conversations
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[
{
"from": "human",
"value": "Source: Patient: hallo my name is anne, i gave my 3 year old ponstan suspension & he reacted to it i.e. he had big rashes all over the body with more concentration on the elbow, palm of his hand & feet & his bum funny enough the tip of the rashes were all black in colour so i had too discontinue usage, explain what causes such reaction. Doctor: Hi, ponstan is a commonly used drug for fever, some children has allergies to particular drugs like some people have allergy to dust. You should maintain a record of drugs from whom your child is allergic and whenever you go to the doctor you should carry this drug list with you so that the doctor should not prescribe these drugs. Take care."
},
{
"from": "gpt",
"value": "Target: What causes allergic reactions to Ponstan?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, I ve been suffering from psoriasis for along time, it covered everywhere but my face. I ve been with a dermotologist for about 4 years, and he had me trying different creams that did not work. It was driving me crazy and also making me angry. So I left his office and found a different doctor who introduced to humira. Man was I so relieved to see the 95% clear up. but Ive began to noticed these big black marks that was left. I talked to my doctor and she said they will fade. its been over a year now and they re still here. Im so tired of hiding. Is there anyway to get rid of them. I just wanna live my life. Doctor: Hi there Kizzy. Am Glad Humira has provided you with 95% clearance..that is the best case scenario with these biological agents. Please remember it is not always the case & each person is different. Also, one has to have an experience with biologicals & there are recurrence rates. For the big black marks, the reason docs are going slow is possibly because they dont want to wake up the sleeping giant ...Psoriasis. However, you must consult with one on the ground for best results. Off the cuff, any hydroquinone cream 2% or 4% may be tried provided one does not develop any redness or allergy to the product. There are many brands & should be available as an OTC preparation; Combine that with regular aloevera cream as a moisturizer after bathing for best results. Cheers & wish you a Great Skin soon! Dr Praveen Rodrigues MD"
},
{
"from": "gpt",
"value": "Target: Humira relieved 95% psoriasis, but big black marks left. Any methods to get rid of them ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Since Dec I have had violent coughing and extreme shortness of breath and fatigue. dr said chronic Bronchitis. Jan 29 serious fall with concussion, 6 stapels, out for over 10 min laying on ice and was wet from head to butt..by Fri violent cough and shortness of breathe...antiibiotics for 3 consecitive wks...but cough never went away.....now last month back is extreme fatigue, shortness of breathe and now coughing up traces of blood....along with yellow and brown phleam. Started out as pinkish...then next day streaks of blood, back to pinkish....then now again...blood....There has been so many complecations from this fall ...is this just another one? Doctor: Thanks for your question on HCM.In my opinion you are having lung infection. As Chronic bronchitis patients are prone to lung infection and lung infection cause worsening of chronic bronchitis, increased breathlessness, yellowish phlegm, blood in sputum etc.So we have to rule out lung infection first.So get done chest x ray to rule out infection.You may need antibiotics too.So consult pulmonologist and get done chest x ray.And I don't think it is complication of your injury."
},
{
"from": "gpt",
"value": "Target: Is severe cough, shortness of breath and fatigue a result of bronchitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can your menstrual cycle elevate your blood pressure? 25/5'4/120lbs. My blood pressure became elevated after I had my baby 3 months ago. They monitored it and put me on bp meds for a month. I have then stopped taking them but I recently noticed this week that it is high and my cycle has just begun. Doctor: Pregnancy is condition which tends to increase blood pressure. most of the time high bp resolve after pregnancy but patient will be at higher risk of blood pressure in future however in some patients it remains high and need to be treated.so consume low salt diet and regular exercises, healthy lifestyle and take proper medicine.Also keep track of blood pressure because high blood pressure is silent killer"
},
{
"from": "gpt",
"value": "Target: Can menstrual cycle elevate blood pressure levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im having pregnancy symptoms such as bloating nausea light headed lower back Ache growing breats tender hard 7 days after sexual intercourse and i doubt that I m pregnant but after sexual intercourse 2 day s later on the same day im experiencing heavy bloating and cramps right after sexual intercourse Doctor: Hello dearI understand your concernAll the symptoms of your are the variable symptoms of the pregnancy.Definitive sign of the pregnancy is the missed period.So it is difficult to tell about the pregnancy.I would suggest to wait for the period to come.If your period will delay by the more than 7 days from the normal expected period date then go for the urine pregnancy test an or blood HCG to confirm the pregnancy.In absence of the pregnancy it could be due to hormonal imbalance, stomach infection.Meanwhile avoid stress, take tablet gas x, tablet domperidone,tablet meftal spas, drink plenty of water, take proper restHope this may help youContact further if follow up neededBest regardsDr. Sagar"
},
{
"from": "gpt",
"value": "Target: Are bloating, nausea and light headiness symptoms of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, I was recently hospitalized with e.coli poisoning in my blood. I was unaware i had until I ended up in the ER. I was in house for 4 days and was released on Levaquin 750mg of antibiotics for 14 days. My concern is that I am having symptoms that I think I was having prior to my er visit. I have insurance in AZ that doesn t cover an ER visit unless I m admitted and I m in CA and not sure if I should be evaluated in the er again. Symptoms include: jaw pain and inability to open mouth normally lil red spots like pen size on my stomach tender scalp on left-side constant headaches mucus vaginal discharge that itches, vary in color from clear to creamy, no odor my urine seems to bubbly in the toilet and is sometimes cloudy I m irritated over nothing my stomach has pains that aren t constant but similar to the pain that started before the fever heart races feeling that I m short of breath or I m gonna pass out or light headed my arms and legs sometimes ache like potassium is low Now these arent symptoms Im having constantly or at the same time however they are happening regularly enough that Im concerned but dont want to be over reacting either. I almost died a month ago because of how sever it was and I would rather be safe than sorry. Doctor: As your urine appears bubbly and cloudy I would like to rule out a condition called nephritis and based on your other symptoms a condition called hemolytic uremic syndrome. The possibility of drug- induced nephritis also has to be ruled out. Nephritis is an inflammation of the kidneys. The other condition is more complex. Hence please do the following tests such as urine routine, urine protein estimation. complete blood count, peripheral smear , blood urea , serum creatinine. Your blood pressure also has to be checked. You are not overreacting . Your headaches and red spots could be related to inflammation within the kidneys which has to be checked. High blood pressure as a result of nephritis may cause headaches. Nephritis may develop after certain infections and sometimes after certain medications . Please visit your physician and also get these tests done as there is treatment for the same. Best regards"
},
{
"from": "gpt",
"value": "Target: What causes jaw pain,red spots on stomach and tenderness on scalp?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a tooth pain last week, I went to a doctor he told me to get the tooth removed, I got the tooth removed. The doctor is now saying that the it is better to use tooth caps. What are these tooth caps, wher do i get it? Doctor: YES, YOUR DENTIST TOLD U RIGHT SUGGESTION....THE CAP OF MISSING TOOTH CALLD MAKING OF 3 UNIT BRIDGE WITH ADJACENT TEETH...IT HELP YOU TO REPLACE YOUR EXTRACTED TOOTH ,HELP IN CHEWING, MAINTAIN THE ALIGNMENT OF TEETH,INCREASE YOUR AESTHETIC..........HELP TO SMILE BIGGER....."
},
{
"from": "gpt",
"value": "Target: What are these tooth caps as doctor said & wher do I get it ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small dime size subsurface lump on the right side of my right pectoral. There's no pain when i press around it, but if I press the lump itself an irritation feeling begins with slight pain. Its about an inch and a half away from my nipple. haven't noticed this lump until last night after my light, no weight work out session. Workout session consists mainly push ups and crunches. Any idea on what this lump may be and what treatments I can do at home? Please and thank you. V/RJM Doctor: Welcome to health care magic. 1.The possible cause could be lipoma ( fat containing ) as there is no pain or tender.2.i would suggest to get an ultrasound scan done - ultrasound will help in evaluation of the nature of the lump, its source and extensions. 3.If there is any mass noted on the scan - an guided FNAC - fine needle aspiration cytology will be helpful to know the nature of the cells.4.Since its area or chest, male breast lesions also can not be ruled out.5.So get an appointment and get the scan done and needful treatment. Good luck.Hope i have answered your query.Any thing to ask do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes lump on the right side of pectoral?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, good day! I have taken clomophine and went for folicle study as well.I taken the HCG shot on my 13th day thats yesterday(15ht nov).I want to know when i will ovulate? also two days before i found egg white kind of discharge and after that nothing was there? can i still get pregnant?Please advice Doctor: Hi, thanks for writing..Ovulation occurs after 36 hrs of injection.. This is the time you should have intercourse.. Post ovulatory period take duphaston for 10 days.. Hope I have answered your query.. Good day.."
