conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: i am 3 months post ventral hernia repair and i can't tell if anything was done. The area around my navel is hard and swollen, i have pain on the upper left side of my abdomen.(saw the surgeon regarding that and his reply was maybe the screws along the side are coming up). I have edema in my legs arms and ankles. I look as if i am about 6 months pregnant. I have seen the surgeon and my pcp, neither seem to think it's a problem. Doctor: Hi.Thanks for your query.Read your history carefully and understood your problems. You has undergone ventral hernia surgery 3 months ago, and since your Surgeon is talking about screws , means you have undergone this by Laparoscopy route.The distension like 6 months pregnancy can be due to intestinal; obstruction or due to occurrence of incisional hernia or may have a large seroma. This can be confirmed by an oral and intra-venous contrast enhanced CT scan of the abdomen. This alone can guide you and your Surgeon about the possible cause and then can be dealt with properly,...."
},
{
"from": "gpt",
"value": "Target: What is the swelling and hardness in abdomen after a Ventral Hernia Surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I HAVE BEEN DETECTED STONE IN URETER. SIZE 9 MM. I AM TAKING PRULIFLOXACINE AND RAPILIF SINCE LAST 8 DAYS...MY EJACULATION HAS BEEN STOPPED. I AM TENSED. EVEN I AM FEELING A BURNING SENSATION AT THE TIME OF URINATING. FEELING PAIN IN MY RIGHT TESTIS.....SHOULD I CONTINUE RAPILIF? Doctor: Hi,Rapilif is commonly prescribed to treat the symptoms of benign prostatic hyperplasia. It is common side effects include: dizziness diarrhea postural hypotension headache retrograde ejaculation (occurs when semen enters the bladder instead of out the tip of the penis) common cold stuffy nose and priapism (prolonged erection of penis)Based on the history you seem to have developed retrograde ejaculation and priapism. You should stop taking this medication and consult your treating doctor for an alternate effective but a safer medication.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of rapilif?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had high blood pressure since I was 14, and now im 18. I am not fat, I eat healthy for the most part. I do not smoke or drink at all or take any illegal drugs. I am on Lisinipril 20mg and hydrochlorithyzide 25mg. My doctors are baffled because they have checked my heart, my kydneys, and continious blood work. My blood pressure on a calm day is 150/95 they keep doubling my medicine, but i do not lose any points what could possibly be the secondary cause, and if it is hereditary why can the levels not go down. My second problem is I am suspected to have internal bleeding. Once a week I get these crippling feelings in my lower abdomin. I have to go to the bathroom immediately and the stool is almost pure liquid filled with dark red blood. After I go to the bathroom my pain is gone. Doctor: Hi, At a young age, hypertension is usually secondary hypertension-commonest renovascular cause renal artery stenosis due to fibromuscular dyplasia. You might also be having gastrointestinal vascular malformations (VM) or vascular ectasias, hemangiolymphangiomas (HLA) or small-bowel varices which are some of the common causes of obscure GIB (gastrointestinal bleeding). VMs were more frequently associated with gastrointestinal bleeding-could be related to surge of high BP. Hope I have answered your query. Let me know if I can assist you further. Thank you. Regards, Dr. Tushar Kanti Biswas Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high blood pressure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on Wellbutrin for about 4 months. I take 2 150 mg SR tablets per day. But in the last couple weeks I started getting very depressed again. I am concerned about going to my health care provider because as far as I know, Wellbutrin is the only antidepressant that doesn t cause drowsiness. Do you know of any other antidepressant that doesn t cause drowsiness? Or is there another medication to take with the wellbutrin to help alleviate my depression? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Let me sincerely make you aware that medicines alone cannot cure any psychological disorders. Neural transmission network is working with the help of minute electrical charge. These charges get altered due to so many reasons. Cure is in restoring correct charge. Reprogramming the signals with the help of psychotherapy does the trick. Medicines just block the or intercept signals.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes depression in spite of taking welbutrin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Dr Please help me as I could not bear any more wet dreams. My mental, physical, financial growth has been retarded due to extremely heavy nocturnal emissions. Currently i am 35 years of age. 10 years back, i entered this hell of sexual kingdom, with masturbation. Initially with masturbation, next i stopped it but started getting Wet dreams, with performing a sexual activity in dream. Even I did’nt read or watch erotic material, still i get nocturnal emissions and that too without dreams. So i decided to get married at the age of 31. I am having a healthy baby too. But now I could not indulge in intercourse with my wife as i am having weakness. Stii my wet dream are continued, 3-4 times in a week and 6-8 times a month. Plz save me. I am unable to stand or walk after erection . Lost all valuables hormones as stated in your website. Semen turned thin and ejaculations are so frequent and out of my control. My studies, jobs, career all is suffering. Also suffering from pre mature ejaculations, and ejaculate in seconds while in sex with my wife. Plese help me. I also think that please let me know if I am suffering from Urinary Tract Infection ( UTI )/Reproductive Tract Infection (RTI) or not. Plz confirm. Additional Info Here I also want to add that I am suffering from nocturnal emissions since last 10 years and 5 years back I developed a stone in my kidney and got it removed via laser treatment, since then I have no such problem of recurrence of it. I also want to add that I feel that I am suffering from weakening of parasympathetic nervous system and decrease of serotonin hormone in my brain, due to excessive nocturnal emissions. In addition I am having back pain, shoulder pain, leg pain and if I walk few 1 or 2 km then a terrible pain in my foot I feel. Plz help. Thanks Rohit Kumar (MP) INDIA Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I do not understand from which website you got that wrong information. Let me clarify.1. Nocturnal emission happens when the body wants to emit the produced semen because semen is a waste product. Semen is produced whenever you are sexually aroused. Such produced semen is a waste product. If you do not engage in sexual activities or masturbation for a week or so, body finds its own way to expel the semen. One way is through nocturnal emission and another is through urine. Very much a normal process body adopts. 2. Semen is produced by testicles. You are ill informed. Production of sperm cells are not at all a tiring or health wasting or losing hormones process. They all are myth. Don't fall prey to such information and get anxious.3. You are worried about the nocturnal emission problem and you are anxious and obsessive about that. That is why you are having this premature ejaculation. Forget sexual problems. Forget Nocturnal ejaculation. Forget masturbation. Just show love and passion to your wife and your problem is solved.If you require more of my help in this aspect,Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some sexology related psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Repeated nocturnal emissions, have stopped masturbation, premature ejaculations. How can I fix this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 41 years old with no significant medical history except hypothyroidism. I am a normal height and weight. Recently (2 weeks ago) I had a bruise on my left lower abdominal area near my hip. I felt the area because it was tender and bruised and I had a pea sized lump there under the skin. The lump is roundish and smooth. It feels rubbery and moves. It has stayed the same size for the last 2 weeks but the bruise is completely healed. Can you give me an idea what this is? Thanks. Doctor: Hello!Thank you for the query.From your description this sounds like a inguinal hernia. Especially if the lump is more visible when standing and less visible when lying down. It should move when standing and coughing.Please consult a surgeon with this lump. In case of any doubts, ultrasound should be done.Hernia needs to be fixed with surgery.Hope this will help.Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for the lump near the lower abdominal area"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Slipped on ice today and hit the back of my head, had a headache for a bit but Ibuprofen solved the pain. The problem is my neck seems to hurt. My thoughts are that when I strained to hold my head up from crashing to the ground I stretched those muscles. Doctor: Hi,For my patients i recommend icing it for the first 48 hrs, massaging with topical gels containing muscle relaxants 2 to 3 times per day, physiotherapy and yoga or relaxation and avoidance of any vigorous movements will be effective for your case if not I suggest CT and MRI on cervical vertebrae to exclude any kind of fissures or nerve compressions. Please consider some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Ahmed Aly Hassan"
},
{
"from": "gpt",
"value": "Target: What is the remedy for the pain in neck caused due to slipping on ice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, I have some problem that i am feeling uncomfotable when talking with any persion because i am vary shy persion.please give me some advice to reduce it.can oxytocin spray cure it.have oxytocin spray is available in india market.or give doctor name in orissa for treatment of this Doctor: Hello,I dont think you require oxytocin spray for this problem. When you are about to face a situation which you feel would cause anxiety, just take tablet inderal half an hour before getting into that situation.you would also require psychotherapy sessions for this problem. Consult your nearest psychotherapist.Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for social anxiety disorder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, I am 52 years male with good health with family histroy of no any major problems. Since five years back as I am my BP was slightly higher side and cholestrel was slightly higher, I am been taking small doses of medicine. Daily I am walking on treadmill for 30 minutes. Last year I am done full body check with all tests. All resports are normal. Last night When I got up for toilet, when I was approaching toilet suddently I collapsed and fall on the floor, within 2 or 3 second I got got up and I was alright. I do not know this is first time happened to me ? What may be the reason Doctor: Hi ThereHigh cholesterol can lead to high BP which inturn can cause Blackout, but that's probably not a case with you as you are telling your Blood pressure and cholesterol are just slightly raised and you were already taking medicines for that and also following good work out schedule.What seems possible to me in your case in a VASOVAGAL syncopal episode has happened. As a precaution i would like to tell you that dont get up suddenly from bed after lying for sometime, first sit for a min or two and then get up. If even then it happens again then you need to get a NEUROLOGIST opinion personally.I wish you Good Luck"
},
{
"from": "gpt",
"value": "Target: Could high cholesterol and BP cause unconsciousness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son recently had an appendectomy. He told me that he felt paid in his lower stomach area and I thought it might by scar tissue issues, but he showed me that the pain (sharp and only when he makes sudden moves0 is directly above the shaft of his penis (about an inch or so). Is this a pulled muscles or does it fit any other issue? My e-mail address is YYYY@YYYY Doctor: Hello,post appendicectomy people do notice certain pain in the lower abdomen due to muscle pull while suturing or due to some tissue /muscle injury during the procedure. But in your son's complaints is at the base of the shaft of the penis. so probably it might because of spermatic cord pull which might have been touched/ stretched during the procedure as it stays along the inguinal canal. If the pain persists kindly visit a surgeon for a second opinion as a physical examination is always better than a oral suggestion. Thank you"
},
{
"from": "gpt",
"value": "Target: Does pain near the penis indicate a muscle pull post an appendectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi ... am 5 weeks pregnant now but had 3 early miscarriages earlier. Have consulted the a gynae who advised susten 200. I went for a second opinion where shes suggested Duphaston and said both are substitues to each other having similar effect. Now am a bit confused as I don t wanna take any kind of risk a this point of time. Doctor: Hi, I think you can take any one of them. Both are given for same purpose. But I think you should also take ecosprin along with these medicines. Get a thyroid profile done. You can do a APLA profile also, but it is generally done when you are not pregnant to find put the cause of miscarriages. If test is positive, you may need daily injections of heparin to prevent miscarriages. Talk to your doctor regarding this. Hope it helps."
