conversations
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[
{
"from": "human",
"value": "Source: Patient: hi doctor, My 3 year son is vomiting from 3 days and today from morning he vomited up to 6 times with in 5 hrs. We were on trip for past 3 days and he did nt take any thing except 1 cup milk and water for 3 days. What could be the reson? and what can i do to stop it. please advise me what to do? Doctor: Travelling causes changes in climate and so in Tmthe intestinal flora(naturally residing benign+goodbacteria)So bad bacteria took the charge and disturbed your baby's stomachKeep your child hydrated by ORS.If vomiting is persistent give 1 tsf of domeperidone.and start probiotics(lactobacillus) sachet 1 sachet for 3 days"
},
{
"from": "gpt",
"value": "Target: What causes persistent vomiting in kids?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been smoking for almost two years. I stopped recently because I began to develop a sore on my gums and inner cheek that felt like a burn. I am now noticing white patches where this sore is. I just bought a mouthwash with chlorohexidine from my dentist, but I didn't have a scheduled appointment at that time, so he never got a chance to look inside my mouth. What is this sore and what are the white patches and will they go away if I keep using the chlorohexidine mouthwash ? Doctor: hello thanks for consulting at hcm,,if the burn on inside cheek is white and thick it could be leukoplakia, since u have smoking habit,, mouth wash will not cure this white patch,, u have to stop the habit of smoking and then take a course of antioxidants with the prescription of oral medicine/oral surgeon specialist,,plz consult asap for a check up and treatment..hope it helps,,tc"
},
{
"from": "gpt",
"value": "Target: What causes sore on gums and inner cheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 5 year old daughter is waking up with a yellow orange tinge to her skin with the darkest coloring in her feet and lightest coloring in her face. By the time she is dresses, fed, and ready for school the condition is mostly cleared up. when she comes home from school any indication of the skin coloring is gone. this has been occurring for several months despite diet changes and monitoring for possible external causes( such as dies in her clothing and shoes). She is going to her pediatrician for the second time on the subject tomorrow. Do you have any ideas that I could suggest to her doctor? Doctor: Hi..sometimes when the kid is having diet rich in carrots and papaya, then the skin can get discolored to yellowish tinge. This is called carotenemia. This is not a serious problem. This will get better if diet is changed. Nothing to worry.Regards - DR. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes yellow orange pigmentation of skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am Jerena 20 and about 5'6 tall I weight about 160 lbs. My problem was all about my veiny hands , i always get conscious and worried sometimes my friends teases me that my hands look like a man. How can i cure this without spending money ? Is there any routine that i need to do ? Please help me out . Thank you ! Doctor: increase your weigh a bit a measure that can use without money. also decrease a heavy lifiting by your hand, that will make prominent your vein. also wear loose under garment that will help your peripheral blood to go to heart without making your vein prominent. live in cool temperature. this are all the measures without money. thnx"
},
{
"from": "gpt",
"value": "Target: What causes veiny hands and suggest treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor, My wife is suffering from ITP and recently underwent Spleenoctmy.Though her platelet count has increased,she is still on steroids(30 mg of wysolene).Once she takes the tab she starts to shiver and would be out very low till the effect comes down.This may be for 4-5 hrs. Is this a a sympton of Wysolene? Also she feels heaviness in her body,Also are there any food intake that would reduce the tablet effects?Thanks in advance Doctor: Hello Sukumar, ITP is an autoimmune disorder. And Wysolone (which belongs to the class of corticosteroids) is given to suppress the immune system. However, once the platelet count improves, the dose of corticosteroid is gradually reduced and the possibility of relapse is monitored. Long-term steroids usage is associated with certain side-effects like: 1. Increased susceptibility to infections 2. Abnormal fat distribution 3. Osteoporosis 4. Diabetes 5. Hypertension 6. Cataract, etc Symptoms aggravate if medication is stopped abruptly. Make sure while discontinuing the medication, its dose should be tapered gradually instead of stopping it abruptly. Food products which strengthen the immune system should be taken like fresh fruits & vegetables, milk, etc. Wishing a good health. Let me know if I need to clarify further. Thanks & take care."
},
{
"from": "gpt",
"value": "Target: Suffering from ITP and recently underwent spleenoctmy. On wysolene. Any side effect of this steriod?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my baby is 10 month and a week old now.she refused to take lactogen. Am giving her other food supplements like rice,veg,fruits,oats,ragi and grains...From the third month onwards she passes the stool in green colour..though the colour changes attimes...tested her stool..it shows normal.. Doctor: Hello. I just read through your question.There are many colors of baby stool that are normal. Green is one of them. A potential problem could exist if you see red. Otherwise there is no need for concern."
},
{
"from": "gpt",
"value": "Target: What causes green colored stool in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got my blood test done on 26 th June and my s.g.o.t was 82.8 and s.g.p.t is 44 .7 . What can be the reason for this increase ? Can it cause acne ? And after how many days should I get d test again to check if they are normal ? I was having homeopath medicine from last 4 minths Doctor: Hello,Elevated SGOT/ SGPT can be transiently raised in few infective cases but if you have no infection, please re check your Complete liver function tests after 2 weeks and if they are still elevated , you have to get evaluated and get tested as to why you have altered Liver function tests, please consult your doctor and get your complete evaluation if you have persistence of elevated tests. Hope I could help you. Thank you."
},
{
"from": "gpt",
"value": "Target: Can increased SGOT and SGPT levels cause acne ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hola! I had a lumbar spine MRI and was told my L5 transverse process is articulated with the sacrum. This is obviously what has been causing me low back ache (and other aches and pains) since I was a teenager. More recently (since pregnancy over 5 years ago) I also have a more localised pain which turns out to be the exact location of where the L5 TV would touch the sacrum. I am in physiotherapy for this but I really think that the results will be temporary if my pain is relieved. I think this because if I miss a couple of days of exercise, I m back to square one with the pain and ache. I really want to have the resection (transverse process) surgery. The thing is.. I really want to know if the surgery could actually give me the flexibility I never had in my back due to the Bertolottis syndrome that I ve had for so long. Mechanically it makes sense that it would, but in reality is it too much too late? I would like to hear from any surgeon who has experience the this surgery... and what is the recovery like for this op?Many thanks Doctor: hi,thank you for providing the brief history of you.As by reading your history I can understand that the back ache is bothering you too much. As in my clinical experience I see cases with such abnormalities of spine. I personally have recommended people not tonunderfo surgery to the importance of the muscles and the bony factors. performing regular exercises will surely help you proceed further. The reason to avoid the surgery is also the recurrent post surgical pain. As the spine will be more of the instable. Usually, post laminectomy, discectomy, etc any spinal surgeries the pain persists in the future. since it is more of a joint play understanding here that the physics of the spine is designed to bear the sheer stress and load onto it. Also, once the muscles are stronger with the following exercises the levels are under control. Exercises includes - Core stability, Pelvic floor strengthening, Spine muscle strengthening, hip muscles strengthening, and later over all body conditioning. Looking forward to the other matter here is why the pain arises, it is the understanding of the just the bony deformity or it is more of the physics of mechanism involved.To head further I recommend my patients to use the hard wooden surface to sleep in nights, which the body in momentum and the recurrence of pain is much less. Practicing regular exercises post learning from a physical therapist helps in longer run.Surgery is a tempory relief of pain, but post the surgery the pain and aches are more due to instability of the spine, which I have personally experienced in my clinical practice.Also, the best job of an orthopedic surgeon is to safeguard the joint and not to allow it to damage more. A good surgeon will never advice for the surgery as the original joint has its own importance which no good surgeon will have a mind to lose.I will recommend to undergo a good number of weeks of physical therapy where you will learn various ways to exercise and safeguard the spine for future and avoid surgeries.In my clinical practice I have this same attitude of teaching more of the physical exercises then looking for the surgery. as exercise is the natural form of safeguarding the spine and surgery is the artificial. So choice is left up to you. In my opinion learning the best way to exercise is better than undergoing the knife.regards. Jay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Will resection surgery help in a L5 transverse process?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father is diagnosed with bladder cancer 4 months ago, he refused to take bladder out or any treatment. he was told 10-11 months to live. he has continued to urinate blood and now it is everytime he urinates and he said it is alot of blood. how long can he bleed before something happens to him? Doctor: Blood in urine is one of the presenting symptoms of bladder cancer. This is common because the tumor is like a raw surface that can bleed spontaneously or with the passage of urine over it. It is not smooth like the rest of the bladder. I am afraid to say but with no treatment and with the blood that he is loosing not being replaced he will not even last the predicted 10-11 months. He will have a massive bleed someday and expire that very day. There are other options besides getting the bladder removed. This includes radiotherapy to the bladder area. This will stop the bleeding and also have a certain chance of cure. I think you should counsel your father about it. It is a painless procedure."
},
{
"from": "gpt",
"value": "Target: What causes blood in urine with bladder cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After last weekend away ( 13th-16th) with a hot tub at our lodge we all seem to have folliculitis. My 10 yr old daughtet has very swollen eyes (as she kept going under the water) as well as a rash all over trunk. Does she need treatment for her eyes? Doctor: The rashes and the swollen eyes can be due to some allergy. Try anti allergics orally for a few days. It will be prudent to test the urine for the presence of proteins also."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen eyes in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was on the birth control pill for a year but I had to stop taking it last month becasue my prescritpion was not filled on time. I went back on the pill 3 weeks ago and my boyfriend has ejaculated in me 5 times in the past 3 weeks. We are in our early twenties. What is the probability that I could be pregnant? Doctor: short answer- it is unlikely to get pregnant when you are on birth control pills or any type of contraceptiondetailed answer_actually there is no such contraception method which give u 100% protection.but most of them are effective more than95%I would like to know some more information like -when did you have your last periods?what type of contraception used?please reply,thank you."
