hygieneWash and clean it with antiseptic solution or soapYou can apply antiseptic or anti fungal ointment externally.Use condom during sex if you are sexually activeHope this answers your question please feel free to ask for more clarificationThanks and regards
| 199,212 |
Suggest remedy for viral infection causing frequent stools, pain and blood in stools in a child
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Patient: My son is 2 and 1/2 years old and has what appears to be a virus infection from what his pediatrian has stated. He has been pooping every 15-20 minutes and is in extreme pain. Its not a large amount and is very loose and slimy. He also has blood coming in his poop, not a lot but not a little either. What can I do to stop his cramping and why would he be bleeding? Doctor: hi having blood in the stools with severe crampy pain indicates a bacterial Dysentery and needs to be started on antimicrobials, preferably cefixime along with ORS fluids to prevent dehydration ALSO HE NEEDS A ZINC SYRUP.PLEASE ONCE AGAIN CONSULT YOUR CHILD SPECIALIST FOR PROPER DOSAGE.HOPE IT ANSWERS YOUR QUERY
| 174,382 |
Suggest treatment to control blood pressure
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Patient: I have not been sleeping at all...I am under tremendous stress due family difficulties, etc. Today I had a friend check my blood pressure and it was 160/80. I am a female, 50yrs old and weigh approx. 125 lbs. When I got home from work today my heart started racing and I could not get it to stop by lying down and breathing deeply. I also get a strange feeling in the left side of my neck. I just took two aspirin and it seems to be subsiding. Doctor: Hello dear!I understand the very stressful situation you are in.I'm sorry for that!Treating high blood pressure requires a combination of methods that can be used.First of all try to manage your stress because it is e very important component which affect your life an not only your blood pressure.Take walks every day, have a balanced diet, avoid lipids, and reduce salt in your diet. Include more vegetables and water in your diet.The medication method can be used when you have not improvement even you have tried the methods above.In that case I would recommend you enalapril twice daily starting at low dose.Anyway if you want a more accurate therapy you may consult a cardiologist first at your healthcare center!Take care and I hope you will be fine soon.If you are glad from this answer please kindly rate it as helpful and write a review about this experience with me.Kind regards!DR ERIOL.
| 27,625 |
What can be the reason for raised rash between the butt cheeks?
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Patient: I m a 32year male, generally healthy. Literally over a night or two, I have developed a red, raised rash on the skin between my butt cheeks. I originally thought it was haemorrhoids and so tried zinc oxide and lidocaine cream, after bathing them in salt water, but felt it started to spread further onto the cheek and up towards my scrotum. I therefore thought it could be fungal nappy rash (due to sweating and hot weather) and so bought clotrimazole 2%, which I have ude for 2 days now, but to little improvement. Any thoughts please? Thank you! Doctor: Hi, It does seem that it could be a fungal infection. Fungal infection involves body folds like the groin, butt cheeks, axlilla, etc. I suggest you to continue using Clotrimazole cream, twice daily for 2-4 weeks. In addition, I suggest you to take an oral antifungal e.g., tablet Fluconazole or Terbinafine for 2-4 weeks for a faster and complete cure. Fungal infection is usually itchy therefore I suggest you to take an oral antihistamine e.g. Tab Cetrizine once a day for symptomatic relief from itching. Hope I have answered your query. Let me know if I can assist you further.
