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I took my husband to the ER today with an abcessed boil which they lanced and treated. The doctor mentioned something about if the infection was deep enough it could be something else that is life-threatening...the word sounded like forney??? Do you know what Im talking about and what this is?
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Hi I am suffering pain in Testicle and also getiing lowe back pain.Not frequently but occasionally. I had already consulted three doctors in Bangalore and did Scanning .But they couldnt provide me the proper reason .Can you please help me on this.Thanks & Regards , Antony M R
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I had an ultrasound which showed tumors in my lymphatic system. I have experienced severe back pain, a painful lump under my right arm and most recently pain in my left arm from the shoulder to the elbow.My appetite has diminished causing a slight weight loss and my energy level is low.
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My hair have become very thin, and less. I consulted a specialist and was prescribed MinoXidil 10%. but on consultation to another doc, i's told not to use minoxidil at this age. He prescribed me natural fruits, egg, and milk in diets, and in support tablets "AZ3 500mg" and "tablet BTN ultra". Now tell me what's the best solution.Sanjay/19 yrs/5'10/70 kg0000
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With the relative ubiquity of smartphones, contact tracing and exposure notification apps have been looked to as novel methods to help reduce the transmission of COVID-19. Many countries have created apps that lie across a spectrum from privacy-first approaches to those that have very few privacy measures. The level of privacy incorporated into an app is largely based on the societal norms and values of a particular country. Digital health technologies can be highly effective and preserve privacy at the same time, but in the case of contact tracing and exposure notification apps, there is a trade-off between increased privacy measures and the effectiveness of the app. In this article, examples from various countries are used to highlight how characteristics of contract tracing and exposure notification apps contribute to the perceived levels of privacy awarded to citizens and how this impacts an app's effectiveness. We conclude that finding the right balance between privacy and effectiveness, while critical, is challenging because it is highly context-specific.
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Hello Dr. Rynne, My Spine Specialists office has a young PA who gave me a 3 wk follow up exam after an ESI, L4 & L5 areas. I haven t noticed much difference in pain, however the sciatic pain in my gluteus muscle is a little less, although not non existent. There is rarely a sharp shooting pain down my entire leg into my foot, compared to every now and then before the injection. She said I confused her because so much of my pain is at the spine, and all the surrounding muscles (like a band), but there are plenty of sharp pains in that area, and they continue. She Opts for a test procedure next time (MBB) to see how much of my pain is coming from arthritis around the facets at L3,4,5,S1. How can she tell? I m in severe pain, especially upon standing & bending.
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doctor i am experiencing uneasy feeling on the left chest always. recently i had a checkups regarding this. including threadmill stress test also. that time according to the result my BP response was normal. but still i am getting pressurised occationally
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Robot-assisted partial nephrectomy (RAPN) has gradually become a popular minimally invasive nephron-sparing surgical option for small renal tumors. Ischemic injury should be minimized because it impacts renal function outcomes following partial nephrectomy. Herein, the authors detail the technique and present initial perioperative outcomes of our novel harmonic scalpel "drilling and clamping" method to implement zero-ischemic RAPN. The authors prospectively collected baseline and perioperative data of patients who underwent zero ischemic RAPN performed by our harmonic scalpel "drilling and clamping" method. From April 2012 to December 2014, a total of 19 consecutive zero ischemic RAPN procedures were performed by a single surgeon. For 18 of the 19 patients, RAPN using our harmonic scalpel "Drilling and Clamping" method was successfully completed without the need for hilar clamping. The median tumor size was 3.4 cm (range: 1.8-6.2); operative time was 3.2 hours (range: 1.9-4.5); blood loss was 100 mL (range: 30-950); and postoperative hospital stay was 4 days (3-26). One patient required intraoperative blood transfusion. Two patients had intra or postoperative complications: 1 was converted to traditional laparotomy because of massive bleeding, whereas another had postoperative stress ulcer. Pathology confirmed renal cell carcinoma in 13 patients (63.2%), angiomyolipoma in 6 patients: (31.5%), and oncocytoma in 1 patient (5.3%). Mean pre- and postoperative serum creatinine (0.82 mg/dL and 0.85 mg/dL, respectively), estimated glomerular filtration rate (84.12 and 82.18, respectively), and hemoglobin (13.27 g/dL and 12.71 g/dL, respectively) were comparable. The authors present a novel zero-ischemic technique for RAPN. They believe that this technique is feasible and reproducible.
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I have hives on my chest, upper thighs, back, shoulders, arms and neck that appear to have started out with just a couple of small itchy boils on my elbows (which I believed to be bug bites). I live in Wisconsin and it has been crazy cold the last month. My doctor initially believed my rash to be directly attributed to the lack of moisture in my house. He recommended I shorten my showers, take zyrtec (because I had previously taken both benadryll and loradadine with no result), and the temperature of my showers, only shower every other day, use a dove moisturizing soap and apply Eucerin lotion generously. It has been over a week now and the symptoms haven t gotten any better. My intensely itchy spells seem to come and go, but the rash still remains present. I shave my chest and my arms, but I don t believe this to be a factor as I ve been doing it for over 14 years. I track all of my food intake meticulously and haven t changed anything with my medications, laundry detergent, fabric softener, or any body cleansers prior to the onset of this rash. Any assistance you could provide would be GREATLY appreciated as I have been up since 1
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Hi I just went and had blood work done for my thyroid because I have been hypothyroid, and the tests came back that my TSH was stable by my liver enzymes were at 89 and 117. I am only 18 yrs old and 120 lbs. Have never drank alcohol or engaged in other risky behavior. I am very worried about hepatitis.
