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<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] Second molar removed, applied paste in dry socket, stitched. Oozing from socket, pain from stitches. Why? [/INST] Hello,As you said that there's a Dry socket and wound us now dressed. Actually Dry socket is nothing but the infection of the extraction socket because of dislodgement of blood clot due to one or many reasons. Cleaning and dressings of thw wound is the treatment of choice along with the antibiotics for next 5 days. As it is very painful condition until good healing tissues are replaced by infected one so you should ask your dentist to prescribe pain killer medicines along with antibiotics.The drain can come out from the socket and it's normal. Don't worry it will heal as the dressing medication improves healing.Thank you. </s>
<s>[INST] Q. Will Nano-Leo give permanent solution for erection problem? [/INST] Hi. For further doubts consult a sexologist online --> </s>
<s>[INST] How to cure my son's fits during fever? [/INST] Thank you for following up. I figured your concern. Gardenal (60 mg) (Phenobarbital) helps for prophylaxis seizures, it is tranquillity medicine,uses also for anxiety,fears, for stimulation secretion chole-bile from liver. Frizium- Clobazam belongs to the same class of medications known as benzodiazepines. It is used to treat certain seizure disorders. It is used as an add-on to other antiseizure medications when extra treatment for control of seizures is needed.Seizures are caused by uncontrolled firing of neurons in the brain (also referred to as increased electrical activity in the brain). This medication works by reducing the rate of firing of these neurons. Your doctor may have suggested this to your baby due his fever fits for prophylaxis of epilepsy. Kind regards Dr.Svetlana Shrivastva </s>
<s>[INST] Q. There is upper lip tie in a child. Can this cause gap between teeth? [/INST] Hi. I have read through your complaint and the relevant details. The upper lip tie in your child is one of the common problems faced. This is called high labial frenum attachment in dental terms. There are two major disadvantages of such frenal attachments. Firstly, it would compromise the gum health of your kid by interfering in the placement of toothbrush. Secondly, it is one of the main reasons to cause midline gap between the two permanent upper central incisors. Now your kid has got only the milk teeth. We should be more concerned when his permanent teeth erupt that is around 5 to 6 years of time. But, consulting with a dentist virtually, and getting the triangular piece of frenum removed (frenectomy) before the permanent teeth erupt is an ideal treatment to be done. As you said, emergency treatment is not necessary but it has to be treated. Getting a 1-year-old in a dental clinic is a challenging job. So, start encouraging your kid and prepare him or her for the first dental visit and make sure it turns pleasant. Once he or she gets a knack of it, you may proceed to introduce your kid to various treatment procedures. </s>
<s>[INST] Q. Is my 1 year old's blisters due to molluscum or chickenpox? [/INST] Hello. If it is molluscum, nothing to be worried about but if it is chicken pox, you need to start Acyclovir therapy for faster relief. Are the blisters causing some marks after they fade? Please discuss with your pediatrician about the probability of chicken pox. You can delay the scheduled vaccine for another week till she is free from this viral infection because the immune system is altered and the vaccine may flare up the infection. I suggest you hold the vaccine for a week or two. If it is surely molluscum, the treatment what you are getting is appropriate as it goes on its own. No other tests or treatment required. Only thing is that you need to maintain good personal hygiene. No need to be tensed just relax, she will be alright. For more information consult a pediatric allergy asthma specialist online --> </s>
<s>[INST] Suggest treatment for difficulty in breathing [/INST] Hi and thank you for asking. Given the fact.that your son is already diagnosed with alergic asthma his concern now it might be related with the asthma. But for excluding any problem like adenoids better for him te do a test called Nasoscopy. And if it is positive the ENT specialist will remove it surgically.And your son with be better again.Thank you Dr.Jolanda Pulmonologist </s>
<s>[INST] Q. I have sore throat along with gastric problem and constipation. What could cause this? [/INST] Hi Only this syrup and gargling will not help you completely, it say some kind of throat infection maybe acute pharyngitis or tonsillitis and you need antibiotics for that otherwise this may progress. Are you allergic to any particular medicines, so that I will prescribe you some medication? </s>
<s>[INST] How to treat an anal abscess? [/INST] Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should take the surgery done.Anal fistula is the indication for surgery it has no role for antibiotic treatment.You can take the antibiotics as per culture and sensitivity report until all your infection clears up.Once the infection is clears up please do surgery for your fistula.Unattended fistula can cause complication. This should be avoided.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist. </s>
<s>[INST] What causes black spots in vision? [/INST] yes they may occur at this age also floaters are very common but you should visit an ophthalmologist </s>
<s>[INST] Suggest remedy for indigestion in infants [/INST] Hi...Thank you for consulting in Health Care magic.This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to drink milk will gulp in air too. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief.The two best ways to relieve this distress is - 1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., </s>
<s>[INST] Q. Can I take Vitamin C supplements for anemia? [/INST] Hello. If you are anemic patient, then according to cause the treatment is given. For example, if iron deficiency anemia is present then the iron tablet can be prescribed. If vitamin B12 deficiency is present then B12 injection is needed. No need for Vitamin C intake for anemia case. The Orofer iron tablet contains Ferrous Ascorbate which is having a good absorptive capacity. So, I do not think extra Vitamin C syrup is needed. You can attach your reports to guide you further. Take care. For more information consult a hematologist online --> </s>
<s>[INST] Could the tingling in the penis mouth and head be due to STD? [/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.No, its not necessary to have STDs following sexual encounter. Its your false belief that you are having STDs.Such sensation can also be felt because of the injury while doing sexual encounter. Without examination and laboratory diagnosis for the STDs its difficult to say about the possible etiology.In both case please maintain good hygiene until your report come. Avoid further sexual encounter and if you do please do under condoms protection.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM </s>
