conversations
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{
"from": "human",
"value": "Source: Patient: I am waiting for the results of my mammogram and ultrasound. I found a large immovable lump in my right breast. The ultrasound showed a large dark oval circle but of course no one is answering my questions. I have swollen lymph nodes in right arm, neck, and chest. Pain in my back and arm, and have body aches allover as well as night sweats. No breast changes or discharge other than the lump. I am 41 years old with no family history of breast cancer. I had my first of two children at age 25 and started menses at age 12. What are the chances this is just a benign cyst? What about cancer? Doctor: Hi Angela You need to get your complete work up done including a bonescan,x ray of the chest, ultrasound of the abdomen and also Fine needle aspiration cytology (FNAC) of the swelling/lump in the breast..Please do not ignore it as it is a cause of concern..The symptoms you have described go in more favour of cancer..good luck"
},
{
"from": "gpt",
"value": "Target: Waiting for mammogram results. Immovable lump on the breast. Swollen lymph nodes in the arm, neck and chest. No history of cancer. Cancer?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have had a cough for the last 6 weeks. Started after I used an strong Arosal cleaner. There is no pain in my throat and my lungs are clear. I do not cough at night and and I have been using cough drops to control my cough. I do not think that it is reflux. Doctor: Welcome to HCM, as per your query, You might to allergic to that aerosols. Allergy to aerosols is very common, u should avoid exposure to aerosols, dust, perfume, deodorants, etc. Anti-allergic drugs like cetrizine may be helpful.A sugar candy at time of cough can be helpful. If condition persist, consult a ENT /pulmonary specialist.Hope your query have been solvedGet well soon"
},
{
"from": "gpt",
"value": "Target: What causes cough after using Arosal cleaner?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have bilateral hip pain. For over 9 months I have been experiencing hip pain, tailbone pain and every morning when I have a bowel movement it starts and is relentless the entire day. My lower back aches sometimes the pain radiates into my feet. I recently had an mri and was told that there is an herniated disc but not that bad? I also have a fibroid tumor and cyst in my uterus. I am 47 years old and absolutely miserable. Doctor: Hello ! Thank you for the question on HCM! I understand your concern. The pain which aggravates by the bowel movements is not related to the bulging disk, but it may be a spastic colon( a disorder caused by irritation and contraction of the great intestine). The fibromyoma can cause similar pain, but it is more related to uterine hemorrhage. You should consult with your gynecologist for this issue.The back ache radiating to the feet is related to the bulging disk and chronic degenerative changes in the bones. I would recommend a lumbar bracelet for the pain and avoid standing position and sitting position for a long time. Physiotherapy would be very helpful to you , reinforcing the muscles of the lumbar region. I would also recommend Amytriptiline or Gabapentine which are very effective in chronic pain. These drugs should be used for some months. Hope to have been helpful ! Best Wishes, Dr. Abaz Quka"
},
{
"from": "gpt",
"value": "Target: What causes bilateral hip pain and back ache while having herniated disc?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I woke up with sharp pain to my back left side under shoulder blade and it is sore today, however I am experiancing some chest heaviness and I am a nurse but dont want to look slilly jumping the gun going to ER for cardiac enzymes and such as I am worried about having MI , I am 55 menopausal , overweight moderatly , take benicar and inderol and have reflux. slightly elevated cholesterol . HELP ???? Doctor: Hi,You are a nurse hence you can know better the importance of having an EKG after any chest and back related problems along with cardiac enzymes to rule out he cause related to heart.This can be due to GERD causing esophagitis.Can be due to muscle spasm.Viral fever can cause this.Anything related to lungs and pleura.Hence You need the following:Rush to ER for cardiac enzymes and EKG.Clinical examination by a Doctor can tell about GERD, myalgia, cardiac or respiratory related problems and get investigated as per the findings.X-ray chest.Tests of blood,.Further investigations will tell us the proper most diagnosis so that an appropriate management can be done.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. T. Chandrakant, General Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes pain in shoulder blade and heaviness in chest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: HI,I HAVE HAD UNPROTECTED SEX ON THE 1ST OF APRIL AND TOOK A MORNING AFTER PILL ON THE 2ND OF APRIL, MY PERIOD NORMALLY COMES TOWARDS MONTH END BUT I GOT IT AROUND 15TH APRIL. ON THE 27TH OF APRIL I HAD UNPROTECTED SEX AGAIN AND TOOK NO MORNING AFTER PILL. I GOT MY PERIODS ON THE 7TH OF MAY AND IT WAS A HEAVY PERIOD. I STARTED USING DUROMINE ON 11 JUNE AND I AM WORRIED AS TO WHY AM I NOT GETTING MY PERIODS. I HAVE TOOK 3 PREGNANCY TESTS AND THEY ARE ALL NEGATIVE. I AM VERY WORRIED.. PLEASE ASSIST. Doctor: hello, sometimes stress causes delay in getting menses as it hampers the hormone level so it's better you wait for a week more and then do one blood test for level of betaHCG. or else u can do a pregnancy test too."
},
{
"from": "gpt",
"value": "Target: What causes delay in periods despite having negative UTP?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i have a lump 2 cm by 1/2 cm left outer thigh for years,painless, now a large lump left side of neck painless, ultrasound negative, and about 2 months ago a lump top of rigth hand size of fifty cent piece, raised one cm in height, non movable, painful to palpation , near wrist , not due to trauma . my friend has her third sarcoma and now my lumps worry me, i am sixty and disabled after multiple abd hernia repairs with mrsa . but no surgery since 2008/but have medical conditons and no abd support for huge abd hernia, so cannot return to work, have no abd fascia was eaten away by infection Doctor: Sir...the multiple swellings which you are describing can be multiple lipomas/ neurofibromas. They can sometimes increase in size and can become painful. I can see you are apprehensive because your friend has been diagnosed with recurrent sarcomas. The best way to get over this apprehension is to consult a doctor and get an FNAC (fine needle aspiration cytology) [ a test in which the material from the lump is aspirated and analysed under a microscope]. This test will make it clear whether your lesions are benign or malignant. Your abdominal hernias are unrelated to the present condition."
},
{
"from": "gpt",
"value": "Target: Painless lump on outer thigh,neck and wrist, ultrasound negative"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i have a dog,himalyan shepard dog.He has stopped eating and drinking.He also tried to bite me three days back though he is not a agressive dog.I got scrathes on my thigh,it dint bleed but my bruises on my thigh.I am little scared if this could result to rabies virus as i consulted vet . doctor they recommended me to take injections for rabies.My Dog is alive and has not shown any symptoms of madness except eating and drinking(licks if milk is given very little),barking(barks sometimes).I have taken one shot, does it effect the health Doctor: Dear Friend, . You have Category II exposure. Better take Anti Rabies Vaccination since the dog is sick. There are two types of rabies in dogs. Furious type and Dumb Type. In dumb type the dog won't be aggressive Contact me for more information or guidance Wish you Good Reproductive & Sexual Health With Warm Regards, Dr. A CHAKRAVARTHY MBBS; MBA; (MHSc Reproductive & Sexual Medicine) Consultant, Sexual Medicine / Sexologist, TRIVANDRUM, KERALA Email: [email protected] +91 – 944 77 050 77 / 94471 55 0 77 / 99 464 2 55 77 President, International Association of Sexual Medicine www.drchakravarthy.com / www.sexual-medicine.org"
},
{
"from": "gpt",
"value": "Target: How does one attain rabies virus ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: So I was riding my bike today with my friend & i fell off my bike and my finger was dripping blood and I could hardly move it now like 6 hrs later its still bleeding and i can hardly move it and its kinda blue....so i was wondering if it might be broken or sprained??? Doctor: Hi ! Good evening. I am Dr Shareef answering your query.I would advise you to go immediately to the ER of your nearest hospital and get it physically examined by the duty doctor for an early management to avoid any further complication. It might not be appropriate to seek opinion on your condition over the net and delay the treatment.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: How to treat injured finger turning blue after bleeding?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I just had a laranscopy and esophopscopy done to idntify soft tissue under the base of my toune. My Dr. notoice one side of my sphenoid bone was larger and fractured it. I have had some relief but my vision doesn t seem as good and i get agitated easily. are these connected? Doctor: Hi, vision problem and scaphoid fracture is not connected both are completely different things. For scaphoid fracture consult orthopedic surgeon and for vision problem consult ophthalmologist. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Are vision problem and fractured sphenoid bone connected?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my sons father punched my son earlier today. he is 21years old. He just told me his ear is bothering him and I was just curious how to tell if there was damage that we should be concerned about. he is worried he ruptured his eardrum? what are the symptoms? Doctor: Hello,With a ruptured ear drum he would have a decrease in hearing in that ear, some pain and perhaps a blowing sort of sound in the ear. If he has pain he should see a doctor for an ear examRegards"
},
{
"from": "gpt",
"value": "Target: How can a ruptured eardrum be identified?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: an urgent care reported my chloride level drawn two days ago as 88, sodium 127, with elevated liver enzymes and wants me to go to a hospital ER. all other blood work are WNL. should I go to the hospital or can it wait til tomorrow to see my physician? Doctor: Welcome at HCM I have gone through your query and being your physician I completely understand your health concerns..... In my opinion its not that much emergency you can wait till tomorrow to see your physician.. Meanwhile stay calm and restrict your water intake.... Try to eat saltish food with little water.. Stay safe and get well soon Regards Dr saad sultan"
},
{
"from": "gpt",
"value": "Target: How to stabilize elevated liver enzymes?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i had a tooth pulled, by a dentist who did not do a xray first. so he broke my sinus, a oral surgeon did surgery and put a screen like patch on it. many years ago. but it has bothered me ever seens.I had a 3D SCAN done in dec. 2010,they found something on my sinus at that time but said he would not touch it.it did not bother me until this week, lots of pain ect.... they gave me amoxicillin and pain pills. but I need help, I DONT WANT TO GO THRUE ANOTHER 25 PLUSE YEARS OF THIS AGAIN! dont no where to go, or who to see. Doctor: Hello,If the pain occur at the site of extraction socket, a thorough clinical as well as x-ray evaluation has to be done initially.If there is sinus infection or bony projection you must visit an oral-maxillofacial surgeon for further reference.If there is any root pieces of tooth remaining at the site of extraction socket,get it extracted.Meanwhile,take rest.Avoid anxiety and stressful jobs.Complete course of antibiotics-analgesics has to be administered.Hope this helps."
