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{
"from": "human",
"value": "Source: Patient: l2-l3 disc reveals mild posterior bulge indenting thecal sac . L4-l5 disc reveals right paracentral and right foraminal protrusion indenting right L4 and both l5 nerve roots. l5-s1 disc reveals mild posterior bulge indenting thecal sac.. mild scoliosis of the lumbar spine with convexity to left. marginal osteophyes at multiple levels. what precaution i take Doctor: Dear Concerned., Thanks for writing to us. You have been suffering from PIVD(Prolapse InterVertebral Disc) at multiple levels with mild scoliosis and Osteophyte formation. Hope you have already done MRI and confirmed all the above. The following preventative steps can be undertaken , 1)Absolute Bed Rest for 08 weeks on a Hard Bed without any cushions. 2)Lumbosacral Belt or Support with correct measurements from an Orthopedic Vendor. 3)Regular Physiotherapy such as SWD and Traction for 30 minutes twice a day. 4)Use of a Western Toilet and avoiding Squatting in an Indian Toilet. 5)Avoid bending abruptly and avoid lifting of any weight. In addition to the above consult a Spinal Surgeon for , A)Opioid Analgesic and muscular relaxant. B)Determine whether you can be posted for an endoscopic minimally invasive discectomy procedure. C)Whether scoliosis can also be corrected at the same time. Wishing you a speedy recovery. Best Regards., Dr Lt Cdr ASN Bhushan."
},
{
"from": "gpt",
"value": "Target: Mild posterior bulge indenting thecal sac, mild scoliosis of lumbar spine. What precautions to take?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi all doctors i want a big question from all of u u r a big pannel i wanna know that if my three cousions from my two uncles sons ,,,mean to say that the ckd prob and liver fatty prob if in family so what should be the treatment or how can we save our lives ,caus three had died and we two bro are suffering from ckd ... Doctor: Hello, Very sorry to learn about the demise of your cousins with CKD and two brothers still suffering from it. The fact is there is no treatment of CKD. There are treatments employed like slowing the progression of disease and treating the cause,contributing factors and complications of CKD. Treatment involves restriction on your protein,potassium,fluid ,analgesics,anti biotics like gentamicin etc. Treatment involves controlling high blood pressure,diabetes,loosing weight,taking care of anemia and low VIT D,etc. The fact remains that you may prolong the progression of your CKD status to end stage kidney disease but you can't prevent it happening. Since you have not mentioned your stage of CKD,I am telling you the general guide lines. Ultimately you would have to go for dialysis and kidney transplant. You must discuss with your doctor and start planning for the kidney transplant ,so that you may be able to enjoy your life normally. Thanks"
},
{
"from": "gpt",
"value": "Target: Have CKD and fatty liver. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a root canal filling on Wednesday at my local dentist. He supplied me with an amoxicillin prescription for 3 250 mg daily which I started Thursday night as I had pain and swelling around the site of the filling inside. On Thursday I developed some cheek swelling that side which has slowly got worse despite the amoxicillin although now I do not have pain around the tooth but could not bite on it. Doctor: Hi thereThanks for asking your queryHistory provided shows that root canal done has developed some infectionEither some canal is missed to be cleaned or infected pulp is not completely expiratedget an xray done to evaluate the rctIf xrays shows perapical infection then root canal treatment has to be repeatedMeanwhile maintain good oral hygieneDo salt water rinsesTake your antibiotic and analgesic coverConsult dentist for further evaluationThanks"
},
{
"from": "gpt",
"value": "Target: Had root canal filling, supplied with an amoxicillin prescription, pain, swelling around the site of the filling inside, cheek. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A close friend of mine just found out her pancreas is comming detatached, she is rapidly loosing weight. The dr s are taking their time to figure out what is wrong with her. They said she had pancreatic cancer at one visit then they did more test and said it wasnt. so my question would be is this a sign of pancreatic cancer, what stage would it be in and what are some treatments if any that could help her. Doctor: Hi and welcome to Healthcare magic.Thank you for the query.weight losing is one of the symptoms of pancreatic cancer . There is also pain in back and digestion difficultiea. Unfortunately most of pancreatic cancers are found in late stage when it is already spread so there is a danger that it could be in her case too. Imaging tests should reveal is it operable or inoperable. If not, then prognosis is very poor. If yes, then prognosis is unpredictable,but you can hope for best.Wish you good health. Regards"
},
{
"from": "gpt",
"value": "Target: Detached pancreas, weight loss, diagnosed as pancreatic cancer. Treatment options?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a patient affiliated with Wilson s disease. I have been taking D-Penicillamine for the past 12 years and for the past 4 years taking Zevit tablets. For the past three months, I have been taking 1 Cillamine and 3 Zevit tablets per day as the doctor prescribed owing to shortage of D-Penicillamine medicines. Recently one of my relatives diagnosed with liver disease died suddenly due to liver infection affiliated with jaundice and she had been suffering from Wilson s disease. Moreover she was affected with Liver-oriented Wilson s disease. So I was alerted and took Blood test,Urine test and Liver function test. Blood test and Urine test were normal but in Liver function test, it was found out that S.G.P.T.=245, S.G.O.T.=57,Alkaline phosphatase=115. Is that a problem? I am not affected with Liver-oriented Wilson s disease but with Neuro-Wilson s disease. Doctor: Hi, Liver enzymes may be raised because of various causes. In your case, some may be more possible but in every case, it requires evaluation of the cause. Most common causes of such liver derangement's are Alcohol, Viral hepatitis, Non-alcoholic fatty liver disease, Drugs.Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep a control over it.If you don't take it, you need following tests: hepatitis virus markers, Ultrasound Abdomen and HIDA scan. A lot many times, liver dysfunction is due to Non-Alcoholic Fatty Liver Disease (NAFLD). So, if you have any evidence of fatty liver in Ultrasound and your other tests are negative, this rise is liver enzyme would be attributed to NAFLD. For this, you need to reduce your weight, reduce fat in the diet. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon"
},
{
"from": "gpt",
"value": "Target: Are elevated liver enzymes a matter of concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 45 year old male on lots of pain meds due to spinal condition. I have had steady rise in my liver profile to over 200 & increased right abdominal pain (intermittent), recent higher iron levels. Yesterday I started to excrete orange fluid from skin when I was sweating what could this be???? Doctor: Thank you for the question. Due to your liver function disorder either by medicine or some primary disease, the the liver tests should be undertaken by a gastroenterologist.It seems iron level in body is high due to it so treatment for liver should begin after diagnosis of disorder.The treatment for iron overload is iron reduction therapy. A person's hemoglobin is key in the physician's decision of iron reduction therapy. If the patient's hemoglobin level is sufficient to tolerate blood removal (phlebotomy), the doctor can provide either an order for therapeutic phlebotomies or can recommend that a patient routinely donate blood. When a patient's hemoglobin is too low for phlebotomy, iron reduction will likely require iron-chelation, which is the removal of iron using specific drugs. In some situations the physician may use a combination of these two therapies.You mau consult a clinical hematologist also as early as possible. pain in abdomen may be related to high iron content as well"
},
{
"from": "gpt",
"value": "Target: What causes increased right-sided abdominal pain and high iron levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: when coughing hard or sneezing i get a cramp in the perineal area. I have had this for many years and it sometimes goes away for months and then comes back again. Any ideas if i should get it checked or if it's just one of those things you just live with? Doctor: hicoughing increases the intrathoracic pressurewhile sneezing increases both intracranial as well as intrathoracic pressure.this crampy pain will be due to the stretching of all the related organs mostly vaso vagal,wherin all these structures are interrelatedtake care"
},
{
"from": "gpt",
"value": "Target: What causes pain in perineal area during coughing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: talking to my family dr days before to get my kidney results he said my results came back normal. it is the 4th day i am in pain on my right side. week later spoke to my urologist?? told me oh did you know you right kidney is swollen right? shocked my dr would lie to me, getting kidney tests done this week. what could it be? Doctor: Hi, many thanks for the query!Stone in the ureter causes obstruction to urine outflow, so urine accumulates in kidneys causing so called swelling of kidneys i.e. Hydronephrosis, also, proximal to obstruction- Hydroureter.You need to do certain investigations- USG (Abdo-Pelvis), X-ray KUB,Sr. creat., Sr. BUN, Sr. Uric acid, Urine (Routine & Microscopy).For time being, you may take anti-spasmodics, pain killers withyour doctor's opinion.Drink plenty of water so that at least 2 litres of urine is voided in 24 hrs.Wish you a good health. Take care. Regards."