<s>[INST] Q. There are some cuts on my foreskin and it burns a little. Please advise. [/INST] Hello. For more information consult a dermatologist online --> </s>
<s>[INST] Suggest remedy for memory loss and imbalance issues [/INST] Hi, I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you Question : Suggest remedy for memory loss and imbalance issuesAnswer : This can be due to Normal Pressure Hydrocephalous. The Memory Loss can be a sign of Dementia and Imbalance Issues a Sign of Gait Apraxia. Hence I request you to kindly consult a neurosurgeon at the earliest. Many people have dramatic improvement after surgeryHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care. </s>
<s>[INST] Suggest treatment for baby having low hemoglobin count/high pressure in lungs [/INST] HelloWelcome to health care magicis there any breathing problem in new born baby? is there any bleeding from any site?wether baby is sick or active.it may be physiological anemia of infancy </s>
<s>[INST] What causes sudden raise in the blood sugar level? [/INST] Hi, dear. I have gone through your question. I can understand your concern. You should consult your doctor and need to increase one more anti diabetic drug. If it is still remain high then you should start insulin injections according to your doctor's advice. 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] Itchy rashes on the scalp after using a hair dye. Applied cortisone and took benadryl. Swollen lymph nodes on the back of the neck. Should be concerned? [/INST] DYE CAN REACT ANY TIME IN LIFE PLEASE CHECK IF BRAND CHANGED PPLY FLUCORT LOTION MIXED WITH 4 TAB BETNESOL IN WHOLE SCALP AND WASH WITH NIZRAL SHAMPOO IN MORNING DO 5 DAYS TAKE ALLEGRA 120 MGM OD FOR 3 WEEK NODES(SWELLING IN BACK OF NECK WILL GO SLOWLY </s>
<s>[INST] What causes constipation along with dark stool in children? [/INST] HI...your pediatrician was right. This is quite common while getting better in constipation. I will suggest you certain measure to manage constipation. Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot.Regards - Dr. Sumanth </s>
<s>[INST] What causes lump on the jaw? [/INST] Hi.You are being confused by your Doctors, not your fault. Go for a second opinion and insist for X-ray or HRCT preferably. FNAC rules out the cancer well. Or a course of an antibiotic will cure the infective pathology .l </s>
<s>[INST] Q. After using eye drops for scleritis, I had partial vision loss. Why? [/INST] Hello. After going through your history, I understand that you have two concerns. Firstly, what has gone wrong and the second is how to fix it? From what you have mentioned in your query, I can tell that you have at least two problems interfering with your vision. 1. Corneal scarring due to the viral infection of the cornea. This is an end-stage and can be corrected using a corneal transplant. Although the information you have provided is quite detailed, it would be useful to have a photo of your cornea (the round black part of your eye). This is to check for corneal ulcers or scarring. 2. Optic disc damage or glaucoma, I think this may be present as well, it is a common side effect of long term Prednisone and probably why your second doctor said that a corneal transplant will make this worse as the problem is too deep in the eye. Once again, although your description is detailed, glaucoma cannot be ruled out by this limited information. Please send a photo of your doctors reports or at least the intraocular pressure readings. Coming to the cure, corneal scarring can be cured with a corneal transplant. But I am afraid if you have glaucoma, there is no way to get back the vision you lost. All we can hope to achieve is not to let further damage to the disc happen. I hope this helps. </s>
<s>[INST] Took i-pills multiple times. Concerned about future pregnnacy [/INST] Hello,thanks for using health care magicIpill is a progesterone based medication and it is effective in preventing pregnancy when taken within the recommended time period of less than 72 hours following intercourse.Occasional in take of Ipill has no effect on fertility. However, persistent in take for years could suppress ovulation that would take a long time say up to six months and even above one year before coming back. With absence of ovulation, you will definitely be unable to get a pregnancy.Hope this helps you.Best regardsDr Achuo </s>
<s>[INST] Suggest healthy diet during conception [/INST] protein diet...like soybean paneer eggs. ..no carbohydrates. ..no fat....so dat body's carbohydrates n fat will be utilized </s>
<s>[INST] Are pain, dizziness and nausea normal after wisdom tooth removal? [/INST] Hello:)Welcome to HCM.It is normal to feel weak after a surgery.Your stomach upset can be due to the antibiotics.You can ask your dentist for a change in prescription if it persists.Gargle saline water twice daily.Regards. </s>
<s>[INST] Q. Can herpes from lip be passed to genitals by masturbating using saliva? [/INST] Hello. Less likely, but it is possible if the sore on your lips is herpes only. But, chances of this happening are less as infection at lip will give you immunity against current infection. So virus will not be able to multiply at other sites. Also, since lesion is drying, the virus contents must be low to cause other infection. So overall, I do not think you will get genital herpes. For more information consult a general medicine physician online --> </s>
<s>[INST] Pain in lower belly. Follicles found in ultrasound. Is it cancerous and curable? [/INST] Dear bybygirl there is no reason to worry. More then 95% of ovaric cysts and follicle disorders are benign. Usually hormone disbalans trigger ovary hypertrophy and menstruation abnormalities. Your pain can be caused by ruptured follicle or cyst. You should check your estrogen and progesterone levels . Also laparoscopic examination can be performed to clearly visualize your ovaries and also can be theapeutic . Ovaric cancer are the one of the worst tumors but it would be seen on US as a fast growing mass, you can check tumor markers just to be sure. Wish you good health, Dr. Ivan Romic (Rominho) </s>
<s>[INST] Q. There is a black mole-like growth on the sole of my foot. Is it a wart? [/INST] Hello. Revert with more information to a dermatologist online --> </s>
