Recently Answered Questions on BIOGESIC-P
Infection after circumcision
I had my circumcision on 6/12/2018 and was prescribed these medicines for 10days - Augmentin 625,OMEZ 20mg,Seradic-P (Tab),Chymoral forte & Neosporin oint. which i was applying and cleaning the place with warm luke water, everything is going great, im tolerating the pain but from 14/12/2018 some red patches appear on penis head and some sticky yellow discharge is coming out from that newly made patches on penis head, which is somewhat like eczema which is irritating ,burning, and turning into wounds and now when i clean that surface blood comes out from cuts then i consulted dr and he gived me Taxim-0 200, T-bact oint, and pain killer and i was applying this from 16/12/2018 but till now i haven't seen any results instead its getting worse, yellow white dots are arrived on head, i can't even sit or walk pubic hair are hurting so badly , is this a fungal i fection or yeast or bacterial ? Plz help and suggest a medicine, and whom i consult urologist or dermatologist ??? Thanks advance.
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Heart palpitations
I've been having palpitations and dizzy spells. The palpitations are happening at least once an hour, and at times they do make me short of breath and make me very dizzy.
3 years ago I had a stress test, ecg and an echo. The echo was normal. The ecg showed a t abnormality (anterior leads) They did an ecg a few days ago(results below) My blood pressure is normally 120-130/80 but the last two weeks it was 165/108, 154/98 and 150/90(laying down).
My dr is waiting 6 weeks and we will recheck blood pressure and she may put me on meds if still high.
My general practitioner says I dont need to see a cardiologist because my echo was clear 2 years ago so it’s unlikely something is wrong with my heart so soon after. Is that accurate? Should I be concerned or am I making too much of this.
Gender: F
DOB: 1982
Measurements
Intervals Axis
Rate: 80 P: 46
PR: 173 QRS: 115
QRSD: 100 T: -12
QT: 400
QTc: 462
Interpretive Statements
Sinus rhythm
Borderline T abnormalities, diffuse leads
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Advice regarding valued opinion
What is the treatment of subgaleal hematoma developed 2 months back?pt had history of fall 2 months back with head injury (no ct scan done during that time) and 6th nd 7th rib #..He has childhood asthma and used to be on foracort mdi.he used to be on amlo 10 and telmisartan 40 odpc and stator 10 odhs since last 2 months.Then 7 days back Pt had h/o fall and an episode of lower limb seizure 3episodes lasting 40secs with no loss of consciousness gcs-15/15(ct scan was done this time)and was emergency managed by lasix nicardipine p-enema (as pt didnt pass stool dat day) but is presently having drowsiness and medication of telmikind am (b.p is controlled 115/70 over last 7 d) stator 10 ,rejunex cd3 and Stalopam lite since last 7 days..ct showed no intracranial injury but subgaleal hematoma in lft parietal region ..Kindly give your valued opinion regarding further management and investigations to be needed if any..no episode of seizure since the last attack..pt was a vegan for last 20 yrs..
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Left knee pain, stiffness, swelling.
In December 2012, she had a hyperextension injury to her left knee on the wet floor. After 15 days, it developed stiffness, difficulty bending, sitting or rising from a seated position. The knee got swelled. Doctor/surgeon made an aspiration of 100 cc of clear fluid from the knee and the culture reported no microorganisms in the joint fluid but no improvement in pain thereafter, swelling also came back and persisted. After 15 days or so, we went to another specialist and he diagnosed it as septic arthritis and treated with following medications: Stafcure CV 500, Enzomac, Hifenac P, Pantium DSR. There was mild relief of pain but swelling and stiffness there. after oral prednisolone in tapering dose, she did well for a long time but all symotoms returning now. Presently, Sazo 1000 mg twice a day, hydroxychloroquine 200 mg once a day, and Jointace DN using for last four months without much help. RA factor positive at 33, ESR at 56, and CRP is normal.
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Shynes problem
Am very shy, timid, cowardice guy. Lack of self-confidence. lack of solid gut feeling, negative thinking.
lazy to talk, . When I start talking to anyone, my heart beat increase, m. Stage fright, fear of public speaking, fear of making speech, fear of public meeting, Stay away from social situations, public meeting, fear of facing people, etc. I cannot make eye contact with anyone when i feel shy.. I feel nervous, timid and shy when people look at me. I feel why people are looking at me. I feel I am not perfect,sensitive to making mistakes, fear of committing a crime, mistakes, fear of caught doing something wrong, I always think what others will think about me. Feeling of being watched or looked.
Anxiety of an exam, an interview, p), public meeting, public appearances, stage speaking, public speaking,...i very comfortable with only my freinds ...and talketive people..i hate being alone.dont know how to talk with new people...please give mee suitable.medicine
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Please Pay Attention! (Earnest Request)
My mom is Covid+, Please let me know whether everything is fine in her reports or is there anything else which is reqrd?
Covid Report - Positive
Day - 4th Day (Today)
Vaccination - Fully Vaccinated (Covishield)
Age - 51
Sex - Female
Surgeries Done - Gall Stone Operation
Other Issues - Arthritis only (Nothing Else)
CT Values :-
N Gene : 21.51
ORF1ab : 23.13
Current Symptoms :-
1) Nose Heaviness (Sometimes it gets blocked too).
2) Cough in throat.
