conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: Daughter is experiencing fatigue on a daily basis. Queasiness. Has been trying to get pregnant. May have experienced implantation bleeding (slight pink mucus, brown spotting for one day). Has PCOS and sleep apnea. Expected period is next week. At home pregnancy tests are negative, so far. What is the likelihood that she may be pregnant? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Pregnancy can occur if there is unprotected sexual intercourse per vagina and release of sperms inside. Even with PCOs some individual can get pregnancy while in others it can prevent conception. As expected period is next week so I would suggest you to get test done after 2 weeks to confirm about pregnancy. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What are the chances of pregnancy despite negative pregnancy test results?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband was diagnosed with vitamin D deficiency 4 months ago. His level was 20. He took a 50,000 supplement weekly for 3 months. When his level was retested, it had dropped to 19. Although his back and muscle pains have lessened over the past months, is it typical for the level not to rise? He has also developed some throat pains over the past month, not a sore throat, but more of a muscular pain. Can this also be related to the vitamin d deficiency? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, vitamin D deficiency can cause muscle pains anywhere in the body.You need to get adequate sun exposure and vitamin D supplements to increase its level gradually. As it comes to normal pains will subside.do not panic. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is muscular pain in throat related to vitamin D deficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on Keflex 500 mg every twelve hours for 14 days. I had Mohs Surgery on my upper left ear and it got infected. I stopped the meds last night and today my muscles in my neck and back and hurting so bad it is hard to even breath deep. Is this a side effect? Doctor: take Ayurvedic medicinetab mahayogaraj gugglu 2tab bdcap neurowin 1tds. if not cure you to consult panchakarma center griva basthi. it is very successful treatment."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe neck and back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hoi, may I answer your health queries right now ? Please type your query here... My son he is two years old for the past few days he is suffering from fever and cold but suddnly he is getting pain in his right leg he is getting pain suddnly for just five minnuts only . Doctor: Hi, This might be viral induced myositis. Please give Paracetamol and if not better Ibuprofen. Even if it's persisting, then approach medical care.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes pain in the leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir my husband is suffering from hydrocele from last seven years and we had heard that a person suffering from hydrocele can have only baby girl.is it true? Doctor: It is a myth ,hydrocele can be treated by operation.Get him operated from surgeon .It is not so big an operation.It is day care surgery only.Disclaimer"
},
{
"from": "gpt",
"value": "Target: Person suffering from hydrocele can have only baby girl.Is it true?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My name is Anna, I have been experience pain in my lower back on the left side, and also my lower abdomen on the left. I have been experiencing this pain for a month, some days it hurts more. Right now one a scale from one to 10, I would say it s about a 9. Should I use heat on the area.? . Doctor: Hi Anna, thanks for your question. I have read it and understand your concerns. It would help if you told us about your waterworks and bowel habits and whether you are sexually active or not. Answer: There could be a number of explanations to your problem. 1. The pain might be originating from the structures of the lower spine such as, vertebral joints and ligaments, muscles and tendons or trapped nerve. 2. It might be due to inflammation or infection in the left ovary or Fallopian tube e.g. pelvic inflammatory disease (PID) etc. Are you sexually active and in a stable relationship?? Any chance of pregnancy??3. Condition of the bowel such as diverticulitis or impacted faeces due to constipation could also cause pain. Are your bowel habits regular and normal??4. Or maybe it is arising from urinary bladder or above. How is your waterworks? any dysuria, frequency, urgency etc.?? Answers to the above questions would guide further management. It would be advisable that you see a doctor who would perform a physical examination and if needed would run some tests on you and then treat you accordingly. Because you are having sever pain, I would recommend that you take Paracetamol and go to the ER.Hope this helps. Please do not hesitate to ask for any further clarification."
},
{
"from": "gpt",
"value": "Target: What does pain in the lower back on the left side indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my dad is on Minax 50, he now has serve hand shakes, he is always tired, He don t want to shower daily. Sometimes I think he is giving up. He was always a man who showered daily , Worked 7 days a week, very strong very healthy, . But not now he often has headaches, he has symptoms like a seizure , vomits . Also loss of bladder control. He is on Warfin , & has had his 2nd back op. We really scared cos it is just not like him. please help. Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.1. Please stop the drugs2. Consult your neurosurgeon3. Do CT Brain Plain immediately Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for symptoms of seizure, vomiting, headaches and loss of bladder control while being on Minax and warfin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can thrombocytosis result from an untreated sinus/respiratory infection? Patient is a 65 year old male with a severe sinus/respiratory infection. Starts experiencing numbers in bilateral arms and face and burning pain in bilateral feet. Has pain in his diaphragm region. Blood pressure is 200/100. Blood work results show high platelet count (double what's normal) and everything else is normal. EKG, stress test, carotid ultrasound are all normal Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have thrombocytosis. Any infection can leads to reactive thrombocytosis. You should take treatment of your infection first. Your platelet count will down to normal automatically. 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: Can thrombocytosis result from an untreated sinus infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI... I have a 5 months baby(boy).....I am a working women and till four months i was exclusively breast feeding.....now a days i feel my boy is not satisfied fully only with breast feeding....and i too feel my breast milk secretion is getting low.....i need my boy must be satisfied at the end of each feeding.....is it safe to go for any formula milk??? Is there any alternative??? If so pls suggest me a best formula milk.....i am also trying to increase my secretion by taking nutritious food....but still no use....pls suggest. Doctor: Thanks for the query.Breast milk is best milk. But if the milk output is low, You can try nan-1 formula.You need to take care while preparing the milk.Feed him with wati spoon , try to avoid bottle feed.Hope i milk you."
},
{
"from": "gpt",
"value": "Target: Is giving formula milk to 5-month old safe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My boyfriend is really concerned with an issue which came up just yesterday. He said his right testicle was hurting. After a night of sleep he said the actual pain is gone, but it still feels like after being kicked in that area. And his tummy hurts. What can this be? Is this Testicular torsion? Doctor: HeloThanks for query .The pain in Testis could be due to infection of either Epididymis (Epididymitis) or Testis (Orchitis) Get urine tests nad ultrasound scanning of scrotum done to confirm the diagnosis .Take antibiotic like Augmentin along with anti inflammatory medication like Diclofenac twice daily for a week .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes pain in right testicle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor my husband has several lumpy sore red spots on his head he has had antibiotics and steriod cream from the gp for 8 wks but nothing seems to work it also does not help when the DR does not know what to diagnose we would just like to know if you can tell us what it could be and how to get rid of it Doctor: Hi,From history it seems that there might be having some scalp infection like seborrhic dermatitis, dandruff or furunculosis.Consult dermatologist and get it diagnosed properly.After proper diagnosis plan of treatment can be decided.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What is the treatment for sore red lumps on the head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I have a small ( about the size of my figure tip ) hard immobile lump on my head. Sometimes it is very tender and other times its not. I have had it for years. I also have had CT scan 2 years for extreme migraines. The CT scan did not show anything out of the ordinary. Should I be concerned? If so what is the next step if CT scan didn t show anything? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some inflamed cystic lesion like dermoid cyst or sebaceous cyst or some skin tumour. They are not detected by ct scan. You should go for fine needle aspiration cytology. Then you should take treatment according to your diagnosis. 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 causes hard lump on head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir. I am 66 years. My ESR IS 78 mm/hr MCV is low and DRW is high, Platelet is high too, Please help me to diagnosis my problem Doctor: Hi...welcome to Mr.Sabre .., here Your Age is is important criteria.., 1) Your ESR is very high (78) normal is 0 to 9 mm/hr High ESR seen in Tuberculosis, Rheumatic fever, ( both conditions very high)., next normal chronic infections., 2) DRW means Diffrential White cell count ..depend on the cell count only ,it can asses., 3) Platelets are high generally in Chronic Myeloid lukemia (Blood cancer), Iron Deficiency Anemia, Polycythemia vera and acute infections., bleeding conditions., 4) MCV ( Mean Cell Volume) Volume of average Red blood cells are low means you are having definite anemia category ...You are not mentioning duration of illness ..hence consult good MD physician he can give correct advice o.k. goodluck"
},
{
"from": "gpt",
"value": "Target: My ESR IS 78 mm/hr MCV is low and DRW is high, how to diagnosis my problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a bit of cold but heavy chest congestion from last 10 days and I took lot of Antibiotics,Anti allergic and antihistamines in terms of capsules,tablets and syrup. I got my Blood test,Xray and ECG report which is OK. Now I am coughing dry as nothing except spitting comes out of throat but chest seems to be blocked and not breathing to relax. Please advise Doctor: HI, thanks for using healthcare magicIf the chest feels tight and you are finding it difficult to breath and relax then it is possible that there may be constriction of the airway passages.This can sometimes occur as a result of respiratory tract infections. The use of a bronchodilator , either oral or inhaled would be helpful.You should consider re visiting your doctor for an assessment to determine if this is the cause of your symptoms.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes coughing and chest congestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have a small lump over my right eyebrow after an assault ( my head was pushed against a wall ). The area is sore & i have dull headache. This occured about 3 days ago. do not appear to have any serious symptoms though .... do i need to get it checked out or should i wait to see if the problem goes away age 39, height 5ft8, no significant medical history Doctor: Hello! Welcome to HCM.This seems to be a hematoma.Due to trauma, there is small bleeding under the skin, which forms a clot called as hematoma.Nothing is to be done as it resorbs spontaneously.Do you have fever? As this suggests presence of infection, antibiotics should be started with your doctor's advise.Simple pain killers like diclofenac with serratiopeptidase can be taken after consultation.Hope this information is useful to you.Wish you a good health.Thanks.Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump over eyebrow after getting hit"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI, I have had a yeast infection recently. I used Gyne Lotrimin but it didn't work. I went to the Doctors and was given tercozil. It seemed to ake it better, but I still had the itching on the outside. I went back to the doctor and he gave me fluconazole. The second doctor also gave me a cream for the outside Nystatin with triamcinolone. The nystatin seems to have made it worst. The Fluconazole seemed to take it away almost completely, but the doctor said to keep using the Nystatin until complete recovery was had. I still have the itch on the outside, Please advise the next step.Thank you Doctor: Hello,In my opinion you should stop using this combination of nystatin and triamcinalone.Best is to use FLUCANAZOLE orally 150 mg every week for 6 weeks and ointment CLOTRIMAZOLE locally.Use it regularly for 6 weeks.This should eradicate your problem completely.Rule out diabetes.Thanks"
},
{
"from": "gpt",
"value": "Target: suggest a replacement for nystatin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have very bad back pain and i was just told i have Scoliosis , they have me on naproxen for the pain but it s not working at all, i have been on another medication for a different pain reason and it took the back pain away how can i safely tell my doctor what works without looking like a pill-seeker, because i m not i just want my life back without pain. Doctor: hi, scoliosis can be managed conservatively or by surgically . there are many factors which decided the mode of treatment out which 3 most imp are severity of the curve, risk of progression of the curve over the period of time i.e. progressive or non progressive curves.and the pulmonary status of the patient. all these factors can evaluated after properclinical examination and investigation. hence kindly consult spine surgeon"
},
{
"from": "gpt",