<s>[INST] Is cancer related with bumps on tongue and throat with leukoplakia? [/INST] Hi, dearI have gone through your question. I can understand your concern. You have leukoplakia. It can be simple keratosis or squamous cell carcinoma. You should go for biopsy of that area. It will give you exact diagnosis. Then you should 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] Q. How can these acne scars be removed completely? [/INST] Hello. You are still in your teenage and acne is a common problem in this age group with frequent exacerbations due to any sort of mental or physical stress. Sometimes even periods exacerbate this and stress like exam or job tension. Moreover, you have been using various topical agents and you might have got contact dermatitis with all of these. You need to understand the nature of your problem first and try to relax first. My advice is to avoid cosmetics as much as you can. Use Brevoxyl (Benzoyl Peroxide Topical) Cream only at the time only on lesions in very little amount. Do not spread on the whole face. For more information consult a dermatologist online --> </s>
<s>[INST] What is the prognosis for brain cancer? [/INST] Hi, dearI have gone through your question. I can understand your concern. Prognosis depends on type of cancer, stage of cancer and location of cancer. Many cancer are surgicaaly treatable. So please give details of your brain cancer reports so that i can help you further.hope I have answered your question. If you have doubts then feel free to ask me. You can ask me direct question also.Thanks for using health care magic.Wsih you a very good health. </s>
<s>[INST] Q. My vision gets hazy as the day progresses and it gets better again. Why? [/INST] Hello. I hope this will help you. Regards. For more information consult an eye care ophthalmologist online --> </s>
<s>[INST] What causes bruising on wrist after over stretching a tendon? [/INST] Hi,In my opinion your past injury is accompanied by a new vascular injury that causes hematomas under your skin or you have a sort of cyst or ganglia in your wrist joint that compresses your blood vessels I suggest Doppler and MRI and x-rays for proper diagnosis. For now I suggest you elevate it, use anti hematoma creams with bruises with some hot massaging will help. Please consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan </s>
<s>[INST] What is causing the pain and the lump on my right leg? [/INST] Hello, I don't think this is cancer so please be relaxed. Because cancer cannot be just predicted by all such soft lumps. For now, I will advise you to do icing and simple exercises for the lower limbs to have a balancing strength on both sides. Usually, you get pain and aches if there is any ligament injury like a sprain in the knee and the swelling of the adjacent joints as they take maximum stress for the weight bearing. Your pain should be fine after icing and simple exercises. In my clinical practice of over 12 years, most cases have a ligament injury in the knee and the symptoms of the tibiofibular joint are examined. With icing and simple exercises for correction of muscle, an imbalance has regained full functions. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist </s>
<s>[INST] Suggest treatment for a hard lump on the arm [/INST] hi.based from your description, it could possibly be a cyst (sebaceous or keratinous type), a fibroma (fibrous tissue formation) or a lipoma (a fatty tissue deposit). it is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye </s>
<s>[INST] What causes stinging and tingling sensation in the toes? [/INST] Hi there. It is unlikely that the tingling sensation is related to stress.It is more likely that he might have simply stepped over his foot in an awkward angle that could have compressed one of the nerves supplying the foot. I don't think that's any cause if worry. But if this sensation persists, then he might need to get himself checked for the same for any chronic nerve compression, diabetes related neuropathy or any back pathology related root compression. So just watch out for persisting tingling sensation, any pain radiating down the sole of foot or weakness of foot and leg muscles. Otherwise one episode once in a blue moon is nothing much to worry about. </s>
<s>[INST] How can i cure from lower back pain ? [/INST] hi,thanks for query.8 years is pretty long time ,please go for x ray as per the advise and look for the cause.There could be some nerve compression at some level which is giving rise to pain and numbness that you have.After x ray your doctor after examination will give you some medicines which can help you.At times further investigation like MRI can be needed.Do regular exercise to strengthen back muscles to avoid this from happening again.Also get your blood sugar checked. wishing you good health. </s>
<s>[INST] Suggest treatment for back injury [/INST] Answer: Hello,Thank you for using Healthcaremagic.I read your question and understood your concern.I think you may have to meet a casualty doctor and get x ray of whole spine done so as to rule out vertebra compression fractures which are very common in old ageDr. Sandeep patil </s>
<s>[INST] Why does child starts shivering after drinking juice? [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This looks like a food allergy. You may give him Syp chlorpheniramine or cetirizine for relief. If symptoms recur or persists then visit a pediatrician for complete clinical evaluation and definitive treatment.Hope I have answered your query. Let me know if I can assist you further.Take care.Regards,Dr. Archana Verma </s>
<s>[INST] Nausea and dizziness after eating mango. Gall bladder removed a week ago. Any ideas? [/INST] Hello, Thanks for the query to H.C.M. Forum. Gallbladder secrets bile juice ( bile salts etc) and it helps in digestion of certain type of food ( particularly fatty food) . As just 7 days ago gallbladder removed , so it will take some time to digest food . So due to this there develops gastritis and gas formation, it hurts stomach and causes nausea. Avoid oily and fatty food for some days. Good luck. Dr. HET </s>
<s>[INST] Cough, have asthma. Using symbicort. What is wrong? [/INST] hello dearthanks for your query at HCMpredominent symptom as cough without fever and recurrent mostly probably related to asthma, you have history of asthma also.in asthma cough will be dry , more in evening, after allergic exposure, wheeze up on examination.try to avoid allergen , pollution , drink plenty of water.even then cough not decreasing get yourself examined by doctor and you can start symbicort after thatreagrds </s>
<s>[INST] Suggest treatment for continuous pain in the leg near the ankle [/INST] Hi, Consult an orthopedician and get evaluated. It can be due to some minor contusions or thin hair line fractures. As of now you can consult an orthopedician and get evaluated, she might require an MRI scan also. Hope I have answered your query. Let me know if I can assist you further. </s>
<s>[INST] Lump in back of head, increasing in size during stress. Cure for symptoms? [/INST] Hi, you have a lump on the head behind the right ear. since 10 months. It appears to be the dermoid cyst, or lipoma, it wont do any harm, if it is growing very big you can consult a surgeon for removal. If you want to get it removed now it self you can get it removed with out any risk. Thank you. </s>
