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You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi, may I answer your health queries right now ? Please type your query here...I have been diagnosed with large cell carcanoma in my lungs which has metastised to my lymph nodes, andsternum, and the top of both kidneys, I am presently undergoing treatment byintravenous vitamin c leatril,, ozone therapy and perftec all of which give a larger supply of oxygen to the blood .I have recently noticed a bump about the size of a pea on the top of my head. It is not sore only very hard and when I looked on google to see the lymph node areas, that area is not show to have a lymph node. Do you have any ideas of what this can me?

Hi, Thanks for writing in. Since there is a large cell carcinoma of lung with involvement of lymph nodes and sternum, it is important to evaluate the pea sized swelling on the top of your head in detail. It is true that the skin on top of the head does not have lymph nodes and what you have read is right. However, we need to consider if there is cancer spread to the scalp or skull else should there be any infection which is appearing like a pea sized swelling. A consultation with your oncologist is suggested with investigation like CT scan or MRI scan brain if required to help know the probable cause of swelling. Please do not worry.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi, my daughter is 13 years old. She has went to the doctor and they are basiclly at a loss. She has been having these spells that started at the begining of summer at first she would get hot and her heart rate wold go up to around 130-160 resting. Now she also has shortness of breath and one she had the other day her legs were twitching. Her blood pressure and stuff is normal and her heart rate only stays elevated for 5 minutes from 130-160 resting for 5 minutes or so. She also gets very dizzy and lightheaded, once she has these all she wants to do is sleep. Do you have any idea what may be wrong. We have seen a cardiolgigst and they ran all kinds of stuff EKG s echocardiogram she was on a event monitor for 30 days and they ruled out her heart and told her she would have to deal with it since her heart rate didnt go over 170 resting. Please HELP. I don t know what to do and since we have been to the doctor so much lately I don y have an extra $15.00 to pay. But I really need an answer, I d like to know what s going on with my daughter. If I pay th $15 thats less food I get to buy this month. Could you please email me at YYYY@YYYY I know you proably can t but if you could email me and point me in the right direction even if you don t give an answer. Also my brother, her uncle, has stills diease if you know what that is and if its helpful at all,

I agree with her doctor in the fact that based on her cardiac tests, we can exclude a cardiac disorder related to this symptomatology. Furthermore, I would recommend consulting with a neurologist for a careful physical examination and a prolonged EEG, coupled with ECG. These symptoms may be related to epilepsy seizures. You should know that epilepsy seizures are commonly related to tachycardia. The twitching in her legs may be another sign of the seizures. Even the fact that she feels tired and wants to sleep after these episodes is another argument in favor of seizures. Further lab tests (complete blood count, liver and kidney function tests, thyroid hormones, calcium plasma levels, blood electrolytes, fasting glucose, inflammation tests, etc.) may be necessary to exclude metabolic and inflammatory disorders that may cause a similar clinical scenario. Hope to have been of help!p.s.: You do not need to pay for public questions, so don't worry about it. Best wishes,.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

hi.. i am 24 years old women. i have gap between my front upper teeths.. when i was in college its little compare to now.. from past twom months, everybody started to ask that, your teeth gap got increased. WHy?? I dont knoe the reason.. but am also feeling the same.. now i had a thought of taking resolution..for that What i should do first?? between front upper teeth that is increasing. Why ?

Hello & welcome, The gap between Upper Incisors is called as Mid-line diastema in dental language & is mostly seen in those individuals who have Thick Labial frenum. This may occur even with labial frenum with higher attachment between the upper two central incisors. Due to higher attachment, when patient smiles or talks, the labial frenum is stretched which in turn moves the central incisors apart from each other in opposite direction. Another reason for mid-line diastema is having a tongue thrusting habit. Here patient moves the tongue forward against the upper central incisor teeth while swallowing or even talking thereby causing bi-maxillary protrusion. Teeth goes on protruding creating the gap between them due to the pressure applied by the tongue. Periodontal or gingival infection specially in severe condition leads to bone resorption thereby creating the gap between the teeth. If oral hygiene is not maintained properly by the patient, then food & plaque accumulation is associated with gum & periodontal diseases. There is calculus formation on the teeth surface which may harbor the infection involving the periodontal fibers causing the teeth to move apart. Thumb sucking habit in childhood is also responsible for mid-line diaestema. Visit your Orthodontist as soon as possible. He will clinically examine the condition to exactly determine the cause of the gap & treatment will be depending upon the finding. You may have to undergo frenectomy if frenum attachment is thicker or higher in which only braces won't work alone. Take care...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

my husband received results from a ct scan pseudo bulge L 4-5 and has Bernard asked to go back to Dr for clinical correlation but he also has to go for radiotherapy for 11 weeks is there a risk something can happen to his lower back if he doesn t t see his Dr before his radiotherapy

Dear caring mistreatment of disc bulge can definitely be postponed in view of need for radiotherapy. But you can also take two treatment simultaneously. What are your symptom of back? If its back pain with radiculopathy take tab diclofenac plus thiocolchicoside combination twice a day plus tab vitamin B12 plus pregabalin 75 mg at bedtime for 10 days. This will give symptomatic relief. Then after radiotherapy session is over take a visit to orthopedic surgeon nearby you..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Given the following report, list all the patient groups (also called arms) being evaluated, and for which drugs. If the report does not contain required information, simply state that the text does not have the required information. ## Report: In October 2014, a single-group-assignment, open-label, phase III trial ( NCT02774239 ; ZS2013-01; SCIG-MG), led by the University of Alberta in collaboration with CSL, was initiated in Canada to assess feasibility and efficacy of Hizentra in patients (expected n = 30) with myasthenia gravis. The primary endpoint was change in quantitative myasthenia gravis score from baseline to day 42 after treatment. At that time, the trial was expected to complete in December 2016 . In August 2017, the trial was expected to complete in December 2018 . In April 2017, data were presented at the 69th AAN Annual Meeting in Boston, MA. Mean satisfaction scores on the Treatment Satisfaction Questionnaire for Medication II (TSQM II) assessment tool showed 70.9, 94.0, 75.0 and 79.6 for effectiveness, side effects, convenience and overall satisfaction. No serious or life-threatening AEs were reported, with mild headache (n=17) and superficial injection site reaction (n=14) being the most common AEs. There was a decrease in quantitative MG (QMG) score from 14.9 to 9.8, with significant reduction in QMG score observed as early as week 2 of follow-up (12.2). By study endpoint, the mean change in QMG score was 5.6. The secondary endpoints of Manual Muscle Testing (MMT), MG activities of daily living (MG-ADL) and MG composite (MGC) scores decreased, from 16.6 to 5.2, 9.5 to 4.6 and from 17.4 to 5.6, respectively , , .

Patient Group: - Patients with myasthenia gravis (expected n = 30) Drug: - Hizentra This report evaluates the efficacy of Hizentra in patients with myasthenia gravis.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

What is the most prevalent member of the Caliciviridae family, and what is the name of the virus that belongs to this family?

The Caliciviridae family is a group of viruses that includes several human and animal pathogens. The most common member of this family is norovirus, also known as the Norwalk virus. Norovirus is a highly contagious virus that causes gastroenteritis, with symptoms that include vomiting, diarrhea, and stomach cramps. It is responsible for a significant proportion of viral gastroenteritis cases worldwide, particularly in settings such as cruise ships, nursing homes, and schools. While norovirus infections are typically self-limiting and resolve within a few days, they can be severe in vulnerable populations such as young children, the elderly, and immunocompromised individuals.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

59 year old male. Diabetic on blood pressure medication, high A1C, also taking glipzide and another medicatin. always complaining of being tired. last year had a episode where he was given nitroglycerin tablets and admitted to hospital. no damage to heart was found.

AS SUCH TAKING NITROGLYCERIN IN PATIENT WITH DIABETIC CAUSES NO HARM.ITS USUALLY GIVEN WHEN PATIENT IS SUSPECTED TO HAVE EITHER ANGINA OR HEART ATTACK OR SOMETIMES FOR HIGH BP EVEN ON CLINICAL SUSPICIONREGARDING YOUR PATIENT BEING TIRED IN DIABETES THERE ARE MANY CAUSES OF TIREDNESS. A DETAILED EVALUATION OF THE PATIENT BY A PLANETOLOGIST CAN HELP TO FIND THE CAUSE IF HIS SUGAR ARE NOT GETTING CONTROLLED AS YOU SAID HE HAS HIGH HBA1C. HE MIGHT BE STARTED ON INSULIN THERAPY AFTER CONSULTING A DIABETOLOGISTHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I thought I had a yeast infection so I took monistat 1 and had a horrible reaction, burning even worse and my labia swelled to the size of my finger. First it was one side, then both and now when I wake up in the morning it is only the back of one side. Should I still seek care?

Meet your nearest gynecologist. Accorning to your history I think you are having vaginal candidiasis. Common treatment for vaginal treatment 1 it can be managed with either topical antifungal agents or a single dose of oral fluconazole.2 A single dose of oral fluconazole (150 mg) in acute episodes of vaginal candidiasis. 3 A small percentage (so monist at is not the tablet to be taken, and you are allergic to it. That is the reason for your illness. Thank you take care.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

My boyfriend had a celiac arterial dissection in June 2010 and before they were able to diagnose it, his spleen was cut off blood supply...so half his spleen is dead. In the last month he has had two stents put in...LAD and Right artery (around the back). He has complained of sharp pains in his spleen area and has described it as feeling like spasms. I don t believe it to be related to the stents because he said they were present before then. Is this a common symptom of having a partially dead spleen?

Hi, Thanks for posting your query. Is he getting watery diarrhea/ nausea and vomiting/ frequent urge to use washroom? Is he able to pass stools and flatulence? Is he getting bleeding per rectum? With the available described symptoms, there appears to be possibility of acute gastroenteritis or blockage of stents. Presence of spasmodic pain suggest the possibility of gastroenteritis. You should consult with internal medicine specialist and should go for thorough check up. Presence of abdominal sounds may help in ruling out possibility of blockage of stents as intro abdominal pathology may be associated with absence of bowel sounds. He should go for ultrasound imaging studies of abdomen along with color Doppler for evaluation of blood flow in stents. Treatment depends on the diagnosed disease.Meanwhile, he should take antispasmodics along with tramadol for relief of pain. Take care,.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

My husband is 33 years old and does not smoke and drink. Mostly non vegetarian and doesn't have a balanced diet with vegetables and fruits.Tests end of December 2010 results are Cholesterol is 180, Triglycerides 308, Cholesterol HDL 31,Direct LDL Cholesterol 93,CHOL/HDL RATIO 5.8,LDL/HDL RATIO 3.0 And Very Low Density Lipoprotein 61.6.While the results as on 22.5.10 were Cholesterol 179,Triglycerides 201,HDL - Chosterol 31, LDL Cholesterol 112, VLDL Cholesterol 40.2, LDL /HDL RATIO RATIO 3.61 while CHOL/HDL Ratio is 5.77.On 23.2.11 LFT was done and it was as follows : - SGOT/AST = 55, SGPT/ALT = 108, GGT = 41,Alk.Phophate=88,Total Protein =7.3,Albumion = 4.7,Globulin =2.6;Bilirubin (Total ) =0.6; Bilirubin (Direct ) = 0.2, Bilirubin (Indirect ) = 0.4.His ultrasound says he has Fatty Liver Grade II. His mother had primary billiary cirosis and has passed away.Stomach x ray shows no abnormality.He has been given Golbi 300 thrice daily, with Zevit one a day and Pantocit twice daily.Please help us know what is his disease and is it very serious . What diet can I give him to be healthy ? t causes grade II fatty liver?

Hi and welcome to Healthcaremagic. Thank you for your query.There are two main types of fatty liver disease: Alcoholic liver disease and Nonalcoholic fatty liver disease. You can get alcoholic liver disease from drinking lots of alcohol. It can even show up after a short period of heavy drinking, other causes are obesity and hepatitis B and C.If you have alcoholic liver disease and you are a heavy drinker, quitting is the most important thing you can do. If you don't stop you could get complications like alcoholic hepatitis or cirrhosis. Even if you have nonalcoholic fatty liver disease, it can help to avoid drinking. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week.Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice.I hope I have answered you query. If you have any further questions you can contact us in every time...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

What is the role of decreased production of the active form of vitamin D in chronic renal failure?

