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What are the symptoms of Interstitial keratitis? | non-urgent |
Hello I m am 18 years old and I ve had a soft lump on the outside of my right butt cheek but right next to my anus. It s under the skin and it does not bother me. It only gets sore when I keep touching it but it eventually goes away. I ve had it for awhile now but haven t went to the doctors for it. At first I thought it was just a pimp but then it got bigger . Feels like there could be liquid in there because it s not solid, but I m not sure. What can this be ? | non-urgent |
Recent clinical data has suggested a correlation between Coronavirus disease 19 (COVID-19) and diabetes Here, we describe the detection of SARS-CoV-2 viral antigen in pancreatic beta cells in autopsy samples from individuals with COVID-19 Single-cell RNA-sequencing and immunostaining from ex vivo infections confirmed that multiple types of pancreatic islet cells were susceptible to SARS-CoV-2, eliciting a cellular stress response and the induction of chemokines Upon SARS-CoV-2 infection, beta cells showed a lower expression of insulin and a higher expression of alpha and acinar cell markers, including glucagon and trypsin1, respectively, suggesting cellular transdifferentiation Trajectory analysis indicated that SARS-CoV-2 induced eIF2 pathway-mediated beta cell transdifferentiation, a phenotype that could be reversed with trans-integrated stress response inhibitor (trans-ISRIB) Altogether, this study demonstrates an example of SARS-CoV-2 infection causing cell fate change, which provides further insight into the pathomechanisms of COVID-19 | urgent |
Hi, I have asthma and use an albuterol inhaler. I just started taking probiotic fiber about two weeks ago because I often have digestive trouble. For about a week, I have feeling tightness my chest and today, for the first time, I see a slight swelling in my neck. I m not having difficulty breathing, but I can tell there is something wrong. Can I be having an allergic reaction to the probiotic? If so, what should I do besides stop taking the probiotic and trying to get in to see my doctor? Thanks, Kay | urgent |
TyG is effective to identify individuals at risk for NAFLD. | non-urgent |
Hi doctor,I am a 34-year-old male. My blood sugar level was 300 fasting and 423 postprandial two months back. But recently my sugar level is 96 fasting and 99 is postprandial and HbA1c is 6.8 at present. I am taking Janumet 50/500 once daily after breakfast and Pioz MF 15 before dinner. My creatinine level is 1.33 at present. So I am worried about my kidneys. Is it the right treatment? Please suggest me. | non-urgent |
What to expect if I have Pemphigus (Outlook/Prognosis)? | urgent |
Hello, I have had bad pain in my upper back when the doctor presses down my spine I nearly hit the roof. I have servier pain in my right shoulder blade That is worse when laying on my back And I can t lay on my right side at all, Very painful to turn over in bed and to get out of bed and getting up off the couch kills | non-urgent |
I have been taking Luvox since 1987. It treated my OCD and major depression for many years. For the last seven or eight years, my depression started up again. Now is is a major depression. I have lost my husband, my father and two close friends in less than 4 years, but the depression started before they died. I almost lost my daughter, who has Type 1 diabetes. She was dead, but the third time they were able to bring her back. They put her in a coma for over a week using Propopol. I have it in the back of my mind that I could lose her again. My doctor doesn t seem to think there are other meds I can use for my depression. I am barely coping, have no family, except for my daughter. I hang on only for her and my lab. My question is: What suggestions do you have for treating my depression that will not bring bring my OCD back? I tried ketamine, but it did not help at at and was quite expensive. My doctor has left my twisting in the wind. She put me on Zoloft, but I had horrible nightmares. Maybe it was because I took the Zoloft before I went to bed. Can you suggest something for the Major Depression, without the OCD coming back, too? Thank you. Claudia EMAIL ADDRESS: YYYY@YYYY | urgent |
Hi doctor, My father was previosuly diagnosed with renal tubular acidosis and diabetes mellitus, was maintained on Potassium citrate and Gliclazide OD. Currently he had an infected insect bite on the left anterior lateral aspect of the leg. He was started on CO-Amoxiclav BID. Currently on its 4th day, I had his labs taken which revealed HbA1c: 8.5, FBS: 7.57, Crea: 2.79 mg/dl, BUN: 3.67 mg/dl, Hgb:195, Hct: .58 wbc:13.2, plt: 157 with normal lipid profile and uric acid. Should I start CKD medicines already? Should I step up with the DM medicines? Thank you. | urgent |
i m 36 male used to smoke but now a non smoker(from last 2 months),recently i was having severe gastric problems.my doc advised me to have hbsAg , ultrasonography , endoscopy done.my sgpt-104,sgot-64,bilirubin-1.1,with HBSag -ve and fatty liver was found.is there anything to worry? | non-urgent |
My mother thinks she bit the inside of her mouth, left cheek. Woke up with a bruise on the outside of her left cheek. There is a lump she said she can feel inside on the left side. What should we do? She does take warfarin and she is 86 years old. Why would there be a bruise? | non-urgent |
What is the secondary preventative measure for hypogonadism? | non-urgent |
I have a history of kidney stones. I usually have some side abdomen discomfort and sometimes grown pain that throbs. Figure it s probably passing stones. I am also sometimes very itchy in my rectum. Sometimes I ve noticed some red blood spots on tissue. A while ago I had a itchy sensation throughout my body that last ed days. Today I saw a small worm with black tips in my toilet bowl while urinating. Don t know if it was already there or if I urinated iit.please help | non-urgent |
hi dr. my daughter aged 14, she is suffering cold from one week, and her sneezing from nose is thick and yellow,from 2days she is getting temperature 100 to102 degrees. and now i gave her sinus77 tablet.we stay at hyderabad, india, please tell me the tablet is right which i have given. please. | non-urgent |
sir last two years iam haveing mouth irritation been many doctor but nothing helped some one told me who is not a doctor you try librax tablets 2 a day i took for3 days and it helped last 25 years iam having acid problem i take antiacid i would like to know what type of decese i have, thanks | non-urgent |
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. | non-urgent |
