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[
{
"from": "human",
"value": "Source: Patient: since the morning (8:00 am & now 10:00) i have had severe lower abdominal pain, as if at the bottom of my uterus, with pain as i press on it and rub it - perhaps more on the lower left side. it is around time for mentrual cycle to start, but i have never experienced pain like this-so severe to affect walking. also have chills, body aches abd headaches.... Doctor: Hi.Thanks for your query and an elucidate history.The combination of the pain in lower abdomen, tenderness left lower abdomen, shills, bodyache and headache is suggestive of some infection:Mostly PID, pelvic inflammatory disease,Salpingitis or Ovarian problem. The pain gets enhanced due to the congestion one get just before menses.I would advise you the following:Ultrasonography.Gynecologist's examination and opinion.Start appropriate antibiotic cover.Bed-restI hope this answer helps you, you have not mentioned any urinary or bowel symptoms hence not suspected to have Gastroenteritis or colitis."
},
{
"from": "gpt",
"value": "Target: What could severe pain in lower abdomen suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 16 months old he is with my wife and I all the time. He does not walk yet but we have been noticing bruises on the inside of his thighs and lower back. Also lately has been waking up with bruises. There is no suspicion of abuse from family as he is always with us. He usually is always happy but lately seems very unhappy. He does not have any toys that lead me to believe he is getting them from those such as a bike ect. I have researched lightly on glazzmans disease. (may not have spelled that right) Doctor: Hi, By what you quote I feel that the kid might be having a bleeding disorder, either congenital or acquired. Mostly congenital, considering the age of presentation. The bluish discoloration you are noticing is a subcutaneous bleed or bruise and the small lump you are able to palpate is a subcutaneous blood clot. Your child needs evaluation and I suggest you take her to the nearest emergency room as soon as possible. This I am suggesting because - if the kid has a spontaneous bleeding like this internally, as she might require emergency blood products. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes bruise on the thighs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, i am just wondering if the extent of my injury is severe or not i fell yesterday, and i had pain after in my wrist. i woke up today with it being very stiff and sore. it hurts more when i bend my wrist down. it hurts to put any pressure on it and it hurts to lift/hold anything. is this severe. Doctor: Not to worry much as this pain and stiffness is because of the trauma you had last nigh and it may be there for some time..but try to make movements of your wrist slowly slowly...and see to it that the swelling doesn't increasse...for pain you may take diclofinac paracetamol for 2-3 days under your physician's advice and still it pan persists you can take a xray to be on a safer side"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stiff and sore wrist after injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning doc. I have suffered chronic oral thrush for the past two years, it has badly affected my kidney, i have done HIV test more than 10 times in the space of this 2 years all negative result. I have taken various antifungal medicines still no changes, please ill be glad if any useful information that could be of help is given to me Doctor: Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you to confirm the diagnosis first. If you can do Grams staining from the nearby laboratory it will confirma the diagnosis and you can also do antifungal sensitivity testing. since some candida species are resistant to the drugs routinely prescribed.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease."
},
{
"from": "gpt",
"value": "Target: Cause for chronic oral thrush?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had CLL for nine years and am still considered stage 0. I m almost 81 years old. Can an older person like me withstand any kind of treatment if that become necessary. Every time I ask about this they ask my age and then will not give me any kind of answer. Doctor: Hi welcome to HCM I have gone thru your query regading neglecting your query after asking your age .In fact , they are not able to give you awnser , not that they don't have such kind of knowledge but patient’s ability to tolerate aggressive therapy , is the question before them .Doctors usually monitor the condition of the patient by blood tests every few months and treat only When they see Leukamia progresses . Genetic mutation in the DNA of blood producing cells leads to Deficiency of Immune system , coagulation problems, swollen lymph nodes and many other conditions caused by our derailed life style and faulty food habits .Alternative treatments help to manage the progression of the disease .make some life style changes to keep infection at bay , as you are prone to infection so don't mingle with sick people .Safety first should be your motto .Eat plant based food A balanced diet which include all essential nutrients is equally important .Lemon juice with warm water helps a lot in energising . Yoga , pranayam , meditation , Deep breathing all are helpfull in detoxify & oxigynising the body .Turmeric powder a level spoon with hot milk with BF and , at bed time is great .antioxidant & healing agent for swelling and alley pains and kill CLL cells on mass basis .Avoid processed foods carbs , sugar , fried ,fast foods , Tea , coffee ,alcohol and smoking , stress , sleeplessness and Constipation all will produce biochemical and metabolic conditions in your body that will decrease your immunity.So avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system .Check with your doctor before starting an alternative treatment .Hope this helps solves your query .Take care .All the best .Get well soon. Wish you be blessed with happy long healthy life Don't hesitate to come back in case of any further query ."