},
{
"from": "gpt",
"value": "Target: What is the ovulation period after taking clomphine and HCG shot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello... I am feeling so very weak.. have been for days & also very nauseated, much pain in left hip/left, shoulder, back, arm... tingling thru out these areas.. no fever, bp was good at spine specialist on Mon.. mri shows mild stenosis, physatist doesn t believe that s the issue w/my pain.. please help... so weak & nauseated right now, along w/the pain????? also: should note I have periodontal disease Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have weakness,nausea and shoulder pain and tingling in arms. Well there can be many reasons for symptoms you mention in query like peripheral neuropathy , middle ear infection , labyrinthitis ,panic attack , transient ischemic attack , cervical spondylosis or migraine. I would suggest you to consult neurologist for proper examination and rule out other causes . Doctor may order CT scan or MRI along with taking history . Doctor may prescribe medicine like vasograine along with betablockers and diuretics . Doctor may also refer you to ENT specialist for ear problem or orthopedic surgeon for muscle and bone problem . For now avoid bending forward , apply warm compresses to shoulders and eat healthy . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes weakness,nausea and shoulder pain and tingling in arms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi please for about 4 months now I've been menstruating after every 19 days. But I recently had sex with my boyfriend and I feel I may be pregnant. We used a condom alright but when we went for a second round he was having difficulties putting the condom on so he decided to switch the condom inside out. He had already released sperms before doing that. Could that cause preganancy ? I took postinor 2 two days after. I took both drugs together would it still be effective Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is a chance of pregnancy in your case. It is ideal to take Postinor within 72 hrs of intercourse. But still it has little chance of failure. Menstruating every 19 days is a point of concern. Consult a gynecologist and get a scan done and check your TSH, prolactin and hemoglobin levels also. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible despite taking Postinor 2 after intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a very big problem with mood swings and it caused me to breakup with so many people. One day i like someone and the next I don t, it s even like one minute i like you and the next I don t. I lost interest in everything and nothing seems to make me happy. I also have a problem with not being able to put my thoughts into words. I can t even say what I m exactly feeling or something close. I think of killing myself or hurting myself sometimes to get rid of this overthinking and stress. I just tried everything i can to feel happy with what i am doing and to be happy with my life, but I couldn t. No one in my family is mean to me or anything and i m not being forced to do something I don t like, but nothing seems to please me. Sometimes i think everybody else is ahead of me and i m so behind like i m so useless or so fucked up and like insane and bizarre. Sometimes my head won t stop thinking that i want to kill myself. Sometimes time is so so so heavy on me that i want to kill myself. I faced some problems with relationships at a very young age like i dealt with heartbreak when i was very young and since then I changed completely or maybe that s just me i don t know, but the main thing now is that i met a guy couple of years ago and he s amazing to me and just so nice and loves me, but I didn t like him back then and after 3 or 2 years i felt like i love him and i want to be with him (it was like back and forth during those 3 years) like this is the first time for me to feel like i really want him for real, but it s like i m happy for 2 days and then i hate him and then i like him etc and i WANT to be in a healthy relationship, but I don t seem to like ANYONE or feel happy with anyone! I meet guys who are very good, but I don t like anyone anymore it s crazy! He s so nice and kind to me, but I don t what s wrong. I like him, but sometimes I don t? sometimes i really really love and want him, but sometimes i want to leave him. I m scared this would lead me to be alone and single forever because I don t seem to like someone for more than two days and i m scared of rejecting amazing people till I can t find them anymore and miss good chances for a happier life with a good guy Doctor: Welcome to HealthcareMagicin my opinion u need to undergo thyroid function and hemoglobin levels in case of abnormalities in these tests then it is necessary to treat thatalso it is important to start on antidepressants like sertraline and low dose clonazepam breathing exercises will be beneficialmoderate exercise and adequate sleepRegardsDr Varun"
},
{
"from": "gpt",
"value": "Target: What causes severe depression along with mood swings and stress?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Good Day Doctor, This is with regards to my dad he is on last stage of cancer as he is suffering from kidney cancer and already one of his kidney is removed he is on one kidney now, is there any way we can save him or we can do kidney transplant to save him kindly suggest please it will be great help Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is no role for kidney transplant in renal cancer. Generally renal cell cancer affect one kidney only and opposite kidney will be normal in most of the cases. If the cancer spread to distant sites, then palliative chemo-radiation might be the only option left. You can consult an oncologist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for kidney cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI, last week I was woken in the middle of the the night from my lower back/sides throbbing in pain. After a while of trying to block the pain I had some soymilk and it seemed to make it better. Today I have bright green stool and the throbbing pain is back and I can't seem to make it go away Doctor: Hi. The green stool are definitely suggestive of an intestinal infection , for which you need to see you a Doctor to get a prescription based antibiotic and supportive medicines. HE will also examine you for such a bad low backache. Till then apply warmth the back, may apply relaxing ointments if you have."
},
{
"from": "gpt",
"value": "Target: What causes lower back pain and green stools?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes I had Gastric Bypass this past Dec and lost 45 lbs in the past 2 months I have gained back 10 of those lbs. I am now having many issues and to just name two one is sever wake you up in the middle of the night and two abulance rides later chest pains right in the middle of my chest. And the other is Asophogus pain like there are holes in it or something any advise Doctor: HiThis can be esophageal induced coronary vasospasm with associated gastritis or any acid reflux .Avoid heavy meals,spicy foods, especially at night.Light walking after dinner should help.Take water at least half an hour after food or 1hour before food and in between meals.Antacids like gelusil or mucaine gel will help to relieve the symptoms.(if not contraindicated).All the best"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe chest and esophagus pain after gastric bypass surgery"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...im nasir age is 28 yers afther 12 dayes fever from taiyphad .my widil test is positev.im used medicins on tab.augmintol.625mg.tab.panadol.5dayes.but fever is not cantolor Doctor: HelloAs you mnetioned that Widal is positive and you are having typhoid fever .The drug of choice for typhoid fever is as folow.Ciprofloxacin 500 mg twice in day for 14 days is drug of choice .Antibiotic is not recommended in most cases as it does not shorten the duration of symptoms and is associated with increased rate of relapse , a prolonges carrier state , and adverse reactions .So I recommend you please take complete treatment as your doctor advise .Few doctor also advise Injection ceftrazone 1 gm twice in day for 10 days .So consult your physician and get his opinion.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest medication for typhoid"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am suffering from what can best be described as a perpetual funny-bone sensation from my elbow down to my fingers. This doesn t seem to effect my gross motor skills as much as it effects my find motor skills. However in the past week the left side is starting this same condition not as severe. I have been doing a little research so I can better relay this information to the Neurologist in 4 weeks. Any insights? Doctor: There may be a compression of nerves in the neck which may give funny sensation in elbows. did you or do u have any discomfort in neck or movement restriction in neck. if so please check your neck and get treated."
},
{
"from": "gpt",
"value": "Target: What causes funny bone sensation in the elbows?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what is the best way to intercousre during ovulation period?with gap or without gap? maryam female 25 yrs old m/s 1.5 yrs infertility due to ovulation problem Hello doctor! I have used 2 cycles of Hmg injections then Hcg for rupture,in first month my egg was 2.1cm and this month 2.5cm. my question is that, when me and my husband contact with each other,means without any gap or one day gap?will sperms quality maintain when doing without any gap for a weak? Doctor: Hi,Welcome to HCM.Intercourse should be timed around the time of ovulation ie. A day before ovulation, on the day of ovulation and one day after ovulation, provided the ovulation has been documented by follicular growth monitoring on ultrasound scan.Technical problem involved is that we cannot 100 % predict that ovulation will occur in next 24 hours, the period after ovulation we can be certain of.Ideal would be to abstain from intercourse till 12th day of period and then have intercourse depending on the follicular growth status, if available.Continuous intercourse depletes the sperms and the count does get reduced with repeated ejaculation.Wish you all the best."
},
{
"from": "gpt",
"value": "Target: Should I have intercourse with gaps or without gaps during my ovulation cycle? Which technique is more suitable for pregnancy to occur ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I don't think I never had an orgasm but yet I've been pregnant and miscarried before a 3 month time period. Being said we have been trying to conceive and its not happening. We tried checking basal temp, using the strips to check when im ovulating and nothing has happen. Also I've went to a fertility clinic. One doctor said that I have a polyp and check to see if tubes were open and everything. which that is fine, so I went to a second doctor after my gyno refered me for another ultra sound for a second opinion and nothing was there. im worried and im having heavy bleeding after the miscarriage. it feels as my monthly cycle is a miscarried all over again. cloting and pain. what should I do. it even feels different Doctor: Hi,Thanks for the query. Female orgasm is not necessary to become pregnant. Small polyps can be seen due to endometrial changes. Usually these will come out during menstrual flow. Persisting large polyps need to be removed. As you are having heavy flow, once consult gynecologist and take tablets to reduce the bleeding. Then with her advice you can go for tablets to induce ovulation. Then go for follicular study to track the ovulation. Plan intercourse around the period of ovulation. This will increase the possibility of pregnancy.Start taking folic acid supplementation from nowonwards.Take care."
},
{
"from": "gpt",
"value": "Target: How to conceive after having a miscarriage with clotting and pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have lower back pain for little over two years now and and sometimes when i stand for long periods of time or i sit for long periods of time the pain shoots from my back to my legs and i've even notice a few times where my legs he fell asleep numb completely kinda like i lost complete blood flow to my legs and feet what could be causing this Doctor: Hi,Lower back pain and numbness implies already that the nerves are touched. This is an indication of nerve compression. A complete neurological exam, an X ray of the spine, Ct scan and Magnetic rasonance imaging could be useful. Hernial disc could present generally as such. Thanks and kind regards as you see a neurologist or neurosurgeon for proper evaluation. Kind regards"
},
{
"from": "gpt",
"value": "Target: What can be the cause of lower back pain and numbness in legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ok this has me a bit scared. i am 46 and use a cpap machine everything seemed fine until about 3 weeks ago. I just was getting very anxious and stressed out and literally broke down crying and took myself to the emergency room, my chest had been hurting for a while. I have noticed since then that when i lay down to sleep that my heart seems to be be beating differently or at least feels this way. My lungs seem full of fluid and I am NOT sleeping super well. I go to bed quite early, wear the mask and am often up at 2 and cannot get back to sleeep wearing the mask. Why so sudden? how scared should I be, I am tired all the time, but not falling asleep at the wheel or anything. I am thinking that something has really changed and that I am suffering from sleep deprivation Doctor: Hi,Is this a fast heart or irregular heartbeat, is there a shortness of breath associated? There is some problem probably in heart, likely atrial fibrillation which is common in patients like you. From your description or some other which is causing sleep deprivation and all secondary problems. So you should get yourself examined and one ecg should be done. If needed holter monitoring should also be done. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode"
},
{
"from": "gpt",
"value": "Target: What causes irregular heart beats with sleep deprivation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have have been diagnosed through ct of a lumbar incional hernia following 360 spine fusion 1 1/2 years ago. It has only recently started to bother me - ct scan measures it 3 cm diameter (though it looks and feels much bigger to me). I have h/o lung cancer (completely recovered) and aside from this am in good health, work, and am physically active. Is this something that should be surgically fixed even though I am only uncomfortable, not in real pain? Doctor: hi,as you mentioned your history i don't think you should worry much as there are no symptoms. You can perform regular exercises of spine strengthening and core stability which will help improve the metabolism of the body and reduce the hernia formation. Since body is a self healer at most times. Also performing regular breathing exercises will keep the functions of the lung to optimum. also, if there are symptoms which are like pain or anything else then a neurologist is contacted. but most cases with incisional hernia improve gradually with simple exercises. Provide gradual slow kneading massage to the incisional hernia as it will improve the scar mobility and reduce the tightness of the skin.with the grace of god I wish you a good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lumbar incisional hernia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have six spine surgeries and am in severe pain even with Norco, a lot of Norco. I don t want more surgeries, but I m not getting any help from the doctors I seen other than more surgery or deal with it. It is killing me literally. I need a doctor who still cares about helping people in Colorado Springs Colorado. One doctor told me that I m not addicted to pain meds, I m super tolerant and still he wouldn t give me anything stronger. I can t live like this. I need help please. Thank you, Sandy Doctor: Hello. Thanks for asking from HCM.I can understand your concern. You are on strong painkiller Norco, but still you are not getting much relief. The reason behind this may be due to: Nature of pain may be different like neuropathic/musculoskeletal pain/complex regional pain syndrome. All these condition can cause severe pain which might not respond to strong painkiller.: As you have undergone six surgeries, it might be due to scarring/inflammation or if instrumentation causing entrapment of nerve which is causing intractable pain. This type of pain is usually resistant pain which does not respond much to medicine.To reach unto some conclusion like diagnosis, i need some information regarding your spine surgeries nature, pain characteristics. You can send it by asking another question from HCM.Meanwhile, for relief of pain : you can take maximum effective dose of Norco after proper prescription: You can take injection of fentanyl/hydrocodone after proper prescription: You can use morphine pump after proper prescription: If no relief with any painkiller, surgeries like spinal cord stimulation/neurolysis can also help.Norco is a narcotic drug which is addictive and strong painkiller. Only medicines which belong to narcotic group and stronger than it can give you some relief. At present, few medicines are there like oxycodone, morphine pump, hydromorphone, oxymorphone which are either equal or stronger than hydrocodone.Thanks. Hope it will help you. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest alternative for severe pain from spine surgeries"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi..i'm 28yr female, 5ft 3\", 8st 5lb, very fit and active. I've recently had an ECG scan as i was getting panic attack symptoms but these attacks happened when i was at rest/in bed and not in a state of panic. My ECG came back and heart rate was 38 beats per minute. My doctor has referred me to a cardiologist to check this out further but I'm meant to be flying to Australia 11 september for 6 weeks...is it safe to fly if it turns out I have 'bradycardia' or a similar heart condition? I would like you to bear in mind i'm very active and run at least 40k a week. Doctor: Hi,If you are active and have no complaints, then there is no contraindication for the flight. Anyway you will need to see a cardiologist afterwards when you are back to have some examinations.Take careCome back if you have any further questions"
},
{
"from": "gpt",
"value": "Target: Is it safe to fly having diagnosed with bradycardia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... hello I am 18 years old. My blood pressure is currently 130/90, and I'm tachycardic with a pulse around 120. My heartrate goes up to around 160 sometimew, and when I walk on the tredmill it has went up to 190. There is dizziness, chestpain, and tiredness too. What does this mean? Doctor: Hello,You should get one ecg, hemoglobin and thyroid levels done. Also, needs to auscultated once to rule out heart problem. You may need Echo after blood reports and examination findings. Hope this helps you and get back if you have any doubts."