| 13,672 |
Suggest treatment for rash and itching on thighs and arms
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Patient: Hi on the 26th of July I noticed itchy pimple like bumps around my vagina. I saw a doctor on the 30th. She prescribe me Miconazole Nitrate Vaginal Cream USP 2%. Use for 7 days, itchiness stopped but after the 7th day new break out occurred. Saw another doctor on Aug 9th. She prescribe me Clotrimazole 1% cream and Fluconazole Tablet USP 150mg. Seemed to help, but then new breakouts down my inter thighs started and also started breaking out under the arm pits with a red itchy rash. The rash started under the arms went down my arm to the top of my hands. Saw the same doctor which I saw the second time on the Aug. 13. She then prescribe me Diphenhybramine 25mg Capsule and the allergy shot. By the end of the day the itchiness had stopped and the rash wasn't so red under my pits and the rash started going away down my arm, So I thought it was working. Then by Thursday night new rashes started forming on my inter thighs and itchiness and reddness started back on under my armpits. (the doctor I had seen the last two times recommend me coming in to the doctor on call for walk ins) So I saw another doctor on Friday 17th (yesterday). She prescribe me Permethrin Cream 5% and Hydroxyzine HCL 25mg Tablet. I had applied the cream last night and washed it off this morning. The rash is worse then before and itches worse then ever in the inter thigh area and the armpit. and arms. What should I do? Should I wait it out. Never had anything like this before. Doctor: Hello, It looks like your rashes are getting chronic. You have taken antihistamine tablets & shots, it reduces but then again gets flared up. Presently your rashes & itching are worse after the application of Permethrin, a drug of choice for scabies. Since you have bumps in the vagina & rashes spreading all over the body, it looks like Herpes infection. Herpes infection can cause rashes all over the body. Bumps in the vagina are suggestive of genital warts or genital herpes. You should visit a GP at the earliest. Get clinically examined & assessed. You may need to get STD test done. Your treating doctor will treat you with antibiotics / antivirals. Take care of your hygiene. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician
| 12,968 |
What causes salty taste in mouth?
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Patient: I have had a salty taste in my mouth for about a month. It doesn't matter what I eat or drink...it tastes salty! I even have a salty taste when my mouth is empty and I have not eaten. I have been to the dentist to rule out any dental problems and I do not have any sinus symptoms. Any thoughts? Doctor: Thanks for your query with HCM with your it looks there is a problem with your taste buds which could be due to many reasons first of all u didn't mention about systemic status and drugs you are on which are necessary.I would suggest you to visit your general physician.hope is helpful
| 186,285 |
Developed uncontrolled twitching in both hands with a history of stage 3 renal failure, melanoma
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Patient: My husband is 67 y/o. Was hospitalized last week for 3 1/2 days with severe CHF. History of stage 3 renal failure, severe chronic pain, prostate cancer, malignant melanoma. We have been limiting his fluid to 2 liters per day and adhering to a lo-sodium diet. Only changes in medications are he was taken off of Cardizem and metroprolal tartrate was reduced from 150mg/day to 100 mg/day. He has started to take melatonin for sleep aid and using Lidoderm patches in addition to Morphine and Oxycodone for pain. Since yesterday he has developed uncontrolled twitching in both hands and arms. He is dropping things. He says he feels twitching in other parts of his body. (Oops forgot history of hemoragic stroke 7/1/13). Any suggestions? Thank you Tom and Kathy Evans Doctor: HiI have undergone you query.Itching is common in patient with renal failure. This could be sign of uremia and he may require hemodialysis as well.I recommend to get the renal profile done for him and to consult some nephrologist.Best wishes
| 152,945 |
Suggest methods to conceive
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Patient: I am trying for a baby since 3 months,but not able to ejaculate inside her.For now i am masturbating and when i reach climax i put head of penis inside her and will release sperms. then i will raise her back by keeping a pillow to make sure the sperms flow downwards. Is this the right method.Can my wife become pregnant with this. Please give us a solution. We are really worried. Doctor: Hello,Your way of ejaculation inside the vagina is perfect if there is no ejaculation by normal sexual intercourse. Any how sperms enter into the vagina and so also move upwards cervix and in uterus and travel to fallopian tube for fertilization.Everything is perfect, so need not worry at all, since only three months passed. Wait for another six to nine months for getting pregnancy. Still, if you are very eager then get in semen analysis and then deal according to condition.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Het Ram Bishnoi
| 42,309 |
What causes vomiting during nights in an infant?
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Patient: hello My son is 16 months old weight is 10 kg. He vomits daily after his night meal. During day time he is well. At night he takes light food as Dal and curd. Sometimes he cries and vomits. We consulted many doctors. they gave vomiting medicine, some gave medicine for gas and some antibiotics. But root cause is not traced yet. Please advice me. Regards shivanibector Doctor: Weight of 10 kg is low for a child of 16 months even though it depends on the birth weight. Try eliminating wheat based products from the diet for at least 2 weeks and see if there is improvement. Also remove milk and milk based items from the diet. You can give curd. Give small but frequent meals. Give fibre rich diet including green leafy vegetables. You may add isabgol at dinner time. I hope that the situation will improve with the steps I mentioned.
| 177,737 |
Does red rash with spots around the area indicate ringworm?
