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<s>[INST] What causes decrease in the digoxin levels? [/INST] Hi there, digoxin levels may get affected by multiple factors,most important is if you are taking any concomitant medication that can change the plasma level of digoxin. please consult your doctor who shall review your medications and do appropriate changes and i believe you will be fine from there on..do let know if you have any more questions for me. </s>

<s>[INST] Could chest pain and shortness of breath be due to heart problem? [/INST] You should get an E.C.G done to rule out any cardiac causes. Shortness of breath may be a reason to worry. Also get your serum electrolyte s and blood sugar done </s>

<s>[INST] Are Gemer and Glucobay advisable for elevated blood sugar levels? [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You were already taking Gemer1mg medicine which contains Metformin and Glimepiride. Your blood sugar levels are on the higher side. You have started taking Glucobay 50 which contains acarbose.You should continue with this dose for one month and get your blood sugar levels tested. If they still do not fall within normal range, then you have to talk to your physician and get yourself switched to a different combination.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nazma.Amman </s>

<s>[INST] Suggest treatment for alzheimer s disease [/INST] I read your question carefully and I am sorry about the situation you are in.It is difficult to make recommendations on treatment though because I am not sure she has Alzheimer's. Dementia can have many different causes, Alzheimer's is the most common, but there are other possibilities to be excluded such as vascular dementia (repeated strokes), vitamin B12 deficiency, low thyroid function, Parkinson's disease just to name some common ones.The fact she manifested symptoms at only 56 is a red flag to consider a diagnosis other than Alzheimer's as it typically occurs later. The tremor you describe is also not typical for Parkinson, makes stroke, parkinsonian syndromes or vitamin b12 deficiency more likely.So the way to go is to check what blood tests has she exactly done, have thyroid function and vitamin B12 level been included. Also while a CT might serve to exclude some issues, generally a MRI is a recommended exam as it gives more info on the atrophied sites or old lesions which could orient the diagnosis. A neurological exam also is needed although I understand the difficulties you are encountering in finding a neurologist, she should be evaluated for parkinsonian or other neurological signs as well as have some neuropsychological tests to determine what areas of cognition have been more affected.I hope things work out for the best. </s>

<s>[INST] How to increase chances of conception? [/INST] Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.First, get your investigations done like serum TSH, serum prolactin, and husband semen analysis. Find the cause why you are not getting pregnant by your gynecologist, then treat the cause.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal </s>

<s>[INST] How to cure light brown blister with pus on lower lip? [/INST] Hello and thanks for consulting HCM.I have gone through your query.If you can send a picture that would be excellent but for now according your info i would say that i might be the case of oral herpes.its not like only if you kiss a infected person you will have oral herpes.there are other ways of getting the infection also.You may be able to feel a small bump or hardness in the skin in conjunction with the tingling sensation.Other symptoms may include, itching of the lips or skin around mouth, sore throat, swollen glands, and pain when swallowing, and a fever.herpes simplex virus is highly contagious, so avoid kissing or other mouth-to-body activities at any time during an outbreak. Also avoid sharing utensils, cups, or straws with other people, and wash dishes and utensils thoroughly with disinfectant soap. Gently washing the blisters with soap and water helps a lot.Wash your hands frequently, and try to avoid touching the sore.use sunscreen on the lips and other vulnerable areas. Zinc oxide may help prevent outbreaks in people whose outbreaks are triggered by sun exposure.if outbreak lasting more than 2 weeks you should visit a doctor.Hope this answers your queryRegardsDr. Shesh </s>

<s>[INST] Have dizziness, loss of energy, burning sensation in hands and feet. High prolactin. Done MRI. Cancer? [/INST] Hi there, It seems you are having side effects of your medicine which belongs to group of dopamine agonists. The dosing has to closely monitored and dose if need be has to be increased slowly and that is why has to be taken under supervision of physician. if you are having plenty of weakness and dizziness contact or inform your doctor about it. </s>

<s>[INST] Suggest cure for itching pain in stomach [/INST] Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.You are suffering probably from acid peptic disease. The provided treatment to you by doctor was right. You should also continue one month treatment for it. To control the acidity you also have to control the drinking habit. Please do not drink heavy in one session. Taking it for short drinks in prolong session is good.Please do not eat spicy food. You should take small food at one session. You can eat more when you hungry again but on each session you should take a small diet.After eating you should walk for a while until you burp. This will prevent the acidity from developing.This thing you have to adopt along with the drugs. Once your one month course is completed you can adopt this habit in your life.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. </s>

<s>[INST] What causes partial blue tongue at the back of an infant? [/INST] this may be a normal phenomenon or a hemangioma . show her to your child specialist once just to clear the doubt. </s>

<s>[INST] Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> </s>

<s>[INST] Suggest treatment for throbbing pain in shin [/INST] Hi there, thanks for your question at HCM A bump or bruise on the shin would usually take around a week or two days to resolve. Rest, Ice and bandage application over first 2 to 3 days accelerate this process of healing and reduce the amount of pain and swelling. I suggest you to continue the same. I would suggest you tpnsee your physician if you have pain on standing or walking, the swelling doesn't subside by a week or you are on blood thinners. Otherwise you will be better in a week's time. Hope this helps. All the best.Regards. Dr.SBK </s>

<s>[INST] Q. Why is there pain in my inguinal hernia repair site? [/INST] Hello. I believe you had a mesh-free hernia surgery done six months ago. Now you have developed pain at the same site. I would need a few details before I can help you. For more information consult a general surgeon online --> </s>