},
{
"from": "gpt",
"value": "Target: Pulled tooth without taking x-ray, broke sinus, surgery done. Severe pain. On Amoxicillin, pain pills. Whom to consult?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor , I am taking Primoult Nor -10 mg tablet to prepone my periods. the last period was on 26th may. i started tablet from june 20 each day one today it is 4 tablet finished. till now i didnt get my period. Doctor: Hello padma; welcome to HealthcareMagic Primolut nor-10 is a hormonal pill which you have taken for preponement of your periods when you stop this tablets then with in a period of 1 week you will get your menses as till the tablets are on you will not get menses.If you want to get periods please stop the pills. Thanks"
},
{
"from": "gpt",
"value": "Target: Taking primoult Nor tablet for preponed period but till today dint get period"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I have been using this kind of smoke less tobacco for past 4 year. But now i am feeling that i should haven't used this and not any more , but i am not able to control this. Even i have fear of cancer ??? please give me a best way to make my self calm Dr.. ?? Doctor: Smoke less tobacco causes cancers such as oral cancer, esophageal cancer, and pancreatic cancerThere is no safe form of tobacco. At least 28 chemicals in smokeless tobacco have been found to cause cancer. The most harmful chemicals in smokeless tobacco are tobacco-specific nitrosamines, which are formed during the growing, curing, fermenting, and aging of tobacco. The level of tobacco-specific nitrosamines varies by product. Scientists have found that the nitrosamine level is directly related to the risk of cancer.In addition to a variety of nitrosamines, other cancer-causing substances in smokeless tobacco include polonium–210 (a radioactive element found in tobacco fertilizer) and polynuclear aromatic hydrocarbons (also known as polycyclic aromatic hydrocarbons).So i advise u to totally stop using smoke less tobacco.RegardsDR DE"
},
{
"from": "gpt",
"value": "Target: Can smoke less tobacco cause cancer?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, i recently found out that I had Kidney cancer and had my right kidney removed. I am a 45 years old female and don t smoke, don t drink, and I am vegan. I have always been very healthy, active and have a positive attitude. I am 5 6 and weigh 135, so I am not overweight. There is no history of kidney cancer in my family and it is not genetic. Is it possible to get kidney cancer from exposure to asbestos without having lung cancer. (or just lung problems) too? Doctor: It is unlikely that asbestos exposure is responsible for an important increase in kidney cancer risk however high asbestos exposure might entail a small increase in risk for kidney cancer.RegardsDR DE"
},
{
"from": "gpt",
"value": "Target: Does kidney cancer occur due to the exposure of asbestos?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My head aches in the neck and back My back hurts my neck hurts I hurt the muscles of the body My muscles become fatigued faster I can not sleep If I use a pillow neck hurts more If I put the pillow back up with my back hurts I have an upset stomach I have a sore throat I find it hard to swallow I am very concerned, are the 4 A.M. Should I go to the doctor now ? Doctor: Yes you need an examination.Kindly meet your GP ."
},
{
"from": "gpt",
"value": "Target: I have an upset stomach & sore throat, please suggest me"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi There, Okay I have been diagnosed with major depression and severe anxiety. I have had the same therapist for 6 years. My medications are trazodone 100mg at bedtime, Celexa 40mg in am, xanax 1mg 3 times a day. This has been working for years. Right now I'm going thru major hell with a doctor who performed a simple laprascopic tubal litigation and punctured my lower intestine making the last 11 months of my life very difficult still trying to all the reason I'm still in major pain and a lot more problems with doctors refusing me and whole lot of other stuff. Last month my therapist left the practice to start her own. She is not up and running yet. So I'm seeing another therapist from facility. Right off without knowing me or what I'm going thru. She lowered my dosage of xanax by half. I'm having very hard times with this low of a dose. What can I do? With all this I'm going thru I'm so scared I'm gonna end up in the ER because of the panic attacks and anxiety. HELP Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You are aware that you have severe anxiety and depression. You know the what is anxiety is. I am sure that your therapist had given you full meaning. Once you know what is anxiety, you should also learn to relax. Anxiety is a disorder and not a mental disease. It is not only controllable but fully curable without Cognitive Behavior Therapy (CBT). Your therapist could have been qualified. Then why your anxiety is not being controlled or cured?You should ask this question yourself. Don't blame your therapist or doctor or your life conditions. Learn to blame self and pity self. Then you learn to change. The process of change in due course will cure the anxiety disorder. Take my word for it.I can help you with CBT. For that I need to know you more and more. You can post a premium question with your full details.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Having hard time with low dose of xanax taking for depression and anxiety"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i m suffering from joints pains snice 45 days. before 40 days i had suffered from high fever may be because of chicken gunaya but not sure .. now a days i cant able to do any thing. i m also a patient of high blood pressure. kindly suggest me something. Doctor: Hello,I read carefully your query and understand your concern. Chikungunya virus is spread by mosquitoes and causes severe joint and muscle pain.The patients may experience joint pain for months to years after the initial infection. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for joint pains while having high blood pressure"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I am Debjani From Kolkata,I want to know about cardiology related query.My mom was suddenly stoke last 15 days ego in my home.After that i we are admitted near by my home town hospital and they can admitted in ICU and done all tests like angiography and report was not well ,she has blockage in her heart and Doctor saying operate this.So I want to khow about Sri sattya Shai Hospital all details regarding this. Like – how to going there, operation fee, accommodation, road map and etc etc. can you help me please. Doctor: Hello, After going through your medical details I understand your concern and I would like to tell you that treatment for coronary artery disease depends on the type of lesions. A line of treatment can be angioplasty, bypass surgery or medical depends on CAG reports and patients conditions. Take your mom to the cardiology department wherever is convenient for you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhanu Partap, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Treatment for blockage in heart"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my husband got a DUI, which he has to use a home breathalyzer four five time a day. He got a chronic cough that going on for more than a year. Since the cough, sometimes bother him he took over the counter cough syrups. then, finally he was diagnosed with GERD. His results from breathalyzer was positive quite a few times. He did not drink a drop of alcohol. I heard GERD can affect the results of the breathalyzer. Is it true? Doctor: Hi. I understand your concerns.If the person has an episode of GERD before the breath test, alcohol gases or vapors coming up from their stomach can be mistakenly read by the machine as deep lung air. This can cause the breathalyzer machine to give a falsely high BAC result. Usually, the law requires a person giving someone a breath test to wait and observe the person for 15 minutes to make sure that the person does not vomit, belch, or have the hiccups because this could cause alcohol from the person’s stomach to be read by the breathalyzer machine.Most DUI defendants who suffer from GERD will have to present evidence from a physician to show that they suffer from the condition so that a court can determine whether GERD played a role in a high breath-alcohol test result.Hope your questions were answered.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for GERD and chronic cough"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, for the past few weeks, I ve been getting slight chest pains both left and right of my chest, more so on the right. It feels more like a briuse than sharp pain. I do have anxiety and I take medication for headaches also. The medication on the paper also reads that it reduces heart rate aswell but recently my hearth rate has been 100/60 probably due to my stress levels even though I don t feel stressed. The chest pains come and go a few times a day for a few minutes. Sometimes laying on my side at night also triggers the left side of my chest. Any feedback would be great. Also, I ve had many bloodtests and they all come back fine. Doctor: Hello, I would explain that your symptoms do not seem to be related to the heart. In my opinion, your symptoms are suggestive of musculoskeletal pain or local inflammation. Gastro-esophagal reflux can mimic this situation too. For this reason, I would recommend trying acetaminophen and see if it improves your situation. This would be indicative of musculoskeletal pain. Otherwise, I would recommend trying a PPI (omeprazole or pantoprazole). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Should I visit a doctor for frequent chest pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have two white bumps on my scrotum that look like white head pimples but they are not as they have not gone away in a while. It does not hurt, itch or anything. My doctor said it wasn t a problem but I m concerned. Are they cysts? How can I get them removed? I must get them removed as its affecting my personal life. Doctor: Hi, It can be due to bacterial infection, take local antibiotics to get relief. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: What causes white bumps on scrotum?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my wife is not well for the last 3 weeks. for the last two week she has taken betaloc 25mg, cobadex czs, pansped, thyrowel, domstal and uprise d3 as she was not able to withstand on her own feet from 21st July 2012. That time the measruement of BP was 100/160. But due to no relief to the patient, i have changed the doctor and now he has prescribed Melthix 10mg, Nebula 2.5 mg. and Rabinoc. She is taking those medicines for he last 3 days feeling much better. Please let me whether the treatment is in right direction. Doctor: Hello , ya the medication are perfect and if she is symptomatically better it's ok if she takes the same . Just for your reassurance the newer medications are similar to previous class of medication with just finer change .Let me know if any clarification needed. Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high blood pressure"
}
] |
[
{
"from": "human",
"value": "Source: Patient: for abt 3 weeks my bro keeps talking abt the past abt hw his wife cheated on him 8 yrs ago., he did not sleep at nmight and sometimes i caught him talking to himself, inthis 3 weeks he likes to hide himself in the store rm and refused to come out .what is wrong with him Doctor: HiThanks for using healthcare magicI think, he is in psychosis. He may have delusion and auditory hallucination. In that case, he needs antipsychotic agent like risperidone or olazapine etc. With these drugs, he would improve in few days. You should consult a psychiatrist for proper diagnosis and management. In case, you needs further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: What causes a person to talk to himself and lack of sleep?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had a strong pain in my side and my right testicle yesterday. the pain in my side has gone and the testicular pain has subsided somewhat, but it still hurts and my right testicle is now swollen. plus when I ejaculate it is orangy in nature. from what I can gather its either an infection or I ve bruised my testicle. your opinion is much appreciated. Doctor: thanks for your query in HCM,sudden pain in the testicles may be commonly due to infection, torsion or trauma. if you have fever, burning micturition along with pain, chances of infection is more. and whether there was any trauma to your testicle need to be mentioned. torsion pain will be severe and will be relieved on elevating testiclesin your case testicles are swollen, so please consult nearby doctor and get it managed immediatelythank you"
},
{
"from": "gpt",
"value": "Target: What causes swollen painful testicle?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have recently had a bacterial infection where my neutrophils were around 14,000. I have noticed that my lymphocytes were near the bottom of the normal range at 1.49. Is this normal after an infection or is this something to be concerned about? Thank you. Doctor: in most of the cases of bacterial infection lymphocytes increases except typhoid and tuberculosis (commonly). so it would be helpful for us if you provide us the diagnosis made so that we can exclude the other causes of lymphocytopenia."
