conversations
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[
{
"from": "human",
"value": "Source: Patient: I was told years ago that I have an abscessed tooth and needed a root canal. I have had no work on this tooth. There is a small bump under the tooth on my gum line & occassionally it will get sore & I will burst it and floss & brush and it will be fine. The tooth never causes me any pain. Do I have any need for concern? Doctor: Thanks for your query, I have gone through your query.The bump over the gums below the tooth is because of the abscess or collection of pus secondary to teeth or gum infection. Consult a oral physician and get it evaluated. If I am your treating doctor, I would have suggested you to take radiographs like RVG or IOPAR to rule out gum and teeth infection.If it is a gum or teeth infection i would have prescribed a course of antibiotics like amoxicillin and metronidazole (if you are not allergic). Then i would have suggested to go for scaling and root planing for gum infection. RCT or extraction if it is a tooth infection.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abscessed tooth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About 3=4 years ago I was put on metformin 1000 mg twice a day, Along with 5mg of Glipizide twice a day . about 6-8 weeks ago I had kidney failure. and was told to stop Metformin immediately, That metformin was damaging my Kidneys, I went back to my family dr. when I was released from hospital my dr. there removed me permanently. is there anything I can do Doctor: Hello,How much is your serum creatinine? What is the urine output per day?Treatment depends upon the stage of kidney problem. If it is early stages, diet changes with medical management is preferable. But in advanced stages, we won't need dialysis.Metformin may be given in stage 1 or 2 of renal failure but with caution. In stage 3 or 4, it may not preferable. Please consult with your nephrologist, he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: How can kidney failure be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a rash on both my knees and elbow. it's very itchy, red, and hurts a bit. i am concerned that this may be more than an allergic reaction, because i cannot think of anything that i have changed concerning products, etc. in a very long time. how do you differentiate between MRSA and a regular skin reaction to an allergen? Doctor: Hello,I read carefully your query and understand your concern.The symptoms seem to be related to eczema which often appears on elbow and knees. I suggest using a steroid cream for local application such as Hydrocortisone cream.I also suggest using antihistamines to relieve the itching. The MRSA infections leak pus and this is the major difference between them and an allergic reaction. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful, rashes on knees and elbow"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: May I know which hypertensive drug (if any) does not cause / aggravate constipation, asthma and erectile dysfunction in a seventy-year-old manDear Doctor, I am suffering from chronic asthma, constipation and now moderately high blood pressure.Could you suggest a suitable drug. Doctor: for all the conditions you have mentioned the best drug is ARB OR ACE INHIBITORS as enalpril .losartan .azlisartan ..olmesartan etc ...and second line is CCB drus as amlodipine etc ...both these are for physical and sexual active adults"
},
{
"from": "gpt",
"value": "Target: Which hypertensive drug does not aggravate constipation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old son has red dots around his butt crack. He says they re real itchy. It started out as just 2 on the right side. Perfectly round, dark red spots under the skin . By end of week, one of the spots was 3 times the size..Had a dark brown center..and has a swollen ring around it. the dots spread..Now he has a total of 7 red dots around his butt crack. Not in his butt..outside of his butt crack closer to lower back area. Doctor: It's hard to say without seeing it, but you are either dealing with a fungal/yeast infection (eg, tinea corporis, or candida), or a bacterial skin infection caused by staph bacteria. Both tend to itch at first, but can also become painful. Yeast and Fungi do happen a lot on children and especially in the buttock region (just like diaper rash). The more concerning bacterial infection (staphylococcus) will usually spread very fast and if the skin breaks down, it will form a \"honey crusting\" type of appearance. The swollen ring you described and spreading by small \"satellite lesions\" makes me think this is a fungal or yeast infection. You can try ketoconazole cream on the area to see if it controlls it. Otherwise, I would recommend getting it examined by a doctor for proper treatment. Good luck."
},
{
"from": "gpt",
"value": "Target: What treatment can be taken for itchy red dots around the butt for my 10 year old son ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have this pain in my left leg. It s right under my buttock and my upper thigh. I have had this pain for about a month and a half. It doesn t hurt when I walk . It only hurts when I squat and when I run. I play baseball so when I run or squat for ground balls my hamstring would hurt. It hurts the most when I lay down and keep my knee to my chest and lift my leg it hurts under my buttock . Do you have any ideas what I have or what I can do to feel no pain and run 100%? And I think I hurt my tailbone also. What does a doctor do when I have two injuries ? Doctor: Usually pain in buttock and thigh is because of injury or nerve compression at upper lumbar region, L1L2. Diagnosis is by clinical examination and MRI if needed. My suggestion is to consult Specialist spine surgeon so that clinical examination can be done properly and treatment advice given."
},
{
"from": "gpt",
"value": "Target: What causes pain in leg under the buttock and upper thigh?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,im 19 and my penis is 2\" when not erected and about 5 and a half when erected, my foreskin is too tight for it to peel it self back when i become erect but i can pull it back but its uncomfortable. is there any chance my penis will grow mostly non erected and is there anyway to fix my foreskin problem? Doctor: Hi welcome to the health care magic As per your history it seems that you are having tight Franulum and tight foreskin... When foreskin can't retracted fully it is called as phimosis For that you have to consult surgeon The cause might be balanoposthitis like inflammatory condition For mild phimosis topical steroid can be prescribed Final treatment for phimosis is day care surgery that is circumcision in which foreskin removed and tight Franulum released Hope your concern solved Let me know if you have further questions"
},
{
"from": "gpt",
"value": "Target: What causes the tightness in the foreskin to retract?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was born with deforem toes becasue one of the rings that float around in my moms stomach strangled my foot and did not let my toes finish growing, i only have one bone in each toe instead of two, also i develop some pain sometimes. is there anything to do to fix my toes Doctor: Dear patient thank you for your question.Yes there are surgical procedure involving prosthesis which can be done to improve the deformity of your toes. However the fact that your toes will look absolutely normal is highly unlikely.Also in most cases it is a very expensive surgeryI cannot tell you if you qualify for the surgery as some of the factors that determine the success of the surgery areAgeExtent of the deformityMedical history Physical conditionRigidity or flexibility of the toe.Thus whether you qualify for surgery will be told to you by the orthopedic surgeon you seeAll the very best"
},
{
"from": "gpt",
"value": "Target: Any suggestion to fix deformed toes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I currently have 2 jobs, I work Monday - Friday as a medical receptionist for a local GP practice and also work Wednesday - Sunday nights at a nightclub (from 10pm-3am sometimes 4am) which means i can be getting home at 3.30 - 4.30am in the morning and then back out to work at 8am. My family are really concerned that i'm \"burning the candle at both ends\" and i was looking for some advice. Doctor: hiI understand your cocern.Busy lifestyle and job work with social issue make anyone stressful.Need to only life style modifications to handle daily stress.likeprogressive muscle relaxation.execrcise meditation and relaxation.deep breathing and hyperventilationproper sleepstress free activitydo pleasurable activitymusic and hobbiesdiscuss with friendssee all thing with different anglepositive outlookconfidence all this will help you to counter daily stressIt can be treated with mild dose of benzodiazapine and mild dose of SSRI,in SSRI mild dose of escitalopram and paroxetine like drug is very usefulBut before taking this medicines you have to consult psychiatrist and evaluate your self.Try to control it natural way if not then consult and get help.Still have a query then feel free to ask.Thank you.Get well soon."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stress"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i have a blister on my tounge and because im having braces i have a metal bar on the roof of my mouth to put my jaw in place but the bar is pushing down on my blister making it hard to eat and drink! i was wondering if i should get my dentist to take the bar out as its glued in but will this affect the train tacks? Doctor: Hello,I suggest that you bring this condition to the attention of your dentist. Do you have a protective wax to place over the bar? Your tongue may be rubbing against the bar and causing trauma to the tongue. Your dentist can make suggestions to cover or adjust the bar. This is an important step for your orthodontic treatment and you should not consider removal as it may limit your orthodontic results. Try to treat your symptoms with warm salt water rinses and placement of gels that contain benzocaine. Anti-inflammatory medications such as Tylenol and Advil may be helpful. Avoid all irritants such as smoking and limit foods that are acid and spicy.Thank you for your inquiry. I hope my suggests will help you to feel better soon."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a blister appearing on the tongue"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am on my 5 th month of Ginette 35 prescribed by the dermat to treat acne. However, i have read abt the various side effects of ginette and would like to stop takin it immediately. I have already taken 4 pills onf my current pack. Will stopping it abruptly have any side effects? Doctor: Hello, Like all other drugs, Ginette also has some side effects and the doctor has prescribed it because he thought that the benefits are far greater than the risks. But if you want to stop it, you can. Stopping it abruptly will not cause much harm except for the fact that you may experience withdrawal bleeding for few days. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Prabhash Verma, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of ginette?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is danish and i am from pakistan azad kashmir i have the problem of nightfall from last 10 years and i have used a lot of medicine for getting the treatment but unfortunaitly i have not get the permenent solution for it. now my health condition is very miserable i am much week and want to get the permenent cure from this problem. plz suggest some medicine for me that i will be a healthy man. waiting for your ans danish Doctor: Hello,This is a normal phenomenon and completely natural to have frequent night falls as excess semen is being discharged out during these night falls. You do not need to worry about this, however after regular sexual activities you are going to have less night falls than usual. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for night fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Off white color liquid comes out after i finish my pee and sometimes i feel burning during this prosess.. also i have noticed white or cream color dirt on my penis head or under the foreskin which also gives a bad smell pls let me know if i am having any problem.. Doctor: HelloWhite discharge after urination may indicate infection.you may need routine hemogram,random blood sugar,urine RE/ME and culture/sensitivity.Gram stain and culture of discharge material can be done.You may need to take antibiotics.Ultrasound of abdomen can be done after evaluation.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What is the white color discharge from my penis after peeing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter just vommitted what seems to be a lot of mucus with 5 blood clots. The emergency services here in Holland seem to think that it is related to her cold and her cough, and they only ask us to keep monitoring here. She has no fever but she has complained of a sore tummy. She now looks well. Does this diagnosis make sense? Doctor: Hi, dearI have gone through your question. I can understand your concern. She has vomiting with blood and mucus. It may be due to cough cold or may be some gastrointestinal tract pathology. You should monitor for few days. If she develop ssme thing again then you should go for upper gastrointestinal tract endoscopy. Right now only monitoring is ok.Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What indicates vomiting mucus with blood clots?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: age 54, 165 lbs, 5ft.3in. infrequent heart palpatations in the past. other than that no problems. have been experiencing heart beats off and on accompanied by pressure as if heart is being blown up like a balloon. same sensation you get on your arm when blood pressure is being taken. I can feel the pressure in my ears and hear my heart beat in them when this happens. then it decreases and a couple of minutes happens again. what is it? Doctor: Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that it is important excluding possible cardiac arrhythmia as a possible cause of your symptomatology. I recommend consulting with your attending physician for a careful physical exam and some tests: -resting ECG-blood lab tests (thyroid hormone levels, blood electrolytes)-an ambulatory 24-48 hours ECG monitoring would be necessary to examine your heart rhythm trends during the day and exclude possible cardiac arrhythmia. Hope to have been helpful!Best wishes, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes heart palpitations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my wife has servere back paine that radiants to her right hip and right buttocks and has numbness in bouth feet . medicaid has denied a urgent reqest for and mri the second time need help getting the care my wife needs. please help very concered dontunderstand why Doctor: Hi,Welcome to healthcare magic.After going through your query I think Your wife is suffering from acute backache with radiation to lower limb.Treatment of it is rest and analgesics . Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as ultracet three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics .To futher investigate MRI of the region is advised. I think your query query answered.Welcome to any follow up query"
},
{
"from": "gpt",
"value": "Target: What causes back pain and numbness in feet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad is on hospice and has had a foley in place for 3 months. Today they noticed small black stone like things in his output bag. They told me that he is going into kindney failure. Wanted to just have more info without being there. I live 850 miles away. Doctor: no . it could be a fungal infection and get urind culture fine first. kidney failure doesn't come like that . you slid should knis why the foleys is kept for such a lung time"
},
{
"from": "gpt",
"value": "Target: Do small black stones in stool indicate onset of kidney failure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi.. My 3 month old daughter faces some breathing problem while sleeping only..she sleeps well in the lap but as soon as put on bed ,starts crying.. She takes long breath as well sometimes during sleep... Other time she is perfectly fine..please advise... Doctor: Hi...this is very common in kids and you need not worry about it. I feel that she is more and more attached to you and that is the reason why she always wants to be in our contact. The kind of breathing you are quoting is also normal.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for breathing problem while sleeping"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Three months ago I hurt my lower back lifting a heavy box, to the point to were i couldn t stand straight, the doctor looked at it and said it could be a buldging disc, I doubt it, after three months the pain is on my tailbone by the way, all the way to the end, and it still hurts, its a minor pain, but it pops sometimes and i cant seem so hold my pee like i used to.. Doctor: Hi, Welcome to the forum. The loss of bladder control is also indicative of spinal cord involvement in the injury. The late involvement of bladder suggests that it might have happened due to nerve compression due to edema or hemorrhage rather than nerve injury and timely treatment can reverse the neural problems you are facing. You need to have an MRI scan of your spinal cord to exactly know the site of lesion and the extent of nerve involvement. Based on the report and after detailed examination your Orthopaedician will give you the proper treatment. Earlier the treatment, better is the restoration of neural functions. Till then do not move and lie straight on a hard bed without pillow. I hope this is helpful to you. You can consult me again directly through my profile. Regards."
},
{
"from": "gpt",
"value": "Target: Hurt lower back after lifting a heavy box. Pain in the tailbone, urinary incontinence. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: suffering frequency in urination, lower back pain, getting up 4 times on average in the night to go, slow or waiting for ages before urine comes out and stomach almost always feels bloated/full and uncomfortable but when I go to the toilet nothing or hardly anything happens.... thanks Doctor: HiThank you for asking HCM. I have gone through your query. Your problem can be due prostate hyperplasia if you a male above age 40. It can also be associated with colitis which will give tenesmus and feeling of urination by irritating nerve endings. It is better to have an examination with urologist or general surgeon to rule out this. Ultrasound examination will be required to confirm it. In case of prostatic hyperplasia drugs like tamusulosin and dutasteride helps. Hope this may help you. Let me know if you have any further queries."
},
{
"from": "gpt",
"value": "Target: What is the treatment for lower back pain and frequent urination?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have developed a nickle sized lump on my right arm just down on the side of my arm near my elbow. My arm is tender in the area and the muscles are sore radiating towards my hand from the lump. The lump seems fixed and does not move. Is this something I should be concerned with? Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* There are different possibilities for this condition as - sebaceous cyst - lipoma - ganglion - others * Strongly recommended to consult with high resolution photograph of the same for better insight of the case .Hope this clears your query .Welcome for further guidance .Regards ."
},
{
"from": "gpt",
"value": "Target: What causes a large lump on the right arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI, I am a female,23 years of age,weight=45, i am tall in height & has no medical history, i accidently go pricked by my dads diabetic syringe(when i got prickd,a very small drop of blood came from my finger) which was empty but was used in the morning where Human Actrapid was used in the syringe... kindly advice thanks Doctor: Hi,I had gone through your query and understand your concern.Since diabetes is not a blood borne disease ,there is no chance of developing diabetes due to needle prick injury.So please do not worry about diabetes transmission.Diabetes is hormonal disorder mediated by impaired insulin action.In case of type 2 diabetes,the probability of developing diabetes increases to those who have positive family history.On the other hand,we should be careful when dealing with blood related events during injection,shaving etc because blood borne diseases like Hepatitis B,AIDS etc may transmit through this from affected person.But you need not to worry because you were just pricked and bleed a bit.So relax.Hope this answers your query.If you have additional questions,please do not hesitate in writing us.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest solution for accidental pricking with used diabetics injection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel like bugs are in my hair. they are white and stick to anything it touches. also I have a sore on my head, in the middle it is soft. sometimes, I think I am picking a scab but it s not. it will literally try to attach itself back to the scalp. when I pull it out, it doesn t move but has something like legs or teeth that would go into the scalp. Doctor: Hi. The feeling and actual you are having are lice. There are over the counter lotions or shampoos for lice treatment with instructions of use written on them, gollow and you will be cured."
},
{
"from": "gpt",
"value": "Target: What could the feeling of having white, sticky bugs on head with sores on head indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my partner is the most loving and noble man l have ever met, but when he drinks his mood changes like jekyll and hyde, from very happy and placid to aggressive, arrogant and trying to create an argument to storm off, he knows l am against drugs very strongly, so l dont think he would admit it to me, also, we have an argument and he says he needs to be on his own a while, how can l tell for sure. Sexually, he usually doesnt touch me until he has had a drink and then fails to ejaculate, even after quite some time, he is a big drinker on weekends, so lv always put it down to that, but am beginning to wonder now, any ideas. thanks Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It is normal for a drinker to ejaculate at earliest. Drinking alcohol causes one to loose the mental control. Ejaculation is controlled by the autonomic nervous system. So once the man drinks the autonomic nervous systems becomes dumb.In my advice if you want to become pregnant than you can do the sex when he is not drunk. This will make you fertile. Such person perform better when they are not under the influence of alcohol.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: Does alcohol abuse result in failure to ejaculate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 2yrs old I was sceptic about giving him the flu vaccine for a long time then this whole flu situation happened where kids have died from the flu so I decided to give him the flu shot. He has only been given the first dose and is scheduled for the next one in a month but I m regretting it.. if I don t take him to get the second dose will there be any complications or risks I should be concerned about? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Please take him to get the second shot of the influenza vaccine. So that he can have the benefit of the whole dose. Two shots of the flu vaccine are needed the first time so that the child's immune system will make a high enough amount of antibody to protect him against the flu virus. The vaccine must be given yearly to all persons older than 6 months so that they continue to be protected. The vaccine is given in the beginning of autumn before the flu season starts in the USA. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is the completion of a full course of flu vaccination necessary?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been in cipro for 10 days. Told I had a kidney infection. My white blood cell count was at 12,000. They. are now back into the 6,000. My urine is clean. Ct scan showed no stones but I am still having left midnto lower back pain also some on right side. Had fever last night now is gone.my Dr. Continued my cipro for five more days. They can t figure out what this is. Doctor: Hello and welcome to HCM.As an Urologist, i can understand your concern.If your CT -IVU/(CECT),is normal, then you don't need to worry at all.If your urine culture showed sensitivity to Cipro, then a full course of it, will cure the urinary infection.Drink 10-12 glasses fluids daily, for prevention of recurrent infection.Your flank pain may be a muscular spasm only. After stopping the Cipro, repeat the urine culture, and confirm there's no residual infection.For my expert opinion,you can send it as a direct question, in my name.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: What causes kidney infection with pain on sides?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi...My mother age 54 was diagnosed with GBM 4 in 2010,She had her radiation therapy and chemotherapy but after 7 mnths she got her left side paralysed,had seizures in between but still was able to talk and recognize.In her latest MRI Scan tumour has not grown but now she is diagnosed with left Pneumonitis ..I want to know whether she will be able to recover from pneumonitis or what is the prognosis? Doctor: Dear chemio can cause immunodeficiency that's probably the cause of pneumonia.Anyway treated with the right antibiotics I hope your mother will be fine.Wishing you all the best"
},
{
"from": "gpt",
"value": "Target: GBM, done radiation therapy and chemotherapy. Now has pneumonitis. Is recovery possible?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I had an ultra sound done 2 months ago for my liver but while they were checking the area they check my gall bladder and found a polyp on it. I was told to see a surgeon, do you think it can really be anything, I don t have any pain there? I meant to say found a polyp in side the gall bladder. Doctor: Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.Gallbladder polyps usually are harmless and does not cause any symptoms.But if it is a big one with a size of more than 1 cm, then regular follow up is necessary and if it is more 1.8 cm the gallbladder has to be removed as sometimes the polyp may be having cancer tissue.I hope that answers your question.Regards,Dr.R.K."