<s>[INST] What does swollen face,eyes,ears and nose indicate? [/INST] this is allergic reaction, give to him desloratadin or loratadine 1/2 tab for night 7 days.If i were your doctor i would try to find cause and prescribe hipoallergical diet- caulliflower, potato,kadu, soup, dahi, panir, apples. I will certainly review after 5 days </s>

<s>[INST] Is there any treatment in Ayurveda for curing hypersensitivity pneumonitis ? [/INST] Hi, Most cases of Hypersensitivity Pneumonitis develop only after many years of inhaling allergens, which include microbe, animal or plant proteins and certain chemicals that form haptens. Hypersensitivity pneumonitis is charecterized by diffuse inflammation of lung paranchyma and airways in previously sentisitized patients. Based on the length and intensity of exposure and subsequent duration of illness. Clinical presentations of hypersensitivity pneumonitis are categorized as acute , subacute and chronic progressive. The best way to treat HP is to avoid the antigen that caused it Your petbird, moldy carpet, or hot tub is the source of the antigen you can remove it from your home. Properly dry and store farm products to decrease the risk of developing hypersensitivity pneumonitis. Indivituals who may be exposed to allergens should work in ventilated areas and use respiratory protection [ masks ] YOGA, Limited human study exists for yoga in the treatment for lung diseases , such as bronchitis or airway obstruction. VASA, Adathoda vasika and Ocimum santum an indian herb will control allergens. . </s>

<s>[INST] Could having stones in kidney lead to burning sensation while urinating? [/INST] Ya its kidney stones, while they break up , pass via urine cause pain, take plenty of water, usage of stone syrup, avoiding cabbage, tomatoes help u a lot </s>

<s>[INST] What are the side effects of Pristiq? [/INST] Hello,I read carefully your query and understand your concern.Your symptoms seem to be related to side effects of Pristiq.All the medications have its side effects. In some cases the system get used to the medication and the side effects go aaway gradually.If the side effects persists or if you have breathing difficulties, I suggest to stop the medication and consult your doctor about an alternative treatment.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards!Dr.Dorina GurabardhiGeneral &Family Physician </s>

<s>[INST] Can amoxycillin cause severe itching and redness in the hands? [/INST] hi there.1. your concern may be acute urtricaria, secondary to penicillin group of antibiotics by your description.2.stop using amoxycillin immediately.3. you can try teczine 10mg after dinner and alaspan 10mg after breakfast for 10 days,.4. meanwhile consult a dermatologist near by you for physical examination and confirmation of diagnosis.this will help you don't worry. </s>

<s>[INST] Is it safe to take Lyrica and Pramipexole together? [/INST] Hello, Taking Lyrica with pramipexole has no significant interactions and would be safe to use together with the doses that were prescribed. Gabapentin also does not have any significant interactions with those two medications, so there should not be any problems. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Aaron Branch, General & Family Physician </s>

<s>[INST] Q. What does abutment of the nerve root mean? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> </s>

<s>[INST] What causes nausea and stomach cramps after starting birth control pills? [/INST] Hello .Thank you for your question.The symptoms can be due to the pill as the active drug agents in the pill are known to have such side effects.However in my opinion you can continue the pill and discontinue in case the symptoms are unbearable. </s>

<s>[INST] How to treat the condition of trigger finger? [/INST] Brief Answer:Get it examined by orthopedician followed by steroid shot in affected finger.Detailed Answer:Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.Based on what you said, it is likely to be trigger finger. You also need to mention whether you feel painful popping when you open the finger. You don’t require any tests to confirm it but finger needs to be examined by orthopedician.I routinely treat patients with trigger finger by a steroid shot in the affected finger and I would recommend it for you too. If it doesn’t improve, another trial of steroid shot can be given. If the above strategy fails, then a minor surgery will be required to treat it but most of the time steroid treatment works.Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow up to see how you doing.Regards!Dr. Ali Raza </s>

<s>[INST] Q. What is the stigma around mental health? [/INST] Hello. Stigma for mental illnesses is as old as civilization itself. Persons having mental illnesses were considered as evil. Mental illnesses were thought to be due to past life sins. A person having any kind of mental illness whether neurotic or psychotic was considered as "mental" or "crazy" or "lunatic". Progressively these all resulted in failure to acknowledge the mental illness and individuals develop thinking that what others would think if they consult a psychiatrist. Stigma is there because of cultural beliefs. Even in western countries, people have hesitation in consulting a psychiatrist. What will others think about me? People will make fun of me if I consult a psychiatrist, psychiatric medicines will make me emotionally numb, I will become dependent on medicines, etc., are the reasons there is a stigma for mental illnesses. Psycho-education is the most important method to break stigma. Awareness in public about mental illnesses, acknowledgment by celebrities that they too suffer mental issues are the factors that can help to break the stigma. Making people believe that mental illnesses are like any other medical illnesses, and these occur because of change in neuro-transmitters also help in reducing stigma. </s>

<s>[INST] What causes pain in mid to lower back in 13 year old? [/INST] HiThanks for writing to us.If it hurts only when bending, most likely it is not appendix.Could be muscle strain.Try analgesics like brufen, if not improving consult your doctorWishing your child good healthRegardsDR Arun </s>

<s>[INST] Can medication for fever be taken after the tooth extraction? [/INST] Thanks for your query, I have gone through your query.The fever following extraction of the tooth can be of inflammatory origin. Nothing to be panic. You can continue the same medicines that is percocet and take a course of antibiotics along with percocet like amoxicillin and metronidazole.I hope my answer will help you, take care. </s>