},
{
"from": "gpt",
"value": "Target: Suggest better treatment for chronic lymphocytic leukemia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir.. My uncle is 32yrs old.. He is suffering from jaundice (billirubin level-7.81). We are surprised to know that he is having typhoid too.. Please suggest the diet that should be given in order to cure these diseases & to get rid of fever that relapses every night... Please help me.. Doctor: Hi I would advise the following.1. Admission to hospital under general surgeon.2. IV fluid therapy depending upon the need.3. Antibiotic specific to typhoid.4. Supportive care till bilirubin levels start falling.5. Soft bland diet rich in carbs but low in protein and fats.6.Close monitoring of blood investigationsRegards"
},
{
"from": "gpt",
"value": "Target: What kind of diet should be followed by a person suffering from jaundice and typhoid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi sir. My child is having problem of epilepsy from childhood. Now he is of 3 yr old. His weight iz 10 kg. Dctr hv started leveracetam syp.1ml twice daily. And na. Valporate susp. 2.5ml bd. Outcome is nt that much effectiv. As it is havng alot of side effects giv me sugestion that what should we do?how many days should we continue the same? Doctor: Hi, Thank you for posting your query. Epilepsy is a chronic disease, which requires medications for a long period of time, at least 3-5 years of seizure-free period. Levetiracetam and sodium valproate are good medications for treating epilepsy. However, if the child is having side effects or if they are not effective, then the medications may be changed in consultation with the doctor. I hope it helps. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected]"
},
{
"from": "gpt",
"value": "Target: 3 year old, epilepsy, taking leveracetam, valporate. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I am the caregiver to my 85 year old father in law. He was diagnosed with Multiple Myeloma and Myleodysplastic Syndrome in February 2011. He has been receiving transfusions for the past year 2-3 units every 3-4 weeks his HGB never goes above 10 low is usually 7 platelet count is usually 24-27. was receiving weekly injections of procret 0000. Recently he was hospitalized and had over 3 liters of fluid removed from around his heart and lungs. He has decided he no longer wishes to receive Medical intervention. Hospice has be ordered out to our home. I am curious as to how long he can sustain without treatment? Doctor: It would have been better had your father-in-law been able to receive chemotherapy for his disease. However, i presume that in view of his advanced age, the decision not to take chemotherapy must have been taken, and he was placed on supportive treatment. Going by the rate of transfusions that your father-in-law has been requiring regularly and the complications that he already has started to develop, he is unlikely to survive for more than a few weeks (2-3) in the absence of active treatment in a hospital and even that is being hopeful. You have to take a collective informed and reasonable decision regarding the continuation of therapy in this regard."
},
{
"from": "gpt",
"value": "Target: Have multiple myeloma and myelodysplastic syndrome. Hospitalized for fluid around heart and lungs. How long can I survive without treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My doctor told me today that I have RBBB after examining me and running an EKG. He has referred me to a cardiologist. He asked if I had been having abdominal pain. I told him I have had abdominal pain and sometimes distention but I was wondering if abdominal pain is related to RBBB. It was so much to take in that I forgot to ask him. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I don't think that these things have to do with each other , and the doctor might have been asking in general. Rbbb is an ECG finding and it may be due to a cardiac disease,pulmonary disease or without any known disease. I recommend you to do a Check up to a cardiologist. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Does right bundle branch block cause abdominal distention and pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my aunt was diagnosed with stage 4 cancer. It originated in her colon and has spread to her liver. She has had 2 chemo treatments but is not having more. We were told that she will be starting hospice. She has gained 40 lbs in the hospital in 2 weeks. Her legs and feet are extremely swollen. She is confused at times. How do we know if she has 2 days, 2 weeks or 2 years to live? Doctor: Hi,Thanks for writing in.Sorry to know about your aunt who is suffering from stage 4 cancer. Colon cancer might be violent at times and even after surgery about half the patients develop spread to liver, lung and brain. The expected survival of a stage 4 cancer patient is up to 2 years from the date the cancer detection was confirmed in the liver.The maximum survival depends on many factors like age of patient, response to treatment, progress of disease, general health condition and mental outlook. In case of your aunt, it is important to know if the liver and kidneys are functioning normally. Swelling in legs indicates a problem in liver, kidney or heart. If there is a complication in the liver or kidneys then survival is reduced to 6 months. Please do not worry."