},
{
"from": "gpt",
"value": "Target: Can pregnancy happen while on birth control pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 31 yrs old gent planing for marriage my erect penis length is 12.5cm and semen volum is about 2ml i 've 2 questions, never had sex before. 1- if i got married to one girl of same age but with BMI 30 and big buttocks can i enjoy sex with her despite of penis length and her big butts? 2- semen vol 2ml can impregnate? Doctor: enjoying sex has to do more with your acceptance of your partener body.. but physically yes you can enjoy sex under these conditions.. a volume of 2 ml can impregnate providing that the sperm count,motility and morphology are normal.. to assess these parameters you need to do a semen analysis"
},
{
"from": "gpt",
"value": "Target: Is semen volume of 2ml sufficient to impregnate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, My daughter is 10 yrs old and yesterday high bulirubin was detected. Her reading are Bilirubin 5.6 mg/ 100 ml S.bulirunin (direct) 3.4 mg/100ml S.bilirunin (indirect) 2.2 mg/100 ml SGPT (ALT) 500 IU/L SGOT (AST) 350 IU/L. My question is how long will it take for her to recover and what diet and precaution should we follow. Doctor: Hi dear Welcome to the HCM,High carbohydrate diet like rice based food,plenty of all kinds of fruits, fruit juices,glucose water,oral rehydration solution,energy drinks,etc will be good choice for such diseased children.Avoid only nonveg food and oily preparations,Strict rest,Hope the query is answered.thanks"
},
{
"from": "gpt",
"value": "Target: Suggest diet chart for a child having high bilirubin levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: thank u sir i went operation in april 2009 and had a son ... then all tests or ok.. but later i had a fracture in nov 2009 where blood report shown as hbsag +... what i need to do now i stay in hyderabad ... i had white card and arogyasree card ... Doctor: Hi, I hope you are well, HBsAg tells us about acute infection, positive persistence for more than six months indicates a chronicity. You need to do a complete panel for hepatitis B because most people can get the infection and your body controls and eliminates it on its own, however in people who do not eliminate it if proper treatment is not given can lead to Term chronic irreversible diseases such as cirrhosis."
},
{
"from": "gpt",
"value": "Target: What causes hepatitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my child has allergic bronchitis. She s had this since she was born, and she is now 3 and a half years old. She catches a cold very easily and always ends up as bronchitis within 2-3 days. She is on treatment called Singulair. What is this? Will she have this forever? How long will it last for? Aren t there some home remedy s to speed up recovery and the severity of the cold? Doctor: Dear Parent,The following home remedies may help in reduction of symptoms in your child but will not cure the allergic bronchitis.Using a humidifier in her bedroom will help reduce her wheeze and cough.Give her plenty of fluids to drink, cough drop/ lozenge to provide relief from cough. Once she gets older ( 5 yrs) gargling with salt water will ease the discomfort in her throat."
},
{
"from": "gpt",
"value": "Target: Are there home remedies to speed up the recovery from bronchitis in a 3 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was prescribed Peroxy ( hydrogen peroxide ) some years ago to alleviate gingivitis . I have been using it twice daily since as a normal mouthwash . I just read the instructions on the bottle (yes, late I know) and a limit of 7 days usage is indicated. Is there any problem or side-effects to this constant usage? Thank you Doctor: Hello, Thanks for writing in. I read your problem,i would like to suggest you that if you start using any mouthwash it should be discontinued after 15 days for a week or couple of weeks. And you are advised to use to peroxy mouth wash for gingivitis,you should discontinue it after 15 days. So now discontinue your mouthwash. Take Care Dr.Gunjan Gupta"
},
{
"from": "gpt",
"value": "Target: Prescribed hydrogen peroxide for gingivitis. Side effects of constant usage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having lower back pain and mri scan shows posterior central extrusion of L4-L5 disc causing compression of L4-L5 disc causing compression over the thecal sac and mild narrowing bilateral neural foramina . Please help me in this regard and give some remedies. I have severe low back pain and I feel numbness in left leg. thanks Doctor: Hello , Thanks for posting your query. you are suffering from PIVD (prolasped inter vertebral disc) at L4-L5 level. but according to report their is no significant nerve compression ,so you don't require surgery but to be confirmed by clinical examination. to get rid from this problem you can go for some medication, phisiotherapy and some of the precautions. precautions to be followed are :- * first don't lift weight * avoid jerky movements of spine * sleep on hard bed *do regular spine exercise Hope I have answered your query. Regards."
},
{
"from": "gpt",
"value": "Target: Lower back pain, mri shows extrusion of L4-L5 disc causing compression. Remedies ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Background: 14 days ago I suffered from severe dry mouth. In the past 4 days I have had swollen tongue with deep ridges along the sides and top. It has a burning feeling and is red in color. I do suffer from red eyes, fatigue. This is not a medicine allergies as I have been on the same meds for 2 years. It has become quite uncomfortable. It did bleed in one spot on top this evening when I touched it with my toothbrush. Do you have any Ideas as to what is causing this? I am a 56 yr. old female. Doctor: Hi, Welcome to Healthcaremagic.com. I had gone through your question I can understand your concern. The condition as per your history is suggestive of fungal infection, because of dry mouth and may be the medication you are taking (antibiotics) can lead to fungal infection. You need to visit a doctor (dental surgeon) to get it properly evaluated. During mean time you can apply clotrimazole 1% mouth paint three to four times a day. Hope my answer will help you and visit us back if you have any further queries. Regards Dr Muzaffar Hussain Parray."
},
{
"from": "gpt",
"value": "Target: What causes dry mouth, swollen tongue with deep ridges, eye redness and fatigue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Should I be concerned of an ast ( SGOT ) no. of 74 and an alt( SGPT ) no. of 125? The reason I had the lab work done was because of severe stomach pain with vomiting. I am taking the medication Nexium for a hiatal hernia . I had a test done to check for heart disease and a test on my stomach to check for ulcers. They were both ok. I am still having severe stomach pain at times. I have no gall bladder. Doctor: Dear Friend.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.If you consume alcohol this can cause rise in your liver enzymes.If you don't get your viral markers done.And you might be having acid peptic disease, presence of ulcers is not necessary for that.Review with reports.This is my personal opinion based on details available here. If you still have any query you may please ask me.Stay Healthy. Dr Anshul Varshney , MD"
},
{
"from": "gpt",
"value": "Target: Stomach pain, vomiting, hiatal hernia, SGOT 74, SGPT 125"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Why would a family doctor recommend you to an Endocrinologist when you produce a creatinine report showing a level of 164 and estimated GFR of 27? Her receptionist just got nasty when I said that seemed ridiculous and I should be seeing a Nephrologist, not aa Endocrinologist and refused to talk to me. I go for creatinine tests monthly and as yet have not seen a Nephrologist since 2007. My levels are always \"flagged\" as high and low but I don't seem to warrant any further care or treatment. Doctor: Hello and welcome to HCM.As an Urologist,i can understand your anxiety.You should write your age and for how long,you've had this problem.Your other reports also be written like :1. urine routine,culture and ACR.2. blood routine,creatinine,urea,uric acid,RBS,LFT,electrolytes and platelets.3. ultrasound scan-KUB,with residual urine.According to the reports,a nephrologist will decide about expert treatment.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Should a Nephrologist be consulted for high creatinine and GFR levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 21 year old girl , i married one year back , from last 8 months I have notice that a small lump appear in my right breast. It is stay in a fixed location and It's size is same , not getting any pain. After consulted with doctor suggest me to take one Evion 400 capsul daily . I am going to a right way ?? Please hep me . Doctor: There are two types of lumps which females of your age face called fibroadenosis and other is fibroadenoma.Fibroadenosis is the lumpiness of the breast especially during the last few days just before periods which accompanies with dull aching pain.Fibroadenoma is a continuous lump usually less than 5cm in size in the lower part of the breast. It is painless and does not increase or decrease in size with cyclical monthly periods.For fibroadenosis, drugs like evion and other multivitamins and primrose extracts are helpful but in fibroadenoma, the treatment is the excision of the mass.In your case, it seems to be a fibroadenoma and treatment is excision. Prior to excision, a tissue diagnosis is required for which an FNAC along with mammography is to be planned.Please meet your general surgeon, he will help you in the management."
},
{
"from": "gpt",
"value": "Target: What causes lump under the breast?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been taking benadryl for my allergys for quite some time.Anyhow now I feel like my allergys are worse when I don't take them then they were before taking the benadryl .Also I been feeling crappy when I don't take them.I have headaches and I've been light headed for weeks.Am I experiencing with drawl symtopms? I mean its over the counter benadryl.Or could it be something completley else and actually has noting to do with me stopping the medication Doctor: Hello.Thank you for asking at HCM.I went through your history. I would like to know more about your symptoms like - what kind of allergies you have, skin allergy, nose allergy, food allergy or any other? However, I assume you have nose allergy (nasal congestion, sneezing, running nose, etc) because that is the most common and also because you have headache. From this assumption, I would make suggestions to you as follows:1. Benadryl controls symptoms of allergies, it can not \"cure\" allergies. So as long as one is taking it, one feels good. Once one stops it, one gets the symptoms again. However, this is not a withdrawal. Please do not worry that you are getting \"withdrawal symptoms\" due to stopping Benadryl.2. Long standing nose allergies (allergic rhinitis) can involve sinuses which may be cause of your headache. So, if you are having headaches, I would first think of affection of sinuses.3. Were I treating you, I would prescribe you montelukast and levocetirizine/cetirizine regularly for at least 3-4 weeks. 4. I would suggest you to take paracetamol for headaches on as-and-when-needed basis.5. Personally, I would suggest you regular steam inhalations (please be cautious to avoid burns) and nasal cavity irrigation with nasal saline sprays.6. Please avoid exposure to dusts, smokes and air pollution as much as possible. Plenty of fluids and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help you in a long run.7. I would suggest you allergy testing so that you may identify the substances causing troubles to you and know measures to avoid them.Hope above suggestions will be helpful to you and solve your queries.Should you have any further question, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for allergic symptoms"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have already taken Acimiz Plus (Paracetomal 500 mg and Aceclofenac 100 mg) and Elthrocin -500 (erythromycin). I am breast feeding 5 months old baby. I just realize that I should consult with doctor. But I have already taken it 5 hours ago and feeded baby 2-3 times since than. Doctor: Hello! I read your query and I understand your problem! It is wonderful that you breastfeed your baby but you should be very careful with the medicaments you take during this time because some of them could pass to your breast milk, and then to the baby and could harm the baby. Paracetamol is rather safe to be taken but aceclofenac is contraindicated during lactation and therefore you should stop taking Acemiz Plus. Regarding erythromycin it is safe to use during lactation. Howvever, it is always wise to consult with your doctor and update him about the doses.I hope I responded to your concern! Best regards!"