},
{
"from": "gpt",
"value": "Target: Is polyp inside the gallbladder concerning?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: .... So I took a shower this morning and found a lump the size of a grape on the outer left side of my clitoral hood that was not there with in the last 2 or 3 days. It s painless, hard, no irritation or color change, no strange or closed discharge. But it s huge and getting bigger... Any general idea of what it could be? Doctor: HiThanks for your queryBased on your query, my opinion is1. Cysts in the genital area most often caused by infection/inflammation of bartholin gland. 2. A small swelling doesn't need to be excised. You can take analgesics if its painful.3. If the swelling increases in size then you will have to start with antibiotics. 4. Keep the area clean and dry, wear loose fitting inner garments. Hope this helpsRegards"
},
{
"from": "gpt",
"value": "Target: Suggest cause for lump on clitoral hood"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I smoked 20 days ago i have a drugtest in 6 days tht will make it a total of 26 days...i only smoked marijuanna one time last month... i have been drinking alot of water working out like running and jogging and swimming and being pretty productive..do you think i have a good chance of passing this drug test if i only smoked marijuanna once and have a test 26 days later? Doctor: Hello,Ill effects of Marijuana are at various levels as:- Central Nervous System dumping, arousal on various scales- Gastric upset- Respiratory issues- OthersAs per the consumption details in your case, if no further intake is considered for the next 26 days, it is an almost clear test for you at that period.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel"
},
{
"from": "gpt",
"value": "Target: What are the ill effects of smoking marijuana?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was having severe cough and doctor advised me to have Montek LC with antibiotics..my cough stopped all of a sudden after the inital dose itself...Two days after stopping Motek LC cough has come back.What it means....whether I have Asthma?Any cure for Asthma in alopathy? Doctor: Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. A cough responding to Montek LC may or may not be asthma. It can be cough due to allergic rhinitis or sinusitis also.2. Have you ever had wheezing or difficult respiration? If no, you may not have asthma. I would suggest you spirometry with post-bronchodilator study to diagnose/rule out asthma.3. As long as \"cure\" in allopathy, allergen specific immunotherapy provides long term relief, almost like a \"cure\". Other medications only control the asthma symptoms, do not cure it.Hope above answers solves your query.Should you have any other query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for asthma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a female neighbor (over 65) who is a Type 2 diabetic. Sometimes she gets really cold at night, even though she s sweating. She just can t get warm when that happens. She doesn t know if it s her neuropathy, which flares up periodically, or if it s something else. Any suggestions? Doctor: Hello,Sweating is a part autonomic nerve dysfunction usually seen in patient with long standing diabetes; also most commonly sudden low blood sugars can cause sweating.Kindly, check your blood sugars when you get cold sweats and review with diabetes specialist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Deepak M R"
},
{
"from": "gpt",
"value": "Target: What causes cold sweats at night in a diabetic patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 34 year old female of average weight (150 lbs) and average height (5'5\"). I recently noticed a flat piece of tissue/growth hanging down on my upper labial frenulum. It is dark pink/almost red looking. It is smooth a if flattened is squarish in shape. It resembles a skin tag but seems like an odd place to get one. Any ideas of what this might be? I have no history of HPV and do not use tobacco products. Doctor: hello thanks for consulting at hcm,,the growth could be mucosal tag of labial frenum,nothing to worry if it is not causing any problem,, other wise it could be excised by laser if you desire,,either ways consult a oral physician for a check up and treatment,,you can blow air with mouth closed to avoid it coming in contact with teeth,,hope it helps,,take care,,"
},
{
"from": "gpt",
"value": "Target: What causes tissue growth on the upper labial frenulum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6 year old complained of stomach discomfort. His meals were a bit irregular that day. I thought it could be gas so gave him a tablet of digene. Later that night, he vomited, and few more times through the night. I gave him water to keep him from dehydration, but he would puke it out after a while. In the morning he was okay. He had some lemon tea and white bread and strawberries. Is there something I should be worried about? Thank you Kindly. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your child had developed gastritis due to some bad food and he was vomiting. You gave him water to keep hydrated but it should be ORS based. Anyway Digene was not required as it produces gas and may induce vomiting. Instead tab Ranitidine may be given in proper dosage. As child was fine in morning, so nothing to worry. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stomach discomfort and vomiting in children"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just left the hospital with paintbrush strokes on my brain that were identified as Lupus after a MRI. I finally had a bowel movement this morning, after returning home last night, and I am having severe pain in my legs when trying to clear my bowels. This pain radiates all the way down to my ankles from my lower abdomen. I am not sure whether this is an issue I should call my doctor about. Doctor: If you are diagnosed with lupus then this can be the sign of neurological symptoms but I doubt how your diagnosis was made just on the basis of MRI .Please send the autoimmune profile also so that we can see the validity of your diagnosis."
},
{
"from": "gpt",
"value": "Target: Is it normal to have severe pain in legs due to lupus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good day! I'm only 13 years old. last week I felt like vomiting, and I felt weak and had difficulty breathing. When I vomited, that's the only time when I felt good. I went to the doctor and told me that I might have acidity. So she gave me antacids, to be taken 4 times a day, before meals.The problem is, I'm not really sure if the antacids work, and if my case is acidity, but sometimes I think like its acid reflux. Sometimes I also felt panic attacks. Sometimes I have difficulty breathing and nausea. and it all happens at NIGHT. please help me! I'm worried about my health. Thank you soooo much! Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Acidity, acid reflux, indigestion, breathing difficulty, vomiting and nausea, panic, all these are related and these symptoms come when you have acidity problems at the extreme. You have nothing to worry and trust your doctor and do not worry about your health. Your doctor is qualified and he/she knows what she/he deals with.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for nausea,difficulty in breathing and panic attacks"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I think my xiphoid process is swelled up its between my ribs when I am lying down its tender to touch it s a big hard lump and doesn t move when I touch it and makes me get gas trapped in my stomach and it causes bad heartburn I also get pain in my mid back any ideas? Thanks in advance Doctor: swollen hard xiphoid process can be an osteoma. its a benign condition. Heartburn may be due to acidity. Get an ultrasound of abdomen to rule out other causes. if the heartburn persists an endoscopy may be needed. Also get an EKG"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a hard lump on the rib cage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has just been told she has systolic heart disease. She is 49 years old and over weight. She has been told this disease is reversible and I would like to know how, other than to loose weight which is obvious. Also, how long does it take. Thank you. Doctor: hithere is no sush entity as systolic heart disease, i think you want to say systolic hypertension by systolic heart diseasesee there is a categorisation of systolic hypertension if it is grade 1 i.e her bp is between 140 to 159 mm of hg life style modification can be very usefulask her to do strenous exercise for atleast 45 minutes a day for minimum 6 days a weektry to avoid butter and saturated fats and fast food rather try natural vegans dietrestrict the amount of salt to 2 to 3 grams a daykeep body hydrated by drinking plenty of waterif parameter are not normal in 3 month medicines for systolic blood pressure would be added in addition to life style modification it will take at least 3 months if done regularlythanks"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for systolic heart disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor. I am on IUI and I am on the 6th day. It s my first. However something worries me. I have this sensitive feeling on my right side of my lower abdomen . Sometimes its very.sensitive till i have to walk super extra slow. It comes and goes. I wouldn t say pain but it s more of discomfort. And yesterday when i had sex with my husband, during me on top of him, i can feel a little bit of pain and discomfort on the same spot. Is there something i should worry about doctor? Doctor: Hi, Thanks for the query. It is normal to have some discomfort during intrauterine insemination. But to be sure of the situation, a proper physical evaluation would be required. If the pain and discomfort persist, you may have to undergo an ultrasonography of the abdomen to rule out any other abnormalities. So it is better to be examined by your doctor if the problem persists. Hope I have been of some help to you. If any further queries, please feel free to ask. Thank you. Regards"
},
{
"from": "gpt",
"value": "Target: On IUI, senstivity in lower abdomen, pain and discomfort during sex. Something to worry about?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: \"I was diagnosed with mono about a 2 yrs ago. When I was 1st diagnosed I had sever pain on my left side/abdomin and they did a test that showed my liver and spleen was enlarged/swollen. Over the past 2 years this pain continues to come back. I have been to the Er where they just sent me home and told me it was nothing. I still continue to get sever reoccuring pain on my left abdomin (much like the pain I had when I was 1st diagnosed) and I still very often get wore out easily and will stay in the bed for hours. Just wondering what is going on and if there is something wrong or something I need to do. Doctor: Hi,Thank you for your query.You mentioned that you are having pain on the left side of your abdomen for the past 2 years. However you have not mentioned the following:1. Exact location on the left side?2. What kind of a pain it is?3. How long does it last?4. How is it relieved?5. Any investigations done?Though the above information will help us in guiding you further but the description is suggestive of ureteric colic. The least investigation that can be suggested at this moment are an urine routine and an ultrasonography.I hope I have answered your query to your satisfaction.Wishing you all the best.Regards,Rajiv K Khandelwalhttp://goo.gl/SuCjl"
},
{
"from": "gpt",