},
{
"from": "gpt",
"value": "Target: Pain in the abdomen. Swelling in the kidney. What are the tests to be done?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI I have been having pain in my upper abdo on and off for approx. 2 weeks, my gp straight me for CT scan but was all clear . Last night I developed pain under my left ribcage this pain has continued throughout the night and all today with the pain radiating into my back on both sides kidney areas. I have had a loose bowel movement and feel nausea and are having burning pains / sharp pains in my back / across upper abdo. Do u feel I need to see a GP this evening Doctor: well pain flank region radiating to back suggest kidney /ureteric stones but since CT was clear so that's unlikely loose motion with nauseating feeling could be because of bowel infection which can be relived from soft diet ,metronidazole ,pantocid pain around rib cage seems to be because of chondrits ,it will require some anti-inflammatory like zynase dp for 3-5 days probabaly u will be better by above remedies"
},
{
"from": "gpt",
"value": "Target: Feeling nauseous and loose bowel movement due sharp pains in upper abdoman and back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started getting sharp piercing pains in my left elbow about 4 hours ago and now they are happening at the same time as a sharp pain in my left chest area almost near the armpit...its consistant with muscle pain but I can't pinpoint the exact point of the pain...should i go to the ER? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. But better to rule out heart diseases because left sided chest pain is common in cardiac diseases. So you should definitely consult ER (emergency room) and get done ecg and 2d echo. If both are normal then no need to worry for heart diseases. Your pain is mostly musculoskeletal in nature. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Start painkiller and muscle relaxant drugs. Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes sharp piercing pain in elbow and chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m experiencing swollen ankles and feet. this condition presented itself @ 2 years ago, also in the summer months. I am not wearing tight shoes, I m in sandles, etc. but end up taking them off due to the swelling. Two years ago I was also experiencing shortness of breath and went in for a battery of tests, but other than a slight irregularity in my ekg, everything was fine. However, when you can t walk from point A to point B without being out of breath... you are not fine. (The ultrasound of the heart and lungs and the nuclear stress test both showed that my heart was wonderful...) that is great. In time my shortness of breath lessened. right now I m just very tired (I actually had to take an hour long nap this afternoon, before I began to do the balance of my online final project for school (yes, I m back in school, lol.) YYYY@YYYY I ll be 63 in sept. and have a family history of heart/stroke on my mother s side. Thank you. (I have been taking @ 600 MG ibuprofen for my back pain occassionaly, but not consistently. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The swelling in the feet can be due to increased salt intake, medicines, heart problem or a renal cause. You need proper investigations to find the cause. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes swelling in the feet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I really hope you can help me. I had a heavy watery light pink period to the state where I had to change my pants. This lasted for 3 days my normal period length, 2 days prior to this my boy friend and i fooled around. No penatration but contact. Viginal area is swolen and I have discomfert round about where my ovaries are.? Hope im saying this right. No burning or itching. Preg test neg but it is only 10 days after the fooling around. Oh and here is the breaker and why I am so worried. I m on reacutane and my doctor that put me on it speeched me on the effects that it would have if I am pregnant, he said that I would have an abnormal disabled child. I began taking it 4 days prior to the weird period. I was on 20mg and the doctor moved me to 10mg but I was totally of the pills for about 2 months before starting again. My heart rate is 123/88. I m 22 old and not unfit.I have a constant heavy bladder needing to wee alot, and I have headaches and feel constipated and tired.and then the above mentioned uncomfert in my lower abdominal area near my ovaries. I think that s the lot. Hope to hear from you soon. Doctor: Hi young lady. FIRST- Its highly unlikely that you might have got pregnant if you had sexual contact/ contact with sperms 3 days prior to your regular period date. So the big question to answer is 'did this odd period much earlier than anticipated'? SECOND - I am not sure which part of the world you live, but you need to consult a local GenitoUrinary Medicine (GUM) specialist if you are in UK/ Australia/ NZ, or a kind Gynaecologist if you are elsewhere to get checked out for any sexually transmitted disease if you have local swelling. Please donot hesitate or delay in checking yourself out. You seem to be very anxious and have lots of somatic complaints related to that. Dont worry, relax and seek opinion from the right specialist. LASTLY - Your problem is not related to your kidneys.... so you have posted your question in the wrong forum!! You have not come to any harm from it since you got a very comptetent person to answer it (kidding)!!! Take care. Good luck"
},
{
"from": "gpt",
"value": "Target: Heavy watery light pink period, vaginal area swollen, HPT negative, heavy bladder, pain. What should i do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 42 yr old female in good health. Friday of last week, I had my lower right wisdom tooth removed. It was very difficult to remove and was ultimately cut up and removed. Now my right tonsil and gum area hurts whenever I swallow!! Whats going on? Doctor: Thanks for your query, I have gone through your query.The pain in the tonsil or gum area near the wisdom tooth can be because of ulcer that usually occurs following wisdom tooth removal that can be aphthous or traumatic ulcer. The other possible cause of pain can be presence of bony spicule near the extracted site, that occurs if the bone filing has not been done properly. Nothing to be panic, consult your dentist and get it evaluated. Mean while you can take symptomatic treatment like topical anesthetic and analgesics like 2%lignocaine and choline salicylate gel (anabel gel) apply 3-4 times daily before food and if the paim is severe you can take systemic analgesics like diclofenac 50mg BID for 3 days. do saline gargling.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes tonsil/gum pain while swallowing after wisdom tooth removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 15 yr old daughter has woke up the past two days complaining that her legs, arms, chest, fingers, and hands are very sore. She can barely walk. She has been working out everyday this summer so its not from starting a new workout regimin..she is very athletic and always active. Any ideas what this could be?? Doctor: Hi, As what I understand with the mentioned history is that your daughter has pains in multiple joints. is the pain shifting from one location to another or it is present in almost all joints? There are two possible things which comes in my mind. (1) This could be a vitamin deficiency or (2) RA. Now I don't want to come to a conclusion with just a brief history and make you panic. I know it's too early to give a conclusion on any of the two. Until we get some urine and blood routine we cannot be giving comment and making you panic. Meeting up a orthopedist should be good to have physically examined first. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes pain in legs,arms and fingers?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently visited India and had done an allergy blood test IgE for eczema ( I also suffer from severe pomphylx) and it came out hign on few foods like tomatoes, cauliflower, cabbage, yeast, sesame, also housedust and other inhalants. Should I be excluding these foods from diet totally? And what are the actual componants in these foods that trigger the dermititis? Also, I was prescribed Xerina Glycolic cream which has helped, is it efefctive for long term use for ezcema? Doctor: THESE ARE FOOD ALLERGIES THE PROTEINS IN THESE FOODS CAUSES ALLERGY SO YOU HAVE TO COMPLETELY ELIMINATE THESE FOOD FROM DIET YOU CAN TAKE ANTIALLERGC CONTINUOSY BUT BETTER TO ELIMINATE THE FOODS FROM DIET YOU CAN THINK FOR DESENSITISATION THERAPY FOR THESE FOODS TO TAKE THEM BACK IN YOUR DIET.DESENSITISATION IS THE NEWER THERAPY FOR FOOD ALERGIES WHICH IS HAVING PROMISING RESULTS"
},
{
"from": "gpt",
"value": "Target: Done allergy blood test IGE for eczema. Was prescribed xerina glycolic. How effective is it in long term?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am not sure how this works but here it goes. My fiancé and I started ttc back in May of this year(2013) In June, I had the heaviest period I have ever experienced in my life. I passed large clots for about 2 days with severe back pain. At that point, I honestly figured IF I was pregnant, that I miscarried. July, I had no period at all. I immediately got concerned and went in for an ultrasound. My DR said that I have \"three small cysts that did not seem alarming, and that they are probably the cause of the new irregular periods.\" My fiancé and I decided to ttc again, hoping that the cysts were now gone and that I would be okay. Fast forward through August(no period AGAIN) and September. I was at work and felt an almost gush of fluid. I ran to the bathroom to see that I once again was passing HUGE clots. I was in so so much pain that seemed to radiate from my lower right back to my lower right front. I called the dr. and he said \"it is prob. another cyst rupturing, that I should not be concerned unless it lasted for more then 3 hours.\" I honestly went through 9 heavy tampons in 2 hours. The tissue also seemed to, pardon the bluntness, but pass around the tampons! After that, I felt great. WELL, now we are on to October. My breasts are rediculuously huge. The only weight I have gained besides in my chests, is right along my waist line. Not a fat type weight, but a firm bloated type. I am not passing gas or having stool issues. It almost feels like something on my lower left abdomen side moves randomly. I took three hpt today just to rule it out. Negative.Go figure. Anyone have any sort of knowledge they can share with me? I have been pregnant before,(my son is four) and I really do FEEL so pregnant. Yet, I showed on an HPT at 5 weeks exact. Doctor: Hello, Thanks for the query to H.C.M. Forum. Large amount of blood passes in the month of September ( gush of blood ) , before this there was bleeding in July . I mean to say no pregnancy . Now your breast are heavy and weight gain, also around the waist . Pain and you are feeling something in the lower part of left side . In my opinion this is not a case of pregnancy , however all symptoms are indication ,but this is not true in my opinion.In pcod cases patient gain weight , heaviness in breast , irregular bleeding , dysfunctional uterine bleeding , pain in the part where cyst lies ( may be on the left side , size may be large). Diagnosis can be confirmed by ultrasound of both ovaries . In my opinion consult a gynecologist and get his opinion as physical as well clinical examination is very important in this case . Good luck. Dr. HET"
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Back pain, passing blood clots, ruptured cyst, gained weight around chest and waist. Negative HPT. Explain situation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a question I was born with a cleft lip and palate. My mother is epileptic and took anti-seizure medication when she was pregnant with me. Cleft lip and palate does not run in our family. If i was to have a child what would be the chance that my child would have cleft lip and palate to? Doctor: Hello, Thank you for consulting with HCM.It is not necessary that your child will have cleft lip and palate , there are possibilities of only 2%.As in your case it can be possible that because of medications, this might have appeared.Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What are the chances of my child having cleft lip & palate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have recently noticed that my outer ankles have a puffy round mound on each side that does not hurt. It feels soft, like a pocket of fluid. This is only a recent issue and I have not noticed it ever before. I am in good health otherwise, except for a sinus infection I ve had recently, and have walked 3 miles at a time with no breathing or other problems. I do sit at the computer for long periods at a time. I am a 62 year old female and the only regular medication I take is synthroid. What could be the cause and how should I proceed? Doctor: Hi,Thanks for your query.There are numerous causes and conditions that produce swelling in the ankles. A few important causes are chronic venous insufficiency, Heart related issues, kidney disorders, liver problems, water retention etc.A thorough and detailed evaluation along with a few investigations are needed to establish the correct diagnosis.I suggest you to consult a General physician for further evaluation and management.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 are puffy round mounds on outer ankles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have recently been experiencing a stange sensation in my jaw. It feels as though I can feel my heart beating rapidily in my jaw and at times my teeth tap from it. I am also experiencing night sweats but have always attributed it to my age of 53.. I am also expereincing anxiety and Im just a little concerned. This is unusual for me. Doctor: Hi.. Thanks a lot for the health query with us.You have an abnormal sensation in the jaw and it is pulsating is it?and the phenomenon is associated with sweating.It indicates hyperdynamic circulation.Hyperdynamic circulation is fast flowing state of circulation.It could be cardiac- valvular like aortic stenosis or coronary heart disease.It could be general like fever , hyperthyroidism,anaemia etc..Get it investigated and get treated accordingly..Hope we helped you sir..Thank you"
},
{
"from": "gpt",
"value": "Target: What causes pulsating sensations in jaw,night sweats and anxiety?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My sister is an alcoholic. Her liver enzyme level has gone from a high of 155 months ago to 102 now. She stopped drinking for a few days, waters down her drinks, but is drinking again, I dont know how much. At what point does cirrhosis of the liver begin? Doctor: Hello Thanks for writing to HCMYour sister need proper clinical examination and investigationsShe need investigations like random blood sugar(RBS),renal function test(RFT),liver function test,lipid profile,viral markers,urine RE/ME.Ultrasound of abdomen should also be done.Cirrhosis is an irreversible stage and it can be identified by ultrasonography.Elastography can be done if needed.She should avoid red meat and high fat milk products.She should avoid fried and junk food and avoid alcohol completely.Treatment depend upon findings.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Could high liver enzyme level cause liver cirrhosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 21 years old with a varying blood pressure when visiting the chiropractor has been around 148/97, been checked twice in two months. I know that my blood pressure spikes wildly, I've been to the ER twice in the past year and my blood pressure has been ridiculously high upon entering the ER but eventually calms down to something relatively normal, about 123/73. I plan on seeing my doctor within the next week about this, because it concerns me, though I do have a General Anxiety Disorder and a Panic Disorder as well (not to mention some social and health anxiety). The question is, should I be seeking more immediate medical attention since my blood pressure has registered that highly twice in a row now? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you are having high blood pressure reading mostly due to stress, anxiety and panic disorder. At your age of 21 years, possibility of hypertension is less. So if we control your stress and anxiety, your blood pressure fluctuations will also control. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and Start working on its solution. You may need additional anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest medication for fluctuating BP levels with anxiety"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 16 yr old male son who was to hospital Sunday due to fever x 3 days, sore throat, dizziness and vomiting. He was treated with IV fluids, IV Gravol and Dexamethasone for his throat. He was then sent home with antibiotics for throat. He has continued to sleep since Thurs, drinking fluids, eating very little and today has complaints of headache, light sensitivity/strained eyes and dizziness/light headedness. He also has began having diarrhea. Would this require a return to hospital or might this be a flu, he has been sick since Thursday and does not seem to be getting any better Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The most common reason is side effect of antibiotic and steroid giving combined symptoms narrated here. I would recommend to call his pediatrician office and discuss the matter immediately without delay. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes dizziness and light sensitivity while on Dexamethasone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: CholesterolIs cow foot high in cholesterol ? Is cow foot high in cholesterol ? Doctor: Hello, I would like to tell you that it is high in cholesterol, yes. Kindly avoid taking any soups made of cow's foot. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is cow foot high in cholesterol?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have Sle, plus CNS complications, and Factor V Leiden[ heterozygous]. Amongst other things I am on Xarelto,as I developed clots. What are the precautions that need to be addressed to have one wisdom tooth out because of a hairline crack. The Dentist feels in should be done with my Medical team , in Hosp, in Sydney. I am a 64 year old woman. 63 kgs Doctor: Thanks for your query, I have gone through your query.Since you are on many medications and systemic illness you need to take lot of precautions.Regarding SLE, You might have been put on steroids so the doses might have to be altere.Regarding factor V Leiden, is a hypercoaguability disorder, that might result in blood clot in circulation and cause thromboembolism. Regarding Xarelto, is a blood thinner, Before extraction of the teeth this drug might have to be stopped after taking physicians consent since the adverse effect of this drug includes bleeding complications, including major bleeding events and fainting.Consult a good oral maxillofacial surgeon and get the tooth removed. Before that get your complete blood investigations done including BT, CT, and INR. If the INR is normal then no need to stop xarelto.The procedure has to be done as less traumatic as possible. You need to take prophylactic antibiotics before the procedures.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What precautions should be taken for wisdom tooth extraction having a hairline crack?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I tripped on a pillow in the floor in a bedroom and hit my left arm (on the outside of the arm just below the elbow) on the dresser as I fell. I had immediate bruising. It was a huge bruise. I applied ice and the bruising went away within a week or so. However, it has been about a month ago and I still have a 2 in x 2 in swollen area that is firm in that area. Is this something I need to see my doctor with or will it heal? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have bruise on left arm after having an injury. Well there can be many reasons for symptoms you mention in query like hematoma , soft tissue injury or infection . I would suggest you to apply ice pack thrice a day , take ibuprofen or acetaminophen and keep your arm elevated while lying down . If condition doesn't get well then consult general practitioner for proper examination . Doctor will examine physically and prescribe anticoagulant like heparin or main drain the hematoma . Doctor may also prescribe antibiotics along with anti inflammatory . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bruise on left arm after having an injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my grand daughter has a red bump (one not a rash and it looks like a large pimple) right on her spine near her butt.. the doctor said that is norma with newborns and it will go down and blend in .. It has been two and half weeks now and it looks like it is getting larger. she wil be 3 months next week.. please let me know is this normal like the doctor said? Doctor: Hi, By what you say I feel that it could be a capillary hemangioma and is self-limiting as your doctor said. Skin conditions are best diagnosed only after seeing directly. I suggest you upload photographs of the same on this website, so that I can guide you scientifically. Please revert back to me with images so that I can guide you better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes a red bump on the back of a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doc , my friend suffering from polio in left leg. left leg little shorter 1 but she walk with support of clippers. i want to know how to improve muscular power of hip and thigh of affected leg and also know any advance clippers . i love her too much..... please help me.. Doctor: Dear caring boyfriend In poliomyelitis there is affection of anterior horn cells of spinal cord and this leads to wasting and weakness of affected leg. Wasting cannot be improved but power can be improved with physiotherapy and exercise. Take her to physiotherapist and ask for quadriceps and hamstring strengthening excersise. Limb length can also be achieved with surgery and ilizarov techniques. If there are deformity it can also treated surgically. Take her to expert orthopaedic surgeon and get herself examined. All the best."
