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im a 15 year old girl i have acne with red pimples my skin is very sensitive how can i get rid of acne.I also want to know how can we get rid of the unwanted hair from the whole body.
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My daughter is drooling profusely and it looks like her tongue has some reds bumps towards the tip (I can t really get that good of a look right now) She hasn t eaten much the last couple days and has a slight fever. She is 20 months old and over all a healthy baby.
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i had bilateral hernia surgery last Tuesday and now my testicles are not only swollen but almost black with bruising. My testicular pain and discomfort is much worse than from the incisions. Is the bruising so serious that I should go to an emergency room?
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I had my molar tooth pulled 2 months ago and now it feels like the whole side of my mouth has changedMy teeth feel bigger my gums are tender and I keep rubbing my tounge against the side of me teethI went to my dentist and he said everything looked good and he did take a sharp edge off one of my teethbut I my mouth still feels like i described in the first part of my letter. I do have OCD and anxiety attacksI am on a zanax and prozac. Do you have any suggestions on what I can do to make feel like it did before he pulled my Molar?Thanks
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Q:All of the following might be found in connective tissue EXCEPT? A:thrombin;B:glycosaminoglycans;C:collagens;D:fibroblasts
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Hi, My scrotum has become very loose and hangs lower than my testicles. Imagine a bag with a couple of oranges at the bottom of the bag. -This is normal. Imagine the oranges are held half way up the bag. So there is excess empty bag below the oranges. -This is my situation. I can t find any information regarding this. Please help.
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20 days before I got about 8 stiches on lower abdomen area in mid line to ligate an artery while performing a surgery for Vericocele.I m taking cefpodoxime 200mg along with diclofenac 100 mg.3 days before I got pus in about an area of 1 inch.what should I do to control it?should I change antibiotic from cefpodoxime to augmentin?
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Hi there, I had all 4 impacted wisdom teeth removed 12 days ago and although the left side seems to be recovering well, there is a lingering numbness on the bottom lip, chin , gum and teeth on the right side, presumably caused by damage to the inferior anveolar nerve of the mandibular? I understand that in some cases nerve damage can take several months to heal, or it may in fact be permanent damage. At this stage is there anything to do to lessen the possibility of longer term damage, and how to tell whether or not it is permanent damage? Thanks
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Our 5 year old son bumped his head on a metal bar above an 8 foot slide and lost his balance and fell off slide onto sand. He fell onto his side. He cried for 5-10 minutes. His eyes seem to be dilating fine. He is not in pain to the touch on his side or back. He was alert, able to see and speak clearly, After about an hour after the incident, He said he said he has a stomach ache, but went to bed easily as it was 2 hrs past bedtime. There are no bumps on his head. He is not complaining of other pain. We are out of town on vacation in a remote area. We plan to wake him once tonight to make certain that he is able to be woken fairly easily. Are there other symptoms we should keep an eye out for? Are there possible injuries we should look out for? We plan to call our pediatrician in the morning.
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Hi, I am 68 years old female and retired 3 years ago from a job where i was seated all day. On retirement I stopped casual smoking for good, got a rescue dog to walk and have an allotment so am now on my feet and active all day. I eat more healthily now and eat less snacks however i have steadily gained 2 st in weight, have swollen feet and ankles even when weather now cooler some discolouration there and this swelling is now impeding my walking and some stiffness along outside edges of feet also. I have had an MOT for general health and done postal bowel cancer tests negative result there. What might be the cause?
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Hello Doctor, My son 2 month old and after 25 days of birth he having loose motions we concern with doctor and after stool test doctor advise us to stop breast feed and start lactose free milk after 30 days, we start breast feed and found on stool test. RBC 4-6 PUS CELL 2-4 Reducing substance present. Reaction PH 6 Blood - Abcent Mucus - Present
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My left shoulder/neck area has been hurting for about 3 weeks. It feels like I ve slept on it wrong. Some of the pain feels like a tight muscle (the neck area) and some is lower in the shoulder, beneath and at the bottom of the shoulder blade. Taking ibuprofen lessens the pain, but I don t like to take it often. Neither heat nor ice seems to affect the pain.
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hello doctor, Can i use Monocef 50mg oonly for kid tablet for my daughter. she is 20 months old with 27pound. she is having bad dermatitis everywhere on her body except face. Her pediatric prescribed hydrocortisone butrate since last 4 months we are using same cream but of no use. Monocef is prescribed by family doctor from our country.we live outside.could you please respond to my question. Will be very much helpful.
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Hi Dr Samuel,I have red rashes on my arms, under my breasts, over my right shoulder and on top part of my private part. I started using E45 but it was getting worse and it looked as if the moisturising cream was encouraging the rash to expand. It felt more like fungus and my arms were particularly bad and felt as if I have been beaten up and it was very painful. I did some research and found bleach bath twice a week might help and I did 3 bleach bath in two weeks and miraculously the redness and pain were gone. I have recently seen my GP who is also a dermatologist and has prescribed Betnovate cream and Epaderm for my eczema but didn't tell me how to apply them. Can I apply Epaderm straight after I've applied Betnovate?
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What are the "5 W's" used to remember the most common causes of post-operative fever and what do they stand for?