},
{
"from": "gpt",
"value": "Target: What causes increased heart rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 22 year old female, i have developed white patch on the left elbow, my dermat told it is vitiligo, even the hair in the patch area is turned white. doc gave me some steroid treatment.it is not improving. is there any other treatment plans available for vitiligo. Doctor: Vitiligo:initialy it is beneficial to see a dermatologist and 40-60% patients respond to medical therapy.If the spot size does not respond then plastic surgery may help but one should wait for 1-3 years. to see the response to medicine and time(some heal without medicine). In PLASTIC SURGERY SMALL SIZE PATCH can be removed and closed without grafting,for large size patch skin grafting may be needed,skin is taken from the buttock area in women to make the scar least visible. [email protected] for details see.www//cosmetic-plastic-surgeon.com"
},
{
"from": "gpt",
"value": "Target: What is the treatment available for vitiligo?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am a diabetic for the last 20 years. Now i have pricking like pain in toe og leg causing sleepless nights for the next two consecutive days after which the pain slowly disappears. this happens every month. kindly let me know what is the cause, which triggers it, is it permanently possile to prevent this pain by taking medicine or by other means.s.bhavanisankar, india. Doctor: hi, according to your description it feels like you are either suffering from diabetic peripheral neuropathy, or peripheral vascular disease[PVD]. considering you are a diabetic for 2 yrs you are more pron to both of above. for diabetic neropathy proffer control of diabetic is important As well to relive your pain there are medicines which will helps you. For PVD there are surgical interventions and to confirm this you may need to see a radiologist and undergo arterial duplex scan of lower limbs followed by vascular surgical opinions."
},
{
"from": "gpt",
"value": "Target: What causes prickling like pain in toe of leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm Sundar. My age 25. I'm having cold problem for many years. every time if there is a climatic change htn i'm getting cold. wat ever medication i take it's not getting cured. some times i'm having severe headache along with cold. i need suggestion whether i have to consult any specialist for this or it is an ordinary cold.. Doctor: this could be sinusitis or some sort of allergic reaction to cold weather.. you should visit an ENT (ear,nose and throat) doctor for detailed examination"
},
{
"from": "gpt",
"value": "Target: What causes cold and headaches with climate change?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am on Lovenox right now for a DVT . What will be the efffects of having a pot brownie while taking lovenox. Should I avoid completely? Doctor: HIThank for asking to HCMIf you do have history of \"Deep vein thrombosis\" and your are taking treatment for this then thinking about the narcotic drug is not advisable and not even good for your health hope this information helps you have good day."
},
{
"from": "gpt",
"value": "Target: Can I take pot brownie while on Lovenox for DVT ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I was eating a hamburger last night and inhaled wrong and immediately felt it had gone down the wrong way. I was not able to cough it up. Still same feeling today with discomfort And mild pain in right lung area, some coughing. Do I need to go to a hospital? Can it wait for a gp on Monday? Do I need to be worried? Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. In your case, we need to rule out aspiration of foreign body (food piece) into the lungs. You are having chest pain and coughing, so possibility of foreign body aspiration is more. So better to consult specialist (pulmonologist) and get done broncoscopy. Bronchoscopy will not only diagnose your problem but if food piece is there than it will also remove it. So bronchoscopy is diagnostic as well as therapeutic in your case. So don't wait at home. And consult pulmonologist as soon as possible. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: How to treat lung pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 59 and was exposed to alot of vacuum cleaner dust over a 2 hour period thus resulting in a sinus infection (symptoms were headache, sore throat and glands, ears feel full and hurt). I went to a urgent care facility this afternoon and was given 3 injections: rocephin, solumedrol & toradol. I can not get to sleep, I feel antsy inside. Is this common and if so when will it go away? Doctor: HelloDue to dust , you develop bronchoconstriction and also due dust you develop allergy in throat .All these produces such type of symptoms . You got 3 shots , ceftriazone ( rocephin ), solumedrol , steroid and ketorolac ( toradol ) .However these are quite good injections but due to bronchoconstriction you develop sleeplessness .This is very common due to your allergy and shots .When such patient visit I prescribe them to take montelukast+levoceterizine once or twice in day . Also to take some terbutaline type bronchodilators as allergy syrup.Hot coffee and steam inhalation also provide instant relief.Since this is a prescription medicine , so get a consultation from a physician .Hope this will help you."
},
{
"from": "gpt",
"value": "Target: Are sinus infection, sore throat and ear pain common when exposed to dust?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 30 yrs, female, 130 lbs, 5'9\". No skin disorders. Tramadol 50 mg npo (once/twice per week) for back pain. Issue: diagnosed with ringworm of the skin - patches on breast, back, arm, and groin, especially in the clitoral area. Ketoconazole 2% is not making the patches get any lighter or smaller, and the groin area is itching and flaking more since beginning treatment Wednesday. Doctor: Hi,It seems that you might require one oral course of anti-fungal medicine to clear the infection.Go for Flucanozole 150 mg once in a week for four weeks.Continue applying antifungal lotion.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest cure for itching and flaking in groin post ringworm treatment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, I have a grainy rash on my body for 5 days now. It started with a few spots on my chest and then it spread to my belly and my back. Then, the rash was visible on my forearms and spreading to my neck and face. Right now I have thousands of them on my back and on my chest. It is not super itchy, it is red and very grainy. I don t have a fever . I am 27 years old. How to get rid of the rash? Doctor: hi dear, this may be p. roseae. i would like to know if u had sore throat. it is usually associated with this but not necessary. lesions are usually mild itchy. it is a probable viral infection. here are my suggestions for u.... use desonide lotion once in night for 7 days take tab cetrizine if u have itching. hope u get fine soon. thank u"
},
{
"from": "gpt",
"value": "Target: Grainy rash on body, spots on chest, spreading to stomach, back, neck, face. Cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I inhaled a sunflower seed earlier today i coughed a lot but didn t cough anything significant up. I m experiencing pain in my chest, localized to the left lower breast, especially upon inhalation. I m concerned i might have a sunflower shell lodged in my lung. Is this possible and should i be concerned? Doctor: Hello,Yes, it is possible. You are having vigorous coughing and chest pain on inhalation. These are commonly seen after aspiration of a foreign body like sunflower seeds. So better to consult pulmonologist and get done chest x-ray and bronchoscopy. If both these are normal then no need to worry for aspiration of sunflower seeds. Bronchoscopy is not only diagnostic but it is therapeutic also. It will remove a foreign body if it is in the lungs. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar"
},
{
"from": "gpt",
"value": "Target: What causes chest pain after ingesting a sunflower seed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI i suspect or believe i am around 9 weeks pregnant. i have taken multiple test which all came up negatives. i have had bleeding and extreme cramping at....ususally around the time i would normally get a peroid. I have extreme bloating, nausea and aches mainly in my back. right now i am very concerned because i noticed a few days ago...the top part of my stomach is alot bigger than the bottom and it is rock hard!(right below my boob to right above my belly button) and bloating on the bottom half og my stomach...but it is rocl on both top left and ride side of my rib cage. Is this normal? can i be going through a miscarriage? please help!! i do not have insurannce and really debating on going to theh er for an ultra sound or to be examined! but i do not have out of pocket cash. Doctor: Hi.The presentation of the abdomen does not have anything to do with an indication of a miscarriage or such. But, it is important to note that although pregnancy has been confirmed all your home pregnancy tests have reported a negative result, this could be due to the fact that your hCG levels are not healthy enough, and in such situations it is best to visit your doctor and get hCG shots in order to support the pregnancy and prevent a miscarriage, the risk does exist, but there are no sure signs of it happening as of now.In conclusion, it would be better to visit an ER, no amount of money is worth as much as that precious life growing inside of youBest wishes."