my mom is 80 her blood pressure is changing from 137/ 88 now it 120/60 heART RATE 83. HOW CAN WE REGUALTE BLOOD PRESSURE . she is being treated for sinus and cold symptons prescibed by doc. san she do something locally to regulate blood pressure.. no pain bur vert dizzy . | non-urgent |
I was diagnosed with myasthenia gravis when i was 15 years old. When I was 16 i started smoking marijuana. Im now 37 and smoke mj ocassionally. Im now taking inmuran and prednisone for mg. I still have ptosis and had hand weekness in the left hand, until the dr put me on immuran. My question is, does marijuana cause thymoma/ | non-urgent |
My 30 yr old son has Mersa really bad, it is confined to his right elbow area. I have been with him and I am beginning to get same looking bumps and feel so bad. Should I see my doctor? what kind of test will they do? I can t seem to find any pix of Mersa on line could I get some pix to compare mine to photo? Will this go away without treatment? What are the dangers of Mersa | non-urgent |
I had a check of my blood pressure recently and it indicated 170 rather than the 140 which is the accepted range!and I have regular head-aches and some strange quivering feelings in my arms and today I felt dizzy on and off!am 48 yrs of age and female!Can you advise a quick remedy?Thank u | urgent |
I am a 19 yr old college student. I'm about 5'5 or 5'6 and have asthma & some allergies... I've been running a low grade fever for the past 2 weeks on & off. I haven't been having any other symptoms. Ocassionally i'll have a runny nose or a scratchy throat, but other than that I have no other symptoms. I'd just like to know what could be causing this. | non-urgent |
Hello doctor, Two days ago, I removed my tonsil stones with a cotton swab at home. How long after the removal of the stones does the tonsil remain swollen? | non-urgent |
For most of the world’s population, urban green spaces (UGS) offer the easiest form of contact with nature Such environments deliver a wide variety of Recreational Ecosystem Services (RES) to visitors This paper explores RES delivery in different types of UGS, differentiated with respect to their naturalness and distance from the city centre Furthermore, it investigates how the identified use patterns are affected by an abrupt change in access We extract data from Instagram, posted at the beginning of the COVID-19 pandemic, for Warsaw, Poland, and use it to measure both the intensity of use of UGS, and the experience of Instagram users Furthermore, we compare these data with data from the same period for the previous year (2019) Our results indicate that, in typical conditions, the wilder the area, the fewer visitors RES patterns changed, however, when access to UGS was restricted The recent COVID-19 outbreak showed that soon after restrictions on visiting UGS were lifted, recreation shifted towards wilder green areas Moreover, users became more oriented to wild nature We conclude that the number of visitors, and the pattern of recreational use of UGS, are highly dependent on the character of green spaces across the urban wilderness continuum, and that they are influenced by abrupt changes in access | non-urgent |
It will be difficult, if not impossible, to adopt additional donor selection procedures to enrich a favorable KIR haplotype donor pool with only a minimal cohort of donors selected in each search for additional genotyping. | non-urgent |
hi I was diagnosed with copd my arterial blood test showed that I have a 98 o2 level . 5 months ago I had pneumonia and went into cardiac arrest in the er could that be the reason I went into cardiac arrest im 50 years old female and had 100% blockage of my rca | urgent |
My daughter is suffering from a bad toothache that started yesterday. It is now affecting her ear. She can t eat or hardly drink. Her dentist appointment isn t until Wednesday and I don t want her to go with pain for that long. what should I do? | urgent |
My husband got a vasectomy a year and a half ago. 6 months ago he pointed out that he had a lump in his balls but wont see a doctor because he says it doesn t hurt so there is no reason to. I have done research and think it may be a sperm granuloma, I was feeling around down there and it also feels like on one side the tubes are connected to the lump. What are the chances he may be fertile again? And if it is possible what are the chances of pregnancy with only one side connected? | urgent |
BACKGROUND: The SARS-Coronavirus-2 (SARS-CoV-2) invades the respiratory system, causing acute and sometimes severe pulmonary symptoms, but turned out to also act multisystematically with substantial impact on the brain. A growing number of studies suggests a diverse spectrum of neurological manifestations. To investigate the spectrum of symptoms, we here describe the neurological manifestations and complications of patients with proven SARS-CoV-2 infection who have been hospitalized at the RWTH University Hospital Aachen, Germany. METHODS: Between March and September 2020, we evaluated common symptoms, clinical characteristics, laboratory (including cerebrospinal fluid (CSF) analysis), radiological, and electroencephalography (EEG) data from 53 patients admitted with a positive SARS-CoV-2 polymerase chain reaction (PCR). We used the Montreal Cognitive Assessment Test (MoCA) to screen for cognitive impairment, when feasible. We compared critically ill and non-critically ill patients categorized according to the presence of Acute Respiratory Distress Syndrome (ARDS). RESULTS: Major clinical neurological features of hospitalized COVID-19 patients were coordination deficits (74%), cognitive impairment (61.5%), paresis (47%), abnormal reflex status (45%), sensory abnormalities (45%), general muscle weakness and pain (32%), hyposmia (26%), and headache (21%). Patients with ARDS were more severely affected than non-ADRS patients. 29.6% of patients with ARDS presented with subarachnoid bleedings, and 11.1% showed ischemic stroke associated with SARS-CoV-2 infection. Cognitive deficits mainly affected executive functions, attention, language, and delayed memory recall. We obtained cerebrospinal fluid (CSF) by lumbar puncture in nine of the 53 patients, none of which had a positive SARS-CoV-2 PCR. CONCLUSIONS: In line with previous findings, our results provide evidence for a range of SARS-CoV-2-associated neurological manifestations. 26% of patients reported hyposmia, emphasizing the neuro-invasive potential of SARS-CoV-2, which can enter the olfactory bulb. It can therefore be speculated that neurological manifestations may be caused by direct invasion of the virus in the CNS; however, PCR did not reveal positive intrathecal SARS-CoV-2. Therefore, we hypothesize it is more likely that the para-infectious severe pro-inflammatory impact of COVID-19 is responsible for the neurological deficits including cognitive impairment. Future studies with comprehensive longitudinal assessment of neurological deficits are required to determine potential long-term complications of COVID-19. | non-urgent |