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Human coronaviruses (HCoVs) are associated with a variety of clinical presentations in children, but their role in disease remains uncertain. The objective of our prospective study was to investigate HCoVs associations with various clinical presentations in hospitalized children up to 6 years of age. Children hospitalized with acute bronchiolitis (AB), acute gastroenteritis (AGE), or febrile seizures (FS), and children admitted for elective surgical procedures (healthy controls) were included in the study. In patients with AB, AGE, and FS, a nasopharyngeal (NP) swab and blood sample were obtained upon admission and the follow-up visit 14 days later, whereas in children with AGE a stool sample was also acquired upon admission; in healthy controls a NP swab and stool sample were taken upon admission. Amplification of polymerase 1b gene was used to detect HCoVs in the specimens. HCoVs-positive specimens were also examined for the presence of several other viruses. HCoVs were most often detected in children with FS (19/192, 9.9%, 95% CI: 6–15%), followed by children with AGE (19/218, 8.7%, 95% CI: 5.3–13.3%) and AB (20/308, 6.5%, 95% CI: 4.0–9.8%). The presence of other viruses was a common finding, most frequent in the group of children with AB (19/20, 95%, 95% CI: 75.1–99.8%), followed by FS (10/19, 52.6%, 95% CI: 28.9–75.6%) and AGE (7/19, 36.8%, 95% CI: 16.3–61.6%). In healthy control children HCoVs were detected in 3/156 (1.9%, 95% CI: 0.4–5.5%) NP swabs and 1/150 (0.7%, 95% CI: 0.02–3.3%) stool samples. It seems that an etiological role of HCoVs is most likely in children with FS, considering that they had a higher proportion of positive HCoVs results than patients with AB and those with AGE, and had the highest viral load; however, the co-detection of other viruses was 52.6%. Trial Registration: ClinicalTrials.gov NCT00987519
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Dear Sir, Kindly i am a liver patient i hope that you and your group of hospital guide me. actually i am working in Saudi Arabia as a steel welder.i am suffering from 6 month this disease. So i am looking many hospital for the treatment in Saudi Arabia but not any changing my disease. Please i hope that you will give me good response for the my Liver problem. Already i have my some reports you can see by the above attachment. Awaiting your reply asap. i will appreciate you.. Thanks & Best Regards Name:- Jamal Abdul Nasir Cell No:- 0000 E-Mail:- YYYY@YYYY Jeddah, Kingdon of Saudi Aarabia.
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I am allergic to oak, birch, beech and alder mostly and another insignificant one like elm. I started getting strange feelings on my lips and reported them to my allergist after remembering having read that you can get symptoms from fruits etc.. and that cantaloupe is one of the culprits.By the way I have been on shots for 2 years and have had no symptoms since the spring I first began them. My doctor said I should stay away from it, of course, and I have but the lips still feel weird and its been at least 5 days. What other of the trees I have mentioned can cause this and what other fruits am I unaware of being the cause.
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hi i am a 69 year old male with polycistic kidney disease.Had transplant in 2008.Since then have had stent in artery this year and put on Plavix and aspirin .as a result I have had a subdural haematoma which required surgery. Plavizx and aspirin stopped then.Discharged from hospital only to be readmitted 5days later with severe headaches.Small bleed detected post op.Then Severe seizure.Being treated with antiseizure drugs but today had an incident wher my heart was as if I was being thumped in the chest.The Doctors have taken traponin(sp) levels but have not come back to say what if any the results reveal.Should i be worried.?
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INTRODUCTION Fetal dural sinus thrombosis (DST) is a rare condition. Although numerous case reports exist, the findings appear heterogenous and providing accurate patient counselling remains challenging. METHODS A systematic literature review was conducted in accordance with PRISMA guidance1 . RESULTS Thirty-one studies including 78 patients were included in this review. No association with maternal or neonatal coagulopathy, infection or trauma was found. The average gestational age at diagnosis was 25 weeks (range 17-34 weeks). Approximately half of foetuses affected were female (48.7%); one quarter were male (25.6%) and one quarter had no sex stated (25.6%). Termination of pregnancy was chosen in 25.6% of cases (20/78). In continuing pregnancies,10.3% (6/58) experienced a perinatal death. Antenatally, the majority of lesions either decreased in size (38.5%) or completely resolved (32.7%). The neonatal or childhood outcome was normal in 88.0% of survivors (44/50). The average age at follow up was 16.4 months, ranging from birth to 6 years. CONCLUSION This review found that ten percent of DST cases experience in-utero or neonatal death. In survivors, the majority of cases reduce in size or completely resolve in pregnancy and 85% are reported to have a good outcome. However, further evidence is needed regarding long-term neurocognitive sequelae. This article is protected by copyright. All rights reserved.
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I am a 17 year old boy and around 6 months ago i started having excruciating sharp pains that dont usually last over a minute in the left side of my chest. I have experimented with marijuana and alcohol. also i have worked out and used supplement since age 14. I have never taken any pro hormones or anything like that just pre and post workout drinks. I would like to know what is going on with my heart what would be the best plan of action to find this out or could you tell me what is wrong with me.
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I went to the drs. on Tuesday and they told me my red rash on my ankle to my calf was from the elastic from my socks. So it was going away somewhat and I put other socks on and working on my feet all day the rash came back more red. Is there anything I can use to take the redness away. It doesn t itch and it isn t painful
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hello my name is lee I am in my early forties I have been experiencing spells of tiredness and fatigue for a while now, also now and then I get a fluttering in my chest sometimes only for a few seconds but it isn't a plesant feeling when it happens, I was diagnosed in my twenties as being slightly anemic and had some tablets for this, about 10 years ago I had some further blood tests done this found extremely high cholesterol levels and alpha thalasemia trait, my cholesterol levels have come down to a safe level down to statins and supralips, I am however concerned with this fatigue issue as I have had two days off work I came home Wednesday night and went to bed by seven I felt dizzy and week I didn't get up till three pm next day and my work are not exactly sympathetic, i cant get in to see my doctor until next thursday,any advice would be much appreciated.Lee
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Hi. When the seasons change and get cooler, I always get a really weird patchy rash on my neck . It is sometimes itchy, and comes and goes. To make it go away, i have found that only a cortisone cream somewhat helps. Some days it is way worse than others and looks terrible. Then, strangely, the next day it will be gone. Help!!
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Hi, Does low testosterone cause weak erection? Does over masturbration cause weak erection?I heard some people say that a man could only shoot 5000 times of sperm. And body will only produce 14 gallons of sperm. Is this true ?I don t know why but I can t maintain my erection when masturbrate.
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fell and twisted ankle in 3/2012 and diagnosed with unspecified sprain/strain left foot. Xrays showed nothing broke, MRI shows severe edema. 12 PT treatments, that helped a month ago. I continue to wrap wth ace bandage, walk and still my foot and ankle are extremely swollen, unable to get left shoes on and the ball of my foot hurts now. What could ths be???????