<s>[INST] What are future complications after having angioplasty? [/INST] Hi, Post-Angioplasty the precautions should be to take the blood thinning medication regularly (Aspirin), avoid junk food and fat-rich diet, do regular exercise. You should also do a stress test every 2 years just to see everything is fine. The complications post Angioplasty is mainly because of blood thinner which can cause bleeding from any part of the body but these are essential post Angioplasty so any incidence of significant bleeding should be reported. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sameer Maheshwari, Cardiologist </s>
<s>[INST] What causes a lump and soreness on the half circumcised fore skin? [/INST] Hi,Thank you for posting your query in healthcaremagic.comThis is Dr. Swarnava dattagupta answering your query.I understand your concern.If you are sexually active it can be some sexually transmitted disease. If you are not, there might be some fungal or bacterial infections leading to sore and discharge.It is impossible to diagnose without examining it. So i would ask you to visit a DERMATOLOGIST for further management. Hope i have answered your question.If you have any further questions i will be happy to help.Regards </s>
<s>[INST] Any suggestion for torn stomach muscles? [/INST] Hi..Thanks for posting your question here..Your problem needs a bit longer time to heal and warrants graded progression of exercises progressively....Approximately it will take 12 weeks to recover...initially you can start with Abdominal breathing ...and core stability exercises...No where during the exercises you bulge your abdomen...that us no holding breath..as this would delay the healing...Core stability like air cycling...side plank...plank position..Hundreds....in theses exercises you are supposed to press your spine down towards floor and hold it that way...Hope this is helpful for you..Kindly revert back in case you need any further help in this regard... </s>
<s>[INST] Can norethisterone be taken during menstruation? [/INST] Hi,Continuing norethisterone after the commencement of period may not be effective in controlling bleeding. Hence always start the drug 3 days prior to expected date of periods.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Ph </s>
<s>[INST] Suggest remedy for cough [/INST] HelloAs you mentioned that you are having "dry cough " and feels that something is stuck in throat . This means either some sort of allergy or throat infection . When such type of patient visit I usually advise them to take dextromethophan + chclopheniramine maleate + guaiphenesine cough syrup ( 2-3 T S F three times in day).Take some dextromethorphan lonzges for throat clearance . Take some antibiotics like amoxy clavulanic acid three times in day .This treatment will cure within 5-7 days . Avoidance of dust , mite , pollen , molds will help . Hot coffee also provide relief .Hope this will help you.Still no relief within 7 days , consult a physician and get his opinion. </s>
<s>[INST] Diagnosed with liver abscess, low Hb and platelet count. History of asthma. Doing platelet transfusions. Enlarged spleen [/INST] good morning.Your father has multiple complications.He needs to be in intensive care unit.He needs attention of not just one specialist but multiple including hematologists, emergency physicians, surgeons etc.He is likely going to spend more time in hospital but will cure or improve if proper management is given to him. </s>
<s>[INST] What causes spasms under the rib cage? [/INST] Hello, Your symptoms seem to be related to gastroesophageal reflux disease. I suggest using a spasmolytic such as Buscopan. I also suggest using Maalox to lower the acidity in the stomach. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician </s>
<s>[INST] Suggest remedy for severe muscle pain while having fibromyalgia [/INST] hi,thanks for giving a brief idea about your history. well for fibromyalgia there is very limited access for each and every thing. but a continuous variation and modification of exercise will always be of helpfor making core look with doing Pilates.along with it please look forward with breathing exercises. as breathing is the first one to focus.try doing strengthening of the anti-gravity muscles. I mean to say, the muscles of your back.them look for upper limb strengthening and lower limb as well.focus on strengthening but without weights. that might not sound sensisble. but yes I mean to say same thing.. and I spoke exactly what I meant to. strengthen while using no weights.well, a guidance from a professional physical therapist always words to an extent a better.for my personal experience with fibromyalgia patients I prefer to divide the whole programme into different variations like meditation, yoga, breathing exercises, fitness training, strengthening conditioning, etc.there will be a lot of forum about the fibromyalgia and lot of patients are benefittted with various things. what i mentioned was a rehabilitation package which can be fluctuation on a baiss of demand and supply..I wish you a speedy recovery. </s>
<s>[INST] What causes pulsating pain in the abdomen? [/INST] It may be one of the complications of recurrent pancreatitis, u should be evaluated with ct abdomen dont neglect </s>
<s>[INST] What causes intermittent fever, severe fatigue and body pain? [/INST] Hi,Thanks for your question on HCM & I do understand your concern “As” per your clinical history to a blood test[CBC]with para check for malaria and do a clinical examination by your local doctor and take medication as per report only.Hope that helps and nothing to be worried at all. </s>
<s>[INST] What are the side effects of using penis pump? [/INST] Hello, Vacuum constriction devices are safe and can be used by patients with ED caused by many conditions, including: Poor blood flow to the penis, Diabetes, Surgery for prostate or colon cancer, Psychological issues such as anxiety or depression. An erection obtained by the vacuum constriction device is not the same as an erection achieved naturally. The penis tends to be purplish in color and can be cold or numb. Other side effects can include: A black and blue mark or small area of bruising on the shaft of the penis. This is usually painless and generally will resolve in a few days. The decrease in the force of ejaculation. The constriction band traps the ejaculate or semen at the time of orgasm. This is not dangerous and usually does not cause pain. The semen will usually dribble out once the constriction band is removed. Generally, this does not interfere with the pleasure of a climax or orgasm. You must consult a doctor for physical inspection of your penis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist </s>