"value": "Target: Having back pain. Diagnosed as scoliosis. Given naproxen. What is the permanent cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been suffering for the last three months from citrobacter koseri in my urine . Done a urine culture 3 times. Have been on different antibiotics 3 times in the past three months and can’t clear it . What natural remedies can I take or what can I do to clear the infection once and for all Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your description it seems that you are having recurrent UTI that fails to resolve with antibiotic therapy. Natural remedies won’t help in these conditions. You can try natural remedies like cranberry juices as it give symptomatic relief. Do a urine culture and start antibiotics and make sure that you take complete course as prescribed. If symptoms persist, we have to find out the cause for recurrent UTI, it might be undetected diabetes or prostate problems or neurogenic bladder etc. Consult a physician and get evaluated. As of now drink plenty of water. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest natural remedies for the treatment of a UTI"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my son is 2 years and 2 months old. on Monday the 9th of May 2011, he took a cotton board and put it inside his ear, we heard him shooting an saw blood running out of his ears. It was late at night no doctors were available so we applied some Anti-biotic and pain medicine. The following day, the only ear specialist we had in the country was out of the town, so i took him to a child care center, this time the doctor said he could not see inside his ear as it is filled with blood,so a medicine to clear/clean the blood for 2 days. After 2 days, when i took him again, the doctor said there are some damages in his ear so he referred me to another ear specialist. The following day again, this other specialist is out of the country and will not return till Monday the 16th. So i had to take him to another Child Doctor again because my son was crying pain whole night. This Doctor after examining his ear he told me that his ear drum is burst, she gave me Metronidazole syrup and Dalacin 75mg, for the infection to cool down. I have an appointment with her again on Tuesday, If she is not satisfied with his ear again, she said she will send him a an ear specialist. Please advice Doctor: Hello,Eardrum reconstruction is not necessary in every case. Sometimes it heals by itself. But proper treatment is necessary otherwise hearing impairment can occur. Consult ENT specialist as soon as possible, until then starts Burfen syrup to overcome pain, send CBC to check infection.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Hina Javed"
},
{
"from": "gpt",
"value": "Target: Suggest a remedy for the blood in ears of a 2 month old"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had revisiting surgery in May of this year. The operation was performed by Doctor Frank Rand at Baptist Hospital in Boston. After recuperating for 12 weeks I returned to work only to get hit by a truck while stepping off of a bus. I ve been ib severe pain ever since. I ve just learned that I have a ripped hip muscle along with bursitis. Wilkl this heal? I cannot sit, stand, or lay for longer than 10 minutes at a time. Please help. Doctor: When a patient with your symptoms comes to my clinic ..the treatment should be focused on regaining muscle strength and treatment of the strain with laser therapy on the site of strain..Ultra sound waves Hot application (deep short wave diathermy) for 4sessions is going to help.Then normal hot packs with deep friction massage.Wishing you a good health.."
},
{
"from": "gpt",
"value": "Target: How to cure pain from ripped hip muscle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father in law is on continuous ambulatory peritoneal dialysis. He has lately -- of the past 3 weeks -- suddenly developed symptoms of schizophrenia. Could this be due to changes in his dialysis routine, or any medications he's taking? He's on the usual renal medications, but his other physical parameters checked out normal, including tests for mg, al, etc. Doctor: Hi Your father in law is on continuous ambulatory peritonial dialysis, developed symptoms of schizophrenia. It could be due to any thing most probably due to depression, that he is on continuous medication. We should add one more medicine to his list. Avoid giving fatty food and junk foods, to avoid risk. Best regards."
},
{
"from": "gpt",
"value": "Target: On ambulatory peritoneal dialysis. Developed symptoms of schizophrenia. Due to dialysis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thank you for replying to my questions 1 fatty liver - why didnt my preivious dr 2 years ago tell me this i was at 6.2 then 2 i kinda figured that 3 low fat - no problem -- can have turkey and low fat yogurt ? 4. never smoked = dont drink 5 - meeting her on jan 14 got apmt moved from feb 3 eliminated sugar - completely literally -- 6 doing that but i dont think i getting enuf calories 7 veggies -- .. new best friend ? eating kale alot lately -- 8 100 g seems like alot ?? (with low fat ... how low is low fat ? ) 9 started -- getting back on elliptical 5 min 3 nites in a row - hey its a start fri i did 10 min - today i still have to get on it goal is to gt to 30 min a day -- 3 times of 10 minutes already monit oring bp -- used to be at 130/80 before this week -- it was perfect- dr would say i could even miss a couple days and be okay -- but now i dont think i can ever miss a day ... strict diet :( -- sigh - -thanks Doctor: This can be caused by excessive intake of alcohol and are prevalent in individuals who are diabetic, overweight, consume oily or junk food and have high levels of triglycerides. To prevent fatty liver diseases, Best Liver Transplant Centers around the world like those of Global Hospitals, suggest maintaining healthy weight and diet, keeping blood sugar levels and triglycerides in check by consulting your physician and exercising regularly to shed off excess weight. Although there have been new Liver Treatment, it is the fourth most common killer cancer, and the best way to avoid it is to abide by these preventative measures."
},
{
"from": "gpt",
"value": "Target: Suggest diet plans and lifestyle changes for curing fatty liver"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am anorexic and I am taking Aciphex 20 mg. 2xday; Topomax 75mg.2x day, Pritiq 100mg. 1xday, Lyrica 125mg. 2x day, and Abilify 10mg. 1x day. I have been experiencing muscle spasm, where I can not control my legs, and fall and stumble, I do not know where I am at times, I am confused, I can not say what I want, my mouth will not say what my brain wants. Are they interacting with each other an causing me harm? Doctor: Your symptoms of disorientation,weakness in legs may be due to hypoglycemia,a condition where blood sugar gets lowered due to inadequate food due to anorexia.You may consult a neurologist if have doubts.blood sugar testing should be done.cause for anorexia should be diagnosed and treated.report to your treating doctor too to know whether any of medicines you are on is causing side effects"
},
{
"from": "gpt",
"value": "Target: What are the possible medication for anorexia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I was diagnosed with multiple sclerosis in 2002 and was on Avonex to treat it for many years. About 2 years ago I came off of the Avonex and haven t started anything since. Two weeks ago I started to feel some numbness and tingling on the tip of my tongue and just the other day it spread to my lower lip and now my chin . Do you think this is all related to my MS? Thank you for your help! Michele Doctor: This seems to be related to MS. Steroids and Avonex may be indicated at this stage as well, However you should visit your neurologist once again and see what can be done now.There is mesenchymal stem cell therapy which is in experimental stages and have shown encouraging results for relapsing remitting MS and can be tried with steroids as an alternate treatment strategy however you should give preference to Avonex or other similar drugs at this stage since they are well proven."
},
{
"from": "gpt",
"value": "Target: Treated multiple sclerosis with medication. Numbness, tingling on tongue, lips, chin. Symptoms of multiple sclerosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor... This s chinnu from chennai...... I had a jondis problem last year..it was a stage billrubin was in3.2...slowly slowly... Its has comes to the Norman in 1.8 something like that I have taken all the test related to liver mrcp...in that fatty liver as a problem...after that I have tablets..all finally it as comes to the stage...SGOT SGPT AS BELOW 40...after that I quited all medicines....and taken normal food...now after six month... Now I tested for LFT now everything normal.. Oly billrubin is in 3.01 ....and direct is0.68 indirect is 2.33...I do know what s the problem.. Now doctor said take 64 slice abdomen ct scan... Can any one give a better suggestion Doctor: Hi, dearI have gone through your question. I can understand your concern. You have history of fatty liver in past. Now your SGOT and SGPT level is normal. You have high bilirubin. But your indirect bilirubin level is very high. It can be due to some hemolysis. You should go for complete liver function test and peripheral smear examination first. Go for ultrasound abdomen also. Then only if needed you should go for ct scan. Consult your doctor and plan 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 causes high bilirubin level of 3.01?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I'm father of 18 months baby. From last 3 months she is suffering from Allergetic Bronchitis. Due to that she is not eating and suffering with running nose, sneezes and water coming from eyes. We are using Cipla Huf Puf and Montair CXT tablet. Please let us know is there any remedy for this. Please help us and do the needful. I will be waiting for your reply. Thanks RK Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. I have gone through the drug list you have mentioned.These drugs are appropriate for allergic bronchitis. Best treatment of allergy is identification of allergen and if possible complete avoidance of it. So get done detailed allergy report to identify things allergic in her.Once you avoid allergens, she will start improving. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for allergic bronchitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have type2 diabetes. My blood work just came back and A1C is 12 has been high for awhile on metformin 1000 mg 2 x a day and trajenta 5mg. My doctor tested c-peptide and it was .87 and he says my body is not producing much insuline. Last A1C was 13. Should I go see and Endorse or just take lantus like my Md of over 10 years suggest? Doctor: Hello,I understand your hesitancy to go on insulin. It is a natural very normal concern to question a major move such as this. Most certainly if there is any question about a plan of care; seek out a second opinion from a specialist. I do not think your personal physician would take offense at this.I cannot express an opinion on this matter without seeing all of your labs and health history, however, I noted that a c-peptide test was done and that was low indicating to your doctor that you needed the insulin.One thing I would be concerned with is whether or not you received any type of medical/nutritional advice on controlling blood sugar with diet, exercise and lifestyle. Such interventions can reduce need for medication.Regardless, the blood sugar needs to be controlled to prevent cardiovascular and neurological complications without delay. If you decide on obtaining a second opinion, I would do so without hesitation as time is of importance.If indeed your body is not producing insulin, then you will need insulin injections. If it is a matter of insulin resistance, this may be a different situation where perhaps insulin may be used until other lifestyle modifications are made such as losing weight if overweight, et cetera.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kathy Shattler"
},
{
"from": "gpt",
"value": "Target: What causes elevated A1C levels while on Metformin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 35 years old with high blood pressure. I'm on medication (an new one I started and can't remember the name) My pressur has been up all day. Last check was 173/114...I am currently working in an emergency dept...lol should I take time to go see one of the drs?? Doctor: Hi,WelcomeYour pressure is definitely very high & your medicine dose need to be escalated or a new medicine should be added to the current treatment.Go see the doctor immediately, this much high pressure can cause serious problems.Thanks & take care"
},
{
"from": "gpt",
"value": "Target: Should I be worried about about my BP being high constantly?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have diabeties lymphoma/leukiema hep-c and recently started copegysus and pegysus...i recently attempted to change doctors and was called today to be advised that they are not taking new patients and run out of insulin sunday. i am losing my hair and have developed lesions under my arms and genital area and ache all the time. this is a rural area and i m quite some distance from my onocoligist and liver specialits and am disabled and scared Doctor: you need to keep your sugar levels under control till you see your doctor. the lesion also need treatment. There can be due to multiple causes cause of which can be pinpointed after clinical examination. it is very important you consult your doctor as early as possible since lymphoma patients with diabetes and viral infection cannot tolerate any kind of insult to the body. worry and getting scared doesnt solve your problem but see your doctor at the earliest"
},
{
"from": "gpt",
"value": "Target: Diabetes lymphoma/leukemia, on copegysus and pegysus, hairloss, lesins in underarms, genital area, pain. Oncologist not reachable. What should I do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 27 years old and have been told that I am in the Tellegen phase of hair loss. They say my bloodwork is normal. I have flushing of the hands and face and low energy. Should I stop taking birth control? This has been going on for a couple of years. Doctor: Hi,wellcome to HCM.yes these could be side effects of OCP's . You can stop OCP's for 3 months and see.Thanks for your query."