My gallbladder was removed about 20 years ago. I know have right upper quadrant pain moderate radiating out my back My doctor is out of town. Approximately 3 days of pain unrelieved by antacids. Do not feel it is a reflux acid problem, but could be. Thank you | non-urgent |
BACKGROUND: Animal and human data suggest that glutamate can enhance recovery of myocardial metabolism and function after ischemia. N-terminal pro-brain natriuretic peptide (NT-proBNP) reflects myocardial dysfunction after coronary artery bypass surgery (CABG). We investigated whether glutamate infusion can reduce rises of NT-proBNP in moderate- to high-risk patients after CABG. METHODS AND FINDINGS: A prospective, randomized, double-blind study enrolled patients from November 15, 2015 to September 30, 2020, with a 30-day follow-up at 4 academic cardiac surgery centers in Sweden. Patients underwent CABG ± valve procedure and had left ventricular ejection fraction ≤0.30 or EuroSCORE II ≥3.0. Intravenous infusion of 0.125 M L-glutamic acid or saline at 1.65 mL/kg/h started 10 to 20 minutes before releasing the aortic cross-clamp, then continued for another 150 minutes. Patients, staff, and investigators were blinded to the treatment. The primary endpoint was the difference between preoperative and day-3 postoperative NT-proBNP levels. Analysis was intention to treat. We studied 303 patients (age 74 ± 7 years; females 26%, diabetes 47%), 148 receiving glutamate group and 155 controls. There was no significant difference in the primary endpoint associated with glutamate administration (5,390 ± 5,396 ng/L versus 6,452 ± 5,215 ng/L; p = 0.086). One patient died ≤30 days in the glutamate group compared to 6 controls (0.7% versus 3.9%; p = 0.12). No adverse events linked to glutamate were observed. A significant interaction between glutamate and diabetes was found (p = 0.03). Among patients without diabetes the primary endpoint (mean 4,503 ± 4,846 ng/L versus 6,824 ± 5,671 ng/L; p = 0.007), and the incidence of acute kidney injury (11% versus 29%; p = 0.005) was reduced in the glutamate group. These associations remained significant after adjusting for differences in baseline data. The main limitations of the study are: (i) it relies on a surrogate marker for heart failure; and (ii) the proportion of patients with diabetes had almost doubled compared to the cohort used for the sample size estimation. CONCLUSIONS: Infusion of glutamate did not significantly reduce postoperative rises of NT-proBNP. Diverging results in patients with and without diabetes agree with previous observations and suggest that the concept of enhancing postischemic myocardial recovery with glutamate merits further evaluation. TRIAL REGISTRATION: ClinicalTrials.gov https://clinicaltrials.gov/ct2/show/NCT02592824. European Union Drug Regulating Authorities Clinical Trials Database (Eudra CT number 2011-006241-15). | non-urgent |
Hi, i m experiencing a slight pain in my stomach especially when i turn around when i m laying down...and when i exhale. Just started happening today. I m 19 years old. A bit worried because my mom and grandmother have had kidney stones before...but i m hoping that this is perhaps only happening because I haven t ate much today. Should I be worried or can this happen because my body is asking for food (i don t feel hungry right now though) | non-urgent |
I have what feels like a bolí ať top of my left buttock and painful for last coupé months lower back painful the boil as reduced in size and now a bruce during this time i have add a bad sinus and fleming coughing it up and blowing it out...i am worried that this ať bottom of my špíně is something serious ..about 8 yrs ago i was hold withhospital specilist i had mil shermans disease in lower spine | non-urgent |
my mother 73 years old left brest found one lumps after operation baiopsi report positiv after that we are go though to oncologist surgen then he suggest operate the hole brest.18 nov operate the hole brest and biopsi rport negative so my question is now cemotherapy needed | urgent |
Yes, and thank you. My Mom is a diabetic, and she has problem with the lower back of her heels. It hurts when I touch it, an her feet are bleeding, callus are forming, and on the inside I can see blood forming on the inside. I have been massaging her feet for over 3 or more years. I am now soaking her feet in hot water and putting in the water is J.R. Watkins ligament, and clipping the excess skin off the feet. Also I am afraid of Gangren could be forming. Can you give me some other ideals to get rid of those deep and hard calluses on both feet? I am afraid and I don t have the money to give you right now. Please help me. | urgent |
I have a dull aching feeling in my right side, arm, leg, shoulder andneck. I m also starting to get the same feeling in my left arm. It s very painful in the mornings and I m very stiff. Also very stiff when I ve been sitting down for a long period of time. At times I get a tinglling feelings in my right hand (fingers) and my arms sometimes feels dead like I ve been laying on it. It also feels quite tight. I would also say at times I get a shooting pain feeling. Can you help? | non-urgent |
I was diagnosed with hep c a few years ago. I went thru extensive test, My specialist said I was very lucky. My body healed itself and I no longer have the active hep c virus in my system. I want to know if I can give anyone hep c thru sexual contact? I have avoided having an intimate relationship because my own gp never answered my question when I asked him. Sorry I cant afford the payment. I guess I ll never get an answer. | non-urgent |
So, my question is...After being kicked in the nose in a upward and inward motion there is swelling along the bridge. No blood out of nostril and or down the throat, no discoloration yet, and moderate pain as well as headache while resting and severe pain when laughing, not crooked, some difficulty breathing possibly from swelling, I think that s all. Anyway, at what point is it necessary to see a doctor and is there anything I should be looking for or doing at this point? | non-urgent |
What is the underlying cause of a hypercoagulable state in a patient who is undergoing heparin therapy? | non-urgent |