},
{
"from": "gpt",
"value": "Target: Suggest a confirmatory test for pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had bronchitis for a month now and been to the ER 3 times already this month...I'm literally gasping for air when I cough and get the urge to vomit. They didn't give me any antibiotics to take home. I have an appt with my doctor this friday but I'm scared why am I gasping for air so much. Doctor: Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems more in relation with underlying bronchitis with exacerbation from associated stress , anxiety issue .Hope this will help you for sure .Wishing you fine health ahead .Regards dear take care ."
},
{
"from": "gpt",
"value": "Target: What causes shortness of breath when I cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had unprotected sex while I was ovulating, then took cerazette pill a week later and I missed a period not sure if its cause of the pill or pregnant? But breasts incredibly sore and frequent urge to urinate. I also have monthly b12 injections. Please help Doctor: HelloThanks for the query to HCM Forum.Cerazette is a desgestrel tablet and it interfere in ovulation and you took it seven days after unprotected sex .In my opinion you may be pregnant , so get in home pregnancy test for confirmation.2nd reason of such symptoms may be due to side effect of cerazette as this causes sore breast and irregular bleeding.Frequent urination may be due to anxiety .So first of all get in HPT and then consult a gynecologist and deal according to situation.Good luck."
},
{
"from": "gpt",
"value": "Target: Why are the breasts sore and frequent urge to urinate after taking Cerazette due to unprotected sex ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the beach today, had a horrible experiance with some sort of flies. My wife and twin girls and I were bit no less than 100 times. After about an hour of trying to battle the flies we left. But now i'm feeling joint and neck pain. me and my wife are both have a slight tickle in our throat, and i have a headache. Should i be concerned? Doctor: Rhustox30 5 drops every 15 minutes it will alright,it will never comeback,this homeopathic mddicine which available in homeo store."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for joint and neck pain after being bitten by flies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi…My wife age 28 is having Cyst ovary problem…last week she suffered lots of pain and we did sonography and doctor told she is having two Cyst of 4.5CM and doctor advised for surgery as sometime this cyst get torsional. As we donot have any child yet so we are some what tense to go for surgery. Can you please advice and also tell me any specialist in Hyderabad for same and for leproscopy. Also, if we do the surgery then will it affect for pregency. Doctor: Bro i can understand the suffering.. i have been through this time.. I used to take her everyday to one consultant.. I found gynacs in KIMs hospital to be useful,, there are few like shereen taraporiwala on secunderabad oppsite city hotel. May Allah cure your wife and give her relief from pain."
},
{
"from": "gpt",
"value": "Target: Cyst in right ovary, Tell me the treatment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My name is henry. My concern is, sgpt @131 (0-44u/l), sgot 50.4 (0-34u/l). Triglyceride 2.6 (0-2.3mmol/l) last cbc was 3months ago it was 5.2. Trigly fell because i take fish oil 3x a day. Sgpt sgot no movement but i take milk thistle @100mg 3x a day. Im very concerned. Doctor: Hello and welcome to Healthcamagic. You should reduce alcohol intake and medication that damage liver so you should see if this helps. If,not then you need to check viral markers and other less common causes of liver fibrosis.I hopee I have answered your query. I wish you a nice day."
},
{
"from": "gpt",
"value": "Target: What precaution should I take to reduce the SGOT and SGPT levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 5 yrs old and has not started talking though he makes some sounds which are inchoate,we took him to see a pediatrician who referred us to see another neuro pediatrician,who also asked us to do an audiology test to check his hearing,which we did and his hearing is perfect,the doctor prescribed encephabol syrup,pls what is this drug meant to do Doctor: Child not able to speak at the age of 5 yrs raises a serious issue with him. He might have a neurodegenerative disease or problem with his cognitive function or mental status.Enchephobol(Pyritinol which is similar to pyridoxine) is a neuroprotective drug which increases the levels of neurotransmitters in the brain especially dopamine. this helps to improve the cognitive function of brain along with memory boost with improvement in verbal and logical reasoning and mental quotient.its a good supplement to improve mental status. I suggest get an MRI brain to rule out any serious neurodevelomental disorder."
},
{
"from": "gpt",
"value": "Target: What causes delayed speech in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6 year old Daughter started feeling very tired two days ago. Later that day she vomited twice. Since then she is very tired one minute and not the next. She has no fever nor any other symptoms that are clear other than going to sleep when she is normally very active. She has been drinking water fine. Doctor: Tiredness and increased sleepiness in such a scenario may be a sign of dehydration. If it is associated with reduced frequency of passage of urine, it confirms dehydration. In such a case you need to take the child to a doctor without delay. Meanwhile giving ORS (oral rehydration solution) should be helpful in replenishing the lost salts and water."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tiredness and vomiting in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a physical and my liver enzyme came back as ast- 80 and dr. said should be 40. Also my slt came back 100 and dr. said should also be 40. Wants me to wait 2 weeks without my cholesterol medicine and have test taken again. Your thoughts. My medicine was crestor 20 mg. Thank you. Doctor: Dear friend, greetings from HCM I do not think you should stop the medicines. You continue the medications. Do not take.any other medications without doctors prescriptions. You need to avoid alcohol, high fat and carbohydrates. Take more of green leafy vegetables, fiber rich food stuffs. Do exercise levels will go down slowly . thanks for your query and do contact us for more questions."
},
{
"from": "gpt",
"value": "Target: How safe is taking Crestor for controlling AST and SLT levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have intense episodes of anger where i'm unable to control or stop my outburst. Also, most of the times i feel stressed out and agitated; my mind never at rest even when i'm relaxing (watching tv, reading a book etc) and this makes me irritable and tired. Doctor: HiThanks for using healthcare magicI think, you are underline depression and you need antidepressant course. With medication, you would feel better. Antidepressant are not available over the counter, so you have to consult a psychiatrist for proper diagnosis and management. Mean time, you can do relaxation exercise that would keep you calm.Thanks"
},
{
"from": "gpt",
"value": "Target: How to deal with anger, irritation and tiredness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 65yrs old, suffer from triple vessel disease and gone through angioplastie for the same in 2001 and 2006. for my blood pressure control i have been prescribed the folloeing medicines;- Telma 80md OD METRAPROLOL 25 MG OD DYTOR5mg OD MINIPRESS5MG HS atorva 20mg OD clopid 75mg ecosprin 150mg hs 2. of late ihave developed swelling of my right ankle while walking 3,ihave doppler done for LL FOR artey and also for veinous. both results show normal condition 4. pse advise the reason for this ankle swelling Doctor: HelloWelcome to HCM. Swelling in the legs can be caused due to heart muscle dysfunction or LV dysfunction. Since you have a history of heart disease, there is a probability that the swelling may be due to LV dysfunction. you have not mentioned you LVEF here, which would help us determine the cause. Another cause is weak valves of the leg veins. As we grow older the vavles in the veins of our legs become weak leading to pooling of blood in the lower limb veins due to gravity. Since you have done a bilateral LL scan then this cause can be ruled out . another cause is protein deficiency. Protein deficiency can cause swelling in the feet which can betreated by protein supplements. Please do a 2 D echo and a serum protein, albumin levels to find the cause of the your leg swelling. In the meanwhile continue dytor tablet which will reduce the swelling. .Wishing you good healthRegards"
},
{
"from": "gpt",
"value": "Target: What causes swollen ankle while on Telma, Atorva and Ecosprin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My left upper leg just above the knee feels like there is a band around it squeezing and is very painful. I have been taking 600mg of Ibuprofen once a day for the last 2 days with very little relief. My foot also began to swell last pm. I do exercise daily walking at a moderate pace (3.7-4.2mph) for 4-5 miles. Doctor: Hello, As this can be due to knee joint internal structures inflammation and an MRI is suggested. Once we get an MRI we should be able to understand the pathology of the soft tissues inside the knee joint. Using knee brace, hot water fermentation, keeping the leg over a pillow, ankle toe movements, static hamstring, static Quadriceps, straight leg raise should help improve the knee joint stability, reduce the swelling, and improve the functions of the knee joint. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What cause band around knee with swollen foot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 36 years old male and taking hypertensive pills since 2009 may 1 initially my dose was .25 mg of amlodipine but now i am taking .75 mg. all the relevant tests have been done one month ago and all have been found negative including tmt. i always skip for 15 minutes and is it harmful to me Doctor: Hi Sir,Welcome to HCM,I understand your concern.Hypertension needs regular follow up and medication.If your blood pressure is under control(Skipping can be done if you are habituated in doing,but avoid if you get symptoms like shortness of breath or chest pain while doing.Consult your cardiologist for expert management.Post your further queries if any,Thank you."
},
{
"from": "gpt",
"value": "Target: How to treat hypertension?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have no more interest in any thing, I realize that am very lazy but i can't change.It is as if my mind and my body was disconnect.I feel as if I have no emotion no sense.I realize my weakness but i can't change.I am very moody and i feel tired all the time Doctor: Hi,From what you have mentioned, it seems that you are manifesting symptoms of depression. Underlying depression can lead to feeling tired all the time, feeling disconnected, changes in mood and lack of interest in any thing.You should consult a psychiatrist for complete evaluation and initiation of treatment. You would do well on antidepressants like escitalopram which will help you overcome your symptoms and feel better.I do hope, I was able to answer your query. Best wishes for speedy recovery."