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Patient: I have a rash that is spreading. It is dark red and 3 are circles and one loops out of a circle and there are small spots around the area, is this ringworm because i had it on my shoulder before this rash on my thigh appeared or something more serious. Is there any way to get a picture of it to you? Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion without picture I can't give you any suggestions.Though it looks like ring worm, a clear picture can help me for more clarification. You can send me picture on the below link.You can take cetrizine for itching. And can apply clotrimazole cream after due consultation from your doctor.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.
| 37,073 |
What does spreading brown patch on skin of an infant mean?
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Patient: Dear Sir, my sister s son is 10 months old. When he born after 1 month he has brown patch on his leg..Then this patch spread on whole one of leg.and now spreading . We showed this case to his regular doctor. He said no problem...Should we go for skin specialist .? if yes suggest us child skin specialist nr thane. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani
| 165,518 |
Suggest therapy for a difficult feeling in the lung
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Patient: It's interesting that my doctor in the past has told me that I have some fibromyalgia (if I spelled it correctly, I don't know) and an enlarged heart from being a dancer and having been quite active in my life. Now, when I wake up, it's like I have to have my upper back massaged very hard just to get up out of bed. It's like my lungs in the back need to be massaged before I can get my body and heart working properly and before I can really move. Why is this? After the massage, I'm fine every day. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Fibromyalgia can cause muscular spasm. So when you massaged that muscle, it releases and you feel better. So possibility of back muscle spasm is more likely in your case. So follow these steps for better symptomatic relief in muscular spasm. 1. Sit with proper back support.2. Avoid sudden jerky movements of back and forward bending.3. Avoid heavyweight lifting and strenuous exercise.4. Apply warm water pad on affected areas.5. Take muscle relaxant thiocolchicoside if needed.6? Take calcium and vitamin d 3 supplements. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 72,231 |
Suggest diet for lactose intolerant kid
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Patient: i have a ? my daughter is lactose intarent sorry i cant spell um i dont no what i can do about food choices at the store that doesent have diry in them im so lost i dont wanna give up hope what do i do shes in pain in her stomach every time she has any food tht has any hidden dairy dont no what to do Doctor: Thanks for putting up your query at HealthCareMagic. I understand the cause of your concern but you have not mentioned the age of the child and that would have been important.The dietary changes for lactose intolerance should initially include the exclusion of those foods rich in lactose. If the symptoms resolve then small amounts of lactose containing foods may be reintroduced, and symptoms monitored. Most people will be able to determine their tolerance level for lactose. Very rarely people may be so sensitive that they will need to exclude foods with lower levels of lactose including biscuits, cakes and other processed foods. It is important to find a suitable replacement if important foods are excluded from the diet. The lactose content of dairy foods varies widely, as do the serving sizes consumed. Breast feeding need not be stopped unless the baby has severe problems with it. Being lactose intolerant is not the same as having milk allergy, which is a more serious problem affecting a much smaller portion of the population. Had I known the age of the child, I could have commented better but the following food can be given if age appropriate:* Spinach* Canned salmon or sardines with bones* Calcium-fortified orange juice* Raw broccoli* Canned white tuna* Calcium-fortified soy milk* Dark green leafy vegetables* AlmondsA guide to a healthy lactose free/low lactose eating planBreakfast:A bowl of high fibre cereal such as weetbix or porridge with fresh fruit and soy or low lactose milk (if tolerated ) and/or wholemeal or grain toast with milk free margarine e.g. Sundew and honey or vegemite. Tea or coffee with soy or low lactose milk.Lunch:Sandwiches made with wholemeal bread with lean beef, tinned fish such as salmon (include the bones for calcium) and salad. Milk free margarine if necessary. Tinned or fresh fruit. Water, tea, diluted juice or cappuccino made with soy milk.Main Meal:Water with lemon juice. Chicken and vegetable stir fry served with steamed rice. Fruit and Fruccio dairy free ice cream, or custard made on soy or low lactose milk.Snacks:Fresh fruit, crackers or microwaved pappadums with salsa, popcorn. Toasted fruit loaf with milk free margarine and. Water, juice, tea, coffee or hot chocolate made from cocoa and soy milk.I hope that helps. Feel free to revert back with further queries if any.
| 179,967 |
What is the treatment for dust allergy?