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Constant chest pain that occasionally gets worse for a few seconds or minutes, labored breathing, numbness and tingling in left shoulder, lips and tongue, lightheaded, near fainting, difficulty swallowing ( painless), and a popping sensation at the right side base of my throat that is extremely uncomfortable
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What is the ego defense mechanism that involves separating emotions from ideas and events?
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Some of the newly emerging corona viral variants show high numbers of mutations This is unexpected for a virus with a low mutation rate due to an inherent proof-reading system Could such a variant arise under very special conditions occurring in a host where the virus replicates and mutates in a rather unlimited fashion, such as in immune compromised patients? The virus was shown to replicate in an immunosuppressed cancer patient for more than 105 days and might be a source of new variants These patients are asymptomatic and the virus may therefore escape detection and attention and be high-risk Similarly, HIV-infected individuals may be immunocompromised and support coronavirus replication with increased mutation rates The patients may promote "within-host evolution" Some of the viruses present in such a highly mutagenic swarm or quasispecies within one patient may become founders and cause a pandemic by further "between-host evolution" B 1 1 7 with 23 mutations may be such a case Immunosuppressed patients can be identified and treated by the synthetic antibody cocktails as passive immunization and kept under control Immunosuppressed patients can be easily identified and supervised by healthcare workers-once they become aware of the risk-to avoid new variants with pandemic potential
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i have a bruise type lump under the skin at the side of my shin, it has been there for over 3 weeks and gets darker at times ans has got slightly bigger over time...its about an inch and a half roundit feels like a lump but i have not knocked it at all and it hurts when pressed do you have any idea what this might be?
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Hallo! my brother was operated on to remove grade 11 tumor last year, then went through several sessions of raiotherapy. lately started experiensing severe convulsions every 2 weeks, the last one was Fri last week where he had three in hourly intervals despite being on antiseizure drugs. MRS showing gliotic lesions.What does this mean?
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I am a 16yr old guy and i live in saudi arabia. here it is usually summer and wayy too hot during the summer. and wen i play outside during summer. my skin becomes darker and i get small blackheads and pimples on my neck and face, i tried using fairness creams and face washes. but they are only making my skin dry and dull. (and my skin is dry skin to make matters worse. i really dont know wat to do..plz help
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Hi,earlier today I had 4 teeth extracted and I had a few needles to nb the pain. 12 hours later and a portion of my lip is numb and swolloem, the small area has also risen and is tinged white. No other part of my mouth seems to effected but this area on my bottom lip.what is it and is it a concern?
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I am a runner and love to do yoga. 6 weeks ago while doing splits, I heard a big pop in my R buttocks, then have had severe pain when I walk up hills or stairs, or move my leg backwards. It has been 6 weeks of rest and ice and ibuprofen and it's getting worse. WOndering what you think this is - specifically the pop - and what else to do to make it better. Thanks
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What is the recommended diagnostic test for assessing stable patients with blunt abdominal trauma?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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I had Mirena placed in November 2010. I still have it and my periods are heavier then they ever have been and last like 2 weeks or more. About 3 months ago I got horrible rash patches on my legs and inside of my arms that itched like crazy. I also got red tender bumps all along the inside of my pointer fingers and thumbs. I was put on the Zpak and steriods for my respiratory infection that I ended up getting a month ago and the rashes and bumps went away. Soon as I was done with my meds the bumps came back even worse. They were so tender like I had splinters all in my fingers.So I was put on a second round of antibiotics and steriods. Now I get them every now and then but not how they were. Now my big thing is a major smell down there that wont go away! I thought maybe it was from being on two rounds of antibiotics and steriods but all the research seems to point at the Mirena which has been a pain ever since I got it! It cant be BV because the antibiotics I had been on for a month now would have cleared it up! Theres no other side effects with the smell, no itching no burning nothing! HELP!
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My husband (38 years old) was diagnosed with congestive heart failure 4 years ago. The last couple of days, he has started getting hives when he goes outside in the cold air (we live in Michigan, always have). It is only the exposed area of his skin and it goes away within a few minutes of getting warm. Should he talk to his cardiologist about this? Is it something that could be serious? I have read that it could be cold urticaria, but I don t know how serious that is for someone with his condition.
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My MRI shows significant inflammation of the collar bone on my left shoulder. I have full range of motion with limited pain but I worry about doing weight training. Rest is not making this better. Is surgery to cut out the inflammation the best solution?
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some times when i bath and i wash the penis and balls. cuts or bruises appear on my balls. im not sure why it comes. but i think it is because i wash my balls alot and because the scrub really hard. and it only comes in the places i spend time on. answers please
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Hello doctor, I am a 40 year old man. I have the following problems while walking. Foot pain in the early morning after walking or after sitting for a long period of time. It was diagnosed a few years ago as plantar fasciitis. I use shoes with special support, insoles and cushion on the socks. Also, I have pain in my right knee, especially in the inner side. This is only for the last two months I want to know whether I can do any exercises or stretches to improve the condition. Is there any other home treatment option for the knee and the feet?