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Hello doctor, Recently, I found out that I am a carrier of Hb E beta thalassemia. The problem is that my fiance is also a carrier and he is carrying Hb E trait. We do not want to separate. If you can give us your valuable advice, then it will be a great pleasure for us.
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What are the secondary methods of preventing constipation?
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I am a 22 year old woman and have been experiencing extreme lower back pain on my right side that comes in waves. It hurts, and the pain moves upward a few inches, and then goes away before coming back in a few seconds. This happens for half an hour and then goes away for a few hours. It doesn't feel like I pulled a muscle in my back. What do you think it is?
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i used play football two times aweek at night for 2 hour each night my knee starting littel pian but i keep playing footbal so my the pian got more. i went x ray and they siad u don y to take an y action what i have to do? i am stiil have the pian thanks abdi
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my sons liver enzymes have been elevated since 2010- otherwise he is healthy -has a few beers once in awhile- ast 95 range 0-40 alt 195 range 0-55 no symptoms mri with dye impression steatosis no evidence of cirrhosis or hcc done 1-8-12 in 2010 sonogram liver is normal in size with hyperechoic texture, favoring moderate degree of fatty omfiltaration--no fecal hepatic lesions doctor wanted to do a liver biopsy- what is your opinion
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I am John, aged 46 years, had the problem of LGMD neurologists, not suggested any medicines, is neurokind injection will help me to get rid of this problem, as of now, I cannot walk in speed, climbing of stairs is difficult, getting up from sitting position in the floor is extreemly difficulty Pl advise if there is any medicine.
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Hello doctor,I had a FUT of 2000 grafts eight years back. Initially, I was happy with the result. After a year or so I stopped the medications (Finax 1mg and Mintop). Soon after, I again started balding. Even the transplantation hairs were not visible. So I again visited the doctor. He suggested me to carry on with the medications. My hair has started growing again. But my hair soon started falling again once I stopped using the medications after three years. Hence now I have again started the medications and have been using them for a year or so but this time I am not getting the right result. I am not confident as well as to continue with the medications considering its side effects. I read on the internet but at the same time, I cannot afford to go bald completely. I need a solution to this.
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BACKGROUND/OBJECTIVE: To study the safety and outcome profiles of tunnelled dialysis catheter (TDC) insertions and exchanges with fluoroscopy versus without fluoroscopy. METHODS: This was a retrospective cohort study of all TDC insertions or exchanges performed at our centre, between January 2017 and December 2017. Patient demographics, laboratory results and catheter placement information were obtained from electronic records. Immediate technical success, early and late catheter associated complications were collected. Outcomes for TDC inserted with or without fluoroscopy were statistically analysed. RESULTS: A total of 351 TDC insertions and 253 TDC exchanges were performed. Out of 351 TDC insertions, 261 were done with fluoroscopy while 90 were done without. Out of 253 TDC exchanges, 219 were done with fluoroscopy while 34 were done without. For both TDC insertions and exchanges, there were no significant differences in complication rates when done with or without fluoroscopy. Mean duration of catheter patency was longer for TDC inserted without fluoroscopy, after adjusting for site of insertion and presence of previous TDC. CONCLUSIONS: The technique of inserting TDC in the right internal jugular vein (IJV) without fluoroscopy is a safe and effective method in selected patients. This supports the practice of performing the procedure without fluoroscopy, especially in institutions where fluoroscopy facilities are not readily available. This potentially translates into reduced healthcare resources and hospitalisation days, which is particularly valuable in times of limited resources such as the current Coronavirus Disease 2019 (COVID-19) pandemic.
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My baby is 5 months and 3 weeks old. She usually gets these raid breathing spells that last for about 5 seconds. her breathing is very shallow and fast and she makes noises sometimes. she is not sick, as in fever, vomiting or coughing. Should i be worried.
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Hello doctor, I am 38 years old. Two days back, I was playing with my neighbor's dog (small one), my middle finger got scratch or bitten. I am not sure, but there were very few drops of blood. So, should I take the anti-rabies vaccine? Is it completely safe to take it even without a dog bite? Any side effect in future if you take it without dog bite?
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I am 47 years old and have had Fibromyalgia for just over 30 years, am on permanent CPP disability. The pain is way worse now then when I was 17, could be that I ve raised three children since then! If it weren t for my children, I wouldn t be here right now - everything I do is painful, exhausting, and depressing.... The way I explain my unrelenting pain to some people has been telling them that just because I m smiling today doesn t mean that I am not in pain, doesn t mean every single joint, muscle etc... isn t driving me mad, every second of every minute of every hour of every day etc... and that I m a good actress when I need to be! I also explain my situation this way
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3 weeks ago, began having intense severe lower abdominal/pelvic pain, no bleeding, felt like severe contractions, felt a lot of pressure like I needed to push and my bladder felt as though I was 9 months pregnant by how often it felt like I needed to use the restroom. After all the urine came out, there was a shooting pain sensation that shot up into my abdomen. ER did at CT and U/S, enlarged uterus and 7 cm mass located within the lower uterine segment. Followed up w/gyno, he did pelvic and said he felt a baseball sized mass and couldnt locate my uterus and said everything felt all twisted up. Referred me to gyno/onc.Saw one and he also did pelvic & rectal exam, looked at the ct & u/s images and said it was a fibroid and recommended total abdominal hysterectomy.Saw another gyno/onc and he is saying that I have complete cervical stenosis and Hematometra.I now dont know who to believe.
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hi, i arrived from the netherlands on monday morning. no symptoms but have been around my helper. should we get tested?