},
{
"from": "gpt",
"value": "Target: Should i be worried about taking medicine while breastfeeding my baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 10 and started having spasms and shortness of breath 3 weeks ago. This happens when she is going to sleep or in her sleep She has recently started hallucinations two nights ago. what can be causing this? A neurologist has prescribed Valparin for a two week trial. Doctor: Hi... I feel that your child might be having a condition called PANDAS, which is related to the neuropsychiatric manifestation of streptococcal infection. I suggest that you go through about this illness in the Internet and with this tip consult your Neurologist for reconsideration of the diagnosis.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes spasms and shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my x-ray report says thick broncho- vascular markings are seen in both lungs, consistent with bronchitic changes. There is no evidences of active lungs lesion or infiltrative processes in either lung field. Normal hila and mediastimum. And i use to feel pain in both side of chest . please advise me if this is something serious. Doctor: Hi,Imran, Thanks for query, It seems that you have chronic bronchitis.Nothing to worry. Avoid fried, chillies and junk food. Quit smoking if you are smoker. Do respiratory exercise. ok and bye."
},
{
"from": "gpt",
"value": "Target: My x-ray report says thick broncho vascular markings"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I'm rather nervous to ask this question but i really need advice. The source of my problem: i have been wearing the same spacers for 10 years at least. No I'm not in any pain as of yet. But recently they've started feeling like they're about to fall out. Why didn't i go back to get them taken off? I was traumatized by the ones that put them on and I'm now terrified of dentists. I don't know what to do. And every time i think about going to the dentist, i over think every little possibility. What if i lose all my teeth? What if they want to do immediate operation to get them out? What if i somehow die because of these? But i need advice. It's getting hard to chew and honestly the looseness is downright annoying. Please help. Doctor: Hello,I suggest that you do make an appointment to see a dentist or orthodontist specialist for evaluation. My concern is with your overall periodontal health and how you have been cleaning your teeth. When was your last professional dental cleaning? X-rays would help diagnosis your condition and determine current dental needs. The spacers will need to be removed and I would hope this would be an easier procedure than your past unfortunate experience. Find a dentist that you are comfortable with. You can always make an appointment for an evaluation and decide not to proceed with treatment in that office if you are at all uncomfortable with the situation. Try to address your dental needs as soon as possible. With dental care small problems are always easier to treat. I strive to provide a comfortable experience for my patients during dental treatment. There are many techniques available in the practice of today's dentistry to provide you care with comfort. Please don't let this one experience compromise your dental health.Thank you for your inquiry. I am glad to answer additional questions and wish you good luck on your next dental visit."
},
{
"from": "gpt",
"value": "Target: What are the effects of wearing spacers for long time?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: There are brown spots almost like freckles on my 1 year old s face. It began with 3 tiny spots last year - they have not changed in size or shape, but there are now more of them just on the one side and on the bridge of his nose. I have taken him to my GP but they do not know what it is,a referral has been made to a dermatologist, but I am so worried. Doctor: Hi...those could be adenomas or sebaceous glands getting blocked. But it us very unusual at this age. An image if the face would have helped me a lot. Other possibility is an allergy or eczema or an insect bites allergy. I suggest you consult your dermatologist or upload photos in this website, so that our team will guide you appropriately.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest medication for brown spots appearing on the face"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i was recently diagnosed with bronchitis and sinusitus and possible strep. i have been sick for two weeks now. i still have sinus issues but my main problem is my cough. its not productive, dry, and my chest is killing me. every breath i take makes me cough and its hard to breath. do i need to go back to the doctor? thanks Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Best treatment of bronchitis is inhaled treatment. Since you are not taking inhaled treatment, your bronchitis (cough) is noticed improving.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest possible treatments for bronchitis and Sinusitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my child..she is 3 yrs old...one month back she was having high grade fever and severe stomach pain..there was an swelling in her intestine ..so she was on antibiotics for 5 days. After that her activities are normal but now-a-days her body temperature is not normal I mean its between 98 to 99. And from last two-three again she is complaining of stomach pain....does she have milk allergy? Most of the time she complaints after milk intake. Doctor: I have so many patientslike this Actually a child needMothers milk for 2 years and after 2 years child do not requre milk products If we add animal proten milk it does not suit to every child and he starting having allergis Stop all milk and diary products No use of ,ustard coconut walnut groundnut and almonds oil no soya oil Olive for application Use soap shampoo and creames which are milk free,egg free.nuts and soya free Get blood serum tested for milk specific antibodies in blood serum and go for desensitsation therapy which is latest in food allergies You have to avoid antibiotics,paracetamol,synthetic vitamins,Pain killers like brufen Put on anti allergics like fexofenadine and montelucast till you get results of blood serum tests I can guide you further after results"
},
{
"from": "gpt",
"value": "Target: 3 year old with fever and stomach pain, swelling in the intestine. On antibiotics. Milk allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have an area on my back that has been aching slightly and occasionally there is a sharp shooting pain and it seems to be stemming from the surface of my skin. i have had an extreme amount of sun exposure in my life. i am looking for a resource to use to locate a dermatologist in the austin tx area because i do not have insurance Doctor: Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryThe pain you described seems more appropriately localized to the back, not the skin. The backache with sharp shooting pain radiating to the skin is a typical feature of nerve damage to the back. In this relation, I will therefore suggest testing an MRI of the spine. Reason being its a more detailed study than a normal x ray, and unlike the x ray, does not tell us about the nerves. Also, an nerve conduction velocity (NCV) may be done if the skin affected is over the upper/lower limb. This further tells us about the location of the pain.If found affected, we may add a medicine like Gabapentin/pregabalin and you may need to undergo physiotherapy.In case you are concerned about your skin, please let us know if their are changes in skin, like the texture and the colour of the skin. We may be able to consider the information with pictures and let you know more about it.I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.Dr Mittal.MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)Consultant Physician and DiabetologistJS HospitalEx Apollo Hospital, DelhiEx Kailash Hospital, Noida"
},
{
"from": "gpt",
"value": "Target: What causes excruciating pain in the back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Three years ago I under went Chemotherapy treatment and one year of herceptin for breast cancer. I'm a survivor and doing ok. Since then I am experiencing, chemobrain, diabetes II, high blood pressure, and yes I am overweight and a woman 49 yrs old. But my inner lips in my mouth always seem scaley and dry. I am constently chewing on my inner lip because the roughness I feel about it. Where is this coming from? I've never had it before. Doctor: HIWell come to HCMStop chewing the lip because this is the only reason for your lip lesion and nothing else as you go on chewing your lip for dryness as the lesion would go more dry, this is kind of vicious cycle that takes place, but you can forger it this easily if you could wish for this, take care."
},
{
"from": "gpt",
"value": "Target: What causes the inner lips to be scaly and dry?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can you please tell me if i should be worried? I did not pinch the reservoir tip at all when i put the condom on and a few strokes in a felt that i was about to bust and i pulled out and then i ejaculated in the condom, i saw the cum In the condom and after that i looked to see if there were any rips or tears in the condom but there was not .15 minutes later we tried again with another condom and i still didn’t pinch the reservoir tip but we lasted about 20 minutes this time but this time i didn’t ejaculate and after that i wanted to see if there were any holes or rips and there were none. So can my girl get pregnant of his this?! Please I’m really freaking out Doctor: Hello and welcome to Ask A Doctor service. I reviewed your quer and here is my answer.As you said that you saw your semen in the condom and there were no holes in that, besides this you didn't ejaculate in second time and no hole was there again, so there is almost zero chances for your girl to get pregnant. So there is no need to worry about. You are safe. Stay calm and relax and enjoy with her. Hope i answered your question. Feel free to ask if you need further help. Thanks."
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible despite protected intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have this flat circular dark scar left by carbuncle for almost 7 years. Is there a way to improve its color? I have consulted a dermatologist before and she said that surgery is not the best solution since the scar was deep beneath the skin and it s located above the knee . There s a possibility that the wound will open and it won t give a nice result. Hope you can help me. Thanks for your time. Doctor: Hello.Welcome.If the dermatologist says that there is no medical treatment for it and surgery also would not provide the solution then you should try to forget it.Good luck."
},
{
"from": "gpt",
"value": "Target: How to get rid of a scar left by a carbuncle on my knee ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a young person of 35 years, but look like a old person, skinny with sunken cheeks and eyes. my eyes look very dull. Sometimes I go blank in mind. sometimes is depressed and angry. I have piles problem. I am undergoing ulcer and piles treatment. I have taken health products by ownself but to avail. My relationship are facing problems. I am a ciggeratte smoker. please advise Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. From the given description it is very difficult to diagnose your problem. I do see some mental troubles with you. But it is premature to tag it as depression. Most ideally, you are dissatisfied with life and your health conditions. This disappointment does not amount to clinical depression. Understanding yourself and your body should give you insight. Diseases are part of life. Healthy and happy living never means disease less condition. Learn to live with problems.In case if you need more explanation in this regard, please post a direct query to me in this website. I am happy to explain.Hope this answers your concerns.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for depression while being treated for piles"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am asking because i dont wanna go to the er and make a fuss if not needed. i have tingling in my neck and shoulders and i have had sort of a tension headache all day.. my pressure was up earlier and I took my prescribed tekturna 150mg given by my primary care doct. i have never had problems with my pressure or my heat beat which i found recently was irregular. should i wait to make a doctors appointment in the morning or should i go to the er. i just dont wanna make a fuss Doctor: Hello, You should first do an ECG, and probably a 24h ECG Holter monitoring and cardiac sonography. It may be atrial fibrillation that may need specific treatment, anticoagulation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anila Skenderi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes tingling in neck/shoulders with irregular heartbeat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have joint pain and numbness in both hands when I wake up . I have not had a diagnosis yet but all tests for ESr etc and rheumatoid factor were negative. All joints hurt and my shins have started hurting in the last week like the bone hurting. I am 58 and past menopause and have cholesterol of 8.6 and on atrovastatins 40mg but had pain before started them, my joint pain been going for 5 yrs now and not getting better. Doctor: Hi you have joint pain for 5 yrs and numbness in both hands when you wake up. ESR And RA Factor are negative .You had pains before starting statins. In my opinion Since you are 58 and post menopausal, the cause of your pain could be osteoporosis / osteomalacia. I would recommend you start taking regular calcium ,Vit D3 and get Bone Densitometry, Se Vit D3 Estimation .Also let me know how are your knee joints particularly."