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i had my first sexual intercourse when i was 16 years old but i was sexually active when i was 18 years old.. i have had 10 sexual partners before and now my boy friend.. i started taking birth control pills this year on may2011 then i started taking emergency pills i dont know how much but i know it was more than 20 times. i have pain in my lower right abdomen and i have a buldge inside the top wall of my vagina.. i think its a bladder prolapse and after i urinate it hurts and it is irritating but im sure it isnt UTI.. i have sypmtoms like abnormal spotting and vaginal discharges and muscle pain.. please help me
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i have had a successful kidney transplant two months ago and my kidney function is back to within normal range but drs say a ct san shows my native kidneys which are both gone show multiple cysts with internal debris and want to take them out surgically. since i have been already thru a serious operation am concerned that they have concluded that native kidneys should come the ct scan report does not appear to be conclusive about cancer in renal cells and want to know how we can be certain
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Hello. I'm a 20 year old male who recently (about a month ago) suffered from a Peritonsillar Abscess. About four days ago, I woke up with severe pain in my upper left flank. For the last 48 hours or so, my right testicle also appears quite swollen, tender to the touch and it pulses occasionally which causes pain, I can feel the "bag of worms" I've read about online, and it is hanging much lower than the left one. As well, I have been unable to sleep for three days and am suffering from tingling all over my extremities, minor spasms, exceedingly dry throat and bleeding gums (my teeth feel loose too), dark, cloudy odorous urine, the need to urinate frequently, a slight fever, a constant headache, and my mental state is rapidly deteriorating (i.e. becoming increasingly forgetful, irritable, etc.). I take creatine, adderall, drink alcohol occasionally, and hardly smoke. I'm in good shape too.
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Q:A 10-year-old boy is brought into your clinic by his mother for sunburns that have not been healing. The mother states that he easily gets sunburned. The mother admits she gave birth to him at home and has never taken him to see a doctor. The patient walks with a wide stance gait and appears unstable on his feet. He has an extensive erythematous, scaling, hyperkeratotic rash on his face, neck, arms and legs. After extensive workup, the patient is found to have a genetic disorder that results in defective absorption of an important vitamin. Which of the following is likely to be low if measured??
{'A': 'Niacin', 'B': 'Vitamin A', 'C': 'Vitamin K', 'D': 'Folate', 'E': 'Vitamin B12'},
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hi, I am 34 years old and suffering from serious anixity disorder that is ocd for so many years and now i have been taking medicine for atleast one and half years. In fact i have been cured up to 80% not completely. My main problem is unwanted thoughts whicChatDoctores in my mind regularly and there is no break not for a single moment whenever I try to think something same and distrubing thought comes in mind and have been ruing my life toltly sick life. I have been feeling every condion which are possible in ocd such as door checking, gas checking, sexul thughts, stress, doubts, suspicians, insomnia, heart beats, sweating, unwanted thoughts and I had enclosed myself in to darkness of a room and just watching tv for hours continously
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Hi. I am 26 years old and recently, not constantly, but often break out in the sweats. I have ran a low grade fever for a few days and of course my mind automatically goes to cancer with those symptoms. However, I do have allergies and a possible sinus infection right now And a lot of stress/ anxiety as I am starting a new job and just moved. Thoughts?
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I am a 27 yr old male. After recent unprotected sex with my current girlfriend I noticed some pimple like bumps on the side of my penis... It started as two one on the mid right side and one on the mid left side.... The recent bout of sex was vigorous and slightly rough so I figured it was due to that and chalked it up as ingrown hairs or just zits... The bumps formed white heads and all but popped on their own. they appeared 1-2 days after this sexual instance. 2 more days went by and as I went to urinate I noticed the same bumps some with white heads, some without spread all around my groin area... Not in clusters but individual bumps scattered midway up my penis shaft to the base, above my penis in my pubic hair as high as my waistband of my boxers, on the upper inner part of both thighs almost in the crease of my groin. I am concerned it might be hsv 2. The bumps will pop and become tender afterwards but not any excruciating pain. They pop with clear pus normally no blood, and they hurt when popped to the point that I don t want to squeeze them all the way to fully drain them. My girlfriend said she got tested 3 months ago and was completely clean. she also is very trustworthy( I know many may doubt this but trust em she is) and she hasn t been with anyone else since being checked out. Is it possible for me to have an std from someone else long before that lied dormant until it was triggered by our recent spat of rough sex? I haven t slept with anyone else win over a year.
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Hi, I often have difficulty breathing when I'm only in crowds, especially inside a packed train. Also, I don't have any difficulty breathing when I'm in a crowd with a friend or someone I know well. Also, I don't have these symptoms from meeting new people or talking for a presentation.
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ak I have asthma which seems allergic because when I change cities, it either gets better or worsens dpending upon city. I have it for the last 25 years. I have been taking salbutamol inhaler but I wish to stop it as it is creating shaking / tremors in my hands etc. What are the alternatives please ? (with less side effects) AK Agarwal
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my daughter (12 years) is having jaundice for last 10 days.she is passing red color urine.Presently her medicines are as follows TAB UDILIV 1-0-1,SYP LIVERIL 1 TSP 1-1-1 TAB SPOROLAC 1-1-1,SYP DUPHALAC 5ML 1-1-1 ,TAB PAN 20MG 1-0-1.Could you please help me?