My blood pressure is 200/103 left arm and 182/95 right arm, I noticed when I breath out I have some wheezing/rattling sound coming out. Slight discomfort in my chest on the left side by heart. Do I need to go to the ER or can this wait until tomorrow??? | urgent |
it is common that antibiotic eg amoxycillin taken while on warfarin dosage increases INR level, but my INR level in this situation has decreased to 1.4 (range 2-3); I have completed my week long dosage of the antibiotic and felt OK with no adverse symptons all along. My GP directed me to continue the same warfarin dosage and have INR check in a week for further directions | non-urgent |
My Name is rahul ,I suffered my releasing my sperm during sleep,twice a month from past 2 years,i dont know to do mastrubate,,,is there any problem after marriage or before.once i tried for mastrubate but penis get swelling for a day but didnt ejaculate anything.but my sperm will realeasing during sleep, what is the reason .pls sujjest me for good health......... | non-urgent |
What is the cause of Poliomyelitis? | non-urgent |
I am suffering from hairloss for last 1 year or so.Hair loss is quite extensive.My dermatologist suggested i am suffering from male pattern baldness(initial stages) But as i am just 22 my doctor refused to prescribe fenasteride just now.She instead suggested MORR-F (minoxidil 3% + finasteride .1%) . I have been using this for last 1.5 months or so.My hair fall has increased to certain bit.According to the doctor this is normal.Is she right?I am quite worried as i am not ready to loose any more hair.Should i stop taking this and insist my doctor to prescribe fenasteride or wait for 2 more months to see what happens.Is MORR-F in any way harmful to my hair ? | non-urgent |
I got bitten by a horsefly 24 hours ago on my ankle. My ankle immediately swelled up. I iced it and took benedryl. The swelling went down slightly. Today 24 hours later my ankle is still swollen and hurts just a little if I push on it. Should I see a dr? I got a bite 3 years ago and it got infected. | urgent |
My mother has been told she is 2 pints low on blood. Her heart is skipping beats in the bottom part of her heart. Now she has had a spell where she just blacked out. I m afraid she could have a stroke but the doctor said that a stroke comes from the top chamber of her heart. Is there still a chance of a stroke? | urgent |
Hello! My 17 months daughter has a round red scally spot on her cheek that doesn t heal (appeared 9 days ago). It looks like a ringworm but I m not sure...She doesn t scratch it at all so it doesn t look like it s itchy or bothers her in any way. Should I take her to the doctor or just get an antifungal cream from the pharmacy? | non-urgent |
BACKGROUND The preterm birth syndrome (delivery before 37 weeks gestation) is a major contributor to the global burden of perinatal morbidity and death. The cause of preterm birth is complex, multifactorial, and likely dependent, at least in part, on the gestational age of the fetus. Intrauterine infection is frequent in preterm deliveries that occur at <32 weeks gestation; understanding how the fetus responds to proinflammatory insult will be an important step towards early preterm birth prevention. However, animal studies of infection and inflammation in prematurity commonly use older fetuses that possess comparatively mature immune systems. OBJECTIVE Aiming to characterize acute fetal responses to microbial agonist at a clinically relevant gestation, we used 92-day-old fetuses (62% of term) to develop a chronically catheterized sheep model of very preterm pregnancy. We hypothesized that any acute fetal systemic inflammatory responses would be driven by signaling from the tissues exposed to Escherichia coli lipopolysaccharide that is introduced into the amniotic fluid. STUDY DESIGN Eighteen ewes that were carrying a single fetus at 92 days of gestation had recovery surgery to place fetal tracheal, jugular, and intraamniotic catheters. Animals were recovered for 24 hours before being administered either intraamniotic E coli lipopolysaccharide (n = 9) or sterile saline solution (n = 9). Samples were collected for 48 hours before euthanasia and necroscopy. Fetal inflammatory responses were characterized by microarray analysis, quantitative polymerase chain reaction, and enzyme-linked immunosorbent assay. RESULTS Intraamniotic lipopolysaccharide reached the distal trachea within 2 hours. Lipopolysaccharide increased tracheal fluid interleukin-8 within 2 hours and generated a robust inflammatory response that was characterized by interleukin-6 signaling pathway activation and up-regulation of cell proliferation but no increases in inflammatory mediator expression in cord blood RNA. CONCLUSIONS In very preterm sheep fetuses, lipopolysaccharide stimulates inflammation in the fetal lung and fetal skin and stimulates a systemic inflammatory response that is not generated by fetal blood cells. These data argue for amniotic fluid-exposed tissues that play a key role in driving acute fetal and intrauterine inflammatory responses. | non-urgent |
There is some difficulty with the assessment of fibrosis and cosmetic outcomes, especially in patients with small breasts. | non-urgent |
The world was shocked by an unprecedented outbreak caused by coronavirus disease 2019 (COVID-19). In Malaysia, it started with the largest number of COVID-19 cases with the first wave of infection on 25 January 2020. The objectives of this paper are to obtain the perspective of the respondents about the need for web-mapping in the form of mapping the geospatial data in Malaysia and to visualize the current online datasets of COVID-19 disease case clusters. The study area would cover the entire Malaysia since a rapidly increasing number of citizens were affected by this virus. To be specific, this study focused on the active clusters of COVID-19 in Malaysia. The data were freely shared in real-time by referring to the Ministry of Health (MOH) channel. The hotspots map were explored using the Map Editor by Cloud GIS. The approach has been illustrated using a dataset of whole Malaysia which are locally transmitted confirmed cases in four phases of COVID-19 wave in Malaysia. This study is significant to raise public awareness of the virus, especially among Malaysian citizens. It can provide an accurate estimation of the cluster tracking of the COVID-19 system by using geospatial technology. Therefore, people are more concerned and followed all the Standard Operating Procedure (SOP) provided by the government to prevent the spread of COVID-19. © 2021, Russian Geographical Society. All rights reserved. | non-urgent |