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Patient: hi doctor. Anytime I expose to road traffic and pollution on roads(dust). I feel very tired, results in blocked nose, headache, feel like eating hot food, feel very tired and at times feel exhausted and feels like might collapse. When this happens I feel very week and have no energy to do anything else. Please suggest what could be the cause and possible remedies.thank yoiu Doctor: You are suffering with Allergy. Your treatment options include the following - 1st - Avoid dust and pollution as much as possible.2nd - Check whether there is any triggering factor in your diet.3rd - reduce stress in life.4th - Follow some Mind relaxation techniques.5th - Get yourself thoroughly investigated by your doctor who may be able to evaluate to what you are actually allergic.6th - follow your dostors advise with regular followups7th - Homeopathy can to certain extent alleviate all your symptoms and bring back normalcy in life.
| 98,888 |
Greenish loose motion in a 3 months old baby
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Patient: my baby is 3 months old having loose motion 5 times a day with greenish hue wat to do what medicines should i use also suggest some home remedeis Doctor: Hello laila; welcome to HeathcareMagic If your baby is 3 months old then i guess he will be just on breast feed so in that case to pass stools as many times as he takes feeding will be normal for him.But just in case your baby is on top feed or is crying and uncomfortable during passing stools then there may be infection.In that case you have to take your baby to a Paediatrician for examination and treatment. Take care. Thanks
| 95,658 |
Suggest treatment for infection caused after piercing ears
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Patient: I pierced my own ears at a friends the other day and I turn them and clean with with rubbing alcohol but they are still red and a little swollen. And today I was cleaning them a I pushed out puss but I don t want to take the earings out any idea what I can do??? Doctor: Hi,It seems that you got bacterial infection in piercing ear site.Go for one antibiotic medicine course for 3 days.Apply antibiotic cream after proper cleaning the part.Ok and take care.
| 36,505 |
What causes breathing difficulty and blood with sputum during sandy storms?
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Patient: i am in dubai, every year during July to mid september, when humidity and sand storm is more, i am having difficulty in breathing and gettting little blood with sputum after getting from bed. otherwise i am active -john my age is 47 and weight is 94.0kgs Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of bronchitis is more. Due to exposure with sand and humid environment, bronchitis can develop. And bronchitis can cause breathing difficulty and hemoptysis (blood in sputum). So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (budesonide or fluticasone). Don't worry, you will be alright. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 76,371 |
What is this red spot on the lower back above the buttocks of my son ?
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Patient: my son was born with a red spot on his lower back above his buttocks right above his crack about the size of a dime. he is 1 yrs old now and another little spot appeared about the size of a pea. he just learned to crawl and is just now pulling himself up and walking along furniture and push toys. but my concern is what caused the red spot Doctor: hi he has hemangioma . u need not to worry about it its natural thing dont scratch or popped it. if by chance it break ,apply antibiotic cream over it.
| 16,441 |
What could penile glans and foreskin swelling and flaking indicate?
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Patient: hello how are you, I need help with a problem in the penis. a few weeks ago I noticed something strange in the penis. at first saw some red dots on the glans, now I see that almost do not look, but I notice that the glans is a little swollen and the foreskin of the penis also. Also when I masturbate I see the glans has a skin flaking and loose so it looks white and a bit dry. from what I ve read on the Internet that could be balanitis, an infection or fungus that may have been caused by sexual transmission. i read on the webpage that I use ketoconazole every 12 hours for 7-10 days, which I have in my house that I m using cream and 3 days ago. I want to know if I m doing well using the cream or if I have to use some different. I had sex without a condom with my ex to last 4 months. this happened about two months ago, they were like two or three times that she convinced me to do it without protection. and for this reason I think she conveyed me. please i need URGENT help with that, if you know about that would greatly appreciate it. thank you very much for your time Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have infection of Glans Penis and Foreskin ( .Ballano -Posthatitis) due to unprotected sex .Please get swab test of the secretions from glans done .You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil.
| 201,375 |
What is the life expectancy after open heart surgery?