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I am female. Late 50s. I still love my husband of 25 years. Over the last 10 (or so) years sexual intimacy has diminished and now disappeared. I thought that this was a natural adjustment, especially for my husband, at this time of life. 3 years ago he resumed a relationship by phone and letter with his girlfriend from school days, arriving at the point where he was convinced they were in love (again) Although painful (for both of us) I saw it through on the understanding that there was a definite element of mid-life crisis going on. As we talked I was able to regain hope of the possibility for finding renewed love, openness and intimacy. However, during this time he turned to self gratification via pornography on the internet. I have endeavored to be patient and understanding whilst also making sure that my own desires and needs are recognised. I have tried everything I can think of from humour to love to opening my heart to tears to seduction. Nothing works and my husband will not open up or let me in on what is going on for him. Perhaps he is at sea himself and yet I do feel let down that he cannot make some effort for my sake. I know the behavior is not in the normal spectrum of behavior. Looking back I can see that although my husband has shown love and affection to me in many ways, I do not think he has ever found it easy to be truly intimate. I could say the same for me to some degree and have tried to acknowledge my own insecurities but I do genuinely think that the lack has been rather more on his side. Even in early courting he would rarely hold hands and he has never really wanted to engage in kissing or caressing or to engage in pleasant shared activities such as sharing a bath (for example) This has in turn restricted my own responses or ability to take initiative as I have felt like I was trying to push something that wasnt required. This goes to the deepest core of my being and who I am. Now I feel Im getting on a bit and find it increasingly hard to know what to do or to expect from our relationship. I try and stay positive but sometimes I just cry myself to sleep. Sometimes my husband hears it and does nothing. Then I feel bereft. I recently heard the term sexual anorexia used. Im not particularly keen on labeling but thinking about it,from what is said, many factors seem to make sense. Is this a good way to seek to understand the problem? How can I find support and the best way forward? Can you help me? Thankyou for listening.
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I have a throbbing pain on my right hand side. It began off and on a couple of months back. Now it is effecting my sleep, and daily activities. It has begun to be constant in the last few days. It is directly on my side around the middle; above my hip area.
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hi dr. im 42 yr old frm india. pure vegetarian. i got diagonised as type 2 diabetic in a border sice 4yrs and was under food control and brisk walking. diet etc. since tis jan i had advised glycomet tab & now recently taking glimisaveM1 tab.. 1 tab only in morng aftr brkfst. now my augar level.. fbs is 98. ppbs is 174. and nite 1tab aztor10mg for my cholestrol. now aince many wka im getting pains in pelvics and now started pain in lower bk.. i got heavy gastric probs. and 2yrs bk i had gt operated for apendicitis. i dont have any urinary infection. no symptoms of urinary probs. kly help me.. whether i am sufrng frm prostrate infections or hernia???
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Background: The coronavirus pandemic (COVID-19) control has now become a critical issue for public health. Many ecological factors are proven to influence the transmission and survival of the virus. In this study, we aim to determine the association of different climate factors with the spread and mortality due to COVID-19. Methods: The climate indicators included in the study were duration of sunshine, average minimum temperature and average maximum temperature, with cumulative confirmed cases, deceased and recovered cases. The data was performed for 138 different countries of the world, between January 2020 to May 2020. Both univariate and multivariate was performed for cumulative and month-wise analysis using SPSS software. Results: The average maximum temperature, and sunshine duration was significantly associated with COVID-19 confirmed cases, deceased and recovered. For every one degree increase in mean average temperature, the confirmed, deceased and recovered cases decreased by 2047(p=0.03), 157(p=0.016), 743 (p=0.005) individuals. The association remained significant even after adjusting for environmental such as sunshine duration as well as non-environmental variables. Average sunshine duration was inversely correlated with increase in daily new cases ({rho}= -2261) and deaths ({rho}= -0.2985). Conclusion: Higher average temperature and longer sunshine duration was strongly associated with COVID-19 cases and deaths in 138 countries. Hence the temperature is an important factor in SARS CoV-2 survival and this study will help in formulating better preventive measures to combat COVID-19 based on their climatic conditions.
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I have been having an odd recurring problem. When it manifests it usualyy lasts 2 to 3 days. The symtoms are edema in my feet up to my knees, severe pain in my feet when I try to walk and a very sore back. Someimes accompanied by a slight fever and a feeling of disorientation and weakness. Also a chills and shakes.
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello doctor, I have been dealing with a stomach issue for almost four years. It originally was extreme pain and tarry stool once. It was first diagnosed as an ulcer as I was negative for H. pylori. I was given antibiotics just in case, PPIs and H2 blockers. Since then it has gotten worse, gotten better and so forth. I do drink a good amount of alcohol, although I stopped cold turkey two months ago because it was causing pain. I am currently taking Carafate; several PPI's a day and H2 blockers. I eat extremely low-fat diet, I have lost 20 pounds in the past two months. I eat a low acid diet, no caffeine, no alcohol, I take my PPI's on time, as well as Carafate, and as directed. I have no pain during sleep. Once I awake, the pain comes back in flat position. If I get up, it does not or is less pain. The pain is in one point upper abdomen, center, directly below or behind the sternum. It is helped by drinking cold water. Sometimes, it goes away after I eat. Made worse if I eat fatty food, even moderate amounts of fat. The pain is very close to the surface of the abdomen, and it does not go to my back. I have had sore throats as well. I would imagine that it is from acid reflux. I did have acid reflux for 8 to 10 years, off and on, and I did not do a good job of controlling it at first. I have taken Prilosec, Nexium and recently Dexilant. A year and a half ago, I had a cat scan with fluid drank before hand (I believe it was called a HIDA scan) and an ultrasound. The only thing that was found was a fatty liver, and no other problems were found. Is there any other type of prescription or medication I can pursue?
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Hi there- I am having a 5.6 centimeter benign cyst evaluated by my urologist. It is preceded by a serious kydney infection and is assessing whether he should use the long needle to deal with the cyst or less usual laproscopy. He thinks there may be a possibility it might me slightly pushing on the kydney. What are your thoughts. Victoria
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Diabetic MN usually presents in ageing and clinically hypertensive patients and is associated with severe global glomerulosclerosis, IFTA, and afferent arterial lesions histologically.