},
{
"from": "gpt",
"value": "Target: Should Susten or Duphaston be taken to prevent a miscarriage during early pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I noticed last night it slightly hurt on the right side of my mouth to chew a steak. I have upper dentures and my bottom teeth are not in great shape. I felt around in my mouth and below a broken tooth I felt a hard lump on my inner jaw. Could it just be a product of my broken tooth or do I have more to worry about? Doctor: Hello. Thanks for writing to us. The swelling that you have noticed could be related to the infection in the area or a broken tooth. The pain in chewing could be related to a muscle spasm. This needs a direct examination by a dentist for proper diagnosis.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Slight pain in right side of mouth while chewing, hard lump on inner jaw. Using dentures. Advise?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I hurt my toe last Tuesday it was purple in color until Saturday when most of it disappeared. some of the purple is still on the side and a small amount of red color. the swelling is still there. I can move my toe but it feels numb and still hurts when I walk. Should I see a doctor or is it just stubbed? Doctor: Hi, It might be due to minor contusion following the trauma. As of now, you can apply ice packs and take analgesics like Tramadol or Diclofenac for pain relief. Generally, it will settle by itself. If symptoms persist you can consult an orthopedician and go for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for numbness and pain in the toe"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Am insulin dependant diabetic,taking Humalog and Solar star , have over the last four months developed stomach pains and constant itching all over, due to not being able to eat much am losing weight, I am under a specialist have been for two years but not getting any answers to this problem, can anyone advise, have had numerous tests done. Any further information would be a big help. I am sixty nine years of age and have only one kidney. Many thanks. Doctor: The itching all over indicates youmight have developed allergic reaction to one of drugs.Find out and stopping the drug responsible for allergy and stop itand start the substitute drug.Stomach pain may be due to hyperacidity which can be controlled by OMEPRAZPLE OR LANSEPRAZOLE EARLY HRS ON EMPTY STOMACH."
},
{
"from": "gpt",
"value": "Target: Stomach pain, itching, loss of appetite. Diabetic,taking humalog, solar star. Solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I periced my belly button yesterday by myself 30 minutes ago I cleaned it with salt water and alcohol my veins are getting smaller and my right hand is tingling bad and the veins are popping out my belly button is oozing so I took it out what is this called. And what should I do Doctor: Hello and thank you for your question.See a doctor immediately, go to emergency if needed. It sounds like you have an infection that needs to be treated immediatley.Do not delay,Dr. Robinson"
},
{
"from": "gpt",
"value": "Target: What causes oozing from pierced site on abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was in the hospital Tues. & Wed. (28th & 29th Jan.) because I was close to passing out.About 2 years ago I was lighted & felt like fainting so I went to the hospital & they ran CT scan on my head, EKG, & another related to the heart but found nothing.So I’ve had the (constant) lightheadedness ever since & learned to live with it.This time (Tues & Wed) was the same only the lightheadedness was about 30 – 40% worse than before & when I moved too quickly I was so dizzy I couldn’t see anything but TV snowy picture for a few seconds; this happened for 4 days so on the 5th day I went to the hospital. I wasn’t nauseated in my stomach, but in my head from spinning like being drunk.I’m not alcoholic & drink very little & infrequent.The same thing; they ran several tests & came up with no answers so they decided to call it Vertigo for now and gave me a prescription to alleviate the water in the balance part of the ears from too much salt & I eat as little salt as possible now. The lightheadedness is still constant.Now to get to the question: I had a pain in my lower abdomen & wondered if it could be something in there that could cause the symptoms I’m having. It lasted only a few minutes, so I guess I’ll have to see if it returns before I can get a good answer. Please advise & Thank you for your time & patience!Gerald – YYYY@YYYY Doctor: Hello and welcome to HCM,The lightheadedness and vertigo are suggestive of inner ear problem.As you have mentioned that you are undergoing treatment for an ear problem.On the basis of your history, the disease is most probably Meniere's disease.This disease has a chronic course and has a waxing and waning course.Initially the disease is managed conservatively and later followed by surgical management.The basic pathology in this disease is imbalance in fluid in the inner ear.Water and salt restriction also help to control the symptoms of lightheadedness and vertigo.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: What causes lower abdominal pain and constant lightheadedness while suffering from vertigo?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Persistant low grade fevers daily. Started 1mo. ago w/severe RLQ pain. WBC normal x 2 days my Dr. said must not be appy and sent me on my way. Now pain has moved to left side of my abd. US of pelvis normal! Hgb dropping from 9.3 to 7.9 in 1 1/2 wks. Doctor: HelloWelcome to Health care magic.I reviewed your history.These symptoms indicate chronic infection involving the pelvis. Hence this requires evaluation by investigations like ultrasound to find out the underlying cause and treatment accordingly.Hence I advice you to consult your doctor for examination and treatment accordingly.Thank you"
},
{
"from": "gpt",
"value": "Target: What causes persistent low grade fevers?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had this on going muscle cramping,under my right ribs, it feels like somethings rolling under my ribs. If I stretch out completely, it rolls back and the pain stops. It s progressively getting worse moving further up under my breast area. Any Ideas? Doctor: Hello, It is due to costochondritis or related symptoms. As of now you can take analgesics like Ibuprofen or Diclofenac for pain relief. Nothing much to worry and the symptoms will settle by it own in couple of days. If pain and cramps persist, better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes muscle cramps under the ribcage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I m Chandni. My daughter is 2 years old. She is having loose motion since today morning. But she has gone only 3 times but it was watery. I give her zinconia syrup. I want to know that how many times I can give this syrup in what interval. As there is side effects of this.Thanking youWith regardsChandni Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Watery diarrhoea in children is usually viral (rotavirus) diarrhoea and fluid replacement to prevent dehydration is the treatment. Zinc suspension is usually given. It needs to be given only twice a day. I would give Racecadotril suspension or powder like Enuff available in sachets also.For fever, you have to give paracetamol suspension based on her weight which you have not mentioned. If there is no relief in 2 to 3 days, bacterial enteritis or amoebiasis can be considered (when we will add gastrointestinal antibiotic injectable/oral or antiamoebic drugs) and there will be mucus and blood in stools.Follow up and take care to prevent dehydration by giving ORS, rice water or sugar and salt solution. There is no side effect for Zinconia as it is a zinc supplement. Take care not to bottle feed and stop if you use bottle and feed from cup and spoon or just use glass or cup. Take care.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sajeev Kumar"
},
{
"from": "gpt",
"value": "Target: Suggest dosage of Zinconia syrup for treatment of diarrhea in children"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Son is 9 years old 67lbs and 53inches. He has had an inflamed testicle for a month. It started to burn when he urinated 3 weeks ago. He saw a urologist for 5 minutes who said it was a virus that could last a year. We are to go back in four months if there is blood in his urine or if it still burns alot when he pees. His urine test from 3 weeks ago came back negative for a uti. There has been no blood work or a repeat urine test. He cries everyday that it burns bad when he pees. Doctor: Hello, I suggest that his Urine RM teat to be related and also an USG and Doppler of affected testes to be done. Disclaimer\"This provisional advice provided by me stands subject to the patient undergoing a physical examination and is based entirely on inputs provided by patient/attendants. The patient is advised for physical examination at earliest\""
},
{
"from": "gpt",
"value": "Target: What causes inflamed testicle in a 9 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning. I just had an MRI w/wo contrast and I am just trying to read and understand my results. The impression reads... No evidence of acute infarction or space occupying lesion . No evidence of demyelinating disease . Developmental venous anomaly suspected in the right occipital lobe and left cerebbellar hemisphere. Abnormal signal intensity in the diploic space of the left parietal bone posteriorly may represent an intradipolic epidermoid or prominent venous lake. The reason of this test is family history of MS and brain aneuryms. I have had lots of tingling and numbing in my hands, legs and feet. Also, I lost the use of my right arm about 1 mos ago - it just refused to lift up? Should I be concerned with this report? Doctor: Dear thank you for sharing your MRI result with us.As family history with cerebral desease i think it is more important to understand the lost of use of the right arm.The result of MRI isn't conclusive.I would reccomend to disscus with your neurologist the possibility of doing an angio MRI(venous phase) or much better an brain arteriografi which with show the complete brain vasal structure.Hope my answer will help, wish you all the best"
},
{
"from": "gpt",
"value": "Target: MRI shows developmental venous anomaly suspected. Tingling and numbing in limbs. Concerned"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My nephew has com home from school acting strange not able to sleep more Ithan 3 hours at a time. itwitching and constantly walking all not,talking showers about every 6 hours. Ifeel like it may be related to drugs or some type of nervous systems problome Doctor: Hello,Thankyou for your quiry. Brief..Yes it can be tourette syndrome. Detailed answer.... As some children tend to be prone to psycological problems,some because of family history and some have unknown cause.From your nephew's history it seems that he is having tourette syndrome.A syndrome in which all these symptoms and sign can happen .This syndrome can be treated with supportive measures by family,class teacher , doctor and counselar.He may needs some medicines to decrease the hyperactivity for example methylphenidate and dextroamphetamine.Hopefully my answer will be helpfull.Regards,Dr.Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes twitching and uncomfortable behaviour in child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a few things going on all just finding more every time I go to Dr. I have a work injury shoulder & neck dealing since 2004. I have bone on bone in my neck and still lots of problems with this injury I have a lawyer helping me with this. This other stuff I have had 3 kidney stones only passed one. I have been have these I call them my spells where I get forgetful or lethargic. they said it s hypoglycemia. I have been swelling in my legs ,feet and just gaining weight. I have been told now I have chronic kidney disease stage 3 . I have no energy after work I come home I sit to read paper out like a light . I started at a wellness place Pratt Family Chiropractic he showed me my Ex-rays I have a severe scoliosis in my back. I have flat feet restless legs & toes . I just turned 58 worked since I was 16. in the factory since 1976 -77 went back in 1981- still working same place. Not sure you can get all this but that s why I m hurting in to many places. Work isn t helping me I need to pay my bills. Thanks for taking the time to look at this I m not sure I know what s going on in my own body anymore. I can t afford to pay at this time thank you Doctor: Hi and thank you so much for this query. I am so sorry to hear about these numerous health concerns you have. These can be overwhelming for a single person to deal with. I understand your frustration and hope it gets better sooner than later. Ther are a lot of things and only your doctor can look into the specifics of each and help. Also, ask them about the social support network and services that can help you in this time of difficulty.For the kidney disease, the treatment is to look for the cause and treat. This will not reverse the damage caused already but would at least stop it from progressing. Then, you need to stop every drug, habit(alcohol, smoking, etc) than can aggravate renal damage. You would need the expertise of a nephrologist for this.I hope this addresses your query fully. Feel free to ask for clarifications and more information if need be. I wish you well. Thanks for utilizing our services, we very much appreciate it.Dr. Ditah, MD."