},
{
"from": "gpt",
"value": "Target: Suggest treatment to improve muscular power in a polio affected leg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I WAS ON THYROID TREATMENT 3YEARS BACK BUT NOW IM NOT TAKING ANY MEDICINE AS MY TSH T3 T4 LEVELS ARE NORMAL .I HAVE A 5CM BY 4CM IN MY RIGHT OVARY .THE DOC HAS ADVISED ME OVULOC ID FOR 21 DAYS.MY QUERY IS THAT CAN THERE BE ANY SIDE EFFEC ON MY BODY DUE TO THIS PILL? Doctor: Hi, Ovuloc-LD is a combined two female hormones, namely progestogen and an estrogen and is most commonly used to treat symptoms associated with polycystic ovarian disease. It is generally well tolerated by most women however its short term side effects include mood changes, nausea/vomiting, headache, breast pain, spotting or breakthrough bleeding and weight gain. The long term side effects include clot formation in the leg veins, increased blood pressure and increased risk of cancer of breast or uterus. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali"
},
{
"from": "gpt",
"value": "Target: What are the side effects of Ovuloc id?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my 3 yo daughter grabbed my 5mg ambien off my night stand thinking it was her .01 clonidine. Before I could get the pill it had melted and she swallow it. She had appeared to e fine up until now she has thrown up close to about 6/7 times in the last hour and said her head hurts a really bad please let me know what I need to do Doctor: Hi dear,she has intoxication, you should give her 1,5 tablet of Charcoal for 5 days daily for absorption gases and toxins and plenty of water. For headache Paracetamol can be used.Keep her hydrated with plenty of water .Wish your baby good health"
},
{
"from": "gpt",
"value": "Target: Need medication for accidental intake of ambien 5mg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son is 3 years old, and came down with a head cold wed, it moved immediately to his chest (he is a preemie-grad, and has had trouble with pneumonia and rsv in past) he is running a temp, and his respiratory rate is between 48-50. I just don't know if i should wait it out a little longer to see what the day brings or take him in. I hate feelling like i'm always there for the slightest things with him, but his history proves medical intervention always was the case. It just seems so quick that a lung issue would be evident, when he only started showing signs of a cold wednesday night. Doctor: Hello,Your son’s respiratory rate is too high. Please take him to ER immediately and take a chest x-ray immediately.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Siva Kumar Reddy"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chest cold after treated pneumonia in past"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 38 years old, husband is 35. We have one daughter aged 8. We have been trying for a second child since Sept 2007 and I have had 3 miscarriages, last one was August 2009 and have not fallen pregnant since then. Had all the tests and nothing is wrong. What can we do? Doctor: Hi, Welcome to HCM, As your all reports are normal it is possible that endometrium might become resistant so go for D & C procedure.After D&C chances of pregnancy increases. You can go for IUI or IVF if advised by your gynaec. Ok and bye."
},
{
"from": "gpt",
"value": "Target: Trying to conceive, unable to after first child. History of three miscarriages. Causes for infertility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mom is 91 and she has been vomiting alot, Dr. done test and said wasnt worried to much about cancer since she hasn't been losing weight, He ran test and said liver something was high and done an ultrasound a week ago and still havent heard back from him. She had been on nexium for ulsers they found man years age, but after they healed no one took her off of them, so I did when I found out what it does after so long, and put her on natural probiotics. It seemed to help, but she still have vomiting issues and her back hurts real bad. she always had back issues & dr said her back is just plain wore out! I'm hoping it is just worse form the strain of vomiting. What do u think it is and what can I do? Doctor: Hi and welcome to HCM.it can be caused by liver issue in many disorders where there is usually alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didnt find anything and viral markers are negative then you have no reason to be concerned. YOu should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated drinks. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest to go step by step. Wish you good health."
},
{
"from": "gpt",
"value": "Target: 91 years. Vomiting, pain in back. On Nexium for ulcers followed by natural probiotics. Detected some liver problem. Ideas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: the end of my fingers and palm of my hands are extremely dry. There is white flaking areas and along the outside palm of my hands they have visible cracks. My palms seem to be wrinkled as well. I did have my nails painted but no artificial nails were put on. No lotion has relieved the dryness. Doctor: hi,drying of the skin occurs due to lack if melanin secretion. Melanin is a natural oil excreted through the excretory glands. due to the environmental factors and the chemical used for the skin may damage the duct.for this - first dip the hands in the normal room temperature water. also in a day try performing regular physical exercises which will help improve the metabolism and allow the excretory glands to function again. by this your cracks and dry skin issue with come down.also , oxygen is a natural energy source of the cellular functioning. By performing regular breathing exercises the metabolism will boost and the scaling of the nails will be reduced. as it is controlled directly by the physiology of the human cells. I have personally tired this on my old age patients and in 2-3 weeks of time I have found optimum results.with the grace of god I wish you a good health"
},
{
"from": "gpt",
"value": "Target: What causes extreme dryness of hands?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a dull ache/pain on left side of my chest, just above my breast. A little shortness of breath. My blood pressure is a little high (but could be that I am stressing over this pain in my chest) @ 149/98 and a pulse of 63. Those are my only symptoms and I have been under a lot of stress lately. No dizziness; fatigue; nausea;vomiting; or cold sweats. Should I be worried about heart attack? I am only 41 (female) and in relatively good health. I do have scoliosis & was wondering if my back pain and my turned ribcage could be causing the pain and maybe the source of the dull pain in my chest. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, we should definitely rule out heart related diseases for your symptoms as heart diseases is likely to cause chest pain, shortness of breath and hypertension. So consult doctor and get done 1. Blood pressure monitoring 2. Ecg3. 2d echo If all these are normal then no need to worry for heart diseases. Your chest pain is mostly musculoskeletal pain due to Scoliosis. And your high blood pressure, mild shortness of breath etc 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. For chest pain, apply warm water pad and take ibuprofen. Don't worry, you will be alright bit first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes a dull pain in the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother a ged 62+ suffering from rcc , breast , metasteses in both of the lungs . as per reports ..her stage is 4. we dont go for operation as she says ..she can't take it.chemo and all.in the mean time she completed the course of interferan.and now she takes thallix200 every day. please suggest what we suppose to do for palliative treatment. Doctor: Hi,Thanks for writing in.Sorry to hear about stage 4 renal cell cancer in your mother. Since her cancer has spread to lungs and breast, therefore curative treatment is difficult. Thallix and interferon should be taken as suggested to control the further progression of disease. Please discuss with the oncologist if she should be given radiation therapy to control the disease progression and whether she is getting adequate pain relief. Additional pain relief medicines like opioids can be added when he develops bouts of sudden pain.In stage 4 disease patients can survive for 2 years with good treatment and supportive care. Therefore if he is able to maintain her general condition then she will be able to survive longer. Please give attention to her nutrition and give more proteins. She should also drink adequate water and fresh juices at frequent intervals to keep her hydrated. Please do not worry."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stage 4 renal cell carcinoma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small hole bellow my anus between it and my scrotum. When I stretch the skin it disappears. I don't often look at that part of my body so I have no idea how long it has been there.. It almost looks as if I have two assholes. Please give me an idea of what it is!! Doctor: Hi,From history it seems that you might be having fistula in ano producing hole near anal opening.This hole might be opening of sinuses there might be having more then one sinuses.Consult surgeon and get examined.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes hole between the anus and the scrotum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About 4 days ago, I noticed a pea shaped lump on my forearm between my wrist and elbow. It is painless and under the skin. What could it be? I have been taking medication for coughing, sneezing, and runny nose since before Thanksgiving. Also, I received a steroid shot. Doctor: hi.based from your description, it could be a cystic formation (tendinous or ganglion cyst), lipoma (fatty deposit) or a fibroma (fibrous tissue formation). it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation, especially if the lesion is persistent, increasing in size and is bothering you. other lesion types must also be ruled-out. definitive management is excision biopsy of the lesion.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump in forearm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i recently had a breakup..and its really difficult for me to move on...coz we had a good long 6 year relationship...and everything i do reminds me of him....though i have changed my city,and m trying to keep myself busy. we are now just friends..and he calls me sometimes....but i m unable to remove my feelings for him... what should i do....??? Doctor: may i ask why did you break up? why the continued friendship. Has he moved onto another relationship? how is this effecting you medically? any sleep or eating disturbances? how is your energy? you say you have tried to move on , what efforts have you made to do so apart from moving cities? I cannot tell you what to do without knowing more detail, and even then I cannot tell you how to continue with life. I will only be able to advise you on your options"
},
{
"from": "gpt",
"value": "Target: Broken up with long time partner, difficulty in getting over feelings, extremely emotional. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an AF ablation on Marchs 2, and my leg seems to be retaining fluid. During the day it gets pretty swollen. In the morning a lot of the swelling goes down but throughout the day it returns. I have been given a diuretic to take for 3 days but I have not begin it yet die to my busy schedule and my worry that I will be running to the bathroom very often. I will begin taking the pills tomorrow and hope that the selling subsides over time. Does this make sense? Doctor: Hi,Thank you for your query. I can understand your concerns.Your swelling of legs is due to congestive cardiac failure consequent to the underlying cardiac condition causing chronic atrial fibrillation.Surgical ablation of AF might have been done as a stand-alone procedure. Diuretic will reduce swelling and If you take in the morning ,it will not at least disturb your sleep due to frequent toilet visit .Th effect of diuretic lasts or approximately six hours. Regards Dr. T.K. Biswas M.D.Mumbai"
},
{
"from": "gpt",
"value": "Target: What causes swollen legs after ablation of atrial fibrillation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recently I ve developed a rash or red bumps around my underarms and around my waist and thighs. Basically like where my boxers cover. I thought it may be a different detergent we used for laundry, but it s not going away and seems worse. What are my other possibilities besides an allergy? I ve been to an allergist and the only thing that came up positive was cats. I have no cats and ha en been around d them. Plus I ve never had an issue with cats before and have been around them my entire life. So definitely not a cat allergy. Doctor: Hi, It can be Fordyce spots. Consult a dermatologist and get evaluated. It would be better if you attach a picture along with the follow up query. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes underarms, waist and thighs rash lumps?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a pain sensitivity in my upper left molar area. Dentist examined and found nothing. It feels like a gum inflamation and is sensitive to cold liquid..I am suspicious that it may be sinus related, as it hurts when I blow my nose to clear nasal congestion. It isn't constant, but feel it most of the time. Also hurts when I brush the gumline (pocket) on back side of the last molar. It has been approx 2-3 weeks since I saw dentist. Thanks. Doctor: Hello,Thanks for writing to us.The pain sensitivity in upper left molar can be due to bone loss or periodontitis of the inflammed tooth.Get a deep scaling done.X-ray of the tooth will help to find out any infection underlying.Meanwhile,maintain oral hygiene well.Brush and floss your teeth daily.Take care."