},
{
"from": "gpt",
"value": "Target: Does bacterial infection cause low lymphocytes level?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Just recently I have noticed that my tongue was bleeding...for no obvious reason...the only thing I have done differently in the past couple of weeks has been using 3% peroxide to rinse my month after brushing...too whiten my teeth and improve gum ??? Doctor: Hi.Welcome to HEALTHCARE MAGIC..As per your query bleeding from tongue can be most commonly due to traumatic injury to the tongue while can also be bleeding from gums if they are infection..If you have sores on tongue, then it can be due to bleed from sores..I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation will help in diagnosis..As far as peroxide rinse is concerned you should avoid using it without proper advise as it can cause teeth sensitivity..As of now take soft diet and do warm saline gargles..Hope this helps..Regards."
},
{
"from": "gpt",
"value": "Target: Does Hydrogen Peroxide 3% help in treating gum problems?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I've had horrible heartburn along with nausea, headaches, back ache and hot flashes. Should I be concerned? I've heard it could be menopause or even a heart attack. I'm a 50 year old female.I have plantar faciitis in my feet and tendonitis in my hands. I have tenderness throughout my body. My weight is about 120lbs. Doctor: Simple answer: YesEven for doctors, it's difficult to differentiate symptoms of angina from indigestion. Please seek help."
},
{
"from": "gpt",
"value": "Target: Could heartburn along with nausea, headaches and back ache be indicative of heart attack?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my son is 26and a half years old 2 weeks back while coming home from work he felt dizzy thirsty slight numbness in his hands he was very scared v took him to d oc at once who did an ecg it showed his pulse was 140 and d doc said he has tracycardia he has been prescribed inderal10 twice a day his 2decho test showed mild mitral valve prolapse can he exercise n is it serious pls help Doctor: HelloAlthough its not a serious issue and he can exercise upto his tolerance levels, do not over exert himself and be very regular with the medication prescribed by the doctor.Echo should be done every year as a follow to see the status of mitral valve prolapse.Regards"
},
{
"from": "gpt",
"value": "Target: Is it safe to exercise with tachycardia and mild mitral valve prolapse?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello ---please tell me; i have a neutrophil count of 19 and an esinophil count of 28; and an neutrophil abslute count of .8 and a eos absolute count of 1.2; i have asthma, allergies, nasal polyps, sinusitis and feel tired often. also sometimes have mental fatigue . please explain what this could be....my allergist says she thinks it could be allergies or a parasite and that i should see a GI doctor. but i don t want to take a whole bunch of tests if that is not necessary. i have a surgery coming up for endoscopic sinus surgery; should i mention any of this to the doctor performing the surgery or to the anesthetist? any help you can provide will be so much appreciated...thank you Doctor: these are allergic reactions in my experience if these are symptomps i ask patient to stop milk and milk poroducts strictly take antifungal anti allergics for 3 months get your allergy test done and start sublingual immunotherapy i think all will go after this if there u can think of sinus surgery as these are allergies and the polyps reappears after surgery please try other way which i explained before undergoing sinus surgery"
},
{
"from": "gpt",
"value": "Target: Sinusitis, nasal polyps, allergies, asthma, mental fatigue. Tests done showing neutrophil and eosinophil count. Allergies or parasite infection?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: bronchitis 06.10.2017 went to md 06.15.2017 given 9 day course of prednisone 20mg and cefuroxime 500 mg 2/day 3 days later had to stop antibiotic bad antibiotic activated diarrhea finished out prednisone felt better then Thursday night Friday cough back chills body aches fever 100.7 Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Your bronchitis is not cured completely because you have not given appropriate treatment for bronchitis. Best treatment of bronchitis is inhaled bronchodilators. Since you are not taking inhaled treatment, you are not improving completely. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough, body pain and chills post bronchitis treatment"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 4yr old is throwing up white chunks. It's like a mixture of cottage cheese, white sponge and homemade lumpy mashed potatoes. It started during the night Monday night, twice during the day Tuesday, during the night Tuesday night and wed a couple times and the acidic diarrhea started wed. Wednesday night no vomit but several diarrheas and continued into Thursday with one vomit. Every vomit has been that white stuff, it's very strange. Any idea? Doctor: Diarrhea and vomiting suggest your child is probably suffering from gastroenteritis.Other causes of such complaints are appendicitis, food poisoning, food allergies, intestinal obstruction etc.Gastroenteritis may be caused due to bacterial, viral or protozoal infection, but viral infections are more common.Treatment for this condition is antiemetic like ondansetaron for vomiting, ORS solution to prevent dehydration.If no relief consult your doctor and ask for investigations like USG abdomen, stool examination etc. For further queries regarding this disease or its medications you may consult me at Healthcare Magic.Dr. Khan Shoeb"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for vomiting and diarrhea in a child"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am struggling after knee surgery; I ve been on Zofran but the drs assistant didn t get the refill request in time and I spent the weekend without any. I m back on it now, after a day of vomiting, and I feel like I have chills from a fever but no fever and then I get real hot for a few minutes and then chills again Doctor: Hello, It can happen after a major surgery as a side effect of anesthesia. You have to consult an orthopaedician and get evaluated to rule out conditions like local infection which can also cause chills. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes chills after a knee surgery?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I'm 24 years old. I'm have an appointment with a docter today about my gallbladder. Should a gallbladder be taken out? After only a few tests ''confirming'' that it is my gallbladder giving me little problems. And after reading about so many people that gallbladders have been removed and having a hard time coping with their lives now, I dont know what to do? Please help me! Doctor: Hi,Your symptoms may be suggestive of gallbladder stones so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are see more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time.Wish you a good health.Kindly regards,Dr. Ivan R. Rommstein"
},
{
"from": "gpt",
"value": "Target: Is gallbladder removal necessary due to its problems?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My son was diagnosed with glandular fever and pericarditis yesterday and the doctor in Emergency said he could have anti inflammatory tablets but not panadol bcause of the enlarged spleen. I have read that some people take panadol FOR enlarged spleen. He is still in pain and am wondering if he can take anything else? Doctor: Hi,Thanks for writing to hcm.Panadol is the trade name for paracetamol/Acetaminophen in the United kingdom.Usually paracetamol is considered a safer Non steroidal antiinflammatory drug compared to other medications. Kindly consult a physician for the recommended dose that can be given to your child based on his weight.Regards,Dr.Riyanka"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for enlarged spleen"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I have been suffering for about 4 weeks with aching neck, shoulders and rib cage. It is worse at night and is disrupting my sleep as the pain wakes me several times during the night. I take ibuprofen and paracetamol but this does not help much. Hope you can help. Doctor: Hello, The differential diagnosis is Angina , Cervical radiculopathy and Acid peptic disease.It need evaluation which side, past history of acidity, basic investigations like x ray cervical spine and ecg. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Krishnakanth k."