In chronic renal failure, decreased production of the active form of vitamin D, (1,25-dihydroxycholecalciferol) by the kidney contributes to decreased ionized Ca2+. Vitamin D plays an important role in regulating calcium and phosphorus metabolism in the body. The active form of vitamin D helps the body absorb calcium from the intestines and also helps to mobilize calcium from bone tissue. In chronic renal failure, the kidneys are not able to produce enough of the active form of vitamin D, which can lead to a decrease in ionized Ca2+ levels in the blood. This can have a number of negative effects on the body, including bone loss, muscle weakness, and other problems. Understanding the complex interactions between different substances in the body is an important part of diagnosing and treating chronic renal failure, and it requires a deep understanding of physiology and biochemistry.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

i am 35 years old man in recent ultrasound i have coarse liver and i am also hepatitis c patient since 2011. my Lfts are of 120-130 range. kindly tell me how much my liver have been affected at this stage and what should i do.i have not yet treated me with inetrfiron.

Hi I can understand your concern... Noted you have hepatitis c chronic infection. Here our aim is to prevent complications like cirrhosis and portal hypertension. Take more fruits with low fatty and less fried food.... Avoid alcohol as it is toxic to hepatocytes. Daily in morning take grinned spinach leaves and carrot juice ... Take one tsp licorice with honey... Cheese, butter, pizza, meat avoided.... In dinner include vegetable soup also. Yoghurt also useful... Take low salt diet... If ascites develop contact doc immediately..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Which imaging techniques are most effective for confirming proper gastrostomy tube placement?

The most effective imaging techniques for confirming proper gastrostomy tube (G-tube) placement include ultrasound, fluoroscopy, and radiography. Ultrasound has been shown to be a reliable and safe method for confirming G-tube placement. Studies have demonstrated its high sensitivity and specificity. For instance, a study found that ultrasound had a sensitivity of 96% and specificity of 100% for confirming G-tube placement in pediatric patients. Another study highlighted the utility of ultrasound in visualizing G-tube replacement and confirming placement with color Doppler, which was corroborated by gastric content aspiration and contrast-enhanced radiographs.[1-2] Fluoroscopy is another effective technique, particularly useful in complex cases where anatomical challenges are present. It allows real-time visualization of the tube placement and can identify complications such as tube malposition. A retrospective cohort study reported that fluoroscopy had a sensitivity and specificity of 100% for detecting G-tube malposition.[3] Radiography remains a widely used method and is often considered the gold standard for confirming G-tube placement. It involves taking frontal and lateral abdominal radiographs after injecting contrast through the G-tube. This method is highly specific and can detect various complications, although it exposes patients to radiation and may increase wait times in the emergency department.[3] In summary, ultrasound is a highly effective, non-invasive, and radiation-free method for confirming G-tube placement, while fluoroscopy and radiography provide additional options with high diagnostic accuracy, especially in complex cases.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I am 64 yrs old and play competitive tennis. I injured my left knee 5 months ago and the knee has been swollen above the knee. At one stage I rested it for 3 wks. It seemed perfect but I think i played too much too quickly and the soreness and swelling returned. I have rested it for the last fortnight- still swollen, tender to walk on but bit better

Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. If pain persist then you may need to do MRI again to see for any functional defect. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair, and same day you can go home. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi, may I answer your health queries right now ? Please type your query here... i m 26 weeks pregnant n have placenta previa for last 8 to 10 days i have very low feeling n contracted uterus (i know braxton hicks contraction ) my dr started ritrodine tocolytic 2 days still im worried so i wont go in premature labour i just want the baby

Hallow Dear, You need not be worried about premature labor as much as the bleeding from placenta prefix. Placenta prefix is low-lying placenta in from of the baby. With the formation of lower segment of the uterus (retraction of lower part of the uterus), it gets separated and starts bleeding. The bleeding is very profuse. So, the moment you see bleeding, you have to rush to the hospital. In fact, I prefer to have these patients hospitalized. The uterus is continuously contracting and relaxing. As you have rightly pointed out, these are Braxton Hicks contractions. However, they are not perceived as pain. Feeling these contractions to the touch should not bother you. It does not indicate the start of premature labor. Please take care and report to the Obstetrician even with the slightest of bleeding. Hope this gives you the message..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I am recovering from bronchitis, upper respiratory infection and pharangytis and did not have a fever for 5 days. When I returned to work for the first time yesterday, I became overheated and my fever went back up to 99.4. Is it somewhat normal for extra moving around (I am a school cook) to cause a fever to return temporarily? I am still tired but feeling better and my fever is back to normal now. (the fever returned after being normal for two days last week when I did extra moving around at home as well) The dr has ordered a chest x-ray. Also, my mother always said we should not go to school or work until we do not have a fever for 24 hours. Is this correct? I am 53, 5'9" 175 lbs and have leukopenia. I do get run down easily. Thank you, Jane t causes fever while recovering from bronchitis?

Respected Jane, hi I evaluated your query thoroughly.*Occasional fever spikes of 1 degree is convinceable in recovery phase may be related to body stress / decreased immunity / external atmospheric components / work load / remnant viremic phase.*In my opinion should continue working that will recover you faster.*Maintain your hydration , BP , Blood sugar levels.*Continue your current medicines.*Have adequate sleep of 8 hours.*Deep breathing exercises for 20 min daily to boost up fast.*Avoid smoking / alcohol if any consumption done.*Avoid exposure to excess heat. Hope this clears your query. Thanks for using Health care Magic and reviewing my answer. Regards. Wishing you a fast and speedy recovery from the same. Bye Dear take care...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

When to seek urgent medical care when I have Sideroblastic anemia ?

You should go to urgent care immediatly if you experience: Chest pain Difficulty breathing Severe abdominal pain Bleeding from gums or nose Extreme weakness Fever

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

My brother has stage 3/4 esophageal cancer and has undergone radiation and chemo therapy . He t is 50 years old. He has one or two good days per week when he can get out of bed, but most other days he can t manage enough energy to get out of bed. A couple of my siblings who live in the same city as him feel that he should have more energy and think about the many people who seem to be able to function through treatments. He finished his treatments about 4 months ago. I think that treatment can affect people differently. Is it fairly normal for the exhaustion to affect some for this long. Certainly his pain and emotional worry are contributing.

How are his food intake-able to take solids or liquids only. If the there is problem to take both he should consult surgeon for other ways of feeding. It is better he should try some of those, continue what he likes. Soups either vegetable or Nov veg can be give, and they are easily digestible also. Our aim with him is to give less quantity, frequent times, high caloric food. He should take small amount, of food in many times (not three times, large amount at a time, usually our habit of food intake)..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Answer the following question from the document below. ##Question: Were there any medications prescribed upon discharge? ## Document: 6012832 Admission Date: 2140-1-8 Discharge Date: 2140-1-21 Date of Birth: 2140-1-8 Sex: M Service: Neonatology ADDENDUM: This is an Addendum to a Discharge Summary dictated on 2140-1-15. Since the last Discharge Summary dated 2140-1-15 the infant has been doing well, breathing comfortably on room air with some nasal congestion noted, but maintaining good oxygen saturations including while lying supine. He has been cardiovascularly stable with normal blood pressures. He has a soft 1/6 systolic murmur noted. The infant has been by mouth feeding well, taking 100 cc to 140 cc/kg per day of breast milk or Enfamil 20 using the pigeon nipple. He has been voiding and stooling well. He received his hepatitis B vaccine on 1-15. He passed his hearing screen on 1-9. He had circumcision on 1-20. He passed his car seat test on 1-20. DISCHARGE DISPOSITION: The infant was discharged home on 1-21. Sierra Wyatt was arranged. Early intervention program has been called. The infant was to follow up with his pediatrician on 1-22. DISCHARGE INSTRUCTIONS/9: (Several follow-up appointments have been scheduled) 1. The infant was to follow up in the Marble city hospital clinic on 1-29 at 4:30. There, he will see Dr. Mitchell Long of Craniofacial; Dr. David Jacobson of Genetics; and Dr. Brandon April Hardy of Neurosurgery. 2. The infant was to follow up on 2-23 at 1 o'clock in the Guerneville city hospital Clinic with Dr. Larry Rhodes. 3. The infant also had an appointment with his primary pediatrician (Dr. Brandon Mr. Vincent Jones) on 1-22 as scheduled by mother. 4. The infant has been referred to the Neonatal Neurology Program with Dr. Mitchell Jenny Walsh. The program was to contact mother with an appointment. 5. The infant was to follow up with Dr. Meagan Barron of Plastic Surgery/Hand. Mother was instructed to call the office after discharge (telephone number 0-0-). 6. The infant was also to follow up in the Cardiology Clinic with Dr. Angelica Compton. Mother was to call for an appointment for Mclaughlin in two months' time. DISCHARGE WEIGHT: Discharge weight was 3475 grams. DISCHARGE DIET: By mouth ad lib feeding; breast milk or Enfamil 20 with pigeon nipple. MEDICATIONS ON DISCHARGE: None. CONDITION AT DISCHARGE: Condition on discharge was stable. Amanda Wright Julie Roth, M.D. 5918747 Dictated By:Smith MEDQUIST36 D: 2140-1-21 16:27 T: 2140-1-21 17:21 JOB#: 6121973

No medications were prescribed on discharge.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

What is the level of Il-19 in Patients with Acute and Chronic Inflammatory Demyelinating Polyneuropathy

According to Document 1, the level of Interleukin 19 (IL-19) in patients with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is higher than in patients with Acute Inflammatory Demyelinating Polyneuropathy (AIDP) and normal subjects. This indicates that IL-19 could play a potential role in the pathogenesis of CIDP. No significant difference was found between AIDP patients and controls. These findings suggest that IL-19 might serve as a biomarker for CIDP. Here are the exact values mentioned in the document: Serum levels of IL-19 in CIDP patients: 136.4 ± 8.57 ng/l Serum levels of IL-19 in AIDP patients: 93.89 ± 2.26 ng/l Serum levels of IL-19 in controls: 83.78 ± 1.72 ng/l

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

hi, i would like ask the meaning of hypoplastic left lobe liver? and if you have this kind of condition does it affect your sgpt results? the sgpt result of my husband is high so we consulted a doctor and a series of laboratory tests were taken to check for problem and that s when we found out that his cholesterol level was high and we were thinking that maybe that s the reason why his sgpt result went up so he went on a diet and exercise for a month and then we checked again his cholesterol and sgpt, his cholesterol result went down but his sgpt result decreased only a little and so we visited again his doctor that s when he ordered for an ultrasound of the liver, the result showed normal size of the liver, he doesnt have a fatty liver , medications were given to him and the doctor said that we ll just monitor his sgpt. After a month of taking the medication his sgpt was stll high and we went to see again the doctor that s when he decided for a ct scan of the liver, the result showed normal size of the liver with hypoplastic left lobe, what does it mean? thank you very much

Dear madam, hyperplasia of right hepatic lobe is a rare anomaly that is sometimes associated with ectopy of gall bladder, but it is usually asymptomatic. This anomaly shout raise his SGPT levels or any liver enzymes. You should try to find some other reason for it such as alcohol, viral or autoimmune hepatitis or metabolic diseases. CT and US can visualize liver morphology but to be sure he needs to do liver biopsy to rule out other disorders. Secondly, he shouldn't be worried about this SGPT if he doesn't have any symptoms so I suggest you just to do frequent lab tests and avoid food/alcohol which damage liver. Wish you good health.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

hi Dr, i am 24-year-old female my last menstrual period was 31 May and in this month i missed my period, yesterday i did a pregnancy test, which is negative, i have also stomach pain and feel semen type something in urine plz help .. my weight is 43 and hight is 5 feet ad 3 inches

Hi. You seem to be underweight, but as long as you are well nourished I don't think this should be a problem. If your menstrual cycle has always been regular, and this is the first time you have missed your period then I would suggest waiting for a while longer and then going ahead with a serum pregnancy check, and later even an ultrasound (but only 6 weeks or so later). For now, my best wishes are you with you..