},
{
"from": "gpt",
"value": "Target: What causes hair loss and flushing of hands and face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have bad concentration level,cant remember things and understand them very easily.Also i cant understand d concepts completely and use to face while applying knowledge.i get confused at directions and cant figure out them.tell me from what disease i'm suffering from... Doctor: HiThanks for using healthcare magicYou may have attention deficit disorder. You have not mentioned your age. May be this problem due to poor IQ or attention deficit disorder. In your case, you need to consult a psychiatrist for proper mental evaluation and psychologist for IQ assessment. If IQ come normal, then you can try some psycho-stimulant like methylphenidate or amphetamine to improve concentration. In case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest methods to increase concentration levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doc i jst remove a stone frm kidney(lethotrapsy) and nw they put a wire or so called foreign body to remove mixture of stone nw after tht i have pain bt after take dynaper its lightly remove bt the effect of dynaper jst exist 2 hr aftr tht its again pain nw tell if i increase the dose of dynaper its harmful fr me or nt Doctor: Hi, dearI have gone through your question. I can understand your concern.You have pain due to kidney stone removal. You can take dynapar up to 150 mg per day in two to three divided dosage if you don't have any renal , kidney or gastric problems and no other contraindications.So please consult your doctor before you increase the dosage.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Can the Dynapar dosage be increased due to acute pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter had bruising show up on her chin that is purplish-brown & covers from under her lower lip down from both corners of her mouth to underneath her chin. Just showed up yesterday & she said she didn t do anything. What would cause that & should I be alarmed enough to get it checked out right away?? My daughter will be 12 years old in September, is approx 41/2 ft tall & 120 lbs. She has asthma & allegies, was born a month early & spent 1 month in NICU for jaudice & related issues about 5 days after she was born. Gets 2 allergy shots every week, takes meds (advair, claritan, astelin, flonase, singulair, fluoxitine & multivitamins) & broke her wrist 6/26/11 with cast coming off 7/28/11. Doctor: Hi, skin lesion in form of appearance of bruise on chin region with a history of only 1 day could be due to insect bite or a viral infection like herpes. In insect bite redness at the region of bite appear suddenly and cause redness and swelling at the region while herpetic infection can occur by contact with an infected person. I advice you to revert with some good pictures of the skin lesions. Take care."
},
{
"from": "gpt",
"value": "Target: What could cause chin bruising?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. Yesterday i began to feel that my lower right gum behind my last molar (where my wisdom tooth would be, but i had them removed 10 years ago) began to feel swollen and tender. If i opened my mouth wide, or squeeze my mouth shut tightly it hurts more, and when i chew on that side. It was smaller at first but grew and is now big enough that i can feel it against my tongue and upper gum. Nothing specific happened to it and it came very suddenly over the course of the night. I am in good health over all, brush regularly, have had very few dental problems in my life. I also have a sore thought at the moment but i dont know if that is connected at all. Any thoughts? Doctor: Hi, Thanks for asking the query, Swollen lump at the back of the tooth that had developed suddenly can be due to allergic reactions, trauma to the region or bacterial and viral infections. Sore throat occurs due to viral infections. I would suggest you to visit the Dentist and get the check up done, if necessary take the x-rays Go for symptomatic treatment of complete mouth scaling and polishing. Take a course of antibiotics and analgesic. Apply Dologel oral ointment topically over the affected area. Maintain a good oral hygiene, take lukewarm saline and antiseptic mouthwash rinses. Hope this helps out. Regards."
},
{
"from": "gpt",
"value": "Target: Swollen, painful and tender gum behind last molar. Sore throat. Recommendations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I do not have a gallbladder but I am having pain in the middle of my breast bone in the lower area I also have burning in my throat all the way down my chest and I have vomit that keeps coming up in my throat but goes back down I never throw up completely and the pain can be unbearable at times Doctor: Thanks for your question on HCM. In my opinion you are having GERD ( Gastro Esophageal Reflux Disease ). Burning pain in chest, throat and vomiting suggest GERD mostly. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have this habit. 8. Loose weight if you are obese."
},
{
"from": "gpt",
"value": "Target: What does pain in the middle of breast bone and throat and chest burning indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a stroke 2 years ago, they could not figure out what caused it. I have a new issue, I get extremely dizzy and begin to shake violently all over. My husband has to hold me until it s over. Every time I put my hands over my head with my arms extended. What is wrong with me?? Doctor: HIWell come to HCMIf the history of stroke is there then you have to get done the investigation for this for fresh lesion if ever happen again, if the cause of the stroke is hypertension then this need to be properly controlled, better to get done the fresh CT brain, if this is turn unremarkable then this is nothing to worry, hope this information helps, take care."
},
{
"from": "gpt",
"value": "Target: What causes dizziness and tremors with history of stroke?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, today is my 14th day of periods, i am going to do follicular study this month. today i have two follicules in my left ovary . the follicle size is 18.8x 16.1 another one is 20.2 x 13.1. my doctor is asking to put injection tomorrow morning , the inj name is hcg 0000mg. i have any chances to get pregnancy for this month,what we do next? Doctor: Hello. Thanks for writing to us. According to the report, you have two mature follicles in your left ovary. The injection is given so that the follicle ruptures and the ovum is released. The chances of conception are present in this cycle. You need to have regular sex after taking the injection. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Is there any chances of conceiving on the basis of my follicular study?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 27 year old female. I have had feeling of uncomfortable pressure on the left side of my chest often. More at bedtime. Tonight it feels heavier and more persistent. Also I feel like I have a knot in my upper left side of my back. Just to the right of my shoulder blade. Should I be concerned tonight? Doctor: Hi, firstly rule out acidity and gas by taking a good antacid liquid with simethicone and also take Omeprazole 20.If there is no relief you may need an x-ray chest, ECG and medical opinion to rule out Mitral valve prolapse and other causes--regards"
},
{
"from": "gpt",
"value": "Target: What causes pressure in the left side of the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my name is amy. i have muscular dystrophy and a twisted spine. this, clearly, causes lots of pain. However, recently I ve found out about the disease Chronic fatigue syndrome. I ve been feeling extremely tired, my joints ache more than usual and i m in pain 24/7, plus i ve been unable to pay attention like I use to and these are all side affects. How likely is this? Doctor: you need to go on A proper diet and a proper exercise plan to improve ur endurance and delay the fatigue level. I recommend to visit a physical therapist and take a proper exercise prescription. you may have developed another issues. but a proper exercise plan will be of help."