},
{
"from": "gpt",
"value": "Target: What causes pain in the shoulders, neck and rib cage?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am female and have a skin growth on buttocks cheek for 5 yrs. it is round and puffy no head on it. Looked at lots of photos even sebaceous cysts does not look like them. It is the size of the tip of my finger and is external like attached to the skin. Looks like a sac of puss and the skin around it is now infected and sore not the sac itself. Can I do something myself to get rid of this unsightly thing. Please help. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some polypoid skin growth like fibroepithelial polyp. You should go for excision biopsy of that growth and go for histopathological examination. Then if needed take further treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for a lump on the buttock"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi I have gilberts syndrome and iv recently started a whey protein powder supplement fot my gym work. However since using it I have felt increased tiredness and leg muscle weakness. also find my bowel habbits have changed from sometimes loose to slight constipation. just wondered your thoughts on this please and if I should continue with the shakes? Doctor: Hi, Gilbert's syndrome is a congenital condition in which the indirect bilirubin is elevated without having any symptom. The whey protei powder supplement might be the cause of your bowel habits changes and having muscle weakness. So, if it was your physician who advised taking whey supplement, I'd suggest to consult with him/her for another alternative. If you took it by your own, then, I suggest to stop the whey protein supplement for some days. If no improvement, then, consult GI for further evaluation. Wish you health! Dr.Behar"
},
{
"from": "gpt",
"value": "Target: Can experiencing tiredness, leg muscle weakness and constipation be related to gilbert's syndrome?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I has problem each time when l go to the Mass in the Church , it seems that I pass out just about 5-10minuteswhen the Mass started with my eyes closed and I could not open mouth or talk until the end of the Mass and after . I woke up by herself as normal, I can hear people talk but could not open eyes or mouth at all. I went to MD , he put on machine to monitor my heart for 48 hrs but the EKG reading was normal with all her activities. Also CT scan of the brain showed normal too. I am a Catholic and love to go to the mass and receive Communion . Because of this happening to me like this few month already . Beside what is happening to me each time I attend to the Mass, I am in good health body and mind. Please advise me so I could continue to go to the Church/ Mass an receive Communion. Doctor: Hello,Multiple episodes, where you fell and felt you could not move, always at Mass. I think you have Agoraphobia/Enochlophobia. This can present like this. I would seriously suggest meeting a behavioral therapist.The other possibility I can think of is multiple episodes of seizures. There might be some trigger that cannot be identified by me on this forum- like a specific type of bells or some blinking lights that might be triggering the episodes.And no, the seizures need not always have jerking of body parts. There is something called as an Atonic seizure. I would therefore also suggest meeting a neurologist to test an EEG. CT brain can be normal in such cases.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Saumya Mittal"
},
{
"from": "gpt",
"value": "Target: What causes unconsciousness despite a normal EKG report?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor today I cheked my Bp it was 90/60 for the last 5 days I was feeling dizzy and not able to concentrate in anything two day back I had an severe backpain for which I took Butaproximan and paracetmol with aceloflam and clorozome. There is an heart burning sensation in my fool cannel today I am feeling very sicky and my head is rolling like anything pls help me out Doctor: Hello, Thanks for posting your query on Healthcare Magic...* Brief Answer: your condition may be critical,should check in emergency room.*Explanation: My opinion is that low blood pressure symptoms such as dizziness ,blurred vision and near syncope needs some attention.some common conditions as dehydration may explain that.I suggest my patients the following if chest pain is a symptom,you should check with your doctor.The information provided by you is not sufficient to provide a good opinion.If someone comes to me with this condition I would ask them about other medical conditions or comorbidities as diabetes ,hypertension,etc.*Conclusion: I suggest you check with your physician. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dizziness with low BP"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Sometimes when Im sitting and tilt my head back I get lightheadded. This sensation also happens when I stand up or lay down. Only lasts a few seconds.I have been treated for vertigo - about 10 yrs age - treatment worked - but lately getting the lightheaded sensations. Doctor: Hello,Your symptoms are typical of an inner ear disorder. For this reason, I recommend consulting with an ENT specialist and performing labyrinthine tests to investigate for an inner ear disorder.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Aida Quka"
},
{
"from": "gpt",
"value": "Target: What causes dizziness while tilting head back long after treating vertigo?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 2 year old has been ill for a few days now not really temperature but hot and clammy. She has had bad diorreah for about 4 days and wont each much food. She has really bad breath and smells ill. Is very irritable and upset cant sleep very well. been giving calpol. could this be tosilitis? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain bad breath along with being cold and clammy seems to be due to Viral Infection that is common in toddlers..Do not worry, she will be fine soon..-Continue giving tylenol to relieve fever..-Feed with plenty of warm fluids and give a soft and semisolid diet..-Avoid spicy, chilled foods.-Give appropriate rest..In case of no improvement in a week consult a Paediatrician and get her evaluated..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: What causes bad breath?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi, i was having fever from past 7 days and today i was diagnosed with typhoid. i am feeling this sharp pain on the left hand side below the rib cage . It is not continuous though...its like something sharp is poking in every now and then. what is it all about ? should i go through some test to find out? Doctor: Hello dear,Welcome to HCM.I have read your query and understood your concern.No, Typhoid fever doesn't cause pain below ribs.Left sided pain below ribs, can be due to spleenomegaly.This can occur due to Malaria.I would advise you to get :1. Hemogram 2. Ultrasound Abdomen3. Malaria Antigen4. Xray ChestIf you have any further query, please ask me.Stay Healthy."
},
{
"from": "gpt",
"value": "Target: Does typhoid cause pain in the rib cage?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my nephew was 8th month than he fall down. and his left hand and left leg no work. and they admitted in PGI Rhotak...and than transfar to AIMS. they get improvement in our body.. and 6th month after he again fall down and his right hand and right leg not work properly. do help me out Doctor: after falling acute weakness may b due to bleeding in brain which which causes necrosis of brain tissue but recurrence of this type of involvement is unusual.sometimes bleeding in brain occur first and then child falls as a result of weakness in limbs. this is more common condition. so u should consult a pediatrician regarding this."
},
{
"from": "gpt",
"value": "Target: What causes hand and legs to dysfunction after falling?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi my friend had tuberculosis last year he was in hospital for 3 months he got over but this year he started getting some chest pain he did a scan on his chest they said he has some kind of bumps on his lungs & kidney has this every happen to any of your patients & how did u deal with it Doctor: Hi,As you have explained the history, it depends on what kind of bumps are they.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jnikolla"
},
{
"from": "gpt",
"value": "Target: What is the treatment for chest pain due to bumps on lungs and kidney?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi I got stung by a wasp I believe not a new last Tuesday, was in pain that day and night, now it s the weekend and I ve noticed pain from my top of my head where I was stung a few times travelling down the side of my right ear and pain in my neck, my gland feels swollen... What can I do? Thanks Doctor: Hi, thanks for using healthcare magicThe discomfort that you are noticing would be related to the inflammatory reaction to the insect bite.You can consider using both an oral anti histamine and oral anti inflammatory pain killer.The combination should help to reduce your reaction.Example of oral anti inflammatory pain killers are naproxen, cataflam, voltaren, ibuprofen.I hope this helps"
},
{
"from": "gpt",
"value": "Target: How to treat the pain and swelling caused by wasp sting?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 18, I have a significant size lump under my last molar on the right side of my mouth, it s pretty from the surface of the gum. It doesn t hurt, there is no discoloration (yet), it s hard, I don t have a sore throat , or hurt to swallow so far. I don t know if it s a wisdom tooth , if it is then it s coming in sideway s. I don t know if it s a cancerous mass or not. On a side a note, I am a football player, our season has been over for two months but we still play backyard football. I lost a little part to my filling to the molar that the lump is under after a tackle about three weeks ago. I am going to the dentist next week. pleaseee give me feed back, I AM EXTREMELY WORRIED! Doctor: There can be many reasons behind the swelling but what i feel from your description is that the swelling is MUCOCELE (though it requires a clinical examination). Mucoceles are lumps formed as a result of saliva the escapes into the tissue from damaged salivary glands (minor). They are translucent and bluish grey in color. The main cause is trauma. Usually they burst down but if not then requires surgical removal under local anesthesia. The bump in the gum can be hard or soft swelling. They are usually related to infection due to adjacent tooth. It is advised to see a dentist for clinial evaluation and correct diagnosis ."
},
{
"from": "gpt",
"value": "Target: Lump under the molar tooth. Is it a wisdom tooth or cancerous mass? 18 years old"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello doctor, one of college mates consumed poison and is in acute renal failure since 3 days. What causes kidney to stop functioning suddenly? What are the treatment options? Doctor: lot depends on the type poison consumed .dosage ingested and vomited.time to primary treatment incl stomach wash in c/o ingestion.......ifthe poison is the one which is excreted thru kidney it will cause direct damage and person frequently needs dialysis ie artificial kidney wash....if it is secondary due to decreased body fluids it responds well......kidney fail due to multi organ failure also carries dismal prognosis"
},
{
"from": "gpt",
"value": "Target: Kidney failure due to poisoning"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Dr. I'm 56 yrs. old, 58 kg. Last Saturday June 11, 2011, I got a cat bite on my pointed finger, I let it bleed, washed with soap & water & pour a 70% alcohol & took Augmentine 625 mg. 2x a day for 5 days. About 4 years ago I had a shot of anti tetanus so I didnt bothered my self to have it on the day I had a cat bite. On the 3rd day I found out the cat was dead on the canal with water I dont know if he was drown or somebody put him in the canal after he died. Yesterday (June 18, 2011) I felt a little pain & little redness on the site of cat bite, so I got worried so I hurried up to the Dr. & got a shot of anti tetanus 5,000 \"U\". Now my question is- Do I still need to have a shots of Anti Rabies, today is on my 8th day. Do I have a rabies? Thank you & please answer my questions immediatelly because I realy bothered. Doctor: Dear Madam,Thanks for posting your query on HCM.I appreciate your concern for the cat bite you had.You need to have a course of anti rabies vaccine.The incubation period for rabies is typically 1–3 months so you must start taking the vaccine shots from today on wards in the following days:0, 3, 7, 14 and 30 days.The vaccine is not the treatment of rabies, it is given to prevent the disease.Since the exact cause of death of your cat is not known, hence you are advised to take a single injection of anti rabies serum as well.It is unlikely that you have rabies at this moment.The initial symptoms of rabies are fever and often pain or an unusual or unexplained tingling, pricking or burning sensation (paraesthesia) at the wound site. Hope the suggestions given above could be helpful to you in getting treated."
},
{
"from": "gpt",
"value": "Target: Can anti tetanus injection protection from cat bite?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have had a Percocet addiction for 35 years and have had many Dr.s in that time span. I was up to without exaggeration, eating 240 10mg p s, 98 30mg oxycodone pills, as well as an assortment of 5mg pills which were always at my disposal. I have cancer and have severe back injuries but along with the p s I also had monthly access to 240 2mg xannax pills which after awhile Ihad no problem eating all of the above each month and would look for some more. I died 4 times in a 6 year span due to double pneumonia which the Dr.s told me my medications were playing a large roll in this. When I was 16 I became an atheist due to my brother dying, he was my favorite and I became very drug dependent to kill the pain. This lead to my later addictions and no matter what I tried I could not escape their grip.The last time I was in the hospital I said Lord I do not know if you are real but if you are I am begging you to open my heart again to you and I need your help or this will probably be it for me when I leave the hospital, I have had enough, and this is only the drug portion of my life I would not wish the things and amount of death I have had to witness on anyone. I am the last of all my friends left alive and I am 53years old. Over 40 friends have passed on, 2 of which I grew up with from the age of 5, others just would not listen. I lost 2 older brothers, 1 my 1st year in highschool the other 8 years later of an overdose. Needless to say ptsd, depression and other problems haunted me until I did as many drugs as possible to bury the pain, but demons only stay buried so long which I found out the hard way. tiny2882@comcat,net Doctor: Respected user, hi I evaluated whole long query in total details thoroughly .* Now only options left for you is holistic healing with herbs & other things.* Current respiratory details & status are not mentioned with symptoms to figure out for the pneumonia, but for mental condition I can say that only & only thing which can help you to any extent is very deep meditation sessions on highly regular basis 2-3 hours of dedicated YOGA daily which will give your inner soul & subcouncious mind the level of peace you are lacking at present .Hope this helps you .Welcome for any further assistance .Thanks for using Healthcaremagic.com & giving me an opportunity to assistWishing you a healthy life ahead .Regards dear take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pneumonia"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My dad was diagnosed with low sodium. What are the side effects of low sodium? He is having 2-4 episodes daily. He gets shaky and dizzy for a few seconds; sometimes, it s when he stands up and sometimes when he is sitting or walking. Could that be a result of the low sodium? His sodium is 3 points lower then normal. Doctor: Hello,Low levels of sodium can cause dizziness, tremors, drowsiness. If it get critically low, it can even cause fits. Please cobsult your nearest physician.Thanks."