<s>[INST] When should I try to conceive after discontinuing the depo shot? [/INST] Hello, and I hope I can help you today. It can take a while for the effects of Depo to wear off enough for a woman to ovulate again. However, in your case, the fact that you have had two normal cycles is reassuring that your hormones are working normally. 80 percent of couples conceive within 1 year of trying, so it is not necessary to have any evaluation for fertility problems unless you have been trying for at least a year. The best time to try to get pregnant is between when your period finishes and the time you begin to feel PMS symptoms. Once you get PMS symptoms, it means you are already pregnant or your ovulation had passed. Intercourse every other day maximizes the sperm count per ejaculate. I hope I adequately answered your question today and that this information was reassuring. Best wishes, Dr. Brown </s>

<s>[INST] Q. Please explain the poisonous effect of phenol ingestion. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s>

<s>[INST] Does having chlamydia without PID cause infertility? [/INST] Hi welcome to healthcaremagic.I have gone through your query.As chlamydiae inf impacts your fertility or not tbat can be ruled out with histosalpingography HSG. So go for hsg to rule out tubal blockage due to infection.Hope i answered our question.Would be happy to help you further.Take care </s>

<s>[INST] Is herpes a contagious disease? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes,it is a contagious disease. Herpes simplex virus infection causes recurring episodes of small, painful, fluid-filled blisters on the skin, mouth, lips (cold sores), eyes, or genitals. This very contagious infection is spread by direct contact with sores or sometimes with the affected area when no sores are present. Hope I have answered your query. Let me know if I can assist you further. </s>

<s>[INST] Q. I am diagnosed with NPD and ASPD. How to get it treated? [/INST] Hello. First of all, I have to appreciate you for asking this question. It takes a huge amount of courage to question ourselves, and especially in cases of NPD (narcissistic personality disorder) and ASPD (antisocial personality disorder). Where the individual lacks the insight of his issues and often only sees problems in others. Personality disorder, in general, is a difficult entity to be treated, but continuous long term therapy (cognitive behavior therapy) and psychotherapy help wonderfully in stabilizing if not curing completely. Instead of working on changing yourself, you should focus on managing your thought patterns and behavior. The good thing in your case is that you already have some level of awareness, which would help you out. So I would suggest starting therapy as soon as possible. Also, I want to know if you are taking any meds currently? You can follow-up with the same doctor as keep your medicines on track. I hope this helps. I would need more information to help you better and in specific ways which work for you. Let me know if you have any questions. </s>

<s>[INST] Suggest treatment for a bump on the head [/INST] Hi, if this has happened to you occasionally on hitting something on the head then it is normal thing and is called as concussion. but if this occurs regularly even with hitting of small objects, then you need to be careful and consult a neurologist at the earliest. </s>

<s>[INST] Q. When I am in a silent room, I can hear a low sound from my ears. What is it? [/INST] Hi. Hair cells are hearing cells inside the inner ears provided with cilia, and when vibrated, it stimulates auditory impulses. Yes, these cells have a unique sound, and it will not be audible to us. It needs a high technology device to pick it. Tinnitus has a lot of causes. First, you need to perform tympanometry and pure tone audiometry. Show me the results, and then we can diagnose the cause. </s>

<s>[INST] Old man being treated for aggressive lymphoma. Any treatment and clinical trials? [/INST] Hello, Hope your Dad is doing well. I am a Nuclear Medicine Physician. In case of relapsed disease of Non-Hodgkin Lymphoma after second and third line chemotherapies, there is still an option of a radionuclide therapy (Bexxar, or Zevalin). Both modalities show upto 60% overall response and prolong the survival. The side effects are less compared to conventional chemotherapies. Contact your oncologist or me for further details. Hope this could be of help Regards and best wishes </s>

<s>[INST] How to get over past thoughts? [/INST] HiThanks for using healthcare magicI think, you need antidepressant like fluoxetine or paroxetine etc. That would help to control such kind of thoughts. These drugs are not available over the counter, so better to consult a psychiatrist for them. You can also try some relaxation exercise or thought stoppage exercise. That would help to control anxiety due to these thoughts. In case, you need further help, you can ask.Thanks </s>

<s>[INST] Suggest treatment for chest pain/tightness [/INST] Hello and thank you for using HCM.I carefully read your question and I understand your concern.I will try to explain and give you my opinion. You should know that typical heart pains have some characteristics. They usually are retro-sternal pains like squizzing, tightness or heaviness. They may irradiate to both arms, neck and jaw and last from 5-20 minutes.It is posible to feel tachycardia, difficulties in breathing deeply, dizziness, nausea. Pains that last all day long are not typical heart pains. Sometimes stress might give a little high blood pressure and a chest discomfort. Even though, if I was your treating doctor I would recommend some examination to feel shure that every thing is all right. I will recommend an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze whith cardiac enzymes and if it is possible a stress test and a holter pressure monitoring. After all this we can be shure for everything. So I will advise you to stay calm, it doesn't seem to be something to worry about but just make an appointment to do what I mention above. Hope I was helpfull. Best regards, Dr. Ervina. </s>

<s>[INST] Suggest treatment for breathing problem and chest pain [/INST] Hi thanks for contacting HCM...You are mentioning you have breathing difficulty many times ....Do you have asthma like allergic condition...???For guiding treatment cause has to be known...If you have repeated such attack by allergic infection then steroid or salbutamol metered dose inhaler taken if handy....Steam inhalation useful for relieving inflammation...Sometime this symptom can occur by lower respi infection...For that antibiotic given...But here if nearby clinic available ECG done to rule out cardiac cause.....If needed Echo done later on....Take care....It is better to find doctor there for proper physical examination..Dr.Parth </s>