},
{
"from": "gpt",
"value": "Target: What causes tiredness wand joint pain with muscular dystrophy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 27 year old female. I was diagnosed with scheuermann s disease at the age of 19. Recently I have been suffering from increased joint pain, to the point of immobility. My doctor put me on Doxycycline and Mobic, along w/ testing me for multiple infectious diseases - nothing, all clear. Over the past year I ve had increased joint pain (all over, not just in my back) and stiffness(worse in morning and in hands), frequent dizziness and nausea (sometimes made better by eating chocolate or sitting down if I have been standing or standing if I have been sitting) and I frequently run into things, frequent pain in the abdomen (sometimes resulting in constipation or diarrhea - recently the latter b/c of the antibiotics) and I was diagnosed w/ mild Endometriosis (taking long-term birth control w/ no periods as recommended by the doctor), memory loss (at times I forget simple things, but then remember them seconds later and I have huge gapes in my long-term memory recall) and just recently (last 3 days) I have had a tingling in my hands (stinging w/ cold water and burning as if on fire w/ hot water). In the past I had issues w/ chest pains (most likely due to chest inflammation from back disorder), however I have not had any in over 6 months (went to ER EKG normal). Please help. Doctor: Hello, Chest inflammation is due to Calvé disease (Scheuermann disease), as there is limited space from the lungs to expand and support the body at its best for protection against possible infections. The issue of dizziness has to be evaluated with an MRI of the brain for best further guidelines. Hope I have answered your query. Feel free to post further doubts. Thank you. Regards, Dr. Bhagyesh V. Patel, General Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for frequent dizziness and chest inflammation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Two weeks ago I woke up to go to work and passed out 3 or 4 times and turned white and sweaty (clammy) and was admitted to the hospital where my cardiologist ended up placing a stent in my LCA, he said my heart had a small amount of damage. Seven years ago I had a stent placed in my RCA. After saying all that 2 weeks after the stent Placement I still feel weak and tired. Is this normal? PS - I have been walking every morning about 30 min and working around the house a little. (I am a 45 yr old male) Doctor: Hi,If there is no serious damage to your heart, then you shouldn't have any complaints. But don't worry, sometimes people may have some weakness for 2—3 weeks.Take careCome back if you have any further questions"
},
{
"from": "gpt",
"value": "Target: Is weakness and tiredness normal after stent replacement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has been complaining of chest pain. She is 13, when she was 3 we were told whe had a 3 mm hole in the left venetricle but have since been told it looks fine. I am concerned something may be wrong or may have been over looked by the cardiologist? Doctor: Hi. I can understand your concern. It would be advisable to consult a cardiologist as she will need a detailed evaluation for the same. Don't worry, she will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Can hole in left venetricle cause chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband complains of an internal icthing sensation in the chest cavity, that he cannot scratch, what can this be? and can it be related to the welts he experience every now and then all over his back that looks like an allergic reaction to something? Doctor: Hi, itching in thoracic cavity but since how long and what are the other symptoms apart from allergy u didn't mention. Anyway itching may be due to diaphragm irritation and it usually subsides by itself but if it persists longer with hiccough u should consult cardiothoracic surgeon for further evaluation. Possible diagnosis may be thoracic outlet syndrome, hiatus hernia,reflux esophagitis but all should be properly investigated by CT surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest medications for allergic reactions in the chest cavity"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For the past two nights, when sleeping, my left leg causes me extreme pain. To get the pain to subside, I must get up and walk and around and stand for 30+ minutes. I am then able to sit in a chair with leg extended out which greatly reduces the pain. If I lay down again, the pain returns shortly.I do not smoke, dring, not obese, and take 5 mg of paravasit everyother day. Doctor: Hello,It sounds like you may be having muscle spasms. Try a warm bath or shower before bed. Drink plenty of water during the day. Avoid too much caffeine and alcohol. Stretch your muscles out every day. Take a multivitamin. If these measures do not help then you should see a doctor for blood tests and exam.Regards"
},
{
"from": "gpt",
"value": "Target: What can cause pain in the leg while sleeping?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an MIR on 8-13 -14. It was of my cervical spine. Report says C-3-C-4 degenerative disc disease. Posterior annular tear. Moderate f a vet naturopathy and foraminal stenosis on the left C4-c5. Spondylosis and moderate degenerate degenerative disc disease. Posterior spondylosis slightly reforms the ventral surface of the spinal cord. Moderate right and severe left foraminal stenosis C-5-C-6. Spondylosis and moderate degenerate disc disease. Ventral cord deformity and mild central spinal. Stenosis. Moderate right and servers left foraminal stenosis C6-C-7. Spondylosis and degenerative disc disease. Ventral cord deformity without central stenosis. Mild right and moderate left foraminal stenosis. With these results, what can you tell me or recommend? Thank you Doctor: this is basically saying you have arthritis of the spine. there is no treatment to reverse the process so the only treatment is surgery. whether or not you need the surgery depends on your symptoms. there are many medical treatments for pain but surgery is the only treatment for weakness"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for degenerative disc disease at C3-C4 level of spine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been suffering from what I believe are allergies. Symptoms primarily consist of constant draining of sinuses down the back of my throat. This has been going on for over a year now but since July the symptoms seem worse with a constant sore throat and my tongue is tingling with slight metallic taste in mouth. I've been taking otc Zyrtec daily. Is this something I should see my doctor about? Doctor: the snus oproblems are mostly allergi as the allergy increases sinus starts fill uo and continuos mucus drains in back of throat it fall in stomach causing gi problems with acid refluxso taste of tongue and swellingyou need to get xray pns waters view and consult ent doctor and treat as on allergyguidelines as the sinuses are treated all symptomps will gomean time you are already taking anti allergic tab"
},
{
"from": "gpt",
"value": "Target: Suffering from allergies. Have constant draining of sinuses. Tongue tingling with metallic taste in mouth. Should I see a doctor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: On Friday I started getting the chills and noticed I had a fever of 102+. I took Theraflu thinking it was a flu coming on. However, I kept getting a fever every few hours. On Saturday, I started getting watery diarrhea. Later that night, my fever spiked to 103.3. I still have diarrhea and have to use the bathroom every 2-3 hours. I took a tylenol last night and the fever has not come back yet. However, I still have to keep using the bathroom and it does not seem to be getting better. Is there anything I can do to stop this? Doctor: I warmly Welcome you!Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.I usually prescribe in such cases Rifaximin (Xifaxan) 200 mg per oral 8 hourly for 5 days. Use Pedialyte for revitalization and fulfil the fluid and electrolyte losses. It seems to be due to gastroenteritis due to some unhygienic/raw food. Only Tylenol can not be effective.You may need to go to your Physician for prescription of antibiotics.Hope it helped you today. If you need further, detailed and quick assistance related to any health issues, feel free to 'ask me a question' directly from my profile. You can also attach Lab reports and pictures directly from the question window, or by emailing it to [email protected] with the Subject as, Attention: Dr. Muhammad Hanif, and the lab reports and images will directly reach my inbox for review.May you get very well soon and have a wonderful time ahead. Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way in future too. Please, write a review about your experience with me.Regards!DR. HANIFPHILADELPHIA, USA"
},
{
"from": "gpt",
"value": "Target: Is Tylenol safe to cure fever and diarrhoea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband fractured 9 ribs and also had displaced fracture of the transverse processes on L1, 2, and 3. Now that the swelling is gone he has been having on and off diarrhea and loose mucous stools for one month. No bleeding, but severe cramping in his colon, not tummy. Is it possible to have a pinched nerve as the result of the injury causing his problems? Doctor: Hi,thank you for the brief history of your husband. As i can understand it is more of the skeletal muscle involvement than the smooth muscle involvement. Since colon is supplied by the pelvic splanchnic nerve and the injury is in the L1,2,3 level. Also as the muscles involved must have got weak and due to that there will be chances of feeling colon cramping.You should focus on doing regular breathing exercises for improving the capacity of lungs and also the core stability and spine strengthening exercises.With the grace of god i wish your husband a speedy recovery."
},
{
"from": "gpt",
"value": "Target: What causes severe cramping in colon?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 year old son had an ear infection and was prescribed amoxicillan. He's been taking it for 8 days and last night he broke out into a rash. The rash is still there and slightly worse. I have stopped with the amoxicillan. He doesn't have any other sypmtoms. Can I give him Benedryl for the rash? Doctor: dear parent,if the rash is after eight days its advisable to see a doctor for the problem. ASAP.Did rash disappear after withdrawal of amoxicillin? If not then cause of rash may be something else.In any case consulting a doctor is better."
},
{
"from": "gpt",
"value": "Target: Can Benedryl be given to a child for rashes after taking amoxicillin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 23 year old female, been having teeth pain for 3 days after eating an oreo cookie, pain is located on left side on both upper and bottom teeth hard to tell which ones.. woke up the second day having sore neck, mild headache, and constant toothache. I took some ibuprofen, didn't help.. gargled warm salt water.. didn't help. I can't get to a dentist I don't have the funds, and don't really have enough to go get any other medicine. What else can I try to relieve at least the headaches and toothache so I can figure out how to get this all fixed. I can't sleep at night, I can't do much during the day because my head starts hurting and throbbing... Doctor: Thanks for your query, I have gone through your query. The pain in the tooth could be arising from an infected wisdom tooth. usually infected wisdom tooth produces this kind of pain in the head neck and temporal area. you need to take a radiograph of that tooth and get it treated by extracting or RCT. Meanwhile you can take a course of antibiotics like amoxicillin 500mg tid, metronidazole 400mg bid along with ibuprofen (if you are not allergic and sensitive to these drugs). do saline gargling. i hope my answer will help you. take care."
