Psychiatry consultation

I had a tooth surgically extracted Dec. 20th. It has felt like it has not healed properly. Five days ago I noticed the inside gum (under tongue) back from where the tooth was extracted had exposed bone and is extremely painful. I went back to the dentist today and she said it was not from the extraction, but was a mouth ulcer causing the bone to be exposed. She Rx'ed magic mouthwash and lortab 5mg. I have appt with oral surgeon on Thursday. I am concerned about she didn't give me antibiotics and the surgeon wont give any until consultation. Is this dangerous to have exposed bone? I have lupus and I don't know how this will affect me. Help

Its a complication that occurs after a traumatic extraction and what is known as dry socket. See your dental surgeon and ask for topical antibiotics. ...

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Dear Doctor, Please help me to control my diabetes. I am a dibetic patient about 17 years and under insulin for the past 5 years.Before five years I underwent CABG surgery. My need for consultation is for Diabetes. Now i take Metformin 500 SR/Diapride 2mg and 30/70 fast acting Insulin 18 in the morning and night time I take diapride 2mg and Insulin 8 points only. My HbA1c is 7.9 and always PP is above 200 to 240 Today fasting is 121 and PP is 234.Please advice.

Hi, Since you are a known diabetic,few changes which have to be brought in are lifestyle modifications. If you have already not changed them or if you are not serious about them because they are the only steps which would help you the most. Drugs just bring down sugar for a few hours and then would raise back again and your body can become slowly resistant to the same drug dose so first you will have to bring lifestyle modification(changes) in yourself. 1)Eat a low-cholesterol, low-fat diet, ...

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1. Using tobocoo products since long time back 2. One and half year back ( October 2011) observed a tiny white colour patch inside cheek. 3. Consult the doctors and as per them it is because of sharp teeth byte. 4. Since uses tobacoo product it is also leucoplakia inside the mouth. 5. Doctor prescribe the ointment like kenocard, candid and it improved a lot 6. Since it was not completely finished so another step I had done to remove some superficial layer over that area after the consultation with same doctor ( In November 2012) 7. I was assuming that after removal it would completely solve the problem. 8. Unfortunately the patch is still there along with new skin. 9. Importantly the patch is not grown till date as it was earlier. 10. I am really having great mental pressure about how it can be solve and what step we need to take care so that it would

Quit habits strictly. Various treatment modalities for oral leukoplakia have been reported, but there is currently no consensus on the most appropriate treatment The treatment modalities include change of lifestyle factors such as tobacco and alcohol intake, Medication with retinoids or antimycotics, 13-cis-retenoic acid, carotenoids, Vitamin C, E, Natural agents (green tea) & Non-steroidal anti-inflammatory agents Surgical excision, Cryosurgery, Laser evaporation or laser excision. ...

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I am looking for a diet and lifestyle consultation using Ayurveda or Indian natural food instead of the artificial protein based diets. This is for weight/inch loss as I am obese. I have chronic back pain and started minor knee pain and recommendation is to loose weight. I spoke to a local Ayurvedic place near home but they asked for external tummy cleanser and big programme (I think Panchkarma) including drinking ghee and I was scared so I gave that a miss. I am willing to change my lifestyle. Can you please let me know if I can get any help?

Hi genie in stead of panchakarma u can take ayurvedic medicine line of treatment also. Medohar guggulu ,varunadi kashaya etc Kindly consult on following Details *********@*****.com ...

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Regarding mental Depression, which department I should select to get an appointment for cmch vellore through on-line as any Physiology or Psychiatry department is not available in selection panel?

Hello Nazu. I understand what you are going through. I am an experienced therapist and mental health counsellor at Kaadambari Centre for Mental Health. Please email us on *********@*****.com or whatapp us on + **********. ...

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I am sourabh Sharma Male Mujhe face saaf or gora krna hai but mere paas itna time nhi hai ki gharelu cream use krpaoo to kya aap koi cream ka naam bta skte hai Pls sent ur consultation mail id Sharmasourabh932@gmail.com

Sourabh it is better to use ayurvedic medicine internally and externally.nd cosmetic for. Ur problem. U Need proper diet also. We have very good medicines for ur problem. No side effects. For more information call or what's app me on this number : nine five three five four two zero seven seven zero. thank u. ...