},
{
"from": "gpt",
"value": "Target: What are the possible treatments for chronic kidney disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi.. I am an asthmatic and i am on asthalin inhalers. Recently asthalin inhalers are not helping in controlling by symptoms. I am getting breathless very often inspite of the inhalers. Please suggest what has to be done.. Doctor: Hi.. Asthalin is a not that very useful in preventing an episode of asthma.. It is more of helpful in symptomatic reduction of the spell... You may need few other medical treatment that could help in preventing an episode.. Contact your doctor for the details.. Apart from these you can also help yourself from reducing the exposure to allergen and very cold environment.. All the best.."
},
{
"from": "gpt",
"value": "Target: I am getting breathless very often inspite of the inhalers"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had pain in my right testicle for a few weeks and as of tonight it seems to have switched to my left. I got an ultrasound today and I'm waiting to hear back the results and I've already been treated for epididtymitis. Is this testicle pain switching normal? Doctor: HelloI appreciate your concernLooking at your description this could be due to Infection like epididymoorchitis , allergy or inflammation and varicocoeleIf you can upload me a ultrasound report, I will be able to help you betterI would like further information like your age, History of other metabolic or skin disease or diabetessince how long you have this problem?In my opinion you should consult a VD and Skin specialist for physical examination colour doppler of testis and confirmation of diagnosisMeanwhile you can apply any antiseptic or antibacterial ointment like mupirocinUse condom during sexHope this answers your questionThanks and regards"
},
{
"from": "gpt",
"value": "Target: Why am i having pain in my testicles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, I am facing lower back pain from last 1 month. Today I have done an X-ray as per suggestion given by our family physician (general medicine). Report details:- (1) Posterior Osteophytes are seen at L4-L5 level Sclerosis is seen at Upper Surface of L2. (2) Lumber Lordosis is maintained. (3) Vertebral Bodies and Appendages appears normal. (4) Intervertebral Disc spaces appears normal. (5) No Paravertebral soft tissue abnormality is noted. IMPRESSION- Early Degenerative Changes in Spine. I am (29 yrs, male) in shifting duty at site in a manufacturing unit & working 48 hours per week (night shift after every 2 weeks for continuous 6 days). Please help & suggest. Regards Doctor: if pain is not radiating to lower limbs and there is no weakness or numbness in foot and toes it can be managed by proper back exercises and correcting sitting habits. otherwise consult a Neurosurgeon can mail me at [email protected]"
},
{
"from": "gpt",
"value": "Target: I am facing lower back pain from last 1 month. I am in shifting duty"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 5 month has had a cough for over a month now. We have taken him to the doctor and they say his lungs are clear. No one is sleeping because of his cough that is not getting better. We have a humidifier running in his room and have tilted his mattress. Any other suggestions? Doctor: Hi,Cough persisting for one month evaluation to find out the cause and treatment accordingly. Is there any fever associated? Cough throughout the day or only at night? What kind of sounds do you hear while coughing, like sputum is there inside? These details will help us to narrow down possible causes. Probabilities are allergy, sinusitis with postnasal drip, bronchitis. In such cases, I used to order a blood count, ESR, chest X-ray and sometimes a mantoux test for tuberculosis. Depending on the result, he may need a course of antibiotics and other drugs like antihistamine, bronchodilators and sometimes steroids. Kindly discuss once again with your doctor Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy to relieve persistent cough in infant"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having Lower Right Abdomen pain and Groin pain for about a month now, which seems to hurt more when i have to use the bathroom. My doctor did blood work to rule out my appendix but it still worries me, i just want to know what it could be? Doctor: Hi,From history it seems that you might be having some urinary tract infection giving this problem.Go for routine urine check up for infection.After report go for treatment accordingly.Take plenty of water.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes right abdomen and groin pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A elderly female is starting to have kidney failure, is hallucinations a symptom of later stage of failure or is there something else going on? she is on Lasix, should that be discontinued? also she takes potassium BID, should that be decreased or discontinued?I started her on melatonin at bedtime, just a pill. can that be increased to more? she is very restless at times, anxious, scared,, confused. HELP! Doctor: Hi, the effects of restlessness, anxiousness, confusion, and hallucinations are due to the disease, but not due to the drugs. As she is very serius, she requires frequent dialysis, to get the relief. Thank you."
},
{
"from": "gpt",
"value": "Target: Kidney failed, on lasix, having hallucinations. Medication to be stopped? Can increase melatonin dosage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi... I was suffering from PCOD from the past 5 months.... I just did my ultrasound and it says that I still have some folicles in both my ovaries.... what should i do, I want to conceive... my ovaries size is 3.65x2.46x1.84 cm- LEFT and 3.66x2.64x1.53cm - RIGHT... Prolactine is 24.2 ngSANGEETA Doctor: Hi, I think you should go for ovulation induction that means you will need some medicines for growth of your eggs and when egg reaches a size of more than 17 mm you will be given an injection for rupture. Then you can try naturally for 2 to 3 days. After that take some progesterone for next 2 weeks. Before all this you should get your thyroid profile done. your prolactin is normal.Get a semen analysis done for your husband.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya"
},
{
"from": "gpt",
"value": "Target: Suggest methods to conceive in females with pocd and follicles in ovaries"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: please help my uncle has cancer now he also got heart problem .In august last year he was diagnosed with cancer after taking 4 cycles of chemotheraphy suddenly he got lung infection in december last year.now his treatment of cancer is not going on . kindly help me i wanna know how much time it takes to spread other organs as i want him alive. Doctor: hi.first off, what type of cancer and heart problem do your uncle have? a consult with an oncologist and a cardiologist is best for your concerns. they will do physical examination and clinical evaluation of the patient. diagnostics and management will be directed accordingly.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cancer and heart problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m 38 , my uric acid is little high, tryglicirides is 300, high b.p also , doctor is giving me 1- AMTAS, 2--FEBUGED 80,AND FINOLIP , I M TAKING IT FROM 2 MONTHS, MY WT-70 KG, HT-5 FT 5 INCH, . WHAT SHOULD I TAKE AND WHAT TO AVOID ? i take alcohal sometimes in a little. Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern. Here are some lifestyle modifications that would help you reduce your triglycerides:- Lose weight. If you’re overweight.-Reduce the sugar intake and avoid high speed absorbable sugar. - Consume as much as possible fiber-rich foods, such as vegetables, fruits and whole grains.-Limit fructose. The fructose contained in some foods and even the fructose that's found naturally in fruits can increase triglycerides. Dried fruits, such as raisins and dates, have the most fructose, whereas peaches, cantaloupe, grapefruit, strawberries and bananas are relatively low in fructose.-A moderately low-fat diet.-Reduce the quatity of saturated fats, which are found in red meat, butter, cheese, milk, and coconut and palm oils. You can use white meat instead (fish, chicken). - Use safflower, corn and soybean oils. Olive oil would be excellent. -Add omega-3 fatty acids. Fatty fish such as salmon, herring, sardines, lake trout and albacore tuna are abundant in omega-3 fatty acids—a type of fat that is actually good for you. - Exercise. It is recommended 4km of walking, or 30 minutes per day. Exercise is also an important part of keeping your weight under control. Aerobics would also be helpful. -Finally, you should avoid alcohol intake. I agree with your doctor's choices on your therapy. Hope to have been helpful!Best regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Suggest diet to keep cholesterol and BP levels under control"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a mallet fx in the first joint of my pinky finger, I had a pin in for 4 weeks and a splint part time for 2 weeks and it does not seem to be improving. what next? It is still very red and sore at the joint. should i be moving it more or splinting it more? Doctor: Hello,Welcome to HealthcareMagic.Thank you for providing the brief history.Any surgery of upper limb will ask the immobilization for upto 3-4 weeks. Post which based on the healing you may be asked to take Physical therapy sessions so the movement is regained.Also, nothing much to worry. you can start slow and gradual physical therapy which will help you regain full function of the finger.Regards"
},
{
"from": "gpt",
"value": "Target: Cause for discomfort in the joints?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had head and neck pain on the left side for 7 months. They have done every blood test and cat scan and MRI and all have come back negative. They are sending me to a neurologist but can t get in until October. They pain is getting worse. Do you have any clue to what it is? Doctor: Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment. Type of pain. Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain.Location of pain. There is a lot to this. First, if you can poke and area and produce the pain that is a strong indicator of what is causing the pain (mostly musculoskeletal pain and mild). Something going in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it \"hit a nerve\" would be a possibility. Sick nerves are MULTIPLE areas and tends to be the TIPS of the nerve not the whole nerveWhat hurts. Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves.`` Having a diagnosis leads to choice of medicine for the pain. Inflamed outer structures respond to treating inflammation. Inner structures need diagnostic tests because something internal is broken. MRI's.And, structures that cannot be fixed need adaptations. Physical therapy, pillows, supportive structures internal and external."