},
{
"from": "gpt",
"value": "Target: What causes teeth pain, sore neck and headache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have elevated enzymes white blood cell when I went to hospital 3 weeks migraines skin infection boils uti, ago put me on antibotics felt good week after being off was I m having neck back pain fatigue dizzy blurry vision. One day felt a pain up my neck to my head when cooking. Feeling dizzy went to lay down felt better I m having trouble walking my body feels heavy.oh and the boils are back.. Doctor: Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of recurrent infections, I would come up with three conclusions, these include: 1. low immunity power; possibly humoral as well as cell mediated immunity 2. unhealthy or infective atmosphere 3. normal response of your bone marrow Overall, you need to give me more details like all test reports, family history, past illness and your age/sex before further comments! Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: What causes elevated white blood cell count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had a lump on the back of my right hand at the wrist for several weeks and it is very, very painful. Now a not has appeared at the base of my thumb on the inside of my hand. I am in severe pain. When I attempt to write, hold anything or try to open any thing with that hand it hurts even worst. The doctor told me several weeks ago that it was Arthritis.. my problem is that I have arthritis in other parts of my body, but this is different... it hurts constantly.. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have arthritis or other mass. You should go for RA factor, uric acid level and ANA. These will give you exact diagnosis. Then 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. 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 causes lump at back of hand and knot near thumb?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my sister s weight is just dropping likeanything and recently she has been waking with a mouthfull of blood for the last few days...... we have been to the hospital and they can t seemed to diagnose her yet but hey seemed t be contnuing drawing blood out of her spine for some reason ... and she is in agony when they do it because they did it like 8times yesterday and when she wantsto go to the toilet afterward as sson as she stood up blood just shoot out from the whole on her back wher they have been drawing blood from.... the doctor still hasn t come up with anything yet and we are really concern about this situation ... please help... Doctor: Hi, As per my clinical experience, there can be various possible issues as - blood dyscrasias as coagulopathy or else - tuberculosis of spine or else - malignancy or other grave pathology. However, if you can provide the available reports as scanned copy in follow up conversation, I can guide still further precisely. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes blood discharge from the mouth and weight loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: which is the best poistion of sex for get early pregnent Want to get pregnenet as soon as possible Doctor: Hello. Welcome to HealthcareMagic forum. Traditional position is considered best. Remain in lying down position preferably with a pillow under your hips after the ejaculation. Do not hurry to get up and wash it in the toilet. The frequency of intercourse is more important in getting pregnant rather than the position. Dr. Rakhi Tayal"
},
{
"from": "gpt",
"value": "Target: What are the best sexual positions for getting pregnant ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 14 and has had a few small red dots around both her ankles and on top both of her feet for about a week or more. She also mentioned that her legs ached a couple of days ago. Now for the past 3 days she has been complaining of almost constant pain around her belly button. It is a little sore when I press on her stomach in that area. She had a temperature of about 99.2 last night. She also complained about a slight sore throat . What could it be? I am really worried. She already menstruates and finished about 1.5 weeks ago. She also had a lot of trouble with strept throat infections when she was smaller. Could it be appendicitis? Doctor: Hello. Thanks for writing to us. The pain and the symptoms that she is having are likely to be due to a generalized viral infection. The throat infection can be viral or bacterial in nature. The symptoms are not likely to be due to appendicitis. However a direct physical examination will help in the confirmation. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal Regards, Dr. RakhiTayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Small red dots on ankles, constant pain around belly button and throat pain. Is it appendicitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a salty and stinging (burning) tongue and sometimes a stinging throat for a while. Also my tongue is either pasty white, or green after using mouthwash but most of the time a dull brown, even though I brush my tongue twice a day. No sinus problems or fever. My tongue feels best after brushing it. Is this a problem to see my physicien or dentist about? It has been going on for about six weeks. At first I had a dry cough associated with this. Doctor: hello, you had a salty and stinging tongue,which is pasty white or green after using mouthwash but most of the time dull brown...... and after brushing you feel better.......... but you saying there is no sinus problem also..... i will suggest you to go to a specialist(oral surgeon) ......... and go for the whole mouth examination............... after final diagnosis follow all the instructions and get a proper treatment....... take care Dr.Gunjan Gupta"
},
{
"from": "gpt",
"value": "Target: Salty and stinging tongue and throat, brown tongue, no sinus or fever, dry cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir...I have been bitten by my pet dog before a month.the Dog had been vaccinated regularly.but since it but near my chin,I have undergone rabies treatment...... Do I need to follow any meal instructions like not eating meat or anything like that? .... Out else how long should I not consume meat? Doctor: Hello,Welcome to HCM,Diet restrictions was advised during the era of nerve tissue vaccine (NTV) but after banning of NTV way back in 2006 there is no food restriction.The newer antirabies are very effective and they doesn't requires any food restrictions. During the treatment you can have the normal diet what you are having regularly and also there is no restriction of non veg food.Only thing is if you are a alcoholic and smoker you need to avoid them because it may interfere with the production of protective antibody titres to fight against the rabies virus.Thank you."
},
{
"from": "gpt",
"value": "Target: What diet should be followed after a dog bite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have this red rash growing on my scrodum, in fact it has cover the area. been to many doctors was given very costly cream and so far nothing works it has been over a year (my age is 84) and it is not getting any better. what else can I do? was told its a type of fungus. Doctor: HiGREETINGS I can understand your situation. Hope you have tried antifungal creams and if no relief you should be ruling out allergic or contact dermatitis which will need regular application of ointments .Try to use cotton undergarments. Hope my answer helps you. Regards"
},
{
"from": "gpt",
"value": "Target: what to do for the rashes on the scrotum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 49 years old and healthy. I recently moved to Australia and my doctor put me on Loette 2 months ago. I have been on a different birth control pill for the past 7 years. Recently I have been suffering from depression which is very unusual for me. I am not cuurently needing to be on birth control. Should I just stop taking it? Thank you. Doctor: Hello Welcome to health care magic I can understand your situation. I appreciate your effort to seek online support. Loette contains levonorgesterol and ethinyloestradiol tablets as oral contraceptives. These hormonal preparations can sometimes cause mood fluctuations or depressive symptoms. However, there could be another cause for your symptoms as you are taking OCPs from a long time. I advise you to visit a psychiatrist for detailed work up and diagnosis. Also continue consulting a gynaecologist for readjustment of OCPs, if required. Hope it helps Good luck Regards Dr. Gourav Monga Consultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: Taking Loette. Have been on different birth control pills. Suffering from depression. Continue medications?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I depressed generally, I have being suffering from general anxiety and panic attack for more than 10years now i find it difficult to driver as a result of fear of sudden death, which at the back of my mind is uncall for. i have been under conselling for some time now. Please, Doctor i need drug for parmanant cure. Thank you Doctor: As you said you feel fear of sudden death while driving. I am not going to joke but suggesting a scientific technique. Actually you should try to die rather than to survive while driving. Let die one day, drive a vehicle at very slow speed in a big barren plane field. If you will survive that day, let die another day by trying the same but with at greater speed. Keep practising this unless one day you will able to drive on the road. If you will practice these sincerely definitely you will survive and get the permanent cure for this particular problem. Thank You (Viewer rating for my answer is awaited)"
},
{
"from": "gpt",
"value": "Target: I have being suffering from general anxiety and panic attack for more than 10 years"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor. I m a 33 year old woman in good health. Tonight I began having pain (tender to the touch and constant) in the outside part of my right thigh. There is no redness, bruising or swelling. Just concerned because it was a sudden onset and I don t recall bumping my leg or etc. Blood clots run in my family so that is my first thought :/ Doctor: hi,just relax acute pain could be due to overstretching of muscles at night while sleeping and this is common if you do not exercise regularly. for the present take a few days rest till your pain is gone, then start gradual exercises, and see the difference."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe thigh pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I ask myself if my muscle pains chronic are coming from CRESTOR and if so, what replacement can be suggest to remedy to that fact? I am diabete type2(janumet 1000mg and gliperimide (half little pill) and have some high pressure(olmetec 40mg) and so, I m takingevery day a 81 mg ASPIRIN Thanks a lot for the answer. Doctor: Hi Sir /Mam, I have gone through your query and understood your concerns. Crestor doesn't cause cramps. Muscle cramps is one of the most common symptom in Diabetics. You can take daily one tablet with B12 plus pregabalin combination. With this after 2-3 weeks, you find difference. Thank you ."
},
{
"from": "gpt",
"value": "Target: What alternative for crestor is recommended for a diabetes type 2 person due to muscle cramps?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I am a 37 year old female. Fit (i run 3-4times a week) and healthy (normal range BMI). I have an irregular heartbeat though. I can feel my heart doing summersaults at times and then I take my pulse and feel my hearts skipping a beat. This just happens anytime (no excitement or stress needed). My average heartrate is 60 beats per minute. Is this normal? Should I go see a doctor? Doctor: Hi,Irregular heart beat can be due to some benign conditions like ectopics(extra heart beats from a normal heart), sinus arrhythmia (change in heart beat due to respiration) or more serious conditions like Atrial Fibrillation. To diagnose you need to do a ECG at the time of irregular heart beat. You can follow up with me after the ECG. Sometimes a ECG does not tell everything and we put patients on 24 hr ECG monitoring called Holter Monitoring.So, to rule everything is normal, at least do a ECG.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for irregular heart beats"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m 28, and i have a PCOS problem, however in Oct 2011 i have a mis-carriage as the fetus growth was less, in 3 months, after which i dint take medication for sometime, now we wanted to have a child, i m 64 kg and my height is 5.2 . Doctor suggeted me to have Oosure, for 3 months and reduce on my weight, will this help in conceiving, Please suggest, Doctor: Hello, PCOS is very tricky problem and requires a long treatment. Loosing weight is very important to regain fertility in a patient of PCOS. It is said that even if you are able to shed 10% of your weight,you hall be able to get your periods back. To shed weight Take low carbohydrate and high protein diet Do regular aerobic exercises like brisk walking or swimming or cycling And you should take medicines to balance your body hormones like birth control pills The most important aspect of treatment is use of insulin sensitising medicine called as METFORMIN. Since patients of PCOS have incresed insulin resistance ,you need METFORMIN to reduce the insulin resistance. Insulin resistance causes a build up of insulin and sugar levels in the blood which results in Increased production of male hormones in body. These increased levels of male hormones result in acne,infertility and WEIGHT GAIN. Consult a Gynecologist or a physician and start taking METFORMIN 500 mg twice a day,under his advise,for at least 6 months. Thanks"
},
{
"from": "gpt",
"value": "Target: Trying to conceive. PCOS problem, had miscarriage. Prescribed Oosure. Will it help in conceiving?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was suffering from jaundice last month. Then I recovered completely by taking medicines Livfit syrup and Udiliv 300. But lately I have started feeling so weak that I cannot even stand properly. How do I overcome it? Doctor: Jaundice is not a disease, but rather a symptom or a sign that can occur in many different diseases. It refers to the yellowish staining of the skin and the white part of the eyeball, caused by high levels of bilirubin in blood. Bilirubin comes from red blood cells (RBCs) - when RBCs get old, they are destroyed, and haemoglobin is released from the destroyed RBCs after the iron it contains is removed - the chemical that remains in the blood after the iron is removed becomes bilirubin. The liver usually removes bilirubin from the blood along with other waste products. Jaundice can be of 3 types: ? Pre-hepatic - increased bilirubin production which the liver in unable to remove from the blood, e.g. patients with haemolytic anaemia have an abnormally rapid rate of destruction of their red blood cells that releases large amounts of bilirubin into the blood ? Hepatic - defect in the liver prevents bilirubin from being removed from the blood, the most common being viral hepatitis ? Post-hepatic / Obstructive - blockage of bile ducts decrease the flow of bile and bilirubin from the liver into the intestines, which may be due to cancer, gallstones or inflammation of the bile ducts. The treatment of jaundice usually requires a diagnosis of the specific cause of the jaundice and treatment directed at the specific cause. I suggest you contact your doctor for a detailed history and physical examination, which are important for diagnosing the cause of jaundice. Bilirubin can also be measured in blood. Very high levels of unconjugated bilirubin relative to conjugated bilirubin suggest haemolysis (destruction of red blood cells). Very high levels of liver enzymes (aspartate amino transferase / AST and alanine amino transferase / ALT) suggest inflammation of the liver such as viral hepatitis. High alkaline phosphatase suggests disease or obstruction of the bile ducts. Ultrasound examination of the abdomen or other imaging modalities may help to diagnose gallstones, tumours, dilated bile ducts due to obstruction, etc. Weakness is a symptom associated with jaundice and takes time to settle down. Udiliv is the brand name of a medicine called ursodesoxycholic acid that is approved for use in certain specific gall bladder stones and chronic cholestatic liver disease due to gall bladder. Livfit is an Ayurvedic product and I would not like to comment on it."