3) Slightly heavy throat
SPO2 : 95
PRbpm: 89
Medications (Before Covid, Still Going On) :-
1) Nortipan M
Medications (After Covid) :-
1) P650 (SOS)
2) Telecast L (Once for 10 Days)
3) Zinconia 20 (Twice for 20 Days)
4) Celin 500 (Once for 20 Days)
5) Uprise D360K (1 cap in empty stomach, once every week for 8 weeks)
Blood Test Reports :-
1) D Dimer - 0.38
2) IL 6 - 22.29
3) CRP - 1.84
4) P Time - 13.60 seconds
5) Urea - 17
6) Ferritin - 53.90
7) Vit D - 32.20
8) Haemoglobin - 11
9) PCV - 33.90
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Worried about my Sexual Life
Undergone multiple tests Test 1: Semen Analysis Test - Abstinence days - 3 days Ph ---> 7.8 Live - 75 %, Dead - 25 % 2 ml quantity, 40 million/ml, Progressive -33 %, Non-Prog - 25 %, Immotile - 42 % Total Motility(P+NP) = 58 % Sperm Motility = 1 Hr Rapid Progressive = 10 % Slow Progressive = 23 % Normal Forms = 5 % Overall Defects = 95 % Test 2: Looks like all are normal. Kindly Confirm. FSH - 3.77 mIU/ml (1.27 - 19.26) LH - 6.51 mIU/ml (1.24 - 8.62) Prolactin - 17.78 ng/ml (2-18) Testosterone Total - 5.60 ng/ml (2.40 - 9.40) Test 3: Looks like this is also normal. Kindly Confirm. TSH - 1.87 uIU/ml (0.30 - 5.60) Hormonal Tests are Normal I have very loose Balls. And also based on the above test reports, I have few questions: 1. I'm fit for marriage or not. 2. I'm going to satisfy my partner or not. 3. I'm going to be father naturally or not. 4. What medications I should take like Zinc, Vit D3, Vit B, Magnesium Supplements,...
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Am I Pregnant ???
Am I Pregnant???
My USG report is
KIDNEYS:
Left
: 103 mm.
Right 87.1 mm. Both kidneys are normal in shape, size and outline. Renal parenchyma and central echocomplex of both kidneys are normal. No SOL seen in either sides.
Ureters are not dilated in either side.
UTERUS:
Just Bulky and anteverted. Myometrial echotexture appears homogenous. Cavity is
empty. Midline endometrium appears thick (10.9 mm.) and well-apposed. Cervical
canal is normal. Length: 8.54 cm. Width: 4.24 cm. A. P. Dia: 3.23 cm.
OVARIES:
Both the ovaries reveal multiple small well-defined clear cysts.
Right ovary measures: 3.87 cm x 1.51 cm.
Left ovary measures
: 3.52 cm x 1.70 cm.
Ovarian Volume Rt: 4.5 ml. Lt: 5.3 ml.
No mass or collection demonstrated in iliac fossae.
P.O.D.: Clear.
URINARY BLADDER:
Normal in shape and size. Walls are smooth and regular. Lumen is clear.
No mass or calculi are seen. Post voiding sonogram shows about 89 ml. of residual urine.
• No Free fluid is present in pelvis.
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Mitral valve
My father is undergoing from open heart surgery before 8 years back.. And then his health is good...
But now when we done 2d echo..
Report suggest that,
LA/RA/RV Dilated, LV normal size, no hypertrophy, No LV RWMA, good LV/RV SYSTOLIC function (LVEF-55%),E/O prosthetic at Mitra position decreased movment of prosthetic valve leaflate sec to? pannaus formation. nnormaly, aortic valve thickened, other cardiac valve are normal, no vegetation/ no effusion. E/o clot in LA.
DOPPLER AND COLOR DOPPLER
P/M ACROSS prosthetic Mitral Valve 24/14 mm of he, MVA by PHT 0.74 cm2
Grade 2 AR, NO AS, NO e/o prosthetic valvular and paravalvular regurgitation Grade 1 TR, PASP by TR jet 55 mm of hg
CONCLUSION
Prosthetic valve in Mitral position
E/o Prosthetic valve dysfunction sec to Pannus formation ,mild aortic regurgitation, moderate pulmonary hypertension, No LV RWMA, GOOD LV/RV systolic function .
So doctor told us to do again open heart surgery..
SO MY QUESTION IS THERE ANY OTHER TREATMENT.
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Cancer ovary
50/F
ECOG 1
no comorbidities
P3L3
advanced ca ovary POST NACT 3#
ascitic cytology TMH (RH/70630) metastatic adenoCA
CECT(03/02/16) - Solid cystic lesion in pelvis 9.9 X 8.5 X 5.3cm ill defined multiple cyst & abnormal sloid mural nodules. Lesion is closely abutting sigmoid, omenatal caking, aascites, effusion.
PS/PV/PR :cervix almost flush with vagina. uterus not separately palpable.hard fixed mass felt bilateral fornix.12x9 cm in lower abdomen bimanuaally palpable. POD smooth & same mass felt per rectally. rectal mucosa free.
CEA - 0.69
CA 125 - 1163.8
CA 19.9 - <2.00
recd 3# P+C LD : 31/3/16
O/E
8x8 cms mass in pelvis restricted mobility
CECT:
A heterogenously enhancing solid cystic lesion is noted in the pelvis abutting the posterior wall of urinary bladder and sigmoid colon.
It measures 12.2x10x9.1cm.
Uterus and ovaries are not seen separately from the mass.
? planes with bowel
Ca 125 : 292
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