<s>[INST] Do I need spinal MRI to diagnose the reason of severe back pain? [/INST] Hi,I have read your query.First you need to have x-ray lumbosacral spine in AP and Lateral ,then send us report till the apply hot packs for 30 mins in morning and evening . You can take painkilers+muscle relaxants by discussing it with your doctor .Avoid heavy weight lifting e.g lifting bucket of water.MRI scan is need only if pain is severe and sensory deficit is present. </s>

<s>[INST] Suggest treatments for muscle weakness [/INST] Hi, there!Your son underwent serious surgery and blood cell count must be checked periodically (red blood cells, white blood cells, hemoglobin, hematocrit, platelets) to avoid deficiencies!You havent mentioned dissease why splenectomy was made.Visit Your primary doctor firstI hope this helps </s>

<s>[INST] Do M2 Tone and Deviry tablets help to conceive? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I think you should go for evaluation first. Get a thyroid profile and prolactin level done and also an ultrasound to see the uterus and ovaries. You may go for ovulation induction with timed intercourse. M2tone and deviry will not help alone. Talk to your doctor regarding this.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khushboo Priya </s>

<s>[INST] Q. My wife had medical abortion last week. When can we try for our next baby? [/INST] Hi, Welcome to icliniq.com. Very sorry to hear about the loss. You can start trying for a baby after one month as the uterus and hormones take that much time to come back to the proper state. But if it is only sex then two weeks is fine. There is no special care or medicines required for her. Just give her good nutritious food like fruits and vegetables that is enough. If her hemoglobin is less then iron supplementation (tablet Orofer) for a month or two is needed. But if her hemoglobin is normal nothing is needed. If her hemoglobin is not tested after abortion get it tested. I hope this helps. </s>

<s>[INST] What causes cough and heaviness in the chest? [/INST] I completely understood ur questionless likely it is a whooping cough it seems more like a regular or seasonal sore throat leading to lower respiratory tract infection.no need to worry carry on with the prescribed antibiotics and it will get better within a weekmore queries please ask again </s>

<s>[INST] What is the best medicine for typhoid fever? [/INST] hello i have gone through your question and appreciate your concern.widal test will give you the diagnosis.ciprofloxacin 500 mg for 7 days is generally given in typhoid fever.cefixime is also good for typhoid fever. </s>

<s>[INST] Brown spotting, cramps, mucus discharge, nausea, moodiness, taking Azurette [/INST] Hello,If you have been regular with your pill intake, you are amply protected. This irregular spotting could be due to hormone imbalance. Such things often happen while on the pill, but, usually in the initial months. Please get a proper clinical evaluation and if necessary, a blood test for pregnancy and complete hormone profile. A trans-vaginal sonogram can help to exclude ovarian causes. Local lesions like vaginitis, erosions, polyps and sudden weight changes along with stress also can cause such spotting. Hope this helps. </s>

<s>[INST] What causes rash around the area of dog bite? [/INST] Hi,It seems that there might be having some localized bleeding under the skin and induration giving rise rash.Apply antibiotic cream locally after proper cleaning.Go for ARV shots if you have not started.Ok and take care. </s>

<s>[INST] Suggest remedy for a nerve block [/INST] Hello Welcome to HCM Thanks for posting your query. I understand your concerns. Nerve block is very well effective in shingles. Pain in shingles is due to virus reciting in the nerve roots. As nerve block causes temporary ablation of the nerve root your pain will drastically comedown. Get it done. No need to worry. Hope you are happy with the answer. Thank you </s>

<s>[INST] Does trigil tablets cause swelling of legs? [/INST] Hello sir,The tablets are not responsible for your complaints.The diabetes is; diabetes causes the complaints over feet due to neuropathy .To stop the progression of this,you have to control your blood sugar level ,exercise and life style midification .and it has to be measured every month and also the status of you control can be estimated by doing Hba1c evaluation.Kindly consult your diabetologist for sugar control.Thank you </s>

<s>[INST] Severe back pain, tightness all over body. What should i do? [/INST] hi as u are a known case of disc prolapse,most probably it is more exagerated form of it.MRI is the best investigatin ,along with blood test to rule out sugar,d3, b 12 deficency etc.go for it & do spinal extention exercises,whenever it is possible.have analgesics,muscle relaxatant,heat therapy,,,will help u dr s k gupta </s>

<s>[INST] What causes severe itching in ears with swollen glands in neck? [/INST] Hi Dear ,Welcome to HCM,As per your query you have severe itching in ears with swollen glands in neck . Well there can be many reasons for itching like slightest accumulation of debris, even a dead hair, may be felt as an itching sensation ear canal dermatitis , otitis media , lymphadenopathy and wax buildup . Allergic reaction can also be one of the reasons.I would suggest you to consult ENT specialist for proper examination . Doctor may order CT scan and examine with otoscope . Doctor may prescribe antibiotics gentamycin for a week along with corticosteroid ear drops , anti histamine and may remove wax . For now you can put 2 drops of olive oil once a day to prevent dryness and cover your ear while bathing . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari </s>

<s>[INST] Q. Why am I getting a lot of nightfall if I do not masturbate? [/INST] Hi. It is normal. Semen is made every day, it has to come out, if not by masturbation, then by nightfall. Relax, gradually it will become less. For more information consult a sexologist online --> </s>