},
{
"from": "gpt",
"value": "Target: Weakness during jaundice. How do I overcome it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i get a sudden lump at the back of my head behind my right ear. i have had this about 4 times now and the lump comes and goes. i also get this emmense throbbing pain with this lump and when the lump goes down the pain usuall stops but today the pain did not stop. the pain does not go away even if i sleep or drink water. i am scared that this is a brain tumor? please help me Doctor: Hi,Dear,Thanks for the query from you to my HCM Clinic.I have gone through your query and after indepth study on it, In My opinion-your todays paining rt ear lump ,by no means is Brain Tumour -as you think and worry.I can rest assure you that its not the brain tumour.I would advise you to check up from ER Ent Surgeon.YOu need Antibiotics -Oflox with Ornidazole , Tb NSAID, Tb.Serropetidase-for 10 days time after the Pus-C/S sample is sent for study.YOur Ent Surgeon would take care of all this .Diagnosis-It could be mostly-Acute on -Chronic boil behind the right ear lobe/ or could be acute on chronic mastoiditis-In both the cases-Proper Incision and Drainage with scraping of abscess walls is needed.Treatment under cover of Surgeon or Ent Surgeon is the right way to get the help.Hope this would resolve your worrysome query for now.Wellcome-to my HCM Clinic for any more query."
},
{
"from": "gpt",
"value": "Target: What is the lump at the back of my head behind my right ear?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was just curious in my case. I have this very small spot in my lower right lung when I had my x-ray for my medical but as I remember, I had my x-ray way back in my college days but there was no spot found. The doctor said that I need to see a pulmonologist to examine my x-ray result. My mother said that I had my medication in my lungs when I was a child for about 6 months. I'm a bit scared if it's contagious did it already affect any person I'm with? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. This recent spot on chest x ray was not present in your previous chest x ray (during college days).So you should definitely concern about this. So consult pulmonologist and get done clinical examination of respiratory system and CT thorax.CT is far superior than chest x ray to evaluate such spot. If it is mass like lesion then biopsy is needed to rule out cancer. If it is infectious then bronchoscopy is needed to identify the infection. Don't worry about spread to others. First diagnose yourself and then start appropriate treatment. 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 a spot appearing on the lungs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have tightness in my chest with swollen right foot and ankle...fatigue,shortness of breath..the pain happens at least once a day and lasts for less than a min and then happens again up to 3 times an episode.I have had 3 TIA s 2 i went to the hospital..the last one i just laid down till i felt better. I high been told i am borderline diabetic 6.4% and have neuropathy of the feet..and nerve pain. I am on gabapentin for this, water pill and Potassium for fluid build up, and a blood thinner atenolol for prevention. Its not going away. I have had a nuclear cardio stress test,carotid artery test. All tests come back no blood clots.no blockage. Doctor: hi,thank you for providing a brief history of you.if you are on a border line of diabeties you need to control your sugar level. for which I can advice you to go on a boiled food for a week. pre starting and post 7 day you can check your blood sugar levels again. which will surely give a variation on it. if the variation is positive then you can continue the diet. along with this, you can do regular exercises for the general body conditioning which will help on for metabolism you be functioning well. Ofcourse you will have your medicine which you can continue on regular basis as advised by the physician. let's look on to the neuropathic pain, for which you can take a guidance from a physical therapist who will help you with TENS therapy and it will help ease pain.for swelling use warm water fermentation and then Keep the leg eleveated for 15-20 minutes. post that do some small exercises like ankle toe movements and straight leg raise.with the grace of God I wish you a speedy recovery."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for swelling in foot and ankle with pressure in chest, fatigue and breathlessness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have had a problem for several years with low platelets, red,and white counts, non responsive to steroid treatment, imuran, and retuxan. recently a ct scan shows my spleen 4 times the size it should be. is a splendectomy the next and only step. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* There is underlying hemotological issue lowering the bone marrow function which has to be evaluated with series of other investigations as bone marrow biopsy and else before deciding for the spleen removal .* Needs consultation with expert hematologist for further management . series of investigations Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards ."
},
{
"from": "gpt",
"value": "Target: What causes enlarged spleen and low platelet,rbc and wbc counts?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi...I might soon be starting a relationship with a wonderful person. Unfortunately in a conversation about manicures and pedicures...he let me know he never wants to get a pedicure because he has athletes foot. I know that it is a fungus and is contagious but does that mean he should stay clear of a nail salon? I thought that a pedicure would be good for him since its relaxing and therapeutic.I figured he could just inform the technician that he has it so they are extra sanitary. He is already using a medication which he said has recently stopped working so he will be going to see his doctor soon. Another thing is.... I am a big \"cuddler\" but I just dont want to play footsie or get anything on my sheets that might cause me to get athletes foot lol. Am I overreacting?Is there anything I or he can do to help? Doctor: HiWelcome to HCMI appreciate your concern regarding the athlete's foot.As you have rightly stated it is caused by a fungus which grows in the moist and cold areas in our body.There are a number of antifungal ointments available, Clotrimazole or Terbinafine is found to be very much effective.If there is no response to the above drugs you are needed to visit a dermatologist for proper evaluation like to check the fasting blood glucose level and the possible use of oral antifungal drugs like Fluconazole or Griseofulvin.I hope your doubts have been clarified.If convinced, do reply with a thank."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for athlete's foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, My Liver function tests are mentioned below which indicate raised SGPT and GGTP levels, kindly let me know your diagnosis. SGOT 41U/L 50 SGPT 90U/L 50 GGTP 91U/L 55 ALP 114U/L 30-120 Bilirubin , Total 0.59mg/dL 0.30-1.20 Bilirubin, Direct 0.12mg/dL 0.21 Bilirubin, Indirect 0.47mg/dL 0.70 Protien, Total 7.93g/dL 6.60-8.30 Albumin 4.92g/dL 3.50-5.20 A:G Ratio 1.64 0.90-2.00 Doctor: hi wellcome to hcm as above discussion you have only marginally elevated SGPT and GGT. and indicated liver profile of alcoholics normal value of sgpt is below 40 unit normal value of ggt is 1-50 (although it vary with age ,sex and lab)"
},
{
"from": "gpt",
"value": "Target: Liver function tests reveal raised SGPT and GGTP. What is the diagnosis for it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My dad is 60 years old and his \"Nerves are Bad\", or at least thats what he calls it. When he was a teenager he was put into a mental hospital because of his panic attacks. They treated him poorly and gave him a very powerful medication that had unwelcome side effects and did not help. Because of this he refuses to see a doctor. He has been on social security/disability ever since and has not been able to hold a job my entire life. My father avoids most social situations and any situation where he may have to speak to someone and answer questions, in fact, I must be careful speaking with him, because even discussing the possibility of a job interview or a doctors visit can trigger a panic attack. He even gets incredibly irritable, nervous, anxious and angry if a stranger like a tax consultant or insurance broker or someone will be coming to the house later. I have noticed that when forced to be social, a few beers is all it takes for him to act pretty much normal. He is still a bit shy, but no panic attacks, and he will even tell jokes and perhaps even make friends. This tells me that the condition must be treatable (although obviously not with alcohol). Other symptoms include shaking his feet a lot and vigorously rubbing his hands together. He also would spend a lot of time pacing around the house drinking coffee. Now that he is getting older I am extra worried about his health since he is afraid to see a doctor so I am looking for somewhere to turn. Do you have any advice? Doctor: Hi friend, Welcome to Health Care Magic There is no alternative to Psychiatric consultation... family and friends must convince him... A bad experience, once, is no excuse to avoid it. If one is hit by an auto-mobile, it is no excuse to avoid auto-mobile for ever - as a matter of fact, he should look for and catch one (say, an ambulance), to go the hospital for treatment. Psychiatry is well advanced and he has an excellent chance of improvement. Discuss with local social organisation or his friends methods to convince him / if necessary compel him? Wishing speedy recovery God bless Good luck"
},
{
"from": "gpt",
"value": "Target: Panic attacks, avoids social situations, irritable and anxious of visiting doctors, shaking feet, vigourous rubbing of hands. Histroy of admission in mental hospital. Curable?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my name is kingsley from nigeria 36ys with history of astma that started at 6month after my birth but now find out from medical test that my hypataities B is posetive and my dr. placce me onUdilive 300 and Immune booster for three months now but the Hgb is still posetive, what do i do Doctor: i HAVE HYPATIETIES WHAT DO I DO"
},
{
"from": "gpt",
"value": "Target: what is the treatment of Hepatitis B for born asthmatic ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 17 yr granddaughter has abdominal migraine and diabetes and is currently stil in the hospital but is off the iv and dehydrated and still sick the dr don t know more to do for her HELP MAYBE ANOTHER HOSPITAL ???????????????? Help I have already lost two adult children I am so afraid . Help Doctor: Hi.Thanks for your query and proper history. I have some say before I answer your query in full. The abdominal migraine is diagnosed after an CT Angiography has been done. So get this done is not yet done to know the exact problem your grand-daughter has. If such an young girl is diabetic, this means this is type I diabetes and she has to be on a lifelong Insulin. In fact in such a case dehydration has to avoided at any cost as it can precipitate a complication. Yes, I would advise you to take another that is second opinion and if required shift to another hospital with proper records as to what was done in the present hospital.If the diagnosis, investigations, monitoring and all such things are well maintained , your grand-daughter will be fine;do not worry."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal migraine and dehydration along with diabetes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good afternoon, My 62 y/o husband who is ,5 11, 178 lbs, allergic to PCN , takes no RX meds and who I consider is very good health has been experiencing calf and foot cramps that come and go when he is lays down more often than not. This has been going on for 6mths now. Relief is primarily gained if he gets up and walks around a bit. No other symptoms noted like fatigue, SOB, swelling in his lower legs, inability to walk after cramps, dislocation of the skin or loss of sensation... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Most likely cause for cramps at this age is calcium deficiency in blood and bone. This leads to muscle irritability and cramps is sign of it. I would advise to check serum levels of calcium phosphorus and alkaline phosphatase. please get it done from parho8lab near you. Meanwhile start tab shelcal slot twice a day with Tab vitamin D3 1000units on daily basis for one month. you need to consult orthopedic surgeon nearby your area with report. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes cramps in the feet and calves?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor ,My baby was born on 28th November 2013 . On 12th , he was crying and he had fever of 101 F . we did not know know and by the time we reached hospital his fever has increased to 102.5 F . On reaching hospital he was given Crocin and with imeediate sponging his fever subsided and he did not have fever after that . However Doctor asked us to admin him to check if he had infection . They did urine culture , blood culture etc . urine culture showed he had some UTI infection . Initially he was given ampicilling and zentalycin . After urine culture was positive he was given Amikacyn ( once per day) and zosyn( three times per day ) for one week via canula . Now he has been asked to give Clamp(amoxicillin) 1.5ml/day for next thirty days . After that doc has ashed us to DTPA for baby .However with these antibiotics baby is passing continuous stool in small quantities somtime more than one hour continuously . While passing stool baby cries continuously :( . I feel so bad to see baby crying . Baby feeds well and when not having stool baby does very fine. We aksed doctor and they gave enterogerminal oral suspension twice per day (half ample) .Can someone help us if he is fine and medications are ok . We feel crying after seeing all this .REgards A Doctor: Hi, thanks for writing to us.Usually after taking amoxicillin one generally get loose stools due to the medicine effect. However your doctor has prescribed enterogermina to reduce loose stools so continue it. But store enetrogermina in fridge for maximum efficacy.The kid may be crying because continuous loose stools may have caused inflamation of the skin around the anus , so go back to your doctor and get some soothing ointments to be prescribed.Thank you, regards."