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My mother age 80 yrs - CKD , LVF , CRF , right side cardiac congestion . At present s. creatinine 7.8 , potassium 6.3 , 24 hrs urine creatinine clearence 41 , PTH 1055 , Hb 8.8 ,calcium 7.38 , phospkorous 5.64 , Magnesium 2.47 , Liver Function -- Protein 7.2 , Albumin 4.4 , Globulin 2.9 , A/G 1.51 SGPT 5 , SGOT 12 , Alkaline Phosphate 190 // BUN 46.4 , urea 99.2 // nephrologist advised for dialysis but we refused for dialysis . At present mostly unconscious , donot open her mouth ( very little ) , urine output 400 ml , pulse 61 , blood sugar 150 . Pl suggest which medicine should i give ? Regards . Rajesh Kayastha ( Valsad-Gujarat-India )
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Dear Doctor, my daughter is suffering from epilepsy for last eight years. Though the frequency of seizures are very less sometimes it did not occur for two years however, when she is in stress or have sleeping disorder, it occurs. She is taking lametac DT 50 once in the morning and two in the evening. For some time I felt some behavioural changes like missing and unresponsive. Is this the side effects of medicine or otherwise. Pl. advise. Thanks Arvind 0000
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Hi, about 2 1/2 years ago i had a bad flu and never recovered. I had diarrhea and vomitting for about 7 days and lost 7lb in weight. I started having muscle spasms and pain, so bad that I couldn t do anything for myself. Bloods showed inflammation, raised white cells and auto immune. I was referred to a rheumatologist who retook bloods which came back normal. I have a history of depression and the rheumatologist said my problems were mood related. My other symtoms are night sweats , flushing, fainting , involuntary limb and head movements. I have had occasional episodes of vomitting dark blood and I am now constantly constipated and my stools are very dark. I asked for a second opinion and the new rheumatologist seemed to listen and assured me she would get to the bottom of things. Turned out she knew the original rheumatologist and also gave a diagnosis of mood related problems. Although my bloods showed i was positive for coeliac disease but that this was probably a red herring. She also mentioned carcinoid because of the flushing and sweating but that it s very rare and highly unlikely. She said she had done all she could as a specialist and would not be carrying out anymore investigation. She said she would write to my General Practitioner and recommend Cognitive Behavioural Therapy. I really feel that because of my history of depression that I haven t been taken seriously. Could you advice please? I m female, 40 years, 10 stone 11 pound, 5ft 7inch, I have had a hysterectomy but have retained my ovaries. All bloods except coeliac have come back normal.
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suffering from skin rash in leg and some part of hand....suffering from skin rash in leg and some part of hand....suffering from skin rash in leg and some part of hand....suffering from skin rash in leg and some part of hand....suffering from skin rash in leg and some part of hand.......
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The aim of the article is to discuss the research results of the study conducted on English teachers’ negative emotions experienced during COVID-19. In order to collect the data, 30 English teachers from secondary schools were asked to keep a diary for one semester and describe situations that aroused feelings of anxiety, anger, and loneliness. The study was of a qualitative nature, and it showed that most of the emotions that the English teachers experienced were associated with the lack of support from the government and their colleagues, and also with the uncertainty about the future. © 2021 Faculty of Humanities, Maria Curie-Sklodowska University Press. All Rights Reserved.
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Hi I m Dienne i just like to ask regarding this doxylag capsule for my acne . I m taking this for almost 5 days and is it possible to take this without the doctor s advice? Coz i ve just ask query only from the pharmacy. Is their no other side effects taking this without the doctor s prescription? And is it really effective for my pimples? as it is becoming more worst now. Please help me. Thanks.
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Hello..im a nurse and i was doing diabetic accucheck..i was accidentally pricked by ze lancet used by a diabetic patient??i press my hand to get the blood out...i washed wiz detergents...but did nt get myself tested on same day.after 2 days i did a rapid test which was negative.can i get infected?
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Can you explain the pathophysiology of hypertensive nephropathy?
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What is restrictive lung disease, and what are some potential causes of this condition related to poor muscular effort?
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How can class III antiarrhythmics impact action potential duration (AP duration)?
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Hello, I was looking at ways to regrow my foreskin and was wondering if i had a small subdermal tissue expander device placed underneath the skin of my penile shaft, would it grow extra skin like they do on other parts of the body? Any other suggestion would be appreciated.
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Background Heart damage is one of complications of the novel coronavirus infection. Searching for available predictors for in-hospital death and survival that determine the tactic of managing patients with COVID-19, is a challenge of the present time.Aim To determine the role echocardiographic (EchoCG) parameters in evaluation of the in-hospital prognosis for patients with the novel coronavirus infection, COVID-19.Material and methods The study included 158 patients admitted for COVID-19. EchoCG was performed for all patients. The role of left ventricular (LV) ejection fraction (EF) was analyzed in various age groups. EchoCG data were compared with the clinical picture, including the severity of respiratory failure (RF), blood oxygen saturation (SрО2), data of computed tomography (CT) of the lungs, and blood concentration of troponin. Comorbidity was analyzed, and the highest significance of individual pathologies was determined.Results LV EF ≤40 % determined the worst prognosis of patients with COVID-19 (p<0.0001), including the age group older than 70 years (р=0.013). LV EF did not correlate with the degree of lung tissue damage determined by CT upon admission (р=0.54) and over time (р=0.23). The indexes that determined an adverse in-hospital prognosis to a considerable degree were pericardial effusion (p<0.0001) and pulmonary hypertension (p<0.0001). RV end-diastolic dimension and LV end-diastolic volume did not determine the in-hospital mortality and survival. Blood serum concentration of troponin I higher than 165.13 µg/l was an important predictor for in-hospital death with a high degree of significance (р<0.0001). Th degree of RF considerably influenced the in-hospital mortality (р<0.0001). RF severity was associated with LV EF (р=0.024). The SpO2 value determined an adverse immediate prognosis with a high degree of significance (р=0.0009). This parameter weakly correlated with LV EF (r=0.26; p=0.0009). Patients who required artificial ventilation (AV) constituted a group with the worst survival rate (р<0.0001). LV EF was associated with a need for AV with a high degree of significance (р=0.0006). Comorbidities, such as chronic kidney disease, postinfarction cardiosclerosis and oncologic diseases, to the greatest extent determined the risk of fatal outcome.Conclusion EchoCG can be recommended for patients with COVID-19 at the hospital stage to determine the tactics of management and for the in-hospital prognosis.