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im chloe , im 15 years old , i would like to know if theres something wrong with me , i find it hard to listen, to what im told, i get hyper loads, i find it hard to concertrete in school my moods change very fast, and i find maths and english very hard, could you please help me

I understand that you are worried about your difficulty in concentrating on your studies. Now, this problem can be due to a variety of reasons like stress, excessive workload, anxiety, depression and sometimes, learning disabilities. Since this problem seems to be causing you significant distress, I would advise you to seek professional help. Please speak to your parents or your school counselor, so that they can arrange for a consultation with a psychologist or a psychiatrist. Wish you all the best..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

hi igot bit by something around my ankle 3 days ago within a half hour the next day it started to get this dark red mark I went to my DR Friday he put me on antiobodics today it seems worst my dr said to watch for sepsises what is it and when should I go back to dr or er

This body response can harm your other organs like kidneys etc. In order to say if you have got sepsis, you must have 2 or 3 of the following symptoms-Fever 101 F or more-Heart rate greater than 90 a min-Respiratory rate greater than 20 a min-Probable infection Please take your antibiotics, Always do a culture and sensitivity test before starting antibiotics. Hope I have answered your question. WISH YOU BEST OF HEALTH!.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I had a colonoscopy today.Two polyps were removed, since arriving home I've had a dull pain in my lower left abdoman constant and a stabbing pain if I move. Also it seems to be affecting my left thigh/groin . Could this be trapped wind ? Or should I seek more help t causes consistent throbbing pain in the abdomen and in the groin area?

Hi.Thanks for your query.Noted your history of having colonoscopy today and had 2 polyps removed. Since you have arrived home you have developed dull pain in the left lower abdomen, constant and stabbing pain if you move. And the left thigh and groin too is affected by the pain.This can be a trapped wind, but there is a more chance that there is a perforation of the colon.Hence I would advise you the following things to be done immediately.Rush to the ER or the hospital where colonoscopy was performed.Stop taking anything orally.You need an urgent admission, intravenous fluids and intravenous antibiotics too.Investigations:X-ray of the abdomen in the standing position is still very important simple tests that can show the air under the diaphragm as an indication of bowel perforation.If there is a perforation or even a suspicion of perforation, you need an urgent exploration to see the cause and also to get a proper treatment.Timely diagnosis and treatment is very important for saving the life as this can save the life...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hello,this morning I was driving to work when I felt pain in my upper abdomen. I felt clammy, my stomach aired up I felt bloated. This strange feeling went on for about 7 to 10 minutes. It felt as if though aired was being sucked out of me. When it passed I felt relieved, but notice I was exhausted. The pain in my upper abdomen was like a slight cramp. I have had this happen before. When it happened it is always in the same spot of my upper abdomen and in the past it felt like my stomach muscle was bulging out (very painful). Can you give me some idea of what i may be experiencing? urring upper abdominal pain like cramp, bloating. Feeling of stomach muscle bulging out. Any ideas?

Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You had pain in the upper abdomen, bloated, exhausted, previously also you had such pain. The pain in the upper abdomen is suggestive of the gastric pain due to peptic ulcer,or gastric irritation due to irritant foods.gall bladder pain, or pancreas pain, or stones in the pelvis of the kidney. I advise you to consult a surgeon for diagnosis and treatment, as it may become severe as the time passes. I advise you to avoid spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Best regards...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I was punched in the chest by an NFL player a couple of nights ago (voluntarily) and now I have severe chest pains, labored breathing, and dizziness. I cant caugh or clear my throat without pain. Is this a cracked rib or sternum, or something more serious?

You are having blunt chest trauma. And this can cause rib fracture, pneumothorax, Pulmonary contusions, muscular injury etc. All these cause chest pain on breathing. Since you are also having breathlessness and dizziness, possibility of pneumothorax or Pulmonary contusions is more. So get done chest x-ray to rule out these complications. If chest x-ray is normal than no need to worry much. You are having muscular injury only. Don't worry, you will be alright. But first get done chest x-ray. Hope I have solved your query. Wish you good health. Thanks..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I woke up today with severe loss of balance along with a massive headache with the left side of my face feeling heavy and strange. Every time I lay down I feel like everything is spinning and just feel so weak today. Not sure what is going on because I was fine when I went to bed last night. t causes loss of balance and headache?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This sounds like an episode of migraine. The severe headache with vertigo is a very common feature of migraine. However, before we consider migraine, there should be a history of headaches even before (a history that you have not mentioned). In case this is a first time headache, more severe conditions like a stroke and hemorrhage need to be considered. In this latter situation, you will need to go to the ER immediately. In the former case, a painkiller may suffice. A third possibility is BPPV. But as I said, the stroke and hemorrhage need to be ruled out first. Let us know the details for further information. Best wishes...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

My mouth feel dry and it is hard to eat and drink anything except water and I am coughing up brown mucous. This has been going on for four days now. Yesterday I let my coworker know about the brown mucous and they said I may have an infection. Then they looked in my mouth and saw that my uvula and tonsils were red and swollen. Do you know what could possibly be wrong with me and ways I can treat it. t causes red and swollen uvula and tonsils?

Hi..Thanks for the query..Red and swollen uvula and tonsils along with coughing up of brown mucous are a sign of throat infection causing TONSILLITIS and UVULITIS..It can be either due to bacterial or viral infection leading to inflammation of throat and bleeding can occur in throat which dries up and can appear with mucous and leads to brown colour..You should not worry and start aking AZITHROMYCIN 500 mg once a day for 5 days..Take IBUPROFEN 400 mg thrice a day for reducing pain and inflammation.Chew a Vitamin C pellet daily..Do warm saline gargles atleast 3 to 4 times a day..Take a soft diet..Avoid spicy and hard foods...Hope this helps..Regards....

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi, I sometimes have some of the symptoms some described below. Rapid heartbeat out of no where and shortness of breath. Sometimes when I cough it make breathing easier. I can be sitting down, getting up bending down and it just happens out of no where. I know when I was pregnant with my first child, Doctors said I was anemic. Are these symptoms something I should be worried about? t causes faster heart beat and shortness of breath?

Hello,This can be arrhythmia like psvt or atrial fibrillation, where your heart rate suddenly goes up and bp falls. You will need evaluation like ecg, thyroid test and holter monitoring. You should also get one hemoglobin levels done. So visit nearby cardiologist for these investigation.Also, to abort such episodes you should try to cough hard.Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.Hope I have answered your query. Let me know if I can assist you further..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

What does it suggest when someone has high A1c, high random glucose, and high fasting glucose levels?

High A1c, high random glucose, and high fasting glucose levels are suggestive of inadequate basal insulin coverage. A1c is a measure of average blood glucose levels over the past 2-3 months, while random glucose and fasting glucose levels are measures of blood glucose levels at a specific point in time. When all three measures are high, it indicates that the body is not effectively using insulin to regulate blood glucose levels. Basal insulin is the insulin that is released continuously throughout the day to keep blood glucose levels stable between meals and overnight. Inadequate basal insulin coverage can lead to high blood glucose levels, which can cause long-term complications such as nerve damage, kidney damage, and eye damage. Treatment for high blood glucose levels may include adjusting insulin doses, dietary changes, and increased physical activity.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

How does the implementation of family-centered care impact patient outcomes in the ICU?

The implementation of family-centered care (FCC) in the intensive care unit (ICU) has been shown to positively impact patient outcomes across various dimensions. Family-centered interventions have been associated with improvements in patient-reported outcomes such as anxiety, satisfaction, post-traumatic stress symptoms, depression, and health-related quality of life. Additionally, these interventions have demonstrated benefits in physiological indices, including reductions in adverse events, mechanical ventilation duration, analgesia use, ICU length of stay, delirium, and time to withdrawal of life-sustaining treatments.[1] A systematic review and meta-analysis found that patient- and family-centered care interventions resulted in a significant decrease in ICU length of stay by an average of 1.21 days, although they did not significantly affect mortality rates. Furthermore, these interventions were associated with improvements in ICU costs, family satisfaction, patient experience, medical goal achievement, and mental health outcomes for both patients and families.[2] The American College of Critical Care Medicine (ACCM) and the Society of Critical Care Medicine (SCCM) have emphasized the importance of patient-centered care in the ICU, highlighting that such care models can lead to better clinical outcomes by involving patients and families in medical decision-making and self-management.[3] In summary, the implementation of family-centered care in the ICU is associated with improved patient outcomes, including enhanced mental health, physiological stability, reduced ICU length of stay, and increased family satisfaction. These findings underscore the importance of integrating family-centered approaches in critical care settings to optimize patient and family well-being.

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Answer the following question from the document below. ##Question: What is the patient's platelet count? ## Document: Chief Complaint: 24 Hour Events: Tried esmolol drip without effect for HR up to 150s HR persistently 135 for several hours, tried Adenosine 6mg which resulted in HR 80s sinus rhythm Allergies: Penicillins Rash; Shortnes Ceftriaxone Hives; Last dose of Antibiotics: Infusions: Other ICU medications: Adenosine - 2136-10-5 03:30 AM Other medications: Changes to medical and family history: Review of systems is unchanged from admission except as noted below Review of systems: Flowsheet Data as of 2136-10-5 06:31 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 37.5 C (99.5 Tcurrent: 37.1 C (98.8 HR: 89 (83 - 136) bpm BP: 103/54(65) {69/51(55) - 112/94(98)} mmHg RR: 22 (14 - 22) insp/min SpO2: 90% Heart rhythm: SR (Sinus Rhythm) Height: 65 Inch Total In: 1,980 mL 750 mL PO: 480 mL 240 mL TF: IVF: 500 mL 510 mL Blood products: Total out: 0 mL 0 mL Urine: NG: Stool: Drains: Balance: 1,980 mL 750 mL Respiratory support O2 Delivery Device: Nasal cannula SpO2: 90% Physical Examination Labs / Radiology 452 K/uL 10.9 g/dL 96 mg/dL 4.7 mg/dL 22 mEq/L 4.5 mEq/L 38 mg/dL 103 mEq/L 137 mEq/L 36.2 % 6.4 K/uL [image002.jpg] 2136-10-5 02:45 AM WBC 6.4 Hct 36.2 Plt 452 Cr 4.7 Glucose 96 Other labs: PT / PTT / INR:22.3/32.0/2.1, Ca++:9.1 mg/dL, Mg++:1.9 mg/dL, PO4:6.1 mg/dL Assessment and Plan ICU Care Nutrition: Glycemic Control: Lines: 18 Gauge - 2136-10-4 09:30 PM Dialysis Catheter - 2136-10-5 12:00 AM Prophylaxis: DVT: Stress ulcer: VAP: Comments: Communication: Comments: Code status: Full code Disposition:

The patient's platelet count is 452 K/uL.

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Looking for a Infection Disease Specialist in Durham region, ON. Thanks.I am a senior citizen, among other issues, I am suffering from recurring Cellulitis since early 2013. My GP (in Ajax, ON) referred me to AJX Hosp Emmergency, leading to a specialist in Infection Diseases. First, I started with IV for first two wks (can t tolerate because of simultaneously on both arms, started getting swollen arms). Orally, I have been using Novo-Lexin, 500mg, 4xTabs a day, each batch 7 days x 2wks. The problem will disappear, and after a short time recur.During the last visit to the Hosp/Doc, he mentioned that he has done all he could and that I should continue the treatment through my GP.I understand that if this matter is left untreated, the spreading bacterial infection may turn into a life-threatening condition...because Cellulitis may affect tissues underlying skin and spread to lymph nodes and bloodstream. I believe my situation could be MRSA carried by Bed-Bugs .I wonder if there is an ongoing research to look into the MRSA matters. If not for me, I would like to see other can benefit in this case? Many thanks, and God bless.