},
{
"from": "gpt",
"value": "Target: What are the side effects of low sodium?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm Kasey. I'm a fifteen year old girl, and I don't have any diseses, diagnosed psycological illnesses (Though I think I may have depression). Lately, I have been having the strangest dreams, all very vivid and involving me getting killed. This wouldn't be so odd, except for the fact that it involves the same man holding a knife and smiling insanely. I can be very sadistic at times. What does this mean? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Dream interpretation is an area of psychology which needs a lot of experiments. Psychology studies behavior and cognition. Dream definitely is not an area where full help can be expected from the dreamer. Because, nobody shall be able to remember the full dream.But every year, lot of psychologists study dream and patterns. In your case, the dream you are experiencing often are exactly your fears. Your fears about death and a particular way of death have caught your mind's imagination vividly and gave face to it. The face is also an imaginative one. Because these are jujst imagination, you never shall experience them in future. Sure.Just ignore these dreams and there they goes away from you. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes strange dreams involving killing?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: When I stand up I get light headed my vision goes black and then I see spots then I get very weak and have have to grab something so I don t fall over. And get really diszzy I get savear head eachs. That last weeks sometimes even months ... and then on the other hand I m not has hungry as normal I m always sad and.moaping I m always tired I feel guilt I blame my self for everything I just want to be alone and deppressed Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. You seem to be having prominent depressive symptoms. However, you also need a detailed medical evaluation for your physical symptoms such as vision problems, dizziness and headches. I would advise you consult a psychiatrist for a detailed evaluation and further treatment for your depressive symptoms. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: Lightheaded and blank vision while standing, dizzy, severe headache, no appetite, tired and depressed"
}
] |
[
{
"from": "human",
"value": "Source: Patient: After brushing and flossing and using an interdental brush too hard, I have developed a lump on the roof of my mouth directly behind one of my front teeth, how can I treat it? It doesn't appear to be getting any bigger, it is about 5mm in diameter. I have had for three days. Doctor: Hello,As you are mentioning that you have developed the lump on the roof after trauma from brush, there is no need to worry.As this lump will go off on its own after sometimes.You just apply a topical anesthetic ointment on it eg. mucopainDo some hot saline gargles also, as it will also give you some relief.Hope it will help you.Regards"
},
{
"from": "gpt",
"value": "Target: How can i treat the lump on roof of mouth developed after using brush too hard?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... Dear sir i am nitin verma from allahabad uttar pradesh. Plz tel me about brain fever and treatment. Doctor: Hi Welcome to health care magic Brain fever is due to inflammation of brain parenchyma ,either due to viral or bacterial infection ,if timely diagnosed & treatment is possible. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and speedy recovery” Disclaimer"
},
{
"from": "gpt",
"value": "Target: Treatment for brain fever"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been trying to get something out between my two front teeth for now about five months. Within last couple weeks there has been tiny spurts of liquid when I do so. My jaw gets very fatigued because I try to get it out constantly with my tongue and bottom teeth. I am totally obssessed with this thing between my teeth and I cannot stop getting it out. I get jaw and head pain real bad. Doctor: Helloi have gone through your query.if this is causing u so much problem i wud suugest you to visit a dentist. if there is something stuck between your teeth that is irritating the tissue and causing pain it can be removed easily by a dentist.try maintaining a good oral hygiene.flossing can help remove food particle stuck between teeth.spurts of liquid like substannce suggest some kind of infection in the gums as well.don try too hard to remove through your tounge and teeth.Hope this ans helpsRegardsDr. Shesh"
},
{
"from": "gpt",
"value": "Target: What is the best way to clear mouth after eating?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i had my 2nd last intercourse in d 3rd week(with proper contraception) of january and have already missed my periods which was due on 1st febuary(normally my periods delay for almost 15 days). i took a contraceptive pill(unwanted 72) within 3 hours of my last intercourse yesterday. is it possible that i could be pregnant from the intercourse in january? will bleeding occur if i am pregnant already after taking unwanted 72? Doctor: Hello dear,I understand your concern.Usually the gestational sac and yolk sac are seen at 5 weeks of gestational age and fetal pole and cardiac activity is seen at 6 weeks in the transvaginal ultrasound.Gestational and yolk sac are seen at 6 weeks and fetal pole and cardiac activity is seen at 7-8 weeks in transabdominal ultrasound.As the embryo is not seen at 6 weeks of pregnancy I suggest you to repeat the ultrasound after a week or two to see for the progress.In a few cases like hormonal insufficiency there might be delayed appearance.So the HCG is supplemented in suspicious case of hormonal insufficiency .HCG is given in the form of injection weekly or once in 2 weeks depending on the requirement.So relax.Dont worry.Follow your doctors instructions and medicines.Take good rest and prenatals and hormonal supplements as advised by your doctor.Many cases like this improve with the usage of medicines.So relax and avoid stress.Hope this helps.Best regards..."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of potential pregnancy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: idk why but my lungs all around my ribs and my neck hurts i can barly turn it i have to like turn my whole body and i can barly swallow spit without it hurting or drink anything without it hurting and my head is throabbing like mad and my ears like my hearing got amplafied so whatever i hear its louder and i smoke my mom said its from that i just wanna know whats wrong with me im in so much pain i have no energy what so ever and yeah im a male 16 i had my first ciggerette when i was 9 and i got into smokeing about 4 or 3 years ago and i found this somewhat small little lump on my neck its like on the side but closer to the back like diaganaly across my neck and its hard Doctor: hi are you having anything with cigerates"
},
{
"from": "gpt",
"value": "Target: My chest ribs and my neck hurts while breathing. Is it because of smoking ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a swelling/lump on both ankles for about the past 5 years. The one on the right is definitely growing larger and looking quite unsightly. I have shown it both to my doctor as well as my podiatrist and none of them know what it is. I think it is a lipoma and I would like to know which medical specialist I should see about i t. Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have soft tissue tumour like lipoma, neurofibroma, dermatofibroma or some other tumour. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice for most of the soft tissue tumour. You should consult your general surgeon and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes lump on both ankles?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I m wondering how laser lipo past and present can affect fertility? I am on 10mg provera 5 and progynova 4mg . I have had a cyst removed from my left ovary and ovarian drilling done to my right ovary in hopes to kick start a cycle . Will laser lipo aid ? Doctor: In obese PCOS, liposuction is beneficial basically by reducing body weight and hence have a better chance of spontaneous ovulation if not ovulating previously and better response to ovulation induction treatment."
},
{
"from": "gpt",
"value": "Target: Will laser lipo cause any fertility problems?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 36 month old had a fever 2 days ago, yesterday he had diarrhea and last night he started itching on his abdomen, this morning he has hives on his abdomen and left foot. He was very lethargic and took a longer nap than usual. What can be causing this? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.These are symptoms of food poisoning or stomach infection. Get your child examined by doctor as soon as possible.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Deepak Patel"
},
{
"from": "gpt",
"value": "Target: What causes fever and lethargy in a child?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my name is frank chiedozie I am having this pain in my chest area, it a sharp pain, looks like someone is pinching me with a needle. its on and off. Secondly,i perceive the odour of blood from my gullet, I have gone for ECG but was diagnose of AV Block 1,but the pain have refused to go despite taking pain killers. Doctor: Thanks for your question on HCM.Since you are having first degree AV block, your pain can be due to cardiac cause.So get done 2d echo to rule out cardiac cause.If this is normal then get done vitamin B 12 level as needle pricking pain can be seen in B 12 deficiency. If deficit then supplement should be started.If B 12 is normal then mostly you have anxiety related needle pricking pain.So avoid stress and anxiety."
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in the chest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: while arranging cushions on a couch, i push my left hand forward, met some resistance and felt the distal segment of the middle finger move back. there is swelling, no bruising and i can feel touch over the joint and distal segment. the distal joint is bent. treatment so far has been an ice pack. do i need to see an MD this evening or can i wait till next week? Doctor: I will suggest you some Ayurvedic medicine it will helpful for swelling and pain.tab simhanada gugglu 2bd tab punarnavadi vati 2bd try it you will get result."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling in the distal segment of the finger"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi sir , iam facing back pain problem, 1 month back i consulted a doctor he suggested me that u may have less calcium in your body,for that take 1 tablet calimax 500mg , daily one, iam taking it but some times it is pain some times it is not, will u suggest me any tablet to overcome this problem. plz Doctor: HelloWelcome here.You are having back pain and you are taking calcium. First i would advice you to go for testing blood calcium levels. It is not advisable to take calcium unnecessarily.Second, you can take a pain-killer like combiflam as and when required. Also visit a nearby physiotherapist for back-muscles strengthening exercises.Hope this helps.Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest medications for back pain"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Have had pressure and pain in pelvic area for several days. Is getting worse. have been treated over past 7 months for E-coli pyelonephritis. Just finished 30 day dose of Macrobid several weeks ago. Not running a fever(havent had one during this illness). Should I be concerned? Doctor: Hi,Pressure and pain in the pelvic area denotes chronic urinary tract infection. Regular follow up with repeated urine culture and sensitivity is required as you might be harboring the infection with out any symptoms. I suggest another evaluation by your treating doctor for your present symptoms of pressure and pelvic pain.Thanks."