},
{
"from": "gpt",
"value": "Target: What causes head and neck pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am experiencing a whoosing sound and very short spinning sensation. I have high blood pressure and take losartin/hctz 100/25. I am 48 im 6'1' and 230. It is like a whoosh whoosh for a second or two and slight diziness while im hearing it. Any ideas Doctor: Hi thanks for contacting HCM...Noted here you are having high blood pressure and taking drug for it.So first your blood pressure needs to get controlled.You have not mentioned it...If it is very high sodium nitroprusside given to control it...If hypertension is long term and not under control then Heart failure like cause searched for...It can lead dizziness as brain not getting enough oxygenated blood.If you have tremor or slurred speech stroke look for.CT scan useful for it.For cardiac causes ECG or ECHO useful..If no cardiac causes present then it could be simple hypoglycemia or inadequate sleep etc can be cause.Leg elevation needed...Rule out anemia also...If it is continuous deterioting then CT scan needed.Take care."
},
{
"from": "gpt",
"value": "Target: What causes a \"whoosing\" sound with dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Suffering from neck pain from past few days....Suffering from neck pain from past few days....Suffering from neck pain from past few days....Suffering from neck pain from past few days....Suffering from neck pain from past few days....Suffering from neck pain from past few days....... Doctor: I read your question carefully but you need to provide more detail, you seem to only have repeated \"suffering from neck pain\" over and over, without mentioning any details like your age, prior history, history of current complaint, medications tried etc. These are all details which help in determining the cause and prescribing further action.For the moment, without any information I can only advise over the counter pain killers like Ibuprofen.I hope to have been of help."
},
{
"from": "gpt",
"value": "Target: Any suggestion for suffering from neck pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HAs any one that you know had a Stimulator put in there sistime & gotten shocks from this at any time like in the lower back or Butucks, Like sticking your finger in a socket & getting shocks quite often . I would appreciate a answer if I could. Thank-YouMy age is 63, My health is pretty good My heigth is 5&aquater I have had a lower back problem since I was 25 yrs og age, Still with the stimulator having pain. But the shocks what bother me a lot I could be bending, Walking, or Stooping over sitting or what ever riding in a car. Doctor: Dear friend thank you for your consultation.I have read your history carefully.it seems that even with the help of stimulator you are not free of pain.I think the back pain you are feeling is because your back muscles are in spasm.so my suggestion will be please go for regular home regimen of physiotherapy like back muscle strengthening exercise.also never bend forward or lift any heavy object.then also bring some change in your lifestyle like make it a point not to sit in a chair or stool for a longtime.I sincerely believe with these methods you will feel better in near future. my best wishes for you."
},
{
"from": "gpt",
"value": "Target: Why is my stimulator giving shocks in the lower back and butlocks?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 53 year old woman, for some months now I have had itching around my anus, now I have some moles. I have shown them to the Doctor who says they are OK, but the itching has increased and as far as I can tell another mole has started to grow. What are they? Should I ask for another opinion? Doctor: HiThanks for your query at HCM.I understand your concern and situation.Firstly I suggest that you must get your stool test done for routine microscopy to rule parasitic infections.Yeasts (thrush, candida), bacteria and viruses such as the genital wart virus (HPV) can cause skin infections. Yes I suggest that you must get thorough evaluation done again. Keep hygiene maintained and do not irritate the lesion by frequent touching. Do not apply any irritants. You need to go to a surgeon for proper evaluation.Take careBest of healthDr Sheetal Verma"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for itchy anus"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir my uncle attmeted in mental hospital . but he was very clear and knowledge, he haven t any mentel behaviour but he was attmeted by his wife.but the tab novastat 5mg (0-07) tab clopitab 75mg tab ohsavan-3 (1-0-0) now he cant speak clearly and he cant walk normaly . he have attmeted last 2 days before . but he was very well when last week . he have some b.b, famly problems .lot of medicines he required . these medicines are correct ? Doctor: Hi I am sorry to learn that your uncle is not keeping well. Mental problems affect the spouse and immediate family the most so it may not be easy to judge correctly by lay people if someone has a mental problem. Besides, the symptoms may not manifest in front of every one for example, Paranoid type of illness is very very notorious to be missed by everyone, esp family members so I suggest you have complete faith in the doctors treating your uncle. The problems you mentioned are probably the side effects due to medicines. They are going to be all right in a few days time. You can always discuss whatever are your concerns with the treating doctors Best Wishes"
},
{
"from": "gpt",
"value": "Target: In mental hospital, taking novastat and ohsavan, not speaking clearly. Are these medicine correct?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: On Friday Sept 4th I was waiting in the waiting room for my dad to come out of surgery and all of a sudden on the left side of my head I had a very very sharp pain that went down the left side of my face and under my left jaw line. The inside of mouth hurt a little. It lasted about 5 minutes then started to go away. I also have left shoulder and shoulder blade pain and when I push on the top my shoulder I can feel how tight it is, what in the world was that? I thought I was about to have a stroke! Ever since then I ve been having these sharp little pains come and go in my head Doctor: Hi Thanks for consulting us.Pain described by you is most probably neurologic.have you had similar problems in the past?Causes could be diabetes, viral and vascular including stroke. Multiple Sclerosis if you are Caucasian. Cervical Spondylosis is a possibility.My advice is to get a physician review urgently.Meanwhile you can get pain killers for pain.Hope it is useful for you.Feel free to contact"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sharp pain in the head and shoulder blade"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can you please tell me what does this means? Normal Appearnce of the uterine cavity with no filling defect seen. There is immediate filling of the proximal half of both fallopian tubes but their distal half is moderately dilated with very limited and delayed spills bilaterally especially on the lest side suggestive of peritubal adhesions. and what are the chances of getting pregnant?Do i need to do laparoscopy?The doctor sugeested to cut my tubes then do IVF only..is that the last option? Doctor: Hi,Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) This means tubes are not completely open and very diffcult to know the cause by HSG.2) please get laparoscopy to confirm the tubal patency and also remove adhesion if present.3) If tubes are blocked, IVF is best optionI hope I answered your query. I will be available for any follow up query you have.Regards,Dr. Mahesh KoregolIVF & Infertility Specialist"
},
{
"from": "gpt",
"value": "Target: What is the meaning of immediate filling of the proximal half of Fallopian tubes. Having tubes cut. Suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: OK, I was diagnosed with muscular dystrophy when I was 19 and i m 39 now. They can t figure out what type I have after 5 muscle biopsies. The recently did an enzyme test on my CK levels and the doctor said that with a muscle disease they should be in the thousands to 10 thousands but they were only 200. I m the only person in my family to have this disease and usually muscular dystrophy is hereditary. Back when I was 12 I accidentally got shot by my brother with a pellet gun. The pellet went through my lung and into my liver. The pellet is still there and the pellet is lead. Could that pellet be causing my problems? I am wheelchair bound and my whole body is extremely weak. I can t remember things and I get sick ALL THE TIME. Doctor: HiIt's unlikely be due to lead shot.Its a different class of disease something to do with genetical disorder and known to be in few families , gene becoming dominant expression after generations.Follow your physicians advise.physical therapy, exercises, massage with olive oil."
},
{
"from": "gpt",
"value": "Target: Could being shot by lead pellet gun cause muscular dystrophy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am diagnose of hepatitis B n went for abdomenal scan which shows: The liver is normal in size but with a reduced echopattern making the wall of the portal veins prominent. It measures 11.7cm in craniocaudal length. High resolution scan shows a granular echopattern but the intrahepatic and extrahepatic biliary and venous are normal in course and caliber. No focal lesions seen. Every other Organs are seen OK. Liver function test shows; AST= 19U/I( upto 17), ALT=11U/I(upto 12), Total Protein=74.5g/L(64-83),Albumin=50g/L(38-44), Total Bilirubin=1.8(upto 1.0), Direct=1.3(upto 0.25). What does this mean? Is my hepatitisB at the Acute or Chronic phase? Am I due for treatment? Or is there any posibility that my Immune system can stil clear the disease? My consultant ask me to wait till 2nd mach and repeat the hepatitis B test.. Right now am having different kind of symptoms I can t even explain.. Please what should I do? Doctor: Hello, You are right.It is possible that your immune system may clear hepatitis B infection. Chronic hepatitis B is an infection with HBV that lasts longer than 6 months. Once the infection becomes chronic, it may never go away completely. Approximately 90% to 95% of infected adults are able to fight off the virus so their infection is cured. Only about 5% to 10% of adults infected with HBV go on to develop chronic infection. If the host is able to clear the infection, eventually the HBsAg will become undetectable and will be followed by IgG antibodies to the hepatitis B surface antigen and core antigen, (anti-HBs and anti HBc IgG). I think your doctor is waiting for 6 months period to end which might be due to end on 2nd march. Thanks"
},
{
"from": "gpt",
"value": "Target: Diagnosed hepatitis B. Abdominal scan done. Is it at acute or chronic phase? Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 17 years old and 2 weeks pregnant. I m 5 7 and I weight about 150 pounds, my weight constantly goes up and down. 143 being the lowest and 155 the highest. Since I ve been pregnant my weight has been 150 even. Today I noticed that my veins are very visible in my feet and wrists, is that normal? I seem to be having a lot of symptoms that started during my first week, is that too early? Doctor: Hi dear, I have gone through your question and understand your concerns.Weight gain is normal in pregnancy.Moreover, due to increased blood flow in pregnancy, the veins become prominent and engorged.There is nothing to worry if there are no associated symptoms.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma"
},
{
"from": "gpt",
"value": "Target: Is it normal to have visibility of veins on wrists and feet during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ejaculated brownish red blood for first time in semen during sex with wife this morning. peed afterward with no sign of blood. urine color was light yellow. did take blow to lower groin area when bumped into furniture in dark mid week. otherwise feel just fine. shared (3 3/4 glasses) a bottle of Malbec wine with wife last night while watching late night TV. am 70 years of age. had regular 6 months physical earlier this week. am waiting on results of blood tests in report. everything else from check-up was normal. swim and walk for exercise. also snow ski. for fun hike trails like Crabtree Falls and climb mountains like Old Ragg and Mt. Washington. am headed out to Colorado Springs next week to be with family members. Doctor: Hi there and thank you for your question.I appreciate your concern about this issue and I shall try help where I can.What you've experienced is the presence of blood in your ejaculate. This can happen for a couple of reasons and one of them being trauma as you have mentioned. The other reason for this problem could be an infection in the spermatic cord or testicles.If the cause is due to trauma, then the issue should resolve on its own within a few days to a couple of weeks.If the problem is due to there being an infection in the above-mentioned areas, then you will need to see your primary care physician in order to assess the genitalia to make sure that there's no signs of infection. If this is the case, then you will need to go on a course of antibiotics to clear up the problem.Your doctor could also ask for a semen sample to be sent to a lab in order to have a culture and sensitivity test done in order to see what organism is causing the problem.I hope this helps and good luck."