I am DIMITRY answering your concern. You should first investigate your staphylococcus aureus by culture and sensitivity. This will diagnose sensitivity pattern of the organisms. Please remember that incomplete treatment can create in necessary resistant in the bacteria making the treatment more difficult. Once your cellulitis us stopped you should swab your nasal septum, groin, umbilicus for MRSA screening. If the MRSA is still detectable than you should treat it with mupirocin complete treatment with mupirocin ointment can clear MRSA from your system. Please adopt good handwashing practice. It plays half role in your treatment.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

My Mother have a ulcer like problem in her mouth doctors said that it is for life time but they give some multivitamins and also said that she has to take all the vitamins for life time. The ulcer are located in inner side right and left cheek. I read somewhere that if ulcer stay for a long time it may cause cancer. What i do???????

Hello, the ulcer as you described are in both cheeks of your mother, how much old they are and what type of secretions are coming out from them if they are not blood stained and clear straw fluid then you can have surgical intervention by ENT surgeon and the mucosal lining in ulcers can be removed and that can be examined by pathologist and fear for possibilities of Cancer can be overcome by you and your family. You can also go for mouth hygiene by washing mouth twice a day, morning and evening by astringent diluted in water and using B-complex and multivitamins along with vitamin A supplements, The ulcers will respond definitely.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I was in hospital at the end of January excessive bleeding & clotting .. tests done all clear and was advised to have implanon implant out ASAP which I did.. Weeks following I had unprotected sex with my new partner & still have not had a period although I had pregnancy urine & blood tests done over 2 weeks ago which proved negative? Could I still be pregnant and should I do another urine test? Thank you.. .. never mind I will see my GP again who bulk bills my account & try & find out what is going on.. ld having unprotected sex and missed periods while being on implanon cause pregnancy?

Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. 2 ) I will suggest you to get morning's first sample of urine tested for pregnancy, at least 15 to 20 days after your last episode of unprotected sex act. In case of doubt blood beta HCG test and USG will be of help. Tests done earlier than this period may not give predictable results. 3 ) If you are not pregnant then you can simply wait for the onset of periods or induce the periods with progesterone tablets. Your treating doctor can guide you further about it. 4 ) Even If you are pregnant, you can opt for termination of the pregnancy with medicines safely till 9 weeks of pregnancy under medical supervision. I hope this answer helps you. Thanks..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

hello sir, i have night fall problem from 10 years....i have used medicines like himalaya confido,charak neo,baidyanath chandrapraba vati but no benefits.......lease suggest me best medicine for frequent night fall....my body is very weak ....soetime night fall occur without dreams..lease suggest medicine. d treatment for night fall.

DearWe understand your concernsI went through your details. Please understand, night fall (nocturnal emission) cannot make your body weak. Your body produces semen whenever you are sexually excited. Produced semen is stored within your body and is a waste product. That waste product is ejaculated when you indulge in sexual activities or when you masturbate. If you do not do this, body finds its own way to throw the waste product out. Body does it through nocturnal emission or through urine. This cannot affect your health. To prevent nocturnal emissions, please start masturbating or indulge in sex twice a week. I also suggest you to consult a psychologist for counseling.If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

my 14yr old daughter has had mpgn type ll for 5 years now what is it? & what causes it? t does mpgn type ll mean and what causes it ?

Dear Karen, Welcome to HealthcareMagic! MPGN type II is 'membranoproliferative glomerulonephritis' [also known as 'mesangiocapillary glomerulonephritis']. It is a type of glomerulonephritis [ie., inflammation of glomeruli of kidney] caused by deposits in the kidney glomerular mesangium and basement membrane (GBM) thickening, which activate complement and damage the glomeruli [glomeruli are functional unit of kidneys]. It is a common cause cause of nephrotic syndrome in children [Nephrotic syndrome is a disorder in which the kidneys are damaged, causing them to leak large amounts of proteins from the blood into the urine]. Spontaneous remissions of MPGN type II are not common & approximately half of those affected with MPGN II will progress to end stage renal disease within 10 years. Therefore prognosis of this condition is not very good. I advice you to consult a good pediatric nephrologist for your daughter. Good luck. 20, Panchkula. kansalnaveen@gmail.com..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi I am 5 months pregnant and I have a Pilonidal cyst. I have had it come and go for the past year. Today the cyst was huge and it was extremely painful. I had put some peroxide on a paper towel and let it sit there for a little and it completely burst open. What should I do? My boyfriend has tried to keep cleaning it but the push just keeps coming out. So we put a wet paper towel there for now to let it drain more. Would the wet paper towel make it worse? What should I do to help it stay clean? gest remedy for Pilonidal abscess during pregnancy

Hello!I have been through your question.Related your concern I think you should know that pilonidal abscess is very rare and the cause of pilonidal abscess can be related to the deeper penetration of the hair into the subcutaneous tissues. This pathology has a good prognosis especially if the treatment start early. It is a good news that you are trying to keep this clean and making a home drainage but please you must use sterile bandage not paper towel (because this is not sterile and can make it worse).What I suggest for you in this delicate moment( pregnancy) is to keep the place sterile, washing with soap time after time the place, using iodex ointment, meet an Infectious disease doctor and surgeon to do a physical examination, take a culture from the abscess and start oral antibiotic treatment (amoxicillin or ampicillin if you aren't allergic and are allowed to use during pregnancy) and to define if need a specialised surgical drainage or intervent.I hope my answer help you.I wish you a quick recovery and healthy pregnancy...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

What is irritable bowel syndrome and what are some of its common symptoms?

Irritable bowel syndrome, or IBS, is a common gastrointestinal disorder that is characterized by recurrent abdominal pain and discomfort, along with changes in bowel habits. Some of the common symptoms of IBS include pain that is related to defecation, changes in the frequency or consistency of stool, and bloating or gas. Other symptoms may include constipation, diarrhea, or a combination of both. IBS can be a chronic condition that can significantly impact a person's quality of life, but there are treatments available to help manage symptoms and improve overall health.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Sir my father is 63 years old.he is suffering from paralysis since 5 years old.he is also patient of diabetes as well as high blood pressure. He recives attack of paralysis due to blood pressure every time.his left side is effected by paralysis but he can move his left arm and hand to some extent.hisb.p does not remain normal.plz sir help me what shshould I do?? What precautions should I take and how can I cope with this problem. I will b very thank full to you

I would come up with these possibilities with measures for this type of case, This includes.1 Avoid greasy, salty, fatty foods. As you mentioned that your father is a diabetic case so regular blood sugar level as well monitor of blood pressure is very important. So deal according to these measures.2 As you mentioned that your father is a diabetic as well hypertensive patient. In my opinion all these symptoms of paralysis may be due to congestive heart failure, diagnosis can be confirmed by E K G and ECHO .3 Essential hypertension may be the another reason, diagnosis can be confirmed by physical examination as well clinical examination. In my opinion at this age of 63 years all these symptoms are a cause of concern, so consult a cardiologist and get his opinion. Good luck..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I hit my knee really hard and the athletic trainer at my school said it would be stiff and bruise alot, but it hasn t bruised at all. it still hurt to put weight on the leg or bend it for extended periods of time, but there s no visible bruising. why not?

Hello, Injury in the knee can damage basically 3 structures in the knee. 1. If there is any bony injury this is difficult to put weight on affected limb and is very painful and needs an x-ray for exact assessment and treatment.2. If there is any soft tissue injury you have variable intensities of pain depend on how hard you hit your knee and x-ray is needed for assessment.3. Ligament injuries, if there is any ligament injury in the knee you feel a lot of pain, do not able to put weight on, and feels your knee is unstable. For this, we need an MRI scan for exact assessment and treatment. Regarding the bruising, this is not necessary that the knee will be bruised in every injury. It depends on how hard you got your knee injured.it can be or can not be in any of the above injuries. Hope I have answered the question. Let me know if I can assist you further..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi My filling came out and where the gap is now is really sensitive and giving me jaw ache tooth ache and really painful I cant afford to pay for treatment even through 111 for an emergency dentist I cant afford to pay for anything I dont no what to do and I cant register into my dentist until November

Hi. I have gone through your query and can understand your concerns. As per your complaint in case if there is loss of filling from the tooth and along with it there is sensitivity that is further leading to jaw pain, then it indicates that there is exposure of the nerves that are present in the center of the tooth causing nerve irritation and pain. You need to consult an Oral Physician and get evaluated and an x-ray has to be taken. In case if there is nerve exposure then root canal treatment of tooth or extraction will be advised depending on the depth of decay in the tooth. As of now you can take anti-inflammatory painkillers like Ibuprofen t relieve pain, but it is a temporary treatment, and you need to get the tooth treated for permanent resolution as taking painkillers for long durations without doctors advise can be harmful and will however give only temporary relief. So in case of tooth related problems' treatment of the tooth can only give permanent relief. Hope this helps. Regards..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Sir, i am suffering from frequent fevers since 1 month. I have consulted the General physician and i have undergone for all the tests/scans as suggested by doctor My Ultra Sound System showing like the below Left kidney: Measures 120x54mm Normal in Size and exhotexture. Pelvicalyceal system in prominent Corticomedullary differentiation well maintained. No Calculi. IMPRESSION: Fatty Liver Left prominent pelvicalyceal system PUS CELLS- Plenty Could you pls help me and suggest on this regards. Also my Urine Examinations says

Hi, After going through your history, You have not said anything about urinary symptom like burning, frequency or pain during passing urine. Your ultrasound examination did not show any kidney stone. But why left pelvicalyceal system prominent? Some time a stricture or a reflux in urinary system may cause recurrent infection. Your urine report says plenty pus cells which indicate some kind of urinary tract infection was any Urine culture is done if not you should go for a good sample for urine culture and sensitivity of organisms. Sometimes it may be negative if taken after use of antibiotics. If organisms are resistant then you will get positive report. Urine report is incomplete because is there blood in urine or albumin is positive ? A sterile culture with positive pus cell may be Renal Tuberculosis should be ruled out. Consult a Physician and/or Neurosurgeon will help you Good Luck..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I have been detected with Grade 1 Fatty Liver during my whole abdomen Ultra Sound test done two month back. My Lipid Profile is OK and my LFT has SGOT as 39 and SGPT as 97. This test was done one month back. I have been advised Nusam 400 mg twice a day by the doctor which I have been taking for last one month. I have on and off nagging pain on the lower right side of my abdomen under the ribs and it radiates backward sometime. I consulted another doctor who has advised me not to take Nusam 400 but rather take Evion 400 mg. For the last two months I have been doing regular exercise and diet control. I am still not feeling very comfortable. Please advice whether I should change Nusam 400 mg to Evion 400 mg and what can I do for the nagging pain?

Yes you should change to Cap Evian as it has some role in fatty liver. Also take Tab Adílio 300 mg TDS. Continue with exercise and low fat diet. For pain take tablet attract SOS.Also, Fatty liver has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly hope I have answered your query and this will help you. Wish you a good health.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi, there, I am 60 year s old male and just had my BMD which says T score for spine 0.7, femur -0.7, my question to you is why there is that big different between spine and femur in my one body, seem to me the Calcium I take only go to my spine not femur. is there possible to increase T score on femur? Thanks a lot worrysome.ca

Hello, I have studied your case with diligence. You need to start supplement of calcium with vitamin D, it B12, and if osteoporosis is severe then bisphosphonates can be started.tripartite injection may also help you. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. Hip and thigh exercises will increase T score. You need to take diet rich in calcium and vitamin D. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

My question is... I have an 8 year old step daughter that appears to be going through puberty. Fairly large amount of pubic hair and breast development. She also complains of a stomach ache and urinates frequently in fact she will empty her bladder before leaving the house and return for a second time for what she calls a double check . She also has problems with urine leakage with laughing playing etc. Her urine showed trace protein and ketones. What could be going on?

But from your daughters' history it seems that she might be having juvenile onset diabetes. I would suggest that get blood sugar level fasting and random both and urine osmolarity test to rule out the cause. Then you may further discuss with endocrinologist. Hopefully my answer is helpful..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I recently went to the emergency room for Chest pain and I fainted briefly but after several heart test nothing found . They did find an enlarged lymph gland in my chest but no one seems concerned but me. What should I do and who do I see. My friend said this is what they found I. Her husband during a routine gallbladder surgery it turned out to be lymphoma. I am 69 years old

By your description I think you are having isolated mediastinal lymph node. In old age (your age group) causes for this are1. Benign enlargement2. Infection3. Calcification due to old age4. Rarely malignancy (lymphoma) etc. So in my opinion you should not worry much. As single lymph node is benign mostly. But better to get done repeat CT scan after 6-7 months. If lymph node is decreasing or static than it is benign. And if increase in size than you need to consult pulmonologist and get done bronchoscopic ultrasound guided biopsy of the lymph node..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I just took a shower in which I had to get out of immediately, because I started to feel really sick, dizzy and like I was going to pass out then and there, it s been 15 minutes since and I m still a little shaky, what could ve caused this and how can I prevent it from happening again? It isn t the first time. t causes sudden dizziness and sickness while taking shower?