},
{
"from": "gpt",
"value": "Target: What causes loose motions when on antibiotics for high fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For a couple days now I've had a lot if gurgling in my abdomen area on the left side. The first day had some Sharp pain but that subsided. Today is day three I have loose stools for last thee days as well. The last two times I went to.the bathroom it was just bright red blood no stool. No weakness or dizziness but my feet are ice cold and pale. I'm 42 and female. I do not have insurance and am not working so its extremely difficult for me to.get checked out. Please advise. I know I'm not drinking enough.water. Doctor: Hi ! From your history, it seems that you have diverticulosis of the colon which caused you sharp pain due to getting inflamed and the lot of gurgling in your abdomen could be due to the irritation caused by the infection. The frank red bloody stool also goes in favour of it. Even if there is no weakness or dizziness , the ice cold pale feet are evidence for a good amount of blood loss from the body. Immaterial of the status of insurance, I would advise you to go to a gastro enterologist for a preliminary colonoscopy which can exclude many other conditions with rectal bleeding like the one you have which may need immediate attention. Wishing you an early recovery."
},
{
"from": "gpt",
"value": "Target: Gurgling in the abdomen, pain. Loose stools, rectal bleeding. Worried"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my cycle is 45- 55 days which is the best time to concieve? Doctor: Hi , Best time to concieve is from 9th to 17th day of menstrual cycle .Ovulation generally occurs between 12-14th day of menstrual cycle and life of sperm is 72 hours.(3 days).So 12-3=9 and 14+3 =17. Hope this clears all your doubts, thanks dr jignesh"
},
{
"from": "gpt",
"value": "Target: Which are the ovulation days as my cycle is 45-55 days ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had mitral valve repair nearly 12months ago, shortly after the repair he suffered an episode which seen him collapse on the floor with diaphoresis, vomiting, dizziness and tachycardia. Since this episode he has suffered frequent significant bouts of dizziness where he feels dizzy, faint and feels like he is going to collapse. He is having trouble coping with daily living because of these episodes. His cardiologist as sent him for tests with a neurologist to check for a TIA, the test produced no results. We need answers as it is affecting his life dramatically. The repair has been checked 6 months ago and there is now a very mild leak again. His cardiologist seems complacent about the attacks he is having and gives him no answers Doctor: Hello , The most important aspect here is to rule out any transient arrhythmia . An ekg during the episode or longer ecg monitoring like 24 hour holter or loop recorder should be considered. Do discuss the same with your Doctor . Regards"
},
{
"from": "gpt",
"value": "Target: What causes diaphoresis, vomiting and tachycardia after mitral valve repair?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i need help i have like a lump ting halfway down my penis when i try squezing it and that it soetimes gets a bit bigger and its like it moves abit when i play with it to try get rid of it if had it a while please can you help and tell me what it is i want it gone Doctor: Hi! this is a benign condition but try to avoid rubbing on it!Thanks for sharing your health problem with us and after going through your description of the lump halfway down on the penis, I must consider few possibilities like:1. a hemangioma2. an inclusion cyst3. a neurofibroma4. lipoma or fibroepithelial polypTherefore, please see a surgeon for a proper clinical examination and a simple 2-minutes needle biopsy for confirmation!See you with all feedback; regards,"
},
{
"from": "gpt",
"value": "Target: What causes a lump halfway down on the penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir my mother is suffering from back pain , She used MOVE, VOLITRA, FASTRELEASE. She get relax for a moment. but after that the pain start by self. Please tell me a true solution. Her age is around 45-50. Thanks Bhupendra Singh Doctor: it is better to consult and get checked by orthopedic surgeon few investigations may be required and proper diagnosis is essential for best treatment if your mother has some other gynecological problems along with back ache she should consult gynecologist also if over weight should try to reduce weight hope your mother be all right soon"
},
{
"from": "gpt",
"value": "Target: What is the best treatment for low back pain as medicines give only temporary relief ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a urine infection for several months and had four lots of antibiotics, the results have come back with white blood cells but no particular infection, I had a scan yesterday which revealed a shadow on my kidney, is this something to be worried out Doctor: HiShadow on the kidney may be due to a stone but rarely other causes are found. Stones are one cause for urine infections and presence of white blood cells. I would advise you to get a CT scan of your kidneys to evaluate the cause for the shadow."
},
{
"from": "gpt",
"value": "Target: What could the kidney shadow be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,Recently i had a random blood test and i found that my ggt level is 188 ! While other liver function tests were normal . I had an ultrasound which showed smooth liver surface, clear biliary flow and normal sized kidneys and liver .. I ve heard that ggt levels become high in relation to alcohol intake but , i have never drank alcohol ! So i was wondering if you can give me any ideas about the reason behind this elevated level ?? Thank you in advance .. Doctor: Hi, GTT is found in many parts of the body, including the kidneys, liver, pancreas, intestine, spleen, heart, brain, etc. So GGT alone is nonspecific Increased GGT levels can be seen in many conditions--many liver diseases, Pancreatitis, many cancers, Alcoholism, heart diseases. GGT levels may be increased due to medications also. Smoking may also cause elevated GGT levels. so, if you have no other investigation suggestive of any diseases, no need to worry. Do not run after a single investigation which is non-specific. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon"
},
{
"from": "gpt",
"value": "Target: What does this liver ultrasound test level for an elevated GGT level indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my wife is delay in her period. n she check thrice by pregnancy kit but the answer was negative. In between dr has given Tab. Sysron for 3 days 2 tablet twice a day. Now today Dr told her she is pregnant of 4 week 5 days. I just want to know it is safe for baby n mother after taking the pills. Will it harm in growth of baby. plz request to you guide me the best remedy what has to be done now. Thank you Doctor: Hi.The pill was given to support the pregnancy and reduce the chances of a miscarriage in case there was a risk, so do not worry about the pill, your doctor knows best so do not question their capabilities. It will in fact aid with the growth and development of the fetus.Best wishes."
},
{
"from": "gpt",
"value": "Target: Is taking Sysron during a pregnancy harmful to the baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a stent fixedup in Right artery about a 8 months back.My body weight is 56 kg and hieght is 5feet 7 inches.I take blood pressure medication for the last 8years and it remains under control.I take 60ml of whisky every other day.Is it ok with me. Doctor: Hello!Thank you for asking on HCM!Regarding your concern, I would explain that chronic alcohol intake is an independent cardio-vascular risk factor. But you should also know that low doses of alcohol can be beneficial for the cardiovascular system. So, I would recommend taking 30l per day (reduce the dose of whisky) or switch to a glass of red wine, which is known to have also antioxidant effects with a lot of benefits for your blood vessels. Hope to have been helpful!Wishing all the best, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Is it safe to take alcohol after having stent in the artery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor my babyfalling fever for past 6 days fever starts heavily in eve after 7 pm it will go upto 102.5-103 after giving cold towl whipping and p250 medicine its gradually coming down to 99.2-99.8 we taken blood test that shows all normall and dr says he has a doubt on report and ask as to take second. in that blood palettels is 210000 so he said no tengu and ask as to take widel and rat fever test we r waiting for result kindly explain the symtoms of rat fever Doctor: Hello, thanks for posting your query here. The symptoms of rat fever are high fever, severe muscle pain, red eyes, stomach pain, jaundice. The test for rat fever normally done is Microscopic agglutination test (MAT) which can be falsely positive. So even if it is positive, if your child has not played in puddles or been near rats urine and does not have muscle pain/red eyes, it is very unlikely to be rat fever. Widal test is done for typhoid, it is best done in the second week of illness. If it comes >1 :160 positive, there is a good chance that it is typhoid. I would suggest you not to give cold towel wiping as that will cause a lot of discomfort to the child and reduces only the surface temperature. Continue with paracetamol as prescribed by your doctor."