},
{
"from": "gpt",
"value": "Target: What causes brownish red blood in semen during sex and yellow urine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 6 year old son gets hives and had a break out 2 weeks ago . for 2 days now has a light rash around his neck . then tonight a hive looking bump showed up on his foreskin just below the head of his penis . what could this be and how soon should I take him to the doctors (he says its a little sore to the touch Doctor: Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. By what you quote it should be an urticarial or a simple skin allergy. You can use Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 7-10 days. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine but I suggest you get the kid evaluated with your paediatrician.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What causes the outbreak of hives with rashes round the neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am trying to find something to help my sister who is in the hospital now. She has asthma, thyroid problems, on medication. She has acid reflux, on medication. She has a hacking cough, get tingling of the lips and mouth and swelling of tongue and throat with cough and sore throat, so far doctors are baffled. Doctor: Hello.Thank you for asking at HCM.I went through your sister's history.However, I would like to know some fundamental details like - What is her age? Are her asthma, thyroid and acid reflux under control with medications? Which medications she is taking, since when, in what dose? What are her latest reports? For what is she hospitalized, since how many days, what is her condition? How she developed symptoms like tingling and swelling in oral cavity and cough?These questions are very important to make suggestions to you.Please have faith in God and her treatment by doctors. Please feel free to ask/communicate at HCM for any concern.Wish her a very good recovery and the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for asthma with sore throat and cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small knot/lump just above left kneecap I can feel, It is right under the skin, not part of kneecap. Feels like a black and blue although I don't remember hurting knee and there is no mark. I cn move the knot a little. When I do, the pain feels like a black and blue. The pain is not extreme. just annoying and has been there for months Doctor: Hello Dear Warm welcome to Healthcare Magic I have evaluated your query thoroughly * This seems to be sebaceous cyst type soft tissue lesion most likely. * Needs confirmation with ultrasound examination to decide further course of action . Hope this clears your doubt. Wishing you fine recovery. Welcome for any further assistance . Regards. Take Care . Dr. Bhagyesh ( MS , FMAS - consultant surgeon )"
},
{
"from": "gpt",
"value": "Target: What does a lump above the left knee indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Everyday at least once I get this pain near my heart and It hurts only when I try breathing so I have to breathe shallow for about 30 seconds, no more...it used to be only 1-2 seconds, and only about once a day but now its more and more everyday. What could it be? Doctor: If you think that the chest pain is hampering your routine activities then it would be advisable to consult a doctor for the same as you will require a detailed examination"
},
{
"from": "gpt",
"value": "Target: What causes chest pain and difficult breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have dry itchy patches on my legs that have small bumps that have clear fluid when scratched. After scratching they become bloody sores. I used a steroid cream and it made it inflamed and spread. Only thing that seems to ease the itching and pain is athetes foot cream but it makes my skin so dry then the itching starts and then the cycle repeats Doctor: thanks for posting your query to hcm.As I understand it could be a infection . First I suggest you to go for microscopic examination of fluid and skin scrapping from itchy area . It will guide us about causative agent of disease ,either it could be fungal or bacterial or mixed . Avoid steroid containing cream as it can enhance fungal infection . after final diagnosis I will suggest you correct management . hope it will help you ."
},
{
"from": "gpt",
"value": "Target: What causes itching and fluid- filled bumps on the legs that become sores?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is on kidney dialysis and she also has the flu right now. She just got get flu shot last week. I took her blood pressure and it is normally a little high even with her blood pressure medicine. Tonight it was 109/48. What are the immediate risks since her diastolic is so low. Doctor: Hi,There is nothing to worry about her diastolic pressure. It is not dangerous and it will cause no harm.In her case you should pay attention on only her systolic blood pressure.Wishing a good health to your motherIn case of further questions don't hesitate to askRegards,"
},
{
"from": "gpt",
"value": "Target: What are the immediate risks of low diastolic?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I am 3/4 of the way through root canal treatment and I currently have a temporary filling in place for 2 weeks. The root canal is completed, the last step being the crown being cemented down permenantly. I am however, experiencing some pain around the area and the area surrounding it. It is a dull ache which seems to linger. Is this normal with temporary fillings at this point in root canal?Thank you for your time. Doctor: Hi Dear,Welcome to HCM.Understanding your concern.As per your query pain and sensitivity after root canal treatment occurs due to two reasons firstly there can be a infection which causes pain, that remain after root canal. Secondly sensitivity is caused due to periapical periodontal fibers . You should not go for crown placement till the time pain would not heals completely. I would suggest you to do warm saline gargles several times a day, maintain oral hygiene . Take ibuprofen ( if not allergic) or acetaminophen , which will reduce pain and swelling. Consult your dentist again for proper evaluation and rule out condition like high point. Doctor may order X-ray to confirm diagnosis . He/she may prescribe antibiotics , release the high point or in case the infection doesn't go away with antibiotics then he/she may consider to repeat the root canal again. Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes dull pain after having a temporary filling during root canal treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Doctor , I m 23 years male ... from last 1 year i have started loosing my hair ... currently i have severe hair loss in hairline and back side of my head ... what can be problem .. my father has also suffered this situation ... he has baldness... pls help me ... i am loosing my self confidence with loosing my hairs ... people behave strangely with me ... or laugh after me ... pls help... Doctor: HIWell come to HCMI really appreciate your concern, no need to loose your confidence because you would not be the alone person who is loosing hair, but this is genetic one,, percentage of this is very high all over the word, but with newer technic and medicine this can be prevented to some extent, right now you can try \"Minoxidile 5% solution for local application on scalp, this would prevent the hair fall, this is the prime medicine for this, for supportive line of treatment you need to see the dermatologist, hope this information helps, take care and stop worrying"
},
{
"from": "gpt",
"value": "Target: How can acute alopecia be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last Tuesday I had my gall bladder removed day surgury . On Friday I awoke with a hugh black and blue 8 inchest by 8 inches on the rifgt side of my stomach. Today, Saturday this black and blue has gotten larger to include my groin area. Is this alright ? The reason I am asking you is because my surgeon is away on vacation. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.This is not concerning. This happens due to subcutaneous hematom in abdominall wall due to laparoscopic intrisment palcement of small vessel injury. YOu need to apply cold compresses, heparine gel and rest. Take nosnetroid painkillers. There is no danger of such hematomas. This will oull back in 2 weeks. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein"
},
{
"from": "gpt",
"value": "Target: What causes a big bruise at gall bladder removal site?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I presently take one half of a Avapro capsule for high blood pressure and 37.5mg of Effexor. I have tingling sensations in my tongue and electric like current in my head, not shocks but like wave of electric currents, it comes and goes, what could be causing this? Doctor: Hello!Welcome on HCM!Your symptoms could be related to increased potassium levels. Trigeminal neuralgia can not be excluded either. Are these symptoms triggered by mouth opening or eating?Anyway, I recommend consulting with your attending physician for a physical exam and some tests (potassium plasma levels, complete blood count, PCR, ESR for inflammation). If the above tests result normal, the next step would be performing a brain MRI study. Hope you will find this answer helpful!Kind regards, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: What causes electric current sensation in head ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have what I think is allergies. I have a symptom, however, that's quite alarming. My chest feels extremely tight, I'm often short of breath, and it hurts to take a deep breath. I have a sore throat and headache as well. I felt better last night and slept with the window open. I woke up this morning feeling sick or allergic again. I have no fever. Is this normal? Doctor: Hi, the only concern is your chest tightness and short breath.headache or sore throat is not a big deal, if u face repeteadly chest tightness then u should consult pulmonologist but in case if u have felt first time with headache and sore throat without fever u can consult your family physician or ENT"
},
{
"from": "gpt",
"value": "Target: Is tightness of chest,sore throat and headache sign of allergies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i slipped on a tile floor when i was 3 or 4, i hit the back of my head. dont remember if i went to the docs, i remember hearing my family wanting to take me to the chiropractor. now i am 33, that fall left a knot, i notice pressure around it and it is tender to touch Doctor: Hello!Welcome on Healthcaremagic!Your symptoms are not indicative of any serious medical disorder, considering such long time after the head trauma. The knot could be related to chronic changes in this region of the scull, probably due to inflammation at that time. But, there is nothing to worry about. I would not recommend any treatment. Hope you will find this answer helpful!Wishing all the best, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: Is pressure on the head after an injury behind the head normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my wisdom teeth removed 3 years ago. My cheeks had gotten pretty swollen, especially my left cheek. One month after the removal of my wisdom teeth my left side swelled back up. Since I have had a cyst like knot in my cheek. What could this be? Doctor: thanks for your query, the knot like structure in the cheek could be a lipoma or fibroma or stone in salivary gland duct.. consult a oral physician to rule out the above said pathologies... i hope my answer will help you.."