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Patient: My dad had open heart surgery in July of this year.. He had a quadruple bypass and half surgery.. He just had his 12 week check up and his heart is now functioning at 20-25 percent. What would you say his life expectancy is. He is having a defibrillator put in also. Doctor: Hello. Thank you for asking on HCM.As I can see, there is a dropped heart function, probably there is a heart muscle damage. I would rather not go on and speculate in giving an exact timing about life expectancy, due to the fact that there are many factors combined. Maybe, the cardiac surgeon can give you an approximation. The defibrillator implantation is a positive thing, which will prevent death from life-threatening arrhythmias. I hope I was helpful. Take care
| 27,500 |
Suggest treatment for hydrocephalus in a child
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Patient: I take care of a 2 year old who was never expected to live more than a few days but her Mother had different ideas and she is now almost three. She has mild Hydrocephalus and she is missing midbrain.se both sides of her brain . I am trying to find ways to get her to recognize and use her limbs together Can you give me ideas Doctor: Play is the best way to achieve your goal, is she walking and what are the functional problems? can you make it little clear? so that i can try my best suggestions to you.thanks
| 171,071 |
Suggest treatment for lower back pain and blood in urine
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Patient: For the past week every time I go for a wee and wipe there are small bloody clots on the tissue. Nothing in the urine only on the toilet paper. I have been having cramps for the past 5 days and a very painful lower back. I don t know what to think. Please help...... Doctor: What you explain could be a number of things, but I would rule out kidney stones first, you need to have a special X-ray done, and the fact that you have blood when you wipe could be or could not be related to kidney stones.
| 107,587 |
What causes elevated gamma levels and suggest treatment?
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Patient: I'm a stay at home mom of 5, non-drinker, non-smoker, in good health (as far as I know). I went to donate plasma to get some extra money and was rejected due to elevated Gamma levels. The acceptable levels is 7.7-22.4 and mine is at 23.3. Any idea why this would be and/or how to correct it? Doctor: Dear friend, Greetings from HCM... appreciate your interest to know the causes for elevation in gamma levels ??? i hope you are talking about gamma glutamyl trans peptidase ??? major cause is alcoholism ... but it could be elevated in many other conditions like fatty liver / obstructive jaundice ... please get your complete hepato-biliary functions tests done and contact us with the report ... thank you and waiting for your query ...
| 116,032 |
I am planning to get pregnant.Is there any need to discontinue or change the tablet ?
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Patient: I am 26 years old female and planning to get pregnant .I have read about taking prenatal multivitamins prior to conception.I am taking Supradyn multivitamin tablet everyday.Is there any need to discontinue or change the tablet? Doctor: hi welcome to health care magic.your decision is really appreciable. there is no harm on taking it.its help in growth of unborn fetus.also prevent early abortion and low birth weight.you also take folic acid associated with multivitamin tab .you take it before 3month from your planning and continue after you confirm your pregnancy. thanks dr.dhara dhara.shah84@yahoo.in
| 7,169 |
Should I stop exercises for back and buttock pain if worsening it?
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Patient: I have been to a physio and have been given exercises to do as I suffer from lower back & buttock pain. She did sports massage & gave me exercises but my pain is worse. should i stop the exercises. I have degeneration of my lumbar spine and left sacriolliac joint overstrain, Doctor: Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. If the exercises are worsening the pain, it means there is plenty of injury or you are doing it wrong. 2. In acute conditions, rest is important. Once the pain is less, you can start back strengthening with exercises.3. Take additionally supplements like Vit D and Calcium.Hope it helps.Any further queries, happy to help again.
| 110,562 |
What causes middle and ring finger to be deformed in fractured wrist?