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My son has had several lumps appear on his head. We just had an ultrasound and e-rays done yesterday and they have told us they are something like hives under the skin and we are going to see an allergist next week. Do you have any information on something like this you can give me?
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i have a lump on the very middle of the back of my neck i have noticed it come and go over the years but now seems to be biggest ever about the size of a marble hard and stiff and is painful to touch or move my neck i also found another smaller lump the same on my scalp and on side of neck no sure what to do or what it is i am also getting new moles all over my body sudenly ...helpp
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Hi my age is .....24 not married....in previous days i recoverd from dengu....now i m fighting with T.B.(4th month gong on)and now i getting pain in lower abdomen in changing pattern sometime left side and sometime right side.....i m confused is it stone pain?............and now a days i m getting different feeling regular basis....(like involving with someone)...after that i get pain left side of stomach......what should i do i m too tensed (because of this pain after getting feeling)..........in last few days white water dont come as it came,, it is bad thing or good thng........plz suugest me wht should i eat and take steps from this feeling problem and about white water problem......plz docter help me..........plzz
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What does intestinal biopsy reveal in patients with hereditary lactose intolerance?
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What should be suspected in a patient with symptoms of spontaneous episodic hypoglycemia that resolve with glucose administration or rest?
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My daughter passed out during stretching exercises at dance. She did it again later in the afternoon and i took her to the hospital where they performed a number of tests on her....all which came back normal. Problem is , she is still very weak, shaky has headaches and sick to her stomach. Her thinking has also been a little confused. I don t know where to turn. Any ideas?
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Which gram-positive bacteria is reported to produce lipopolysaccharide (LPS)?
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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.
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The burden of Clostridioides difficile infection (CDI) has greatly increased. We evaluated the risks for CDI transmission to community members after hospitalized patients are discharged. We conducted a systematic literature review in MEDLINE/PubMed, EMBASE, CINAHL plus EBSCO, Web of Science, Cochrane Library, and gray literature during January 2000‒February 2019 and identified 4,798 citations were identified. We eliminated 4,554 citations through title and abstract screening; 217 additional citations did not meet full criteria. We reviewed texts for the 27 remaining articles qualitatively for internal/external validity. A few identified studies describing risks to community members lacked accurate risk measurement or preventative strategies. Primary data are needed to assess efficacy of and inform current expertise-driven CDI prevention practices. Raising awareness among providers and researchers, conducting clinical and health services research, linking up integrated monitoring and evaluation processes at hospitals and outpatient settings, and developing and integrating CDI surveillance systems are warranted.
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Dehydration: Dehydration occurs when you use or lose more fluid than you take in, and your body doesn't have enough water and other fluids to carry out its normal functions. If you don't replace lost fluids, you will get dehydrated. Anyone may become dehydrated, but the condition is especially dangerous for young children and older adults. The most common cause of dehydration in young children is severe diarrhea and vomiting. Older adults naturally have a lower volume of water in their bodies, and may have conditions or take medications that increase the risk of dehydration. This means that even minor illnesses, such as infections affecting the lungs or bladder, can result in dehydration in older adults. Dehydration also can occur in any age group if you don't drink enough water during hot weather - especially if you are exercising vigorously. You can usually reverse mild to moderate dehydration by drinking more fluids, but severe dehydration needs immediate medical treatment. Thirst isn't always a reliable early indicator of the body's need for water. Many people, particularly older adults, don't feel thirsty until they're already dehydrated. That's why it's important to increase water intake during hot weather or when you're ill. The signs and symptoms of dehydration also may differ by age. - Dry mouth and tongue - No tears when crying - No wet diapers for three hours - Sunken eyes, cheeks - Sunken soft spot on top of skull - Listlessness or irritability - Extreme thirst - Less frequent urination - Dark-colored urine - Fatigue - Dizziness - Confusion Call your family doctor if you or a loved one: - Has had diarrhea for 24 hours or more - Is irritable or disoriented and much sleepier or less active than usual - Can't keep down fluids - Has bloody or black stool Sometimes dehydration occurs for simple reasons: You don't drink enough because you're sick or busy, or because you lack access to safe drinking water when you're traveling, hiking or camping. Other dehydration causes include: - Diarrhea, vomiting. Severe, acute diarrhea - that is, diarrhea that comes on suddenly and violently - can cause a tremendous loss of water and electrolytes in a short amount of time. If you have vomiting along with diarrhea, you lose even more fluids and minerals. - Fever. In general, the higher your fever, the more dehydrated you may become. The problem worsens if you have a fever in addition to diarrhea and vomiting. - Excessive sweating. You lose water when you sweat. If you do vigorous activity and don't replace fluids as you go along, you can become dehydrated. Hot, humid weather increases the amount you sweat and the amount of fluid you lose. - Increased urination. This may be due to undiagnosed or uncontrolled diabetes. Certain medications, such as diuretics and some blood pressure medications, also can lead to dehydration, generally because they cause you to urinate more. Anyone can become dehydrated, but certain people are at greater risk: - Infants and children. The most likely group to experience severe diarrhea and vomiting, infants and children are especially vulnerable to dehydration. Having a higher surface area to volume area, they also lose a higher proportion of their fluids from a high fever or burns. Young children often can't tell you that they're thirsty, nor can they get a drink for themselves. - Older adults. As you age, your body's fluid reserve becomes smaller, your ability to conserve water is reduced and your thirst sense becomes less acute. These problems are compounded by chronic illnesses such as diabetes and dementia, and by the use of certain medications. Older adults also may have mobility problems that limit their ability to obtain water for themselves. - People with chronic illnesses. Having uncontrolled or untreated diabetes puts you at high risk of dehydration. Kidney disease also increases your risk, as do medications that increase urination. Even having a cold or sore throat makes you more