<s>[INST] Diagnosed with Hashimoto s disease, feel like fainting often. Why does it happen ? [/INST] Hi, Hashimotos disease is autoimmune thyroiditis where initially hyperthyroidim and then hypothyroidism occursFatigue, generalized weakness , feeling faint are the symptoms of the diseaseYou should consult general physician /Neurologist for clinical examination You require thyroid profile test ,and blood antibody test for confirming the disease and thyroid replacement drugs .Please consult your local doctor/specialist for a prescriptionRegardsDr Sandhya ManorenjNeurologistHi Tech city hyderabad </s>
<s>[INST] Suggest remedy for fever with headaches and chronic joint pain [/INST] Here you have given symptoms like constant headache, soreness at base of skull, confusion all the time, chronic joint pain, night chills with fever, sore eye.As well you have also told that you have left smoking from past 6 months. If your symptoms started after leaving the smoking then some of this could be related with that.But chronic joint pain and fever in night with chills again can be with other causes too. I suggest to visit your doctor and do blood test for diagnosis of which type fever it is. It can be malaria or dengue also. And since you have complain of chronic joint pain it could be chicken gunia too. I suggest do not wait further and get your self diagnose properly and take treatment as per the need. Here you have told all this symptoms are from past 3 weeks and its enough time you have waited.Till the time you do all the reports and start with proper treatment, discuss with your doctor and start with symptomatic treatment along with antibiotic.I am sure you will be fine if you take treatment as per diagnosis rather then symptoms. Take care. </s>
<s>[INST] What causes lower abdominal pain? [/INST] HI Welcome to H C M I am Dr B M GUPTA answering your questionFor pain your doctor would prescribe Tab Buscopan.Cause of pain lower abdomen would be-Stone in K U B (kidney,ureter,bladder ) area -Acute AppendicitisPain increased on lifting Right Leg indicate AbscessAlways mention your Age,Gender, (Menstrul history in female)UltrasoundHemogramUrinalysisYour doctor would exam abdomen for correct diagnosisAfter investigations your doctor treat you betterIn females it could be Ectopic pregnancy,PID(Pelvic inflammatory disease)Thanks </s>
<s>[INST] Can Piriton syrup be given to a child for nasal congestion? [/INST] Hi,Don't give medicine that is not recommended for kids under 1 year. I agree with the doctor said it seems to be respiratory allergy. Any parents or brother have? If yes it is a one more point to be that. Besides that kind of drug will not help him. Try an Otolaryngologist doctor he could make more tests and help your child. </s>
<s>[INST] Can trigger shots help to ovulate and fertilize the two matured follicle? [/INST] Hi, thanks for writing..Injection hcg helps in ovulation of mature follicle.. In your case one follicle is 20mm and other is 15 mm.. With inj hcg, 22mm follicle will ovulate but 15 mm follicle maynot ovulate as it is not mature..Continue the Mucinex till the expected next periods.. Have intecourse in and around the time of ovulation to have maximum chance of pregnancy.. If both ovulate at this time then chance of both getting fertilised is high.. Hope I have answered your query..Good day.. </s>
<s>[INST] Suggest treatment for a large and painful dental abscess [/INST] U can take antiboitic qnd pain killer for nt morthan 5 days and consult a dentist . Roor canal therapy,apisectomy,incision abd drainage tywse r the treatment options ,dippends on clinical condition thwse are the treatment options </s>
<s>[INST] What could high fever and bloody saliva in a toddler indicate? [/INST] any child who is having high fever ,and on medication may present bleeding from gums/throat as inflammation of these can cause mild blood come out from mouth ,but if heavy blood ,non stop ,continuous,then examination of throat/mouth by physician is necessary ,may be he will request complete blood test CBC to see platelets count is not fallen , a cause of bleeding ,so follow up with doctor is needed in case bleeding is non-stop </s>
<s>[INST] Suggest treatment for chest infection and weakness [/INST] Hello!Welcome to health care magic.Thanks for your query.Since a diagnosis of Christmas disease was made that is a blood clotting disorder caused by a mutation of the factor IX gene, leading to a deficiency of factor IX. There is a greater propensity to develop hemorrhage and the treatment is by intravenous infusion of factor IX. Factor IX has a longer half life than factor VIII (deficient in haemophilia A) and as such factor IX can be transfused less frequently.The symptoms of sweating, out of breath, chest pain are most probably due to the underlying Christmas disease which has caused high metabolic state and weakness.I'll advice you to stop medications no your own without proper consultation with a hematologist because for instance the medications you had taken (that is diclofenac, paracetamol and codeine) can worsen your condition. I'll advice you to consult a hematologist for proper line of management of your underlying disease condition.Wish you a good health.Thank you.Dr. Kidev.s. </s>
<s>[INST] Should i take contraceptive pill to prevent pregnancy? [/INST] Hi there,My opinion after reading your question is that:1) After having unprotected intercourse, it is better to take an I-pill within 72 hours. This is to be done even if there was no ejaculation because pre-ejaculate also contains sperms.2) I do not know what treatment you are taking for PCOD, but if you are taking oral contraceptive pills like Yasmin or Yamini or Mala D or Duoluton-L, then you do not need to worry about taking I-pill. This can be determined by how you are taking the medicines. If you are taking 3 weeks of medicine followed by one week break, then they are most probably oral contraceptive pills.3) There is no way right now to find out if you are pregnant so soon, you will have to wait atleast for two weeks and then get a blood test called serum beta HCG. If you miss periods, you can get a urine pregnancy test done.4) So to sum it all, I think you should take an I-pill as soon as possible. Then you can wait for periods. If you get them, nothing to worry. If you do not, then get a urine pregnancy test done.I hope this was helpful.Regards,Dr. Shikha Shah </s>
<s>[INST] Partially sited deaf, has traits of asperges, unable to behave in public properly. Any solution ? [/INST] Hello Sue, Thanks for posting on HCM Coupled to your brothers disability he is suffering from a pyschosocial disorder that will require psychiatrist's attention. On my opinion his psychosocial disorder comes from two factors; your mother and his disability. Your mother seems to be the one encouraging this by trying to isolate/protect him and making him feel different, this causes him to actually realize that he has a problem and is different from other people he may meet. Given his age, integrating him directly to the society without prior psychotherapy from a psychiatrist might result to more issues in public. My advise is convince both your mother and brother to meet a doctor. Be diplomatic and do know that your doctor's decision is best for your brother and society. If your brother get to spit or behave abnormally towards another individual with little patience, you might not be happy find him in a much more worst state. So getting him to a doctor is paramount. Hope this helps Dr Nsah </s>