},
{
"from": "gpt",
"value": "Target: What is the cyst like knot in my cheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor, i have been under sever post marital stress , essentially because of 2 families not getting aligned. More so because my wife refuses to understand or even discuss these. I have because of this physically injured myself on various occasions, which brings temporary relief. Even thoughts like suicide comes to my mind, but because I understand the plight it may leave on the people left behind, refrain myself from doing anything stupid. Please suggest what to do? Doctor: Hello Mr Rishi...... Thanks for your query. I understand the difficulty you are going through. I would suggest you to contact a psychological counsellor skilled in marital counselling/ family therapy to try and bridge the differences as the family at present seems to be dysfunctional. Interpersonal psychotherapy focusing on role transition or disputes needs to be attempted. There is a possibility of the current adjustment disorder progressing to full blown depressive disorder and hence i would suggest you try the above measures as early as possible. Regards Dr Sundar Gnanavel Psychiatrist"
},
{
"from": "gpt",
"value": "Target: Suffering from stress and depression. Looking for suggestion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having several issues in the last few months. But the last few days I have extreme fatigue, my thinking is very slow sometimes things that I should absolutely know aren t coming to me. Sometimes they will come and sometimes they won t. I can be in the middle of talking to someone and totally forget what I was talking about before I am finished. Having trouble getting a deep breath. Makes me feel like I am suffocating. I recently found out that I have 5 nodules in my thyroid but my labs for thyroid were within normal range. The nuclear study did not show any cancer. I also have been choking a lot. That is probably because of small hiatal hernia and esophagus dismotility. ENT didn t find anything out of the ordinary when checked. Barium swallow showed the hiatal hernia and esophagus dismotility. Took prednisone several weeks back due to arms going numb. They are still going numb and now neck hurts where before it didn t hurt. I have degenerative disc disease and C4 C5 have spurring. Only medication I am taking is protonix and that seems to help with the bloating and reflux, and estrovent patch. Have had complete hysterectomy. Doctor: Hello, You have mentioned your age anywhere in the query. Kindly mention because of diagnosis and in turn treatment changes with respect to age. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anuj Gupta, Spine Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes fatigue, memory issues and disorientation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter had a miscarriage she is 23. For approx 6 months after this she has had a terrible acne type rash on her face and now just spread to her neck. She has been many times to doctors and specialists but nothing is helping. It was suggested recently that she may have something still inside her that has not come away during miscarriage and the d and c missed. Please note the spots are very bad and look like they may scar. Doctor: I have gone through your query and would recommend her to take capsule doxycycline 100 mg once daily and appears benzoyl peroxide 2.5 percent gel on the bumps twice daily along with application of a broad spectrum sunscreen gel on the entire face during the day time."
},
{
"from": "gpt",
"value": "Target: What are the rashes on the face spreading to the neck after miscarriage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! This is a concerned mother with a G6PDD 4-year old daughter. My daughter just recently diagnosed with Dengue Hemorrhagic Fever, she got hospitalized for almost 4days but she s fine and really doing good now... but my worries is, what if It might happen again and I dont want to take that risk anymore, if I can do something today for her .... anyways, just wanna ask if citronella and eucalyptus oil is a G6PDD friendly? I mean is it ok for someone who has a G6PDD to use those repellent lotions with citronella and eucalyptus? Thank you in advance for sharing your knowledge for us.GOD bless and more power! Doctor: Hi, Yes, these topical applications are safe and should be used along with all other methods to avoid mosquito exposure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. SHEHLA USMAN, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Can citronella and eucalyptus oils be used while suffering from G6PD deficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I donated blood Friday and later that night I went to a rave and I drank alcohol and got pretty buzzed later at the rave I noticed a bump had developed where they inserted the needle to withdraw blood from me and this bump has hurt and caused sharp pains well it Burns occasionally and when you touch it it feels hard can you tell me what s wrong with my arm? Doctor: Hi,Thanks for using Healthcaremagic,It is good that you donated blood, for taking blood from vein a large bore needle is used hence after completion of donation process a firm pressure is required for sufficient time to close the vein puncture.It is possible some blood has leaked from the site and deposited in subcutaneous space and inflammatory reaction has developed to cause pain called Thrombophlabitis.This not a serious issue you can apply ice fomentation to get relief and if there is coloration around it there are gels available of heparin can be used locally to expedite recovery. You will recover with this problem in few days do not worry at all.Hope this helps.Take care.Good Luck.Dr. Akhilesh Dubey M.D."
},
{
"from": "gpt",
"value": "Target: Alcohol after blood donation. Developed a lump at the spot. What is it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I've had pain in my left side. The pain also goes around to my back. I went to E.R. the Tuesday after Christmas. They did blood work,urine sample and a cat scan. They did say I have a small hyanis hurnia. I was sent home with a muscle relaxer and pain medicine, which doesn't work. The pain stays day and night. what should I do? Doctor: Hi.Thanks for your query and an elucidate history.You have to get a second opinion of another Doctor as hiatus hernia can not cause the pain in the left side of abdomen or back.There has to be a reason, and one has to get a diagnosis."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain due to hyannis hernia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. My abnomal from down to uterus hurts about four days.I pee very regularly like every 15 minutes and usually the pain is after i pee. . I had a radiography and the doctor found that there is a gestational sac with the size of 17 mm and it seems like it descharged. He suggested to do an HCG test to see if i was pregnant and abortion happened. Please advise if this is the case how to get it out. Currently I'm not on any pills. Doctor: this is case of infection may be missed abortion or pressure on uterus the exact answer will be found after the ultrasound as the doctor advised till you can use antibiotic for infection and antispasmodic SOS for pain"
},
{
"from": "gpt",
"value": "Target: What causes lower abdominal pain after urination?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: depression is serious and my sister goes through this very often. concerned her second husband (first one died) makes them have less money as he pays for her ins of car of 400 dollars a month. She goes to places to get free food. He will not listen. Daughter going to college in another state. Claimed herself on her income tax and only cares on what people do for her and hates my sister. afraid for my sister as she has mental problems already and in the 90 s attempted suicide. I live up north and she is in Florida. Hard to not worry. Hard to let go. Doctor: Hello and thanks for writing in.I understand your concern for your sister. From your description of her current situation, it appears that her depression is mainly due to her family problems and other personal stressors. Stress is well known to cause or worsen depression. Her situation is concerning because you have mentioned that she has already gone through a severe depressive phase and even attempted suicide before.So, it is very important that she gets appropriate and prompt help for her depression. I think that she would benefit a lot from counselling, which should be focused at supportive psychotherapy, coping skills and stress management. Antidepressants may also be necessary if the depression is severe. So, I would advise you to please take her to a psychiatrist for further help and treatment.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for depression"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a pet scan and MRI and they show that I have thoracic bone cancer in the lumbar on my tail bone. Is radiation the best option? I have had breast cancer 8 yrs ago and had chemo (4 treatments). I have not had an appointment with my doctor yet but I would like to know what kind of treatment is better. Doctor: if your bone disease is more painful, it is better to get radiation. if there is no disease elsewhere in the body apart from bone, you need hormonal therapy, if their receptors are positive. Otherwise chemotherapy is needed. Only radiotherapy is not enough."
},
{
"from": "gpt",
"value": "Target: What is the best treatment after being diagnosed with thoracic bone cancer in lumbar on tail bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Doctor,I am a polio patient since my childhood. MY right leg is shorter.I am now 40 years old ,but these days I am facing too much problem in walking, fatigue amd pain in my heels and stiffness in my healthy knee.kindly guide me what exercide should I do for muscle strengthing or any medicine. Doctor: Hi Thanks for your queryI have gone through your query and understand your concern.You have got pain in the healthy knee because you are taking more weight on it due to other limb being weak. You can do quadriceps excercises to strengthen the muscles of this limb. You can get vitamin D test to rule out vitamin D deficiency. You can discuss with your doctor about it. Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in heels and stiffness in knees"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother has been ill for awhile he told me his kidneys were stage4.has been vomiting a lot when friends rushed him to hospital.decided to start dialysis.when he went into hospital he had hiccups.landed up running test on heart next day triple by pass.they are giving him meds for hiccups but they go away little while then come back.I can hardly talk tohim because of these horrible hiccups Doctor: Hello....stage 4 ckd patients do have uremia which is why ur brother is having intractble hiccups once he is started on dialysis uremia will reduce and he will feel comfortable thank you"
},
{
"from": "gpt",
"value": "Target: Suffer from kidney disease. Have vomiting. Had a triple bypass surgery. Difficulty in talking due to hiccups. Why?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 12 year old daughter has sudden and unexpected black vision and disorientation for a few seconds with no sudden standing,etc...she almost acts as if she s drunk but upon sitting it clears up-she has had complete cardiac tests done and they came back fine-could this be a blood sugar problem? She is seeing her regular physician for a complete physical within a few days and her physician has ordered blood work- Doctor: Hi,Thanks for writing to Healthcare magic.This might be syncopal attack, panic attack. But complete examination is a must.Hope to hear from you about the tests and examination detailsThanks. If you have any more queries I am happy to answer them. Else please rate this answer and close the discussion"
},
{
"from": "gpt",
"value": "Target: What causes sudden loss of vision and disorientation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 6 years old and has been running a high temp for 3 day. So far the highest was 104.1. No other symptoms and she s acting herself and playing. I took her to doc. They said maybe coxsacki virus. I don t see anything on her hands or feet. Maybe one dot on her throat. Should I be concerned and take her to her regular doctor? Doctor: At least it seems that she has a virus. You can keep giving her paracetamol for her fever and sponge her when her temperature crosses 101 F. Give her plenty of liquids and a light, easy to digest diet. If she breaks out into a rash elsewhere, or has new symptoms, take her to the doctor."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for persistent fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My husband 65 has prostate cancer with mets sinse may of last year. His PSA is very high, but ALK phosphates start coming down. It was 176 in July and now is 145. His cancer is resistant to hormonotherapy and he is doing radiation therapy to his painful hip with metastasis. Please advise if decrease in ALK phosp. is good sign and if he should continue with Lupron shots. Thank you. Doctor: Firstly, you need to be sure whether it is hormone resistant. Better than Lupron shots is to get a bilateral orchidectomy done which is removal of both testis. It is a simple surgery and has a more predictable effect than Lupron. Also, he should be placed on an anti-androgen like bicalutamide after the orchidectomy. Only fall in PSA is a sign that the disease is getting controlled, ALK phos has no value alone."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for prostate cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, After I eat I have a throbbing pain in the middle of my back on the left side. Just wondering. . .any thoughts. I was treated for acid reflux with prilosec (spelling) and went back to the GI doctor. He prescribed it again and I go back in 3 months. The throbbing has not stopped even with the new prescription. Would silent acid reflux cause the throbbing. It usually stops after I stop eating. Doctor: Hi, Welcome to Healthcaremagic. Yes, the pain you have could be due to a pathology in the stomach. You may have to continue on Prilosec for another one month and if not found relief get an endoscopy done which will ones in for al rule out the chances of it being acid reflux disease.It will clues into what the problem is exactly. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Throbbing pain in middle of back, acid reflux, prilosec"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear docteur My son age of almost 1 year last 5 days was having fiever reach 40 then i took him to hospital the docteur gives him adol and augmentin 457 antibiotique we came back home after giving him the medcine augmentin started to vomit and the same hapen for next day yesterday his body started to have red boutones like allergy what can i do Doctor: Hi,Welcome to HCM forum,This sounds like allergic to the drug you gave your son. I would suggest you to stop giving any medicine to him now and give plenty of liquids as much as he takes. Kindly revisit your doctor for a checkup to confirm if its allergy or not.Hope I answered you query adequately. Let me know if there is any further clarification you need. Take Care."