},
{
"from": "gpt",
"value": "Target: How long can patient in stage 4 of cancer survive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I just have a question. I had to use the bathroom really bad, but had to take care of my child first, so I held it and right before I went to use the bathroom I felt this sharp pain on the right side of my abdomen. I almost threw up because the pain was so awful. I rolled around on my bed moaning and groaning out of pain which helped a little bit and after a few minutes, it went away. Do you know if there s anything to be concerned about? Doctor: Hi ! Good afternoon. I am Dr Shareef answering your query.From the history of holding your child and going to the bathroom simultaneously, it seems to be a minor stretching and tear of part of your abdominal muscles, which might have caused this awful pain. As it went away later on taking rest, I would not consider it to be of any serious nature. However, if it recurs again, I would advise you for an anti inflammatory drug for two to three days along with a proton pump inhibitor drug which should resolve the issue. Otherwise, I would suggest you to see your family physician for a personal clinical examination and related investigations to rule out any intra abdominal pathology.I hope this answers your query. In case of any doubt please do not hesitate to ask again. Thanks for using healthcaremagic portal for your health related queries. Wishing you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What is the treatment for severe abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife had surgery to remove a Mirena that turned sideways. They couldn't get it out normally so they had to make three incisions in her abdomen to pull it out that way. It was still not easy to get out. She has been having extreme headaches and wavy vision since the surgery. Is this normal? Doctor: Hello,It is not unheard of for the IUD to find itself in an improper position. It sounds like the position of the IUD likely forced it partially through the wall of the uterus, and they could not remove it with a camera through the cervix. It is possible that it involved a loss of some blood which could produce something called anemia. In patients with low blood counts, they might report headaches and blurry vision. Regardless, these are not normal symptoms after surgery, and she needs to call her surgeon immediately.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Timothy Raichle"
},
{
"from": "gpt",
"value": "Target: Why there is difficulty in removing mirena?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my age is 64 yrs,height is 5ft 10.5 inches and weight is 75 kg i have BP which is stable at 119/69 on allopathic medicine for the past 2 yrs.i was diagnosed for diabetes type 2 in feb this year. and was under control till 2 months back on medication. in july this year i was diagnosed for temporal arteritis(giant cell arteritis)and was put on 60mg prednisole(steroid) and am now on 30 mg daily. now my blood sugar fasting is abt.76 to 86 and post lunch(after 2 hrs of breakfast )it remains around 160 to 200. however 2 hrs after lunch(ie afternoon meals) it jumps tp 350. i also suffer from cramps of feet and wrist fingers now and then. please advise. Doctor: Hello, Steroids can cause rise in blood sugar.However nothing much to worry and it will return to normal by itself. Predensole is effective for temporal arteritis. Nothing much to worry and your treatment is in the right track. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: Is it safe to take prednisole for temporal arthritis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, Good Morning. My relative M. Sakawat Hossain age 60 years now head- neck cancer(Ca Buccal mucosa lt. side)(scraping)already 4 cycle chemotherapy complited. Doctors advice him to go abroad for further evaluation. What can I do? can I give your mail address. Doctor: hi 4 cycle chemotherapy is incomplete treatment of cancer of buccal mucosa. this is called as neoadjuvant chemotherapy. i suggest to meet any onco-surgeon/surgical oncologist to show him for feasiblity of surgery(COMMANDO) , Once you gone through surgery ,you require adjuvant radiotherapy(radiation) as per surgical pathology report. so my advise to you is first meet cancer surgeon. see u. how your relative get well soon."
},
{
"from": "gpt",
"value": "Target: Where should I take a head-neck cancer patient who has undergone 4 cycles of chemotherapy for further evaluation ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: today I have had pain that comes and goes and is short and dull and it is in my heart. I have no shortness of breath or other symptoms. I have had a sore throat and lung pain all on one side as well. My doctor gave me nasal spray but no xrays i've been on for one week for the same symptoms. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of musculoskeletal pain is more likely in your case. But better to get done ecg too rule out heart diseases because you are having left sided chest pain. If ecg is normal then no need to worry for heart diseases. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or ibuprofen. Avoid movements causing pain. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes dull heart pain, sore throat and lung pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...My 6 month old has a cold with a cough and lots of mucous. I just noticed a large dark red spot on the side tip of his toungue. Worried About what it could be. He had a cold every month for the past 3 months Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain red spot at the side tip of tongue can be due to causes like inflamed tongue papillae, arterio-venous malformation like hemangioma, broken blood vessel, hematoma etc..I would suggest you to consult a Pedodontist and get him evaluated and he can do a clinical evaluation and treat accordingly..As of now feed him with soft foods, do alternate warm and cool compresses over the lump and also maintain a good oral hygiene..Hope this helps..Regards."