Hi dr,I have been taking St. John's wort 4000mg and eveningmprimrose oil 1000mg for moderate depression. I have been taking these supplements for 2 Weeks. I am 55yrs old and I feel this is due to hormonal changes because I don't normally experience anxiety/depression. I haven't noticed any improvement, so any other suggestions. Thanks Maria. | non-urgent |
I have bruised spot just below my knee. My doctor says it looks like a sulfur reaction. It's been 4 weeks now and it's not any better. He has replaced my meds that have sulfur in them. I am a diabetic and I don't want this to lead to another problem. I hope you can shed some light on this for me. Thanks | non-urgent |
For days and days I seem to feel light headed/dizzy with numbness into lips and really tired when it sets in its not constant started off with when I stood up sometimes but now it will go on for hours at a time I thought maybe not enough water so I started drinking it constantly but still no help I even considered not eating enough but I m over weight and eat when I m hungry so I m pretty sure that s not it please help | urgent |
Atraumatic neck pain is a frequent reason for patients to attend the emergency department (ED). It remains a challenge for the treating physician to rule out possible life-threatening causes, such as a retropharyngeal abscess, meningitis or septic spondylodiscitis. Herein, we report the rare case of a patient suffering from retropharyngeal tendinitis. This rare cause of atraumatic neck pain is characterized by a significant decrease in the range of motion of the cervical spine, elevated infection parameters and pathognomonic MRI findings. In addition to presenting the rare case of retropharyngeal tendinitis, we also review selected previous case reports and thereby not only raise awareness for this rare disease but also suggest the best practice for treatment. | urgent |
Yes, please.I have a 24 year old son with a traumatic brain injury. He sustained the injury 14 years ago. We need a new family doctor. I would like one who has experience with brain injury to manage the medications hes on. The neuropsychiatrist who prescribed his meds has just died. We live on the Main Line outside of Philadelphia in Pennsylvania. | urgent |
dizziness unbalanced standing pain pressure cheek eye socket temples was treated 1 week ago ER for tremors/hypomagnesemia heart racing pounding i was diagnosed with thyroid cancer 6 yrs. ago had thyroidectomy levels are ok but have been elevated few times past years with adjustment to dosage im taking 1000mg. magnesium daynow it was 500mg past 6 mos. I am on BP medication also losartan 50mg/bisoprolol-hctz 10-6.25 I want to feel better ,and im still not? Feel scared | urgent |
My friend taught me about the althea pills. Monday 12/16/13 i took the first tablet of it then a couple of minute my boyfriend and i had sex and he ejaculated his sperm inside me. The question is, would i got pregnant after taking the pill for a couple of minutes and had sex? | urgent |
hi i have a problem with a toe. started few weeks ago i woke up in the middle of the night with both toes itching then it got swollen but then was ok but still now sometimes when i put the heating on it itch and it get red not all the toes get swollen | non-urgent |
I have a full rx of chantix, unopened. I paid $130.00 for it and now, finally, I really want to quit. Is it still effective and chemically unchanged by its age? It has been properly stored in regards to temperature. Email address is YYYY@YYYY . thank you for your response. | non-urgent |
HI MAAM I AM HAVING MIGRATORY JOINTS PAIN IN HANDS , WRIST , ELBOW FOR THE PAST 3 MONTS.... I ALSO HAV SWELLINGS IN MY FINGERS WHICH SUBCIDE AFTER FEW HOURS.. I HAD DONE MY BLOOD TEST WHICH SHOEED ASO TITRE 400......... AND POSITIVE... WAT SHOULD I DO MAM... | urgent |
Hello Doctor,Im a 24 year old girl from India. I have been using Melacare forte cream on my face at night everyday. My facial skin has got an excellent glow, it looks fair and beautiful and soft. So I want to know whether I straight away stop using applying and start putting normal cosmetic cream on my face or do I have to apply some other medicated cream before I switch to the usual cosmetic cream ?PLEASE HELP! | urgent |
Not sure if I can take an otc anti inflammatory to control swelling and heat in the ankle following repair of a trimalleolar fracture in late Novmember. I take Tiazac and Xarelto. I have started to walk now, after 7 weeks of no weight bearing, so some inflammation is naturally occurring now. The surgeon recommended I take an anti inflammatory when I had a follow up appt. with him today. Is Tylenol, a non anti inflammatory my only option? | non-urgent |
My 6 yr old has intermitten pain on her left side above her hip and feels sick of he stomach (upset stomach could be from ibs that she has). She has no visible injury and doesn t remember doing anything to hurt herself, could it be the ibs or just a growing type pain? | non-urgent |
Hi I had an ubaliacil hernia operated on, on the 15th September. It started oozing puss a week later through the wound. The wound stopped oozing out of my wound and then the same day it started coming out of my bellybutton. I put up with it for 7 weeks then my specialist did an exploration and left a 2cm cut just inside my bellybutton and said that there was just a pocket of the puss and that it would dry up it s been over a week now and it hasn t stopped and is getting more green every day what should I do ? | urgent |
OBJECTIVE: Symptom checkers are potentially beneficial tools during pandemics. To increase the use of the platform, perspectives of end users must be gathered. Our objectives were to understand the perspectives and experiences of young adults related to the use of symptom checkers for assessing COVID-19-related symptoms and to identify areas for improvement. METHODS: We conducted semistructured qualitative interviews with 22 young adults (18–34 years of age) at a university in Ontario, Canada. Interviews were audio-recorded, transcribed, and analysed using inductive thematic analysis. RESULTS: We identified six main themes related to the decision of using a symptom checker for COVID-19 symptoms: (1) presence of symptoms or a combination of symptoms, (2) knowledge about COVID-19 symptoms, (3) fear of seeking in-person healthcare services, (4) awareness about symptom checkers, (5) paranoia and (6) curiosity. Participants who used symptom checkers shared by governmental entities reported an overall positive experience. Individuals who used non-credible sources reported suboptimal experiences due to lack of perceived credibility. Five main areas for improvement were identified: (1) information about the creators of the platform, (2) explanation of symptoms, (3) personalised experience, (4) language options, and (5) option to get tested. CONCLUSIONS: This study suggests an increased acceptance of symptom checkers due to the perceived risks of infection associated with seeking in-person healthcare services. Symptom checkers have the potential to reduce the burden on healthcare systems and health professionals, especially during pandemics; however, these platforms could be improved to increase use. | non-urgent |