},
{
"from": "gpt",
"value": "Target: What causes joint pain and numbness of hands with negative rheumatoid factor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir /Madam My wife is suffering from hair falling in large quantities (in front of forehead) to previous two months as she is taking her IVF treatment so tell me what should she go to her in treatment to Allopathy or Homeopathic treatment. Or Ayurved . Doctor: Hi, 1. As you are undergoing IVF treatment which causes hormonal changes/ disruption leading to hair fall, but it should grow back once hormones are stable, also the so-called female pattern hair loss due to this hormonal changes during IVF and the stress associated with it can also contribute or work as provoking/aggravating factor(s) for hair fall/thinning. 2. Thus, initially in combination with your attending Physician, hair specialist, and relevant blood examination one can establish the cause of hair fall and whether it can be treated medically or not, till then - Soap nut and shikakai along with Bhringraj and Neelini oil act as a natural conditioner, you can use it safely.- Apple, almond, banana, broccoli, cantaloupe, melon, carrot, cashew nut, corn, cauliflower, grapes, guava, lemon, mango, orange, pineapple, soybean, spinach have antioxidant properties so take them in plenty.- Vitamin B1 and B2, Omega-6 and Zinc, magnesium, biotin should be a part of regular vitamin intake, apple cider vinegar, Olive Oil or Coconut Oil, raw aloe vera juice applied directly to the scalp. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Munish Sood, Ayurveda Specialist"
},
{
"from": "gpt",
"value": "Target: Is homeopathic or ayruvedic treatment good for excessive hair fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had 6 fillings done about 4 days ago, and i was up all night last night with severe jaw pain to the point where i was in tears , i noticed after i got my two front teeth fillings done one was not sanded down enough and called the office and they said they would fix it when i come back on march 13 but i was going to call them today because im in severe jaw pain and ive tried ibprophen and tyl nothing helps. ;( Doctor: HELLO, Thanks for writing in. The jaw pain following dental fillings is usually occurs due to high points or overfilling of restorations done. Analgesics and antibiotics will not be a permanent solution. Please do visit your dentist soon and get the tooth refilled. An x-ray of the restored teeth will help to rule out any periapical pathoses associated. Infected pulp if present,has to be extirpated out. Hope this helps. DR.BINDIYA BHASKAR"
},
{
"from": "gpt",
"value": "Target: Severe jaw pain after getting dental fillings done. Not responding to tylenol"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my fiancée had an upper GI done, they found dark spots inside his stomach, they did a normal biopsy and they said it was nothing. what causes the dark spots? and should we have another biopsy done further? since dark spots from what I hear a normal biopsy cant pick up cancer , u have to go futher deeper into the dark spots to get a reading? should we get a second opinion? hes having nausea , fullness in stomach, and gets sick when he eats. but no vomiting . should we get these spots retested? Doctor: Its true that sometimes biopsy can be falsely negative, but I'm not aware of any association with 'darkness' only directly with being carcinomatous. The endoscopist/ surgeon has to have an index of suspicion and if suspicious repeating biopsies is a reasonable choice. Second opinion may be taken if worried."
},
{
"from": "gpt",
"value": "Target: Dark spots in the stomach found through upper GI scan. Normal biopsy report. Need to be worried about cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello last time I had intercourse was in January and I ve had a normal 5 day period since then but this months the first to days were normal but the rest were light. Also around the time of my period I was on antibiotics and had a allergic reaction to it then I was given another antibiotic but was sick to it as well. Now I m having dry cough and throwing up. Am I pregnant? What could be wrong with me? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. No, I don't think you are pregnant. Possibility of viral infection is more likely which is causing cough and vomiting. So drink plenty of fluids orally and keep yourself hydrated. Do warm water gargles 5-6 times a day. Take levocetrizine and paracetamol combination twice daily after food. Take antacid (pantoprazole) and anti emetic (domperidone) combination on empty stomach twice daily.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dry cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I cough and wheeze from time to time. Also, my chest feels like someones squeezing it tightly and then I have difficulty in breathing. When it happens at night, my friends want to bring me to the hospital but I just wait till it wears off. Is there any solution? It really bothers me because I can't breath well.Thanks Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of recurrent asthma attack is more likely. Best way to prevent recurrent asthma attack is control of asthma.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need long acting inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Oral combination of montelukast and fexofenadine is also beneficial. Once you start these drugs, you will not get asthma attacks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough,wheezing and shortness of breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 30 years old and having jaundice for last 9-10 days it started from 2.5 and now it i 9.8. in ultrasound diagnosis i got kidney stone of 9 mm. is this stone responsible for jaundice. how can it be treated?to whom should i consult to treat jaundice? Doctor: Hello. The kidney stone is not responsible for the jaundice. You need further tests like A complete LFT and HBs Ag. Anti HCV. Depending on these tests your treatment can be planned. Please consult a gastroenteroligist Hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for jaundice"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a question for you. In may I passed out and had gone through a lot of tests heart, brain scan, doppler, etc, and I am still having problems with dizziness off and on. I had to go to the er last week due to almost passing out again, I'm having problems with my neck and have tingling in my right arm and alot of times when I get dizzy I get tingling to my face. Could it be a pinched nerve in my neck or something to do with my neck problems? Doctor: Hi there, Your problem in the arm could be attributed to your neck problem since your nerve supplies areas in the lower level of the body. However the areas superior to the neck is not innervated by the nerves in the neck area but if the neck problem also affects the large vessel supplying the head from the heart through the neck then it would explain the symptoms. Have a CT angiogram of both carotid arteries, this might clinch the diagnosis and starts the process of correcting this matter eventually.Feel free to give us feedback on the results. Thanks, Dr. Eric"
},
{
"from": "gpt",
"value": "Target: Dizziness and tingling in face and arm. Have neck problems. Is this due to a pinched nerve?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a large deep purple bruise behind my knee. I don t recall doing anything to have caused this. I first noticed this about five weeks ago and it hasn t gotten any better. Maybe a little larger. The bruise does not hurt and hasn t changed in color. What should I do? Doctor: Hello and welcome to nHCM, Bruise on knee can be due to low platelet count or due to disorders of coagulation factors. You need to get complete hemogram, platelet counts, bleeding time, clotting time, PT, aPTT and INR done. These investigations will determine whether there is disorder of platelets or coagulation factors. Treatment can be planned after diagnosis of the condition. Thanks and take care Dr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: What causes large purple bruise on knee?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I suffer from recurring bronchitis, sinusitis, and as a kid would often get steep throat. I am 29 and now am suffering from an enlarged R tonsil, sore throat on just the right side and painful, swollen glands on the R side under my jaw and near vocal chords. I always have drainage in the back of my throat.Could my tonsils be the blame for the recurring problems? If they were removed, could it potentially help the sinusitis and bronchitis? OH, also I have had problems with being able to smell anything for years. Doctor: HelloThis situation is called Post nasal drip syndrome.It is the ENT doctor that treats it .You should consult him .RegardsDr.Jolanda"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for recurring bronchitis,sinusitis and sore throat"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir I am 29 years and have two childs(8 & 3 years).Last two weeks I feeling very different in mind, and I not getting deep sleep,wake up suddenly from the sleep.Actuly mind is totally disturbed.but some times I getting some reliefalso just for one or two hours.What is happening for me ?Can you pls advise me ?Regards,Mrs.Radhika Doctor: Dear RadhikaWe understand your concernsI went through your details. I can understand. Disturbed sleep or lack of satisfying sleep are almost always due to mental stress and disappointment or anxiety.. You noted that you have two children and did not mention about your husband or other family members. Is there any stress regarding your family members? What about your job? Are you employed? Do you or your family members have ny financial problems? Any physical ailments for you or your family members? The above are some of the troubles which could push you towards stress and disappointment.I suggest you to ignore the present sleeplessness. Engage yourself in physical activities, games, entertainment etc for a week continuously. Enjoy playing with your children. Pledge that you will not shout at your children in any case. Also follow suit with your husband. You should see change in your condition within a week. I also consult a psychologist online or in person for stress therapy. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for sleeplessness and disturbed mind"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Please help me. I have developed a problem that seems to surface in my brain. Whenever it gets late, not even really late just a little late I start getting really out of it my face seems to change even a little bit. And I feel this overall extremely weird terrible feeling and I can barely feel my face and not connected to my body. I get this look in my eyes like this soulless look, it's really scary I feel like i have brain cancer something. when I feel like that's I can't feel any emotion I know I need to sleep but I can't feel tired I can't feel anything. If I'm not able to sleep good that night and the whole next day I can barely function I look completely terrible, like I'm completely not even there. Somehow I force myself to get through my day which I barely can make, I get extremely sick. I was never like this before but it's to the point where I'm actually suicidal. Does anyone of any idea what this could be? Will provide more answers to questions if needed. Btw it makes it extremely hard to think all the time too, and I was always an extremely intelligent person, now I feel like I'm not even really here.. Doctor: HIThanks for using healthcare magicI think, that may be due to your personality or some underline anxiety disorder. In that case, you should try antidepressant that would help to control the anxiety. You can also try relaxation exercise that deep breathing or JPMR, that would keep you calm and help to control yourself in tense moment. Better to consult a psychiatrist for proper assessment.Thanks"
},
{
"from": "gpt",
"value": "Target: What is the cause of tiredness and loss of emotions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 24 year old female, i started taking biotin supplements 1000micrograms every other day after prolonged use of antibiotics (4 years every 3 months or so) for chronic UTI caused by genetics and issues with pelvic floor muscles. I was also on Nortrel 7/7/7 birth control during this time. I stopped taking birth control in November of 2012 and I am no longer suffering anxiety, extreme mood swings, depression, and my weight is slowly dropping currently 245 lbs(1st yr on birth control I gained 80 lbs with no change in diet and I was active into yoga and ballet before, also I am 6ft tall i walk several times a day still and wear a US size 16) I have missed my last 2 periods with multiple negative pregnancy tests (coincided with biotin use) is this something I need to get checked out or should I simply stop taking the vitamins? Doctor: 1. long term use of birth control pills results in reduced absorption of B-Complex Vitamins and thus Biotin is prescribed by the Physician/Doctor for the same. 2. Biotin has nothing to do with the periods, because this is all in the brain which sends hormones to the Female Reproductive system, and birth control pills disrupt this circuit leading to high or low levels of hormone related with ovulation. 3. US FDA has laid guidelines on its consumption, because excess will cause harm like: excess growth of hairs and nails, in experimental mice it has shown to cause miscarriages although this has not been proven in pregnant women. 4. for the Pregnancy test: It should be taken 10 days after the missed period, during which HCG is excreted. 5. Consult with your Gynecologist for any further Clarification."