susceptible to dehydration because you're less likely to feel like eating or drinking when you're sick. - People who work or exercise outside. When it's hot and humid, your risk of dehydration and heat illness increases. That's because when the air is humid, sweat can't evaporate and cool you as quickly as it normally does, and this can lead to an increased body temperature and the need for more fluids. Dehydration can lead to serious complications, including: - Heat injury. If you don't drink enough fluids when you're exercising vigorously and perspiring heavily, you may end up with a heat injury, ranging in severity from mild heat cramps to heat exhaustion or potentially life-threatening heatstroke. - Urinary and kidney problems. Prolonged or repeated bouts of dehydration can cause urinary tract infections, kidney stones and even kidney failure. - Seizures. Electrolytes - such as potassium and sodium - help carry electrical signals from cell to cell. If your electrolytes are out of balance, the normal electrical messages can become mixed up, which can lead to involuntary muscle contractions and sometimes to a loss of consciousness. - Low blood volume shock (hypovolemic shock). This is one of the most serious, and sometimes life-threatening, complications of dehydration. It occurs when low blood volume causes a drop in blood pressure and a drop in the amount of oxygen in your body. Your doctor can often diagnose dehydration on the basis of physical signs and symptoms. If you're dehydrated, you're also likely to have low blood pressure, especially when moving from a lying to a standing position, a faster than normal heart rate and reduced blood flow to your extremities. To help confirm the diagnosis and pinpoint the degree of dehydration, you may have other tests, such as: - Blood tests. Blood samples may be used to check for a number of factors, such as the levels of your electrolytes - especially sodium and potassium - and how well your kidneys are working. - Urinalysis. Tests done on your urine can help show whether you're dehydrated and to what degree. They also can check for signs of a bladder infection. The only effective treatment for dehydration is to replace lost fluids and lost electrolytes. The best approach to dehydration treatment depends on age, the severity of dehydration and its cause. For infants and children who have become dehydrated from diarrhea, vomiting or fever, use an over-the-counter oral rehydration solution. These solutions contain water and salts in specific proportions to replenish both fluids and electrolytes. Start with about a teaspoon (5 milliliters) every one to five minutes and increase as tolerated. It may be easier to use a syringe for very young children. Older children can be given diluted sports drinks. Use 1 part sports drink to 1 part water. Most adults with mild to moderate dehydration from diarrhea, vomiting or fever can improve their condition by drinking more water or other liquids. Diarrhea may be worsened by full-strength fruit juice and soft drinks. If you work or exercise outdoors during hot or humid weather, cool water is your best bet. Sports drinks containing electrolytes and a carbohydrate solution also may be helpful. Children and adults who are severely dehydrated should be treated by emergency personnel arriving in an ambulance or in a hospital emergency room. Salts and fluids delivered through a vein (intravenously) are absorbed quickly and speed recovery.
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Increased mortality of COVID-19 has been reported in older patients with diabetes, high blood pressure, lung disease and immunocompromised people such as kidney transplant recipients. Both the behavior of the viral infection and the treatments proposed so far interact with the state of immunosuppression and immunosuppressants. Herein, we report two cases of kidney transplant recipients with COVID-19 infection. The first patient presented with gastrointestinal symptoms and progressively advanced to multilobar pneumonia. The second case presented with fever accompanied by gastrointestinal and urinary symptoms and dry cough. Both patients responded appropriately to treatment.
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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.
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I have tried 3-4 time in a day to penetrate my wife vegina but she feel too much pain . I tried 6days . One night she fainted when penis slightly entered vegina.we have tried long time foreplay still we are not success in our sex life. Plz suggest me.
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I have a very sensitive right shoulder, right where the arm connects to the shoulder. I thought maybe it was a bruised bone, as I spent many hours sleeping on it while traveling on plane. However, this is not a bone. The sensitivity as at the surface or just under. Any sort of touch to the affected area results in serious burning pain, enough to make me tear eyed. I have a strong threshold for pain, so I fear that I might have torn a muscle or something of that nature.
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Why do i smell ammonia some times? I went to the E.R. with middle back pain and middle clavical pain and liver and gall bladder they sad not doing good. They took blood and had a ulra sound done today. Could you tell me why i smell ammonia, it's not the first time.
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OBJECTIVE Voice dysfunction is frequently reported after thyroidectomy even in absence of vocal fold paralysis. The energy-based devices such as Harmonic scalpel (HS) or LigaSure (LS) are commonly used in conventional thyroidectomy. The objective of this study was to investigate the long-term voice outcome after total thyroidectomy using energy based devices. METHODS Patients who underwent total thyroidectomy with or without central neck dissection for papillary thyroid carcinoma using HS or LS from April 2012 to March 2013 were involved. The videolaryngostroboscopy, acoustic analysis, voice range profile, voice perceptual evaluation, and voice handicap index-30 were obtained preoperatively, 1 week, 1 month, 3 months, 6 months, and 1year after thyroidectomy. RESULTS Total 92 patients (HS group: 58 cases; LS group: 34 cases) were enrolled in this study. Demographics, tumor stage, and extent of operation were not significantly different between the HS and LS group. None of the patients evidenced any abnormalities at the pre- or postoperative videolaryngostroboscopic examination. The voice range profile (highest frequency), voice perceptual evaluation (grade, rough, and breathy), and voice handicap index-30 (total, functional, physical, and emotional) showed significantly worse scores in early postoperative period (<1month), but gradually returned to preoperative values. The all parameters of acoustic analysis, voice range profile, voice perceptual evaluation, and voice handicap index-30 were not significantly different between the HS and LS group. CONCLUSION The long-term voice change after thyroidectomy shows similar results regardless of the type of energy-based devices.
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What is the importance of utilizing cell carcinoma cystoscopy and bladder biopsy in the detection of transitional cell carcinoma?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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I got a cortisone injection in my right shoulder for calcific bursitis. My right forearm is now red and warm to the touch. I have also noticed some redness in my cheeks and upper chest. My arm is the only body part that is both red and warm to the touch. Is this normal?