"value": "Target: Recurring pain in left side abdomen. History of diagnosed with mono and swollen spleen and liver. Advice"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...I have been having lower abdominal/pelvic discomfort...wouldnt really call it pain. My last period started on July 18, 2010. Had unprotected sex two days after bleeding stopped. The discomfort started about 2 days ago and I have to urinate a lot more than usual. When I do urinate it feels like relief from my bladder more so than usual. if that makes any sense. Breast not really tender but has some pain in them like needles sticking in them.....Could i be pregnant and feeling all this so early? Or is this in my head from the unprotected sex? Doctor: Hello Thanks for asking HCM.Most probably you are suffering from Urinary tract infection.If bowels are not moving properly may be associated with constipation.Get an ultra sound abdomen done.Though you can not be pregnant but possibility of pelvic inflammatory disease has to be kept in mind.Get your urine culture and sensitivity done.Drink plenty of oral fluids.See a doctor with reports or post in HCM.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower abdominal discomfort?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mom is experiencing red pin dots on her feet. Occasionally they swell too. This started about 2 months after she had received anesthesia in both feet. Not sure if a factor or not. Do you know what this could be? She has seen a dermatologist, an internist and a vascular surgeon and has gotten no help. Thank you Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern. Your mom is likely to be having heart disease or kidney disease as you are having swelling of feet. She should get her heart and kidney function test. As she has neuropathy also so she should get her investigated for thyroid function test, blood sugar for diabetes , Vitamin D and vitamin B12 test to see neuropathy. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for tingling and swelling in the feet"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Doctor,I got married in dec'2010, I have mentural cycle in 28 days regularly. 6 months later from my marriage period got extend 3 days, i done urine card test it shows positive on morning but i got period on same day evening (that day i didnt take rest did some bending activity) so i thought due to bending activity only pregnancy got disturbed. In the next 2 months again my period got extend checked with doctor , in the urine test it shows only weekly positive. 2 days later again i got periods. Consulted with doctor did thyroid test - Normal , Blood Test - Normal , Scan Normal. Seman test also done for my husband - normal. Dosctor advised me for tablets in 3-7 days & 11-16 days(app) continued for 1 month only - no positive result.then after a year again period got extend - urine test shows negative but Blood test confirmed pregnancy. After a week bleeding noted i consult with doctor , scan made it shows heart beet of baby is only 90. Doctor provide me injection for improvement & waited for 2 days then scaned again no improvement in heart beet. so doctor provided me tablet to abort (baby not formed properly). After 6 months i consult doctor 25.03.13 1st day of period , provide tablet for d3-d7 , 10th day started follicular study did upto 20th day , left side ovulation started but not rupture even on 20th day also.Doctor told me to come again after the period started to improve hormone. Any problem with me to get pregnant. If any problem with me can rectify? Already my age is 31 & working in chemical industry. Pls suggest me how to rectify this? Doctor: Hello Thanks for your query. you are suffering from repeated miscarriages as per your history. There could be various reasons for this. Please do not go for further fertility treatment till you are completely investigated. Genetic causes are the leading reasons for abortions. Ideally, products of D and C should be sent for analysis. Intrauterine infections, abnormalities in size and shape of uterus and cervix are all reasons. Hormonal imbalance and autoimmune conditions could be another cause. You need to have complete evaluation. If your follicular study is showing problems, you need help of clomiphene or injections like gonadotropins to help with regular ovulation. You can consider IUI ( intra uterine insemination ), if your fallopian tubes are patent on laparoscopy. Please consult an Infertility specialist. Take care."
},
{
"from": "gpt",
"value": "Target: Have problem with pregnancy. Have taken medication prescribed. Tests done. What is the reason for not getting pregnant"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have middle buttock ache to below the buttock only on the left side. Now when I sit on a hard surface I feel slight pain. I ve been diagnosed with S.I. joint issues and I.T. Band strains. No pain when walking or running and no pain when I sleep. I only have some pain when I sit on a hard surface. The pain is located on the tail bone area and moves slightly to the right back side. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. At this area it may indicate several issues and most common are pilonidal cyst or perianal abscesses. These are inflammatory processes in sacral and perianal area usually manifested with pain, redness, swelling, fever and pus discharge. Cellulitis is less common and may be present in sacral area as well. This is mostly caused by beta hemolytic streptoccocus and it necessitates antibiotic treatment with Augmentin, or combination of Ciprinol+ Metronidazole. You should also, apply cold compresses, take nonsteroid painkillers such as Ibuprofen and rest. If there is no improvement within 2 days, you should see doctor and have intravenous antibiotics. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain in the buttocks on the left side?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I found one white spot, about the size of a dime on my scrotum a few weeks ago. Now there is another smaller one. They are not swollen or above any of the other skin. I do itch there a lot and in turn scratch. I have HPV and am wondering if this is common. Doctor: HelloThanks for query.The small white spots on scrotum are likely to be Sebaceous Cysts .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 orget infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac)Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What do white itchy spots on the scrotum indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having a shocking pain in my left arm, almost as if it were being electrocuted. It mostly happens whenever I bend my arm up, and the shock travels from my elbow to my hand and sometimes also to my shoulder. After it happens, it is still slightly painful. It does not happen every time I bend my arm. This used to happen to me a few years back, but after a while it went away. Today is the first day for it to happen since then. Doctor: Hi,Thanks for your query.Shocking pain in left arm seems to be due to nerve compression during bending.To exactly diagnose this problem, you need a MRI scan. For these symptoms analgesic and neurotropic like pregabalin and methylcobalamin medication can be started consulting your doctor.Till time, avoid lifting weights. You can consult physiotherapist for help.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: What causes pain in left arm while bending?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am 37 years old. Today I checked my BP and am worried since the doctor told me it was 130/110. I frequently get severe headaches stretching from earlobes to the back of my neck. My job is very hectic and stressful. Do you think I should take a break and get proper medical attention? Doctor: For a young man like you, the diastolic pressure is pretty high and the target I am for you should be less than 85 1) you need to cut on salt completely 2) de stress yourself, if taking a break helps, do that 3) if obese vat down on fat, loose weight. Start exersing atleast 30 mins a day 3) work up for hypertension including labs as your doctor suggest s4) if persistent reading in this range, I would suggest you to start medication for the time being until lifestyle changes take over, than start reducing the dose gradually as you have symptoms pertaining to hypertension. Do not allow chronic diseases to creep into your body at a young age and as one begets another. Regards Dr. Priyank Mody"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high blood pressure and severe headache"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Had a discectomy at L5-S1 six weeks ago. They found calcium deposits while there were performing the procedure. I am a lot better but still have mild pain in buttocks and right leg. The other night I woke up and my right leg was almost numb. Had to sit up for about 30 min to get all the feeling back. Doctor: Hi there, thanks for your question at HCM.It is not uncommon to see mild pain and numbness persisting after a discectomy surgery. The calcium deposits at surgery only suggest it was a hard disc and that you have been having disc related problem for a long time. If the pain is manageable with medicines and there is no new pattern of pain and numy, it is worthwhile to wait for another 8 weeks. Also it should ne noted yhat an MRI done during the initial 3 months after a disc surgery usually shows changes related to the surgery and it is not of much help. If your pain pattern is new you should see your surgeon, otherwise its prudent to wait for 8 weeks. Hope this hellms.All the best. Regards.Dr.SBK"
},
{
"from": "gpt",
"value": "Target: What causes pain in the buttocks & right leg post a discectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been to the doctors 2 times now with chest pain. It tenses up and I get a hot flash and have to go to the bathroom right away. She said it was purlesey, and gave me pain pills. I'm 23 and have no heart problems. I try to relax when it happens, now it seems like the pain comes at nighy before I go to bed. Should I be worried? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. At your age of 23 years, no need to worry for heart diseases for your symptoms. In my opinion, your all symptoms are due to stress and anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright with counselling and drugs. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Are chest pain and hot flashes a cause for concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: for a long time now i have noticed blood on the tissue after i have a poo, it comes and goes, it might not happen for months, then it re occurs again, the blood is dark red and there can be a lot of it, also recently i think ive found a lump on one of my testicles, should i be worried? im a bit shy to go to my doctor, im 28 year s old Doctor: Helloyou need not to worry i can understand your problem and try to guide you in best possible waythis could be due to kidney stones or UTI/STII would like to know about the lump.on testisis it on the scotum or inside it on testisis it fixed or movable Any History of painthis could be a sebaceous cyst or varicocoeleyou should see a general surgeon for examination and investigations if indicated anyyou may require a course of antibiotics depending upon the urine culture and sensitivity reporthave plenty of fluidsmaintain good hygienewishing you good health"
},
{
"from": "gpt",
"value": "Target: What causes blood in urine and lump on the testicles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9 year old daughter has recently been diagnosed with Poland Syndrome. Her left breast is forming but not the right and it is also off set. She has armpit hair growing under her left arm but not her right. She has problems acid reflux and we have been told that her appendix is not where it should be. Could these things be associated with PS? Doctor: hI... Her left breast is forming but not the right and being off set and armpit hair not growing under her right arm is explainable. But the other two which you are telling do not fit. But I suggest examination of lymph nodes and a complete blood cell count to rule out associated leukemia and non-Hodgkin lymphoma.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Could the deformation of the breasts and acid reflux be associated with Poland syndrome?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been told i have Costochondritis, and now i have been having pain and numbness in both my legs, especially while crossed, and cellulitis as well. I'm taking antibiotics for the cellulitis, but the pain and general weakness and heavy feeling in legs remains. Could the pain in my chest be more than costochondritis and could it be related to the leg pain?? Doctor: Hello,Regarding your concern, you should consult a specialist rheumatologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jnikolla"
},
{
"from": "gpt",
"value": "Target: Could the leg pain be related to costochondritis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey doctor, I really need to be helped. My implanon expired last year 1st oct. I went to a doctor to get it removed. Unfortunately the doctor culdnt trace it. I went for a scan and even xray none was able to detect it Am worried Its now 1yr down I normally get my periods n do av sex at regular basis. Culd it lead to infertility ? Am 28yrs Thanks in advance Doctor: Hello. Thanks for writing to us. If the X-ray is unable to detect the implanon, then it might have been expelled during your periods. If it stays inside then you might face some problem in conception.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,[email protected]"
},
{
"from": "gpt",
"value": "Target: Inablility to trace placed implanon for removal after expiry. X-ray unable to detect. Regular periods and sex. Possible infertility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having lower right abdominal pain. It is a shooting pain when I get up and the first few steps I take then it just goes to a dull ache. I have been having constipation and hip pain for the last few weeks. I am not sure if it is all related but it became worse today with the lower abdomen pain. Doctor: Hi.Thanks for your query. The combined symptoms of right lower abdominal pain, hip pain and the character of increasing on getting up, taking few steps and then going to dull ache along with constipation is suggestive of some sinister problem. I would advise you the following:CT scan of the abdomen and the hip joints.Colonoscopy.This will help to decide whether there is a primary hip[ joint inflammation or a cancer or inflammatory process in the appendix colon area."