},
{
"from": "gpt",
"value": "Target: Pain sensitivity in upper left molar, gum inflammation. Is this sinus related ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Umm, I am watching the Doctor's segment about the woman who had no teeth and I'm I the same situation. My bottom teeth have given themselves a root canal. By that I mean an infection has completely killed my teeth. it started by one tooth having a cavity and it never broke the enamel and ate downward along the root and went down along the jaw bone then up all the other teeth. I have no nerves and the teeth are just eroding away. Several have the gums grown over them. Several dentist said they are all infected, the calcium is completely depleted, many are just a facade or an empty shell. They want to pull all my teeth. I think I have 11 teeth left, 7 upper and 3 lower that I can still see and 3 under the gum. I'm on Obama care so I can get my teeth pulled for free and have free full dentures but I watched my mom cry so many times after getting full dentures because of the pain she went through and I don't want to have to go through that. I'm praying for help to get \"Full Denture Partials\". I think that consists of four posts (One on each quadrant) and the dentures snap in. Something like that but I'm so worried that I might not have any bone left to get them. Because it this problem I have developed breathing problems and headaches. I am experiencing heart trouble for which they want to put in a stint, they say I have a portion that is not getting any blood. I'm on housing, food stamps and have no job at this point because I am disabled and was wondering if I could get some help also. What do you think my chances are? Doctor: hi ..I understand your query.. There can be one treatment modality that is tooth supported overdenture. In that case, post will be given in your remaining teeth after root canal treatment and then denture will be fabricated on them. These overdentures reduce the instability of complete dentures and maintain alveolar bone.however you should have to take various precautions such as brushing the remaining teeth and go for regular follow up so any caries or periodontal disease can be treated and dentures can be relined.hope it helps."
},
{
"from": "gpt",
"value": "Target: Can partial dentures replace complete dentures when all the teeth have eroded?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My doctor prescribed Dopergin along with 100mg Clomid even though all my tests were normal. After the 2nd dose of 1/2 a Dopergin I vomited 3 huge vomits, went white was shaking & my heart beat was fast. I stopped all medication. May I know what happened? Doctor: HiSevere dopamine-agonistic reactions e.g. nausea, vomiting and vertigo can occur with the drug.Metoclopramide or domperidone may be given as antidote for mild cases. Severe cases may be treated with sulpiride injection.Incase of persistent vomiting,drug should be stopped.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician"
},
{
"from": "gpt",
"value": "Target: What causes tremors,vomiting and fast heart rate after taking dopergin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 37 and have had pain that comes and goes in my lower abdominal area and lower right back. When I push there it doesn't hurt. The pain comes and goes. Went to the Dr. and they could not find anything. Blood test came back good also. What could this be? Doctor: Hi.Thanks for your query and an elucidate history. You have already visited a Doctor and the blood tests are normal. The probable cause of such a problem of pain that comes and goes in lower abdomen and lower right back an be due to :Appendicitis.Right ureteric stone with colic.TyphlitisGyne problem related to the ovaries or Fallopian tubes ( if you are a female- not mentioned above).The best diagnostic tools are :Ultrasonography and CT scan of the whole abdomen.relevant urine and stool tests and remaining blood tests of kidney function tests.This will give us a proper diagnosis and the plan for further treatment ."
},
{
"from": "gpt",
"value": "Target: What causes on and off abdominal pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In Sept I was diagnosed with Hep B. I was extremely sick for a couple of months. In Jan I was cleared of the Hep B. But I was having pains on my right side so the Dr did an ultrasound of my liver & Kidneys & found no damage done to either. Eventually the pain subsided around the end of Jan. But recently, it has returned. I went to the ER. They did a cat scan & could not find anything wrong. My blood work & liver levels all came back fine as well. But I definitely have this dull pain on my right side. They said at the ER the CT scan showed all of my organs were fine. No blockage & no damage. But the pain has since radiated from my right side through out my entire stomach. I feel bloated & the pain is a dull ache. It also comes & goes. One minute it s hurting. For maybe 15 or 20 mins. Focusing on my right side but radiating thru my entire stomach now. Then I feel fine for an hr or so. It constantly comes & goes. It has been doing this for wks. & whatever it is. Is getting worse. In the beginning it was only my right side. I thought I may have had a kidney infection. But I didn t. I am concerned because I ve never had medical problems in my life before the Hep B. & I ve never needed surgery or had stomach issues before. & it s even more worrisome that they cant seem to find a problem on a ct scan or blood work. I m wondering if some of the medicines they gave me when I had the Hep B has caused some sort of stomach problem that I never had before. Please help. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Don't drink cold water, cold drink,don't eat ice cream, cake, chocolatedon't eat outside food, spicy and fried food, junk food,eat home made healthy food itemsdo gargle with warm water with salt, drink turmeric powder with hot milkdo yoga and pranayam in the morning, do meditation in the morningtake cefadroxyl twice a day for 5 days, take ibuparacetamol twice a day for 5 day, take pantoprazole twice a day for 5 days. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can hepatitis B infection be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor my semens report duration of abstinence 3 days color greyish white appearance turbid consistency viscous p.h 8.0 volume 1.5 totol sprem count 02 million/ml sprem morpology 40% head defects 40% midpice 10% tail defects 10% motility active 30% sluggish 00% non motile 70% wbc 04/hpf rbc nil epithelial cells nill for fructose positive Doctor: you have low sperm count as it should be 15 million to be considered as normal.. you have 100 % abnotmal sperm.. you normally should have at least 4 % of normal.sperm.. motility is moderate.."
},
{
"from": "gpt",
"value": "Target: What does this semen analysis report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 28 years man , whenever i drink cold water or icecream etc.. i feel pain in my two teeth left and right each side.. apart from this there are gap in my teeth two and also I brush two times in a day still not much clean.. i visited to dr and he suggest to do either composite filling or root canal . i am confused plz help what to do and will be better for long Doctor: Hello and thank you for your question. Based on what you have stated, I would like to ask a few more questions for a proper answer. -Does the sensitivity leave within a few seconds from when the cold leaves the tooth? if so, then most likely the sensitivity is due to exposed root which is common. The best way to reduce this sensitivity is to use Sensodyne or another antisensitive toothpaste. You have to use this two-three times a day religiously for 3-4 weeks for it to START working. You brush your teeth for two full minutes, spit out the excess, do not rinse out the film, do not eat or drink for 30-60 minutes. This gives it time to work. It takes weeks for it to gradually start working but you will notice the difference. -Does the sensitivity persist for 15-45 seconds or longer after removal of the stimulus? if so then your dentist is right, you need root canal therapy because you have irreversible pulpitis. The composite is most likely to help close the gaps to make your teeth more aesthetic. Best wishes and good health Dr. Ward"
},
{
"from": "gpt",
"value": "Target: I am having pain in the gap of my teeth, is root canal helpful on this ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning, Yesterday afternoon I started feeling pain on my ribcage with certain movements I made but today the pain has gottn worse, when I make certain movements example turn my upper body side to side seem the pay is almost paralizing for a moment and also when I breath deeply it hurts seems pain is mostly on my right side also when I open my chest to breath. what could this be? Doctor: As you are feeling pain even on deep breathing it can be a sign of inflammation of pleura (covering of lungs)..I will opine to get an Xray chest done."
},
{
"from": "gpt",
"value": "Target: What could cause severe pain in ribcage with movements and breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m not sure what s happening. Any time I bend my left thumb down, it starts twitching. It literally barely started doing this five minutes ago. It s never happened before at all. It s just scaring me a little because I ve been told that when it does that, you have carpal tunnel apparently. Doctor: Hi there. First of all, don't worry, you do not have carpal tunnel syndrome(CTS). CTS mainly presents with dull aching pain over the wrist and hand, its more in the night and certain group of people- commonly diabetics, pregnant ladies, chronic alcoholics, patients suffering from thyroid disorders are the ones who are more susceptible to have this condition.The person suffering from CTS gets multiple pins and needles like sensations over the palm. What you could be having may either be a sign of a muscle fatigue of your thumb flexor muscles, or you could be having a trigger thumb, which are again both really benign problems and you need no worry about it. Drink plenty of water, give the involved limb some rest if its related to activity related fatigue and it should be alright."