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I had seizures in past but noone could diagnose my seizues I am fine now but from that time I have memory problems I never have a desire to remember the past nothing comes naturally I really care for my condition. Is this a memory problem or another disorder
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I just noticed some re blotches on my upper arm - back of both arms - some on the chest - maybe 1/4 in diameter - some bigger - all are not the same shape most of them are oval -- they do not itch?? and seem to have a crusty feel to them - not really elevaed from the skin also.. I'm 64 and in generally good health - I take warafin for A-fib and weigh 200# - 5' 10" - Any idea what they might be?
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My mom had small bowel cancer in August. They did a complete tumor resection and now she has pain in her lower left abdomin. They did bone scan and ct scans multiple and didnt see anything. Yesterday she went to see the surgeon and he didnt like the way her belly button area is swollen and sore. He thinks there may be a lump there and wants to remove it. Would abdominal ct scans show a cancerous tumor by her belly button or is it more likely a surgerical hernia? Is the belly button surgery difficult to recover from? Shes 83 years old.
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I am taking amlodipine besylate and experianctng acute pain in my lower back that runs down into my legs. My doctor had me visit a physical theorapist and do exercises. The pain gets worse and my abality to walk is seriously hampered. Is there something better to reduce high blood pressure. I am type- 2 dib.? YYYY@YYYY
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So I believe I have anxiety disorder. About 3 years ago I was living with a few friends in a house. I was a frequent smoker of marijuana at the time. I went over to a friends and hit his pipe once and got really tingly feeling. I got inside of his vehicle, for him to take me back home (told him I wasnt feeling right) when he turned on his sub woofers my arms locked up, my legs kicked up and my heart was going a mile a minute. Ever since that day Ive had an anxious feeling and get nervous in large crowds. I went to a football game and once I got to my seat I immediately rushed back down and walked about 5miles home...When I go to interviews my mind is not stopping and I cant stop fidgeting with my neck or fingers or anything. what would you consider this to be? Anxiety?
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I have regular periods, but I have had a D&C performed. Lately I have been having problems which have been tagged as vulvuvaginitis by my doc. Biopsy of cervical tissue shows ulcerations, and TVS shows a left adherent ovary. I am completely distraught because m scared of having cervical cancer and can I take any vaccination for cervical cancer at 27yrs? Any suggestions on vaccination?M about 68kgs and 5.1 ft tall.
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I have a slipped disc and in horrible pain , I can hardly move, I m 55 female 57 kilos and around 5ft 2, did this 3 weeks ago had some scans done and was prescribed panadeine forte along with brufin was coming good then today just started to go down hill again but will even more pain, only was told 2 panadeine forte per day but it s not doing anything to alleviate the pain, what can I do?
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I am 26 years old, 5 foot 11, 205 pounds and have diabetes type 1. No allergies no other medical history. About a week ago today I was involved in a drunken fight with my room mate and he called me on in the back deck. Not thinking he was going to do anything but just threaten me I step out and next thing I know he swings a punch at him and hits me square in the chin. I get knocked out, police were called etc. Anyway I have a huge bruise on my chin and it's slowly going away but I noticed when I touch my chin there is a lump on the left side of my chin where I got hit. it doesn't hurt when I touch it, just feels like a lump. is that bad? Will it go away in time or do I need to see a doctor?
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A patient was admitted to the hospital with chronic obstructive pulmonary disease. His PO2 was 55 and PCO2 was 65. A new resident orders 54% oxygen via the venturi mask. One hour later, after the oxygen was placed, the nurse finds the patient with no respiration or pulse. She calls for a Code Blue and begins CPR. Explain why the patient stopped breathing.
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What is the effect of splenectomy on platelet levels?
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Adolescent gender-based violence prevention and sexuality education is a topic of current concern given the increasing numbers of violence directed at girls. International organizations indicate that one in three girls aged 15 to 19 have experienced gender-based violence in their sexual relationships that this risk may be as much as 3–4 times higher for girls with disabilities. Following the good results obtained in the research project “Free_Teen_Desire” led by the University of Cambridge and funded by the Marie Curie Actions Program in the prevention of gender violence in adolescents through Dialogic Feminist Gatherings (DFG), the aim of study is to analyze Its transfer and impact on adolescent girls with intellectual disabilities. The DFGs are here understood as generators of a more dialogic environment for girls in general and we wonder if and how It is extended to the context of girls with disabilities. Thus, the research takes the form of a case study with a communicative approach on a DFGs. The intervention is carried out in a special school located in Valencia during the 2018–2019 and 2019–2020 academic years with a group of 19 non-mixed female students, female teachers, and the mother of one of the students. The study analyzes which are the transfer criteria to incorporate the DFGs in a special education context and what is their impact on the prevention of gender violence in girls with disabilities. The data collection techniques consist of two in-depth interviews, analysis of the field diary of 24 intervention sessions and a focus group with seven teachers. It is demonstrated that DFGs are successfully transferred to the special education context of the case study. The results show how contexts of safety, solidarity and friendship are generated which protect adolescent girls with disabilities from relationships with gender violence.
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I fear that my 88 year old mother is having mini strokes. What should I look for? She has deteriorated in her walking. She walks with a can but can hardly do that now. She is sleeping a lot more and the other morning she did not know where she was or who my brother who lives with her was.
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i have so many black marks on my face .before i have few marks around nose.but now is is covering whole nose and starting both side of my chicks.i would be so pleased if u give me some sugessition .
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i was at a party last night had some alcoholic beverages after i had two slices of pizza .this morning the burnint sensation in my chest coming up to my throat woke me my chest burnt so much even my heart started fluctuate i drank some milk n it calm down throughout the day now im getting the burning feeling after eating brown stew fish what do you think is my problem doc please help me thank you much
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What to expect if I have Interrupted aortic arch (Outlook/Prognosis)?
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I am 37 weeks pregnant and the last few days I have been vomiting, having cramps when I am up for any length of time, sweaty palms, blood pressure is up and I am having a discharge but it is not an infection because I was just treated for that a week ago.