},
{
"from": "gpt",
"value": "Target: What causes lower right abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi sir ,My Brother met with an accident . and he felt pain in his kneee. When Consulted a doctor he suggested for an MRI . In MRI Scan it is confirmed that proximal tear of anterior circulate ligament . Do this need surgical treatment / Non Surgical / Can we go for a puttur kattu Doctor: Hello,Going by the allopathic medicine your brother need to understand go a ACL reconstruction surgery followed by physiotherapy rehab.It will take about 3 weeks to return to moderate level to physical activity and after 6weeks he can resume all activities.As for puttur kattu there is no evidence based research available for the repair of ACl ligament (it heals bone but not ligament)Hope this clears your doubtThank you"
},
{
"from": "gpt",
"value": "Target: Do i need a surgical treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After about 6 miles of running both quads start feeling like tiny electrical shocks. Use to do this until I started electrolytes while running. Did this while running over 12 -20 miles. Just came off a 4 month recovery break for my knee and starting to run again. What is this? Doctor: Hello, It may be due to nerve root compression or peripheral neuropathy or arachnoiditis or electrolyte imbalance etc.Until examination is done, it is difficult to say what it is. Neuralgia parasitic may also present like this. Lhermitte's sign seen in cervical spondylosis or multiple sclerosis in which shock like sensation in the legs. Please get MRI spine, nerve conduction study and serum B12 level then consult your neurophysician, he will examine and treat you accordingly. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu , Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What is the electric shock like sensation I feel in my thigh muscles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am experiencing severe lower back pain only when laying down. The pain gets worse if I lay on either left or right side, however always worse on the right side. Also if I am laying down and I try to sneeze, the pain is excrutiating and the process of sneezing almost impossible. It then takes extreme effort to get up due to the pain. On e I'm up, I then have no back pain issues. What can this be? Doctor: Hello. Thanks for writing to us. this is likely to be due to a muscular pain. Usual cause is poor body posture. Regular back strengthening exercises will help in gaining the strength of muscles.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal . For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: What causes severe lower back pain laying down?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having typhoid for the past 3 years. I have taken shots (14 nos. of Ceftriaxone & Salbactum- morning and evening) followed by antibiotics cifran 500 mg for a week. However, the symptoms reappear at the same period annually. A m i a chronic carrrier? Doctor: Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you to confirm your self as a carrier of typhoid fever, you should do a duodenal aspirate culture or bile culture from gall bladder for Salmonella typhi, the causative agent of typhoid fever. If the culture report says that it is positive you are confirmed as a carrier. If it is difficult to get culture you can also get rapid immunological test typhidot, which is more specific test than that of widal. It also establish the diagnosis of carrier state in you.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes typhoid symptoms to reappear in same period?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have been suffering from dizzy spells, where I almost black out. This happens between 2 and 10 times a day. I also get a warm rushing feeling up the back of my neck, then my body feels really weak. I also get palpatations where my heart feels like it is pumping out of my chest and I can feel my pulse in my head. I then get a headache in the top/front of my head. I am not stressed or anxious and whenever I have my blood pressure checked it is never high. Can you advise as to what it might be Doctor: Well come to HCMThank for asking I really appreciate your concern, if this is just dizziness and not fainting or a loss of consciousness then it could be due to vestibular dysfunction, and it can be well managed with antihistamine (Cinnarizine) but condition has to be confirmed, if it is the loss of consciousness then it could be due to cut off blood supply to the brain that is happening because of cerebrovascular pathologies, cardiovascular disease, and for that you will have to get done the CT brain, and EKG and ECHO, beside all of these it may be orthostatic hypotension, age and gender related phenomenon ( No information is given here for age and gender ), hope this information helps."
},
{
"from": "gpt",
"value": "Target: What causes dizziness,palpitation and headache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has had on going problems with his prostate. He will not see a doctor because of financial reasons. It is affecting our sex life. We NEVER have sex. We both are 42 , is this normal that a prostate infection can have that much to do with him not wanting to have sex with me? Doctor: Hello,No, it's not harmful to have sex with prostrate infection however it is actually good have sex with prostrate infection as it causes drainage from prostrate ducts and helps in clearing the infection.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is intercourse harmful during prostate infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hey..I am nur with 24 yrs of age.Its been a week whenever i wake up i find clots of blood around my teeth..and sometimes on day time i bleed from my mouth..i tried finding any lesion i cant see..and within two days there have been sores in my tongue..what do you i advice me??do i have any vit deficiency? Doctor: HiThanks for your query with healthcare magic, it would have been better if you had mentioned about your oral hygiene status any how do you have local deposits/tartar? if so it might be a periodontal disease with pocket formation.are you under stress? 'coz you have mentioned you have sores too. if no deposits and oral hygiene is good then it might be due to vit C deficiency. Whatever i would suggest you to visit your dentist for further treatment."
},
{
"from": "gpt",
"value": "Target: What causes blood clots and bleeding around teeth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Having a dull, constant ache in my lower abdominal areas like my ovaries. Both sides and middle. When I push all along that area I am tender. Also having a small ache in my lower back too. I have had cysts on my ovaries in the past and I have kidney stones as well. Runs in the family :(. I had my gall bladder removed 5 months ago. The pain is sometimes a little more intense on the right side. Any idea on what is going on or rather I should see a doctor. It started yesterday but has gotten a little worst today. Please help. Doctor: hi brandi, get checked by your family physician who would advise some blood and urine tests and an abdominal sonography. if there are kidney stones, he/she may refer you to a urologist, if ovarian cysts are the culprit, you need to see a gynecologist. take care."
},
{
"from": "gpt",
"value": "Target: Dull, constant ache in lower abdominal area, lower back pain. History of ovarian cysts, kidney stones. Any idea ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother has problem of persistent pins and needles in a part of an arm and hand sometimes numbness. Local doctor has diagnosed Cervical Spondylosis. Can u suggest good doctor in Agra UP India area. What specialization of doctor is needed for these symptoms. Doctor: Hi,It is better to consult Spine specialist, now available in big cities.As there is pinched nerve problem Neuro-surgeon can help as well.Ok and take care.."
},
{
"from": "gpt",
"value": "Target: Any suggestion for doctor in Agra who can treat cervical spondylosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My mom (Age-61) is having epilepsy and depression since 30 years now. The medicines that she takes have reduced the the intensity of the convulsions but she do have mild-moderate epileptic fits once or twice every month. We stay in Thane,Maharashtra and our neurologist is in Pune. So regular visits to the doctor becomes difficult. We had tried other neurologists from around Thane, but didnt find any good one. Can you please suggest a good neurologist around thane. Regards Satadru Doctor: Hi.. There is one neurologist by name Dr Santosh M Rathi.. The details of him is mentioned in the find a doctor option on this website.. The short link would be http://www.healthcaremagic.com/doctors/Neurologists-in-Thane/L18927S24 You can also get the details of his address over there.. Hope you find this useful.."