},
{
"from": "gpt",
"value": "Target: Is pressure and pain in pelvic area with history of treatment for e coli pyelonephritis normal?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 11 yo daughter has been complaining of stomach pain at and to the right of her belly button. She has no fever, vomiting, or diarrhea. She has had this for the last 4 days,and has been sleeping almost immediately after school and then all night. Any ideas? Doctor: Hi,Thanks and welcome to healthcare magic.Pain abdomen in a 11 year old child may be due to Amobic colitis, urinary tract infection ,worm infestation and digestive disturbance .Albendazole at bed time to eradicate worm infestation and metronidazole for Amoebiasis can be tried.Get the urine examined microscopically to rule out urinary tract infection .Consult pediatrician if there is no outcome .Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam."
},
{
"from": "gpt",
"value": "Target: What is the cause for abdominal pain and frequent sleep on child?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I am one of those people who have a cyst in my left Kidney, I just got my result last week and here are the findings. A well defined, well marginated, thick walled, cortical based, intrarenal cystic lesion of size 23.0x21.0mm is seen at mid-lower pole of left kidney. On imaging it is predominatly hyperintense on T2W inages, hypointense on T1W images. There are mulitple, thick T2W hypointense septations within the cyst. A small calcified focus, hypointense on T2W/Gradient imgages is seen with in the cyst wall. There is layering of signals within the cyst with mild T2W hypointensities and T1W hyperintensities in its dependent part s/o debris. No hemorrhagic component/signal blooming is seen on Gradient images. No solid component is seen. Uterus is mild bulky, is retrolfexed with small, isoechoic focal lesions with the Myometrium s/o fibroids. IMPRESSION: MRI findings reveal a well defined, well marginated, thick walled. cortical based, intrarenal cyst with internal septations and debris, at lower pole of left kidney with imaging findings as described s/o BOSNIAK GRADE - IIF CYST. Hope one of you can provide me more details, as my Doctor inform me that he will submit my report to Phatology for more knowledge on what is to be done next. Thank you in advance. Aloha Doctor: hi i am dr usmanwell since your cysts characteristics correspond to bosniak grade II , yuou need not to worry much at present. normally such cysts are benign and require only regular follow up atleast 6 monthly basis. fibrid uterus treatment depends on the size and symtoms they are causing. they can range from medical to surgical removal. get a gynaecologist consultation for that . thanks"
},
{
"from": "gpt",
"value": "Target: Cystic lesion found in kidney. Bulky uterus with isoechoic focal lesions and fibroid. Can you explain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Is there any alternative for cellcept, my husband on cellcept for 8yrs post kidney transplant, just has colonoscopy and endoscope with result showing of 2-ucler which is the result of the drug as per pathology .The GI doc recommending cellecpt to change.please help. Doctor: **1. since he is a transplant candidate, thus check with your attending doctor regarding the change of medicine suggested by GI doctor [ mycophenolate mofetil-associated injury of the upper GI tract] who is in better position to make amendments in line with his kidney status."
},
{
"from": "gpt",
"value": "Target: Suggest alternative medicine for Cellcept"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My husband has been really sick for the past couple of days. He has had really bad diarrhea and has been throwing up. There is occasionally blood in his vomit and there is quite a bit of blood in his stools. He has had blood in his stools off and on for the past couple of months but it has never been this bad. He has really bad pain in his lower abdomen/upper pelvic region. It hurts for him to laugh, cough, or bend over. What could be wrong with him? Doctor: Hi and thanks for the query, I suggest he deserves a proper clinical evaluation. Blood in stool deserves, especially when chronic in elderly men deserves exclusion of a tumour of the colon. A colonoscopy and testing for occult blood in stool might be appropriate. Depending on whether its bright red or dark blood, we could have an idea of the source of the bleeding, whether upper gastrointestinal tract bleeding or lower tract infection. Stool examinations could help exclude to the possibility of amoebiasis. A proper clinical evaluation to exclude peptic ulcer disease, a fibroscopy could be useful. an abdominalultrasound could also be useful to evaluate the state of abdominal organs. I suggest you consult an internist or gastrointestinal for a proper clinical evaluation. Thanks and best regards, Luchuo, MD."
},
{
"from": "gpt",
"value": "Target: Severe pain in lower abdomen, diarrhea, vomitting, blood in vomit and stools. History of bloody stools. Serious?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 6yo woke up from a nap crying about his head hurting really bad, mainly in the back part. His temp is 96.3. He said it s been hurting since this morning, but now it s worse. He also has a little bit of a runny nose and sore throat with a slight cough. He s tired. Should I give him his children s Advil since his temp is so low? Doctor: Hi,It seems that he might behaving viral infection producing headache.You can give Advil syrup for headache.Give him after food or milk.Give him plenty of water and liquid as well.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Does children s Advil help in easing pain at the back of head?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: thoat since 2 3 yrs .consulted doctor and had medication .every morning i found whitenees in my tongue.i had sinusitis since long .in addition i had gastritis .i had flap surgery of teeth 4 yrs back as there was bone loss.now frequently i found bad breath in mouth and aslo sometimes bleeding from teeth.what i have to do .i need permanent cure .kindly suggest. I am 46 yrs old,i had reddishness of throrat and there was mucus in throat since 2 3 yrs .consulted doctor and had medication .every morning i found whitenees in my tongue.i had sinusitis since long .in addition i had gastritis .i had flap surgery of teeth 4 yrs back as there was bone loss.now frequently i found bad breath in mouth and aslo sometimes bleeding from teeth.what i have to do .i need permanent cure .kindly suggest. is bone loss is due to sinus or gastritis.for the last one month .i am feeling something different in my stomach and also in head .what to do.i found lumbar spondylosis. Doctor: hi your case is associated with dentist as well as ENT consultant. as for as your oral cavity issues are concerned, this will be taken by a dentist and for throat and stomach issues you may go for an ENT and a gastroenterologist, but must keep inform them from one another advice and diagnosis and try to keep a coordinated papers . this is the proper solution for your issue. good luck and regards."
},
{
"from": "gpt",
"value": "Target: How can I improve my dental health ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi I have to have a ggt test done along with a cbc and liver panel. My question is will any of these be affected if I over the last six months have had about three nights of going out and drinking a little to much. maybe 5-6 drinks and a few shots. it is not something I normally do. although i do enjoy a glass of wine with friends or a beer during happy hour on occasion. but never more than 5-8 times a month Doctor: Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.Yes it can affect and probably is since alcohol leads to liver damage and raises ggt levels. You should do liver ultrasound to rule out more serious conditions and reduce alcohol intake.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health."
},
{
"from": "gpt",
"value": "Target: Could intake of alcohol effect the GGT and CBC levels?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have been on the birth control pill, Apri, for 4 months now. I have not missed one day, and I always take them on time. My partner and I had sex while I was on my period. He did not pull out. I was also taking the drug Cipro for a UTI. This was about two weeks ago. Should I be concerned about pregnancy? Doctor: Hallow Dear,Since you are taking birth control pills regularly, you do not have to worry about pregnancy. Moreover, your had intercourse on your period. Intercourse during this period cannot cause pregnancy as there is no egg.The egg is released 14 days prior to the next expected menses. Egg has a life of 24 hours while the sperms are active for 72 hours. Hence a period of about one week around the egg release is fertility window. Unprotected intercourse during this fertility window can cause pregnancy. Your intercourse was far away from this fertility window; hence you do not have to be concerned about the pregnancy. One more advice : Intercourse done during menses carries the risk of infection and some other risks to the woman. Please avoid these days for sexual contacts. I hope this helps you. Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: What are my chances of getting pregnant at this time?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: How to remove a lump on my inner thigh, I am 43 year ols male weight 80 kg no medical history ,,had this small lump but recently it seems to have grown in size of mini golf ball ..no pain just it looks and feels odd ..what kind of surgery is required ? how many days leave i need to take ? Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have some soft tissue tumour like lipoma, neurofibroma or some malignant tumour like liposarcoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact idea. Then you should take treatment accordingly. Surgical excision is the treatment of choice for most of the soft tissue tumour. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for removal of painless lump in the thigh"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my mom is 78 years old. she just had here kidney function tested because they were going to change her blood pressure medicine. The test came back they said her kidney function is not perfect, but no details. My mom s blood pressure is currently running 160 or higher with 95 on the bottom. Previously it was 190/100 plus. She is currently taking Lisinopril 40mg, amlodipine 5mg and atenolol 50mg. Today she mentioned she is retaining fluid in her feet (new symptom has not been an issue in the past). She also said her urine is frothy. Doctor: Hi thank you for querry.If a patients age is below 85 and on antihypertensive medication her BP should be 140/90.According to guidelineACEI like lisinopril,Ca channel blocker like amlodipine is going on along with beta blockers.ACEI decrease the prorienurea and prevent glomerular injury also.if BP is not controlled than Diuretics must be add.it depends upon the serum potasium level that which diuretic group is to be add.Diuretics also reduce the pedal edema and blood pressure.So consult your Dr. to change in medication.Hope the answer will help you.wish you a good health."