<s>[INST] What is the cause and treatment for pain in the chest as tests are negative? [/INST] dont change ur cardiologist, change ur attitude. All further tests even more invasive will be normal. This is a very common problem in cardiology. best t/t s to get assured and get busy with ur life. </s>
<s>[INST] Q. For how long should I take Kalachikai powder to overcome PCOD problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> </s>
<s>[INST] How much penetration of penis is required to get pregnant? [/INST] Hello dearI understand your concernPenetration upto vaginal intoitus/entrance is sufficient to become pregnancy.But more the deeper penetration, more chance of pregnancy.Penetration does not cause pain every time.Once penis enter into the vagina easily then chance of the pain is less.Pain could be due to: Vaginal dryness, vaginal infection, insufficient arousal,hormonal imbalance, stress or anxiety, emotional upset.I would suggest to consult the gynecologist if you have pain during intercourse if you will face the pain.Take following advises:Use K-Y water based lubrication geluse vaginal moisturizing agents like VAGISIL after bathing Spend more time in the fore play before the sexEnter the penis very slowly and then tell the partner to go forward till you do not feel the pain.Maintain proper pelvic hygieneDo regualr exercise like pelvic exercise, walking.Take healthy diet and drink plenty of water.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar </s>
<s>[INST] What causes penile bleeding after masturbation? [/INST] Hi, Your foreskin cut is not clear as per mentioned history. You are suspecting some pus or collected dirty material there. So you need to rule out infection of that wound. For that, you can post a photo of the lesion or consult Urologist nearby. You can apply topical antibiotic cream over that. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician </s>
<s>[INST] Suggest treatment for a swollen and painful lump on the armpit [/INST] Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged lymphnode vwith abscess formation. It can be due to reactive hyperplasia or tuberculosis. Or you may have sebaceous cyst or other benign cyst with infection. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should 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] What does rib out with constant pain in shoulder? [/INST] Hello,You may be suffering from radiculopathy. In which nerve is compressed while activity. You may need to take X-ray of cervico thoracic spine. Use pregabalin 75 mg once a day for ten days. If no improvement, please consult your physician he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist </s>
<s>[INST] Q. Can my baby still have her shots if she has a fever? [/INST] Hello. For further queries consult a paediatrician online --> </s>
<s>[INST] Could groin pain be related to back pain in case of slipped discs? [/INST] Hello, It is very unlikely for that type of pain to be caused by spinal conditions. In my opinion, local penile problems should be considered. For this problem, it is necessary to consult a Urologist.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical </s>
<s>[INST] Suggest proper diet for 18 month old child [/INST] HIWell come to HCMI really appreciate your concern, as matter of fact breast feeding is the best, it is the diet and no fix quantity or amount could be decided depends upon the hunger of child, it is being calculated that child could consumes milk 750 ml to 900 ml per day and it goes on variation, it can not be given as we administers the medicines hope this information helps. </s>
<s>[INST] Suggest permanent solution for e-coli infection [/INST] Hello there,I am dr.milan an infectious disease specialist answering your question.I feel that better you consult an urologist. You can consult nephrologist also no problem in that also.Now e.coli is most common infecting organism in urinary tract.Problem is right that bladder is weakened and prostate is operate so normal urinating mechanism is compromised now so it is the reason why recurrent infection is happening. Everytime you go for culture & sensitivity test and we need to follow sensitivity pattern. Long term uses of one antibiotic can cause resistance so we need to change antibiotic according to report. But you need to be vigilant when there is infection showing by increase in frequency, burning, pain, fever or any other symptoms.Hope i have given appropriate guidance to you.if you have any query you can consult me anytime.Give me star rating according to your satisfactory level.Thanking you. </s>
<s>[INST] What causes numbness in a person suffering with anxiety? [/INST] Hi,Thank you for posting your query.I have noted your symptoms, and your current medications.I feel you are having adverse effects due to your medications. Please discuss with your psychiatrist whether you really need so many of these medications.In addition, you should get your vitamin B12 level checked up, as any deficiency could cause these symptoms.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: </s>
<s>[INST] How long will the surgery for kidney removal due to large mass take? [/INST] Good Day and thank you for being with Healthcare Magic! For both laparoscopic and open procedures a radical nephrectomy would take around 3-6 hours depending on the complexity of the kidney and the mass.I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: I would gladly help you. Best wishes </s>
<s>[INST] Q. Kindly advise the requirement of supplements during pregnancy. [/INST] Hello. For further information consult an obstetrician and gynaecologist online --> </s>
<s>[INST] Suggest remedy for growing, reddish, dry patch on foreskin [/INST] HelloThanks for query Based on what you have described I would say that you have what is termed as Ballnitis Xerotica Obliterans .(BXO).However this can be confirmed only on clinical examination by a qualified Urologist .Please consult him for clinical assessment.It is progressive collagen disease.Dr.Patil. </s>
<s>[INST] Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? [/INST] Hi. For further doubts consult a sexologist online --> </s>