},
{
"from": "gpt",
"value": "Target: Taking biotin supplements. Multiple negative pregnancy test. Is this something I need to get checked out or should I simply stop taking the vitamins?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 10 yrs old, very active, and healthy. Lately she has been very pale, with dark circles under her eyes. She says she has a feeling at school of not being able to do anything and she says she gets shaky in her arms and legs. She seems to get tired more often..all this has come about in the last month. She had an episode at school where she felt very weak and almost sick to her stomach, and then her vision went fuzzy and she said eeverything was black. Doctor: Hi,Welcome to healthcaremagic.com.I know that you are very concerned about your child but don’t worry.By what you quote it seems that your child has dizziness episode due to anemia or dehydration.I suggest you to do a complete blood count.Start a multivitamin syrup and give more water to child.I hope this will help you.Wishing your child good health.If you have any more questions, you can ask me athttp://doctor.healthcaremagic.com/doctors/dr-deepak-patel/70939If you do not have any further queries, you can close the discussion and rate the answer.Take care.Regards:Dr. Deepak Patel, MD Pediatrics"
},
{
"from": "gpt",
"value": "Target: What causes weakness,sick stomach and fuzzy vision in 10 year kid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had implanon in for a little over a year and I've had excessive yeast infections and foul odor. I've never had problems like this before the program. Also, after my daughters birth the Dr left a lap towel inside me for two months. What's wrong with me?! Doctor: Hello,I have gone through your query and understood the concern. If you developed the infection, as you said, after getting the implant, some possibilities exist. Though there are no studies yet on the relation between bacterial vaginoses and the Implanon, with Depo-Provera it has been shown that hydrogen peroxide producing bacteria are reduced in six months of use; also, thinning of the vaginal lining can raise the pH from acidic to alkaline thus increasing the tendency to infections. Also, the history of left over material after child birth suggests that could have served as a harbor of infection. Please get an elaborate investigation by a gynecologist, get swabs for culture, urinalysis and blood sugar levels tested. Partner assessment also is needed for prevention in future. Hope your query has been answered. Take care."
},
{
"from": "gpt",
"value": "Target: Does implanon lead to yeast infections?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing a sharp pain in left middle stomach. The pain is a nonstop stabbing pain. Also it getworse when I eat maybe about an hour or so after. Today it is worse and I have new symptoms diaharea and gever which may have nothing to do with it. I don't get heartburn but sometimes burning in my belly Doctor: Hi.Thanks for your query.You have pain in left middle stomach and is non-stop stabbing in character- after an hour food- now diarrhea and fever. This indicates an inflammatory character and you need to go for investigation:Upper GI endoscopy.Lower GI endoscopy after the diarrhea is settled.Addition blood, urine and stool tests and ultrasonography of abdomen.The treatment to be started with antibiotics and supporting medicines as you have diarrhea and fever at the moment; rest of the treatment will depend upon the findings."
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in left middle stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir, My mother has been diagnosed with Extrapontine Myelinolysis. After Staying one in ICU , last week we have moved her to home. At home we are giving her supportive treatment. Neurologically we can see some improvement in her like she moving hands and legs, try to move her body, sometime recognizes us and gives smile and other small things. Please suggest me, what would be the next steps for her treatment. Is it possible for her recover completely. Please let us know every details which we should be knowing. We can do anything to save her. Regards Rohit Goyal 0000 Doctor: Hi Mr Rohit Goyal,Thank you for posting your query.It is unfortunate that your mother suffered extrapontine myelinolysis. This is a serious condition, which commonly occurs due to rapid correction of hyponatremia (low sodium in the blood). Complete recovery from this condition is uncommon, however, it is better than that of pontine myelinolysis (where pons is affected).At this stage, there is no specific treatment. Treatment is mainly supportive care along with good nutrition, exercises and physiotherapy and cognitive stimulation (with music, TV, talking, etc).It should be noted, however, that recovery is slow and may be incomplete.I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: Diagnosed with extrapontine myelinolysis. What should be the next step for treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,My MRI results shows below. Please suggest me to recover from it.Mild disc bulge at L4-L5 with partial extension into both neural foramina causing mild impingement on bilateral existing nerve roots.Mild right foramina disc bulge at L3-L4 with minimal impingement on right side existing nerve roots. Doctor: this mri indicates that you have mild discsno need for surgical intervention if you dont have severe symptoms"
},
{
"from": "gpt",
"value": "Target: What does these MRI scan of spine indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2 years 8 months old son does not eat at all, we tried giving him different types of food but still he does not want to eat and this is every day s story...his paediatric told that there is no apetiser available...is there any way to increase his appetite? Doctor: Hi,I have gone through your query.Yes, there is no appetizer available which directly increases the appetite. But if your son has some short of constipation like hard stool then giving laxative will help in clearing the intestine and increasing the appetite.Syrup Cypon is usually given to support liver resulting in increasing appetite.Try to regularise his meal time and involve him in some work while feeding.Let me know if you have any further questions.You can contact me on my page http://bit.ly/1dYupT2Wish you a good health."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lack of appetite in an infant"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Dr. SumitI have heavy blocked nose and ooze breathing. It's very difficult to breathe and almost panicked.I can't even sleep. Can I have any medicine or good way to relieve the symptoms. Now GP closed and I'm worried about that. I took antibiotics and Sudafed capsules since last night, but it's getting worse. Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of severe rhinitis with upper respiratory tract infection (URTI) is more.So better to start antihistamines and anti allergic drugs. Also take anti inflammatory drugs. Do steam inhalation and warm water gargles 5-6 times a day. Avoid stress and tension. Avoid oily and spicy food. Drink plenty of fluids orally and keep yourself hydrated. If you are not improving by all these than consult ENT doctor. You may need nasal spray to open up your blocked nose. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Having difficulty in breathing due to blocked nose"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. Rynne, I ve just experienced a somewhat pain in my upper right shoulder and chest area. I have just started a new exercise routine i.e push-ups, and was wondering if that may have something to do with the pain that I m experienceing? My age is 66 and I m basically in great health via regular check-ups. Doctor: Hello, As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist you can consult an orthopedician and get evaluated. An MRI scan is required for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes pain in the upper right shoulder and chest area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Today I was at soccer and someone s knee hit my quad fairly hard. It still hurts pretty bad. Usually I wouldn t worry about this but this happened to someone else on the team, and blood built up in their leg and they had to go to the E.R. Could this happen to me? Doctor: Hello, It could be a contusion. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. In that case, you might require an MRI scan for further assessment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bruise on quad with blood clot after an injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have developed mild itch all over my body, scalp and face. I noticed some small dark spots on some places which are very few. Earlier, around 2 months back I suffered from fungal infection near groin and inner thighs for which dermatologist prescribed clotrimazole, ketocanazole and fulcunazole and it was cured.Now mild itch started again this time all over body including groin and scrotum. I am 23 years old male.once in a year or two i suffers from such skin problem due to which my inner thighs and butts have become darker.plz suggest some solution Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of persistent body itching which is known as dermatographic urticaria which could be due to increased skin sensitivity and compromised immunity of body. Need not to worry. I would suggest you to:-- Apply cold compresses to the affected area .- Avoid sun exposure. Apply broad spectrum sunscreen with SPF 15.- Drink plenty of water . - Take aspirin or acetaminophen for itchiness and burning sensation. Take over the counter anti allergic drug like benadryl or zyrtec .If symptoms doesn't get better in 3-4 days consult dermatologist for proper examination and treatment. Doctor may prescribe steroids or hydroxychloroquine.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes persistent body itching?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My basement flooded. Stepped in, felt elecricity run through legs, got out. Immediately felt somewhat winded and both legs from knee down felt alot like when you lick a 9v battery. Subsided within an hour. Now hours later my left hand and arm to elbow and right hand are tingling, with intermittent cramp-type pain in left arm. Have history of hbp. What is happening to me, and do I need to be worried? Doctor: Thanks for keeping trust on us...nothing to worry ...just have some electrolyte solutions with plenty of fluid. ...take a analgesic ULTRACET (PCM+TRAMADIL) sos"
},
{
"from": "gpt",
"value": "Target: What causes arms and elbow pain after an electric shock?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad has complex seizure that is often triggered by stomach upset. He is being treated with tegretol. Recently he became dizzy and off blance. When he went to his doctor, the doctor said he has ear wax build up and they had to remove it. When the wax was being removed in one ear, my dad had a complex seizure. The doctor stopped and had him set up an appointment with an ENT specialist . Since the one ear was cleaned my dad has had a upset stomach, seizures, dizziness and just not feeling himself. What do you suggest? Doctor: Hi, Thank you for contacting Healthcare magic. Complex partial seizures respond well to medications such as tegretol. Please ensure he is on adequate dosage (10-20 mg per kg body weight per day), which means if he weighs 60 kg, he should be taking 600 mg at least. If his seizures are not under control, it can be increased to 1200 mg. He should be regularly taking the medicines, and should not skip it, for best results. In addition, he should sleep for 7-8 hours at nights and avoid any major stress/tension. I am sure, his seizures can be brought under good control. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: Complex seizure triggered by stomach upset, wax removal in ear, on tegretol. Any suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im36 have 3 kids 3yrs ago i had a tubal ligation,my last cycle was oct 27 i was sexual during that time period, my cycle has been gone for 5days,yet im having back pain,headaches,creamy white discharge with no burning or itching,breast tenderness,blurred vision,nausea ,cramps in my legs and pelvic area,is it still possible i could have gotten pregnant ? Doctor: Hi, Though rarely, failure of tubal ligation( recanalization) is seen. ( failure rate being 2-10 per 1000 cases) IN your case the symptoms you are suffering may be due to irregularity of menses due to hormonal imbalance OR pregnancy . You can exclude pregnancy by blood HCG testing. If the test is -ve, take Norethisterone 5mg pills, 1 twice aday for 3 days . it will be followed by withdrawal bleeding. Please consult your doctor for detailed examination & advice as per need. Thanks"
},
{
"from": "gpt",
"value": "Target: Delayed period, back pain, headaches, creamy white discharge, tenderness in breast, nausea. Had tubal ligation. Am I pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have not ejaculated in quite sometime and I was having sex with my girlfriend and i noticed that the head of my penis was very sensitive, i was unable to last very long, i am sure you receive plenty of questions about premature ejaculation, how can i cure this? or was it just this one time since i have not ejaculated in a while? Normally i have substantial stamina during sex and i was wondering natural ways to improve, could it just come with experience and being used to my sexual partner? because i have not been dating this girl for a crazy amount of time yet Doctor: HelloPremature ejaculation may be due to reasons like over excited state etc.You should try relaxation technique and avoid provocative literature and videos.You should try to be calm and go for yoga,mediation.You should try to engage yourself in your job.You may need routine blood investigations and if symptoms persists then psychological counselling may be needed.You may also practice holding shafting of penis at coronal sulcus when person is on the verge of ejaculation.This also prolong ejaculation time. Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: How to cure premature ejaculation naturally?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Age 28, 172 cm,hi doctor, today i got my spermocytogram resultssperm count 244 Mil/ml,abnormal 27%Hours Mobile% 80 after 1/2 hr, %80 after 1 hr, 65% after 3 hr and 55% after 6 HR, sluggish 5 and 10% between 1.2 hour and 6 hour, immobile between 15% and 35% between 1/2 hr and 6 hrVitability 85%Is it normal? Doctor: viability is 85 and mobility is 80 ...guy your sperm count is absolute normal ...just relax ..and try sex alternate day it increases fertilization rate ..."