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Dear DoctorI am a 20 Jr old female, and experiencing a weird/uncomfortable/dumb feeling in my left arm. I got this feeling ever since I can remember. But for the past 2 months I have this feeling and felt like it got worse. I have to hit my arm and give it some painful pressure or stretches to make it feel a little bit better, but that doesn't really work. I am experiencing with the left arm for 2 weeks now, shortness of breath, but have no pain in my chest. Today my hand started getting worse for I couldn't even hold my phone properly for it felt too heavy, and my arm was too weak to help me hold it. Although I can still move all my fingers and lift up my arm, the feelings of weakness comes and go, but still the weird feeling remains. Please can you help me?
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hi i never had sugar problem, no family history , few days back i had cough and cold and i have taken homeopathy medicine for same along with that i have taken Licorice ( Muethi) with honey in excessive quantity. later i found thirsty and urination frequently . so i checked my sugar level and it was 294. Pls advice why sudden rise in blood sugar
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I have a question. I was diagnosed with a 5 cm adrenal gland tumor and 10 gallstones, I am in constant pain, tired, naseau, light headed, etc. I was told I need both the gallbladder and tumor removed. I have a doctor who is capable of removing both however will this be able to be done laproscopically. I was told that, since the tumor is 5 cm and both that and gallbladder needs removed, it must be done with the open procedure.
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On the 23 March 2020, a country-wide COVID-19 lockdown was imposed on the UK. The following 100 days saw anthropogenic movements quickly halt, before slowly easing back to a "new" normality. In this short communication, we use data from official UK air-quality sensors (DEFRA AURN) and the UK Met Office stations to show how lockdown measures affected air quality in the UK. We compare the 100 days post-lockdown (23 March to 30 June 2020) with the same period from the previous 7 years. We find, as shown in numerous studies of other countries, the nitrogen oxides levels across the country dropped substantially (â¼ 50%). However, we also find the ozone levels increased (â¼ 10%), and the levels of sulphur dioxide more than doubled across the country. These changes, driven by a complex balance in the air chemistry near the surface, may reflect the influence of low humidity as suggested by Met Office data, and potentially, the reduction of nitrogen oxides and their interactions with multiple pollutants.
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Hello doctor, My mother had a urinary infection caused by Escherichia coli. She was treated with a 10 days course of Nitrofurantoin. The count of bacteria in her urine then was 500 hpf and 50 WBCs. Her symptoms were relieved. But after a week, she feels slight burning sensation now. During the infection period and now she has been having an urge to go to the toilet quite often and some irritation while passing the stools too. The stool is watery. We got her routine blood tests done and her WBC count in blood is slightly higher. She has no fever. Please advice.
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Hi . I had an MSSA Staph infection about a year ago that was treated at the hospital and then at home with IV antibiotics. I was wondering if in the future I would be more suseptabile to having that happen again in the future than a person that never had that
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INTRODUCTION: The first documented case of COVID-19 in Kenya was recorded March of 2020. Co-morbidities including hypertension and diabetes have been associated with increased morbidity, hospitalization, and mortality among COVID-19 patients. This retrospective study describes the clinical characteristics, disease severity, and outcomes among the patient population at a tertiary hospital in Kenya. METHODS: This was a retrospective descriptive study of COVID-19 patients who were admitted between March 2020 and December 2020 at the Aga Khan University Hospital in Nairobi, Kenya. Data collected include patient demographic and baseline characteristics. Differences between patients who were known to have diabetes and hypertension during admission were compared for statistical significance. Difference between those who survived and those who died were also compared for statistical significance. RESULTS: A total of 913 records of patients were studied with a mean age of 51.2 years (SD = 16.7), 66.5% were male and 80.8% were of African origin. History of diabetes, hypertension, and HIV status were at 27.3%, 33.1%, and 2.3%, respectively. At presentation, 33.1% (302/913) of patients had known hypertension by history, and following admission, this proportion increased to 37.7% (344/913). At presentation, 27.3% (249/913) of patients had known diabetes. During hospital stay, 20.8% (190) more patients were found to have diabetes, raising the overall percent to 48.1% (439/913). When comparing diabetes and hypertension at baseline versus at the end of admission, diabetes increased by 20.8% (p < 0.001) and hypertension by 4.6% (p = 0.049). HIV co-infection was 2.3%, and no patient had tuberculosis. CONCLUSION: This study showed a high incidence of co-morbidities in patients infected with COVID-19. Diabetes was most common, followed by hypertension. All patients admitted with COVID-19 infection should routinely be tested for diabetes with HbA1c and have regular blood pressure monitoring in order to diagnose occult diabetes and hypertension. Adverse outcomes were found in patients with these co-morbidities and should be monitored and treated appropriately.
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hi doctor my name is chiranjiv n my son is 1 yr 7 mnth old n he every mnth sufers 4m cold n cough. even he was hospitalized 4 this. now whenever he suffers 4m cold n cough we nebulize him with asthalin n budecort .n after that he feels good.so i want to know that is it harmful for my son??
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hi doctor I am VDRL positive since 2 years but at that time my TPHA was negative and doctor advice me Benzibiotic injection just one and after that I did not go back for any test but just one day ago I did TPHA Because I was feeling rash on my body at that time tpha was positive and vdrl Ratio was 1.2 so what I need to do I am to much worry about allI am MARRIED should I need to continue sex with my wife
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My mother inlaw has final stage copd. The doctors gave her 2 months. It now over 3 mo nths and they are looking to send her home. We were told she would oxygen 24/7 that was a week ago. Today they said her blood oxgen is perfect and she no longer needs it. She went from bed ridden to moving around a bit. How could this be possible or was there a misdiogious. This is the second time in 2 years this had happen. Even the doctors cant explain it.
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Which type of collagen is responsible for making up cartilage?