},
{
"from": "gpt",
"value": "Target: What causes red spot on tip of tongue in infant during cold?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my legs hurt all time and are weak. I have bulging veins also. I was having really bad leg cramps until I started taking product called Restavin. I don t have them anymore. My doctor wants me to see a neurologist, but I am worried . I also have a brain aneurysm that is coiled. They are going to do an MRI on brain. Please give me your opionion. Thank You Doctor: Hello! Welcome to HealthcareMagic! Muscle cramps is due to decreased potassium level. For that you can drink ORS liquid and take tab. Evion- LC at night time, for a month. Hope this clarifies your concern. Thank you for the query. Take care Regards, Dr. Roshan, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Do leg pain, leg cramps and bulging veins require consultation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently found a lump (which may have 2 smaller pin sized lumps) right outside my anus. They are not itchy, but have increasing gotten more painful. Frankly before i noticed the lump while douching, i had no discomfort. I havenot had anal sex in over 4 months, although unprotected. I am very worried. Doctor: A lump in the region you have described could be a hematoma or thrombosis of external hemorrhoids or anal condyloma all of which can occur with anal intercourse. In some, they subside by increasing fibre in diet, but in others it requires medical or surgical therapy. You can visit a Surgeon or a proctologist."
},
{
"from": "gpt",
"value": "Target: What is the cure of lump on anus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc, My USG shows hepatomegally and fatty changes in liver. Everytime i feel my liver is enlarged while walking and even bending My bolld test shows sgpt / sgot increased.60 and 43 respectively Bilirubin 0.92 although everytimes its found to be more than 1.0 Everytime I am feeling nausia and vomiting tendency. Pricking pain in liver / sometimes burning sensation also present. My problem is about 3 yrs old. My urine is never clear and white. A new doctor has prescribed UDILIV 300 BD for 1 month and od next month what should i do Doctor: Hi, Thanks for posting your query. Your liver function test is normal (as figures mentioned by you) except slightly raised SGOT/ SGPT. Are you an obese person? Fatty liver is a common ultrasound finding and deranged SGOT/ SGPT may be due to fatty liver. Your pricking pain doesn't appear to be due to liver pathology. What was your gall bladder status? You should also go for endoscopy. You should consult with internal medicine specialist / gastroenterologist. Take care, Dr. Mayank Bhargava"
},
{
"from": "gpt",
"value": "Target: USG shows hepatomegaly and fatty changes in liver. High SGPT and SGOT. Nausea, pain in liver. What should I do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My seven week old son has been diagnosed with VSD. I am concerned about the amount of sleep he is getting. He is only awake for about a half hour at a time. Maybe 3-5 hours a day. Basically eats and goes back to sleep. He is a very restless sleeper at night in his bassinet but sleeps well on the floor during the day. Is this something that needs to be checked on by his pedestrian? Doctor: Hi,Welcome to HCM,I had gone through your question and understand your concerns.till 3 months, babies sleep 16-18 hours. In case of (breathless or cough or bluish skin )vsd related disturbed sleep needs to be evaluated.kindly evaluate with pediatrician.Hope, I have answered your query, all the best, take care."
},
{
"from": "gpt",
"value": "Target: What does long hours of sleep in infants indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 22 year old daughter has dull abdominal pain on the lower right side of her stomach and lower right side of her back. She also has fever and nausea and gas. She just returned from South America yesterday. Could she have appendicitis or something from her travels? Doctor: Hi,From history it seems that she might be having appendicitis pain giving pain in that area with fever and nausea.There is possibility of having urinary tract infection due to retention of urine for long time during journey.consult your doctor and get examined.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Is dull lower abdominal pain related to travelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with MGUS in my 40 s and am now 55.My oncologist told me it was to do with my T cells. I have not had a follow up for nearly 2 years and am feeling extremely fatigued and am currently experiencing severe groin pain and kidney pain. I have also been vomiting for no reason and blood literally pours from my nose when I ve been sick. Do you think this is related to the MGUS? I am sick of feeling tired all the time. Doctor: Hi, Thanks for writing in. These symptoms definitely seem to be related to your MGUS which can invade your bone marrow and cause severe depletion of red cells, white cells and platelets. I definitely think you should get yourself evaluated by your oncologist. He would have to run several tests including a complete blood count, a bone marrow biopsy and a CT scan of the abdomen. Depending upon the extent of your disease, further treatment can be decided. Regards"
},
{
"from": "gpt",
"value": "Target: Suffering from MGUS. Feeling fatigued, severe pain in groin and kidney, vomiting, nose bleeds. Is this related to MGUS"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am trying to concieve since last 4 years,i have done IVF 4 times but didn't work,then i came to know that i have TB in uterus i am on medicies for TB now.I have completed 5 months course one month is remaining,pls advice what to do after completing 6 months course Doctor: The completing the Tb course is required for complete treatment.Once the treatment is complete then you may try for pregnancy.The IVF may be needed again but is likely to have more success rate than before."