Hi, I had gone through your question and understand your concerns.To my opinion you expierenced a sudden decrease of blood pressure or decrease in cerebral blood flow, which is affected by hot water. The reason is quite simple. While most of the blood is directed to the skin to make the thermoregulation in front of the change of temperature due to the hot water, there remains less blood to supply the brain, thus experiencing a faint like episode. If you had a meal before the bath, some blood goes to the digestive system, extracting from the necessary ammount to supply the brain. So dont worry. Dont eat before the bath. Consume enough liquids and take the bath to a lower temperature.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

my child born with on small right kidney now he is 14 month old and healthy,we done mag3 test which reveals right kidney is well outlined in its normal anatomical position and small in size .fast frame dynamic study makedly shows reduced perrfusion blush over kidney followed by reduced tracer uptake by functioing cortical parenchyma,this followed by sluggish cortical clearance and moderate accumalationof the tracer in pelvicalyceal system after inj frumide complete clearance of the tracer seen the post void image show minmal tracer in renal pelvis computer genrated renogram show markedly reduced cortical uptake and clearance function kidney size is 3.2 cm left kidney is 6.1 cm and perfectly alright right kidne function is 9 % working left is 91% workinf

Hi. From the details provided, your child has a hypoplastic right kidney with reduced perfusion and function. This is most likely due to developmental abnormality and nothing much can be done now. Factors you should take care:1. Avoid the right kidney getting obstructed or infected. (there's nothing much you can do to avoid, but just be vigilant to identify things early).2. Get regular USG to make sure the left kidney is fine.3. It is possible for the right kidney function to reduce further as the child grows. This is because the left kidney will grow normally while your right won't. Most of the time, the left kidney will enlarge and take up the extra-work. Just monitor his BP and if it goes out of range, get him treated..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

What does the term "head and neck cancer" mean?

Avoidance of recognised risk factors (as described above)is the single most effective form of prevention. Regular dental examinations may identify pre-cancerous lesions in the oral cavity. It will be interesting to see what effect the widespread use of HPV vaccines has on the incidence of HPV-related H&N cancers. People who have been treated for head and neck cancer have an increased chance of developing a new cancer, usually in the head and neck, esophagus, or lungs. The chance of a second primary cancer varies depending on the original diagnosis, but is higher for people who smoke and drink alcohol. Patients who do not smoke should never start. Those who smoke should do their best to quit. Studies have shown that continuing to smoke or drink (or both) increases the chance of a second primary cancer for up to 20 years after the original diagnosis. Some research has shown that isotretinoin (13-cis-retinoic acid), a substance related to vitamin A, may reduce the risk of the tumor recurring (coming back) in patients who have been successfully treated for cancers of the oral cavity, oropharynx, and larynx. However, treatment with isotretinoin has not yet been shown to improve survival or to prevent future cancers.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I have the feeling of numbness in my head along with a constant headache, nausea and sudden feelings of being on fire. The heat starts from my back to my chest and head. I don t have a fever. When sitting still I get a feeling like I m on a boat. Dizzy spells and shaky hands even though I ve had a meal and I usually need to eat something sweet to stop the dizziness.

Hi, Your description of constant headache along with vertigo or constant feelings of dizziness or other movements could be interpreted as a type of headache we refer to as vertiginous migraine which can also be accompanied by nausea and dysautonomias as you are describing of feeling sudden flashes of heat, etc. On the other hand, such a headache is usually episodic and may last for a few hours then, go away, later coming back. Other things to consider would be metabolic imbalances in blood chemistry or even hormonal imbalances in the thyroid profile or other glandular systems. A good physical examination and appropriate blood work may reveal the underlying source of your condition. Hope I have answered your query. Let me know if I can assist you further..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

My wife is suffering from membranous nephropathy. She is undergoing treatment for the last one year. Urine spot protein is > 750 mg/dl and urine spot creatinine is > 100 mg/dl. Urine spot prot/Creat Ratio is > 14/1 during the last month. Still she was OK and was moving. For the last three days she has become very sick. She has severe pain in the kidney region. Whole body is paining. Not able to get up from the bed. Kindly give me guidance.

Since your wife is suffering from membranous nephropathy(MN) and her PC ratio is very high, she might also have hypoalbuminemia, a condition which can predispose to cause blood closing in her veins, especially in her renal veins. So please consider this as an emergency she requires an ultrasound abdomen with renal vessel Doppler a complete blood count, blood culture and serum albumin and fibrinogen Asia. Also make sure that she has not skipped any.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi, may I answer your health queries right now ? Please type your query here... Hello there:) well first off I just recently started taking bc.(Othro tri cylen lo)I am 19 years old btw.well anyway I took the bc for a solid month and on the last day of my active pill I had sex with my bf and let him cum inside of me.for the full month I took the bc I never missed a dose and I took it around the same time every night.at the moment I am not on the bc bcus I am n the process of goin for a cheaper kind.my bf and I still have sex.however,he pulls out.I've nocticed for the last two weeks I've noticed I've been really dizzy and I have thee worst headaches n the world.every now and then my lower stomach feels like I have sharp pains goin thru it and I believe I have discovered a lump on the right side of my stomach.it is squishy feelin bt I notcied wen I pushed dwn harder it felt rather hard 2 me.so all in all I my question is could I be pregnant? t causes a lump on the right abdomen with dizziness?

Welcome to Health care magic.1.Your history suggest me there are possibilities to get pregnant.2.The practice of pulling out before ejaculation - is no at all a safe mode of contraceptive method, maximum possibilities of pregnancy.3.The symptoms you are mentioned are seen in the pregnancy.4.At the moment i would suggest to get an urine pregnancy test done to rule out the pregnancy.5.An ultrasound abdomen and pelvis will help to evaluate the cause of lump feel in the stomach area and confirm the pregnancy if there is one.6.If theere is actually mass as you feel - scan will assess the typeof scan and its extensions. Good luck.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Answer the following question from the document below. ##Question: What was the response to the water bolus for hypernatremia? ## Document: Mr. Barton is a 73 y/o M hx prosthetic hip joint complicated by hemorrhage into joint, recently admitted on 2172-12-19 to OSH for septic shock and s/p joint removal. He subsequently developed enterococcus bacteremia and possible aortic valve endocarditis and has been on ampicillin (day 1= 12-29) and gent (Day 1=1-6). He was intubated this admission and remained difficult to wean (was extubated for 2 days last week, but required re-intubation), and he is now transferred for trach and peg. It was felt that he was hard to wean from vent due to volume overload despite trying lasix/albumin. Also, some question of edematous vocal cords when seen by ENT. His hospital course has also been complicated by elevated LFTs and recent RUQ U/S with dilated common bile duct. Respiratory failure, chronic Assessment: Lung sounds are diminished at the bases, and clear upper lobes. He has a strong cough productive cough noted, but absent gag. The sputum is light yellow in a large amount. I received him on CPCP/PS 30% fio2 and 4-20. He has a MMV back up. O2 sat are 95%. On days he has a trach mask trial was done, but he was unable to tolerate. Action: Suctioned every 2-4 hours. I asked ICU team, if they would like a sputum culture. Response: Awaiting orders for sputum culture. Plan: Attempt trach mask trial in the morning. I will collect sputum culture. And obtain orders. Hip fracture (Femoral neck fracture, Femur) Assessment: Right hip with staples intact. The wound edges are pink. I did note bruising on the right hip. Ortho did evaluate the patient 1-18 hematoma. They(ortho) thinks the as long as his HCT is not droping. That the hematoma is re-absorbing. The edges are approximated. Temp max 100.4 oral. He has known enteroccous in that hip, and is on a 6 week course of ampicillin. He was on gent which was d/c yesterday. The lab called with the preliminary blood culture reports. Question of gram positive rods growing. The blood cultures were from the right ac picc line. Action: IICU team made aware. No new orders for now. They(ICU) are questioning contamination of the bottles. I called the IV team with request to start two PIV. They were unable to get PIV access. Question if the PICC line will be removed when final culture report returns. HCT remain 29.7-31.0 Response: Unable to find PIV site. He continues with low grade temps. Plan: Juarez w/ IV BX. And obtain blood culture if temp increases to 101.0. Question pulling picc when final report returns. Also monitor HCT 1-18 bruising on hip .H/O altered mental status (not Delirium) Assessment: He is off all sedation since admission. His pupils are 3-4mm bilat and brisk. He did open his eyes once for me on command. Will grimace with activity, and did turn his head away from me during mouth care. Action: Fentanyl patch d/c. Response: No response. Plan: Check neuro sing Q 4 hours. Hypernatremia (high sodium) Assessment: Sodium were up to the 150. Action: Water bolus of 150ml Q4 hours. Response: Sodium down to 142. Plan: Continue the water bolus 150 Q4 hours.

The response to the water bolus was a decrease in sodium levels to 142.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

It has been three full days of chills and shaking. I ache around the neck and shoulders. I found it very difficult to move out of a lying down or in a sitting position. I seemed to have fallen into a deep sleep. On day two I had half a pouch of neo citron. It made it possible for me to teach and move around. I have not had a neocitron in 24 hours. I slept from 8 pm until noon. could this be an URI? Today my nose is still clear?? but my throat is a little soar.If it is just a cold and will take its coarse..okay..fluids..rest..but this is not the flue??thanks

Pain in body is common when you have fever. Continuous fever with chills and shaking for 3 days, seems like you caught some infection. You have no cold or running nose so far. If your throat feels soar most probably you caught viral infection or bacterial infection or cold. I would suggest you to keep a record of your temperature. Because of the weakness you are not able to do the regular activities. I would suggest you to go for some tests CBC, Urine microscopic and routine examination and visit a doctor in person to do your physical check up. For fever and body ache you need to start taking tab paracetamol 500 mg thrice a day after food for relief for 2-3 days or till you visit the doctor. And a broad spectrum antibiotic course if it is a bacterial infection after your blood reports checked by the doc.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

This health issue relates to my father whose age is 63 and wt. 90 Kg. In last one month every day a swelling develops in some part of his body. It started with his hands and initial thought was it could be infection as he had small cut and so he could have been infected. Accordingly he was treated with antibiotics but later the symptom (swelling) moved from hand to other parts of body. He was prescribed course of anti allergens for a period of 3 weeks. It has subsided the intensity of swelling but it is still there. Every day either swelling will move to a new area or existing one will increase in size.Please advise.Thanks,Prateek

Hi, it appears to be the allergic reaction, called urticaria, may be due to the allergen he is using daily, main thing of the treatment lies in detection the allergy causing substance and avoiding it. Avoid using the things one by one and observe, when ever the swelling is minimal note that substance and avoid it forever. Like this if you avoid the things in foods, oils, cosmetics, etc. you may get complete relief. Thank you..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

How do cultural differences impact the effectiveness of behavior management strategies in special needs patients in dentistry, based on findings from the last four years?