Bassen-Kornzweig syndrome Abetalipoproteinemia Acanthocytosis Apolipoprotein B deficiency Summary Bassen-Kornzweig syndrome is a rare disease passed down through families. The person is unable to fully absorb dietary fats through the intestines. Causes Bassen-Kornzweig syndrome is caused by a defect in a gene that tells the body to create lipoproteins (molecules of fat combined with protein). The defect makes it hard for the body to properly digest fat and essential vitamins. Symptoms Symptoms include: Balance and coordination difficulties Curvature of spine Decreased vision that gets worse over time Developmental delay Failure to thrive (grow) in infancy Muscle weakness Poor muscle coordination that usually develops after age 10 Protruding abdomen Slurred speech Stool abnormalities, including fatty stools that appear pale in color, frothy stools, and abnormally foul-smelling stools Exams and Tests There may be damage to the retina of the eye (retinitis pigmentosa). Tests that may be done to help diagnose this condition include: Apolipoprotein B blood test Blood tests to look for vitamin deficiencies (fat-soluble vitamins A, D, E, and K) "Burr-cell" malformation of the red cells (acanthocytosis) Complete blood count (CBC) Cholesterol studies Electromyography Eye exam Nerve conduction velocity Stool sample analysis Genetic testing may be available for mutations in the <em>MTP</em> gene. Treatment Treatment involves large doses of vitamin supplements containing fat-soluble vitamins (vitamin A, vitamin D, vitamin E, and vitamin K). Linoleic acid supplements are also recommended. People with this condition should talk to a nutritionist. Diet changes are needed to prevent stomach problems. This may involve limiting intake of some types of fat. Supplements of medium-chain triglycerides are taken under the supervision of a health care provider. They should be used with caution, because they may cause liver damage. Outlook (Prognosis) How well a person does depends on the amount of brain and nervous system problems. Possible Complications Complications may include: Blindness Mental deterioration Loss of function of peripheral nerves, uncoordinated movement (ataxia) When to Contact a Medical Professional Call your provider if your infant or child has symptoms of this disease. Genetic counseling can help families understand the condition and the risks of inheriting it, and learn how to care for the person. Prevention High doses of fat-soluble vitamins may slow the progression of some problems, such as retina damage and decreased vision. Review Date 8/6/2017 Updated by: Anna C. Edens Hurst, MD, MS, Assistant Professor in Medical Genetics, The University of Alabama at Birmingham, Birmingham, AL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. | non-urgent |
Q:A 22-year-old woman at 30 weeks gestation presents to the obstetrician with the sudden onset of fever, headache, anorexia, fatigue, and malaise. She mentioned that she had eaten ice cream 3 days ago. Blood cultures show gram-positive rods that are catalase-positive and display distinctive tumbling motility in liquid medium. What is the most likely diagnosis??
{'A': 'Brucellosis', 'B': 'Influenza', 'C': 'Listeriosis', 'D': "Legionnaires' disease", 'E': 'Tularaemia'}, | non-urgent |
Hi I am a 42 yr old female i have abdominal bloating(at times i look 9 months pregnant ) with moderate lower back pain this has been ongoing for over a year but for the last week i also have pain in my lower abdomin it is making me really depressed and anxious. | non-urgent |
Work-related psychosocial stress may increase the risk of T2DM only amongst women in their early 60s. | non-urgent |
I am suffering from chronic dysentery. Due to this I have severe pain on my right side of the abdomen from naval to the spine. This pain is unbearable and therefore to get relief I have to take a capsule of Buta-Proxyvon. Please help me tell me how advisable is the intake of this medecine on almost alternate days. | non-urgent |
I am 26 yrs, age is 85kg,hight is 1.55m. My health is not so good, i feel severe palpitations,heavy pressure on my abdominal cavity ,weakness,dificult of breathing(some times),tiredness,polydepsia, and my gestational period is about 5. Thanks ,plz give me your cohorent answer. | urgent |
may be, i am 23 years old woman and i hv been married for two years now! after trying for a baby for a year i had a miscourage at 10 weeks, now it been a year since miscourage that i m trying for a baby! im also dealing with everyday headach wich dnt go away and my doctor priscrib me all the kind of medication , nothing is working.i had even a cutscan and mri etc...pls help me i want a baby for my husband | urgent |
37 weeks pregnant, been leaking clear fluid all day and discharge. it come out like ive wet myself but its not urine. in the past 5 hours its been coming out in a gush everytime i stand up and im filling pads regularly, it also comes out alot when i go to the toilet is this normal | urgent |
hello, i think that i have staph infection but hard to get diagnosed. is there any specialist in la whom I can get tested and treated, please advise. I'm depressed after reading all on line writings. it seems that the germ remains inside of body no matter what. is this a curable illness? | non-urgent |
My son has a dime sized pinkish/red spot on the inside of his mouth/gum. He went to an oral surgeon who dismissed him when the spot went away within two weeks. It has been about a month and the red area is back. Went back to the oral surgeon who still doesnt seem too worried. Any suggestions as to what this may be? | non-urgent |
My 17 year old son has painful cramps in his left lower abdomen and back pain that put him on his knee. Frequent urination. This began a week ago. Comes and go a few times. There seem to be no relieve this time around. He has been in pain for hours. | urgent |
Q:Which of the following is true about the carpal tunnel syndrome??