},
{
"from": "gpt",
"value": "Target: How to proceed with pregnancy after completing TB course?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi ! doc i have been precscired by my doctor to have clavam 625 as i have dental problem my tooth which has a filling is has become very sensitive and a pit of pain on the cheeks i cant drink hot or cold drinks or water i can eat pls do reply is it the correct medication and will it work out for me ? neeshaa Doctor: hello thanks for consulting at hcm..Below the filling there may be occurence of secondary caries, resulting in pulp involvement,, since pain is there infection must have spread to periapical region hence sensitive and severe pain in the cheek,,hence your dentist has prescribed clavam 625mg which is antibiotics and you also may need analgesics also ,,plz get it under the guidance of your dentist.. and also get a iopa radiograph for the involved tooth,, after that you may need root canal treatment for that tooth,, hope it helps,,take care,,"
},
{
"from": "gpt",
"value": "Target: Is clavam 625 a correct medicine for dental problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 and half year son got the USG report of whole abdomen, it is mentioned that Liver is slightly enlarged in size homogenous parenchymal echotexture. No sizable focal lesion seen. Infra hepatic biliary radicles are not dilated. Portal hapatis measures 7 mm. kindly suggest for this. Kindly not that he doesn t want to have any meal at any time. We have to forcefully feed him and it takes more than one hour to feed him every time. Moreover sometimes he vomit too. kindly suggest. Doctor: Hi and welcome to HCM.you should do liver enzymes findings. The most common liver disorders which is found by ultrasound is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didnt find anything and viral markers are negative then you have no reason to be concerned. YOu should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated drinks. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest to go step by step.Wish you good health."
},
{
"from": "gpt",
"value": "Target: Ultrasound whole abdomen shows liver slightly enlarged. Occassional vomitting. Poor apetite. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: While I was helping my 3 yr old get a drink my 10th month old son just got a hold of the Calemine Lotion bottle that was up on the table and was dumping it on his lips and face. I quickly washed out what I saw in his mouth and on his face and he is not currently having any reaction. What should I do or watch for? Doctor: Hello I have gone through your question and understand your concern.if calamine lotion is swallowed, gastrointestinal symptoms like nausea and vomiting may occur.Acute exposure to the dust form of zinc oxide can result in coughing, upper respiratory tract irritation, chills, fever, nausea and vomiting.In my opinion the quantity of Zinc ingested by your child was not enough to produce symptoms. Wait and observe the child for next 24 hrs, if any of the above mentioned symptoms occur go to ER for managment. Do not attempt to induce vomiting at home to get the ingested contents out. It is better to observe the child at home rather than sending the child out to play or to school."
},
{
"from": "gpt",
"value": "Target: Is calamine lotion harmful for child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had alot of stress lately my GMA passed and I took care of her I ve worked but I find it hard to concentrate I what I doing I had a panic attack once goin into a store and got on zanaz I find it comforting riding in a vehicle but still am scared bout goin into stores at times for along period of time.lately I was at my apt went to walk across the road and for some reason I got scared that I wouldn t make it.it seems like sum of this is related to a fear and I don t always have sweating and a racing heart it seems like it s sthing I think bout from time to time could this just be a case of panic attacks? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Panic attacks are due to underlying anxiety problems or stress problems. Panic attacks, anxiety symptoms are part of your body's natural defense mechanisms and they are essential. The more you worry about panic attacks, the more they trouble you. I suggest counseling.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of a panic attack?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my doughter( 3 yrs) is having cold cough and whizzing very frequently...and she,ll get asthaline and sometimes budecort nabulization and antibiotic....this time( she had mild infection) she got clarithromycin antibiotic 6ml twice a day for 5 days....but she does,t like the taste and spilling all the medicine somehow i managed to give her for 2 days with spilling and all...so i stopped for 1 day.....now my question is can i give her azithromycin bcoz she takes that easily ...will that be effetive Doctor: Hi...Thank you for consulting in Health Care magic. Greetings from Chennai.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place.No point in using antibiotics (LIKE CLARITHROMYCIN AND AZITHROMYCIN) every time. It will do more harm than good by increasing bacterial resistance.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Can Azithromycin be given for cold and wheezing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor My brother faced a major shock due to dismissal of mother in 2001, and before that he was also very much disappointed with his failure in IIT JEE. However he was able to get admission in a local engineering college and started his studies under Electronics and Telecom Engineering around 1999. Since then he was somehow able to continue studies till 3rd year with off and on performance. But now he is unable to concentrate on any study though he will try to open a book but will start thinking something else; seems he pretends studying.Medication - He has been undergoing treatment and taking medicines indirectly for last 7 years – Oleanz 10 mg (and Lamitor); resperidone etc Observations on his behaviour:1. Lifestyle is irregular – He will get up in time and get ready for a day or two and then for next many days he will not shave/bath at all. Similarly he will not take the main meal for the whole day till evening.Sometimes he used to get ready early in morning to go to his college; he would try to go to college but finally would not be able to do so .2. Sometimes laughing when alone 3. Talking to himself when alone 4. Writing the same points again and again. These are same objectives he wants to achieve like waking up early, completing his engineering degree course, getting a job and establishing a company. He will also narrate that he should keep himself safe from a particular neighbor. This insecurity must have some link with his college as well.5. He will not take medicines himself, so he is being given medicines without his knowledge.On the positive sides:1. Likes to meet known persons, and sit with them though he will not talk at length. And will go to market if somebody asks him to buy some household etc.2. He was good in his academics, won many awards in drawing both at city and state level.3. Participated in extracurricular activities like NCC, debate etc.4. Has wisdom to understand and differentiate between good and what is bad to him and family. Doctor: Hello thanks for using healthcaremagic.I can understant your worry for your brother.From narration I can say he is suffering from schizophrenia.There are negative symptoms as well as disorganised behaviour present.For this I think he should be given amisulpride and/or aripirazole.He seems to be intelligent but due to his illness his cognition is affeceted. For that multivitamins containing methylfolate and N acetyle cystine should be tried.I guess some short of psychotherapy would help as he seems to able to understand.If he is not taking medicines long acting injection of antipsychotic medicines is an alternative.Keep follow up with one doctor for long for better results.Regards.Dr.Chintan Solanki."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for mental health problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor..my boyfriend complains that his balls hurt all the time. i understand that since while making out we do not go much further so that can give rise to some acute pain. but should dis pain not subside eventually or after masturbating? he seems to have trouble in walking all the all the..he also says that since the male body produces sperms all the time, it is important to ejaculate..is this true? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If a patient comes to me with testicular pain that is bothering him all the time I would go for physical examination and would advice to get scrotal doppler ultrasonography as constant testicular pain might be due to vericocele. You need to get your boyfriend checked by the urologist. Secondly, no it is not necessary to ejaculate on routine basis, nature has made a very well established process in male bodies if they do not ejaculate for a longer period of time and body needs more space to accommodate newly forming sperms then the old sperms would be ejaculated on there own at night which is often referred to as wet dream or night fall. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes severe pain in the testicles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have 8 mm stone in rt. kiddny ( at superior calyx) and 2 mm stone in left kiddny (at inferior calyx) . On IVP the report says SPASTIC PELVICALYCEAL on both sides. I have no regular pain, some times heavy ness felt at right side. I am disturbed, can I get some suggestions. Doctor: hai,Immediate cure will be lithotripsy treatment. using Shock waves to breaking done the stones.if you want to get the stone away naturally. but it takes 5 to 10 days.follow the below advise.as from your report kidney stone in still in the kidney(calyx part) once the stone started travelling in to ureter and bladder pain will vary.As your 2 mm stone possibly come out without any medication only by taking excess amount of water and avoiding high protein ,calcium,oxalate,diary products foods.As other one is 8 mm that too will dissolve if you follow strict diet as i mentioned above.Symptomatic treatment will be taken care at emergency department at hospital for nausea,pain.burning sensation. etc.thank youhope i answered your query"
},
{
"from": "gpt",
"value": "Target: How to treat for stones in kidneys?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I m having a bad day. Last night I started to sneeze, I thought it was normal. But I guess wrong. When I went to school my throat was hurting me and my stomach, also I had a bad running nose. I told my dad, but he said it s just a cold. To be honest I don t even know if I have a cold or not. Please help. Thank you, doc. Doctor: Probably you are suffering from common cold which is basically a viral infection. There are a number of viruses that could cause this. Antibiotics are ineffective in such infections. Even if it is streptococcal sore throat, irrespective of the use of antibiotics, it will take 5-7 days to go away. Just take steam inhalation and gurgle with lukewarm water and you will get relief. Also take some antiallergic like levocetirizine. It will help in reducing the sneezing. You need not worry."
},
{
"from": "gpt",
"value": "Target: Child have sneezing, running nose and throat pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My period went off about 2 weeks ago and like i had sex last Friday and like yesterday and today I have been really tired and my back has been killing me and my stomach has been cramping like crazy i cant lay on my stomach because it hurts i feel like bloated and the cramping is hurting real bad like im about to be on my period again.. Idk what it is Could you tell me... Could it be Pregnancy?..What have I done..Nothing yet because i am not sure what to do i was going to try and take a test next Friday I guess Doctor: Hello! Welcome to HCM.You havent mentioned about fever, if any.This can be musculoskeletal pain or due to stone in urinary tract.As the severity suggests & back pain is also there, it is more likely stone related pain.Stone in ureter (tubes connecting kidney & urinary bladder) causes obstruction to urine outflow from kidney to urinary bladder.Smooth muscles in ureter contract excessively to overcome this obstruction by stone & cause severe colicky pain.Temporary treatment to relieve pain includes smooth muscle relaxants & pain killers like drotin, voveran, tamsulosin etc.Many such patients come in my clinic to whom I advise ultrasound abdomen & pelvis, X-ray KUB, renal function tests, urine routine.Treatment is done accordingly.Consult your doctor for medicines.Hope this information is useful.Wish you healthy life.Thanks.Regards."