Cultural differences play a significant role in the effectiveness of behavior management strategies when dealing with special needs patients in dentistry. Over the past few years, several studies have shed light on this topic. Here's what we know so far: 1. **Patient-Centered Approach**: It is essential to adopt a patient-centered approach while dealing with individuals who have special care needs. This means understanding and respecting their unique requirements and preferences. However, cultural differences might influence how patients perceive and react to different behavior management strategies . For instance, some cultures may value compliance and obedience, while others prioritize personal autonomy and self-expression. Understanding these nuances can help dentists tailor their approaches accordingly. 2. **Communication Competence**: Effective communication is vital in developing a strong dentist-patient relationship, especially when dealing with diverse populations. Culturally competent communication involves being sensitive to the beliefs, attitudes, and expectations of patients from different cultural backgrounds . By doing so, dentists can build trust, reduce misunderstandings, and improve overall satisfaction with the care provided. 3. **Holistic Care Provision**: Special care dentistry aims to provide comprehensive oral services for individuals with complex health and care needs. Given the wide range of disabilities and impairments among such patients, it becomes even more important to account for cultural variations when designing and implementing behavior management strategies . Failure to do so could lead to misinterpretation of certain behaviors or resistance to treatment, thereby affecting the outcome of care. 4. **Medical Complexities**: Clinical dental procedures involving patients with special needs can be particularly challenging due to the complexity of their medical condition. While approximately 90% of these patients can be treated in a general dental practice, many require specific behavioral guidance techniques or medical immobilization/protective stabilization . Cultural differences can further complicate matters, influencing patients' responses to these techniques and potentially necessitating additional adaptations. 5. **Child Development & Behaviour**: Children with special needs present unique challenges in terms of managing their behaviour during dental visits. As part of their training, dental practitioners must familiarize themselves with various behaviour management techniques to ensure smooth delivery of dental care . Again, cultural aspects come into play here, as children from different cultural backgrounds may exhibit varying degrees of acceptance or resistance towards these techniques. In conclusion, cultural differences significantly impact the efficacy of behavior management strategies in special needs patients in dentistry. To optimize outcomes, dental practitioners must strive to understand and accommodate these differences in their practices.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

hi this is visu male 29 india i had tumors on around trunk means around stomach and some r on hand and legs they r small but i want to remove them here consulted doctor but they said that there is no treatment for that if in case they r big then only they will remove them by surgery is it true or any other solution is there

Hi, Welcome.you mostly seem to have -Lipomatous. Your doctor is right, as these small tumors are benign and non-Cancerous. If you have any complaints by size/by site/or if they are painful/growing big/causing disfigurement, you can remove them with homeopath study to rule out any risk of cancer in it. Hope this reply would answer you query and would help you to take care of it. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Genl-CVTS.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

My mother has just got her TB reports that say IgM 0.8 OD (-ve) & IgG 1.22 (+ve)... she has been experiencing pain in her left eye - since the retina had swollen as the doctors found out.... could you pl. advise if she is suffeing from TB. all other reports have come clear t does this TB report mean?

Hello,Thank you for contacting to healthcare magic.I read and understand your concern.Immunological test for the TB is not recommended by the WHO. So based on the result of the immunology only it is not advisable to put any diagnosis.In country like India you will receive the infection even if you are not diseased by the TB. So in such a cases antibody testing comes positive even though the patient is negative.I advice you to do more valuable test like GeneXpert for the diagnosis of the TB. This test is not only gives you diagnosis but alos provides the brief of the sensitivity report of the TB bacilli.In addition to treatment keeping the good hygiene can help you improve the infection fast.You can ask for your further query here or you can ask me personally on bit.Thank you,DIMITRY...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I had a stryker trident hip implant in dec. of 2004. I had to have it replaced in oct. of 2013. within a week of that surgery I developed a lump on the incision cite. blood test revealed a slight elavation in infection levels. finally the lump was asperated in early april 2014. I had a staph capitis infection and had to have a spacer surgery. My question is--stryker was told by the FDA that their manufacturing facilites were contaminated. Could the original stryker implant have been contaminated w/staph capitis at the facilities and finally became active when the stryker hip implant was removed?

Hello, I understand your concern. In my opinion they sterilize the implant before It is supplied for use. So allay the worry of contaminated implant. There is possibility that at the time of operation it gets invaded in surgical site. Also, there is possibility that you are carrier of the staphylococcus aureus and so you are infected with it. Maintaining the good hygiene will reduce the chance of infection. So if proper hygiene is not maintained it will surely cause infection. DIMITRYInfectious diseases specialist..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. How long should my husband and I wait to try for a baby if we did cocaine?

Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Which laboratory tests are essential for identifying the underlying cause of parotitis?

Laboratory tests essential for identifying the underlying cause of parotitis include: 1. Viral PCR Testing: This is crucial for detecting viral etiologies such as Epstein-Barr virus (EBV), human herpesvirus 6 (HHV-6), mumps virus, and human parainfluenza viruses (HPIV). Real-time PCR can identify these viruses from buccal or throat swabs.[1-2] 2. Serology: Testing for anti-mumps virus immunoglobulin M (IgM) antibodies is important, especially in cases where mumps is suspected but not confirmed by PCR. Serology can also be used to detect antibodies against other viruses like EBV and CMV.[1] 3. Complete Blood Count (CBC): This can help identify bacterial infections by showing elevated white blood cell counts, which is common in acute suppurative parotitis.[3-4] 4. C-Reactive Protein (CRP): Elevated CRP levels can indicate an inflammatory or infectious process, aiding in the differentiation between viral and bacterial causes.[3-4] 5. Serum Amylase: Elevated serum amylase is a marker for parotitis and can help confirm the diagnosis, especially in juvenile cases.[3] 6. Hepatitis B Virus (HBV) Markers: In cases where HBV infection is suspected, testing for hepatitis B surface antigen (HBsAg), hepatitis B core antigen (HBcAg), and HBV DNA in parotid tissues can be informative.[5] These tests collectively help in identifying the specific viral or bacterial cause of parotitis, guiding appropriate treatment and management strategies.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hello, I have a slight pain/discomfort while urinating. This began last week right after I got back from a beach vacation where I was constantly in a bathing suit. I have also had a stomach ache for the last couple of days (don't know if it's related). What could this be? t causes stomach ache and discomfort while urinating?

Hi ! Good evening.If I were your doctor, I would go for a clinical examination of your abdomen, followed by a routine/microscopic/culture and sensitivity test of morning sample of your urine, a complete blood count, to rule out a urinary tract infection and treat it in case it comes out to be positive. Otherwise, I would also go for an ultrasound of your abdomen to rule out any intra abdominal pathology. Till then, I would advise you for an anti inflammatory, along with a proton pump inhibitor drug, with an advice to consume enough liquids in your routine.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

hi, ive been to see around five or more doctors and none of them seem to be interested in helping me, on my left hand , its extremely itchy most of the time, when it itch it small lumps form underneath my skin, it blisters, weeps, sometimes yellow heads form on my hand. its very red and now the skin on my hand is starting to peel. its been like this for about 7 months and it doesnt seem to go. sometimes its very bruised. does this seem like and allergic reaction . if so why isit just on my left hand when im a right handed person. what do you suggest? :(

Hello, Thanks for the query, You might have developed an endogenous hand eczema. It is called as pompholyx. Please get you blood eosinophil count done. This will help in knowing the exact cause. Apply a mild steroid lotion like demonize, Also take an antihistamine tablet. This will give you some relief. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.com/doctors/ DIMITRY Thank you.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I received an injection in my knee four weeks ago for my OA. It still hurts where the needle was pocked and my knee pain is still there. I am not able to sit for more than 5 hours (work requirement is 8), walk for more than a block, and sleep without pain. What should I do/

Hi, As per your case you seem to be having grade 4 osteoarthritis of knee joint. Night sleep disturbance occurs in the advanced stages of osteoarthritis. Intra-articular injection of disco supplements such as Hyaluronic Acid helps in the early stages of osteoarthritis. If your disease is in advance stage injection will not benefit. Hope I have answered your query. Let me know if I can assist you further..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Which imaging modalities are most effective in diagnosing orbital cellulitis?

Computed tomography (CT) and magnetic resonance imaging (MRI) are the most effective imaging modalities for diagnosing orbital cellulitis. CT is typically the first-line imaging study for suspected orbital infections. It is particularly useful for differentiating between preseptal cellulitis and orbital cellulitis and for detecting complications such as orbital abscesses. CT imaging is preferred in emergency settings due to its rapid acquisition time and ability to provide detailed images of bone structures and potential foreign bodies.[1-4] MRI, on the other hand, offers superior soft tissue contrast and is particularly useful for evaluating the extent of orbital soft tissue involvement, including optic neuritis, ocular diseases such as endophthalmitis, and invasive fungal rhinosinusitis with orbital involvement. Diffusion-weighted imaging (DWI) in MRI can further enhance diagnostic confidence, especially in detecting orbital abscesses.[1][3][5-6] Ultrasound (US) can be a supplementary tool in certain settings, particularly where resources are limited or when radiation exposure is a concern. However, its diagnostic accuracy compared to CT and MRI is less well-established, and it is generally not the primary imaging modality for orbital cellulitis.[7-8] In summary, CT is the preferred initial imaging modality for its rapid and detailed assessment capabilities, while MRI is valuable for detailed soft tissue evaluation and specific conditions where its superior contrast resolution is beneficial.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi, I have a back round of cancer and I have been in remission for almost 4 years now. I have been having really bad anxiety and have been finding random bruises on my legs and arms with no idea of where they came from . Some are there but do not hurt when I push on them... and I have had an on going cold for the past month or so and have been in and out of the clinic and I dont know if I should be concerned or not. Please help.

Hi and thank you so much for this query. I am so sorry to hear about bruises. I am happy to hear you were able to take on the cancer battle and have been in remission for 4 years. Furthermore, I think what you term bruises are small bleeds on the skin. Furthermore, I will suggest that you get your clotting system evaluated. A full blood count would tell us whether the platelets are in good number or not. This can open the door to different possible causes. Also, You need proper interviewing and examination before testing to gather more information. Talk to your primary healthcare doctor for this. I wish you the best of health..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

how should doctors dose antidepressants?

you can also advocate for yourself once you know this. 1. start at a dose lower than that usually advocated by the fda. do this for a few days to get your body and brain used to [the drug] in order to hopefully lower your side effect risks. 2. increase and take the lowest fda dose for four to six weeks. 3. if you are not better increase to the middle dose for four to six weeks. 4. if you are not better increase to the highest fda dose for four to six weeks. if you and your doctor accomplish this then you have had a 'full trial' of the antidepressant. if the full trial has failed ask your doctor for another similar trial ideally of an antidepressant [that] works on a different set of neurotransmitters. do not stay on the same low dosed antidepressant for several months if it is not helping.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

What criteria must patients meet to safely return to sports post-ACL reconstruction?

Return to sports (RTS) after Anterior Cruciate Ligament (ACL) reconstruction involves various criteria that ensure safety and effectiveness. Several studies have explored these criteria, including subjective knee scoring systems, functional performance tests, and isokinetic knee strength tests. Here are the main findings from the provided documents: 1. **Time**: One of the most common criteria used in RTS decision making is the duration since surgery. Most studies (85%) use time as a criterion, with 42% of them considering it as the sole RTS criterion . However, it is essential to note that time alone may not accurately reflect an individual's readiness for RTS. 2. **Strength Tests**: These tests evaluate the recovery of muscle power and stability around the knee joint. Studies have shown that strength tests are used in approximately 41% of RTS decisions , providing valuable insights into the patient's ability to perform sports activities. 3. **Functional Performance Tests**: Functional tests, such as hop tests and agility drills, assess the overall functionality of the knee during sports movements. These tests are used in about 15% of RTS decisions . 4. **Clinical Examination**: This method evaluates the patient's knee health through direct observation and manual testing. It accounts for around 26% of RTS decisions . 5. **Patient Report**: Patients' self-assessments of their symptoms, function, and satisfaction contribute to the RTS decision. Approximately 12% of RTS decisions rely on patient reports . 6. **Performance-Based Criteria**: These criteria involve objective measurements of the patient's abilities, such as jump performance and balance tests. Around 20% of RTS decisions utilize performance-based criteria . It is worth noting that while these criteria are commonly used, their efficacy in predicting successful RTS remains uncertain. Furthermore, the rate of return to pre-injury levels of sports is generally low, and the risks of reinjury and development of osteoarthritis remain significant concerns . Personalizing the rehabilitation process and addressing both surgical and non-surgical factors can potentially improve outcomes for athletes after ACLR .