},
{
"from": "gpt",
"value": "Target: My mom is having Epilepsy and depression, please help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have granuloma annulare, for about 7 years, there has been a biopsy to determine. Have been trying to find if there is a connection between it and arithritis, also have fibro and cfs never mind i have several docs and none of them can answer my questions Doctor: Hi, What you are suffering from is a rare disorder and details as the cause and associations are not very clear. There is an organization - NORD (National Organization of rare disorder). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Is there any connection between granuloma annulare and arthritis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother is suffering from Tb..she is having Tb in her chest as well as in her spine which is causing lot of trouble for her..treatment is going on for almost last three months still no sign of relief could b seen..doctors have preferred her to tak complete bed rest for another two months..plz suggest what to do?? Doctor: Thanks for posting your question on HCM!I appreciate your concern towards your mother's illness.Tuberculosis is a chronic contagious disease caused by a slowly multiplying organism and having ability to develop resistance to commonly used antibiotics. So, to overcome these problems the treatment involves the use of four or more antibiotics given in two phases.For TB affecting the spine the following regimen is used by most of the centres:In the initial phase Isoniazide, Rifampicin, Pyrazinamide and Ethambutol are given once daily for two months and in the continuation phase Isoniazide and Rifampicin are administered once daily for a period of 12-18 months depending upon the severity of the infection involving the spine.Vitamin pyridoxine is supplemented along with Isoniazide to prevent its side effect involving the nerves.A regular followup is required to see whether the patient is taking the medication or not, improvement in the general condition, appetite, weight gain, fever etc. Lab investigations done include ESR, Chest xray sputum analysis to check the response to the treatment.Since your mother is having TB of spine and the fact that treatment is bit longer, therefore it takes time to show the improvement. However you are advised to consult your physician.Wishing your mother a speedy recovery from the illness.Regards!"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for TB in chest and spine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: having heartburn after bowel obstruction (past history) and have lupus - suspect inflammation of lining of lungs - because of fluid buildup. Do you see a connection? Have bee told there is a small amount of fluid in right bottom of lung, and that heart is enlarged. This from a Chest X-Ray? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Obstruction of bowel can cause rise in abdominal pressure. This can sometimes cause transudative pleural effusion (fluid surrounding lungs). But possibility of this is very less. You are also having enlarged heart on chest x ray. So possibility of cardiac disease is high in your case. And this can cause pleural effusion on right side. So in my opinion, you should get done 1. 2d echo to rule out cardiac diseases. 2. Ultrasound examination of abdomen to rule out abdominal cause. So better to first diagnose cause of right sided pleural effusion, then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Can bowel obstruction cause pulmonary complications ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am a 38 yr old male w/ lumbar spinal stenosis, both foraminal and central canal areas at L5-S1,L4-L5, and L3-L4. I am very active and would obviosly like to stay that way. I did get a minimally invasive hemi laminectomy at all levels noted on 2/08. I am just starting to get pain now after ~ 3 yrs. My question... If things progress is my only option fusion and if so can you still be fairly active after getting a fusion? Doctor: vertebral column is built so as to provide you with a great deal of flexibility. when you bend, the movement is divided into bits amongst all those bones. now say supposing three of the bones are fused (which incidentally may occur as a part of many diseases), the division of that motion is divided in less number of bones. so yes, the mobility will get restricted. however I think day to day activities should be largely unaffected."
},
{
"from": "gpt",
"value": "Target: Is it advisable for lumbar spinal stenosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had a small pimple like projection on on labia monora, i thought it may get alright by 3 to 4 days, but now it has turned to a small lump and the whole left labia minora is swollen. I feel it very painful to sit , walk and touch. pls let me what is due to and any treatment for this. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some inflamed cystic lesion or some benign tumour. Uou should consult your gynecologist and go for examination. Then take treatment accordingly. If needed you can go for biopsy of that lump to know exact cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What is the painful and swollen lump on the labia minora?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi dont know if you can help, im really fed up because i dont know whats going on, ive been feeling quite hot and feverish quite often when just been walking around a while or in a hot room/having hot shower/ and strange burning/cold feelings on top of head for weeks now, then feeling miserable and cold for ages afterwards. I have colitis(on azathioprine/colazide) but seen specialist over that they say it isnt flared up and under control and probably not related, although vhaving scan in 6 wks as have been having lower pains from time to time. Im going to a gp again tommorow, and have already been, they keep saying im very anxious, that it isnt an infection, but last few days seems worse. bit dizzy eye went bit bloodshot in corner, went to a doctors last night, he said id got inflamed eye/conjunctivitus, that i dont need a cat scan,blood pressure was normal, im scared its something to do with a stroke/tumour/lymph thyroid/adrenal proble, its making me feel anxious all the time. Doctor: Hello, Thanks for choosing health care magic for posting your query. From the description that you have given it appears that you are surely having anxiety symptoms. You might have noted yourself that your symptoms keep changing and are of transient in nature. It doesn't fall into any specific disease. You should visit your psychiatrist who can discuss carious treatment options with you: 1) Cognitive behavioural therapy 2) Medications like escitalopram, mirtazapine, venlafaxine, desvenlafaxine. 3) Propranolol and clonazepam will also help . 4) Regular exercise and proper diet will also help in long run. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you can close the discussion and rate the answer accordingly. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Dr. Srikanth Reddy M.D."
},
{
"from": "gpt",
"value": "Target: Feeling hot and feverish, burning in the head. History of colitis and anxiety. Suffer from pain and dizziness. Worried about stroke"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had glandular fever when I was about 16-17 I got genital herpes when I was 19 I read that the glandular fever virus is a type of herpes and lives in saliva. Could I of given myself herpes from masturbating? Eg: My saliva on my hands or a vibrator? Ta Doctor: hello,i can understand your concern.Glandular fever(Epstein Bar virus) and Herpes simplex are two entirely different diseases caused by different viruses. Even though they belong to herpes family, they are differentGlandular fever is common in teenagers and spreads by kissing, coughing. This is self limiting and reduces by rest and supportive care.On the other hand, herpes simplex is a sexually transmitted infection and can spread from one person to another only through sexual contact(vaginal and oral sex can spread)If you had oral lesions and that point of time there is a chance of the virus spreading to genitals. If you still have lesions oral or genital kindly consult a doctor for a course of antiviral medication acyclovir. Herpes cannot be cured, hence you may have occasional out breaks where you need to take course of the medication again.Always use a condom to prevent spreading the virus to your partner.Hope i have answered our query. Thanks for choosing HCM"
},
{
"from": "gpt",
"value": "Target: Does masturbation cause genital herpes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an heart attack on 6th august, 2010. A stent has been placed ( 3.5 * 28 mm Xience stent ) on 9th of August. EF is 35- 40 . I am back home now and on medication as advised.Question 1: How and when can i start exercise ? Question 2: Is my damaged heart likely to improve from 35-40 EF? Doctor: Hello, Regarding your concern, I would explain that it is OK to exercise regularly, but it is also important to avoid straining physical activity. You can start to exercise after a month from the stent placement. Regarding the EF, it can improve, especially if you follow your doctor's advice about your lifestyle and your medication. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: When is starting exercise safe after getting stent inserted?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a 6 year old boy and he got out of school yesterday and was complaining of stomach hurting then his eyes started to drop like if he had fever he only had 99.5. today they send him from school cuz he got pain in his stomach again they tolk his tempeture and it was for 102.6 Doctor: Hi,Welcome To Healthcare Magic.I can understand your concern about your child’s health.As you are saying he is having abdominal pain and fever, so these both symptoms occur when there is intake of indigested or infected food. So, your child might had eaten some infectious food.For temporary relief in fever, start antipyretic medicine like, metacin 125 mg 7.5 ml, 3 times in a day(if no allergy) at the interval of 7-8 hours. Start syrup Meftal-spas, 5 ml, 3 times in a day(if no allergy)at the interval of 7-8 hours, for temporary relief in abdominal pain.Consult pediatrician.After doing all these things, I hope your child will get well sooner and please share your review about my answer on healthcare magic.Take Care,Thank You.From:- Dr. Nupur Shah"
},
{
"from": "gpt",
"value": "Target: What causes stomach pain with fever in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am having a cough problem since 7months but i didnt go 4medical treatment last 2weak blood started coming in my cough i run to physician he has given me antibiotics but after 6days again blood is coming i mostly have irritation in my thraot suggest me what will be the reason of blood?onething more i was use to of tobacco since 15yrs. Doctor: Welcome to the healthcare magic.comWell...I have gone through your question and the coughing out blood is called hemoptysis..The most common causes for this condition are lung disease like..bronchectasis, pneumonia,tuberculosis brochogenic carcinoma...I would suggest to do some tests like chest xray,full blood count,bronchoscopy,sputem for AFBs and ESR and cousult your physician."
},
{
"from": "gpt",
"value": "Target: What causes blood while coughing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was stun by a wasp 3 days ago...I'm allergic so went to the hospital. they gave me a steroid shot and a benadryl shot. I have been taking prednisone for 2 days. woke up this morning and my arm is swollen where I got stung and has a bunchof hives around it?? not sure what is going on... Doctor: HI, thanks for using healthcare magicThe swelling and hives represents part of your allergic response to the insect bite. It is part of the delayed immune allergic response.You need to continue the use of the prednisolone and antihistamines to prevent any worsening.If you experience any severe allergic symptoms, you should consult your doctor.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What is the treatment of allergy ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: back in dec had unprotected sex with girl shouldnt have started felling pain in testicales groin and pelvic and discharge had discharge swab came back staff infection been on 6 or 7 atibiotics couple different uroligists and been tested for stds all neg bieng treated for prostatios right now but not helping any suggestions or help would be nice 6 months of this cant take much more stillhave clear discharge ever now n then aching in that eara testicales groin pelvic been burning after urinating help or suggestions please Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have developed Chronic Prostatitis.Please get and culture and sensitivity of urethral discharge obtained after doing a prostatic massage done to find out the organisms causing this infection and antibiotics to which they are sensitive to so that you can take appropriate antibiotics to combat infection.Prostatitis takes long time to get cured hence one needs to take antibiotics for 6-8 weeks,Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Had unprotected sex, pain in testicles, have staff infection, treated for prostatios, not cured. Any treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what is the cause of low blood pressure in one leg only? I often have terrible cramps in that leg and also inside the leg it feels as if it is my arteries that are hurting. The cramps are mostly during the night and the internal ain during the day. I am 71 and have Diabetes type2 Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that your symptoms seem to be related to a peripheral neuropathy induced by diabetes. But a careful differential diagnosis between other causes, like a venous insuficincy or peripheral arteriopathy should be performed. I recommend consulting with your GP for a careful physical examination and tests: - A nerve conduction study to examine the lower limb nerves- A Doppler ultrasound of the lower limb vessels to examine the blood flow-blood lab tests (complete blood count, HbA1C, fasting glucose, PCR, sedimentation rate, kidney and liver function test, blood electrolytes). You should discuss with your doctor on the above issues. Greetings!Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What could cause low blood pressure in one leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI. Had car accident last week and I was driving and someone hit me on the driver s side and my left side of head hit the left driver s side window. It was bruised, but now when i try to open my mouth fully as in yawning my temple feels bruised. I had a cat scan right after the accident and they said I just should take moltron and it was not serious. Now I am not sure. I am starting not to feel like myself. Could this be serious. The bruising has come down, but now it is by my jaw on the left side by my temple. Thank you. Doctor: thanks for opinion.from the history it looks like some bruise on the left mandible.ct scan is normal.if still pain upon opening mouth then you need special temporomandibular joint xray and opinion from maxillofacial surgeon."