},
{
"from": "gpt",
"value": "Target: What causes tiredness and lack of interest in everything?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! am salma from Tanzania, I have been married for a year and a half now, I got a miscarriage on july 2013 but now my husband asked me for a baby, I have been given a 5 days dose of ova-mit, can I get a pregnancy through that dose?. Seeking for your advice. Doctor: Hi SalmaOva-mit basically increases number of eggs released each month and thereby increases your chances of getting pregnant. Taking it for 5 days is sufficient. You have been married for only year and half and did get pregnant in July. In my opinion you can just get pregnant without any medication also.All the best.Thanks"
},
{
"from": "gpt",
"value": "Target: Is there chances for pregnancy if ova-mit is taken for a week?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Growth can be stopped by a minor day care surgery procedure called epiphysiodesis. How long does it take to recover from this procedure? Also, what type of surgeons preform this procedure.? And also how does this surgery work? Will they have to open up every single bone in my body and remove every epiphyseal plate? How many epiphyseal plates will they have to remove.? Is it a painful recovery? As you can see I have many questions. Please answer them for me. I really find your knowledge beneficial. Doctor: Hi, It depends upon the age of patient which epiphysis are involved, orthopedics and endocrinologist combine treat such patients, early recovery is usual. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. SHEHLA USMAN, Pediatrician"
},
{
"from": "gpt",
"value": "Target: How long does it take to recover from epiphysiodesis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 58 year old male with visable bright red blood in stool. PST tests negative. ultra sound revealed Prostate is slightly enlarged and liver shows sign of fat accumulation. taking crestor for chloresteral. barium xray scheduled to be followed by colonescopy. please share most likely diagnosis and progrnosis Doctor: Hi I read carefully all your concerns and I understood your query.with regards to red blood in stools it may be related with:-hemorrhoids-anal fissure-rectal tumorYou need to do colonoscopy and abdominal ultrasound.wishing you healthDr.Klerida"
},
{
"from": "gpt",
"value": "Target: What could be wrong with blood in stool with prostrate slightly enlarged and fatty liver?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had total knee replacement surgery on the 12th of Dec. I came home on the 14th and now I m on Percoset - 1 every 4 hours. I have two pain problem issues: after an hour on the CPM machine, sharp knife slicing kind of pain develops just to the right of my knee cap and that whole area. I then have to get off the CPM machine. Also during the night in bed, in my calf, there develops pain similar to boiling heat. Only walking gets anywhere near to relieving these pains. Percoset doesn t seem to make much of a difference either way. I m wondering if this is normal in the recovery process or maybe there is something else going on. Doctor: Dear patient pain post TKR surgery is common for initial 3 to 4 days due to tissue handling and inflammation. Hematoma in the joint and tension may lead to pain. There is nothing to worry. If percocet is not helping you can shift to tab zerodol sp twice a day. Keep limb elevated to reduce swelling. Ice packs can be applied to reduce inflammation. if pain does not decrease after 5 days please consult your operating surgeon."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in the knee cap and calf post knee surgery"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have abdominal discomfort and my stools are dark. A stool test taken 10 days ago revealed pus and yeast in the stool. I have taken a course of antibiotics since. My stool is firmer now but I still have the abdominal discomfort, movement/gargling in my intestines and dark stool. Should I be concerned? Doctor: Dark stool means bleeding occuring in the stomach or upper bpart of intestine, go for an endoscopy and rule out any ulcer in stomach, dont neglect, take food at proper time, avoid spicy foods, use of pantop can cure ur problem, use cremaffin for hard stool..take plenty of water ,eat raw vegetables"
},
{
"from": "gpt",
"value": "Target: What causes abdominal discomfort and dark stools?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the dentist last year to extract the tooth that had a cavity.they suggested a filling instead.my jaws were locked for 10 weeks after.i went to another doctor after the filling came out.She tried to pull out the same tooth,but failed my jaws locked again.Went back to doctor 1 because he understands my dental history ,requested him to book me with the oral surgeon.The receptionist said they will call me.It has been 2 days,I can't eat,I can't sleep.Called them to check with the surgeon because I am in pain for 2 weeks now.They told me they can't make the surgeon do the surgery ( in a very rude tone )What else can I do? Doctor: Thanks for your query, I have gone through your query.You have two problems, one is jaw joint problem that is because of the bruxism and trauma or excessive mouth opening for long time leading to disc displacement in the Temporomandibular joint. Consult a oral physician and get it diagnosed. You can stop using the splints for few days. You can take anti inflammatory drugs like piroxicam 20mg twice daily on first day and twice daily on next 6 days. You can also take muscle relaxants like chlorzoxazone. You can give hot fomentation over the joints. Do not eat hard things, do not open your mouth too wide. take soft diet.For the second problem. that is infected tooth, you need to get it removed once your jaw joint pain reduces or else it can worsen the joint problem. So, you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic) and a pain killer like diclofenac 50mg BID till you consult your oral maxillofacial surgeon.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes locked jaw and tooth pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I don t know what s wrong with me, i feel like i can t trust anyone, i always feel tired, and i can t stand being home. I get angry at the slightest things and i keep getting into trouble. I don t want to get into trouble. it just happens. i can t control myself. My boyfriend broke up with me and now i just feel hopeless. death would be so much easier than dealing with all of this stress. What s wrong with me? Doctor: Hello.You appear to have personality associated with short temperament and low frustration tolerance. This got exagerated in anxiety and depression specially after stressor like you have.You need to meet psychiatrist for help in form of assessment and treatment. Take care99doctor.com"
},
{
"from": "gpt",
"value": "Target: What causes sudden temperament with tiredness for slightest things?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am having acute gas problem which i am feeling and my bp has raised to 130/90, During this time i have palpitation and i feel there is a missing pulse . Kindly guide me to overcome this problem.On the other hand if there is no gas in my stomach the aforesaid problems are not occuring. Doctor: Dear- thanks for using our service and will try to help you with my medical advise. You might be experiencing intestinal gas from food that you are eating as some vegetables like broccoli,cauliflower and that can make your heart rate faster too. However, the blood pressure is high, which can be the primary problem or secondary to other things like salt in your diet. I recommend you to watch what your eat, control salt, drink more water and do exercise. That will help your blood pressure and the intestinal movements too.Avoid soda and caffeine too.I hope that my advise has been helpful.Dr.Sara"
},
{
"from": "gpt",
"value": "Target: What could increased blood pressure and gas, palpitation and missing pulse indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I just left the hospital after having test for three days to find the cause of chest pain and pvc,s. I have had two surgeries on My neck with hardware, I injured it again resulting in pain, muscle spasms and head shaking. My Dr said that the pinched nerves and nerve damage is affecting My heart. Your comment,s? Doctor: Hi,Thank you for posting your query.It is unlikely that pinched nerves in the cervical region and nerve damage would result in heart disease. A qualified doctor would not make such a comment, so, I feel there may be some mis-communication between both of you. So, your chest pain and ventricular premature complexes are not related to the pinched nerves. If you can upload his prescription, I would be able to clarify the matter further. I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/"
},
{
"from": "gpt",
"value": "Target: Can pinched nerve and nerve damage affect the heart?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rash at the top of my butt that itches and burns. A few days ago it. Was just an abraised area between the cheeks, like a very shallow tear, but since has progressed into very small bumps and redness and it itches all day long. I keep the area clean and dry, I tried neosporin, but it seemed to aggravate the symptoms. Doctor: Hello, Thank you for posting on HCM.It seems you are suffering from Tinea cruris and corporis, a kind of fungal infection.I would suggest you to consult your dermatologist for proper management of the condition.I usually recommend proper course of oral anti-fungal drugs like Fluconazole or Itraconazole along with anti-fungal cream like luliconazole for local application at bedtime. You can additionally use antifungal dusting powder containing sertaconazole during day time and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistaminics for itching as required.Maintain hygiene over those areas and avoid wearing tight undergarments.Hope your queries are resolved and wish you best of health.Kindly spare some time to rate my answer and drop your valuable review at the following link:https://urldefense.com/v3/__http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169If__;!!Mih3wA!SBzm6_kI6hCZ58EPH6N_05MFfiPbxWXT0a2TJCdFQObRWm5mV5ur7hW9rW0j8A$ you require any further assistance in future, you can reach me directly through the above mentioned link.Thank youDr Hardik Pitroda"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rash and itching on the buttocks"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Im 15 years old.. and i was resently (today) sexually active with my ex. We had protected sex but now im peeing a lot and its worrying me. Is this an infection or a disease ? My frist time was five months ago and I didnt have this problem before. Havent seen a doctor in awhile (years) also ? Doctor: HiThank you for asking HCM.I have gone through your query. Due to massaging action on genitalia urine infection can occur especially in young girls. You should better go for urine routine examination. In case of increased puss cells infection is present and you will need to take antibiotics. If positive for infection and you were my patient then i would recommend antibiotic like norfloxacin empirically and send urine for culture and sensitivity. If this symptoms occured after weeks then a urine pregnancy test also should be done before antibiotics. A consultation with a gynecologist is well appreciated.Hope this may help you. Let me know if anything not clear.Thanks."
},
{
"from": "gpt",
"value": "Target: Can frequent urination after protected intercourse be an infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i suffered a traumatic brain injury in 1986 - 18 years old. i am 45 years old and seem to have problems controlling my emotions and anger. my husband and teenage boys do not understand that i cannot control my reactions. Please help! i need someone that understands the problems i am going through. s Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Don't think you have a big problem. Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do you get angry to circumstances outside your home as you get angry at your house? Your office, bus stand, railway station, neighbors etc. If yes, you might need to get evaluated for anger issues. If NO, just understand and compare the two situations and you can be better yourself.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: How to control anger with a history of brain injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 58 year old male. Recently had a not productive cough for the last 4 weeks. Cough is almost most gone but still have whezzing in lungs. During this from the coughing I now have alittle numbness and an occationall slight pain above my stomach. Any ideas? Doctor: Hi thanks for asking question.Here are few possibilities in your case.1.The wheezing can be because of bronchitis infection.It can be viral , bacterial or allergic.Complete blood examination and chest x ray will be helpful.2.This type of wheezing can be because of pneumonitis.chest x ray helpful.Your symptoms subsiding eventually , possibilities of viral infection is there.3.Finally this can be precipitating asthma as allergic condition.complete blood examination in such case may reveal high eosinophil.To differentiate obstructive dz like asthma from restrictive dz like pneumonia pulmonary function test helpful.I hope you will understand my concern.Take nutritional diet with fruit juices.Strictly avoid smoking .Wish you good health."