<s>[INST] Betha-Thal minor and G6PD deficient. Done CBC test showed hypochromic, ovalocytes. Is it myelofibrosis or dysplasia ? [/INST] Hi and thanks for using this panel.I am so so sorry about what you are experiencing.I know how scared you are about this. Every other person would be, too.Everything is consistent with what you have but for the tear drop cells. Because you get to do routine blood smears, you may want to wait and see what the next ones have on them. If this tear drop cells persist, then i may side with you to go in for some more aggressive testing. For now, i will not encourage you to unless i get some more information that warrants it.At your age, these pathologies are rare but medicine never give absolute cut offs. Stay calm and wait for the next routine test, maybe in 3-6months.Hope this helps or at least provides some guidance.Feel free to return with more questions.Wish you good health </s>
<s>[INST] Antihistamine to treat allergies due to puppy? [/INST] Thanks for your query.Brief answer: Yes,you can take any of the antihistamines(Loratadine/desloratadine/fexofenadine ) to relief your current symptoms of allergy.Detailed answer:I understand that you are very much affectionate towards your puppy.You are talented enough that you have found out the cause of your allergy. Many allergens are found in animals’ hair, saliva, urine, stool and shed skin.The best treatment for allergy is to avoid allergen or its source if possible.If your allergy is due to puppy, I would request you to keep a distance from it. Otherwise it may create other health problems like asthma in future. Antihistamine is useful to relief symptoms but long term use of a medicine is hardly rational.Hope this answers your query.Wish you good health. </s>
<s>[INST] Can a lesion with sclerotic properties on the upper arm bone cause pain and fatigue? [/INST] HiPositive ANA doesn't necessarily mean auto immune disorder unless confirmed by further other tests.Body ache,soreness fatigue,maybe part of this underlying auto immune process if active and upper arm humerus bone sclerotic lesion may be isolated,not related to cause body symptoms.Consult a orthopedic doctor also.A bone scan of humerus may reveal if it's part of some marrow infection or osteomyelitis or just a part of connective tissue disorder.This </s>
<s>[INST] Can taking Duphalac be safe for indigestion? [/INST] Brief answer:Give duphalac. Detailed answer:Hi, welcome to HCM. The main problem in your child is that he has not passed stools for 5 days, that's a long time. Duphalac syrup has lactulose which is used in children with constipation. Sporolac contains lactic acid bacillus and it's a prebiotic. Duphalac will be helpful to your child in this condition. I hope this will help you. Wishing your child good health. Take care. Regards:Dr Deepak Patel, MD Pediatrics </s>
<s>[INST] How can hepatitis B be treated? [/INST] welcome to hcm...hepatitis b is treatable but medicines are some what costly ..please contact your local doctor he will guide you </s>
<s>[INST] Q. What is causing my sneezing problem, climate change or allergy? [/INST] Hi. Check Eosinophil level. Hypersensitivity. Revert back with the reports to an internal medicine physician online.---> </s>
<s>[INST] Suggest treatment for back pain [/INST] Hi Went through your post and understand your concern as back pain could be crippling sometimes, your orthopedician has done one thing which isn't good and can be dangerously harmful and that is vitamin D injection wkly as much I know each vit D injection contains 600000 units of vit D so you will be receiving a total of 4800000 lakh units daily requirement is 400 it can cause extremely high blood calcium levels and renal failure. I would suggest you don't take any further injections of vit D And you can start sustained release pregablin 75mg once bed time that will help for backache and discuss with your orthopedician regarding vit D so that he doesn't prescribe it to others. </s>
<s>[INST] Can Crisanta LS can be taken along with contraceptive regularly? [/INST] HelloThanks for writing to us wiith your health concern.If you are using Crisanta regularly you do not need a morning after pill at all.Taking a morning after pill minimizes its efficacy and maximizes side effects.The reason for the irregular and delayed period is the regular intake of the morning after pill.It is just an emergency contraceptive to be used once in a while in case your regular contraception fails.If you are sincerely taking Crisanta, stop taking morning after pill.The safe period method is not reliable for preventing a pregnancy.However, ovulation occurs on day 14 in a 28 day cycle, so avoid intercourse to be on the safer side from day 10 to day 20.All the bestTake care. </s>
<s>[INST] Suggest remedy for lumps [/INST] Hi,Dear,Thanks for your query to HCM virtual Clinic.I studied your query in all the details put forth by you.I understood your health concerns.Cause of the health problems you queried-There are many causes of the lumps on your left legs,thighs and ankle.AS I have very little information as to how it started/any wound to start with?Any itching?With whose advise you are on Atarax?I would not be able to comment on its treatment exactly.Any local pain on the lumps/Swelling and redness along the vessels up the leg and thighs?To rule out these things I would advise you to consult ER surgeon, who would examine it and treat it accordingly.Cause in your case-As the lump has started 2 weeks back in the left ankle,it seems that you had some un-noticed wound in the left ankle,which grew into legs and thighs along the vessels up the leg.With the above data,you seem to suffer from-Bruise/bite/wound of the left ankle with cellulitis and thrombophlebitis,spreading to legs and thighs?Remedy-In the absence of more information,I would advise Second opinion in your case, who would examine it and investigate it to treat it as per the cause of the lump. In the meanwhile treat as follows- Cold Compresses.Thrombophobe/ Voltaren oint/gel to reduce the swelling,Tab Voltaren(anti-inflammatory)if the pain is more and unrelieved by above steps of careAntibiotics with the advise of your treating Surgeon. So I would advise you to consult ER Surgeon , who would rule out other causes of such a lump and would help you out with the fist hand information.Do take his Second Opinion, on the above suggestion,as he would advise you with fist hand clinical information.Hope this would resolve your query with full satisfaction.Welcome for any further query in this regard to ME by direct question at HCM.Write excellent review and hit thanks, to narrate your experience ,which would improve my rating for many other visitor's to HCM.Wishing you fast recovery.Have a good day.Dr.Savaskar M.N.Senior Surgical Consultant.M.S.Genl-CVTS </s>
<s>[INST] Q. For how long should I take Kalachikai powder to overcome PCOD problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> </s>
<s>[INST] Suggest treatment for blood inside bladder [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Small amount of bleeding and blood collection is quite common after prostate surgery. It will get resolved by it own over time. Most cases requires no treatment and sometimes bladder wash may be needed. MX3 is an alternative medicines and it has got no clinical evidences for its efficacy. Better to consult a urologist and get evaluated rather than trying alternatives. Wishing all the best. Thanks. </s>