},
{
"from": "gpt",
"value": "Target: What causes severe vomiting in a child after taking Adol and Augmentin 457?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughtor just turned 11, and she started her period the other day. She looks tiny for her age. She started braces 8 months ago. I wonder if the teeth job interferred her system. I heard one of the moms said her daughtor had 8 teeth pulled out at age 8, because they were just too crowded,and she had period when she was 10. another mom she said her daulghtor had expander at 9, and she was seeing a growth specialist. I wonder if PDs kept track of any coorlation of early teeth job and growth cycle. Becasue orthdontists seem to be pushed early for dental work nowadays. Doctor: no, teeth jobs has nothing to do with starting the menstrual period.. the age at which girls starts their period depend on a number of factors including familial age ( the age at which her mother and her aunts from paternal and maternal sides started their period) , the hormonal level, and the weather in the country they are living in ( hotter weather seems to stimulate the system to start menstruation earlier than cold weather)"
},
{
"from": "gpt",
"value": "Target: Does getting a teeth job cause early beginning of menstrual cycle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife has got XR HSG report and it shows Right Tube has 1. Mild Amplullary dilatation and coiling and 2. Fimbrial end clumped, and in last year she had a mis carriage and we are unable to conceive it from last 6-7 months. So can you help me? age 27 yers, weight 63kg and height 5 3 inch. Regards Veena KO Doctor: Hello. Thanks for your query. Mild ampullary dilatation of tube is a normal finding. The clumped fimbrial end might cause some problem but if it is found only on one side then you need not worry. You can take ovulation inducers with the help of your gynaec. Hope I have answered your query. I will be available if you have any further queries. Regards [email protected]"
},
{
"from": "gpt",
"value": "Target: My wife's Hysterosalpingography test points out that the fimbrial end of the right tube is clumped. What is the treatment that will help her conceive ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on blood pressure medicicne for a months or so. I have been running high BP usually in the > 120-142/>77-88 range. Pulse is usually between 60 and 80. however, for the last hour my bloop pressure has been 106/66-77with a pulse of 95 -109. this seems very dramatic change should I be concerned Doctor: hello. blood pressure is not a constant value. it changes with activities we do.exercise, smoking, caffeine, sexual intercourse can all raise BP physiologically while BP lowers when we are resting, sleeping, meditating, etc.blood pressure may vary between two readings taken few minutes apart.best time to check your BP would be in early morning after you wake up."
},
{
"from": "gpt",
"value": "Target: What is the treatment for high Blood Pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my sister age 30 ESR 50 abdominal pain and 14 pounds weight loss my sister age 30 her ESR 50 and having abdominal pain since a month and lost 14 pounds of her weight .endocopy results normal so what does that mean? Doctor: Hi, If her ESR is 50 she further require investigations like complete blood check,X ray chest,urine check up and sonography of abdomen. So consult physician and gynacologist to conclude the diagnosis and treatment."
},
{
"from": "gpt",
"value": "Target: ESR 50 abdominal pain and lost 14 pounds of weight. Endoscopy results normal, so what does that mean ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter was just released from the hospital last night after being hospitalized with a kidney infection . Before being admitted her temp had gotten as high as 104.6. After being admitted her fever broke and she has been anywhere from 99.2-97.6. Today she has been around 97 but in the last couple of hours I have been checking her and all of her temp readings were 96.7 or as low 96.0. When at the hospital she was having her electrolytes checked also and they had said her crp readings as of yesterday were at 7.5 which was higher than when she had been admitted. Should I be concerned about her body temperature being low like that or is it ok? Doctor: HiAfter the episode of severe sepsis/infection,next about 3-6 months are quite important in that immunity of the affected individual starts getting normal over that duration of time.You need not check temperature records so frequently .Maintain good nutrition,fresh fruit,salads,personal & surrounding hygiene.CRP levels may remain elevated for a long time.You may get her urine culture repeated. Please Do not get unduly concerned about her body temperature.Best of Luck."
},
{
"from": "gpt",
"value": "Target: Hospitalised with kidney infection. Body temperature low, CRP readings high. Opinion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am married me and my husband never ha unprotected sex.my period came 2 weeks early the night i got drunk and it only lasted for 1 day. its not a lot its only like a spotting and it didnt comeback anymore and now im late on my period for 2 days. and feel bloated all the time. it never happens to me before to have a late period. Doctor: Namaste Welcome to Healthcare-Magic Greetings of the day It is sometimes normal for the periods to be delayed. Get a urine pregnancy test done, it will lay to rest your apprehension. Take care Regards"
},
{
"from": "gpt",
"value": "Target: Irregular period, protected sex, feel bloated, Spotting for a weak. Pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I ve noticed that when I walk, my knees almost hit eachother for every step I take, they kind of bend towards eachother. I really don t know how to explain in an easy way but I hope you understand. It looks really silly when I walk, so I wanna do something about it. I m not fat or so for the record, and I now wonder if you could somehow have some kind of surgery so it looks normal when I walk? And if so, how much does it cost? Doctor: HelloKnee pain may be many causes like problem in bones,soft tissue etc.You may need clinical correlation and investigations.Investigations include routine hemogram,serum uric acid,X-ray of both knees(AP/Lateral view).MRI of knee may be advised after evaluation.It is the best investigation to assess meniscus,ligament etc.Proper treatment depend upon clinical findings and investigation reports.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for knee pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a productive cough for 7 years. I never smoked but do have asthma and allergies. It ususally starts after I ear or drink and produces clear or milky white phelgm. Also when i am in a car and someone puts on the air conditioner I start coughing. It is very embarassing. Chest xrays just showed an elevated left hemidiaphagm which after much testing proved to be congenital. I have tried nexium as I was told it could be from reflux which i have aslo been diagnosed with and it still no resolve. Allergy meds helped somewhat but not for long. Please advise Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Your symptoms are not controlled because you are not taking appropriate treatment for asthma.Inhaled bronchodilators and inhaled corticosteroid (ICS) are mainstay of treatment for asthma.So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only.You will mostly improve with regular treatment consisting inhaled bronchodilators (formoterol or salmeterol) and ICS (Budesonide or fluticasone).Oral combination of antihistamine (levocetrizine or fexofenadine) and anti allergic (montelukast) once a day at night is also beneficial.Don't worry, you will be alright with all these.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe productive cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had reactions to biaxin when I was young high fever and brake outs and I have been givin clindamycin to elp with a dental infection should I not take it? the doctor said the chance of a reaction was low but i dont trust that I am also not able to take amoxicilin or piniccilin Doctor: Hello dear,First of all dont worry and be relaxed. I have gone through your query thoroughly. I will provide you with my best possible advice.Your doctor gave you the right advice and medicine. Biaxin(clarithromycin) is a macrolide antibiotic whereas clindamycin is a Licosamide antibiotic. Both are from different antibiotic group. So no need to worry, have faith in your doctor, follow his/her medication and instructions as prescribed.Hope I answered your queryIf there is any more query or question regarding this in your mind, you are welcome to ask me any time.Take Care of YourselfRegards"
},
{
"from": "gpt",
"value": "Target: How safe is taking Clindamycin for dental infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went out drinking last night with a few friends from work and I had a hangover this morning and my arm had a pain in it, and I ve noticed now that i always have a pain in it after drinking, what does this mean? Someone said to me that I could be a sign of a stoke? Doctor: Hii sir,Alcohol has relation with this type of pain.Cause is the position in which u sleep. I guess you are sleeping over that arm and due to pressure that arm aches in the morning.I hope you are not having any numbness over your hand,if yes kindly consult an orthopaedician.Thank you."
},
{
"from": "gpt",
"value": "Target: How to treat arm pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has been diagnosed with bipolar, depression, PTSD, HBP. He had a hemorrhagic stroke in 1996. He takes a long list of meds. He saw his dr on Monday and he added buspar along with his citalopram. He takes carbemazipine also. He having trouble focusing, and memory is even worse since seeing the dr. The doc took him off his cholestrerol meds on Monday thinking that maybe that was causing some of his confusion and memory loss. He has gotten worse....what should we do Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.The memory loss in hemorrhagic stroke is very severe and its organic and difficult to revert. You may try using memantine and it may help in certain cases. Other wise no such specific medications. Piracetam has some role in such cases. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy "
},
{
"from": "gpt",
"value": "Target: Suggest medications for memory loss in patients with hemorrhagic stroke"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In the last 2 months I have developed an indentation at the base of my skull on the right side. I have had no recent injury, but have also developed orthostatic hypotension in the last 6 months. Which type of doctor should I go to for these symptoms? Doctor: First i need to know the full report which made diagnosis of indentation of skull base. the treatment depend on how much it is and is it causing any compression on the surrounding structures or not.For orthostatic hypotension, you need to undergo few test to find possible cause. You can consult cardiologist (for orthostatic hypotension) and neurosurgeon (for indentation in skull bone)"
},
{
"from": "gpt",
"value": "Target: What causes indentation in skull base with hypotension?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been smelling things that aren t really there lately, like cigarette smoke, the smell of weed and perfume. They haven t been really strong but strong enough for me to know what the smells are. Nobody smokes cigarettes or weed in my house so it can t be that and I ve never smoked before either so it s not me. I don t have any more of the perfume I smell, and I haven t had any of it for at least 3 years, before I moved houses so it can t be that either. I can also taste the smoke in my mouth sometimes (it tastes similar to how it would smell) this started after i heard about phantom smells. what could this be? thanks Doctor: you are having olfactory hallucinations. it is treatable.just take single tab desvenlafaxine.it will solve your problem. after two months treatment it will go away.so do not worry.take caredo not forget to rate the answrr."
},
{
"from": "gpt",
"value": "Target: What causes phantosmia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have what looks like a raw, whiteish-gray sore in the crease between the bottom of my gums and cheek on the right side. What concerns me is that it is swollen and tender both at the spot and under my jaw. My lymph nodes are also swollen and tender. What should I do about this and should I be concerned? Doctor: Hello:)Welcome to HCM.This is a mouth ulcer.Many reasons can contribute to ulcers,however treatment is symptomatic.Apply quadragel or a soothing ointment on the area thrice daily 15 minutes before food.Gargle warm saline daily.Check if you are on low iron levels.Maintain a proper oral hygiene.Regards."