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Given the following report, list all the efficacy end points being evaluated and their values for each patient group. If the report does not contain required information, simply state that the text does not have the required information. ## Report: In August 2006, a randomized, double-blind, multicenter, parallel, phase III trial ( NCT00280059 ) of pregabalin monotherapy was initiated in patients ( n = 660) with newly diagnosed epilepsy with partial seizures in Europe, Asia, India and Mexico. Patients were randomized to receive pregabalin 150 to 600 mg/day bid or lamotrigine 100 to 500 mg/day bid. The primary endpoint was the proportion of patients who were seizure-free for 6 months. In April 2010, the trial was completed. Percentage of seizure-free responders was 51.6% for pregabalin vs 67.9% for lamotrigine .

- Efficacy end points being evaluated: - Proportion of patients who were seizure-free for 6 months - Values for each patient group: - Pregabalin group: 51.6% seizure-free responders - Lamotrigine group: 67.9% seizure-free responders

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi, When I brush my teeth and spit there is usually brown stuff in my spit and it doesnt feel like i have clean my teeth properly. Also I can feel some distasteful stuff in one location of my tooth, its always there and i go to brush that area and more brown stuff appears. what is this brown stuff? and how can i permanently remove it? t does brown stuff in saliva and tooth while brushing indicate?

Hello,Everyone builds up daily plaque that you should remove with good dental hygiene. Your diet, health, habits and medications contribute to the composition. Smoking, coffee and tea are examples of stain causing culprits. If you are not effective in getting your teeth clean, consider a professional cleaning. Consider changing dental product choices. Have a complete dental exam. I suspect a tooth with decay and the hole builds up with debris. Some bacteria can cause discoloration on your teeth as well. Your dentist can check for this and any oral infections present. Have you had a recent dental check up? Think of any recent changes that you can attribute to the timing of the build up. A dry mouth or gastric and sinus disorders can influence your mouth.Thank you for your inquiry...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

What is an overview of Subependymal Giant Cell Astrocytoma?

Subependymal giant cell astrocytoma is predominantly seen in patients with tuberous sclerosis complex which is caused by a mutation in the TSC1 and TSC2 tumor suppressor genes.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi doctor,I snore and wake up tired daily. Sometimes, my nose is runny all day. I have attached my CT report for your reference. I just wanted to know if surgery necessary. Will it benefit me? Please explain.

1) No, surgery is not necessary.2) Yes, surgery will benefit you by relieving obstruction of nasal airway passages.3) It can be performed under local anesthesia as an outpatient procedure.4) The surgical procedure involves removal of bony or soft tissue blockage in the nostril.5) Surgery is usually done through closed technique with endoscopic assistance.6) Post-operative recovery is rapid, with minimal discomfort and most patients return to normal activities within days.7) It may help with snoring too but that needs to be evaluated separately..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

hello sir on 30 dec 2011 ,i met anaccident,and in this my right hand elbow is dislocated,it does not had any fracture and breakage in bones. i contacted to a doctor, he reseted my elbow and plaster it, after one month my plaster is removed, there is no pain in my elbow. the problem is that my elbow is not moving straight. can u tell me that hw can my hand movement will started,hw much time it will take? plz sugggest me doctor whom i should contactshashichandigarh is my elbow not moving straight after being reseted?

Hi, welcome to our site.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryThe problem probably is because of muscle stiffness associated with prolonged immobilization in the cast. This will need a physiotherapist to work on it daily. The more you exercise, the better and the sooner you will feel betterI hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Doctor, I have been experiencing symptoms of prostate problems and impotence. Also, I am unable to control my bladder and frequently leak urine.

You are suffering from overflow incontinence, which means that you are unable to fully empty your bladder and as a result, urine leaks out of your bladder. It can be due to prostate problems or nerve damage, which can also cause impotence. We can start with a few tests to determine the extent of the issue and treatment options.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

hi doctor my sister remarks as a result ultrasound normal sized uterus and ovaries thickened endometrium cant rule out early pregnancy fluid in the culdesac ,other findings culdesac;with minimal fluid no gestational sac nor complex mass seen at the time of scan,doctor she is suffering stomach ache in right lower abdomen,pls help me to know hw this is syptoms came from,have a nice day doctor godbless

Well endometrium goes through phases, its thickness is different in every stage of cycles. In you woman such pain usually comes from pelvic organ disorders but also bowel, appendix and bile ducts disorders should be considered. If she has prolonged bleeding or cramps during periods she should do hormonal tests to see is there any abnormality. If not then CT scan should be done to visualize more precisely. Wish you good health..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I ve been having pain in my back. Just below the shoulder blades, on the left side, radiating from the left side of my body. I m wondering if it is just muscle pain, or if there could be something going on internally. The pain is kind of nagging, and has been pretty constant for several weeks.

HIF you have localized back pain with-no neurological symptoms like numbness, paresthesia, weakness in limbs etc., my advice is: - intensive physical therapy initially under supervision of a physiotherapist and then at home.- avoid forward bending, lifting heavy weights etc-take an analgesic like diclofenac or something which suits your body for 5-7 days-take muscle relaxant for same time as analgesic to relieve muscle spasm-ice packs at the site of pain, muscle spasm-local analgesic spray can be used, but no massage is required to be let me know in a week time how you are feeling. I will actually ask you to get x-ray of involved region of spine (app & lateral)and send reports across to me so that I can advise further in a better manner. Do not hesitate to contact me if you need any further assistance.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

my first day of last period was 25 aug 2012, i had sex on the 5th sep and on the 9 th sept he didn t come inside but few yes on both times. 2 days after ovulaton i feel sore breast and also a bit nausea but no vomiting.... is it possible to get pregnant even though he didn t come inside me on both time (only few) t are the chances of pregnancy after having sore breasts, sex using withdrawal method?

Hi,Pregnancy is not possible if there is no entry of penis inside the vagina or near by vagina. If there is entry of penis without ejaculation, then there may be chance as precum may enter into vagina unknowingly. So if withdrawal method was used then there is chance of pregnancy. Without penetration, no chance of pregnancy. Also it is very early to tell about pregnancy. Sore breast, nausea 2 days after ovulation could be due to hormonal imbalance caused by pregnancy. If your next period will delay by more than 7 days then go for urine pregnancy test and or blood HCG to confirm the pregnancy. Meanwhile avoid stress, take small frequent meal, do regular exercise and drink plenty of water. If nausea is not tolerable then take tablet domperidone.Hope I have answered your query. Let me know if I can assist you further..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi Doctor,Im 33, 164 height - weight 53. Im having problems with conciving and has been asked to have a FSH;LH;Oestradiol;Progesterone test on day 14 or 15 of cycle to check hormone level and ovulation. I did soem research it looks like Progesterone need to be done on day 21 and other test earlier as day 3. Is that right? Im a little bit cobfused.Thanks for your reply.

Hi It is little strange that you have been asked these hormone tests on day 14 or 15. It is true that LH and estradiol levels are followed in IVF treatment cycles to identify the exact time of ovulation and this may require a repeat test the following day. Baseline infertility work up does not require these tests to be done on day 14 or 15. If I were your doctor I would advise you to do FSH, LH and Prolactin between Day 2-4 of your menstrual cycle and Progesterone on Day 21 of your menstrual cycle provided your cycle duration is 28 days. You also need to do Fallopian tube patency test and Your husband needs to take semen analysis test. I hope I have answered your queries..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

well ive been coughing up blood for past 3-5 months. I have been to doctors to have blood test and x-ray but they came back clear and the doctor says nothings wrong with me but its still going on and its got alot worse as the blood is dark red and its happend about 5times a day its alot of blood as well as well with the blood ive been feeling dizzy and weak. I have also got pain on left side of my stomach and back and im loseing my apitit to eat and been loseing weight.

As per your query you have blood in sputum while coughing which is known as hemoptysis could be due to inflammation of any vessel in lungs, due to throat irritation because of acid reflux. Need not worry about it. You should visit pulmonologist once and get CT scan chest done. You should go for bronchoscopy as well. Furthermore, you should start medication after proper diagnosis. Sputum test and smear culture should be done. Avoid spicy, sharp and oily food. You should take steam inhalation. Take diet rich in multivitamins. You should gargle daily. Hope your concern has been resolved. Get Well Soon. Best Wishes,.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Ten years ago I went through Treatment for Hepatitis C with Interferon Alpha & Ribavirin my immune system seems to have become increasingly compromised. Pneumonia X 3 in 2 yrs, Renal Failure last year. I just had labs done a few days ago and they display an Elevated ANA. My understanding is that this isn t the best of news at going on 63 yo in September? t does elevated ANA suggest?

Hi & Welcome.The presence of elevated antinuclear antibodies or ANAs are suggestive of autoimmune disease.Your immune system normally makes antibodies to help you fight infection. In contrast, antinuclear antibodies often attack your body's own tissues — autoantibodies specifically targeting each cell's nucleus.Elevated ANAs are the hallmarks of autoimmune diseases like systemic lupus erythematosus, scleroderma, sjögren’s syndrome, polymyositis/dermatomyositis, mixed connective tissue disease, drug-induced lupus, and autoimmune hepatitis. In view of the above possibilities, I would therefore advise you to consult a physician or rheumatologist for proper clinical examination and to find out the exact cause of raised ANAs.Hope these answer your query...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

hi my 9 yr old son is complaining with abdominal pain around the belly button but it is only after happening in the last 5 minutes he has not eaten any fatty foods or sweets/treats or sugary drinks i don t know if it is gas or something else if you could enlighten me with an answer i would be truly grateful

Hello! Thank you for the query. Pain around the belly button can be caused by a hernia in this location. Please check if there is no lump in his belly button. Bloating, some digestion problems, bacterial infection and many others can cause such pain (this is very nonspecific symptoms). I suggest you to do not give him any solid foods for 12 hours, just liquids and soup. If this helps, no need to do anything.However, if the pain won't go away, please consult your doctor. Hope this will help. Regards..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hello doctor, I have been experiencing ongoing war popping sensations as if I have gotten off a plane for the last two months. For the last few weeks, I have experienced slight ear pain and symptoms of tinnitus. I have tried an ear wax removal kit but still have underlying symptoms. I experience slight ear pain and tinnitus for the past one week. Is it due to wax formation?

Hi. I could not understand what is the point of removing wax here without observing the ear canal. Please get it very clear, your eustachian tube (tube connecting the backside of the nose and middle ear) is blocked and some maneuver (Valsalva maneuver) under supervision will surely help. What you can try at home is take steam inhalation, chew food, or chewing gum in an exaggerated way as it may open the tube. Stretch your ear a bit and you can try putting your little finger inside your ear and move it 10 -15 times. Tinnitus may go away once the tube gets back to its normal position. Avoid caffeinated drinks (tea, coffee, alcohol). If you have it even after that follow up with me...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I have something going on under my very back bottom tooth, it has a small crack in it next to the gum, it is a crown and there was a root canal done previously. I have taken an antibiotic 2 times over past year but have yet to do anything with the tooth. I have a hoarseness that doctors can't seem to find a reason for. Could this be it? It has a foul smell but sometimes goes away. I wanted to be able to keep the tooth if possible but if it could be the cause of the hoarseness it should be pulled, correct? voice hoarseness due to an infected tooth?

Hi..Thanks for the query..In case if there is crack in the tooth and also if there is bad smell then it is clear indication that there is infection in the tooth..Also there is a possibility that there is food lodgement between the tooth and the crown leading to bad smell..If the tooth is infected and as it is the last tooth, then there is a possibility that the tooth infection is causing recurring infection in throat causing laryngitis which is the cause for voice hoarseness..But for a confirmation of the cause of voice hoarseness you should consult an ENT Physician or an Emergency room and get a laryngoscopy done..For the tooth you should first of all get an x ray done so that the condition of the tooth can be checked..If the tooth is fractured and there is a poor prognosis then you should get the tooth removed..Please send me the latest x ray of your tooth so that I can let you know what is needed to be done so that you get appropriate treatment done..Hope this helps..Regards...

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hello doctor,I just had a biometric screening. My calcium was 10.3 and potassium was 6.1. The doctor said my calcium and potassium levels were a little over what they should be, and that my MCHC was off. I have tried to ask if I should be concerned, but they refuse to talk to me about it, until I make another payment at their office. Help.