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The term PROS (PIK3CA-Related Overgrowth Spectrum) indicates a wide spectrum of overgrowth disorders related to somatic mutations in PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) pathway. We present three cases with PIK3CA mutation and clinical characteristics encompassing MCAP (megalencephaly-capillary malformation) condition but lacking all criteria to a certain diagnosis, most of all showing prevalent and peculiar involvement of cerebellar structures at MRI (magnetic resonance imaging) mainly consisting in cortical rim thickening and abnormal orientation of folia axis. These cases expand the spectrum of intracranial MRI features in PIK3CA disorders.
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hi, my mother has been suffering from fever, nausea, stomach ache, and vomitting. She has a past record of rheumatid arthritis and recently diagnosed with TB. When consulted from local physician, he diagnosed it as viral infection. he has prescribed Omee-d, paracetamol, cefixime and alamin-m-forte. However, there has been no recovery from past 2 days. Can you please help ?
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BACKGROUND: Reports have suggested an association between the development of myocarditis and the receipt of messenger RNA (mRNA) vaccines against coronavirus disease 2019 (Covid-19), but the frequency and severity of myocarditis after vaccination have not been extensively explored. METHODS: We searched the database of Clalit Health Services, the largest health care organization (HCO) in Israel, for diagnoses of myocarditis in patients who had received at least one dose of the BNT162b2 mRNA vaccine (Pfizer–BioNTech). The diagnosis of myocarditis was adjudicated by cardiologists using the case definition used by the Centers for Disease Control and Prevention. We abstracted the presentation, clinical course, and outcome from the patient’s electronic health record. We performed a Kaplan–Meier analysis of the incidence of myocarditis up to 42 days after the first vaccine dose. RESULTS: Among more than 2.5 million vaccinated HCO members who were 16 years of age or older, 54 cases met the criteria for myocarditis. The estimated incidence per 100,000 persons who had received at least one dose of vaccine was 2.13 cases (95% confidence interval [CI], 1.56 to 2.70). The highest incidence of myocarditis (10.69 cases per 100,000 persons; 95% CI, 6.93 to 14.46) was reported in male patients between the ages of 16 and 29 years. A total of 76% of cases of myocarditis were described as mild and 22% as intermediate; 1 case was associated with cardiogenic shock. After a median follow-up of 83 days after the onset of myocarditis, 1 patient had been readmitted to the hospital, and 1 had died of an unknown cause after discharge. Of 14 patients who had left ventricular dysfunction on echocardiography during admission, 10 still had such dysfunction at the time of hospital discharge. Of these patients, 5 underwent subsequent testing that revealed normal heart function. CONCLUSIONS: Among patients in a large Israeli health care system who had received at least one dose of the BNT162b2 mRNA vaccine, the estimated incidence of myocarditis was 2.13 cases per 100,000 persons; the highest incidence was among male patients between the ages of 16 and 29 years. Most cases of myocarditis were mild or moderate in severity. (Funded by the Ivan and Francesca Berkowitz Family Living Laboratory Collaboration at Harvard Medical School and Clalit Research Institute.)
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What to expect if I have Transient tic disorder (Outlook/Prognosis)?
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I ve been diagnosed with thrush. I have taken canestan pessarys, used cream, taken a single dose of oral tablet (can t remember it s name) and was given sporanox to take 2 twice a day then repeat 5 days later. I m so uncomfortable with it. Nothing seems to help. I can t sleep as it gets unbearable at nighttime and now I have blood in amongst the discharge. Please help. It s been nearly 2 weeks now
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My, 35-40 lbs, 21 month old climbed up to where I was relaxing on the couch and went to sit on my lap... Then she jumps up and slams her butt into my stomach! This happened last night and had me doubled over in pain. Today my stomach has hurt all day and I ve also felt nauseous. Anything I should be concerned about?
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I am 42 years and my wife is close to 34 years and we have been actively trying for 9 months. my wife was put on clomid for the last two months with no pregnancy. my SA result the last month came as: volume 3.2 mlcount 91 million per mlliquefication time 75 minActive motile 30% first hour and 20% second hourSluggish motile 25% first hour and 30% second hourMorphology 95%Abnormal 5%Should i worry about that result.
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I had a severe allergic reaction to an ant bite about a week and a half ago. Blood pressure dropped to 70/63 and was rushed to the ER and was given loads of Benadryl, went through 2 bags of fluid and had to be put on oxygen. I m still very tired though, I have this running exhaustion feeling. My question is- how long is this supposed to last? Is it normal for me to be feeling so tired?
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I have a tickling and small pinching feelings on left side of face. Like as if its being eaten by small insects or so. It goes away for like an hour once I take panadol then it comes back. I can t touch my face, when I do as if the skin is so thin. May it be something serious? Or just a coming cold maybe? Because also when I drink cold water the left side of my teeth hurt just a bit. What could be possibly causing this? Thanks.
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What are the potential adverse effects associated with Daptomycin use?
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What is ampicillin, and what is a potential side effect associated with its use?
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I have been on 20 mg of lisinopril once a day for about 60 days. Blood pressure in AM's is about 139 over 85to 90. In the evenings it goes to 139 over 96 to 100. I have a doctors appointment in a week. I excersised tonight and 1 hr later it is 139 over 111 and 15 minutes later it was 139 over 95. Can I take one more pill per day?
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I broke my tailbone 10 weeks ago. It was healing slowly until today when the pain has seemed to increase. I sit during the day for work and have been able to deal with it for the past few weeks after being off for 3 weeks because of the break. Is it normal that all of a sudden the pain has increased again?