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Patient: I suffered a comminuted fracture of my left wrist in 1998. Surgery was performed, placing a pie plate, screws, wires, etc. My recovery was average at best, and while cosmetically the wrist is ok, full function was never restored. Within the past 10 days, I have had 2 incidents in which I have made a sudden movement that have resulted in my middle and ring fingers being grossly deformed- I can make a fist, but am unable to lift those fingers in particular, and to a lesser degree my index finger much more than half-way. i can t fully open my left hand, having difficulty grabbing a glass, soda can, etc. I am assuming my problem is related to my original wrist injurt. Any thought on what I may have done to myself? Doctor: Hi, Following wrist fractures, there is a good chance of extensor tendon repture which might occur spontaneously. If I were treating doctor, I would examine patient thoroughly and make decesionyon further investigations. After this, I would be in good position to advise accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajesh Gayakwad, Orthopedic Surgeon
| 121,320 |
Can eczema causes allergies all over the body?
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Patient: i am 31 years old . i took amoxil (it was not the first time ) but i had allergic efect red marks all over the body , after months i took norocin and i had the same symptoms ... i don t know what is happening ...( i forgot to mention that i have some times eczema ) i prefer eating vegs and rare meat .. i smoke 2 sig per day ... do you have any idea about my problem? thank you Doctor: Hi, Since you are getting symptoms with all antibiotics, there may be chances of allergic to the ingredients. Check for the common ingradients (additives) they contain and avoid the drugs which has same content so that you can get rid of the allergic response. Only with re challenge we can diagnose whether you are allergic to the antibiotics since you had these medications before without any problem.I hope this information helps you. Regards
| 101,736 |
Why was there bleeding next day after intercourse ?
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Patient: i am chinnu one of the my best friend had unprotected sex with her boy friend next day started periods with heavy bleeding but 2nd day periods was stopped is there any chances to get pregnancy she is worried can u give me a good answer for this question Doctor: Hi Welcome to healthcaremagic.com The relation to intercourse and periods is coincidence. She was due and and got the periods. But when she had regular bleeding next day after intercourse , does not get pregnancy. If she does not get periods by next month, then do the pregnancy test. You can even do the pregnancy test 15 days after intercourse. Regards Dr. Jagdish
| 7,001 |
What are causes of elevated liver?
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Patient: What are causes of elevated liver? I took ibuprofen about 9 hours prior to blood test. Does tylenol also have an effect on the liver? My cholesterol was also a little high, at 228. My doctor had me repeat my blood test and I am waiting for result. Thank you. Doctor: Hi,Thanks for writing in.Elevated liver enzymes has many causes. It can occur in infections of the liver and intestines. It can also be seen in those who have regular alcohol intake. Taking pain killers for long duration also causes elevated liver enzymes. Treatment medications for some chronic diseases also causes increased liver enzymes. Your test report needs to be discussed with your clinical problems as 1% to 9% of people without symptoms have elevated liver enzymes.You may need evaluation for hepatitis, cirrhosis, or fatty liver disease among other conditions.
| 57,011 |
Has hallucinations. Suffering from paranoia. On zolpidem tartrate. Suggest?
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Patient: my mother is suffering from paranoia . she feeling like someone harassing her with sounds and voices. she believing that someone listening her voice and repeating it. if she found any unknown sound around her, she was saying someone doing that sounds to harassing her mentally. we consulted doctor 15 days before , doctor has given 1.prothiaden 75 daily 2 tablets 2.one sleeping tablet( zolpidem tartrate) at night 3. ramipril tablet due to zolpidem tartrate tablet night she is ok. sleeping well. but at morning again she is afraid of unknown sounds and voices. please suggest what i have to do? Doctor: Hi welcome to health care magic forum. As it is a recently diagnised problem it needs some time to get accomedated to these drugs, it is a continuous process of treatment, and she should continue to use the drugs, for life prbably. Dont worry if the drugs are ineffective, she will be cured, by electric shock specially ment for these cases. It is not a shock of electricity but is a medical term. It happens due to auditory hallusination, due to some changes in the brain. I advise you to follow some nonmedical advises to be helpful to her to recover. They are yoga, meditation, reading books, hearing songs and if interested gardening. If not garden pot plants in side the house. she is encouraged to do the work which she can do, like teaching the kids. Wishing for a quick recovery and thanks for calling.
| 212,472 |
9 weeks pregnant, severe abdominal pain on right side under rib cage. Ultrasound normal. Causes?