},
{
"from": "gpt",
"value": "Target: Does thumb twitching indicate carpal tunnel?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have epilepsy problem since 1998.I am 29 now.And nw my doctors are reducing my medicines.But my face is look totally dumb.I am taking Lamitor OD.And Its almost 2 and half year I have nt gone through attack. My face is almost expressionless.What should I do? Thank you Doctor: HiTo my patient I would have told that in epilepsy stone like face is known to occur .In addition i would have advisd my patient that if it is because of drugs It will become normal few weeks after stoppage of drugsDr Lal"
},
{
"from": "gpt",
"value": "Target: Have epilepsy problem, taking Lamitor OD, face became expressionless. What should i do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Dr. gave me an allergy test and she said it came back as having a mild allergy to shrimp not shelfish though. I haven t had shrimp in months and the reason I had her test me is I am suffering from rosacea . Other than that I have never felt sick when i have eaten shrimp. My question is are there any ingredients in canned foods that are shrimp related without listing shrimp as the ingredient I should be looking out for? Doctor: It is mendatory to write every ingredient on canned food if there is no shrimp on the ingredient list it means there is no shrimp you can have it"
},
{
"from": "gpt",
"value": "Target: Test showed mild allergy to shrimp. Are canned food shrimp related?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have the pain in the party of upper right epigastict at the last bone rib of near the when i lie down for prolonged time Doctor: hi welcome, your specified area for liver right lobe it may be due to some reasons 1-distention of abdomen pushes diaphragm pain may radiate 2-liver enlargement may cause 3-rib may get some trauma or muscle inflammation consult doctor"
},
{
"from": "gpt",
"value": "Target: Why do I have pain in the upper right epigastrict ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor, My folicle monitoring shows: Day 8: RT ovary- f1 10 mm; LT ovary - f1 6 mm; ET 4.4 mm, no free fluid Day 10: RT ovary- f2 13.7X9.6 mm; LT ovary - f1 7 mm; ET 5.3 mm, no free fluid Day 12: RT ovary- f1 13X14 mm; LT ovary - f1 7 mm; ET 6.9 mm, free fluid What does the results mean? I will be visiting again on day 14. Doctor: Hi,I read your query and I understand your concerns.Following is my reply:1) Free fluid means ovulation or infection.2) yOUR FOLLICLE SEEM TO BE IMPROVING.3) Repeat scan after 3 days.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol"
},
{
"from": "gpt",
"value": "Target: What does the attached follicular monitoring results mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing a stiff neck (on one side only) that isn t eased very much by a chiropractor, could it be related to recently switching from Micardis 40mg to Micardis Plus 40/12.5 mg. My normal blood pressure while taking Micardis was 120/70. I had no stiff neck prior to this change. I m also experiencing severe hot flushes (since switching to Micardis Plus), but most severe on my face on the side of the stiff neck. They can last for more than an hour. I have Diabetes 2,(controlled with one Diabex XR tablet a day, and diet and exercise. My most recent (May 2014) HbA1c was 6.1, but my morning blood glucose level readings have started to steadily climb from my usual 5.5 to 7+, but return to 5.5 two hours after breakfast. Doctor: hiPossibly it is not due to drug.It could be spontaneous.I may suggest hot fomentation and application of muscle relaxant gel to the affected side and tylenol tabs.it should settle soonDont do exercise or any chiropractic procedure, instead just rest till spasm gets over.See an orthopedic surgeon if necessary to obtain muscle relaxant oral drug prescription if spasm continues longerbest wishes"
},
{
"from": "gpt",
"value": "Target: What causes a wry neck with hot flushes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Cutting down brambles in garden yesterday and got a small splinter/thorn. Finger was red, swollen and painful last night. Managed to remove the splinter and put on antiseptic cream. 12 hrs later and finger not as swollen but still a bit, hard to bend and stiff and painful. Oozing clear fluid if I press (looked to see if any small part behind and cannot see anything though hard when swollen (and on left hand which is my strong hand so needle wobbles!!!) Doctor: Hi there and thank you for your question.I appreciate your concern here and I shall try and help where I can.Bramble thorns break off quite easily and can lodge under the skin due to their size and sharpness. The issue though is that the tips of the thorns tend to break off and embed themselves under the skin.In effect, the body regards this splinter as a foreign body under the skin and an inflammatory reaction occurs. Blood rushes to the site of the wound in order to get white cells in the area so as to try and destroy the foreign body. That is why the finger would swell and become red and tender.The swelling then came down as you removed the splinter and the healing process can continue without there being a foreign body in the way to complicate matters. The clear fluid would be plasma that escapes which was formed as part of the initial foreign body reaction.You can continue applying the antiseptic cream for a couple more days just to help prevent an infection from occurring. The issue should then resolve on its own with the swelling decreasing on a daily basis.If the swelling, tenderness and redness starts to worsen then I would suggest seeing your doctor to assess the situation. Either there's then a secondary infection or there still is a foreign body stuck at the site of the wound.I hope this helps and good luck."
},
{
"from": "gpt",
"value": "Target: What causes pain and swelling on finger due to thorn/splinter?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 17 years old boy. While I was 14 my chest (right side) was just growing somehow little larger then left, and my friendas told me that it is normal and it will disappear gradually,I hope so but now it's not so, it is quit large then my left side chest, when I press it I feel some hard piece of flesh like part n it pains much. What type of problem is it? Why is this so? How can I get rid from it? Doctor: HiGreetings I can understand your feelings. It could be gynecomastia where in your breast is enlarged like in girls .If it is big it has to be removed surgically.I suggest you to consult a plastic surgeon. HOPE MY ANSWER HELPS YOU Regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for growing breast in male"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A patient was admitted to the hospital with chronic obstructive pulmonary disease. His PO2 was 55 and PCO2 was 65. A new resident orders 54% oxygen via the venturi mask. One hour later, after the oxygen was placed, the nurse finds the patient with no respiration or pulse. She calls for a Code Blue and begins cardiopulmonary resuscitation (CPR). Explain why the patient stopped breathing. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. COPD patients are maintaining their central respiratory drive through hypoxia (low oxygen level).So hypoxia is actually beneficial in COPD patients in maintaining normal respiration. So when COPD patients get high flow oxygen (54%), their central respiratory drive abolishes and hence patient stop respiration.So never give high flow oxygen in COPD patients because it actually causes more harm to the patient. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chronic obstructive pulmonary disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In the past month, I've developed four spider veins on my face. I have never had them before. Could this be caused by my birth control pill? I was on the pill years ago and started it again in October. Or could this be a result of using the fluocinonide prescribed to reduce redness on my nose? Is there any way to get rid of the veins? Doctor: Hi, dear. I have gone through your question. I can understand your concern. Many a times birth control pill produce this side effects. you should consult your gynecologist and ask for that. If it is due to that then you should stop or change it according to his advice. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes spider veins on face and suggest treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, just started noticing little uncontrollable tremors or little twitches, usually in my fingers, hands or arms. I m age 55, am a little hypertensive with some arthritis, who s also lately started falling more often... but the twitching is becoming more noticeable and I m just wondering what it might mean? Thanks, Lisa Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion increasing tremors with imbalance could be due to cervical spondylosis with pressure on the verves. The area of sensation will determine the nerve involved. I recommend you start anti vertigo treatment in the form of tablets , along with a combination of pregabalin and methycobalamine. I suggest you get X ray of neck to see the spondylotic changes. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes twitching in the fingers, hands and arms of a 55-year-old woman?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: woke up thurs morning w/red five inch looking rash, and a dime size lump...very tender, now rash is more like 3 inches in length, but the lumb is now silver dollar size and has been warm to the touch the whole time..on my left breast..im white female age 47.. Doctor: Hi ! Good evening. I am Dr Shareef answering your query.Although from the history it seems like an inflammatory mass due to some kind of infection, if I were your doctor, I would advise for a broad spectrum antibiotic along with a anti inflammatory and a proton pump inhibitor. At the same time I will do a total work up for the lesion like clinical examination, a mammogram, an FNAC (fine needle cytology) if need be, and a blood sugar estimation as a routine. Rest of the management would depend on the clinical examination finding and reports of the investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What to do for lump in left breast?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I lost my baby tooth tonight and it was hollow inside and my grown up too the was already broke through but you can't see it because this red bloody glob is covering and looks really bad and it won't come out it will peel a little but will not come out and I'm scared because I can't get to the dentist till Monday please please help thanks Doctor: Hi,Thanks for posting the query,If the tooth is hollow inside this could be due to the erruption of the permanent succesor.You need to get a checkup done by the Dentist, look for any nearby Dentist who can help, an x-ray of the region is required depending upon which the treatment will be decided.Take care1"
},
{
"from": "gpt",
"value": "Target: What do you suggest for a broken tooth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had 4 wisdom teeth removed right after Thanksgiving. I still have a knot in the muscle of my lower jaw on right side. Is there any home treatment or massage that I can do to relieve this knot? (what I believe to be a knot in the muscle, of course) It hurts to press with hard pressure. Thank you! Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have undergone extraction of wisdom tooth now you have feel like hard swelling dont worry it can be bony spicule also . You should consult dentist and go for examination of swelling . Do warm saline gargle two - three times a dayHope it will help you."
},
{
"from": "gpt",
"value": "Target: Is there any home treatment or massage that i can do to relieve the knot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a root canal in early may. Prior to the root canal, my symptoms were a hollow feeling in my left ear and tingling down my jaw. The endodontist determined that my back lower tooth was not healthy (no infection) and performed a root canal. The feeling mostly disappeared after the initial root canal, but obviously the endodontist and dentist have been in my mouth several times over the last month and a half, used novacaine, etc. for the crown. During the entire time, I have had swelling in my upper left cheek (inside), like little pockets of inflammation. Along with this, my allergies have been bad and I have had sinus pain, only on that left side in my cheek. After the dentist put my crown on recently, my left gland in my neck became swollen and has not gone down. The sinus pain comes and goes, the hollow feeling in the ear comes and goes and my jaw below my ear feels stiff and sort of hurts. I went to the urgent care to rule out an ear infection or strep. She said my tonsils and salivary gland are swollen and I had a lot of post nasal drip. She recommeded Claritin D. I have been taking it, but the swelling has not gone down with that or ibuprofen. The dentist also looked at my mouth and says my teeth seem fine. Doctor: Hello, Thanks for writing in. The root canal treated has re-infected causing all these side-effects associated. I would suggest you to get a thorough clinical as well as radiological evaluation done. If tooth can be saved,it has to be extracted. Or-else,tooth has to be root canal treated. Please get scaling done. Use soft-interdental toothbrush and dental floss to clean your teeth. Maintain good oral hygiene. Use chlorhexidine mouthrinse to gargle. Take complete course of antibiotics too. Take care."