},
{
"from": "gpt",
"value": "Target: Sperm analysis: count-244mil/ml,abnormal-27% and vitability-85%"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9 year old son, was knee d in the forehead by an adult male. The bump is extremely large, and squishy. This was yesterday afternoon. He was fine, he said he was fine. He woke up today completely fine, BUT the lump is still visible and feels gross. Should I take him in to get looked at? Doctor: Its a soft tissue swelling. Could be a hematoma.Will resolve spontaneously.Compressive bandage and ice packing might speed up resolution."
},
{
"from": "gpt",
"value": "Target: How to treat bump on injured forehead?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Which foods are the most common causes of allergic reactions? The majority of allergic reactions to dietary components are caused by a small number of foods, namely: * Cow’s milk * Hen’s eggs * Peanuts * Tree nuts * Soya beans * Soya products * Fish * Shellfish, prawns * Gluten containing cereals eg. Wheat * Citrus fruits In children, it has been estimated that nine out of ten reactions are to milk, soya, peanuts, tree nuts, or wheat gluten. Many of these reactions reduce after early childhood. A majority of allergic reactions in adults result from sensitisation to shellfish, fish, peanuts, and tree nuts. It is unusual for food allergy to begin in adulthood. Doctor: * Food intolerance reactions may vary the severity of the associated symptoms and the length of time for which they persist. * For example peanut allergy is often life long and can cause severe, even life threatening reactions to tiny amounts of peanut protein. * Cow’s milk intolerance may be severe in early life, but typically disappears as the child grows older. * Similarly, egg intolerance is usually a temporary phenomenon associated with early childhood. * Coeliac disease (gluten sensitivity) is normally life long and requires adherence to a diet that excludes all gluten. But in some people as the disease is mild and goes undiagnosed, the individual is not aware of any symptoms. Lactose intolerance occurs in individuals who lack or have low levels of the enzyme lactase, which is needed to digest the sugar lactose (found in milk) to its constituent sugars (glucose and galactose) for absorption in the small intestines. It is a condition seen in older children and"
},
{
"from": "gpt",
"value": "Target: Which foods are the most common causes of allergic reactions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is Joshua Isom and for the last week I have been having this horrible pain in the right side corner where my skull ends. is it possible that im pinching a nerve or maybe my jaw and skull is rubbing together. I know that my upper wisdom teeth are coming through is that a posablity. Doctor: this is 7th cranial nerve inflamation keep it warm and use anti inflammatory drug ( alphinturn )Good Luck"
},
{
"from": "gpt",
"value": "Target: What causes pain at right side corner where skull ends?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can Fybogel cause semi formed stools. I have suffered with IBS for years and recently started on Fybogel for constipation. Now I have swung the other way. I only go once a day but it is very soft and only semi formed. I take 1 sachet each morning. I am 72 years old. Doctor: Hi,It will definitely do that. It has non-absorbed sugars that are broken down to basically fizzy soda by the gut bacteria and this shoots out. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Can Fybogel cause semi formed stools?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rash under my breast.I tried cornstarch as well as diluted vinegar to no avail. What is the best over the counter medication to use. I have large breasts and assume its from perspiring when working in my garden. I have to get a mammogram next week. Help ! Doctor: Hi...Do not worry. It is just an inframammary intertrigo. Kindly consult the dermatologist for the perfect diagnosis and proper treatment.You may follow...- antihistaminics - antibiotic - oral steroid in tapering dose - apply mild cream containing steroid,antifungal and antibiotic - keep area dryThanks.Dr.Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: Suggest OTC medication for rashes on breast"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having heart problems and it feels like my heart is literally going to pop because it is beating so fast. And I'm short of breathe when it happens. It usually occurres when I take deep breathes, walking really far, going up stairs, or shifting from right to left. This just happened recently. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As you have mentioned your symptoms, it may be supraventicular tachycardia with breathlessness.Rate and rhythm control according to age and related ischemic heart disease is very important.For rate control, what is given are:Beta blockersCa channel blockersDigoxin For rhythm control, what is given are:AmiodaroneFlecainideSotalolHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Wasim Murtaza"
},
{
"from": "gpt",
"value": "Target: What causes rapid heart rate with breathlessness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have had sex with someone who has herpes but i used a condom , I'm scared i might have caught it but i dont have any real symptoms i have razor burn from when i shaved before but thats it not pain in the razor bums which aren't in large quantity nor does it burn when i urinate. it does itch from time to time but nothing major , what do you think it is and what should i do, do you think I'm just over thinking that i may have caught it. Doctor: HelloThanks for query ,Small bumps on penis are most likely to be due to allergic reaction to lubricants that are being used in condoms .Since you had protected sex and do not have any symptoms there is no possibility of acquiring Herpes or any other STD.Get relaxed. Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for small bumps on the penis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I woke up this morning to use the bathroom, while going pee I started to feel like I was loosing my balance. On the way back to the bedroom I had to hold the door frame to keep standing turned the corner to my room had to grab the door frame again and the purposely fell onto the bed. about a minute later I had a buzzing ringing noise in my head that lasted about 1 - 1 1/2 minutes. Doctor: Hi, Thank you for posting your query. Your symptoms are suggestive of micturition syncope. In this condition, patients have episodes of fainting or near-fainting associated with micturition (passing urine). You can get examined by a physician to exlcude any other causes for the same. 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: Loss of balance, buzzing in the head. Why?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am women with rh negative blood group and my first husband is A1B+ and i got conceived and got medically terminated but not given Ro gam. Now my second husband blood group is A1+ and I got conceived two times but when I went for ultravaginal scaninig in 50 days. the first conception was with irregular sac and the second conception was there was a gestational sac but it was very less in its size and both times dr has asked me to go for medical termination with mife and misto and I was given Rogam within 10 hours at each termination. Now my query is will I get conceived and give birth to normal child. please help me. Doctor: welcomedont worry..there are many causes for your repeated early pregnancy abortion..the causes must be ruled out..you can have normal pregnancy and chance of having normal pregnancy even after 3 abortions is 70 percent...just consult your doctor and get various tests to know the actual cause of your abortion..thanks"
},
{
"from": "gpt",
"value": "Target: Is normal pregnancy possible while having RH negative blood group?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m a 41 year old woman who lives in Sweden. For some month ago I lost feeling on the outside of my right foot . When I touch the side of the foot I can t feel it. Then I started to have lower backpain on the right side of the spine . Sometimes it felt like cold water were running outside my right leg below the knee . Now it started to feels like someone is poring cold water on the outside of my LEFT foot. I m getting scared! What is wrong with me? Doctor: Hello, Abnormal sensations or loss of sensations in a particular area of the lower limb which is associated with low back ache, suggests pathology of the sciatic nerve or its branches. Usually the pathology originates in the spine most likely disc disease or some other cause which is putting pressure on the nerve and causing the abnormal sensations on that particular area of nerve distribution. the area involved in your case is S1 dermatome. Some times loss of sensation in perenial area can occur. Better consult a orthopedic doctor and get a MRI of the lumbo-sacral spine. take care."
},
{
"from": "gpt",
"value": "Target: Lost sensitivity in foot, lower back pain, cold feeling. What is wrong?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i just had my ultrasound and need to know your professional objective opinion:ultrasound findings: right kidney: 10.0 x 5.3 cmleft kidney : 10.0 x 5.5 cmrenal contour is smooth. a thin-walled, fluid-filled anechoric focus is seen in the inferior aspect of the left kidney measuring 1.5 x 1.2 x 1.4cm. no evidence of renal stone. pelves and calyces a.re not dilatted.impression: normal sized kidneys with cyst on the left.generally, may i know what is this? do i need to undergo surgery to remove the cyst? your opinion will be much appreciated. thank you Doctor: Dear friend,Thanks for your query. I can appreciate your concerns.If you don't have any symptoms, such as, burning/blood in urine, no pain in abdomen overlying the kidneys; no increase in frequency of urination, then you just relax.It is a benign simple cyst, for which no treatment or surgery is required. You are also not likely to have any problems except in rare condition when it ruptures due to blunt injury in which case, there may be some bleeding in urine.If you have high blood pressure, pl ensure that it is kept under control with drugs (prescribed by your doctor).HAVE A NICE DAY AND A SPEEDY RECOVERY.Fond Regards,Dr.(Col) R KaranwalMBBS; M.D. (Internal Medicine)Consultant PhysicianMy website : http://drrakeshkaranwal.wix.com/home(PLEASE NOTE :- My opinion/advice is based SOLELY on the details provided by you.)"