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Patient: im 9 weeks pregnant and having servere abdominal pain on my right side under my rib cage, it started since i was about 5 1/2 weeks along in my pregnacy, i ve been to 3 different doctors and they cant figure it out and the pain is getting worse.they took ultrasounds of baby and that came out fine, and my liver , kidneys ect and that all came back normal.. Doctor: Hi You are having pain on the right side under your rib cage.Ultrasound abdomen has excluded Liver,gall bladder and Right kidney pathology. The most likely cause could be Musculoskeletal pain.Please take Muscle relaxants with the advice of your doctor. Another cause can be Duodenal ulcer which requires PPI inhibitor like Rabeprazole.You can add Antispasmodic like Dicyclomine. Wish you good health Regards
| 94,450 |
Dizziness and slurring in speech, treated by many neurologist, no help. Any ideas ?
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Patient: Hi Sir, This is AAAAA, Age:25 yrs old. Actually am suffering from dizziness and slurring in speech since 4.5 yrs, even i have been treated with so many neurologists till now but not yet cured with those medicines. Mostly am facing this kind of problem when i feel like vomiting , vertigo , slurred in speech and dizziness. Am fed up with this disease, even am not able to do my job in the office properly and people are thinking that i drunk wine so that am doing acting like that. So, kindly help me out with this bloody disease. Doctor: Dear I am sorry for the symptoms you are experiencing.Have you done any examination till now, such as brain CT scan or MRI?Any blood tests?It seems to be a cerebral problem but we can be more help if you send us any of these examination.Wish you all the best
| 148,472 |
Should i be worried after my husband received 2 dvd's in the mail on 'what to expect when you have prostate cancer'?
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Patient: My husband went to his urologist and before the blood work was even ordered, the Dr. said he wanted to do a biopsy in one week.. he also received two dvd's in the mail on what to expect when you have prostate cancer. He did have a digital rectal exam. Should I be worried or seek a second opinion? Doctor: not mentioned about age of your husband or his symptoms. if there is diagnosis of prostate cancer, PSA level may be high. for confirmation, he requires the biopsy.
| 156,760 |
What do you suggest for a bruise and the pain at the location of the kidney after an injury?
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Patient: Yesterday, I slipped on some wooden steps, my feet went out from under me and I landed with full force on the edge of one step against my lower left back, at the level of the kidney. Did not hit my spine. Today I have a large bruise and pain at the location of the impact. The pain is sharp if I twist my body, while trying to adjust my position in bed, or if I move suddenly or take a deep breath. I am using ice and bed rest and ibuprofen and/or naproxen. No blood is visible in urine. Any suggestions? Doctor: Hi,Since you have a large bruise there is a small chance that you could have got some kidney injury. It is better to get an ultrasonogram abdomen which will pick up any injury to kidney or other internal organs. You can apply local analgesic (pain killer) ointments. Please continue rest till pain subsides and continue other measure you have been doing.Please do not hesitate to contact me if you need any clarification,Wish you a quick recovery and good health,Dr. Raguram.
| 49,217 |
What causes blurred vision and back pain?
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Patient: Hi I went to my doctors with blurred vision and real bad pain in the back of my head he did my bp and it was 226/126 he sent me straight to the hospital where they did ct scans n chest X-rays n bloods every thing came back ok they sent me home with Ramipril and had to go back week later and have urine sample done and my bp took this time was 197/110 the doctor arranged for me to have echocardiogram done this was 2 and a half weeks ago and not heard anything since should I have had my result back by now I am 26 years old Doctor: Dear patient You have got very high blood pressure. Normal blood pressure at your age is 120 systolic and 80 diastolic and yours is 226/126. This leads to severe occipital headache and blurred vision might be due to retinal vessel damage. We need to search for the cause of your high blood pressure which may be 1. Pheochromocytoma 2. Renal hypertension 3. Intracranial space occupying lesion. Please take a visit to expert physician nearby you and get yourself thoroughly examined and investigated. Please do not neglect this as such high blood pressure has severe adverse effects on your health including hemiplegia. All the best.
| 108,232 |
What causes swelling of lymph node below the ear lobe?