<s>[INST] Q. Why do periods get delayed after first time sex? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> </s>

<s>[INST] What causes abdominal pain in children? [/INST] HI.Considering the age of the child let us consifer the possibility of IBS / colitis/ psychological aspect too. Get one enteroclysis and CT scan of the abdomen done. IF this is normal and since she has got almost all the medicines till now , gt on the line of psychological problem as one of ht most important cause. Watch for any signs of stress in the school or family . </s>

<s>[INST] Q. I am struggling with the side effects of Tamsulosin. What do you advise? [/INST] Hello. I understand your concerns. Stuffy nose is one of the major side effects of Tamsulosin (Flamox). And, all alpha-blockers could cause the same issue. The medications that could resolve your problem could make the prostate worse. So, I suggest that you change the Tamsulosin into Proscar ( Finasteride) 5 mg after consulting your physician. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. It is very effective but takes time to show effect (up to six months). Also, I would like to know exactly the dose of Tamsulosin. You take as it may be a large dose. I would like to know how severe are your prostate symptoms: do you have difficulty in urinating, weak stream or residual urine? Please send me the report of the urodynamic study. I recommend that you follow up in order to discuss all your concerns. For more information consult a general medicine physician online --> </s>

<s>[INST] New born suffering from down syndrome, swelling in right side of the heart, difficulty breathing. Treatment options? [/INST] Hello aunt, If the hospital is capable of picking up down syndrome on day one means you are at the right place. If the baby inside the uterus has any stress, it may pass motion into the amniotic fluid, if aspirated can cause problems. To manage them the child has been correctly admitted in the ICU. As you know heart has left and right sides: Right side receives venous blood from various parts of the body ( which is less in oxygen ) and pumps it to the lungs for oxygenation. From the lungs it will return to the left side, to be circulated to other parts of the body . Now when the lungs have problems, like aspirated meconium, oxygenation may not be normal. So the heart has to over work, and become 'tired' in the process. The function of the right heart, pumping venous blood into the lungs comes down. resulting in fluid accumulation. This for easy understanding they have told as swollen heart. If the basic condition is treated then heart function will become normal. Several children have been born like this throughout the world. Generally they recover. We must thank the ICU people managing small babies. They work very hard and are very passionate about their work, and they love children. with regards </s>

<s>[INST] How can i remove black marks on shoulder ? [/INST] hi its due to friction apply good moisturizer cream apply mometasone cream at night over black mark if u perspire more then use powder after bath </s>

<s>[INST] Q. I have difficulty breathing along with a headache almost every day. Please help. [/INST] Hi, I have gone through your medical history and your CBC report.. Your CBC report does not contain any significant abnormal values to be worried off.. Slight deviations which they have mentioned as L or H are insignificant.. So dont worry about your report.. Coming to your breathing difficulty, it being present for a very long time and at this younger age, it is most probably Bronchial Asthma.. Apart from this, we need to rule out any cardiac ailments.. I would suggest you to visit a Doctor to get yoursefl examined clinically for presence of Asthma signs in your chest of any.. Meanwhile also do the adviced investigations amd get back to me.. And answer me few questions, CXR PA VIEW ECHO Bronchial asthma / Congenital heart disease T. Deriphyllin retard 150mg 1tab twice daily to continue Avoid dust exposure </s>

<s>[INST] Lower abdominal pain, irregular bleeding, back pain, bladder infection, congestion. On plan B. Help? [/INST] Hi there ! The pain in your left side rib cage could be due to respiratory tract infection as described in your history and also due to a possible infection of the pleurae. The burning sensation while passing urine is possibly and rightly due a urinary tract infection, which occurs not infrequently in sexually active females. This could be associated with infection of the pelvic organs giving rise to pain in the back and lower abdomen. The treatment for both needs proper antibiotics. The irregular bleeding could be due to your contraceptive plan B , but a chance miscarriage can not be excluded. Any foreign body in the uterus may give rise to such symptoms. You should go for routine blood and urine tests, along with an ultrasound of the abdomen and an x-ray chest if advised by your physician and only after excluding pregnancy. Good luck. </s>

<s>[INST] Q. Why do periods get delayed after first time sex? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> </s>

<s>[INST] On Neoral after kidney transplant, diverticulitis, anemia, advised Vit C, iron. Does rose hips have negative effect on Neoral ? [/INST] Hi, Your wife aged 19 years had kidney transplant, now diverticulitis and anemia, treated with vit.C, iron and antibiotics. some vitamin .C contains rose hip did it have negative effect on neoral. She has crossed kidney transplant and is under the supervision of the doctors, If it has any negative effect also it is not always, and you enquire with your doctor and try to have another alternative with out rosehips. Dont try to give her the one with rosehips, as the doubt play a role in creating negative effects. Thank you. </s>

<s>[INST] How to get rid of bruised blood around my entire eye? [/INST] Hello thank you for writing us here. Bruises are common around eyes because of trauma on forehead. It would go slowly within a couple of weeks and the skin would become lighter. You can massage it with oil or wash your eyes with cold water so it would heal quickly. Also make sure you don't hit yourself again as it would take time to heal and recover the normal colour around your eyes.Best regards,Dr Gunjan </s>

<s>[INST] Q. Please explain the poisonous effect of phenol ingestion. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s>

<s>[INST] Is it normal to take out teeth due to abscess over it? [/INST] Thanks for your query, I have gone through your query.The abscess could be because of the tooth infection or gum infection.Consult a oral physician and get a radiograph done the rule out the infection and check the amount of supporting bone. If the bone support is not good then the tooth has to go for extraction. If there is sufficient one support then the tooth can be saved by doing RCT and currettage. The tooth will fall by its own once it becomes very weak. but if it gets infected then it can result in pain, swelling and other complications. so better to get it treated.I hope my answer will help you, take care. </s>