},
{
"from": "gpt",
"value": "Target: Can fever in the evening in child be a rat fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my neighbor got sent home from work today, refuses to go to the doctor and I am worried. He is experiencing dizziness, is very pale, tired and his wife now says he has a really bad headache. He has high blood pressure and smokes a lot. I think she should make him go to the doctor. What do you think? Doctor: Hello,The symptoms of dizziness headache are due to an increase in blood pressure suggested hospitalizations. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ponnambalam V"
},
{
"from": "gpt",
"value": "Target: What causes sudden dizziness and headache while treating high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son just turn 17 years old and we found out that he has kidney stones. He always get pain after running in P.E. later in the afternoon Does running complicate the kidney stones worse with pain? He does enjoy eating cheese so much, so should we have him cut down on eating so much cheese and pizza. Doctor: Good Day!Kidney stones in the pediatric age group would always be a metabolic abnormality. Meaning they're body is producing an excess of a stone forming substance that's why they get it at an early age. (e.g cystine) These patients needs to be worked up and once what the abnormality is determined then we can prescribe a proper diet for him. In terms of exercise there is not much restrictions and stones in the kidney would not cause any pain or discomfort unless a stone is lodged in the tube that connects the kidney to the bladder (ureter) and causes obstruction. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes.Regards, Manuel C. See IV, M.D. DPBU FPUA"
},
{
"from": "gpt",
"value": "Target: What are the dietary and exercise restrictions for a teenager suffering from kidney stones?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Had blood work done and said the white blood count was very high, but also the red blood count was even higher. He said a blood infection was the cause,he is an oncologist and has 3 chemo planned for 3 weeks . Not sure exactually why the chemo. He ruled out leukemia. e-mail is YYYY@YYYY OH! REDBLOOD IS LOWER, AND WHITE BLOOD IS HIGH Doctor: Hi,In leukemia, the WBC count could be high and as it is ruled out, we have to look at other causes.One possibility I can think of is a malignant tumor from other location, infiltrating into bone marrow, displacing the cells leading to high counts. This condition is called as leukoerythroblastic picture.If there is tumor in other places, chemo would be planned.If you talk in counts and it is reduced, anemia is a manifestation of many cancers and due to spillover of WBC into peripheral blood, the count could be high.However, if your dont know the tumor, if you give me more symptoms, more report details and type of chemo planned, I can help you more.Any further queries, happy to help again.Dr. Jyothi BL"
},
{
"from": "gpt",
"value": "Target: What to do if red blood cell count is lower and white blood cell count is higher and blood infection is suspected ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For the past two months I haven t had a period so I was a little worries anyways .. I had sex over the weekend with my partner quite a lot I ve been fine 2 days after and all of a sudden I can t keep off the toilet have the worst pain ever when I pee I also wiped myself and there was spots of blood is this just a UTI? Doctor: Thanks for using HCMHello,you seem to have UTI which has to be treated ,you also have to take pregency test as you have skipped to cycles Please visit the nearest gynecologist for treatment and confirmationHope this helps"
},
{
"from": "gpt",
"value": "Target: Does pain and spots of blood in vagina indicate UTI?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A baseball hit my leg and I had a really bad bruise which is to be expected. It s been two weeks and now there is a knot. It doesn t hurt anymore, but my there is still discoloration of the skin (a yellowish color) My uncle lost his leg due to osteomylitis of the bone that resulted from hitting his leg on a rock. Should I be concerned? Doctor: Hi,It seems that there might be having big hermatoma at the time of injury and now resolving and became encapsulated.It is advisable to go for x-ray leg to rule out any bone involvement.Apply ice pack.Apply thrombophob cream.ok and take care."
},
{
"from": "gpt",
"value": "Target: What does a bruised lump on leg after an injury indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: three weeks ago, i was very seriously covered with mold from an orange tree. since, ive been itchy, with red spots that disappear within a day, spots have raised margins and are not wide spread, approx. 5-20 cm in diameter. i also am suffering with a tooth infection. i was given clindamycin for the infection, last night i began the course of antibiotics and due to pain, i took a tramadol and 400 mg. ibuprofen. i woke up in the middle of the night , extremely itchy, with hives on my trunk and a very strange large swelling on one side of my face, in my mouth, on the opposite side from my tooth infection. i went to the emergency room. the doctor gave me a shot of benadryl, and prescribed methoxyzine. the swelling and itchiness are still present, although minimized a bit. do you think this is a drug reaction? how long should this swelling last? isnt it unusual that i was itchy for weeks before this? whaddaya think. Doctor: Hi i do care for your concern. The allergic reaction from the mold could have flared up with use of antibiotics which itself may cause allergic reaction in some cases. The drug benadryl will help to relieve the symptoms. I would advise to Stop all other medications. To consult your physician and get benadryl for a week and this will minimize the symptoms. application of calamine lotion over skin may help to reduce the itching. Hope everything gets well soon. Hope i have answered your question, if you have more feel free to ask. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes itchy red spots on the body after exposure to mold?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my dad has oesophogus cancer which has spread to his liver and kidneys and lymph nodes ... he is taking small breaths now and seems to be struggling to breathe normally. He won't go to hospital so we are looking after him at home. I can't bear to see him like this. Will he end up not being able to breath at all? Doctor: Hi,Thanks for writing in.It will help to know which part of the esophagus has developed in to a cancer. The esophagus is divided in to the upper, mid and lower thirds. If there is a cancer in the upper and mid thirds of esophagus then there might be difficulty in swallowing of food and the food stuck can regurgitate and be pushed upwards and make its way in to the airway. This is a concern and can cause choking or get aspirated in to the lungs.Once food particle is aspirated in to the lungs then it can develop in to an infection and pneumonia. This persists and with time can also transform in to severe bacterial infection. There is also a possibility of the airway getting infiltrated by the esophageal growth if there is a large tumor in the upper third of esophagus which is infiltrating in to the airway. Please have a discussion with his doctor to know the actual reason of his difficulty in breathing."
},
{
"from": "gpt",
"value": "Target: How does esophageal cancer affect breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I have very low blood pressure...90/60 often...I m undergoing in vitro. Embryos created and transferred, but not implanting for very long. Could my low blood pressure have anything to do with this? should I try to raise it for more circulation in my uterus daily? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, hypotension can cause failed implantation in IVF techniques. For successful implantation, blood riched uterus is needed. And for this adequate blood supply to the uterus is needed. This is possible only with normal systemic blood pressure. With low blood pressure, blood supply of uterus is also low and hence implantation will fail. So better to consult treat hypotension first. Most common cause for hypotension is fluid deficit in the body. So drink plenty of fluids orally and keep your self hydrated. Rule out infection also. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What could cause very low BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son getting severe gas prolblem-chest pain,his age 24.took treatment from dr.dubey and mmi but nothing is reporeted adversly.but he is badly suffering from gas-chest pai.drs.including dr.pargania/dr bagrecha,homeo said anxiety.plz advise for proper treatment with specialised dr.thanks Doctor: Hello, Most probably a gastritis and reflux disease. He should visit gastroenterologists for the same. He should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. Elevate head end or use pillows during sleep or rest. He should get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination beforebreakfast once a day for 2 weeks. If not adequately relieved, then you should add Syr sucral O or gelusil two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i m 29.i hv got 4 misscarrige my last misscarige was in april 2010 of 10 wks i hv irregulr period since oct 2010my all test r norml recently i hv done hsg its report is norml nw my dr advise me to start ovulet 2.5mg my ques is can i gt preg after taking this tab Doctor: Hi there, I have understood your concern. Sorry to hear about your previous pregnancy losses. Please do not panic. As you have patent fallopian tubes, you can conceive again. Ovulate tablets help to promote egg formation. It needs to be taken only of you are not having egg formation regularly. Also, please check if you do not have PCOS as a cause of your irregular cycles. I will suggest you to get laparoscopy and hysteroscopy done within first ten days of the cycle. This will be of help to know about the normalcy of your uterine cavity. Please start with Folic acid, Vitamin B 12 supplements on daily basis at leas 3 months before you plan to get pregnant again. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar"
},
{
"from": "gpt",
"value": "Target: Will ovulet tablet help in getting pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, My daughter is 12 years old & has been suffering from loose stools for the last 2 days now. She has been advised Normetrogyl Tablets by her paediatrician, but the watery stools still continue after 2 days. Please suggest some urgent remedy.. Regards Prakash Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Children can pass loose stool at the onset of a respiratory infection(eg, cold) gastrointestinal infection, or urinary tract infection. Causes include: bacteria, viruses, parasites(whipworm, hookworm, threadworm, flatworm), fungus. Malabsorption of fat and sugars from the diet. Antibiotic diarrhea due to the antibiotic changing the bacterial composition in the intestines. Normetrogyl is an antibiotic and could be the cause of your daughter's continuing diarrhea. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for loose stool in children"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i m 26 year old girl i get menstrual cycle only on taking medication my all tests are done i got hypoplastic uterus and steak ovaries my amh level is 0.02 and my fsh level is 19.6 rest other hormonal and thyroid and blood test are normal my doctor prescribe me tab novelol ,tab ovisterone and tab y-cyst fort is any scope of getting pregnancy in my case Doctor: Hi, Regarding your case, it is difficult to get pregnant with your own eggs. You can go for a donor egg program in IVF and can try in your uterus after 3 months of hormonal therapy which will prepare the uterus for conceiving. But chances of abortions may be high. Do the other option may be surrogacy with donor egg.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya"
},
{
"from": "gpt",
"value": "Target: Is there any scope of pregnancy if i have got a hypoplastic uterus and steak ovaries?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mom is detected with renal calculi and hepatomegaly . she is suffering from pain in abdomen Report of ultrasound says Findings are s/o Mild hydronephrosis with hydroureter on left side with left upper ureteric calculus.Bilateral renal calculi.Hepatomegaly with fatty infiltration of liver. Doctor: Hello,Pain the abdomen in the lumbar region could be because of kidney stones, and scan showing hydronephrosis with hydroureter and ureteric calculus, could be causing the pain too, please Kindly consult a Urologist so that he can examine you and explain if this condition can wait n watch or requires treatment. Regarding hepatomegaly with fatty infiltration, she should be checking if her sugars, thyroid and cholesterol levels are elevated, n if yes appropriate treatment can be initiated by your doctor and she should be advised to consume minimal fatty foods. Hope I could help you.Thank you."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of renal calculi and hepatomegaly?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Do statins interact with the seizure medications: vimpat, Topamax and perampanel? Where can I find this information? My doctor wants to start me on a statin drug but I am on so many other drugs I do not want to. My bad cholesterol is low and good cholesterol is high. I am also on: Paxil, synthroid , multi vitamin and calcium +D. Doctor: Statins generally don't interact with AEDS. ...especially newer drugs like topiramate.but as u told u r bad cholesterol is low and good cholesterol is high....then why ur doctor wants to start Statin.....?"
},
{
"from": "gpt",
"value": "Target: Do statins interact with the seizure?"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.