},
{
"from": "gpt",
"value": "Target: What causes pain and bruise on left jaw and temple after an accident?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my total bilirubin level is 32, .sgpt 110 sgot 50 I’m diagnosed with hepatitis A. From last 1 month I’m suffering from jaundice with no nausea or vomiting and only minor itching. Skin colour and eyes colour is yellow. Supportive drugs are given. But no result is seen. Please guide me what should i do. Doctor: Hello,Thanks for your query on HCM\"As\"per your clinical history is concerned it will take up to 6 months to completely recover from hepatitis A, so please follow like this -1)Do take rest if you feel tired and sick and have less energy.2)Nausea can make it difficult to eat. Try snacking throughout the day rather than eating full meals. To get enough calories, eat more high-calorie foods. For instance, drink fruit juice or milk rather than water.3)Rest your liver. Your liver may have difficulty processing medications and alcohol. Review your medications, including over-the-counter drugs, with your doctor. Don't drink alcohol while infected with hepatitis. Do take all medications as per your Doctor's advice.Discuss with your treating Doctor about vaccination to all family members.Hope that helps"
},
{
"from": "gpt",
"value": "Target: How can jaundice be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi I've a dental infection that I've been dealing with. Anyway, I believe it's caused me some anxiety. fOR A WEEK I've had a fear of eating. I feel I can't swallow. I have this fuzzy feeling in throat - dry throat. I find myself constantly swallowing. is there a medical condition or is this mental Doctor: Hi,As per your complain throat dryness when having a dental infection can be due to mere anxiety while in case if you are constantly breathing through mouth then it can also give you a dry throat. So in case if you have tooth infection then you should just relax as there is nothing to get so anxious and suffer from side effects and it will be better to consult a Dentist and get evaluated and an x ray of tooth can be done.You can be advised a course of antibiotics and painkillers followed by treating the tooth with root canal treatment or extraction of tooth depending on the condition of the tooth.Hope this helps. Let me know if I can assist you further.Regards,Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: Is throat dryness normal while suffering with dental infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have missed my period n i checked my pregnancy twice in 15 days n i got it negative then my doc suggested me to take primolute n for coming the menses i took primolute n 2 tab. Twice a day for 5 days n i didnt get my periods after 7 days i checked my HCG syrum i found it possitive n now im taking dophestone 10 mg but i got the brown bleeding now so is it an abortion plz tell me doctor. Doctor: Hi, I don't think there is abortion. Duphaston supports pregnancy being a synthetic progesterone hormone. Maybe is infection or just spotting with no significance. If you have cramps or increased bloody discharge go to ER. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is brown vaginal bleeding while on Duphaston during pregnancy a symptom of an abortion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had severe abdominal and frequent urination for a long time now. I also have un explained high blood pressure and through a recent MRI of my lumbar spine a .8 cm renal cyst. The radiologist recomends I have an abdominal MRI to follow up further but should I be concerned? Doctor: hi thanks for askingi would like to tell you that kidneys are visualized good by ultrasound abdomen but if you are fat or there is some uncertainty on US you would probably need an MRI or CT scan of abdomen........ as you are having high BP,it is sometimes related with some kidney problem.........you should first go for ultrasound KUB in consultation with your doctor........you should not be worried until youhave a clear diagnosis"
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain with frequent urination and high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i have a question my boyfriend haves been to the doctors alot and they cant to seem to figure it out he haves bad lower abdominal pain every day it started when he was 13 years old and now hes 24 he doesnt poop normal but the doctors said thats normal for him whats ur advice? Doctor: Thanks for your query.Simple Chronic lower abdominal pain nearly of 10 years without any complications is mostly related to lower GIT and can be due to Constipation,abnormal bowel habits,worms,IBS,IBD etc. You should have an MRI and colonoscopy to rule out the exact cause as it is making discomfort..Thanks"
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain with abnormal bowel movement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a whitish yellow lump in the back of my throat. I went to the doctor, and they did a throat culture and it came back negative for strep, but they had me on antibiotics, but there hasn t been any change in the lumps in the last seven days, what could this be? Doctor: HelloWelcome to Health care magic.I went through the history you have provided here. It seems from the history that you are having lumps in the throat. This is usually because of infection or inflammation in the form of pharyngitis or sore throat. This requires treatment by the use of antibiotics and anti-inflammatory drugs.Since it has come negative for streptococci, no need to worry.But since it is not responding to the antibiotics, the antibiotics need to be changed according to the culture and sensitivity report. Along with the antibiotics decongestants and anti-inflammatory drugs are required for symptomatic relief.Do consult your doctor for examination and treatment accordingly.Do write back to me for further questions.Wishing you a good health.Thank you"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lumps in throat"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc, I have noticed (since this past Sunday) that the soles of my feet have a distinct orange color, as if it is stained. I have not noticed it fading after several showers. I am Type 1 Diabetic (since age 10, I am now 43 yrs old), hypothyroid and have HBP. I am on an insulin pump, take Synthroid and Valsartan. I have not eaten any carrots, pumpkin, etc. recently. I am thinking its an external sign of something malfunctioning in my body.Please advise.Thanks.Nicola Jarrett-Smith Doctor: Brief Answer:Suspected secondary carotenoderma but require a physical examination of foot by physician to rule out diabetic foot.Detailed Answer:Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.As you are diabetic, colour changes in skin of foot is concerning and warrants a physical examination by physician. There are also some queries you need to answer to like:• Is your sugar level maintained?• Have you noticed decreased sensation or tingling in foot?If early diabetic foot changes are ruled out, then it is most likely to be secondary carotenoderma. High carotene levels result in orange tint of skin. You have both diabetes and hypothyroidism which are linked to it. Carotenoderma itself is harmless and require no treatment.Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow up to see how you doing.Regards!Dr. Ali Raza"
},
{
"from": "gpt",
"value": "Target: What could discolored or stained soles of feet in diabetic patients suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my aunt who is 84 had fallen and got two brain bleeds, one severe, and they did brain surgery. Now she is in icu and she is only moving one eye. She is off all medication and now they are going to remove her breathing tube and give her a trach. How long will it take for her recovery? Is a full recovery even realistic? the night they did the brain surgery my family could have chosen for her to die peacefully instead of the brain surgery. I am just so worried about the quality of her life. My aunts greatest fear was that she would go to a nursing home for the rest of her life. Your answers will help me as I was he only one who was willing to let her move on. Your answers are appreciated... Thank you and God Bless, XXXX Doctor: Hello, The prognosis will depend on the location and severity of the primary tumor. Deep-seated tumors generally have a poor outcome. Considering her age she is a poor candidate. Consult a neurosurgeon and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can patients after brain surgery have a good quality of life?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir, my 11 year old son is having abdomen pain (not confined to any specific part of abdomen) for last 10 days. local doctor has diagonised it as enteritis and adviced Ziprax (7.5 ml X 2), Metrogyl(10ml X 3) and Mucaine gel(5ml X3). His pain is still there even after 6 days of medicine. Kindly advive Doctor: Hi! Good evening. I am Dr Shareef answering your query.As the history is of more than 10 days, and he already had some antibiotics for six days without any relief, in my opinion you should get him assessed by a general surgeon/paediatric surgeon in your area to have proper clinical assessment and related investigations like ultrasound to arrive at an appropriate diagnosis and management. Without a proper clinical examination, it might not be possible to opine on this problem over the net.I hope this information would help you in discussing with your family physician/treating doctor in further management of your son's problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What is the treatment for severe abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a history of acid reflux and have been taking PPI medication (Prilosec) for some time. I have experienced bouts of reflux, causing coughing and reflux to my mouth. This usually happens early in the morning when my stomach would expect to be empty. I have made a pact with myself to get off the medication and began a program to help myself heal. Would raising the head of my bed a few inches help with my goal? What kind of fat would be best for my health.I am now using olive oil and avoiding fried food do you have any guide lines that will help? Doctor: Hi,Thanks for using HCM.Lifestyle changes are very important for treating acid reflux.Yes raising the head end of the bed by a few inches would definitely improve the symptoms.The other measures that are to be taken are- Avoid coffee, citrus, chocolates, smoking, alcohol, fatty food Eat smaller meals. Go to bed at least 2-3 hours after food.I hope that answers your query.Regards."