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Hi Doctor, I m 33weeks and 2 days pregnant today. My OB has given me ARG 9 sachet one day each to increase the weight of the baby. In my last scan it was 1.3kg when it should ve been 1.5 kg. But past 2 days I m having itching in my feet(sole). I hv been taking UDILIV 300mg and was relieved of itching. But is it reoccurring due to ARG 9? Should I stop taking ARG 9? Plz advise.
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My husband , 31 yr male, has following problem. He has history of kidney stones . at present, he is diagnosed with multiple calculi in right kidney, with largest 5mm in midpole. multiple calculi in left kidney, with largest 7 mm in lower pole. 8 mm sized left proximal ureteric calculus with ipsilateral hydroureteronephrosis. Is it advisable to go for DJ stent + ESWL procedure, OR are there any other methods by which these stones can be removed more easily? Also what would be the cost of DJ stent + ESWL procedure approximately?
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I have been doing medical stuff all week for my work. I had an MRI done on my shoulder and they had to put contrast into it before the MRI two days ago.. I am not sure if this is related but now I have a red tent to my semen ..what could cause that. Also it hurts not during but after uranation.
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I'm a 23 yr old female in excellent health (gym every day). I feel a tightness in my chest and can hardly breathe. I just took my blood pressure and it's 138/81. I am currently taking synthroid, bactrum, and birth control. i took an excedrin for a headache...do i need to go to my doctor?
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Hi, I have a lump thing near my pantie line, and I m a little concerned as to what it is. It has been there for probably about a month, maybe longer, but I only noticed it about 3 weeks ago. Since then, it hasn t changed at all, it hasn t grown, it hasn t decreased in size and it doesn t hurt... It s just kind of there. It is quiet small, probably a little smaller then pea size. It is under the skin, it doesn t push up like a boil would and I m certain that it isn t a boil because it hasn t grown and it doesn t hurt when I put pressure on it. It is a normal round size too. I would go to my local GP, but because I am in University, I am registered with them and no longer at my GP and at the moment, the doctors isn t available. Thanks Shannon
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Hi, My question is as followed
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hello Doctor, I am a 57 yr old male who suffer from Lupus associated with connective tissue disorder. I have been diagnosed to have dilated ascending aorta, which has increased in size from 3.6 cm to 4.6 cm within 9 months. what precautions do I need to take with my health?
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Hi, may I answer your health queries right now ? Please type your query here... Two months ago, I used to get up from bed in the morning with mild pain in the lowest rib (front side) sometimes on the left and sometimes on the right. The pain would disappear as the day progressed. About a month ago, this pain began to appear on the back side as well. The intensity and frequency increased. It also was now found in the evenings and night. Soon the pain became a shooting pain and unbearable from time to time. Nights became unbearable and prevented from sleeping. Pain killers eased the situation
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I have lower back pain following quite a lot of heavy lifting today. I find it difficult to move around, and particularly difficult to get up after sitting down. I am wearing my wife s support belt which helps a lot with movement once I am up. I want to know how to manage this problem, the do s and don ts, and because I have so many things that need to be done in the coming weeks, I need to plan ahead. I do gardening for a living, and also am about to begin decorating a house for re-letting. Thank you for any help and advice you can give.
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Hi..I have prescripted Tonact TG at night to control triglycerides which was at 400. Within a weak the levels were 110...can i stop tonact tg now..what are the side effects. Am going through lot of anxiety..wll anxiety cause increase in triglycerides?
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Elderly patients with cardiovascular diseases account for a large proportion of Corona virus Disease 2019(COVID-19)related deaths. COVID-19, as a new coronavirus, mainly targets the patient’s lung triggering a cascade of innate and adaptive immune responses in the host. The principal causes of death among COVID-19 patients, especially elderly subjects with cardiovascular diseases, are acute respiratory distress syndrome(ARDS), multiple organ dysfunction syndrome (MODS), and microvascular thrombosis. All prompted by an excessive uncontrolled systemic inflammatory response. Immunosenescence, characterized by systemic and chronic inflammation as well as innate/adaptive immune imbalance, presents both in the elderly and cardiovascular patients. COVID-19 infection further aggravates the existing inflammatory process and lymphocyte depletion leading to uncontrollable systemic inflammatory responses, which is the primary cause of death. Based on the higher mortality, this study attempts to elucidate the pathophysiological mechanisms of COVID-19 in elderly subjects with cardiovascular diseases as well as the cause of the high mortality result from COVID-19.
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I am 64 years old and a male... The issues that I m primarily concerned with are; my self esteem/self confidence; my underdeveloped maturity level for a 64 year old person; some psychodynamic therapy to be performed so that I may get to the root of my insecurity which has subsequently led to my other issues with my family...
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We report the genome sequences and the identification of genetic variations in eight clinical samples of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Samples were collected from nasopharyngeal swabs of symptomatic and asymptomatic individuals from five care homes for elderly and infirm persons in Israel The sequences obtained are valuable, as they carry a newly reported nonsynonymous substitution located within the nucleoprotein open reading frame
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I was diagnosed with Raynauds syndrome, and recently saw my monocyte count is 14. I am 25, dont smoke, drink do drugs and have a healthy diet. secondary raynauds has a lot of underlying cancers and autoimmune disorder, primary raynauds, 1 out of 10 people still go on to develop on autoimmune disorder. My monocytes are high, and my temperature has been normal. Ive been plauged with the horrible norovirus however. Would noro cause a high monotcyte or low count? A low count i read is from bacterias, but noro is a virus. Is there a chance my monocytes could be at 14 over that or could this be a sign of a form of cancer or autoimmune disorder, which seems likely due to raynauds.