},
{
"from": "gpt",
"value": "Target: Suffering from infected ear, decayed tooth, swollen tonsils and salivary gland. Recommended Claritin D, ibuprofen. History of sinus. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having terrible hip, leg ,,thigh and muscle pain since my Dec. 3rd. spinal surgery. The pain is only on my left side. Most of my pain was on that side before surgery but it was nerve endings shooting down my leg.(spinal steniosis?) Why so much muscle muscle pain? No more back or leg nerve pain. Doctor: hi,thank-you the brief history of you.well the question looks a bit of confusing here to me. don't take me wrong. is it the 3rd spinal surgery or is the surgery performed on 3rd Dec?as you mentioned you have undergone the surgery for the radiating symptoms and post that you are having a severe muscle pain. Well, just to ask how long it is being post surgery? and if it was post discharge are on physical therapy for performing exercise to strengthen the muscles.Since you have pain which is only muscular I can advice you to contact the surgeon as to just on a safer side to check once. Next, usually there will be little pain due to incision and muscle weakness which will get reduce once the proper physical therapy is performed.with the grace of God I wish you a good health and also to mention that with the grace of God radiating symptoms are not present so your nerve is fully safe guarded now.regards"
},
{
"from": "gpt",
"value": "Target: What causes severe muscle pain after a spinal surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi sir/madam, i am felling lack of concentration in my studies as m preparing for crne exam.and this is my last chance,m very much stressed to clear this otherwise my life will be ruined. along with this m feeling numbness in two fingers of my right feet almost from 1 year.it decreases/increases depending on my activity as well as sometimes become severe that causes irritation to me.lastly i have hemorrhoids too.how do i get rid of all these. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Regarding your concentration. If you are able to watch an interesting movie, for two hours, then you have no serious concentration problems. If you can play an interesting game for half an hour, you do not have any concentration problem. You are worried about the result, and therefore you are stressed and anxious. Anxiety and concentration are born enemies. Reduce anxiety. If you study you pass, other wise fail. If you fail, you do have other options. Don;t worry about the outcome, emjoy the knowledge you gain while you study. For your numb finger and hemorrhoids you should consult a neurologist and surgeon respectively. They should be able to provide you good treatment after proper evaluation. For that evaluation, you should visit them personally.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lack of concentration and numbness in fingers"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having severe lower back pain but had a period only a week and a half -2 weeks ago. The pain is so similar or worse to those I would normally have during menstrual periods (or had during childbirth) except the pain is fingering slightly across my left side oblique. I have been having a small chronic lower back pain over the last few months but have associated it to tight lower body muscles. No birth control and never have periods earlier than by 3-4 days at most. Feeling nervous to fall asleep because I have a higher pain tolerance and it just seems off. Doctor: I would first like to clarify that back pains are of many types and not only related to periodic painin your case what I suppose you have is a mechanical low back painhot packs would help you to some extendyou can lie down,first intant it will hurt you but as you progress lying with legs bend from hip and knee you will feel relief.exercise like static abdominal(can search the net with the term),pressing pillow between two legs (I'm the same position described above),will help you to relieve painfor further exercise you need to see a physiotherapist in your locality.Hope I have answered your query to your satisfaction,in case you want any further help feel free to contact me"
},
{
"from": "gpt",
"value": "Target: What causes severe lower back pain after periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: went to tanning booth while taking furosemide and now have bad itchy, burning, spreading rash. what will ease the discomfort? Doctor: Welcome to Healthcare Magic You are having contact dermatitis of the tanning lotion. You need to take antihistamine tablets for itching and apply lactocalamine lotion for relief. If the itching does not subside it is best to remove the tan. Next time apply a small portion of the tanning lotion on the skin and see if any reaction before going to the tanning booth."
},
{
"from": "gpt",
"value": "Target: How can I get relief from itchy,burning rash caused due to furosemide ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i am 31 yrs age, married and need to know if i can be get cured for fertility or not possible. The following are my sperm analysis results:PHYSICAL EXAMINATION OBSERVED VALUE NORMAL RANGEVolume :- 3.0 ml pH :- 8.0Colour :- Opalescent, Greyish white Opalescent, Greyish whiteLiquefaction :- More than 3 hrs.Viscosity :- Highly viscous CHEMICAL EXAMINATION:Fructose Test :- POSITIVE PositiveMICROSCOPIC EXAMINATION :Viability :- - 75 % or moreSperm count (Millions / ml) 16 millions/ml Sperm count per ejaculate 48 millions/ejaculate SPERM MOTILITY at 60 minsa) Rapid forward Progression - Few motile sperms seen. b) Sluggish forward Progression -Total forward Progression (a+b) - c) Non Progressive - d) Non Motile - SPERM MORPHOLOGYNormal Sperms - 67 % >30%Abnormal Head - 21 %Abnormal Neck - 2 %Abnormal Tail - 10 %OTHERS: Immature Germ CellsLeucocytes Few/oifEpithelial Cells - Occasional/oifRed Blood Cells - NilCandida/Trichomonads - NilMISCELLANEOUS CHARACTERSAgglutination of Sperms Not present NOT PRESENTCrystals Not presentGrams Stain No organism seen.Other test results:Follicular Stim. Hormone (Serum/Chemiluminescence) - 5.26 Luteinizing Hormone (Serum/Chemiluminescence) - 1.94 Prolactin (Serum/Chemiluminescence) 5.3 HormonesFree Testosterone (Serum/RIA) 11.10Please review my reports and reply me is there a chance that i can give birth to a child or not?Expecting immediate reply.Regards,M Doctor: Hi, Your semen analysis shows increased viscosity and liquefaction time. Hormones are normal, motility also decreased. You need a direct check up with urologist or andrologist to rule out any infection or varicocele. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN"
},
{
"from": "gpt",
"value": "Target: What are the normal semen analysis report?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir,I am having hair loss from past 8 years,I have a receding hair line.now I have started loosing hair from middle of head.please tell us the medicine/oil for the growth of hair.please tell me about the use of tugain in detail.Thanks in advanceMayank Doctor: Hello. Thanks for writing to us at healthcaremagicYour hair loss is due to Andogenetic Alopecia, which is essentially a genetic predisposition to hair loss and runs in families.Hair loss is mainly from the frontal scalp and later on involves the crown, if allowed to progress unchecked.Anterior hair line may gradually recede and there is widening and deepening at the angles of anterior hair line.It is important to begin therapy as soon as possible to arrest further progression.Minoxidil and finasteride are US FDA approved for this type of hair loss. Tugain contains minoxidil.Minoxidil is to be used twice daily at scalp skin after through cleaning the scalp with a shampoo; it is never to be used immediately after bath on wet scalp and it is advisable to wait till the scalp and scalp hair is air dry.Finasteride dosage is once daily.Hair oil is not advisable while on treatment with Minoxidil because oils will hinder absorption of minoxidil.Treatment must be religiously continued for at least 3-4 months for noticeable results and up to 2 years for maximum benefits.Regards"
},
{
"from": "gpt",
"value": "Target: What is the treatment for hair loss and use of tugain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. My friend last night experienced two episodes of sudden bloodrush to the head, felt very warm and his heart pounded like crazy. It made us both nervous. The first time I thought it could be because he had accidently inhaled fumes from massageoiles, but the second time he was just lying on the couch relaxing. It went 5-6 hours between these two episodes. What can it be? He is good health normally, 22 years old. Doctor: Hi, Thank you for posting your query. Based on the symptoms, we should exclude a diagnosis of cardiac arrhythmia (abnormal heart rate or rhythm). This can be done by tests such as ECG and Holter monitoring. Please consult a cardiac electrophysiologist or a cardiologist for evaluation. As of now, there is no need to worry. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected]"
},
{
"from": "gpt",
"value": "Target: Bloodrush in head, warm sensation, heart pounding, nervousness, inhaled fumes from massageoiles. What can it be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My gums are blood red but only the part on the top you have to strech the lips up to see there is deffinent straight line seperation the coulors also one tooth \"roots\" is hurting a biti think iv just popped a blood vessel and the blood is traveling around creating the coulor but im no doctor so Doctor: Hello!Welcome to HCM.You seem to be having a poor gingival health.I do not understand what you mean by 'a tooth root hurts'.If you mean it pains when you bite , then there must be a infection in the tooth also.I suggest you to see your dentist for a professional scaling session.Also rule out if any infection in the tooth you mentioned.Bad oral health is most common cause of gingival infections.Maintain a good oral hygiene.See your dentist once every 6 months.Use a floss daily and mouth wash thrice a week.Regards."
},
{
"from": "gpt",
"value": "Target: What causes blood colour gums with pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had consumed I pill for almost once in 2 months for past 2 years. But now from last 4 months or so I have not consumed. But compared to past to years I have gained a lot of weight and my weight continues to increse eeven now. Is this because of I pill? Doctor: Hello,I have gone through the query and understood your concern. Definitely, your hormone milieu must have got disturbed due to the frequent use of the high dose of progesterone emergency pill intake in the past. Weight gain is a side effect of hormone use. However, other causes also should be explored. You need to monitor your work-diet ratio, use a calorie-counter to adjust your needs, get an assay of hormones including thyroid profile, serum Prolactin and blood sugar. Restrict the use of emergency pill to one or two occasions per year. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Does taking i pill frequently cause weight gain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on Metformin for Insulin Resistance since July. With diet and exercise, I have lost 16.5 pounds and my Insulin number has dropped back in the normal range. However, In early October after traveling for about 6 hours by car, I noticed that I had developed a rash, that later was described as a Dr. as looking like petechiae or purpura along my abdomen. The rash slowly fade away from a red color to a rust color. Then almost as soon as my stomach would look clear, the rash would reappear. Each time it gets worse and spreads. I had just finished a Z-pack for a sinus infection and two prescription eye drops for conjunctivitis. My platelets were checked and were fine. The rash now covers the front of my abdomen, parts of my arms, some on my stomach, under each arm pit, both legs, the tops of my feet and is now spreading onto the soles of my feet. The rash began as flat, but as it spreads and reappears it has become slightly raised. The rash on my abdomen is blotchy. The rash on my legs and arms are small red, raised dots. Last night they began burning whenever they were rubbed, such as my jeans moving while walking. As I laid down to sleep, both legs began throbbing. I elevated them with pillows and it seemed to help. I have some joint pain in my ankles and knees that may or not be related. I have also had headaches, but that could be related to the seasonal allergy/sinus junk. The endocrinologist was at a loss yesterday and suggested seeing a dermatologist. However, I can not get into a dermatologist here until February as they are all booked solid, and with the rate this rash is spreading and burning, I am at my wit's end. I need help or relief. Doctor: Hello, Your symptoms seem to be related to an allergic reaction. I suggest using antihistamines such as Cetirizine. I also suggest using Calamine lotion for local application in the area of the rash. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What is the treatment for skin rash?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mom is about 58 yrs olde and she is HPT and DM and in menopause. She had sever R shoulder and knee arthritis pain to the extent that she cannot move her hand or hold a cup properly. She is visiting from other country and not she is not covered by health insurance but I can pay her treatment expanses. I would like for a doctor to see her. Where I can take her IN Ottawa Regards, Ghadah Doctor: Dear patient Definitive treatment for arthritis at age 58 is joint replacement. How she was diagnosed with arthritis? Knee arthritis is mostly due to degenerative arthritis and known as osteoarthritis. Which is very common at this age. Reason for shoulder arthritis needs to be searched for. Was any Xray done? If not done I would advise Xray of involved knee anteroposterior and lateral views and Xray of involved shoulder with clavicle anteroposterior views to confirm diagnosis. You need to consult expert arthroplasty surgeon nearby your area with Xray report. Meanwhile take tab diclofenac 50mg twice a day for pain relief. All the best."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe shoulder and knee arthritis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 70 years old. On MRI, I was found to have lumbar disk herniation. I am having bilateral leg numbness and weakness and unable to walk even short distances. I have been prescribed Renerve Plus injection and complete bedrest for a month. Will this be helpful? I am not interested in surgical correction Doctor: HelloMRI findings indicate lumbar disc herniation.Level of herniation is not mentioned in the report .It is important to know other findings like nerve root compression,spinal canal stenosis etc.Inter vertebral disc herniation may be the reason for your symptoms.Renerve plus is a multi vitamin and anti oxidant combination.It is genarlly prescribed in peripehral neuropathy.It is not expected to give much relief.Many patient get relief by conservative treatment in the form of physiotherapy,muscle relaxants,analgesics.Now a days, many surgery are done by minimum invasion like endoscopic method.Steroid shots are also helpful.Findings need clinical assessment by a neurologist/neurosurgeon.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Will renerve injection help in relieving the bilateral numbness in the legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Please I have a liver problem what foods do I have to avoid and what medicine do I have to take? I have also had a spinal injury and I was paralyse for some years but thank GOD I can now move my hands and feet after many years but my hands and feet are all shrinked that I cannot stretch them I cannot get up I can t do anything of myself ,what can I do doctors ? save me. Doctor: Hi and Welcome to HCM.I really appreciate your concern for the safe food for liver problem.Vegetables including green leafy ones, fruits, Vitamin E containing nutritional supplements are beneficial foods for liver disorder.You must avoid the following foods: Red meat, fatty vegetarian and non vegetarian meals, fast and junk foods, alcohol or alcohol containing beverages, smoking, etc.You have a great stamina and will power, have faith in God, Insha Allah, you will be alright.Wishing you best of your health."