},
{
"from": "gpt",
"value": "Target: What is causing abdominal cramping?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir/Madam, My baby is 3months old femal (pre term). The small red color hemangiomas is in her face between ear and neck. the size of this pigment increased day to day. how to prevent? is it create any problem for her. any treatment is there? now the size of mark is around 5mm dia. Thanks Subramanian Doctor: Hello. I just read through your question.Hemangiomas typically get larger during the first six months if life. Then over the following few years, the hemangioma fades. There would be nothing to do at this time other than wait. In most cases the hemangioma disappears completely on its own."
},
{
"from": "gpt",
"value": "Target: How to prevent hemangiomas from forming on baby s neck and what is the treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is of 23 years old and facing problem of negative and past thoughts after a head injury in 1996 while CT-SCAN , MRI-BRAIN & EEG tests are normal.presently he is very anxious & abnormal behaviour whereas he is under treatment of a neuropsyciatrist passed from NIMHANS,BANGALORE.< Doctor: Hello,I would recommend you to use sertraline 50mg for negative thoughts and a low dose of olanzapine 5mg for abnormal behaviour.Hope you will see the difference in 10-15days.Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for anxiety and negative thoughts"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to my doctor after my dental hygienist noticed some lesions on my hard palate with the VELscope. My doctor is referring me to an ENT, but doesn't seem concerned about it being cancer since there are no white/red plaques or any ulceration. Here is her synopsis:\"OP with erythematous somewhat warty textured papules on the hard palate, no leukoplakia, no bleeding, no ulceration. Remaining oral mucosa normal. A/P: (K13.70) ORAL LESION (primary encounter diagnosis)Comment: possible prolonged inflammatory response or burn, does not have the appearance of thrush or aphthous ulcer. Neoplasm cannot be ruled out.\"I burned my mouth earlier that week, but I have also been dealing with Chronic Sinusitis (14 weeks now). I also had a tooth extraction back in October due to a failed root canal (abcess). I am prone to some overreactive autoimmune responses and I was wondering if you could shed any light on if these mouth lesions are tied to either the sinusitis or the abcess and what the diagnosis might be. I am scheduled to see an ENT but it is still a couple of weeks out. Thanks. Doctor: Hi..Thanks for the query..Wart like growth on palate can be due to causes like burning mouth with fluids, continuous irritation or can be due to viral infection like Human Papilloma Virus..As you have burned your mouth, it can be a cause, however sinusitis is not seen to cause wart like growth..But for a confirmation of the exact cause of the growth over the palate you should consult an Oral Physician or an Oral Surgeon and get checked..A Biopsy can be done for confirmation.Treatment can be advised only after the exact cause if ruled out..For now do warm saline gargles and avoid eating spicy and irritant foods..Hope this helps..Regards."
},
{
"from": "gpt",
"value": "Target: What do lesions on the hard palate indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 36 yers 2 month before my bp was 190/110 and now my bp is 140/90 ,my blood cholesterol 166 mg/dl and blood urea is 26mg% now i am taking amloz-5mg tablets as per doctor consult .i have no suger .my sugar is normal.so pls consult what tests i have require so ican control my bp. Doctor: Hello!Welcome on HCM!Regarding your concern, I would explain that it may be related to several causes (metabolic causes, hereditary, caffeine intake, etc.). Do you have any family history for high blood pressure at a young age?I recommend consulting with your GP for a careful physical exam and perform some other tests: - chest X ray study- resting ECG- thyroid hormone levels for possible thyroid dysfunction- cortisol and aldosterone plasma levels for possible adrenal gland dysfunction- urinary metanephrines to exclude possible pheochromocytoma- blood electrolytes- an abdominal ultrasound to see to blood flow in the renal arteries. You should discuss with your doctor on the above issues. Hope you will find this answer helpful!Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What could cause elevated BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my fried had a problem with his salvia ducks,he went to his doctor who gave him antibiotics theyndidnt help ,he has got a small lump under his tonuge and cannot open his mouth wide only slightly, he is getting terrible headaches and toothache he is terrifide of dentists ,his doctor wouldnt give him anotherstronger antibiotic, he thinks it might be an abcess could you enlighten me to what the cause may be Doctor: Hi Dear ,Welcome to HCM. Understanding your concern. As per your query severe headache, toothache and lump under tongue indicates that there is dental abscess formation due to infection extending from tooth to region below root apex leading to pus formation and lump. It can be swollen lymph node due to infection and blockage of salivary gland duct. I would suggest you to consult a dentist and get proper cleaning of the area done followed by irritation with hydrogen peroxide, betadine and saline. Take combination of Diclofenac and Ibuprofen. Chew on citrus substances. Use digital palpation method to allow salivary flow. Go for root canal treatment of concerned tooth to prevent further spread of infection.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe headache,toothache and lump under tongue"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Is there any better medicine or new treatment for huntigton chorea, it is a genetic disease and no treatment is available at present is what told for me? Doctor: Huntington's disease or chorea (HD) is an incurable neurodegenerative genetic disorder that typically manifests itself first in middle age. It is the most common genetic cause of abnormal involuntary writhing movements called chorea. There is no cure for HD, but there are treatments available to reduce the severity of some of its symptoms."