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Patient: Hi! I am 21 years old male student. 2 weeks ago i noticed slightly swollen lymph node beneath my ear lobe . i felt slightly sick and i went to the doctor . Doctor gave me antibiotics and i had sore throat to in the throat wall which resulted severe pain while swallowing. the fever was below 100 not much. I went to another doctor and he said it s viral pharyngitis but also told to continue the anti-biotic in case if it is strep. Within a week my sore throat gone , lymph node came back to normal. And again my doctor checked my throat and he said it s fine. The next suddenly my left tonsil got slightly bigger (not that much big). I don t feel any pain while eating neither it s sore. But the left tonsil is swollen i think. I have taken the antibiotics but the tonsil is not coming back to normal and i am too much worried. I also feel dry throat and have to drink a lot of water. I am really worried about it and recently i have developed hypochondria and anxiety by searching the symptom all day in internet. Please help me and give me some suggestion Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have tonsillitis, abscess or other lesion on tonsil. It leads tp reactive hyperplasia of lymphnode also. You should go for examination. If needed take a course of antibiotics like azithromycin or amoxiclav. It is prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 62,872 |
Suggest treatment for persistent back pain
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Patient: Hi, I am 29 years old male. I have upper back pain for the last 6 months. It started after my static car was hit at the back by another car at about 30 km/hour. There was apparent injury but my back started hurting. X-ray showed mild thoracic rotoscoliosis and no degenrative changes. what should I do to get rid of the problem because I am having many off days from work due to pain. Doctor: Hi, I am sorry for the accident you had 6 month ago. I am happy to know that no serious injury was apparent. The persistent back pain is due to the hit and rotoscoliosis (which is a severe curvature of your spinal cord with rotation). You say that X-ray showed mild thoracic rotoscoliosis with no degenerative changes. Good that there is no degenerative changes, but rotoscoliosis itself can cause upper back pain. I advise to consult further with orthopedic specialist in order to find the most adequate ways to help with rotoscoliosis and ease the pain. Take OTC analgesic and can apply analgesic cream locally. Wish fast recovery.
| 107,266 |
How to remove third nipple from infant's body?
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Patient: My doctor told me today that my daughter has a third nipple and she had an ultrasound done to check her kidneys. I have looked up pictures and none of them look like my daughters. She is only two months old and it dosent look like a nipple at all. Will it change Doctor: Hi...if a doctor has identified an accessory nipple and even ordered an ultrasound then your baby is in the right track. Do not worry. But coming to your question about whether it is an accessory nipple at all - I can say it only after looking at the image. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.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).,
| 175,073 |
What is the reason for kidney pain in pregnancy ?
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Patient: I m 20 F & 27 weeks pregnant with recurrent UTI s and mild Hydronephrosis so I know symptoms & pain that comes with UTI s but for past two days I was woken early hours with bad pains in my Left kidney I saw my Dr a few hours later he just simply he hasn t got a magic wand . my urine was very cloudy with a lot of thick white bits in there straw color now this pain has gone on to my Right kidney and having pains in my pelvic area and seem to be getting worse my temp is normal 37 - 37.1 I don t want to go to A&E as I don t want to make a fuss. what could this be? Doctor: hi im 23 weeks pregnant since sunday ive been getting a pain in my right kidney when i get them i throw up with the pain i have took a water sample to docs to be sent of it was very cloudy and had lots of white bits in never had it before just wondering if you found out what was wrong
| 51,599 |
What causes wrong thinking process?
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Patient: Hi, may I answer your health queries right now ? Please type your query Hi, I am Shwetha, i guess i have some mental disability, because i am not normal as others are. I wont think normally as others. My thinking will be different and it will be wrong for everyone only for me it will be correct. I want to know why it is so. Doctor: Hi shwethai understand your concern.but only basis of it we will not guide you exact what you want.Thinking process and thought formation require detail evaluation.Detail history is must in what area and how much it affect to you.So revert back with detail of your thinking and how it will affect then i will guide you further.Or consult psychiatrist and tell him about all do you have and he will assist further.Thank you.happy to help you.Take care.
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