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I was recently in a situation of domestic abuse. I was punched on the left side of my face and afterwards put in a choke/sleeper hold. I went to the er and no damage to the neck, it was sprained and I have bruises and swelling on my neck. I noticed a hard painful bump behind my left ear after my hospital visit last night. Is this to be concerned about? I have small headaches and feels like my airway is tightened. I m not sure if I am just feeling anxiety. If I need to go back to the er I can.
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I have had muscle spasms on my right side of belly button or an organ spasm. When it happens I have got to push hard into my stomach to feel them with my hand . While they are happening it feels as if you could see my skin twitching from just looking. I only weigh 127 so I m not a heavy woman at all. This has been going on for three days straight about every three to four minutes apart. What could this be and should I go see my doctor about it?
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I just had a CT scan of my brain were radiologist said was abnormal which reports stated that 2 ventricules in the mid brain were inflamed,what could that mean?I have a enhanced MRI scheduled for next week but im a little worried because i know have to wear a halter monitor because my pulse and bp are not normal.
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Hello, I dont know what is wrong. On Sept 11, 2014 I went to a clinic for what they said was just a cold. But they said something about high blood pressure and prescribed lisinopril. I had a follow up the next week and they said asthma. The Saturday after Christmas I went to another clinic they said pneumonia and prescribed a z-pak. I took it all and the cough seamed to be gone for 1 week then it was back. I went back to the clinic and the prescribed a stronger antibiotic. I finished the 7 day and a week later my cough is not gone. My insurance changed and my co-pay is too much.
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I'm having pain up the right side of my abdomen. It hurts to take deep breaths, cough, yawn, hiccup etc. I went to see my doctor earlier this week and I have an ultrasound set up for next Tuesday but I'm not sure if I can wait that long. I'm slightly constipated, not throwing up and I don't have a fever. Do you have any idea what's wrong?
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I have a very minor (no pus bag and no pain) dental abscess that has made my face slightly swollen. I'm ok for the most part but am starting to feel a little faint. I don't know if its because of the abscess or just a general feeling of drowsiness. I have no insurance and very little money so I haven't and won't be able to see a dentist. After googling that an abscess could be fatal I'm now worried and concerned about my overall health. Please help
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BACKGROUND: The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has raised concern for the health of immunocompromised individuals, who are potentially at higher risk of more severe infection and poorer outcomes. As a large London transplant center serving a diverse patient population, we report the outcomes of SARS-CoV-2 infection in our cohort of 2848 kidney and/or pancreas transplant patients. METHODS: Data were obtained retrospectively for all transplant patients who attended hospital during the peak of the pandemic and had a positive nasopharyngeal SARS-CoV-2 test. RESULTS: Sixty-six patients were found to be positive for SARS-CoV-2. Twenty percent were treated as outpatients, 59% were admitted to the general ward, and 21% required intensive care. Treatment consisted of reduced immunosuppression, antibiotics for pneumonia or sepsis, and other supportive treatments. Within our cohort, 12 patients died (18%), with an overall mortality of 0.4%. Predictive risk factors for coronavirus disease 2019 severity were explored. CONCLUSIONS: Severe disease was associated with lower hemoglobin prior to coronavirus disease 2019 diagnosis and lower lymphocyte count at the time of diagnosis but not age, sex, ethnicity, or preexisting comorbidities. Lower glomerular filtration rate and higher C-reactive protein were associated with more severe disease.
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my 8 yr old grandson is having fairly severe pain in his left abdomen. My email is YYYY@YYYY sorry, just noticed I have to pay to get info....I tried on the WebMD page and to describe area, but it wont let me and then gave distorted answers that you can read. No worries, might need to take him to the hospital if this heating pad doesnt help
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I am 53 yrs old, 5' tall and weight 218 lbs. The following are meds I take: klor-con m20, hydrochlorothiazide 25mg, singular 10mg and zyrtec. I had an endometrial biopsy three weeks ago. The doctor asked me if i was allergic to shellfish. (I'm not) She said (I'm guessing) the iodine used contained salmon. A few days later I developed a rash. I have been treating it with neosporin. Helping but not quick enough. Is there product I can buy over the counter?
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I have been suffering from anxiety depression for the past 5 years. I used to do regular exercises and yoga. Now, everytime I attempt to do either causes palpitations and sleeplessness. Even an evening bath keeps me awake. I don't understand why this happens. I would like to know if I can get back to my normal life after treatment. Please help me out on this. SA
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I am a grief counselor and taking care of a 50 year old female who has spent the past two weeks in a psychiatricunit and released several days ago. One of the medications prescribed is gabapentin with a daily dosage of 2400 mgMy question is this: While in the unit on a lesser dosage she was not acting abnormally (seeing people who weren't there, imagining flying objects and almost incoherent at times). The dosage was increased 50% on release from the unit. Your comment?
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My sister in law has Stage 4 TNC, Grade III, mets in lungs, throat and brain, most recently found in left hip. She is bedridden now due to pain in back (from lungs) and in hip from cancer . She is 48 years old. She is choosing to do the hip replacement as she believes it will relieve her hip pain and keep her from being in a wheelchair the rest of her life. We are concerned as to whether the risk of surgery is worth the hip replacement. Oncologist estimates 3-4 months survival without chemo and with chemo, if she reacts most favorably, up to 2 years. Any opinion?
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I have a massive puss filled lump behind my ear which i have burst but it is now spreading up my ear and is very sore.Its been there atleast 4wks this time. Im a 30 yr old female and get the odd pimple but thats about all.i have an acne cream but this aint acne its like a massive puss filled pocket that if i play around with will burst then refill plse help its getting painfull now.
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hi.. i first started out having abdomen pain. stomache ache . then it progressed into my chest. i was dianoised with hiatal hernia/gerd 4 yrs ago. now i tried everything antacids. my stomache pains has gone away but i still have a dull aching pain in center of my chest. ekg was done at urgent care . they gave me some liquid stuff to drink but the aching pain came back its been going on now more than a week what should i do
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