A:It can be caused by rheumatoid arthritis;B:It is caused by compression of the ulna nerve;C:It causes pain and tingling in the medial three and half digits;D:Paraesthesia is worse during the day | non-urgent |
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. | non-urgent |
Im brand new to this...actually all substance abuse communitys! I am also new living my days without the mmt clinic after 10 yrs there! I recently quit.....its been PURE HELL even though I did a 7 day out patient detox there.....I dropped from 50 mg to 0 in 7 days...today is the BIG 1wk clean milestone... But, I feel like you think...AWFUL! The symptoms are hell,...no energy, aggitation like youve never experienced, pain everywhere and many doubts including hopelessness, etc....I havent slept in 7 days...I feel pain all over and just dieing to know when this will stop? WHEN WILL I FUNCTION NORMALLY AGAIN...? How do fix my brain? How can I restore the receptors and restore myself back to a functioning woman again? Thank you in advance...I know the time these questions must take from your schedule! ;) | non-urgent |
My wife had a severe chest pain last week. She was immediately attended by doctor and was kept under observation in ICCU for 4 days. She was administered ELXIM injection . Now she is diagonised to be having one artery 70% blocked . Attending doctors suggeste that stent is not must and it can be managed by medicines and proper healthcare. Can you please advise what to do under the circumstances. | urgent |
I am a 60 year old female, 5'9", 238lbs. They say the part of my brain that controls my balence is shrinking. My balence is bad and my right leg and arm hurts when I stand and walk, when I'm sitting I have no pain, for the last 3 days I am very shakey on the inside and out. What is causeing this? I also have low throid and on meds for this. Thank you Nancy | non-urgent |
Hi, Ive had lower left abdomon pain along with lower left back pain which also tends to cause an achie groing and scrotum area throughout the day ? What could this be ? I did have a vasectomy a year ago and it seems since that my scrotum/ left testicle aches until i crack my hip or lower back ??? any suggestions ? My doctor said to stop drinking coffee and alcohol ? and that I have arthritis in my lower back ? | urgent |
OBJECTIVE: The impact of evolving guidelines and clinical practices on SARS-CoV-2-positive dyads across New York City Health and Hospitals during the early peak of COVID-19. DESIGN: A retrospective cohort study of positive-positive (P/P), positive-negative (P/N), and positive-untested (P/U) dyads delivered from March 1 to May 9, 2020. Wilcoxon rank sum, Chi-squared, and Fisher exact tests were used to analyze demographics, clinical variables, and system-wide management practices. RESULT: A total of 2598 mothers delivered. 23.8% (286/1198) of mothers tested for SARS-CoV-2 were positive. 89.7% (260/290) newborns of SARS-CoV-2-positive mothers were tested and 11 were positive. Positive-positive newborns were more likely to be breastfed (81%), be admitted to NICU, and have longer length of stay (7.5 days) than P/N and P/U newborns. CONCLUSION: Our study shows that varied testing, feeding, and isolation practices resulted in favorable short-term outcomes for SARS-CoV-2-positive mothers and their newborns. High-risk populations can be safely and effectively treated in resource-limited environments. | non-urgent |
My sister (around 40 yrs old and a mother of 4) found a lump on her left breast last month. FNAC showed that it is benign (the FNAC report says: Smears studied show good cellularity consisting of duct etichelial cells arranged in cohesive clusters. In some of the clusters there is mild to moderate anisokaryosis and nuclear overlapping. background shows fibrofatty fragments, occasional bare nuclei, cyst , macrophages proteinacious fluid mixed with blood. Proleferative lession of the breast with severe duct hyperplasia; C1-Benign ). She has pain in her left arm and found it difficult to raise her hand, but no pain or swelling under in the armpit. She was operated yesterday (to remove only the lump). The doctor removed a round lump of around 2 cm diameter and there was cyst/fluid present inside the lump. We are yet to get the biopsy result of the lump. After the surgery my sister felt less pain in the left arm but some pain remains in her elbow . Will it be a case of breast cancer . If so, what should be the next course of action, please help. W. Kamei | non-urgent |
Hi, I have had a numbness in the front/top of my head (trouble remembering what words to use I.e I know there is a word, but cannot remember and have to try hard to remember) blurred vision, a cough with breathing difficulty, tingling in my body/arms. 37 years of age, male. In the past I had 5 small cysts removed from head, but all were benign. Thanks | urgent |
My Mom is 83 years old and has had a bad cough for the past 4 weeks. The doctor did a chest x-ray and I have now been told she has an enlarged heart w/unfolding of the aorta. She has aphasia due to frontal lobe deterioration but otherwise is reasonably healthy. She takes low dose aspirin and has a B-12 shot every month. Thank you in advance for your help. Wendy | non-urgent |
im a 34 year old recovered amphetemine user and im having some problems. last night i felt nausous off and on, im having a dry cough, my chest felt tight all the way through to my back, my upper back between my shoulder blades has hurt continously for a few weeks, and when i got home from work my feet and ankles were swollen to the point of being slightly painful. whats wrong with me? | non-urgent |
I take methadone and im on 40 units and I have on it for 15 months...I already had a small case of edema but since I started taking methadone it has gotton worse. now my legs and the top of my feet are swollen pretty bad. is it possible that the methadone is making my edema worse? what shall I do? is this a dander to me? | urgent |