},
{
"from": "gpt",
"value": "Target: What causes a raw, whitish-gray sore between the gums and cheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, for about a month, I ve had a small (less than the size of a pea) cyst , located inside my scrotum at the very bottom and centered. On the outside of the scrotum is a red area of skin about the same size. It is never painful but uncomfortable. It seemed to shrink in size since I originally found it but for 2 days in the beginning, I felt inflammation where the left testicle descends from, (which is nowhere near the area). However, ibuprofen took that away in less than a day. After I shower or don t sweat for awhile it doesn t feel uncomfortable at all, as if it s not even there, but i describe the uncomfortable feeling as a tugging. Sort of like the hair is getting snagged on something while I move but it isn t. I am very concerned and was recently treated for anxiety and this definitely isn t helping me. I am simply asking if this sounds familiar to anyone or if this could be thought of as going away either on it s own or with simple treatment. It is in a sensitive area and I cannot get my mind off of it. This is ruining me. Doctor: HelloThanks for query.Based on the facts that you have posted it appears that you have a Sebaceous Cyst over scrotum.The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If needed you may need to get it excised in Toto (Completely along withthe sac).This is a simple surgery done under local anesthesia as a out patient procedure.Dr,Patil."
},
{
"from": "gpt",
"value": "Target: What is the treatment for a cyst in the scrotum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my aunt aged about 65 years is not inclined to eat any thing for the last 60 days and only taking soups . All the relevant tests have been done and finally she has been diagnosed TB . Due to less severity , one month course is recommended . More than 15 days have passed from the date of the usage of medicines but no improvement is found. she is non diabetic and has high BP she has become very week Kindly diagnose the correct treatment and advise us Doctor: Hi welcome to health care magic You have not mentioned which site tuberculosis is present.... Treatment of tuberculosis with akt depend upon site and severity of TB infection... TB should be confirmed by sputum AFB, chest x ray examination for pulmonary TB and gene expert molecular study for other site tuberculosis... If needed (according to history) than HIV and thyroid problem should be ruled out.. Mostly akt treatment needed for six month duration Consult nearby general physician first for examination and accordingly work up"
},
{
"from": "gpt",
"value": "Target: What is the treatment for tuberculosis and high blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a problem with my bite my two teeth on my left side touch only, and the rest of my teeth are seperated by 2-3mm. I have had this problem for many years. however over the past 3-4 it has got worse. I was told many years ago that i grind my teeth, i started to wear the night guard which i purchased from the internet this kept my teeth apart during the night and so the tmj pain decreased, i was wondering if this is the reason for my open bite? look forward to hearing from you soon, attia. Doctor: hello attia persons having habit of bruxism or teeth grinding during night often suffer from tmj problems including pain and in advanced stages open bitenow as per your information you bought a night guard from internet and used it for sometime what i would advise is that you pay a visit to your dentist prferablly orthodontist who will than take an impreesion of your existing teeth and also have a radiographic examination of your tmj having done that he will either make a night guard or head gear meant for you according to shape and size of your teeth and /or jaw...also he may use braces to correct your occlusionthat will definately help you reduce and subsequently end up with your pain and open bite surgery of tmj is another option but that goes at very advanced stage of problem and i hope that...thats not the case with youbest of luck"
},
{
"from": "gpt",
"value": "Target: Have problem with bite. Wearing night guard. Reason for forward bite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my dad has pancreatic cancer he was supposed to have whipple procedure but they did a bypass instead Doctor: it means Your dad is having a locally advanced and inoperable pancreatic cancer that cant be removed, so what doctor had done is a symptomatic relief (palliative treatment) to relieve obstruction of small bowel(duodenum) by pancreas."
},
{
"from": "gpt",
"value": "Target: What treatment should be taken for pancreatic cancer ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my little boy (3½) had an accident in December 2010, where a concrete pillar fell onto him and pinned him to another pillar. He was in Paeds ICU with a fractured skull and C1 vertebra was twisted at a 30 degree angle and he had 2kg traction for this, and a soft collar for 6 weeks after he was discharged. It s now been nine months and he still occassionally complains about his neck being sore. E.g. he can t lie back in the bath and hold his head up so I can rinse his hair. Is this normal for recovery or should I have him checked out by the orthopaedic surgeon who assisted us in Dec? Thanks, Lee Doctor: Hi..this is not normal. I suggest you get back to the orthopedic surgeon regarding this. There could be a remnant neurological deficit which is making his head lifting antalgic in certain positions. I suggest getting an MRI or brain and spine to check for any compressions.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes neck pain in a child after being treated for fractured skull?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I had severe abdominal pain (15) for about two hours...late at 12 am...I finally was able to take two aleve which helped me relax a little wqith some pain and after going to the bathroom.. My pain was as if I took a strong laxative. I still feel week and tired Doctor: HI. Such pains come when there is food poisoning or intestinal infection as the body wants to expel something which it feels is dangerous to it. Weakness and tiredness is due to loss of potassium and other electrolytes into the intestines. You may need an antibiotic and supportive medicines as per further progress, you should visit ER to avoid further complications and to take proper treatment"
},
{
"from": "gpt",
"value": "Target: Why do I have severe abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr. I have taken CBC test and my indices shows that I don t have Thalasemia. My girlfriend took CBC test but her MCH and MCHC indices were a bit lower than normal range, however MCV was in the range. Assuming she has Thalasemia, do you think our marriage would end up with e healthy baby or unhealthy baby (comes with abortion , or baby with Thalasemia major or stillbirth?) Doctor: Hello, Welcome to HCM, I am Dr. Das. Firstly, who told you that CBC indicates presence of thalassemia? It is wrong. Whatever is the CBC report, you should do a HPLC test. It will definitely show the scenario. Secondly, for your general information, apart from thalassemia, there are many abnormal hemoglobin patterns which are also harmful So, both of you should undergo a HPLC test. Regards."
},
{
"from": "gpt",
"value": "Target: CBC test shows MCHC indices lower than normal. Would marriage end up with unhealthy baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i basically have a feeling in my chest area that i can feel somethin movin inside me. Sometimes it feels like a tiny pebble moving up and down from my throat to my belly and other times its feels like something is just moving around in me. I sometime change position that im sittin or laying in to fell this sensation less. Its not painful or anything it just feels weird Doctor: Hello,Maybe, you have some neurological disorder or psychiatric disorder. This feeling is called a hallucination.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar"
},
{
"from": "gpt",
"value": "Target: What could be the reason of having strange moving sensations inside chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My family has recently gotten the scabies mite... WE have cleaned our house top to bott om with hot soapy water, Rid, Used a cleaner on carpet/couch. we treated ourselfs with Permethern cream, Eurax, and i have used tea tree oils, poroxide, etc. Everyone but me and a older son has kicked it. I have went as far as sanding my skin....My question is what do I do to rid it once and for all SAFETLY! I was told Borax in a tub ....is that safe? HELP Doctor: Hi and thank you so much for this query.Can be very disturbing to get your entire household infested by scabies. Hygiene is the rule. Treating every sick person, washing and disinfection all linen as well as ironing would ensure that this bug is gotten rid of. So step up your personal hygiene after treating every affected individual and disinfecting all linen.I hope this addresses your query fully. Feel free t ask for more information if needed. Thanks for using this panel for your questions."
},
{
"from": "gpt",
"value": "Target: what should be done to protect everyone in house from scabies mite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is 71, diabetic, her creatinine is 1.4, microalbumin 22.79 and urea is 86 and GFR 28. Her Fasting sugar is 169 and PP 220. She has water retention and whole body edema problem and shortness of breath and extreme fatigue. What could be cause and how to treat Doctor: Hi welcome to the health care magic Here don't neglect this condition and consult physician or nephrologist nearby for examination...GFR here is only 26 that is very low (normal 120) and edema present suggestive of chronic kidney affection.... There might be acidosis that can lead trouble breathing For fluid retention diuretic might prescribed And if needed dialysis might done only if nephrologist feels that So no need of become panic, I have here given opinion as per history but ultimately depending on your clinical situation further work up planned Take care Consult physician nearby for examination without delay"
},
{
"from": "gpt",
"value": "Target: What is the treatment for water retention , edema problem and shortness of breath??"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m not sure what s going on with my leg.. I can barley walk on it at times it s really painful. It s always acing! I ve been to many doctors they have no idea what it is. It started in my lower back then went to my mid-back then went straight to down my leg. It s most painful when I m going to bed or waking up. I found that Motrin it the only thing that works. It doesn t get rid of all the pain, but most of it. I know it s not muscle pains, it s not a herniated disc, I have no clue what it is and now recently I m getting stomach pain and pooping out blood. I don t know what else to do. Doctor: Hello,Welcome to the magical world of health care, I went through your query, and its hard for me to believe that no doctor have been able to help you. your symptoms are from the spine, with pain in leg, and that means involvement of nerve roots, what prompts you to say its not disc, have you been investigated, because if its true than its even worst, you may have secondaries of any primary cancer in your spine which can cause severe pain mainly at night and may radiate to the leg if pressure on nerves occur. Now have you got an MRI done. Who is the doctor you consulted. I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks."
},
{
"from": "gpt",
"value": "Target: What causes severe leg pain and lower back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am 40, male, non smoker, non drinker, 6ft and weighing 207 pound. For a week now, I ve been experiencing some strange sensations in my chest area. Like needles stinging, fullness, dull pain and an occasional thud that would go from the chest front to my back. The pain was sometimes concentrated on the sternum area, then would flow into the sides (under the arms). The symptoms don t come all together, but always differently. Don t have pain in my left arm, neither any pain in neck or jaw. My bp was 117 - 77 and heartbeat 70/min. I immediately get panicked and think I m having a heart attack. I went to a chardiologist 5 months ago, had blood test echo and stress test on the treadmill. Nothing unnormal was found. Should I go back to my doctor? Thank you for your input and time. Michael Doctor: Hello,You have done everything but forgot x-ray chest PA, kindly go for that other thing as it may be GERD (Gastroesophageal reflux disease).Until use tablet Omez D once before breakfast and syrup Mucaine gel 10 ml thrice a day.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar"
},
{
"from": "gpt",
"value": "Target: What causes chest area dull pain, stinging, fullness with strange sensations?"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.