},
{
"from": "gpt",
"value": "Target: Ultrasound shows renal contour is smooth. A thin walled fluid is seen near kidney. Cysts found. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: It is 4th day of my embryo transfer i am having pain on the side near waist (left side) while sleeping and chanding sides. i am having rapid heart rate fatigue and little shortness of breath. i am developing gas in my stomach i feel good when the gas is released. is this normal? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. You are mostly having acute gastritis due to stress, tension and drugs you are taking for embryo transfer. All your symptoms like gaseous feeling, rapid pulse rate, mild breathlessness are commonly seen in gastritis. Your symptoms are relieved with release of gas. So all these favour gastritis more. It is common and no need to worry for this. Avoid stress and tension. Be relax and calm. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic drugs. Drink plenty of fluids orally. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Having noticed pain near waist , fatigue & shortness of breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am experiencing chest pains on the left side of my sternum where my heart is, ad it just randomly startd. I just got out of the ER a few days ago for what the doctors thought was a sprained back, even though I clearly told them I have had a pinched nerve in my lower back for years. have been having leg spasms for about a week now, and suffer from restless leg syndrome, I have vertigo and carpal tunnel syndrome. It's kind of starting to burn. What do you think it means? Doctor: Hello,Please get assessed for osteoarthritis as it may the cause behind inflammation in bones of chest and wrist so causing chest pain and carpal tunnel syndrome. Get X-ray of bones and laboratory tests as TLC DLC ESR and CRP. You should also consult a rheumatologist.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Varinder Joshi"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m suffering from cold and having strong itching in right nose pore due to having strong headache around right eye area.I am facing last 4-5 days but cold is still not cured. and facing same issue . i am not able to do any work till pain goes loose or eliminate. pls suggest Doctor: Thanks for consulting me at HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to latest medical practice guidelines.This is all due to acute Sinusitis (infection of the sinus). You need proper care and treatment.Management:Amoxicillin if not allergic to.Excedrin Extra Strength.Ebastine.Keep a warm mist vaporizer in your room for soothing effect.If you feel that after two weeks nothing is working anymore for you, consult an Otorhinolaryngologist for proper evaluation who may go for an X Ray paranasal sinuses and some other tests if needed. Sometimes there is a nasal problem (septal defects, nasal polyps etc). Hope I answered all of your questions. Please click on 'I Find This Answer Helpful' and don't forget to add your precious positive feedback to help me able to assist you better in future too.For any disease you have, a timely follow-up regarding treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing. Remember to write down my name in the start of your question next time, & I will be with you right away. I am available 24/7 for providing you expert medical opinion on any health issue. Have a blessed time ahead.Regards!DR. MUHAMMAD HANIFUSA"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for strong itching in nose and severe headache around right eye"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, I had been on Prednisone for a long time, due to gout. They finally have ween me off of this drug, but I then started noticing red spots / like rashes on my hands mostly but also on my arms as well, What are these skin - rash ting I have seem to have now? These spots do seam to have scabed up Doctor: Hi, As per your query you have symptoms of red spots on the skin which seems to be due to drug withdrawal effects. Need not to worry. Exfoliate your skin once a week to remove the dead skin and drink plenty of water. Apply betnovate on spots. If the condition doesn't start getting better in a week then consult a dermatologist for proper examination and treatment. The doctor may prescribe an oral antibiotic course clindamycin. Take diet rich in fruits, green leafy vegetables and salad. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari, Dentist"
},
{
"from": "gpt",
"value": "Target: What is the treatment for red spots on skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had sex 3 times a week ago tonight and we didn t use protection and right after we got done each time, I didn t have to use the restroom for a while so I forgot to clean up and then I just laid there and I read that those 2 ways right there are perfect for getting pregnant and the week before, I had been sick and went to the doctor and got prescriptions that cancelled out my birth control so now I m just paranoid about all of this so what would you think my percentage of being pregnant would be? Doctor: Hello dearI understand your concernPregnancy is possible as you have did unprotected sexual intercourse. If your period will be delayed by the 8-10 days then go for urine pregnancy test and or blood HCG to confirm the pregnancy.If it will come positive then pregnancy should terminate by abortion pill (MIFEPRISTONE PLUS MISOPROSTOL) under the advice of the gynecologist after confirming the intrauterine pregnancy by USG scan.Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help youContact HCM for further health queryBest regardsDr. SAGAR"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to avoid unwanted pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have had a cold for such a long time that i am beginning to think that i must have an allergy. I am normally fine until i step into the shower in the morning and i get an itch in my nose, one i rub it i can't stop producing snot all day! i live in the basement of my house and have 2 dogs, any ideas what it might be? Doctor: u have polyp in ur nose.................get a doc.................homeopathy is best if u wanna avoid a surgery............"
},
{
"from": "gpt",
"value": "Target: I have an allergy, any ideas what it might be ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I get irrational generalised itching with no visible marks on my skin. I get it most commonly at night and often on the side I m lying on. I have tried anti-histamines, changing my washing powder and using hypoallergenic sheets. Otherwise I feel fit and healthy, but the itching is unbareable and majorly disrupts my sleep. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.You might be suffering from Pruritus. You have to find out the cause for generalized itching. According to me, you should undergo Liver and Renal Function tests to look for underlying disease. Discuss with your Dermatologist to find out the actual cause for pruritus and try to rectify the cause.Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What can be done to treat itiching?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I tested positive for Hepatits C. I am 51 years old and have always had low AST and ALT levels except this time which prompted the Hep Panel. I do not have symptoms nor do I drink, do drugs or have had a blood transfusion. I did just come off a diet that included a digestive enzyme and garden greens blend which included things such as blue green algae, chlorella prebiotic fibers....Would these supplements possibly alter my test results? Should I have the Hep test done again? I don't understand how I could have contracted it. Please help me understand why this has shown up. I live a healthy life style, exercise, eat vegetables, I even juice daily. Thank you for your time Doctor: Hi and welcome to HCM. False positive results are possible but uncommon. Unfortunately in many cases the right mechanism of transmission is never found. Your dietary and lifestyle habbits arent related to hep transmission. It can be tranmitted by sexual intercourse, by contaminated personal items such as razors or nail care equipment,by contaminated needles, bites etc. It could have happen at any age. Virus could have been inactive for so many years. The more importatnt now is to evaluate your liver damage which isnt serious because you would have more intensivef symptoms and findings. I recommend do follow hepatic diet and avoid alcohol. There are some medicines too but it isnt necesarry in this stage. WIsh you good health."
},
{
"from": "gpt",
"value": "Target: Tested positive for hepatitis C. Could this be due to taking chlorella probiotic fibers and blue green algae?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hii.. My Name is Rahul.. I have found that inside my body tumor like formation (stomach and a forearm). Sometime I feel pain while pressing them... What would be the reason I have consulted local doctors which suggests that it is a excessive fat formation... Kindly guide me further... Many Thanks, Doctor: Hi! Good evening Rahul. I am Dr Shareef answering your query. Although it requires a physical clinical assessement of the lumps, from the history it seems that you have got multple lipomas on your body, which in fact are accumulation of fatty tissue. However, mostly they are benign and harmless, excepting for cosmetic concerns and pain at times by the persons affected. If in doubt, one of the lumps could be excised and sent for histopathology test. Till then, I would advise you for some anti inflammatory drug along with an proton pump inhibitor for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What causes painful lumps in stomach and forearm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr, I have a small query My Mother is suffering from Severe Joint Pain and also she has Disbetes. Is it safe to consume Instaflex for her? will the Blood Sugar gets increased because of Instaflex ? Please confirm its a matter of my Mother..who is everything for me.. Doctor: Hi, Yes, it can be taken safely while having diabetes.Instaflex is a dietary supplement used to treat joint pain associated wit osteoarthritis and other such conditions. Although it contains glucosamine, a type of sugar however it does not affect the blood sugar levels hence can be taken safely while suffering from diabetes. 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: Is it safe to take instaflex for diabetes patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a tooth extraction one week ago. The tooth had had a root canal about 8 years ago. The dentist had to cut the roots out because the tooth and its roots were fractured. The extraction went okay, though I had a lot of bleeding and had to go back to the dentist's office several hours later and she put in gel foam and sutured the area to stop the bleeding. Now 5 days after extraction, I have a almost pea-sized bump on the gum next to the adjoining tooth. It is not painful. I should also mention that previous to the extraction, I had been on Keflex because there was some infection around the tooth. Should I be concerned about this bump or \"fistula?\" Doctor: Hi,Thanks for asking the query,Swelling is common after extraction it could be due to trauma at the time of extraction.I would suggest you to follow the post operative instructions given to you properly.Take lukewarm saline and antiseptic mouthwash gargles.Take complete rest.Take care!"
},
{
"from": "gpt",
"value": "Target: What causes bump on the gum after tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been sick for about 2 weeks with a congested cough and nose. I may have had 2 colds concurrently from two separate sources. Now, in the mornings and evenings my throat and ears hurt very badly, but this pain goes away almost entirely during the day. If I lean my head forward, the pain in my ears increases dramatically. What are the chances that I do NOT have an infection and that is just viral and will go away with time? Doctor: HelloWelcome to HCM,The history and symptoms are suggestive of some viral infection affecting your respiratory system and the eyes.The constitutional symptoms are may be a flu like symptoms which will subside by itself. If the symptoms are not improving you may need lab investigations.For the present symptoms I would suggest you to follow1. Steam inhalation with vapocaps.2. Oral antihistamines.3. Oral antibiotics like Tab Bactoclav.4. Oral NSAIDs.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest solution for congested cough and nose"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been dx with vasovagal syncope . i have within the last 7 months fainted as many as 6-9 times in a day. i have been dealing with this for years but 7 mo ago it went from an occasional faint spell to quite often. i had a pacemaker put in 3 yrs ago for bradycardia but my cardiologist says there is nothing wrong with my pacer and that its not heart related. can u possibly tell me what i need to do to have a normal life again. i cant work, drive, be by myself and i think im going into alzheimers because my memory is bad just x 7 mo Doctor: Hi, Thank you for posting your query. Vaso vagal syncope is a common illness. Cardiac arrhythmia can be responsible for this. I noted that you had a pacemaker implanted for a possible bradycardia. This makes you quite safe and you should be able to resume all normal activities. Regarding memory impairment, please get a check up done. It could be related to anxiety, vitamin B 12 deficiency, etc. A brain scan would also help in diagnosing any underlying brain disease such as ischemia (less blood flow). Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: Diagnosed with vasovagal syncope. Often having faint spell. Happening after inserting pacemaker for bradycardia. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My age is 23 yrs, i had irregular periods so i contacted doctor . DOctor suggested to take Crisanta. I have a question any side effects with this? taking this increases weight? or any other problems ? Please reply for this question. Doctor: Welcome to Healthcare Magic Crisanta has oestrogen and progesterone hormones which are known to cause weight gain, abdominal pain, nausea, vomiting, headache, irritability. If you have any liver or gall bladder disease it can increase with this medicine. If you have history of migraine in you or your family this drug may not be good for you. Discuss the effects with your Doctor before taking any medication and report any intolerable adverse effects like chest pain, shortness of breath jaundice to your Doctor."