<s>[INST] Is lower back pain and pain in testicle sign for puberty? [/INST] HelloThanks for query .Pain in lower back and testicle is mostly due to infection of Epididymis (Epididymitis) or Testicle (Orchitis) .You need to consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of Scrotum.In the mean while start taking antibiotics like Augmentin along with anti inflammatory drug like Diclofenac twice daily .Further treatment will depend upon result of these tests and final diagnosis.Please note your symptoms are not related to puberty.Dr.Patil, </s>

<s>[INST] What causes heavy breathing, blurry vision, dizziness and fainting upon seeing blood? [/INST] The medical term for this is vasovagal syncope (also called neurocardiogenic syncope). This is essentially your mind reacting to something that it does not like and causing your body to experience these symptoms. </s>

<s>[INST] Q. What does abutment of the nerve root mean? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> </s>

<s>[INST] Suggest medication for cold & allergy [/INST] hello, in my opinion he has allergic rhinitis where on can show series of sneezes followed by running nose. some precautions are do not expose to chilled climate , redduce d frequency of ice cream and curds, avodence of dust. In my opinion u can try avamys( fluticasone) nasal sprey once daily for 1 month and tab.montair 5mg( montelukast) at bed time for 1 month. u need to sees an ent surgeon for any allergic polyp. all d best. </s>

<s>[INST] Suggest remedy for lumps in neck [/INST] solid lump in neck is something serious and need prompt action. these could be enlarged lymph nodes, and these can be because of many reasons - malignancy, some chronic infections like tuberculosis etc... you need to get investigated properly clinically as well as radiologically... i may suggest usg and CT scan abdomen pelvis and chest x ray.... </s>

<s>[INST] Q. How to identify the cause for skin allergy in a child? [/INST] Hello. I have seen the images (attachment removed to protect patient identity). The following are some changes which I can suggest: If the skin problem is still persisting, show to a dermatologist or a skin specialist for further physical evaluation.  Allergy to skin products or food. Use Calosoft (combination of Calamine and Aloe vera) lotion or Dermocalm (Calamine and Light Liquid Paraffin) lotion -all over body twice daily after bath for one month. Avoid allergic substances if identified. Revert back after two weeks for follow up to a paediatrician online.---> </s>

<s>[INST] I have alot of symptoms & I cannot fight any sugestions [/INST] Welcome to HCM. Al this symptos are due to some pschycological disturbances. Try to avoid stress,don't think like a failure,try to be positive and make you life active with you family and friends.Discuss your problems with your family and friends. take good healthy diet,go for exercise,read some positive books, Consult pschiatrist for better guidance. </s>

<s>[INST] What medicine should I take for Nephro syndrome ? [/INST] hi Mr Bhushan read your prob, you have suffering from nehrotic syndrom . n you have high BP.TLC is high shows presence of infection. first you have to control your BP, it should be 120 80 not more than it. as high BP again affact on kidney. treatment should be continu for 8 to 10 month. after then by diet control n controlling BP you can prevent kidney for further damag. Dr aseem 9982583020 [email protected] </s>

<s>[INST] Why there is a bruise on the back? [/INST] Hi i did review your concern. the purple bruise you are talking about could be a birth mark known as mongolian spot. please ask your mother if its from childhood or recently noticed. if noticed recently you should consult a dermatologist to find out more about it. Morever, the back pain could be because of multitude of causes, primary could be arthritis itself or a disk herniation or lumbar spinal stenosis. does the pain occur more walking downhill or is it relieved by bendin forward. check if she feels pain on walking on toes.if yes, she could be having lumbar spinal stenosiss common at this age. You can then probably go for an x ray and an MRI to know finer details of the back bones and muscles and spinal cord involvement. I hope this helpswish you a healthy life </s>

<s>[INST] What causes on and off dizziness, heart palpitations and chest pain? [/INST] Hello dear and thanks for posting your query here.It seems you are suffering from vertigo particularly positional vertigo.There are many causes of vertigo like ear problems and brain problems.But it may just be a benign form in your case.But I would suggest you to still see your doctor to rule out the other causes of vertigo.Also please get at least an ECG done to rule out any arrhythmias.I hope this information would be of help to youThanks and all the best. </s>

<s>[INST] Can you conceive if you had intercourse just after period ? [/INST] mostly safe. b'coz pregnancy depends upon ovulation. & ovulation takes place round about 14th day of regular cycle.plus minus 2. </s>

<s>[INST] Could the tick bite by the dog cause Lyme's disease? [/INST] Hello. Welcome to HCM.I am Dr Jigar(Infectious Disease Specialist).Well your concern is genuine. Lyme disease can be caused by bite of tick.Problem with this disease is that it is similar to many other illness and test available for diagnosis shows variable results in many patients. Same is in your case , only one band is not enough for confirmation. You should consult expert infectious disease specialist for this. There is also need to rule out other co infection like if any. Also you did not mentioned which antibiotic you are taking. You should also know that during treatment of lyme disease some patients show unusual exaggeration in symptoms which subsides after few days.Finally your thyroid medication will not interfere with this treatment but you should get your thyroid level done if not checked recently.I hope this will help you. I will be glad to help you further in this whenever required. Wish you a rapid recovery. Please revert back with your valuable feedback.Regards.Dr Jigar. </s>