},
{
"from": "gpt",
"value": "Target: What causes wheezing and pain above the stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor! I m 25 years old. recently for the past 2 months i ve been having brown patches over my thighs and waistline which are very very itchy. The spots have now grew darker and bigger in size. Please advise me why this happens? I have been experiencing this after a train travel if I haven t mistaken. Would it be any insect infections like scabies?? Please help me with ur suggestions and what I should do to get rid of it. I also tried an anti fungal/anitbacterial cream called ONABET. Which didn t help in anyway. Doctor: Hi, You seem to have developed fungal infection. Fungal infection is usually itchy. It favors sites like inner thighs, groin and other body folds like axilla, sub mammary folds etc as patches and rings with redness, scaling and darkening of skin. Moisture from sweat and warmth of body folds encourages the fungus to grow. I suggest you to take an oral anti-fungal like e.g either Fluconazole or Itraconazole along with the application of a topical anti-fungal cream e.g either Luliconazole 1% cream or Terbinafine 1% cream, twice daily for 2-4 weeks. In addition I also suggest you to take an oral antihistamine e.g Tab Cetrizine once a day for symptomatic relief from itching. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Itchy brown patches over the thighs and waistline after train travel. Worried about scabies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm a 25 year old female, 5ft 8 inches and 12st2lbs i recently took up running/fast walking on an evening, i have asthma so i have to run in bursts because i get a pain in my right lung otherwise. I'm an active mother, always walking with my son and playing. After taking up my running/fast walking for an hour i have found in the evenings i have been getting relentless heart palpitations which cease once i have gone to bed. They've now begun to hound me during the day, i'm having them as i write this, what is the problem? Doctor: DEAR USERTHANKS FOR CONSULTING AT HCMYOUR SYMPTOMS TO BE MORE LIKE THAT OF EXERCISE INDUCED ASTHMA THAT MAY BE ASSOCIATED WITH POPULATION AS WELLI UNDERSTAND YOUR CHILD IS SMALL AND YOU NEED TO PLAY WITH HIM MOST OF THE TIMESI ADVISE YOU TO TAKE A SHORT ACTING AGENT LIKE MDI WITH ASTHALIN OR DUOLIN AFTER CONSULTING YOUR PHYSICIAN BEFORE SUCH ACTIVITIES WHERE YOU HAVE LOT OF EXERTIONTHIS WILL PREVENT YOUR SYMPTOM AND YOU WILL FEEL BETTERHOPE I HAVE ANSWERED YOUR QUESTION.. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"
},
{
"from": "gpt",
"value": "Target: Are heart palpitations being caused by asthma or exercise?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just been to BP clinic and the nurse said she could hardly hear my blood pressure with the stethoscope? But she took it with an electronic one and by that time my BP was 152/80? She said I may have become tense which would account for it. But what is the reason for quiet BP? Doctor: HIThanks for posting your query. Quite sounds or difficult to auscultate ( hear ) blood pressure sounds could be either due to low blood flow through the arm or due to stiffness of the blood vessels through which blood flows. Low blood flow can be due to low blood volume due to dehydration or due to cholesterol accumulation inside blood vessels . Stiffness is due to normal aging process. I would say that there is no need to give any importance for quite BP. Just get your cholesterol checked ( if not checked recently ) Hope this information was useful to you. Any clarification feel free to ask ."
},
{
"from": "gpt",
"value": "Target: What causes spike in BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: We have a 4 monthold daughter,and would like to feed her Somva 34. We do have the product, but not sure whether that can be given to a 4 week old and also if we can, how much should we give it. We do not have the enclosed literature, so no idea of what quantity to give. Can someone guide? Thanks Doctor: Hello, Somva-34 is not recommended for infants. It is not a scientifically proven drug and the health benefits of this drug is not proven. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can Somva 34 be given to a four week old baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 43 year old Male. 2 years ago I had a heart attack, 2 stents inserted into my left artery, six months later I took a stress test, and a cardiologist told me it wasn’t good and I needed to interact, I went to a heart specialist in Boston, they told me my entire right artery was narrowed, up to 80% in some places, they said since it was the entire artery they could put in stents. So they decided to control my situation with medication, 2 years later I have been having chest pains on and off for the 2 years, a few times weekly, I feel weak when exercising, and I sweat excessively with minimal exertion. The chest pain a doctor told me it was unstable angina. but why am i sweating so much, getting knumbness in my left wrist, and jaw frequently. is the sweating caused by my condition, and what treatments can i try Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Your all symptoms are due to coronary artery disease (CAD). You are having triple vessel disease. And this is causing you unstable angina. This causes tachycardia and sympathetic over activity. This causes sweating and numbness in left arm add hand. In my opinion, you should consult cardiac surgeon and discuss about need of Coronary Artery Bypass Grafting (CABG). This is the only optional for you. Don't wait for medical treatment, surgical intervention in the form of CABG is needed. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes chest pain, sweating along with numbness in wrist and jaw?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Mid 50s male ... testicular cancer survivor w no symptoms for 5 years and have been celibate since my cancer first was manifest (5 years ago) ... now on a bender in Bangkok ... 1st night good vigorous sex session ... condom of course and no issues 2 night later post sex had blood in my urine. This was also my 1st time use of generic Viagra ... took a 50mg pill too late to matter (5 min before) ... and when I went to pee ... about 15 min post sex I saw blood in urine only ... passed quickly and then regular color urine. Two nights later and my 3rd sex session ... after sex, noticed blood in condom/seaman and also in urine during post sex pee. Color returned to normal. Condom used always and on early ... could it be just that my body is not used to rough sex (too long celibate?) or was it my Viagra use ... or radiation exposure impact on my urinary tract (5 years ago)? STD??? Doctor: Viagra is not the likely trigger or cause for the bleeding.Bleeding can be due to many causes ranging from benign (infections, stones etc) to tumors.You need to see your doctor. I would suggest a Urinalysis (Urine RE), a plain radiograph of the abdomen for urinary tract, and USG imaging of the urinary tract."
},
{
"from": "gpt",
"value": "Target: Could being a testicular cancer survivor have led to bleeding from penis after sexual intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughters eight and she has been waking up in the middle of the night with her tummy hurting....no sypyoms other than pain and it only seems to be at night and her reg daughter says most common complaint but i feel as if something isnt kosher here i have 3 other kids and never expeirenced this before Doctor: H, Whatever you are describing is called Chronic Pain Abdomen in medical terms. The differential diagnosis of abdominal pain in children varies with age, gender, genetic predisposition, nutritional exposure and many environmental factors. The causes are many including - constipation / acid peptic disorders / inflammatory bowel disorders / irritable bowel syndrome / worm infestation etc. I suggest you see your pediatrician or a pediatric gastroenterologist for this. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes stomach pain at night?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had prostate cancer 2 years ago and he was unable to maintain an erection with the pill type remedy. This last summer I had to have a complete hysterectomy. Two weeks ago he went to an injectable to help with erections. It works wonderfully and we attempted to have intercourse. It felt like everything was ripping and was extremely painful. We tried water based lubricant and that did not help matters. There was a little blood and it was as if he could only go in half as far as he had been able to before his prostate cancer. I read that there can be a Hardening of the cervical area. Can this be remedied? Doctor: HelloThanks for query .You have not mentioned your age in your query .You had severe pain during intercourse after your got hard erection after taking intra cavernosal injection of Caverjet .Considering the fact that you had undergone hysterectomy the pain that you had is mostly due to atrophy of vagina giving pain .I would suggest you to use estrogen cream to keep your vagina healthy and use lubricants while attempting sex next time .I think it should work for you .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for erectile dysfunction after treated for prostate cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend went out last night and was scratched my another girl on her face and arms. She has a swollen cheek and the inside of her mouth on that side has turned dark purple. She is having problems eating and drinking and is unable to open and close her mouth fully. She also said that her jaw now clicks where it didn t before. She is 19 years old. Doctor: Hello Welcome to HCM Regarding that trauma in cheek region,she has got hematoma due to accumulation of blood.This has lead to bluish coloration of skin & it will resolve within 15 days.If she has pain then she can go for analgesic & antibiotic therapy. Regarding that clicking sound, we need to examine temporomandibular joint.Get it diagnosed by oral surgeon to get proper diagnosis & treatment. Take Care Regards Dr.Neha"
},
{
"from": "gpt",
"value": "Target: Swollen cheek, unable to open mouth, color inside the mouth become dark purple. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently had a wisdom tooth removed and was informed of all the risks e.g. nerve damage etc.. It has now been a week and although am feeling well, there is a sensation I feel on my tongue that is similar to that which you get when you burn it. I haven t eated anything that could burn my tongue and am a bit concerned as it has been this way for a about 3 days now! This irritation seems to be on the same side as that which had the wisdom tooth removed. Any help would be much appreciated! thanks Doctor: hi and welcome to HCM, Nerve damage post extraction is a rare condition unless the extraction of wisdom tooth is traumatic . Numb sensation in the tongue or parasthesia is caused due to damage of lingual nerve due to traumatic removal of the tooth. In your case i suspect , damage to the peripheral nerve branches during extraction may have developed this loss of sensation which is temporary. Nothing to worry about as these nerve fibres regenerate with time so you can wait for another week or two, if the symptoms persists after that please consult your dentist. i hope i answered your query, get well soon."
},
{
"from": "gpt",
"value": "Target: Get a burnt feeling on tongue post wisdom tooth removal. Any insights?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ive had a bad back for many years but i want to know why i get tingling in my legs arms hands face and i also get a lot off balance my neck is also very stiff im 52 and im a cleaner in poole hospital im also very sensitive around my left temple and eye and my face it makes me feel so ill with the worry of not knowing whats going on please could help Doctor: Hello. Thanks for writing to us. The tingling sensation that you are having is likely to be related to the nerve root compression at the level of the lumbar vertebra. Taking methylcobalamin supplements for two weeks can help in reducing the problem. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Back pain, tingling in limbs, face, imbalance, stiffness of neck. Sensitivity around temple, eye. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor IM a 29yr old woman who recently started having heart palpitations that cause lightheadedness, blurry vision, anxiety, shortness of breath, sweaty palms. they can last to 30secs or intervals during my sleep. my blood pressure is normal, my sugar levels are also normal. they did a chest exray on me it came out fine. im now having vague pain in my left arm and left limb as well as involuntary spasms in my limbs. what could possibly be happening to me? i got beta blockers from my Doc but i dont see any change. My BMI is 28. Please assist, Thank you Doc. Doctor: welcome to hcm ...with these presentations i suggest some antianxiety drug as alprazolam clonazepam etc ..as these are prescription drugs please contact your local doctor for prescription ..please decrease alcohal smoking..hope i had help you"
},
{
"from": "gpt",
"value": "Target: What causes heart palpitations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my son who is 10 has a fleshy lump on the out side of his bottom gum. The lump is squishy and larger than an ulcer and he says it doesn't hurt to press. Although he says the tooth near it is slightly sensitive when eating. Do you think it needs looking at? Doctor: Hello and welcome.Thanks for sharing your concern.your son might appear problem free,as there is no symptoms like pain or tenderness,but it requires a dental checkup.At early ages children present such symptoms due to decay in the periapical area,that is infection around the roots of one or many teeth.It is must to visit your dentist and get clinical as well as radio graphic examination done.Hope it helps.Thanks.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fleshy lump on gum"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had lower back pain due to a herniated disc on my right side, and in the last couple of weeks I have started to have pain and tingling in my right arm and down my right leg to my foot . I have also had issues with sciatica as well. This pain is constant and I am very concerned. I have had an MRI several years ago which gave the diagnosis of herniated disc....What would you advise? Doctor: Thanks for the query. Disc prolapse is an irreversible change. Although you remain asymptomatic for years but it can cause sciatica again. Now you have leg problem as well. I think you nerve is getting pinched due disc herniation. I would suggest to consult a spine specialist and get a fresh Mri which will clear the picture. Regarding treatment for time being start anti inflammatory with muscle relaxants and bed rest. Thanks."