},
{
"from": "gpt",
"value": "Target: IS taking crisanta increases our weight ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 12 yr old was making slime with air wick air freshener about half hour later she was complaining if it hurting to breath, then about half an hour later she was complaining of being dizzy. This is the first time she did this. Now a she s asleep. Not really sure what I should do? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If she is feeling breathless or feeling dizzy or is having fast breathing or respiratory distress or fever even after getting up, then take her to the nearest emergency room please. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes dizziness and breathlessness after inhaling air freshener?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My doctor told me to stop taking my Ritlian LA what can I expect in my body from stopping after 2 years taking ritlianMy last 4 pills I took every other day to help. But now I am having feelings in my body that are like having the flu and body ache every, My stomach is queasy and this is day two from not being on the medication. Lori Doctor: Hello,RITALIN LA is a amphetamine like stimulant used in ADHD and narcolepsy but the government classifies the psychoactive drug with cocaine and morphine because it is highly addictive and withdrawing it cold turkey can result in withdrawl symptoms like tiredness,flu symptoms,severe depression and sometimes with suicidal tendencies,extreme hunger etc.You must withdraw it very slowly like reducing your dose by 1/8 or 1/10 every four weeks so that your body adapts to low dosage gradually.Although it would take few months but you won't find difficulty in withdrawing it.I hope it helpsThanks"
},
{
"from": "gpt",
"value": "Target: Flu and body pain with stomach ache. Ritalin LA. Suggestion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 19month old girl had 2day for the first time nose bleeding while she was asleep it started and 3-4times more after she woke up,is t too bad bleeding,but i just don t know what to do?do i have to go to the dr?will i just keep her in eyes for couple of days?thk u. Doctor: Hi...Please do not panic. I suggest you to put pressure on the side of the nostril where the bleed is happening. The most common cause for this is nose picking habit. Nothing to worry about it . But with the above maneuver if the bleeding is not arrested withing 15 minutes I suggest you take her to the nearest emergency room or doctor.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for nose bleed in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: if the stool pathogen Enterobacter cloacae can grow on my toothbrush, why am I not getting sick? If I bite the side of my cheek and then i am brushing my teeth with this bacteria-laden toothbrush, why is this bacteria not infecting me, yet it is cause for such serious infections in hospitals? Doctor: Hi,Thank you for your query. I can understand your concerns.Enterobacter cloacae is a member of the normal gut flora of many humans and is not usually a primary pathogen. In other words,it is a commensal or friendly organism having a a symbiotic relationship in which one organism derives benefit while causing little or no harm to the others.Few healthy humans are colonized, but the percentage increases significantly with long term care facility residence or hospitalization. Colonization is an important prelude to infection.Individuals who have previously received antibiotic treatment, have comorbid disease, and are being treated in ICUs are at greatest risk for infection.Since you are otherwise healthy,you are unlikely to get any infection,even if this organism has grown on your toothbrush Regards Dr. T.K. Biswas M.D.Mumbai"
},
{
"from": "gpt",
"value": "Target: Can stool pathogen Enterobacter cloacae grow on my toothbrush?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Severe pain n ankle left. Just started today but has become extreme tonight I have iced. unable to walk or put much pressure on it Have had gout symptoms b4 in right big toe Have experienced this b4 chiropractor said could be associated w sciatica Had shellfish at lunch and beer (4) last night Doctor: dear sir / madam i would like to know any history of injury to your feet, if not you are most likely experiencing gouty arthritis symptoms again.i would also like to examine your feet to confirm diagnosis,investigate for serum uric acid levels.and would recommend analgesics, and to continue ice fomentation,"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for severe ankle pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Had a tooth ache this morning. No not a regular tooth ache!!! A full blown sharp shooting pain with an obvious abscess and throbbing pain! Dentist are all on vacation! I didn't have any choice but to try a small patch of diclofenac epolamine..... it worked really well after about 20 minutes It was about a 1 inch X 1 inch patch I cut out with some scissors. I know it was self prescribed and an \"off label\" use but should I look out for any side effects? Doctor: Hi..Well Flectar patch is a non steroidal anti inflammatory composition and is helpful in relieving moderate pain episodes..Although every individual does not suffer adverse effects from application of this pain reliever patch and commonly seen reaction is application site irritation and inflammation..So if you are not having any adverse reactions then it is fine or else you can consult an Emergency room and get evaluated and oral painkillers for severe pain like Tramadol and Ketorolac can be advised along with a combination of antibiotics to reduce Infection..Hope this helps.Regards.."
},
{
"from": "gpt",
"value": "Target: Does using Flectar patch for tooth pain cause side effects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My name is Akram I am 24 years Old.Since 4 years I had a bad experience, I smoked Hash(something like weed) and I felt at that time that I will die. since that day I never smoked again any thing like that. But what happened is that I stayed for almost 6 month having every day Panic Attacks and constant dizziness and constant feeling that I can t breath. I went to a lot of doctors and they said it is just anxiety. and they gave me SSRI drugs but I refused to take any of this drugs till today. as I heard alot that it is addictive I am experiencing this anxiety since 4 years every day constantly worried about my health status.. I had alot of physical symptoms of anxiety (shortness of breath...etc) Now I overcomed all the physical symptoms no panic attacks any more and no physical symptoms but what I have since 2 weeks is something more harder. I have fear of going crazy. can t stop thinking that I will lose my mind,can t relax,I want to heal the natural way. YYYY@YYYY Doctor: Hello,Honestly speaking, you need to consult good psychiatrist soon. Anxiety needs combined treatment with medications and counseling. So better to consult a psychiatrist and get done counseling sessions. Try to identify the stressor in your life and start working on its solution. Anxiolytic drugs (propranolol and flunarizine combination) will definitely help you more. These newer drugs are not addictive or habit forming. So no need to worry about this. Avoid stress and tension, be relax and calm. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar"
},
{
"from": "gpt",
"value": "Target: What are the harmful effects of smoking weed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Full displacement fracture of my radius and ulna 8 months ago, proximal third. ORIF with twelve screws, and two plates roughly 1/3 the length of my forearm bones. Currently weightlifting (Deadlift, press, bench press) with up to approximately 125% of my bodyweight. What is the likelihood that increased bone density from lifting will compromise my hardware? Doctor: hihope this msg finds u in good health.. i have gone through your complaints and under stand your concern. 8 months post surgery is a good time to heal.. if ur current xray shows solid union.. u can do almost all your routine work.if u do strenous job..u shud get ur hardware removed 1st and then start heavy jobs.nothing to worry about. Hope your question has been answered. if u have any follow up queries, feel free to consult me anytime. thanks Take care god bless"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for displacement fracture"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have sinositous from last 15 days and recently i found my liver fatty a little bit i mean SGPT(ALT) 56 U/L. I am 5 feet 11 inches of height n 83kg of weight before sinus and now 80kg i am so sad to losing weight so fastly just in 5 days. actually i was so week in 2010 n 62kg of weight. i am so consious about my weight. i am also having irritible bowl syndrom............ i am male. please help me out n also tell me what can i eat and what can i not. thanks a lot doctor. reply me as soon as possible Doctor: the snu has long history andnot few daysyou must hve been having mild infectios and allergies off and on and it turned into acute stageand you have fatty liver and weight loss this indicates to food allergies as some of foods we daily can cause these diseasesget blood serum tests for specific antibodies for milk wheat potato chana rice nuts eggs and other daily foods we takeget eliminated the foods coming in tests and you will be bnefitted in few wk"
},
{
"from": "gpt",
"value": "Target: Suffer from fatty liver, IBS and sinusitis. Losing weight. Need diet advice"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Typing this feels like an excuse and further adds to the feeling that I am procrastinating but I need to ask. I am in university now and since I can remember, have always found it difficult to sit down and study. Right now I am trying to prepare for my third year in advance and sitting down for only five minutes, leaves me feeling really irratated. I want to shake this feeling off. I would love to be able to just sit down and study like some of my friends who are getting first classes but I truly struggle to do so. I always pull through at the end but I know I can do better and want to do better. Is there a way to train yourself to do so? Doctor: HiThanks for using healthcare magicIf you have problem in making concentration while study, then you have to evaluate yourself for attention deficit disorder. You can either use some drug like methylphenidate or psychotherapy to improve your attention. Better to consult a psychiatrist for proper diagnosis and management.Thanks"
},
{
"from": "gpt",
"value": "Target: Have a problem of concentrating in studies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 25 yrs old.i weigh 60 kg.n i had an oral operation for eating gutka in 2006.i dint discovered these lumps at that time.my body has lumps in stomach area and arms and also in hand....4 to 5 lumps is big bt nt visible ..but i can feel it.and i dont get any pain...i eat a lot of chicken.almost everyday.are these lumps dangereous ? and how it came on me..please help me..should i operate the lumps and take out Doctor: Hi,Dear thanks for the query to HCM.Cause of the lumps you have is as follows-a-Multiple-Lipomatosis- which are -Benign and Non-Cancerous lumps.Has no connection with the lump of the Oral Cancer.So Dont worry for it being Cancerous.Treatment-I would advise you to Consult a Surgeon-Who would treat it as follow-a-No surgery is needed as these lumps are not dangerous Like your Oral Cancer.b-If any of the lump becomes painful-Surgical Excision with Biopsy would be needed.c-Eat less of chicken as it adds up more fat to your body and these lumps are of the Fat -below the skin of your body.d-These lumps came to you by heritance from your family and your brother or sister may also have it.2-Still if you are worried , You may get it removed -for psychological relief from Surgeon-on demand.Hope this would help your worry to take proper steps for health.Wellcome again if you have any more query in this regard.Have a Good Day."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lumps in arms,hands and abdominal area"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been taking 20 mg of pravachol daily for 3 years. My alt and ast blood levels have always been in the 30 s. They are now AST 45 and ALT 77. I am 60 years old 6 feet tall and weigh 182 lbs. The balance of my bloodwork is normal. I reacently had an ultrasound and everything came back normal. No iron issues or hepatits A,B or C . My dr is no concerned and says we will recheck in 6 months unless I have any symptoms. Do you concur with thi approach. Doctor: HiThanks for choosing HCM for your query.I really appreciate your concern for mildly elevated liver enzymes.Typically the range for normal AST is between 10 to 40 units per liter and ALT between 7 to 56 units per liter.Pravachol which is used in the treatment of high cholesterol is known to cause injury to the liver which is reflected in the form of elevated liver enzymes.In view of the normal ultrasound, blood work, and normal hepatitis virus profile there is slight elevation which needs to be monitored and correlated with the signs and symptoms.Kindly visit your doctor for possible use of alternative drug for high cholesterol or reduction in the dose of Pravachol.I hope your doubts have been clarified.Kindly give your feedback if convinced.Take care."
},
{
"from": "gpt",
"value": "Target: What does AST-45 and ALT-77 in liver function test suggest?"
}
]
|
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