Hi, I am a 32 year old female. I was recently diagnosed with a complex ovarian cyst. After that I continued regular check ups and it has been noted that my immature granulocytes have been elevated to around 5. My family has a strong history of breast cancer, mom is going through chemo for uterine cancer at this time. Are there any connections to these thing or what could the elevated count be? Thanks. | urgent |
hey !!em almost 18 years old and i dont knw about sperm leakage as i want to want knw...whenever any naked girl runs on my mind..just on the time leakage starts..and whenever i start watching at any vedio like sex ...in hardly 2 minutes my sperm just leak it out.....i just dont want to emitt it out from myself...plz help me ...any herbal or madican | non-urgent |
Hello, In November after visiting gym I ve got stuffed and 100% plugged nose, later developed chest caugh, pain, tiredness, thought I might have had pneumonia.. Took a lot of rest, lung teas, herbal tinctures, veget. and fruit juices etc. Lung Xray was OK. 2 weeks of antibiotics didn t clear it up. Up to now having smelly yellowish mucus coming out of my Bronchi s. Much worse after any kind of small walk, excercise. I am very concerned, it feels like infection in my chest that is not going away. Dr. ordered spirometry and metacholine tests, that suggested mild Asthma. Recommended cortison puffers only. I gave sample of yellow mucus - came out as inflamation only. What should I do next? So far I stayed off work last 3 months, taking care of myself, it seems getting slowly better until I go for a little walk when symptoms come back big time. What other test should be done to find out the real cause? I feel, that if it is not cleared, it will be getting worse over time. I used to do a lot of sports here as well as in Europe since childhood, until 3.5 months ago, and I am very worried about the future of this medical issue. Thank You, Radka | non-urgent |
in the last 4 days my 85 year old dad has had blurry vision within 30 minutes of eating his noon time meal and felt dizzy. he has normally low blood pressure and takes midrodrine for it. i took him to urgent care to be checked and they did find anything abnormal and suggested he take a baby asprin every morning until he can get a vascular work up of the veins in his neck and skull. we just checked his blood sugar level and it is 113. he is supposed to fly on 6/4/13 and on 6/5/13, is this going to be a problem and what is your opinion of all this? | urgent |
heather a newborn baby needs surgery because she was born with an aorta that arises from the right ventricle and a pulmonary trunk that issues from the left ventricle, a condition called transposition of the great vessels. What are the physiological consequences of this defect? | urgent |
Hi, My name is Saurabh.I have gone througChatDoctorplete blood test.In the report i have found that Alanine transaminase is increased..it should be in between 0 to 37..but it is 52....what is the reason? and what should i have to do to come in range...please suggest. | non-urgent |
I have undergone bypass surgery eight months ago.now at present i am feeling pain in the upper portiom of diaphragm in the left side of the chest and breathing trouble too.i am feeling a pressure in that area always.what is the remedy and what should i do now. | urgent |
On 12/28 after dinner with friends, I experienced what felt like burning tear in my right jaw right behind ear. The rest of the evening I experienced dull pain and soreness. Since that time I am experiencing frequent episodes where the pain comes and go, every time it is present it is intense and last for 5-10 minutes. My teeth are fine, the pain is coming from behind right ear, top of right jaw. When I press in the area it is mildly sore, sometimes warm to the touch | urgent |
hi my 8 yr old daughter has noticed blood when she had a wee at school 2 day what could it be is she to young for peroids , she went hospital last year because she was struggling ,she kept needing to wee she had a scan and blood test ,doctors found traces off blood in urine but nothing on scan of bladder , she always wees often and says she needs to go wee again , her vigina looks fine no cuts or sours so what could the blood be | non-urgent |
i recently went to the er with shortness of breath and a fever of at least 103 for over a week. The er doctor ordered a blood test to check for a blood clot, then a ct scan with the dye or whatever it is that you get through an i.v. The doctor let me know that I have empysema, swollen lymphnodes in my chest, pneumonia (at the time), and that the scan showed two spots on my lungs that he said could be some form of malignous cancer, I probably did not say that exactly correct, but those words was included. I did a follow up with a family doctor. He took a chest x-ray and did a breathing test on me. My percentage was 61 before a breathing treatment, and 81 after a treatment. He said he did not really see nothing to indicate cancer from the x-ray but I did have the swollen lymphnodes and he wanted to examine the ct scan a little more and have another one done in 3 months. Two radiologists, that looked at my scan results from the er, told me I needed to get to a doctor as quickly as possible, and I did, Im kinda concerned that he did not seem to take much interest in the possible spots and am very concerned and would like to know what I am dealing with. The COPD is bad enough and I have alot of trouble with shortness of breath just walking a very short distance and my back has began to hurt alot just under my shoulder blades. Any advice??? | urgent |
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. | non-urgent |
bHi,I got blood transfusion on the 8-11-20--8-12-20,4paints. and yesterday when I went to work my blood presure went up to 190/84 and I have never had blood presure problem before and now I am wondering whats wrong with me.the DR.just gave me med. to lower it down. | urgent |
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