},
{
"from": "gpt",
"value": "Target: Suggest diet and precautions to be taken or liver problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir/madam, actually i infected by jaundice due to infection of gall bladder and gall stones. my docor placed stunts for jaundice and again gall bladder removed with endoscopy surgery.... doctor give me diet list at the time of discharge. some non-vegeterian items like chicken and fish was there in that list... my friends and family members was said that never eat non-vegetarian items, fat food, chillis etc... CAN YOU TELL ME THE PERFECT DIET FOR JAUNDICE YYYY@YYYY Doctor: Hi,How are you? I am so sorry to hear all the symptoms you had and I am glad you have been successfully treated for it. In you case, the jaundice was due to stones blocking the bile duct and not due to any liver disease. So you do not need to be worried about taking a diet which will be easy on the liver. If the jaundice was due to liver disease, then usually a fat free diet would have been recommended. But since the jaundice in your case has been successfully treated by the stent and surgery, there is no need for you stick to any kind of diet, although in general avoiding excess fatty food is good for your general health. It does not matter if you are a vegetarian. The diet sheet is just a suggestion and not a rule. One other option would be to request the dietician at the hospital to provide you with a vegetarian diet sheet. I hope this helped and I hope you get better soon. Please do not hesitate to contact me for further clarificationsDr Suresh"
},
{
"from": "gpt",
"value": "Target: What is the ideal diet for jaundice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I JUST STARTED HUMARIA MY SECOND SHOT AND I AM BRUISING MY DOCTOR IS IN ITALY MY REGULAR DR TOOK BLOOD TEST TODAY BUT WONT TREAT IT IF BAD SAID I WOULD HAVE TO QUIT TAKING UNTILL AUH 11 WHEN MY RUMATHOGIST GETS BACK DON T WANT TO QUIT IT IS WORKING HOW DANGEROUS IS THIS ??? Doctor: HelloI have studied your case,I have sympathy for your suffering,These symptoms are effect of humera, and rheumatoid arthritis.Yes you will have to stop medication if bruising continues.Physiotherapy will also help you to reduce pain and built muscles and tendon.Take diet rich in protein and fresh foods. Increase your immunity by healthy food and herbs.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: Is discontinuing humaria injection harmful?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have 34 D breast size.I want that reduce it...........naturally...my rest of the body is not at all heavy,my waist is just 29 while my breast seems to be very awkward what should i do to reduce my breasts? Doctor: Hi: some time we can try androgen therapy to reduce your breast size, but it has lots of ude effects. I would suggest you to have plastic surgery, if you are really bothered too much with your breast size. Otherwise you could ignore it."
},
{
"from": "gpt",
"value": "Target: I want to reduce my breast size naturally"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My back is paining me on the lower (mainly left side). It hurts the most when I move from side to side; does not hurt when I am sitting. It is below the waistline. I have a 30% kidney function; therefore, I cannot take the drugs to relieve the pain. Could it be a vertebrae compressing some nerves? Doctor: HiWelcome to healthcaremagicAfter going through your query I came to know that you are suffering from muscular pain.Treatment of it is rest.Due to kidney disease you can not take analgesic. You can apply topical diclofenac gel.Muscle relaxant can be taken. Vitamin B-complex and Vitamin C supplementation can used to promote healing. It is unlikely to be vertebral compression fracture as it does not hurt when sitting.However you can get lumbar spine x ray done to exclude it. You can discuss with your treating Doctor about it.Hope I have answered your query.If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link:https://www.bit.ly/askdrsudhirorthoWishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes lower backache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a supposed fatty bump on my back-they did an ultrasound-came back not sure it was cancerous-both dr and tech thought ok. should i do a biopsy and if so what does that mean? It is not attached and can move around-doesn t hurt-didn t know it was there until i looked at my back one day Doctor: Accordin to your description it can be a lipoma which is benign lump.it can be kept under observation but has to be followed up regularly for monitoring for any increase in size or rapid increase in size . These symptoms indicate the chance s of tumour turning into malignancy . Bye."
},
{
"from": "gpt",
"value": "Target: Can a fatty bump on the back be cancerous?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes, I have previously had congestive heart failure and Sunday I felt light headed and dizzy all day. I started to get concerned after I took my blood pressure reading and it was 178/118 so, I got concerned and went to the emergency room. Was this the right thing to do. I wasn't suffering from chest pains at the time. Doctor: 178/118 is a big number and i would admit any patient with this number and start treatment under my guidance ...usually drugs are given ...after discharge stop smoking ...should cut down fried fatty foods ...yes you did right by visiting emergency"
},
{
"from": "gpt",
"value": "Target: How to treat BP level of 178/118 causing chest pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hey doc. My sis is getting small swellings all over her body after consuming mutton this evening. So much irritation and stomach ache is also there. Wot to do ? Doctor: mutton allergy but you should go for food allergy testing than decide for further management."
},
{
"from": "gpt",
"value": "Target: Allergy from mutton. Wot to do ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor..i was infected from typhoid around 2 years ago. I was treated but after that many times i used to get stomach ache, headache occasionally..recently i hv been observing rashes, fatigue, feeling of tiredness, intolerable stomach ache and frequent infections...can i be a carrier of salmonella..what treatment should i take? Doctor: Hello Your symptoms are ambiguous and with the help of these symptoms it is very difficult to establish any diagnosis . As you mentioned that after typhoid treatment , you developed pain in stomach , headache , rashes , fatigue , tiredness and FREQUENT INFECTION ( but frequent infection may produces such symptoms ) .The other possible reason may be :1 Hyper acidity .2 Anemia ( get in hemoglobin examination ).3 Resistant salmonella infection because NONTYPHOIDAL SALMONELLOSIS produces ,nausea, vomiting, nonbloody diarrhea abdominal cramps , headache , tiredness and fatigue.So in my opinion consult a primary care physician and get his opinion because physical examination is important in this case with clinical history.Good luck."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of salmonella infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am am taking risperdal , xanax , and wellbutrin for bipolar disorder , OCD , and anxiety . I decided to try taking 5-HTP supplements with it in the morning to see if it would help me out more. The next day I did not take it but I noticed a strange rash that looks almost like poison ivy, but, I have had to contact with poison ivy. They are raised bumps that itch sometimes, but, not THAT bad. They started on my right arm and I noticed them today on my left thumb . What could this be and what should I do? Doctor: Hi Nikole, Welcome to Healthcare Magic and thanks for your question... Firstly, I hope that you are taking the mentioned psychiatric medication only on advice of a psychiatrist. I'm also not sure whether the psychiatric diagnoses which you have mentioned are self-made or made after a proper assessment by a psychiatrist. The reason is because there seems to be a discrepancy between you diagnosis and the type of medication you are on. You have mentioned that you have a bipolar disorder, but you are not on a mood stabilizer. Also, you have mentioned that you have OCD, but again you don't seem to be on the appropriate medication. Risperidal is an anti-psychotic medication and Wellbutrin is an anti-depressant medication. So, please clarify and discuss about your medication with a psychiatrist. 5-HTP supplements are non-prescription, off-label medication which may be useful in depression and anxiety, but there is no clear and scientifically proven data or evidence for it. Moreover, they are NOT advised for people who are already taking anti-depressant or other psychiatric medication because that can result in side effects (sometimes a dangerous adverse effect called \"serotonin syndrome\") If your rash has developed following the starting of these supplements, then there is a strong likelihood that it may be related. Itching and rashes can sometimes be part of a serotonin syndrome also. My advise would be to STOP the 5-HT supplements and consult your doctor for further evaluation and advice. All the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: Bipolar disorder, OCD, anxiety, raised itchy bumps on taking 5-HTP, rash spreading from arm to thumbs<br><br><br>"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After being asleep for a couple of hours, my heart started beating very fast. I could hear my heart beating in my ears. I was paralyzed. I tried to wake up my boyfriend, but couldn t move or make a sound. i managed to get movement in my fingers and tried to poke him, but to no avail (he s a very heavy sleeper). I finally got my eyes opened, and I lay awake for a little while and fell back asleep when i started to feel better. This is the second time that it s happened in a couple of months. what s wrong with me? Doctor: Hello, Symptoms seem to be related to a sleep disorder, possible sleep paralysis or a nightmare. For this reason, I would recommend consulting with a neurologist and performing a polysomnogram. Other tests to consider would be thyroid hormone levels for thyroid gland dysfunction, cardiac ultrasound and an ambulatory 24-48 hours ECG monitoring for cardiac arrhythmia. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes sudden raise of heart beat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doc..i. Had this constantly feeling of light headedness , blurry vision , shortness of breathing , hard to concentrate with any kind of discussion ，sometimes feeling like running out of control w/c i dnt know why and it triggers everyday sometimes while driving , working, watching movie . I really dont know what to do pls help.. Tnx Doctor: Hi Thanks for writing to health care magic The symptoms u are describing could most commonly be due to a panic attack. In this u will have short lasting periods of dizziness, severe anxiety, restlessness, palpitations, excessive sweating, shortness of breath, tingling and numbness, confusion and difficulty concentrating in any work. These occur for 15 mins and start without any reason. They cause a lot of distress. Other conditions like hypoglycaemia, hyperventilation syndrome, thyroid disorders could cause similar symptoms. Hope this helps u Thanks and regards"
},
{
"from": "gpt",
"value": "Target: Light headedness, blurry vision, no concentration, out of control actions, shortness of breath. Help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My grandfather having some problem with lung infection, though he is quite old, i.e., 93 years old and have heart problem aswell. Following are the medication he is going through now:1.) Deriphyllin Retard 150 tablets (Now, replaced by Deriphyllin 2 ml injections)2.) Betnesol3.) Clavam-XR4.) Esiflo 250 Transhaler (Inhaler) (2 Puff each time-morning and evening)5.) Salbair Transhaler (Inhaler) (3 Puff each time-frequency raised to 7-8 times now)6.) Lycortin S 100 mg (Injection) (3 times daily) Would you please guide me necessary medication and instructions, etcRegardsRaj Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. I have gone through the drug list you have mentioned. He is taking oral steroid (betnesol) as well as injectable steroid (lycortin). Honestly speaking, steroids are contraindicated in active infection like pneumonia (lung infection).. Steroids cause immunosuppression and this effect is more in elderly patients. So better to stop steroids, betnesol and lycortin) because they can flare up and worsen lung infection. Addition of Azithromycin for coverage of atypical bacteria is also recommended in old age. So consult pulmonologist and discuss all these. Continue clavum xr, add Azithromycin and omit betnesol, lycortin. Get done repeat chest x ray after 7-10 days of antibiotic to see for improvement. Hope I have solved your query. I will be happy to help you further. Wishing good health to your grandfather. Thanks.."