},
{
"from": "gpt",
"value": "Target: What causes fluid retention in the foot while on Lisinopril and Amlodipine?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had a tinge of pain on my left eyelid last evening but it got better in a little while. But this afyernoon i experienced similar discomfort over my right eye.. And its bit of a boil and tje pain is greater. Coulf it be some kind of infection? Or just body heat? Could an ice bag help? Doctor: Hi,Welcome to HCM!I believe you are suffering from infection of eye lids or related glands, commonly called a stye. You'll need to take antibiotic eye drops in order for it to heal. If too much pus accumulates, it might even need drainage by incising. Kindly ocnsult an ophthalmologist and start with antibiotic eye drops. Regards,Dr. Sridhar"
},
{
"from": "gpt",
"value": "Target: Could pain in eyelid be a sign of infection?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, i fell from a height straight onto my tailbone and landed sitting down on my posterior with my legs in front of me sitting up. i now have pain in my lower back but i can feel it originating from my coccyx to my lower back? im very active and stretching is painful and so is laying on my side. what should i do? Doctor: Hello, I have studied your case. Due to fall on hard surface sacrum may be injured. Due to microtauma there may be fibrosis formation.Do hot fomentation over sacrum. It will take weeks to months to subside.Use ring cushion and take sitz bath [sitting in lukewarm water for 10 min]Take analgesic like nucoxia 90 once daily along with tab methylcobalamine 1500 mcg once daily consulting your doctor.If not relieved with all these methods then local injection may be required. You can take this consulting your doctor.Clinically spinal origin of pain needs to be ruled out, if required MRI spine can be done. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: How to cure back pain after falling down?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi . My leg pain began in my left thigh with numbness and shooting pains . Now both legs hurt so bad I want to scream. They are so heavy I can hardly walk. Diagnosis:lymes ,fibromyalgia possible neuropathy . Ruled out M S from MRI . Yes I have bulging disks L 4 and L5 years ago and thought shooting pains and numbness in left leg was from that . Gabapenton helps . Without it my legs shut down . Doctor: Hi,The lumbar spinal nerves are affected the compression of the inflammation of your neurovascualr bundles at levels L4 and L5 . These nerve compressions irritates your nerves and sends pain sensation to areas supplied by these nerves . 73% of people showed reasonable to major improvement without surgery. treatment usually consists of non-steroidal anti-inflammatory pain medication (NSAIDs), but the long-term use of NSAIDs for people with persistent back pain is complicated by their possible cardiovascular and gastrointestinal toxicity. Epidural corticosteroid injections provide a slight and questionable short-term improvement in those with sciatica but are of no long term benefit Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan"
},
{
"from": "gpt",
"value": "Target: What causes pain and numbness in the leg while having lumbar herniated disc?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: lower back pain with back of legs and and back of knees feel weak and have pins and needles. also pins needles bottom of feet. back pain is above buttocks and on or near waistline. pain in back is moderate but feel unstable on feet and legs feel unstable also with pins and needles. connected pain legs to back. Doctor: Hi,I understand your concern regarding the tingling sensation and low back pain. Since you have mentioned that you have low back ache and tingling sensation in your legs it has to be related with nerve compression or due to diabetic neuropathy or lack of nutrients like cobalamine. This occurs mostly due to our lifestyle habits like usage of computers, watching lot of TV, bending while reading.1) Do keep a watchful eye about other symptoms like numbness spreading to other parts, blurry vision, loss of sensations over body parts.2) Get your blood sugar tests done and refer the same to your diabetologist for further follow through. Mention him about your present problem. 3) You need to keep an erect straight posture of your back and neck.4) Do stretching exercises, when you wake up lie on your chest then using two hand lift yourself up, in a arc like position and then lie down slowly. Repeat his at least ten times daily. this will surely relieve back pain. You can watch online videos for such exercises.5) Take Tablet Neurokind once daily, anlagesics only if you have severe pain.6) If your problem aggravates you need to get yourself physically examined and investigated through radiological methods like x-ray followed by MRI only if suggested by an orthopedician.Hope these suggestions help you. Contact for further follow up.Thanks with best regards,Dr. Suhas Chauhan"
},
{
"from": "gpt",
"value": "Target: What causes lower back pain and tingling sensation in the legs?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: iam attacked with hypertesion and right one side paralyssis 2 years back and iam in coma for 3 days,after that i have taken homeopathy treat at that time and able to walk but iam facing nervous problem in walking and tingling hands and shoulder.so i have any medicine for stiffness in the body and for tingling ? Doctor: Hello,Welcome to HCM,You are already benefited with homeopathy then why not to continue it. Stiffness and tingling are also curable with homeopathy.So consult to your homeopath and be free from this problem too.Have a better health."
},
{
"from": "gpt",
"value": "Target: Any medicine for stiffness in body and tingling after took homeopathy treatment for paralysis?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My son is 5, and I just noticed very small, flat red spots around his groin and his leg - do not appear to itch and not fading when pressed. Not very many & fairly spaced out (between 15-20). He had some kind of stomach bug on Saturday and still has very loose stools - not sure if related. Doctor: HiWelcome to the HCMAs per your description, it seems your child has petechiae. These are very small bleeds under the skin which do not blanch on pressure.Petechiae found anywhere on the body could be a sign of a bleeding problem or a serious infection. If you suspect this, it's always better to visit your physician.They may ask you to go for a complete blood count and peripheral smear examination and sepsis work up.For further information on this, do contact us."
},
{
"from": "gpt",
"value": "Target: How to treat red spots around groin in a 5 years old child?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have had a small lump just above the opening of my anus. It is painful to walk, sit and lie down unless I m in a comfortable position where the pain is mild. I was just wondering if there is anything I can do personally without consulting a doctor about it as I do not feel comfortable going there . Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have abscess or external piles. You should consult your doctor and go for examination. After proper diagnosis you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What is the treatment for a lump in the anus?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I was 30 years old. recently i have surgery of my vulval fibroma. i was married last 3 year ago but i have no child, my all reports are normal. it is possible due to vulval fibroma, i became not a mother? There is any problem in future due to vulval fibroma?Please answer my queries Doctor: Dear member,I am Dr Bhagyashree. Consultant obgyn specialist.Thanks for writing to healthcare magic.The vulval fibroma had nothing to do with infertility as long as it doesn't interfere with intercourse.The reasons for not conceiving are multiple.Husband's semen analysis should be done first.You will need basic scan and blood tests to check any infection , uterus and ovarian function including ovulation. Usually by these simple tests we can decide where is the problem and treat accordingly.Please write back with any doubts .ThanksDr bhagyashree."
},
{
"from": "gpt",
"value": "Target: Will vulval fibroma cause infertility?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I HAVE BEEN PRESCRIBED BY MY DOCTOR EPITRIL0.5 MG ALSO SENSIVAL 25 AND DEANXIT WHY ARE THESE MEDICENS GIVEN. I WAS SUFFERING FRM ACUTE PNEMONIA AND BREATHING PROBLEM. MY EMAIL ADD IS YYYY@YYYY I WOULD LIKE TO HAVE AN ANSWER BEFORE I PAY AS I HAD ONCE PAID BUT GOT NO REPLY THAT COULD SATISFY ME Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Epitrilo is having clonotril. It is anti anxiety drug. Sensival is having amitryptillin. It is used in mood disorder. Deanxit is having duloxetin. It is anti psychotic. So all these drugs are used in psychotic disorders like stress, anxiety, psychosis etc. So possibility of your breathing problems due to stress is more. In my opinion, you should first rule out Pulmonary causes. So get done chest x ray and PFT. If both are normal than you are mostly having stress and anxiety related breathlessness. So consult psychiatrist and get done counseling sessions. Counselling is very important along with drugs for control of symptoms. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What is the purpose of being prescribed Epitrilo 0.5mg, Sensival 25 and Deanxit?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My stomach contantly is in pain.i have acid so need to eat at regular times or food runs straight through.doctor says i don t have chrones or ibs. Bloats alot causing pressure pain too. Been going on for years. I take a PPI in the am. Some days worse than others. Doctor: HiThanks for your query.Continuous pain in abdomen, acidity needing regular eating otherwise the food turns straight through, bloating causing pressure pains, going on for years need proper clinical evaluation, investigations and management.I would advise you the following:Investigations of blood, urine, stool, CT scan of the abdomen, Upper GI endoscopy and Colonoscopy.If all the investigations are normal, you should take treatment on the basis of having IBS, control stress and anxiety as these are the major contributing factors."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe stomach pain"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a small pea sized lump that appears to be below the tongue tissue and veins, however when I squeeze/push/put pressure on a swollen lump on the underside of my jaw on the same side as the lump under my tongue, I get a salty taste protruding from the pea sized lump, I've done it while looking in the mirror and there is no blood being pushed out. Doctor: Hi,Welcome to HCM.That is most likely a retention cyst of your minor salivary gland.It occurs due to blockage of the draining duct.Don't worry about that. That salty taste is of the salivary fluid. Dont rupture it, it might get infected.If it occurs again then get it excised under antibiotic cover.RegardsDr. Ashish Verma"
},
{
"from": "gpt",
"value": "Target: What causes small, pea sized lump below tongue tissue and vein?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am a 66 year old women . I was operated on for lung canswer 2 years ago. my upper right lobe was removed. they said they got it all but this year I got cancer in my throat and airway into lung. I had radiation and chemo.I finished chemo 3 weeks ago but i still don't want to eat and meat makes throw up.How long does it usually last? Doctor: Hello!Thank you for the query.The point is to find out if the cancer does not affect the esophagus. Usually 3 weeks after chemotherapy, you should able to eat normally. It is possible that the cancer from throat has spread to esophagus. For sure chest Ct and gastroscopy should be done to rule such possibility out.If you do not have an appetite, you may try Megace to stimulate it. Please discus this medicine with your doctor.Hope this will help.Regards."
},
{
"from": "gpt",
"value": "Target: How long after chemo for throat cancer can feeling of throwing up last?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i have pain on the right side just above the hip - usually when i am playing or running- and according to the doctors its due to slight appendix, and i have been told not to play anymore. i cant play much anymore too as it results in pain which make me stop! so my question is , if in case it is appendix, can i not play anymore(mainly football)? and if its not, what else can it be? i am a girl(16 yrs) Doctor: Hi ! Although it could be one of the reasons, but is not a must. It could be just simply be an attack of collitis or could be a pelvic organ like ovary giving rise to such sensation. Normally these organs do not give rise to discomfort while playing. In your case, it could be just a temporary phenomena if it is a collitis. You have to stop eating fast food and junk food in case you do eat outside. Even if it is appendix or pathology of other pelvic organ, I presume you can play again once it is corrected. I would suggest you to go for an ultrarsound abdomen and then go with the report to your treating doctor. If nothing is inconclusive, then the only way to know is a diagnostic/therapeutic laparoscopy of the abdomen.Wishing you an early recovery. Thanks."