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Dear Dr. Following are my detailed Sperm Analysis Reports: Need advise and consultation as I am into my 3rd year of married life. First Test Done on 02nd Nov. 2016 Quantity:4ml Colour: Whitish Viscosity: Normal Liquefaction Time: 30 mins pH: 9 Sperm Count: 20millions/ml Pus Cells: 16-18/hpf Motility: 20% Actively Motile: 10% Sluggishly Motile: 10% Abnormal Forms: 25% Non-Motile: 80% Medication given: Tabocine 100mg - 2 Tablets daily for 14 days. Second done test to check if any improvement in Sperm Quality and Motility inclusive of elimination of pus cells on 15th Jan 2017: Quantity:4.5 ml Colour: Whitish Viscosity: Mucoid Liquefaction Time: 30 mins pH: 9 Sperm Count: 15 millions/ml Pus Cells: 10-12/hpf RBC: 1-2/hpf Motility: 15% Actively Motile: 7% Sluggishly Motile: 8% Abnormal Forms: 20% Non-Motile: 85% Organism Isolated: No growth. Please note that there were no RBC's in the first test and appeared in the second test sample. Thanks and Regards, Mohammed.

Ur semen analysis shows u have oligospermia I. e less count sperms. Low motility. Less normal sperms and more abnormal motility and forms. Allopathy doesn't have promising medicine for ur problem. .I m specialised in the same I had very good ayurvedic medicines for ur problem. Within 4 months I can improve every seminal parameter. I need ur detailed history investigation and previous medications. For more information call or what's app me on this number : nine five three five four two zero seve ...

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Hi Doc. I am 7 weeks pregnant. I usually had 28 days regular periods ever since. Never a delay or pain. As I'm aborting the baby using mifeprex and misoprostol I need to know whether it will affect my other organs and fertility in the long run. I'm 29.5 yrs old. This is my second abortion in last 6 months. I conceived first on November 2016. After the termination of pregnancy I was detected with a small kidney stone. Moreover in 6 months I went through major issues of deficiency of vitamin d, ferratin, folate. My weight reduced from 48 to 42 kg by Feb 2017. I was trying to get them recovered and I became pregnant by June 21. I did consult three doctors but I couldn't get a satisfactory answer. I went through lft, kft, thyroid, blood count and all were normal. My heamoglobin is 12.7. it was 13.7 after my first abortion. It deceased post abortion once kidney stone was detected. On top of this I've severe mood disorder and insomania since childhood. So I've been advised to take tryptomer since I was 22 yrs. I need to take it every two three months to restore my sleep balance. I'm a regular workout person and yoga practitioner as well as into weight training. However after all these I went through my body has become weak and I'm not able to workout much. Appetite is lost or so much that I don't know what to eat or what not. Stomach infections became common. After every test and doctors consultation I still need some more answers and clarification/ clarity to my body conditions. Further what precautions I must take. It would be really helpful. Thank you

Hi, Your concern seems multidisciplinary. This needs your utmost patience.First and foremost you can consult a reproductive endocrinologist and infertility specialist, You can also seek a consultation with an Internist (endocrinologist) regarding your condition, specifically the weight loss, easy fatiguability and loss of appetite.Kidney stones can be managed by nephrologist. ...

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Hello Sir,My father is now 72 yrs. of age.He is on 'Olmesartan medoxomil40mg' in morning and 'Metoprolol Succinate 25 mg' with 'Amlodipine 2.5 mg' in a combination in the evening for the last 3+ yrs.,and his hypertension was in control (avg. 130/85). Previously he was on only on 'Amlodipine besylate 5 mg' once a day for the last 10+ yrs.( before he started the above-mentioned medication 3 yrs. back as per his doctor's advise but when the peripheral edema and a little-bit face swelling started,and the B.P could not controlled with plain Amlodipine 5 mg,doctor advised the above-mentioned medication after closely monitoring ECG and related tests).Till last six month the B.P was in control(avg. 135/82)without any remarkable side effect except 'back of palm' & 'foot skin rash' which he had for more than last 10+ yrs. and being treated separately with skin cream (clobetasol,miconazole,gentamycin combination in S.O.S-basis with citicoline skin cream when it is too necessary to moist the skin)- but suddenly the B.P is constant on an avg. 145/92 without any major health related complain from patient except sudden-started oedema in left foot skin and left tibea-febula skin for the last 10 days,and the doctor is now suddenly not willing to further new prescription and advised 2nd consultation with another doctor.Now I'm worried what to do exactly,last 3 days I tried only Amlodipine 5 mg in evening and olmesartan 40 mg in morning and B.P is now 140/82 in an avg. for the last 3 days.Please advise me what should I do now? Expecting your kind opinion at your earliest to rule out the problem and the solution for the same. Thank you very much Sir.

hi, do not increase the bp drug dose without physician's advice your father needs further evaluation if he is compliant with drugs and not taking any new medications and on proper diet ...

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