},
{
"from": "gpt",
"value": "Target: Suggest medication for chest infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My left arm, only when I lay down to sleep, aches and becomes at times very painful. If I get up and walk a few minutes it gets ok, until I lay down again. A MRI showed a frayed rotater cuff but surgery is not possible. Could I use cold and hot treatments to help reverse this. I am 73 and do still work. Doctor: Rotator cuff if frayed in mri means little mor can be done to prevent further. Detioration like graded exercisesundra physical therapist ultrasonicC massage to retin remains mass tissue and strength and power.if very painful, xylocain mixed metghylprednisone injection infiltreration may help.also aleve or Motrin and Dolo neurobion tabs.rule out any blood sugar or diabetes"
},
{
"from": "gpt",
"value": "Target: Can cold and hot treatments help reverse frayed rotator cuff in an elderly?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After some back pain from a recent fall, I had an x-ray, and the associate to the Physician s Assistant who was working with me called to say there was a compressed disk showing that seemed to be something from an earlier injury. She didn t advise anything further or tell me it was something I should keep check on, or that I should seek further medical help. I feel sure she was indeed relating the comment given to her by her superior, but I don t have any idea of what I should do now. I didn t have presence of mind enough to ask questions at the time, obviously, but I did look the condition up on Internet. I do need some clarification on the direction I should take now. Does a herniated disk mean something is critically wrong, or could be in the future, or that the fall could have affected the earlier injury ? Doctor: Hello. Actually there are a fair number of people with a herniated disc that don't even know they have one. If the herniated part of the disc begins to compress a nerve root that can cause radicular symptoms like numbness or pain or both shooting down a leg. In general there's no need for surgery with a heniated disc since the symptoms usually respond to physical therapy and if necessary, epidural injections."
},
{
"from": "gpt",
"value": "Target: What does a herniated disc indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son, who is 33 years old, has been suffering from intermittent epileptic seizures (TONIC) with certain psychotic problems like low self-confidence, poor concentration and dis-interest in work , non-socialization, rare but sudden bursts of anger etc. From September, 1998 to July, 2011, he had in all 43 irregular seizures. He has been on different medicines for cure since 1998 itself as per different neurologists advice in the order given- DILANTIN-100+100mg/day ( 1 seizure in 1 year intake during 1998-99); TEGRETOL-100+100mg / d ( 2 in 4 months - 1999); ZEPTOL- 200+200 mg / d (30 in 2 yrs -1999-2001); EPILAX CHRONO 700+700 mg / d ( 3 in 4 yrs- 2002-2006); DEPAKOTE -500+500mg / d (NIL in 8 months-2007); TORVATE -500+500 mg/d +T.EPTOIN-100mg/d (7 in 4 yrs-2008-11). 20% of the seizures were due to non-intake of medicine for a day or two and rest may be due to non-suitability or inadequate dosage of medicines taken. presently he is on EPILAX CHRONO -500+500 mg / d +RISDONE-1 mg/d+NEXITO-5 mg/d from July, 2011. Today, ie on 16-4-2012 he is on severe tonic seizure twice at 1.30 AM and 5.30AM. Advice sought to do what immediately. Doctor: Hello Thanks for using Healthcaremagic.com From the details provided it looks to me like he is suffering from pseudo-medically refractory epilepsy along with psychosis and depression. I call it pseudo because of the inadequate dose and poor compliance with the medications. Other causes for recurrent seizures are sleep deprivation and wrong selection of medications for the type of epilepsy. I recommend you to see a Epileptologist for classification of epilepsy and then to choose right medicine for the type of epilepsy. Inspite of this he remains refractory with good drug compliance he needs Video-EEG for surgical evaluation. Sincerely, Dr Shiva Kumar R Consultant Neurologist & Epileptologist Bangalore"
},
{
"from": "gpt",
"value": "Target: What to do in case of severe tonic seizure ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I just had an ultrasound at 2 weeks and 4 days after embryo transfer (5day blastocyst). The doctor didn't see anything. My first beta was very low at 57.6 (1w4d after ET) and then went up to 175.3 (2w1d after ET). Is it too early to see a sac using transvaginal ultrasound (Sep 23 was transfer day and today Oct 11 was the u/s). thanks. Doctor: Hi, actually your can see the sac only when hcg level reaches 1500. Also, hcg level should double in 48 hours. if it is not happening, it indicates towards a failing pregnancy. So, I think you should repeat a hcg test after 48 hours and then you can be sure of the pregnancy. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Is it too early to see a sac using transvaginal ultrasound?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi I am ram, i have a stammering problem from 10 years. now i m 17 years old. due to this i am unable to speak my friend because i have such stammering problem and all of my friend tease me and i feel so shy. so please give me some idea to stop stammering problem Doctor: Hi Ram,I can understand what you might be going through. Stammering as a problem can be tackled by proper therapy. You can consult a speech therapist for the same. Speech therapy sessions will help you get over your problem.In addition, you can also consult a psychiatrist to evaluate if you also have underlying anxiety disorder which will need treatment of its own and can help control your stammering as well. Medications as well as relaxation exercises will help in the same.Best wishes."
},
{
"from": "gpt",
"value": "Target: How to get rid of stammering problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i think i have a hernia. i have had my left side done, now it seems the right side is acting up. also i have back pain around my belt line, which i didn t have wi the first hernia. i have an appointment tuesday aug 8th. i can walk but it is very sore. any suggestions? Doctor: Hello Thank you for using healthcaremagic I read your question and understood your concern I think that the back pain is from muscle spasms due to not good posture. Because of your hernia you may not stand straight and balanced but lean on one side which causes back muscle tiredness and contracture and lead to back pain.Dr. Selmani"
},
{
"from": "gpt",
"value": "Target: What causes lower back pain when diagnosed with hernia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have previously had brain surgery twice once to put a vp shunt in after a bleed and then another to remove a cyst in one of my ventricals. I have been left with a large dent after the cyst was removed in the top of my head, could it be pulled out or similar- it aches even after 10 years after the operation, im also losing my hair and my head will look like frankinsyein when I go bald. thanks martin fox Doctor: Hi,Thank you for posting your query.You seem to have more of a cosmetic problem due to dent in the skull, after brain surgery.I do not think that your headaches are related to the dent. The headache may be due to muscle tension headache or migraine.It is possible to do another surgery to make your skull look better. However, the simpler option would be to go for hair transplant or even simpler is to wear a cap in public places.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/"
},
{
"from": "gpt",
"value": "Target: Had brain surgery twice, left with a large dent, aches, hair loss. Could dent be pulled out?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am am 33 yrs old and i had ivf in MAY... but was negative,i never had the problem of egg growth, but this time i am doing a self folicullar study (with no medicine and no injections)and the growth is very less on 14th 10x8mm.. is it due to the over simulation done for ivf, what should i do now. Doctor: Hi welcome to HealthcareMagic your follicle size at 14th day 10/8mm is less in size... normal range is 18 to 20 mm in diameter... The growth of the follicle size depends on the hormones LH and FSH level... It is better to follow the advice of gynecologist than to get investigated on own... hope i have answered your question Take care"
},
{
"from": "gpt",
"value": "Target: Does over stimulation of ivf lead to decrease in growth of eggs ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi am a filipino, 69 , female. Known to have hypertension, benign positional vertigo, ? Hemochromatosis.Maintainance medication plavix 75mg od, telmisartan 40 mg od, serc 16mg bid, vessel due-f od.Complaint of superficial hematoma for the past 2 years til now? Doctor: Hi i did review your concern. superficial hematoma with your comorbidiities can be due to multiple reasons. I would recommend you to do a complete blood count and check your platelet count and then go on from there. also a coagulation profile in form of PT, PTTK may be warranted.I hope this helpsWish you a very healthy life ahead."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to treat superficial hematoma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on and off various antibiotics for years for the treatment of acne and, until recently, have never had a problem. Most recently, I was on Bactrim for a year and then two weeks ago, I switched to minocyline. I was only on it for 3 days before I stopped using it because my stomach was not reacting well to it. I was fine for a few days after that, until, a few days later, my stomach began acting up again with loose stools , cramping, bloating , gas, nausea, and heartburn . This has been going on for 7 days. I have heard of C. difficile as a result of antibiotic use and I am worried that this could be the reason for my stomach problems. I saw one doctor and they said they did not think it was c. diff because I was not on the antibiotic for very long. Eventually, I ended up in the E.R for stomach pains. They did blood work and an ultrasound there (though no stool sample) and said everything looked fine and chopped it up to gastroenteritis, but I m still worried c. difficile could be to blame? Doctor: Hi there. Antibiotics certainly can cause the above mentioned side effects. Whether you have C Difficile or not, only a stool culture or some very specific tests can tell you. No point in being worried. Suggest eat some yoghurt based products for awhile to promote the natural flora. This is the reason am more in favour of systemic isotretinoin for acne or topicals..however each doctor has his/her own reasoning. Hope u on t road to recovery..cheers!"
},
{
"from": "gpt",
"value": "Target: Taking minocyline for acne treatment. Loose stools, cramping, bloating, gas, nausea and heartburn. Side effects of drug ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just recently been put on Amiodarone 200mg for Afib and Vtach, How many people have died using this drug for long term? Other than Amiodarone and Metoprolol is there another drug that can be used to treat Afib and Vtach without as severe side effects such as the Amiodorone? Doctor: Hello! Thank you for asknig on HCM!Regarding your concern, I would explain that Amiodaron is one of the most effective antiarrhythmics used for the above mentioned purpose. But, its pharmacokinetic and pharmacodynamic profile may lead t oserious drug depositions in several organs (liver, cornea, lungs, skin, etc) and may lead to serious complications, such as pulmonary fibrosis, liver toxicity, vision disturbances, dangerous prolongation of QT interval on ECG, dysthyroidism, etc. The best therapeutical strategy for treating your arrhythmias would be to avoid antiarrhythmics (as they may paradoxically show proarrhythmic effects too), and try to eleminate the possible myocardial organic substrate of arrhythmia by possible cardiac ablation, if suchj a procedure is available to your attending medical center. A comprehensive electrophysiological study should be performed first, to address the pathological issues.Ather medical options are avaliable, besides Amiodaron, such as other antiarrhythmics like sotalol, propafenone, flecainide, etc, but each othem has its own side effects.Hope to have been helpful! Greetings! Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Is there another drug that can be used to treat A-fib and V-tach without as severe side effect?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have lower back pain relieved by ice pack. tenderness below ribcage in center area feeling of obstruction in throat right above collarbone pain increase in back and around lower abdomen after eating fatigue Began about 4 days ago as feeling of tight band around lower back and lower abdomen Doctor: Dear; thanks for using our system. You can have a herniated disc in the cervical area that is blocking the nerve in that area and giving you these symptoms. It can be a spinal stenosis or narrowing of the area.I hope my advise will be helpful Dr Sara"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower back pain"
}
]
|
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