<s>[INST] Suggest remedy for severe cough and cold in a child [/INST] Hi.. skin flakes on the scalp are seborrhea. It is a type of fungal infection of the scalp. It will require medicated shampoo to be used for 6 weeks at least. This will require a prescription and I suggest you consult a pediatric dermatologist for this. Avoid using hair oil for the scalp of the kid.regards - Dr. Sumanth </s>

<s>[INST] Liver Cancer "Static" with a large 14cm tumor [/INST] Hello, Thanks for posting your query. Let his other investigations be done. In-operability of the tumor indicates usually more severity of the condition. He might have to have chemotherapy which would be palliative. But wait for the reports and based on it the treatment would be planned. Hope I have answered your query. Wishing you good health. Regards, </s>

<s>[INST] Suggest prognosis of health conditions [/INST] Hi, It can due to sepsis / renal infection which can give symptoms like this. Hope you have already did your renal profile. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist </s>

<s>[INST] Should we continue radiation treatment for mouth cancer as there is still bleeding from the mouth ? [/INST] dear sailesh, it seems to me that your father has not responded to RT well, there has been few cases of geftinib causing bleeding. get an evaluation done by an oncologist. </s>

<s>[INST] Q. Please explain the poisonous effect of phenol ingestion. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> </s>

<s>[INST] Is a sore lump on the crown of the head a concern? [/INST] Hello,The lump on crown of head is possible soft tissue lesion as lipoma, sebaceous cyst or bony lesion as osteoma or others.Better to get an x-ray and ultrasound of the skull to get the precise diagnosis and further management in accordance to that.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel </s>

<s>[INST] Suggest treatment to avoid masturbating [/INST] Dear User, Thank you for your question, excessive masturbation will affect your physical and mental health. Controlled masturbation on the other hand could even be beneficial. To control your masturbation habit you need behavioral therapy, first avoid porn website, control your eyes and thought pattern, and limit your daily masturbation to once per day, then once every 2 days. again avoid porn websites. For a more proper control please refer to a near by psychiatrist.hope that was helpful.Best regards, Dr. Nazzal </s>

<s>[INST] What are the lumps on my tongue? [/INST] Hello, thank you for consulting with healthcaremagic. There can be many reasons for this lump on the tongue, -First it can be possible that you had a trauma on the tongue earlier which has caused this lump.-Second it can be possible that there is some infection inside that lump.To get it confirmed you have to visit a good dentist, as he will go for some investigations and then confirm the diagnosis. Hope it will help you. </s>

<s>[INST] Suggest treatment for hepatitis-B infection [/INST] Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.Since you have cirrhosis antiviral has to be given for long time. So I will suggest you to take Tablet tenofovir, of which no resistance is known till date even after use of more than 10yrs. Medicines which you are using may show resistance and there will be viral breakthrough. Discuss about this with your doctor. I hope I have answered your query and this will help you . Wish you a good health </s>

<s>[INST] How to overcome the difficulty in learning and memorizing things? [/INST] Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Your should get her intelligence quotient and memory functions examined objectively. This will let us know if she has a real problem with her memory. Another possibility is that she could be having a depression leading to psychological amnesia and pseudo dementia. That need to be evaluted by a mental state examination. You should take her to a psychiatrist ones for evaluation. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy </s>

<s>[INST] Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>

<s>[INST] Is sudden chest pain serious? [/INST] Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, your friend is having stress, anxiety and depression related chest pain. She had gone through emotional breakdown (death of mother) and this can cause stress, anxiety and depression. Her symptoms like chest pain, crying etc also favour depression and anxiety more. So better to consult psychiatrist and get done counselling sessions. She needs antidepressants and anxiolytic drugs. Counselling plays very important role along with drugs for control of depression and anxiety. Once these things get controlled, her chest pain William also subside. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks. </s>

<s>[INST] Suggest treatment for kidney condition [/INST] IT depends on whether he has a reversible condition or not. it is better to have a second opinion before going in for dialysis, unless you are getting treatment from your family doctor </s>

<s>[INST] What causes spreading bump rash on hairline/face/scalp/cheek/neck when having CLL? [/INST] Hi, dear. I have gone through your question. I can understand your concern. You have CLL. Its common in CLL that platelet count is decrease. And it leads to rashes. so just go for cbc count once and check your platelets count 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. </s>

<s>[INST] Can marijuana helps to cure pancreatic cyst? [/INST] Hi and welcome to HCM. Thanks for the query. No, there is no any evidence that marijuana is beneficial for this. Wish you good health. Regards </s>

<s>[INST] Q. What causes swollen tonsils with fever, body aches and runny nose? [/INST] Hello. With the details, you have provided you seem to be suffering from acute tonsillitis. It is an infection of the tonsils and the pharynx, mostly bacterial looking at the associated symptoms you have. You must take an appropriate antibiotic for the same and in my office, I usually empirically start my patients on Amoxicillin 500 mg thrice a day for five days. Also, I give them symptomatic treatment, Paracetamol 650 mg taken SOS for fever and pain, Levocetirizine 5 mg taken once a day for a runny nose, Phenylephrine 10 mg taken once or twice a day for the stuffy nose (Note: There are combinations of Paracetamol, Phenylephrine, and Levocetirizine). Good supportive treatment comprising hot water gargles, plenty of warm water to drink, avoidance of smoke, dust and cold foods, avoidance of oily-spicy foods during the course of treatment and a healthy nutritious diet will help remove the infection faster. The white or yellow spots on the tonsil are due to obstruction of small crypts due to the infection. It is a common finding in follicular variety of tonsillitis. You may also gargle the throat with dilute Chlorhexidine mouthwash if there is any bad smell emanating from the mouth. Do revert back to me for any further query or clarification. I will be happy to help you. Hope to find you in good health soon. </s>