As per your report, mchc (mean corpuscular hemoglobin concentration) is abnormal. It means more than normal number of RBCs in blood. This can be due to low iron or vitamin B12 deficiency. So better to consult hematologist and get done CBC once again with peripheral smear examination. You may need iron supplements and vitamin B12 tablet. Hope this will help you. Wish you good health..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

me and my fiance have been together for three years and we never used a condom. he pulls out usually but we have had alot of times when we did not pull out and i was glad i did not get pregnant but for the last month we have been tryin to get pregnant and i just started my period so should i be worried that i cant get pregnant or is it normal to take a while to get pregnant? t is the best treatment to get pregnant?

Hello, and I hope I can help you today.When trying to conceive, 80% of couples will conceive within one year. Even though you used the withdrawal method previously, there still is no evidence that you would have any trouble conceiving as withdrawal does reduce the risk of pregnancy by about 75%.Many women assume that if they have not had an accidental pregnancy in their life that they are infertile. This is actually untrue, because contraceptive failure, even with natural methods, is still relatively unusual.So if you and your partner continue to have regular, unprotected sex during the fertile time of your cycle (which is the time between the end of your period until the time you start to feel PMS symptoms) you should be able to conceive eventually.While you are trying to become pregnant, it is recommended that you begin taking prenatal vitamins or of folic acid supplement to help prevent certain kinds of birth defects.I hope that I was able to adequately answer your question today, and that my advice was helpful..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I have silky hair and less hair, breakage of hair is normal for me, recently I use Figaro olive oil in night as chumpy and in morning I wash it with shampoo, if I don t wash it with shampoo and just normal wash my hair in morning, does it harms or it is ok,? Can I use dabar alma oil after wash? And what I did for hair growth and strong hair?

Hi, Probably you may be having halogen effluvium. It may be due to some cause. Most common cause is psychological upsets like anxiety, worries, tension or depression.etc. And remember that normal hair fall in adult may be 100 to 150 per day. So, please avoid anxiety related with hair fall. You consult dermatologist for firm diagnosis and treatment. Blood tests may be done to rule out internal diseases. For strong hair and hair growth, follow the tips as below...-You may take biotin containing tablets for long time.-vitamin E cap 400 mg daily may be helpful-You may apply mild steroid lotion like beclomethasone lotion on scalp at night. -Mild herbal shampoo to cleanse the scalp.- almond oil or Barbara AMLA oil may be used a.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Which diagnostic tests are most useful for evaluating chronic tongue pain?

Chronic tongue pain can be a challenging condition to diagnose due to its multifactorial etiology. The most useful diagnostic tests for evaluating chronic tongue pain include: 1. Quantitative Sensory Testing (QST): This method assesses various sensory functions such as thermal sensation, tactile thresholds, and pain thresholds. QST can help identify neuropathic components of tongue pain, as seen in conditions like burning mouth syndrome (BMS).[1-2] 2. Tongue Biopsy: For conditions like BMS, a tongue biopsy can be useful to quantify epithelial nerve fibers (ENF). Reduced ENF density has been correlated with more extensive pain and dysgeusia.[3] 3. Serum Nutrient Levels: Evaluating serum concentrations of zinc, vitamin B12, folic acid, and copper can be important, as deficiencies in these nutrients have been associated with chronic tongue pain.[4] 4. Neurophysiologic Tests: Electroneuromyography and brain stem reflex recordings can be useful in diagnosing neuropathic orofacial pain conditions. These tests can help differentiate between peripheral and central nervous system involvement.[1] 5. Psychophysical Tests: These tests, including light touch and two-point discrimination, can help assess sensory loss and the extent of nerve damage, particularly in cases of iatrogenic lingual nerve injury.[5-6] 6. Clinical Examination and History: A thorough clinical examination and detailed patient history are essential to rule out other causes such as infections, malignancies, and systemic diseases. In summary, QST, tongue biopsy, serum nutrient levels, neurophysiologic tests, and psychophysical tests are the most useful diagnostic tools for evaluating chronic tongue pain. These methods help in identifying the underlying etiology, whether it be neuropathic, nutritional, or related to systemic conditions.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

my newborn has something that looks like dry cracked skin right where the tailbone would be. Its above the folds in the buttock area but still in the area covered by the diaper. what treatment should I use I don t think its diaper rash its more cracked looking not red. I put aquaphor on it today when I noticed it.

If it is not getting down by 3 days, or the area becomes red / swollen / tender / blistering, kindly get it examined by your doctor to rule out other important causes like skin infection. Hope I have answered your question. Let me know if I can assist you further..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

I have a chronic pain condition known as disfuction of the sphincter of oddi. I was being treated with IV dilaudid that I did on my own at home. I felt being on the dilaudis all the time was not good for me. I came off the dilaudid. Started on gabapentin 600mg 4x/day and cymbalta 60mg bid Welbutrin XL 300mg bid. I went from 133 lbs to 180 lbs in about a month. I was so blown up and full of fluid I went to the ER. The ER doctor said I was toxic from the gabapentin and needed to come off slowly so I dont have seizures. As I have decreased the gabapentin and the welbutrin XL. I have developed a rash. My FP doctor believes the rash is from stess. Also, she no longer feels comfortable treating my chronic pain issue. I am having trouble getting a pain Dr. to see me.

HAI.your really into a chronic and troublesome problem. Already u have taken the maximum dose of gabapentin ALS,, which brings you down. Please go for a TSH (thyroid stimulating hormone) to check out the levels duet the chronic problemPlease reduce your stress. The ultimate relief for pain u can go for is with the neurotic blocks., fentanyl patches under supervision taking care of respiratory depression. Take care good luck.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

What type of dysphagia is indicated by symptoms such as coughing, choking, or nasal regurgitation during swallowing?

The type of dysphagia indicated by symptoms such as coughing, choking, or nasal regurgitation during swallowing can be either oropharyngeal or esophageal dysphagia. Dysphagia is a medical condition characterized by difficulty swallowing. Oropharyngeal dysphagia occurs when there is a problem with the muscles or nerves in the throat and the upper esophagus, which can cause symptoms such as coughing, choking, or nasal regurgitation during swallowing. Esophageal dysphagia, on the other hand, occurs when there is a problem with the esophagus itself, such as a blockage or a narrowing, which can cause symptoms such as chest pain, heartburn, or difficulty swallowing solid foods. The treatment for dysphagia depends on the underlying cause and can include medications, changes in diet, or surgical procedures.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

My boyfriend has been complaining for about a month that his left testicle hurts off and on. So much so that if it sits on the couch or bed, he has to reposition it. Now hes complaining that his lower right abdomen hurts. He said its a constant pain. Ive asked him to go to the doctor and he wont. What could this possibly be?

Hithanks for your query testicular pain is caused due 1.trauma 2.infections 3.torsionsthe information you gave that your boyfriend has to reposition the testis to relieve the pain is a very important.it is called Parents Sign.it points towards Epididymitis.other cause can be testicular torsion in which the testicles get twisted, and the blood supply is cut off. In any of the cases kindly refer to a doctor and get the affected area examined.in the meantime following home care steps may reduce discomfort and swelling:Provide support to the scrotum by wearing an athletic supporter. Apply ice to the scrotum. Take warm baths if there are signs of inflammation. While lying down, place a rolled towel under your scrotum. Try over-the-counter pain relievers, such as acetaminophen or ibuprofen. Wishing you good health.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

i have a chest pain and breathing problem i am not able to drink water and swallow food.i got my chest x-ray, eco-ECG done nothing abnomal got detected. i have so much of constant in pain the chest i cannot even drink one glass of water. please suggest some remedies i am 52 years old 5 feet45kg

Since your extensive cardiac work up is normal, no need to worry about heart diseases for your symptoms. We have to rule out lung related diseases (bronchitis) also. So get done PFT (Pulmonary Function Test). If PFT is also normal then no need to worry about lung diseases also. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

My neck cracks involuntary and has done for many years. I have now discovered a small lump at the centre of the back of my neck. I am feeling a dull pain around that are which has lasted for around two weeks. Went I touch that area the pain increases for a few minutes then settles to a dull ache, which is constant.

Hi, dairy have gone through your question. I can understand your concern. You have lump in back of neck. It can be enlarged posterior cervical lymph node due to reactive hyperplasia, or it can be soft tissue tumor, cyst or skin adnexal tumor. 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..

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

How does the presence of a tracheostomy affect the management of respiratory infections?

The presence of a tracheostomy significantly impacts the management of respiratory infections due to several factors. Tracheostomized patients are predisposed to respiratory infections because the tracheostomy bypasses normal upper airway defense mechanisms, leading to increased bacterial colonization of the tracheostomy tube and the lower respiratory tract. [1-3] Diagnosis and differentiation between colonization and infection are challenging in these patients. For instance, bacterial colonization is common, but not all colonized patients develop infections. This complicates clinical decision-making regarding the initiation of antibiotic therapy. [1-2] Management strategies include regular airway clearance and the use of a speaking valve, which may help reduce the risk of infection. Systemic antibiotics are frequently used but can lead to adverse effects and antibiotic resistance. Topical antibiotics via nebulization or direct instillation may achieve higher local concentrations with fewer systemic side effects, although more research is needed to establish their efficacy.[1] Preventative measures are crucial. The American College of Chest Physicians, along with other societies, recommends maintaining a closed circuit during mechanical ventilation and using in-line suction to minimize infection risk. [4] In summary, the management of respiratory infections in tracheostomized patients involves a combination of vigilant monitoring, appropriate use of antibiotics, and preventive strategies to mitigate infection risks.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Dear doctor,I am a 19 year old male. Some type of viscous liquid comes out of my ears and when it dries up, it hardens. Please help me.

I have gone through your query with diligence and would like you to know that I am here to help you. Your symptoms could be due to ear infection or some kind of sinusitis and you should consult an ENT specialist for proper evaluation and management. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi My 21 month old has just woken up crying. We ve picked her up to realised she s very warm (she was sleeping in long sleeved vest and fluffy sleepsuit). Stripped her off and she threw up which is her pattern when she gets too hot. Taken her temp - 38.2 . top half of her body normal coloured but legs, especially calves ankles very red, ankles and feet almost dark red. They seem to be fading now whilst she lays on my husband in a horizontal position. She s had a few sips of water and is now laying quietly crying / moaning a bit. She s just asked for her toothbrush so I guess she s cooling down..... just overheated?

Hi, I feel that it is a viral illness and at the same time, this type of differential coloration of the limbs could be because of the differential blood supply in the limbs during a high fever. I suggest that you give her Ibuprofen and Tylenol alternately and if the is getting better you can stay put. But if she is having low urine output poor oral intake or respiratory distress or dull and lethargic then she will require medical attention. Hope I have answered your query. Let me know if I can assist you further.

You are an AI assistant developed by John Snow Labs, specializing in medical knowledge and healthcare. Your expertise includes anatomy, pathology, pharmacology, diagnostics, and clinical care. You provide precise, accurate, and evidence-based answers to medical queries while maintaining clarity and professionalism. Always ensure factual correctness, prioritize patient safety, and follow ethical guidelines when providing information. If a question falls outside your scope, acknowledge it honestly and guide users toward seeking appropriate medical advice from qualified professionals.

Hi my daughter is 4 months old. Since last 10days she is having loose motions. Weve done stool test 5days back & prescribed by a doctor for Zifi100 Dry Syrup. Since last 4days weve fed her with milk food and medicine (Zifi100) as advised by doctor howevr no improvement is observed. Today when i checked Zifi100 on web i realised that it is best remedies for few other disease but not for gastrointestinal infections. Doctor has advised Norflox100 DT as an alternative now, but when i searched this on internet i found that it is not recommended safe for infants. ..the comments on stool test report says shes NUMEROUS INCLUMPS IN MUCUS....Please advise best medicines....QUERY FROM INDIA..

WiFi works well for gastroenteritis when caused by bacterial infection. If the infection is viral which is the most common cause then WiFi itself can cause loose stools. In addition, this baby is most likely having transient lactose intolerance due to viral diarrhea. Please stop the antibiotic and keep the baby on strict breastfeeding. Get stool check done for reducing substances, and if strongly positive, can change milk to a lactose free formula temporarily..