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My 6 year old girl is lactose intolerant, she is a really good eater with a healthy appetite. On saturday she had stomach pain and vomited, she has since had stomach pain ever since and doctor said glands in her neck were up, on tuesday she started with foul smelling watery diarrhea, she is still having loose stools, foul smelling flatulence & her stomach is very swollen. She seems well in herself but is refusing to eat and gagging, she has never lost her appetite before.
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hi, i thought my 16 month old girl was teething (molars wise) she had a slight temperature of 38.5 Celsius but today seems to have a rather large blister in the middle of her top lip. i suffer from cold sores, could this be her problem? and what can i do , shes seems to be in alot of pain...
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I have left erector in constant spasm, causes severe pain/fatigue across lower back. When I try to walk, bend, or stairs becomes unbearable. Sitting/ lying relieves. Now I am experiencing sob when back is tight / painful, very sob, have to sit. I have limited scleroderma, why sob, can this have connection to scleroderma?
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Hi, I have Eosinophil differential count of 08. MCHC of 35.8. 2 years ago, I had a Eosinophil differentil count of 11 which resulted in my right eye having retinal vitreous degeneration.This time too, i've some eye problem. Why does the count go up and how do I control it
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Hi I have a very sore leg above my calf,and behind my knee. It is extremely hard to walk on! No pain when sitting. Behind the knee is swollen and slightly red. I have not knocked or banged this. I am 52 woman and just started statins a week ago . Any ideas what this could be ? Thanks sue
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Last year I had a transnasal endoscopic tumor removed from my pituitary gland. During surgery there was a problem, too much pressure in my head and brain fluid. I was sent home and rushed right back csf leak. I know have a lumbar shunt I'm my back. Can you tell my I have so much brain fluid. My Dr said " I don't know"
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My gums are hurting really bad. The further away from my teeth the gums get, the darker they get. I also rinsed my mouth out with warm salt water and it made my veins darken to purple and dark pink; my gums hurt even more when I did that as well. Does this sound like anything you've dealt with before?
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I m having upper belly pain directly under breast are and sever nausea vomiting change in bowel movements. Pain is every day and sever episodes about every 3 weeks where can t keep even water down. So far only thing found is celiac artery is 90% compressed and smu artery 20% compressed cannot have stent due to muscle laying on top--I have unspecified connective tissue-auto immune, IBS, Fibro and gerd --Doctor ruled out gall bladder however when they did test to mimic eating the pain and gas were horrible even though I wasn t actually eating --Dana
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I have gotten ingrown hairs on my penis in the past and just let them be. Recently I noticed a large pea sized bump on my penis and am worried if it is herpes or not. I have had the same girlfriend for the better part of two years and haven't had sex with anybody and she hasn't either. I went to the doctor and he said he wasn't sure what it was and could be an std but I'm confused how I would have contracted that. I did some research online and think it is a sebaceous cyst, but I'm still concerned it might be something else. It grew to the size of a pea and didn't really hurt or itch but started to be pretty sensitive when it got larger. It ruptured or popped last night by itself when I looked at it before bed and it was just a little blood. I am going in to get it checked out again in a couple of days but am worried it could be something. Any advice would be great thanks!!
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hi my father has a stomach cancer stage 2 but i did allow him to take the chemo therapy but he feels better now , and he's not taking any medicine but some times he's having a hard time swallowing is this connected to his condition? actually doctor said he's food appetite should be back in two months after the major operation and he's is very good in eating lots of appetite even without vitamis
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Hi, I am in the 17 week of pregnancy, I had aminu synthesis test one week ago after 6 days i had a bad pain under my belly, i went to hospital and they injected a projestron ampoule, two days after i had proluton injection. I have boy fetus and i am worry about his health, would you please tell me does it have any bad side effects on my baby? Sorry if may english is not good because i am french. Thanks
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What is Streptokinase and what is its role in Group A Strep infections?
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The Swedish response to the COVID-19 pandemic included age-based recommendations of voluntary quarantine specifically for those 70 years of age or older. This paper investigates the experiences of a sudden change of policy in the form of an age restriction that trumped the contemporary active aging ideal. A web-based qualitative survey was conducted in April 2020. Through manual coding of a total of 851 responses, six different ways of relating to the age-based recommendations were identified. The results show that age is not an unproblematic governing principle. Instead, in addition to protecting a vulnerable group, the age-based recommendation meant deprivation of previously assigned individual responsibility and, consequently, autonomy. It is shown how respondents handled this tension through varying degrees of compliance and resistance. Findings highlight the importance of continuously tracking the long-term consequences of age-based policy to avoid negative self-image and poorer health among older adults.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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My daughter is 3 yrs old..she is down with fever it was103 on Thursday I am giving her ibugisic meftal .p and seefec antibiotic..when I give her dese medicines her fever comes down and after 5 to 6 hours it again comes now she is down with 109 fever feeling weak and pus cells in her urine 3 to 5 h.p.f..i m worried help
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Hi doctor, My baby is 3 months old and she is formula fed - Nan Pro 1. Her birth weight was 2.6 kg, which dropped down to 2.2 kg after 15 days of her birth. Her present weight is 4.6 kg, length is 56.5 cm and head circumference is 38.5 cm. She spits up around 6 to 7 times daily even after burping and keeping her in upright position for at least 20 minutes after each feed. She had an abdominal scan and the report was normal. She is too skinny. I am giving her Rantac 1.5 mL twice a day, Vitazyme drops once a day and Junior Lanzol 1/3 a day. I am extremely worried about her weight. Please advice.
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Major bruise on my left leg that seems to be moving down, I m tired, I didn t fall or hit my leg on anything, I don t do drugs or drink and I just don t feel right it s hard to get up and start moving my leg, feels weak but after awhile standing it seems okay -I m sorry but I have no $$
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