},
{
"from": "gpt",
"value": "Target: Had lower back pain due to herniated disc on right side, tingling sensation in right arm to foot. Suggestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my son is 1yr old. he has suddenly developed dry patches on his skin. this started from his legs and now has spread on his back and sides of stomach as well. the patch is extremely dry & when i apply oil, dryness goes and a light reddish or a black mark remains. dryness comes again after 3-4 hrs. few of them are circular but some do not have any shape. what could be this and if you pls could recommend a soap for children of this age as well. what moistureiser shud i apply on him after bath Doctor: HiThanks for writing to health care magic.Try dermadew soap and lotionWishing your child good healthRegardsDr Arun"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dry patches all over the body"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Helo sir, I am 29 years old. my sgpt level is 110mg/dl and my sgot level is 50mg/dl and triglicrides are 93mg/dl and total cholesterol is201mg/dl only.and hdl level is42mg/8dl..sir please advice that how reduce the sgpt and sgot levels and what are the foods that eat and avoid Doctor: HIWell come to HCMActually clinical condition is matter here because the test report need to be correlate with this, here the underlying cause need to be treated and not the test result one can not bring the all the test report to the normal level on itself here the disease need to be treated for that the enzyme level if this is abnormal, hope this information helps, take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for elevated SGOT and SGPT levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my wife is 34 and with normal BP and weight is 120 kg ( obesity ) she has ITP and frequently her platelet count fall and come back on her own yesterday her drop went to 2 k shown it to Hematologist M B Agarwal and he has given wysolone and some condolent with antacid i am worried so writing to u is there any permanent cure for ITP my email id is YYYY@YYYY Doctor: Hi There is no permanent cure for ITP. But there are various drug options, best of which is steroids. If she is maintaining platelet counts well and not bleeding much, regular followup with the haematologist is enough. Steroid dependent patients especially with significant bleeding may be considered for a surgery called splenectomy. However the decision is best taken by the treating doctor after discussing both the pros and cons. It is very important to loose as much weight as possible. All the best"
},
{
"from": "gpt",
"value": "Target: Suffering from ITP and obesity, frequent fall in platelet count, given Wysolone and antacid. Permanent cure for ITP?<br><br>"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 16 year old girl and I am getting pimples in my face. It also pains sometimes. Currently I am using Acnil cream. How long should I wait to see the results? Doctor: Hi, pimples also called as acne is common at this tender age. Continue with your cream."
},
{
"from": "gpt",
"value": "Target: I am using Acnil cream for Pimples, How long should I wait for result ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 17months old just getting over a double ear infection & also fighting a viral infection, but he s legs, arms & torso are cool to the touch temp only 96.3. I tried putting long sleeve onesies under his footie pjs to try to warm him but now sweaty and still cool. Doctor: Hi,Welcome to the HCMBrief..History is incomplete,I would appreciate if I would know some answers of my questions.Detailed answer....Since first of all I want to know that how did you get to know that your child has bilateral ear infection and viral infection.As in ear infection there can be discharge from ears,decreased listening,pain in ears etc.I would also like to know wether your child is having runny nose,red eyes,or cough . So your child can be treated accordingly.I would be happy to hear you further.Regards,Dr.Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for viral infection and ear infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i noticed a small pea like bump right inside my anus, it does not hurt at all, its kinda rough to the touch, but painless, i just noticed it about a week ago.im a little concerned..what could it be.? i want to keep it as confidential unless i really need to go to the doctor. Doctor: Hello it is really needed to be consulted by a surgeon.So kindly go and consult what it is.From your history it sounds like hemorrhoids.It also depends upon your stool routine.If you have constipation it could be a hemorrhoid(piles) most probably.Go and consult"
},
{
"from": "gpt",
"value": "Target: What could be the painless bump inside anus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What medicine can be used to treat swelling of the clot. No discharge or bumps are presents but burning when urinating is. Also, it is very uncomfortable to walk. I am 18 years old, 5'4'' and weigh approximately 125. I have never experienced any other problems in that area before. Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some urinary tract infection. You should go for urine routine and microscopic examination. Then you should take treatment accordingly. If you have infection then you should complete a course of antibiotics accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What medicine can be used to treat swelling of the clot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recently I had a head MRI , and the results showed a few tiny punctate s T2 hyerperintense white matter , and microvascular ischemic changes. I had ther MRI due to a buzzing/ringing in my head, more prominant on the left side. The doctor said it was small strokes, and the buzzing/ringing in my head is damage done by the small strokes, and it is not fixable. Should this be a big red flag for me, or do I just live with it and carry on as usual? Gail A. Doctor: HelloYes your neurologist is saying the right thing , that tinnitus in your ear could be due to the small infarcts that are more common in diabetics , hypertensive patients and age related vascular damage.The buzzing can continue for some time , but eventualy it goes away spontaneously and an ent SPECIALIST REVIEW WILL AALSO HELP TO CHECK YOUR EARS CAPABILITIES OR ANY SOURCE OF BUZZING.Donot worry , i know iits disturbing , but with time you will become tolerant to it or yyou can start SSRi and strict blood pressure and sugar control if any ?Hope this helps"
},
{
"from": "gpt",
"value": "Target: MRI post prominent ringing in head detected few puntates in hyerperintense white matter, microvascular ischemic changes. Danger sign?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Dr., After gallstone surgery, I have been medicated with BIFILAC, PROTERA etc. Even after using these loose motion continues. The same event was seen before surgery. My body weight is decreasing day by day. I am a blood sugar patient and using medications for that also. Blood sugar is found now under control. I want your suggestion. Best regards, Rathin Ghosh Age-45 years Doctor: Hi there,Thanks for using HCM.Diarrhea is a known complication of gallbladder removal. It is self limiting and will stop soon.It is due to bile not getting absorbed.You can take cholestyramine supplements for relief.Is this answer helpful?"
},
{
"from": "gpt",
"value": "Target: Is Bifilac sufficient after undergoing gallstone surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I dropped a flat packed wardrobe on my foot about a week ago. I keep getting rare but sharp pain in my big toe and there is still a fair amount of pain on top of my foot as well as considerably bruising that is gradually fading. Is this just bruised damage or should i go get an xray Doctor: Hello, u had a heavy weight which fell on ur foot thats y u will have pain for few days. Pain is not so severe to prevent u from walking so fracture is not likely bcoz in case of fracture there will be severe pain. Pain in big toe may be due to slight bleeding under the big toe. It decreases wen all the blood is reabsorbed. And the bruising over the foot is due to bleeding from small vessels below the skin. U need not worry bcoz it will reduce in few days. If u feel more pain den u may have an x ray to confirm. Get well soon."
},
{
"from": "gpt",
"value": "Target: What causes bruising of foot after injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mom recently started taking Xalkori (Thursday) to treat lung cancer. She has various symptoms which seem associated with the cancer, most notably difficulty swallowing (liquids, not solids). However her difficulty breathing has seemed to worsen since she started taking Xalkori. I have read that is a possible side effect (albeit rare) of Xalkori. At what point is the difficulty breathing associated with the cancer, vs. a side effect of the drug? The website makes it sound like I should contact my healthcare provider immediately. It s not like she s gasping for air, but it does seem worse (wasn t really a symptom before). How concerned should we be? Thanks. Doctor: hi,am very sorry for your mothers problem..does she run fevers?yes crizotinib(xalkori) can cause breathing problems..it can be due to drug induced pneumonitis..as it is a common side effect you cant avid it..approach you doctor if she ihas moderate to severe breathing problem..its no wrong if you can bring this to the notice of your doctor now (if possible)hope my answer helped youif you have any more queries i would be happy to help you.."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lung cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: This morning i woke up with painful biceps. There is a red line extending from where my nurse drew blood 2 days before and runs along my biceps into my armpit. Its painful to touch and hurts when i flex my biceps. At first there was no red line just pain but the red line gradually appeared and increased in intensity throughout the day. Doctor: Post injection from the area where the injection was given when the pain starts it will Be related to the injection given to you. I suggest to use cold pack on your painful area. And if it's increasing even after that need to examine properly with some blood test and physical test. So do visit your doctor for proper evaluation as well as treatment. Here in in writing it's difficult to check and evaluate. Take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bicep pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what is it when you have a movable little lump on the back of youre head on the skull are, what is it ,could it be cancer .its sore to the touch and sometimes he has a pain from that spot to his eye.occa h/a , no nausea at all ,no dizziness. had for about 5 mos . has not changed in size -thumb nail in size, what could this be Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * The presentation of narrated symptoms suggest that there is possible sebaceous cyst over the skull, no threat of cancer at all. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can a sore movable lump on the skull be a symptom of cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My grandmother was diagnosed with advanced bowel, liver and pancreatic cancer about six weeks ago. She was in hospital for 3 weeks before being allowed to return home for palliative care. She had 2-3 doses of morphine whilst in hospital for the pain and has been able to manage on regular doses of weaker painkillers for the last few weeks. In the last 48 hours she has deteriorated rapidly, is unable to eat and is in a great deal of pain. She is cared for 24hrs a day by her daughters, and last night the district nurse was called out to administer morphine. She has been taking further doses every fours hours since. The macmillan nurses are visiting tomorrow with a view to putting her on a morphine drip. I realise that there is no 'crystal ball', but in your experience, how long do patients usually survive once the drip has been administered. Also, can the patient hear whils in the coma-like state? Many Thanks. Doctor: Hello dear. I appreciate your concern for your grandmother. It seems she is suffering from terminal cancer illness and at this pint of time it will be wise to put her on adequate painkillers as she wont be able to tolerate the chemotherapy. Your doctor can also try patch form of medication(buprenorphine and fentanyl) instead of morphine to relieve the pain. She also requires injectable fluids and nutrition. With all thsi supportive therapy her survival will be 4 to 6 weeks. Hope that solves your query. regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for advanced bowel and pancreatic cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good day. Sir, just want to ask. I have been x-ray this last week. And the result is, i have a PTB in my upper left res. And when i do the sputum test, i was negative in 3times. My question is, do i still need to take the medicine that my doctor's gave me? Doctor: Hello, thanks for using Healthcaremagic. I had gone through the data you have posted. if there is suspicion of tuberculosis based on clinical data likefever more than 2 weeks,with evening rise of temperaturecough more than 2 weekschest x ray showing upper lobe cavityunintentional weight losswe suspect TB and do sputum AFB. but in sputum TB bacilli to be detected the concentration needs to be >10000/ml of sputum. so negative sputum test cannot rule out tuberculosis we need more sensitive tests like GENE XPERT which has more sensitivity and sputum cluture for tuberculosis. we may do CECT THORAX to look for characteristic apperance of tuberculosis as treatment cannot be delayed pending diagnosis awaiting sputum culture report which takes 1 month. or do BRONCHOSCOPY and send sample for AFB stain, gram stain and culture, BAL fluid has more chamce of positivity than sputumso these things needs to be discussed with your physician before starting therapy. Hope this helps.."