<s>[INST] What is the cause for mid-back itch which sometimes become a spasm? [/INST] Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persists better to consult an orthopaedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>

<s>[INST] What causes lump on neck of a 3 weeks old ? [/INST] hi.which part of his neck is affected? does the lump go with fever and are there signs of infection?there are varied possibilities. but with his age, it could be a cystic hygroma, hemangioma, an arteriovenous malformation, a lipoma.. it is best if you consult with a pediatric surgeon. </s>

<s>[INST] What does this MRI report indicate? [/INST] Hi, The results of CSF blockage read from an MRI is highly insensitive when it comes to accurately determine anything do with exactly how much fluid surrounds the spinal cord. My guess from reading your information is that you likely have a normal amount of fluid in your canal. Imaging is a poor approach to determining exactly HOW MUCH CSF is around the spinal cord. The AMOUNT of CSF in the central nervous system is entirely unrelated to the risk of acquiring dementing illnesses or not. The comment on driving and being careful of whiplash is without basis in fact in terms of injury severity (which is what I believe was being implied) based on AMOUNT OF CSF. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist </s>

<s>[INST] When will I ovulate according to my LMP date ? What are the chances of pregnancy if I have poly cystic ovarian syndrome ? [/INST] Hi, Welcome to Healthcare Magic Forum. The two days follicular measurements are not correlating. If you are undergoing follicular study they will report your ovulation. Consult your gynaecologist to check for other problems. Good Luck. </s>

<s>[INST] Is fever a symptom of rabies infection? [/INST] HelloWelcome to HCM,As you were bit by pet puppy for which you havr been advised antirabies vaccine. I hope you have been advised five doses of vaccine on days 0, 3, 7, 14 and 28.As you habe taken three dose of vaccine and the puppy is healthy.Nothing to worry the symptoms of fever, cough and headache is may be due to other infection in the body. As the puppy is normal and not having any symptoms of rabies your symptoms is may be due to some othet infection in the body.Thank you. </s>

<s>[INST] Why causes loose motion in a 8 year old child? [/INST] Hi,From history it seems that he might be having some gastro-intestinal infection either protozoal, bacterial orworm infestation giving rise this problem.Go for stool test for ova and cyst.After report your doctor will go for treatment accordingly.Give him light diet like curd, rice, buttermilk etc.Give plenty of water.Ok and take care. </s>

<s>[INST] Suggest treatment for pain in lungs while coughing [/INST] Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having worsening of asthma due to viral infection and previous tuberculosis. Viral infection in asthmatic patients cause exacerbation. And this exacerbation may cause pain in TB scar. So 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 needed to rule active tb lesion. PFT is needed to know the severity of exacerbation. Based on PFT values, treatment is given. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So possibility of recurrence of tb is very low but better to get done chest x ray to rule out this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. </s>

<s>[INST] Got wisdom tooth removed, pain in tooth which is in front of removed tooth, pain in jaw. Cause of pain? [/INST] hi therethank you for writing in healthcare magic.pain in maxillary (upper) and mandibular (lower)jaws ,or alveolar bone or teeth ...just do not worry about the site because pain can be radiating types.continue your antibiotics regime.explain your concern to your dentist as you are having an appointment soon.I would suggest you to go for full mouth radio graph ,and clinical examination of temero mandibular joint too.write us back if any doubttake care. </s>

<s>[INST] Suggest better treatment for fungal infection [/INST] Hi,You might require one course of oral anti-fungal medicine to get complete cure.Apply anti-fungal cream locally.Go for anti fungal medicine like Flucanozole 150 mg once in a week for 4 weeks.Keep affected part clean, dry and airy.Ok and take care. </s>

<s>[INST] Having lower back pain. Took lyrical, targin, feeling sick. Give me suggestion [/INST] Hello Louise,Thanks for posting on HCM,Given that the medications targin (generic names: oxycodone/naloxene combination) and lyrica (generic name: pregabalin) can be very addictive together and so should be used with a lot of caution. It is true that they are good for such conditions as chronic back pain and may relieve your symptoms, but getting addicted to them will instead become a problem that will have to be solved as you can not be on those for the rest of your life ( I do not recommend continuous use). Your pain management doctor may advise other treatment options and give you alternative medications or therapies such as physical therapy/chiropractor. If I was to treat you, i will change your medications to equivalents such as tricyclic antidepressants (that can treat both nerve pain and depression that came as a result of the pain) and also antiinflammatory for about 1-2 months. Refer you to a physical therapist for that period until I can see you again in 2-3 months after which I will be able to see if treatment is effective or not.I also recommend you see a rheumatologist.Hope this helps </s>

<s>[INST] Prescribed Utrogestan to improve fertility, had miscarriage. Can medicine be taken orally or vaginally? [/INST] Hello Michhelle, Well I just wanted to guess if utrogestan is natural micronised progesterone. It can be taken both orally and vaginally, but best acts vaginally.It is a hormone to support your pregnancy if any. Well good luck, and mail me if there is any further query. </s>

<s>[INST] Is it safe for kidney transplant with one kidney infected? [/INST] Suggest to treat the kidney infection prior to transplantation. Need for transplantation to be clearly specified. Is the child on dialysis or does the child have irreversible kidney disorder in the existing kidney. Regards </s>