},
{
"from": "gpt",
"value": "Target: How to treat acid reflux?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently had some virus bacterial infection in respiratory track during the time I started bleeding and clots coming out like a period...very very heavy. When i went to ER the tested me and found UTI and BV. They prescribed 4 pills for the BV that I took immediately and a full cycle of sulfa meth 160 mg. Are all of these items related? or did i just have a really bad week? Doctor: Hello,Urinary tract infection may need treatment because it is somehow challenging, it needs proper line of treatment, and both upper respiratory tract infection and UTI cannot treat with single drug but upper respiratory tract infection could be allergic condition or viral infection and it may not needs any treatment ideally urinary tract infection best can be treated if the urine sent for culture sensitivity test, heavy menstrual bleeding could be due to hormone changes, and it is nothing to worry if not lasting long. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Husain"
},
{
"from": "gpt",
"value": "Target: What causes respiratory tract infection along UTI?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I keep getting this feeling like Im going to pass out, my body starts shaking, my hands trembleing, heart racing. I get palpitations nightly. But these panik like attacks just started a week ago and every evening they come on. Im currently being treated for posterior uveitis. Doctor: Hi,Probably you are having a panic attack. It is characterized recurrent and unexpected intense fear. To diagnose panic attack a patient should have 4 out of the following 10 symptoms:-Rapid breathing (tachypnea) -Heart racing (palpitations)-Trembling-Diaphoresis-Nausea-Fear of dying-Chest pain-Dizziness-Hot flashes-DepersonalizationThe symptoms will start abruptly and peak about 10 minutes and lasts less than 30 mins. Also it is important to ensure that thyroid disease, hypoglycemia, and cardiac disease have been ruled out.You should visit your doctor for confirming the diagnosis and starting the treatment. For the immediate relief benzodiazepins such as clonazepam is prescribed. Benzodiazepins dose tapered after the long term treatment is initiated. For the long term treatment selective serotonin re-uptake inhibitors (eg, fluoxetine) or tricyclic antidepressants are prescribed. Behavioral therapy in conjunction with medications is also helpful.Thank you."
},
{
"from": "gpt",
"value": "Target: What causes rapid heart beat,palpitation and trembling of hands and body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am from bangalore.My husband met with an accideny on 8th of sept.He had diffuse axanol injury of brain .He was unconcious for 22 day. now he is ok, but always asking for better treatment. does it has any best dreatment,regarding this we are giving hinm levipil 500,and how long it will take to get the memory back. Doctor: Hi,Thank you for posting your query.I am glad to note that your husband has made an excellent recovery after being involved in a severe accident (after remaining unconscious for more than 3 weeks). Memory impairment and other cognitive impairment is common after severe head injury. Levipil (levetiracetam) is not used for brain recovery, but it is given to prevent fits.At bangalore, you could take him to NIMHANS, for evaluation by a neuro-psychologist. Further treatment can be suggested by them to enhance the memory.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: Diffused axanol injury of brain due to accident, cured with treatment. Is levipil 500 right medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have had three cervical biophysics over 4 weeks ago results came back normal and put back under my GP. Me and my partner have had intercourse three times since then and every time we have I ve suffered with severe pain afterwards in my pelvic and deep inside I m also having lower abdominal pain and discomfort with also lower back ache vomiting head aches and very sleepy with a stick green discharge , this has now lasted almost a week is it anything do with the biopsy or is there something else going on?? Doctor: get done culture and sensitivity of discharge....may be case of chronic pelvic inflammatory disease..."
},
{
"from": "gpt",
"value": "Target: Pelvic pain, abdominal pain, lower back pain, vomiting, headache, green discharge. History of cervical biopsy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Okay so i did a home insemination on feb 24-2014 i have irregular periods but before even inseminating i did an ovulation test and it said i was ovulating i was suppose to get my period on the 7th and i havent gotten it yet ive taken 4 pregnancy test and they came put negative.. What should i do? Doctor: Hi,Thanks for the query. If the insemination was done around the period of ovulation, there is possibility of pregnancy. But the success of achieving pregnancy due to insemination depends on many factors. Urine pregnancy test kit may not detects early pregnancy sometimes. So, better to wait for one week. If you do not periods even after one week, repeat the urine pregnancy test. Possibly by that time it can detect the pregnancy accurately. If the test again shows negative result, the possibility of pregnancy is less. Then you can consult gynecologist once and take tablets to induce withdrawal bleeding. Take care."
},
{
"from": "gpt",
"value": "Target: What could negative result in HPT after home insemination indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I have had an elevated wbc for the past couple of years every time I go to the doctor for routine visits. These high levels were not when I had any notable infection, just routine bloodwork. My levels usually stayed around 11 or 12, with the highest being last week when my count was 16. I have a hemotologist that I see regularly for anemia, which is now under control. My pcp is sending me back to my hemotologist to have this high wbc further investigated. Should I be concerned? My dad has leukemia. Also, when I had my bloodwork drawn, I had bacterial vaginosis. Could this cause my wbc to be 16? Doctor: Hello,First of all, your bacterial vaginosis is an important reason for your elevated white blood cell count. You should get a repeat blood count done 2 weeks after the infection has settled.In addition to this, a peripheral smear should be able to rule out any suspicion of leukemia, though your history doesn't suggest any such thing.You can share your reports if you want to inquire anything else."
},
{
"from": "gpt",
"value": "Target: What do elevated WBC levels indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I took clarithromycin and albuterol for a lung infection. Shortly into the treatment I developed a painful lump in left forarm (lump was hard and had a bit of a bruised look). Then I developed one on back of left ankle, then side of left foot, then side of right foot. I stopped the albuterol, no change in lumps. Felt beginnings of lumps in hands. Finished the clar. cycle and within a few days most lumps abate except for lumps on feet which are still very painful. Could this be an allergic rxn to clar.? I also have history of gout. Could this be a factor as well? Doctor: yes, clarithromycin can cause unusual swelling and bruising of skin in some patients.you can take a mild anti-inflamatory like brufen to reduce pain and swelling if they do not resolve after stopping the drug.also take some vit C supplements to reduce bruising tendency.fact that you have gout may not aggravate your condition."
},
{
"from": "gpt",
"value": "Target: What causes lumps on body after taking Clarithromycin and Albuterol?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a kidney cyst measuring 2.5 cm. i have burning type pain on urination, frequency of urination and lower abdominal and left sided back pain. my urine mcs gave a result of RBC - 71 and WBC - 467. does this mean just a simple UTI or could the presence of RBC be of another concern? Doctor: Hello ..The amount of white blood cells and red blood cells that you are passing in your urine are significant and is not merely related to only urinary tract infection,we can not neglect your kidney cyst , having said that the description and size of your kidney cyst are incomplete, you should see whether the cyst is simple or have septations within ,making it complex in nature. If your earlier ultrasound doesnt gave this information than is suggest you to go for another scan and ask the sonologist same information.Your further management depends on that ."
},
{
"from": "gpt",
"value": "Target: What means kidney cyst measuring 2.5 cm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have epilepsy which is now in remission. I only take 25mg of Quetiapine at night. After I exercise and my muscles are stiff, I get leg tremors, usually in one leg at a time. What could be causing these tremors. I have a twin sister with Multiple Sclerosis but my scan came up clear. Doctor: Hi,Based on the history you seem to have developed side effects of Quetiapine. Quetiapine is an antipsychotic drug commonly prescribed to treat schizophrenia in adults and major depressive disorder.Its common side effects include insomnia, dry mouth, weight gain, headache, and agitation. It can also cause extrapyramidal symptoms such as tremors or muscle stiffness. Consult your doctor for an alternate effective but a safer medicine for you.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes tremors and stiffness in legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hie sir.My father has been suffering from diabetes past 10 years..In the recent visit to a doctor he suggested to visit cardialogist as there is some problem that he identified in the ecg..The cardialogist had taken the TMT,ECHO,ECG..In Echo the EF ratio is 40% and aorotic ,Mitral valve were thickened were in the report Doctor: Hi,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.heart has four valve 2 on right side n 2 on the left side the mitral n aortic are 2 valves on left side.mitral valve is located between left atria n left ventricle.. thickening mean valve size is increased that may cause difficulty in opening and closing that can cause some symptoms of it is thickened enough n causes impairment of blood to go from left atria into left ventricle..but if the valve is functioning well then need not to worry ..but if it is then it can be managed ..I hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician.."
},
{
"from": "gpt",
"value": "Target: What does thick mitral valve in diabetic people suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I do drama as a subject, and whenever I have to perform I get nervous before, but as I perform I feel less nervous, however, my hands shake violently and everybody notices and that is what makes me nervous, how can I sto my shaking hands? (I do not have any caffeine or a low blood sugar) Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. This problem is common with so many people. Can call it stage fear. This comes due to apprehension. You start worrying about this hours or days before the event itself, and it becomes anxiety. Even though you are not worried about it, it does troubles. That is mind. It does what you tells it. Here you are asking it to behave so when you apprehend. Mind does as asked.Here is help with Cognitive Behavior Therapy which includes so many techniques to alleviate your problem. The treatment method more individualistic. You may come up with a premium question. Give complete description as much as you can. I shall help you with it and I am sure that your problem will be cured.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: How can I stop shaking hands due to nervousness while performing drama?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been prescribed Indomethacin 50MG Caps for occasional ankle inflammation. Usually a 2-3 day program resolves the issue. It was suggested that I keep it around the house for the 3-4 times a year I need it. Can I use it for knee inflammation also? Doctor: Hello,My answer is yes, you can use Indomethacin for both ankle and knee inflammation and any kind of joint inflammation as the effect of the drug is systemic, which means in all the body.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Edvin Selmani"
},
{
"from": "gpt",
"value": "Target: Is Indomethacin safe to be taken for knee inflammation?"
}
]
|
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