},
{
"from": "gpt",
"value": "Target: What does PTB in respiratory tract mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I cut my head 2 days ago. Minor cut in my eyebrow. It did bleed but it scabbed up. Afterwards about 20 min got nasuas, sweaty, tunnel vision, and hear was fading. Say down and recovered 3 min later. Went home. I know have a slight throb back of my left head. But same time I think I have laringitis. I have no voice at all. Some sinus pressure. And left ear not releasing pressure. I am out of my home country Doctor: Hello ! Thank you for your question on HCM! I understand your concern. I think the troubles you have may be related to a vasovagal reaction. It is normal in some persons more than others, who may be more sensitive to have an autonomic reaction to the pain. Your symptoms are very consistent with a presyncope , which would be a loss of conscience. In cases of pain or when a vessel is damages , there is an overstimulation of the vagal nerve ( the main autonomic nerve in our body), causing similar symptoms. You should not worry about it. I would recommend some rest an a lot of fluids and water during these days. Hope to have been helpful!Best wishes!Dr. Abaz Quka"
},
{
"from": "gpt",
"value": "Target: Treatment for laringitis and sinus pressure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been sick for a while and I been coughing alot and sometimes coughing up mucus. I have a sore throat and a stuffy/runny nose. And when I cough the area somewhere around my ribs feel sore. my mom said it kinda sounding like whooping cough because i make that sound sometimes when i cough. Do you know what this is? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have running nose , sore throat , coughing and pain or soreness in chest while coughing . Well the symptoms you mention in query occur due to many reasons like upper respiratory infection ( bacterial or viral ) or whooping cough as you also mention in query . I would suggest you to consult chest specialist . Doctor may order certain test like nose or throat culture and test , blood test , viral cultute test and chest X-ray to confirm the diagnosis and rule out other condition like viral infection . Doctor may prescribe antibiotics , anti inflammatory and decongestants . Hospitalization is necessary in case of severe cough in this case intravenous food and liquid is given . For now take over-the-counter cough medicines, cough suppressants, or expectorants , which give relief from coughing . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough,sore throat and running nose"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. Several months ago I was treated for severe urinary tract infection. After treatment with industrial strength antibiotics, it was discovered my bladder muscles no longer functioned. I was fitted with a catheter and use a urine bag. If I ejaculate, does that cause any harm? Doctor: Hi, Nothing will happen. You have to clean the catheter as the semen can act as a medium for infection because of its sugar content. 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: Does ejaculating while on a urinary catheter and urine bag cause any harm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had a large painful lump on my forehead about a week now. It feels like a marble under my skin. It's got green pus in the center but if I squeeze the pus dnt come out. I keep putting hydrogen peroxide on it nd neosporin plus a band aide. I don't have health insurance so going to a dr isn't happening unless it gets worse. What home remedies should I try? Doctor: Hi thanks for query ,accoring to your history it looks like an infected cyst and you need surgeon opinion , better you consult surgeon near by your home , i dont think home remedies will work it out , hope you will consult sureon soon and get back to me if you have any more doubts , with regards thank you"
},
{
"from": "gpt",
"value": "Target: Large painful lump on forehead with green pus. Applied hydrogen peroxide and neosporin. Any home remedies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My grandaughter has just started playing field hockey and she claims she gets dizzy and shaky. She actually got sick the first week and vomited, etc. We are taking her to the drs. tomorrow, but we trying to figure out if we should continue to let her play or just not play at all since it is such a short season. Doctor: Hello, Thank you for trusting HCM.Its great that your are keeping a close eye on your granddaughter, its not field hockey in specific that might cause this, but exercise intolerance in general, please take her to a doctor for physical examination, you didn\"t mention her age which help in understanding the case more, this might be due to anemia, diet, its hard to say with the current provided info, but since your are going to doctor i hope he or she will be able to clarify things more to you.Best regards, Dr. Ahmad"
},
{
"from": "gpt",
"value": "Target: What causes dizziness and shaking when playing field hockey?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am currently 34 weeks pregnant and have a huge lump inside my vagina. went to the doctor and they drained it and said it is on my urethra and it was the size of a gulf ball.. i am 31 years old having my first child. they say they can not test it to see what it is till after i have my baby. but it should be save to have him. i am scared and think i need a c-section. what should i do and do you have any clue to what it could be. by the way they did a bactirea test and it was negative. Doctor: Hi,The lump could be a Bartholin's cyst. This is not a serious problem and may reduce in size once you have has your baby. As your doctor has the benefit of having examined you, the doctor is in the better position to make the judgement as to whether you are likely to be able to have a normal deliver rather than a c section. Regards,Dr K A Pottinger"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lumps in vagina"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife is suffering from light abdomen pain,then I went to doctor and I was informed that the cause for the pain is due to formation of stone in gallbladder whose size is 5 mm. Doctor suggested us to go for lacroscopic surgery to remove the whole gallbladder instead of recurring it by undergoing medications for some determined period. Kindly clarify my under mentioned queries before I step up for surgery/treatment: 1. Can this tiny stones can be dissolved with out surgery? 2. Can solve this problem by ayurved treatment? and how many time spend in ayurved treatment? You Humble reply is requested in this regard as very much worried and confused. Regards Doctor: Hi dear patient happy to answer you that First of all i want tell you that 1,Gall stones cannot be desolved by any medication 2,you should get do the laproscopy Because it may cause 1,recurrent infection 2,gall stones can slips in to main bile duct to cause obstruction So my adv;is that You should get do laproscopy as soon as possible Because it least complications Take care Thanks Regards Dr muhammad akbar"
},
{
"from": "gpt",
"value": "Target: Abdominal pain, gall stones. Laproscopic surgery advised to remove gall bladder. Surgery required?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What causes itching inside penis and cuts on tip of penis I haven t sexually active for Atleast a month and all of a sudden the inside of my penis begins to itch them stops but now the very tip of my penis swells and has little dark spots that look kinda like moles that come and go a little tingling from unirating vary Doctor: Hello, It could be a superficial fungal infection. As a first line management, you can apply topical antifungal like Clotrimazole for symptomatic relief. If symptoms persist better to consult a dermatologist and get evaluated. 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 swelling and itching on the penis tip?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, Thank you for taking the time to answer my question if possible. My name is Jordan I am a 22 yr, old female. I have always had abdominal problems my whole life and 8/24/2011 I was told I had pancreatitis in an emergency room, I have ruled out basically everything that causes pancreatitis. My lipase isnt always high when it is bad. I have a terrible family history from multiple forms of cancer to gallbladder and kidney stones to heart problems. My life has gone down hill dramatically the past year. I cant do anything anymore, I have zero energy, just the wieght of holding my body up is unbearable. I constantly cant eat or sleep becuase im either to nausious or in to much pain. BUT recently this past week i have only slept for probaly 10 hours within the past 7 days and eaten almost nothing, My pain is so severe and sharp that I cant walk and it will stop me right in my tracks where ever I am. My pain is constant but gets worse everyday, Over these past 7 days I have noticed the pain in my back has gotten so severe that just laying on my body is literally impossible and I noticed my back was really sore to the touch and I looked at it in the mirror and noticed it was a small bruise starting and it was very itchy. Since then the bruise has gotten worse and the itching has become worse. I have constant chest pain as well so this makes my breathing even more labored and painfull. I am just getting very scared becuase this is happening so fast. At this moment right now I cant even walk at all, moving anything in my torso is the worst pain I have ever felt, I have learned to deal with horrible pain on a daily basis but this is new and to much, I know my body and I know something very bad is happening. Please i will answer any questions and any advice you can give me would be greatly appreciated, Thank you for reading this. Have a good night. -Jordan (female/22) Doctor: hi Jordan. thanks for talking to me via HCMPancreatitis is a serious condition and you should not take it lightly. you really need to be seen by a doctor and examined properly to rule out any acute or chronic complications of the disease."
},
{
"from": "gpt",
"value": "Target: Abdominal pain, back pain, itchy bruise on back, cannot walk. Had pancreatitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my doctors think i may have a kidney infection having my test today but after going to the toilet i noticed deep purple blood with hint of brown stringy discharge came out my period is also due in 2 days it has never been that colour should i be worried or what could it mean my white cells are up 14.9 and i did have obviously traces of blood in my urine. Doctor: Hello Thanks for writing to HCM Probably you are suffering from urinary tract infection. You need proper clinical examination and investigations. Investigations include routine hemogram,RBS,urine RE/ME and culture sensitivity and ultrasound of abdomen. Hematuria may be due to UTI. Hematuria can also be due to renal or urinary bladder calculus,tumour in kidney or urinary bladder etc. Your W.B.C is also increased ,this indicates towards infective etiologyYou need proper antibiotics,alkalizing syrups and paracetamol if fever. Get well soon. Take Care Dr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Deep purple blood with hint of brown stringy discharge. Should I worry of kidney infection ?"
}
]
|
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