},
{
"from": "gpt",
"value": "Target: Pain above the hip while straining. Appendicitis?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i had an allergic reaction in the form of hives mainly around my ears and neck area With this am can feel pain when i try to swallow water or food i could also see that there are a lot of slim forming in my throat It is as if this slime are causing the pain when i am swallowing i am constantly tiered having problems with sleeping since it is uselly when i ly down when i feel worse Doctor: HI, thanks for using healthcare magicAllergic reactions can cause mucus secretions in the respiratory tract. Anti histamines would help with both the skin reaction and the increased mucus production.The use of topical steroid nasal sprays would help with any nasal symptoms such as congestion, runny nose or sneezing.I hope this helps"
},
{
"from": "gpt",
"value": "Target: How can I reduce allergic reaction in form of hives?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, My brother was in portugal recently and when he came home he had itchy skin. over the past few monbths the itching has spread throughout the family. we all have itchy skin and when we scratch, red spots appear. scratching only makes the problem worse. some creams has relieved the itch however none have solved the problem completely. what could this be and what may be casuing it? thank you. Doctor: Hi There, It seems like your brother is suffering from Scabies and he has spread the infestations in the house. But not to worry at all you just have to use Permethrine 5% cream as directed on the literature of the medication.The important thing to be noted here is that all the family members have to apply the cream once at the same time and then have to reapeat it after a week. The itch will be there for a week or so thats why i have told you to reapeat the application again after a week,but in the mean time you can apply Calamine lotion only on the affected areas for three times aday along with some oral anti allergics and everything will be fine. I hope this will help. thanks very much and all the best."
},
{
"from": "gpt",
"value": "Target: Reddish itchy spots on the body. Need medication"
}
] |
[
{
"from": "human",
"value": "Source: Patient: 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. Doctor: Hello Maria,These supplements have not been proven to successfully treat depression and anxiety. The proper treatment for your problem would be antidepressants. You can take medicines like escitalopram after consulting your doctor. Also you can practice relaxation exercises like deep breathing, biofeedback, yoga etc.Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for anxiety and depression"
}
] |
[
{
"from": "human",
"value": "Source: Patient: For several weeks I have had these symptoms on my right side only: droopy eye lid, continuous watering/redness in eye, all day-continuous twitching underneath eye and continuous soreness starting from upper back into the right side of my neck. I m worried that it could be some infection from a recent large and deep cyst I ve been treated for because the pain in my upper back begins where the cyst is. I will be undergoing an operation to remove the cyst in May as it has needed to drain for 2 months and close before the doctor said he could remove it. However, I am an American citizen living in Italy and my medical care has been temporarily put on hold until my residency paperwork is processed. Any thoughts would be greatly appreciated because the symptoms I described are not only very bothersome but worry me as well. Thank you Doctor: Hello Dear. There could be possibility of some dacrocystitis, that is lacrimal sac infection, which may be or may not be related to your cyst. But in any case, the infection of your eyes has to be treated. Kindly consult an opthalmologist who will evaluate your eyes and may prescribe you antibiotics to control the infection and if required may do a lacrimal sac syringing. This should cure your infection temporarily till you get the cyst excised.Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the bestWith warm regardsDr Sanjay Kini"
},
{
"from": "gpt",
"value": "Target: What causes twitching of eye and soreness in right upper back?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have had an endoscopy done last week. Nothing was found. I then had an ultrasound of my gall bladder and all was clear. I still have short bouts of nausea. I do have an inner ear issue with tinnitus and some minor high frequency hearing loss . Any ideas on the nausea? I currently take omeprazole daily and Gaviscon liquid on a needed basis. Doctor: Dear friend, welcome to HCM. it clearly is an inner ear issue. tinnitus, hearing loss, nausea are symptoms of ? labyrinthitis.or other lesions do you have imbalance while walking? and giddiness/ rotation feeling? i think you should be visiting a good ENT specialist who is good in middle ear and labyrinth problems. you can try labyrinthine sedatives/ antiemetics till then. take care and keep me posted on your progress. Good luck !"
},
{
"from": "gpt",
"value": "Target: Have nausea, tinnitus, hearing loss. Gall bladder US clear. Any ideas?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my son age 5 years,weight 22 kg,height 105 cms has 2-3 small lumps on the right side of his neck.so i did a montoux test,CBC, and T-IgM test.The MT test was nagative but the T-IgM test the reading as 0.91 which is borderline value.Does it mean that my son has TB and what is the diet for it. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No, this value does now suggest active tuberculosis. These are antibodies against tuberculosis. They can be present if child is vaccinated with BCG vaccine in past. So borderline positive antibodies don't suggest TB. Simple viral upper respiratory tract infection (URTI) is the most common cause for cervical Lymphadenopathy in children. So give him treatment for URTI for 1 week. His swellings will mostly reduced. Don't start anti tubercular drugs on this report. Give him plenty of fluids orally. Avoid oily and spicy food. Warm water gargles 5-6 times a day is also beneficial. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks."
},
{
"from": "gpt",
"value": "Target: Does T-ImG value 0.91 suggest TB?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I feel cold inside my chest. I just worked out. I ve had a sinus headache all day. I was sweating considerably more than usual during my workout and my heart rate was higher than usual. No palpitations, no dizziness, no blurred vision. My blood pressure was slightly increased yesterday, 160/82, possibly due to stress. But was 132/78 just a few days prior. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion you should consult doctor and get done ecg and 2d echo to rule out heart diseases. You are having high heart rate, high blood pressure occasionally, headache and chest discomfort. All these are commonly seen in heart diseases.So better to first rule out cardiac diseases. And hence ecg and 2d echo are required. If both these are normal than no need to worry for cardiac diseases. Your symptoms are mostly due to stress and anxiety. So better to avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes cold feeling inside chest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello I am a female 43 years old. Have had a PE about 6 years ago. I have 4 gene mutations wich are MTHFR and PAI-1. I have an Ivac filter in my vena cava. I have had chest pains for a long time now ,been to emergency rooms countless times. they never find anything. I recently moved to a very remote area and don't have any Specialty Drs. here. I last saw my hematologist in Dec 2012. He said he thought it was showers of micro clotting and to double up on my asprin and folic acid every other day. That worked for a few months but know the chest pain is back and it moves around and is very unsettling, it also seems to get worse with my menstral cycle. I don't know what to do anymore. Any suggestions? I have to pay to get an answer? Figures Doctor: Hello.....As your details it seems that you are suffering from Congenital hypercoagulable disease. In this case, the blood getting thick day by day and causes clots at any site. Most common is lower large vein due to more stagnant condition. This clot frequently embolises to chest and causes chest pain that is called Pulmonary embolism.With your description, you are suffering from Chronic pulmonary embolism that also causes right heart chamber enlargement and bilateral leg swelling. But you did not mention regarding breathlessness and leg swelling except chest pain on and off.Definitely this chest pain is due to microclot in pulmonary vessel. But the treatment you are taking is very ineffective. Aspirin is not enough alone to prevent the clot formation and keep the blood thin. So my advise is to start Tab Acetrom with lower dose 2 mg once a day along with aspirin with folic acid. And do your Prothrombin time (PT INR) at regular interval of 15-30 days to keep your INR 2 to 2.5Thank You"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for recurrent chest pain inspite of having 4 gene mutations which are MTHFR and PAI-1"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I was diagnosed with valley fever on January 6, at that point I had lost about 10 pounds, I was in the hospital for two weeks, now I am not, I will be taking meds for a year, I want to know when will my weight start coming back and should u be concerned if I have lost a little more weight since I was discharged? Doctor: Hello,It is often the case that you lose weight when you have a serious illness. You need to make sure that you are getting adequate nutrition and especially that you are getting some extra calories. Taking a multivitamin daily may also be helpful. Make sure you are also drinking plenty of fluids. It is not a big concern if you lost a bit more weight after discharge as long as you start gaining your weight back soon. Make sure you get plenty of protein and fats in your diet.Regards"
},
{
"from": "gpt",
"value": "Target: How to regain lost weight while treating valley fever?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Im 27 i was diagnosed w stage 2 hodgkins lYmphoma went thru 8 chemo ABVD infusions n 18 radiation treatments the lymphoma is gone.. Can i live 40 more years , or will i only live about 20 more yrs . Is it possible to live to grow old after this type of cancer. Doctor: Hodkins lymphoma has a good prognosis . and stage 2 the 10 year survival rate is 95 percent.It is generally considered that the cancer is cured after 10 years of remission.Maintain regral followup as advised by your oncologist.Even after 10 years there is a 5 percent chance of recurrence.Even general population is at a 1 to 5 percent risk of developing cancer. So once you cross 10 years you are at par with the general population with regards to risk.Do not worry."
},
{
"from": "gpt",
"value": "Target: How long can I live after treatment for hodgkin's lymphoma?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I'm a 64 year old female. I was diagnosed 2 years ago with epilepsy & have been on Keppra 3000 mg. a day & Topamax 200 mg. a days. I was just re-tested & diagnosed with complicated migraines instead of epilepsy, which I'm very thankful. I was taken off the Keppra but left on the Topamax plus Klonopin 1mg. My concern is that my Bp spikes when I start to have a seizure to 200/112 , which I know is stroke level & it scares me to be alone. Iam very concerned. Prior to this I was very healthy, exercised all the time, ran 5 k's , very active. I'm ready to get my life back. Any advice on helping me get there? Thank you, Mavis Nowell Doctor: Hi,Thank you for posting your query.I have noted your details and I am glad to note that you do not epilepsy, and have been taken off Keppra.If you do not have epilepsy, then, how can you have a seizure? Please discuss with your neurologist about that.Once your migraines get controlled, you can again lead a normal life, so, you should be hopeful.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for spike in BP during a seizure"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My daughter 6 and been playing all day felt good layed down tonight said and after about 10 min she started to say she felt like she was spinning so my wife had her sit up lean on her she still felt like that she just fell asleep do you have any ideas what it could be Doctor: Hi...the first thing I would like to rule out in such scenario will be to rule out a seizure. We need to do an EEG and if it is abnormal we need to start the kid on anti-seizure medication. Th other possibility is that it could be a Vertigo. Whatever it is - she needs evaluation and I suggest you consult your pediatrician immediately.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes giddiness and sudden asleep to 6 year old?"
}
] |
Subsets and Splits