<s>[INST] Is it possible to be pregnant and still have light menstruation? [/INST] HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.1] Firstly, if you had unprotected sex acts; you have all chances of being pregnant.2] As you say, your urine test is positive, but you are having scanty menstrual bleeding and cramping; there is possibility of ectopic pregnancy.It's a serious condition that needs expert, urgent care.3] I will suggest you to get urgent USG to rule out ectopic pregnancy. I hope my answer helps you.Thanks.Wish you good health. </s>
<s>[INST] Suggest treatment for penile infection [/INST] HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that this could be fungal infection and may be associated with secondary bacterial infection if I would be treating physician then I would suggest to apply "Povidone ointment" with Tab Doxycycline 100 mg once in day for 10 days" hope this information helps you, take care and have a nice day. </s>
<s>[INST] Suggest treatment for pain in calves and tingling in toes [/INST] Hello,Yes, it would be useful to see a neurologist for detailed evaluation and starting appropriate treatment. In the meanwhile, you can take pregabalin capsules for pain relief.Hope I have answered your query. Let me know if I can assist you further.Regards,  Dr. Sudhir Kumar </s>
<s>[INST] What causes a growing bump between the thigh and testicle? [/INST] helloThanks for query.The painful bump between thigh and testicle is most likely to be a Staphylococcal infection of hair follicle in a stage of induration (Boil).However this can be confirmed only on clinical examination by a qualified General Surgeon .Take antibiotics like Doxicyline and anti inflammatory medicine like Diclofenac twice daily for a week .If does not subside you may need to consult qualified General surgeon and get it incised and drained .Dr.Patil. </s>
<s>[INST] Suggest treatment for chronic piles [/INST] Hello,Welcome to HCM,Proper treatment of piles requires thorough assessment by Surgeon. It's unusual to have pain in case of piles be it external or internal. Presence of pain indicates thrombosed pile ( Piles are dilated blood vessel, clotting of blood is thrombosed pile) or also possibility of fissure in anus is to be considered. Proper management will therefore require thorough clinical examination to know the character of pile and other associated complication. I would suggest you the following which will definitely help 1. Increase water consumption-Consume at least 2 to 3 liter of water per day. 2. High fiber diet- Two serving of vegetable salad everyday 3. Hot Seitz bath- Add a handful of common table salt to a tub of lukewarm water. Immerse your bottom by sitting in it for 15 to 20 minutes each session twice a day. It will decrease pain and inflammatory oedema. 4. Stool softener- Syrup Lactulose 10 ml twice a day will keep the stools soft preventing constipation and decreases bleeding and pain.Further management will depend on clinical assessment by your SurgeonThank you. </s>
<s>[INST] Found blood on brushing, occurring every three months. Why is it happening? [/INST] Hi arpita, mild bleeding from the gums once in a while during brushing is quite acceptable and could be because of over zealous or vigourous brushing which hurts the gum. If bleeding from gums occurs unprovoked or without any injury or if there is unexplained bruising or prolonged bleeding from any cut site then you need to look into it and get a routine hemogram along with BT and CT done. I dont think CT scan is required at this stage. You may opt for a general health checkup as well which will guide you to further course of action if anything is wrong. Relax everything may just be normal; </s>
<s>[INST] Is it normal to have swollen foot while taking chemotherapy treatment for Mantle Cell lymphoma? [/INST] It is not normal. The cause of swollen foot may be due to infection or lymph channel obstruction with superadded infection which can be verified by clinical examination. At the moment you can not have further chemotherapy as your platelet count is very low. Report immediately to your doctor if you have rash in the form of bleeding spots on any part of your body.Dr. J. Ticku </s>
<s>[INST] Hi so I have a couple things to ask.. I'm [/INST] Hi ! From your history, it is possible that you had a chance conception with a miscarriage which is partial. That is why there was dark bleeding followed by a pink discharge. Urine and blood pregnancy tests might not have become positive by this time. The only way to know is to go and consult a gynaecologist who may also go for a pelvic ultrasound of yours for a diagnosis. The headaches and frequent urination might be due a co existing Urinary Tract and pelvic Infection following the miscarriage. I suggest you not to delay visiting your gynaecologist. Wishing you an early recovery. </s>
<s>[INST] Are there any foods to cure premature ejaculation and to last longer? [/INST] Hello dearyou need not yo worry, I am here to help you out in best possible waythis could be due to any of following conditions 1.Hormonal imbalances like low testosterone2. Poor nutrition3. Stress and anxiety 4.hostile environment for sexin my opinion you should try to rule out these possibilities one by one likespend more time in foreplay make a conducive environment for sexdon't take too much stress and don't fear about performance anxiety avoid smoking and alcoholhave good balanced diet with multivitamin supplementsHope this helps you please feel free to ask for more clarification I will be happy to help you regards </s>
<s>[INST] What is the need for two surgeries for a total knee replacement? [/INST] Hello, We have to wait few weeks after screw removal and only after we can go for knee replacement. So two surgeries are required but screw removal is a simple procedure compared to TKR. Hope I have answered your query. Let me know if I can assist you further. </s>
<s>[INST] What is the treatment for mild fever , headache and dizziness? [/INST] Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of mild fever , headache and dizziness which is because you are suffering from viral infection. It could be due to co-infection bacterial infection / upper respiratory tract infection as well. Need not to worry. I would suggest you to take antipyretics for fever relief such as calpol, paracetamol or adol suppositories acetaminophen.If fever increases do tepid sponging as well with cold water. Take throat lozenges as well. I would suggest you to consult ENT specialist without any delay . Doctor may order blood test , throat swab test or virus culture test. Doctor may prescribe antibiotics along with decongestants. Give child multivitamin tablets. Gargle with saline water. take steam inhalation. Use mist humidifiers in room. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari </s>