},
{
"from": "gpt",
"value": "Target: Medicine or new treatment for huntigton chorea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi thanks for taking the time to listen to me... I have been to two different doctors and got two different responses.. The first was I have mouth ulcers the second was I have an infection in my mouth... my wisdom are hurting to be end I don t have them yet and the roof of my mouth hurts so bad I can t eat or sleep I have been taking 1 Advil and 2 Tylenol every four hours for the pain... what can I do at home for this? And I have no clove oil or vanilla please help I m in so much pain. thank you Alicia Doctor: Wisdom teeth don’t aid in mastication so no treatment is required for the wisdom tooth. Surgical extraction of wisdom tooth is done in most of the cases. Dentist will numb you and then will remove the tooth. For some pain relief, you can do warm saline rinses 3-4 times a day. Warm saline rinses will reduce swelling of gums in that area and will provide some relief. You can also apply orajel over site. You can take pain meds. Avoid eating from side of affected tooth and maintain good oral hygiene. Food accumulation in relation to wisdom tooth will aggravate the pain. You can try these remedies for pain relief."
},
{
"from": "gpt",
"value": "Target: Have mouth ulcers, oral infection, wisdom tooth hurts causing lack of sleep. Home remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am almost sure that I inhale some sort of fungal matter. I have been very sick, asthma, wheezing, blood pressure is always high. I know have severe joint pain in my hip.just above my ankle and also water retention. I explain this to the doctor but he did not believe me, now I am waiting to die. Doctor: Hi and welcome to HCM, You should take Lasix 1 BD which will reduce water retention and BP. Take Deriphyllin with Asthalein inhaler. Antifungal oral treatment can be done. Take x-ray to rule out any fungus ball in the x-ray. Detailed examination required to asses further. Wish you speedy recoveryThanks"
},
{
"from": "gpt",
"value": "Target: What to do for inhaling fungal matter, sickness, asthma, wheezing, high BP, joint pain in hip, water retention?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a patch of bumps on the top of my tongue in the back of my mouth, both on the left and right sides. I use chewing tobacco and haven t been dipping much more than usual. I ve experienced this before a few times in the past 5 years, but it s more pronounced now than it has been. Doctor: Are the bumps in white or red colour ? If it is.. As yu already mentioned tobacco chewing.. It may be leukoplakia or erythroplakia which is a precancerous condition"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lumps on the tongue"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my sister has cirrhosis of the liver and was bleeding internally due to esophageal varicies back in Jan, she had stopped drinking and smoking, but recently has started smoking again, she is having a hard time giving up smoking and drinking, i know smoking is bad in general, but I believe her bleeding was due to the drinking, will a couple of cigs bring on the bleeding again???? Just wondering??? Doctor: Thanks for contacting HCM. Cirrhosis of liver leads to formation of esophageal varices which bleed profusely Alcohol is a known cause of liver cirrhosis. Also in liver cirrhosis clotting is impaired so bleeding is difficult to stop. Smoking also leads to bleeding peptic ulcers. so your sister had all the ingredients for bleeding. Peptic ulcer can be corrected by treatment and esophageal varices can be managed by schlerotherapy or banding. But relapse can occur. Cirrhosis is an irreversible process so she needs to avoid smoking and alcohol at all cost. Regards"
},
{
"from": "gpt",
"value": "Target: Is internal bleeding while having liver cirrhosis due to smoking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello I have a rash that I just got about a week ago. it burns but does not itch. I work in a meat room and wear long sleeves and gloves. but I don't know why this rash would just start. it gets better on my days off but when I went back to work it got worse again. please helpI am not doing anything different Doctor: Hi,Welcome to health care magic,These rashes over skin could be due to eczema,allergic hives,atopic dermatitis, etc.The important thing is to diagnose first rather than treatment.You can go to skin specialist for detailed history and inspection of rashes to have a clear diagnosis.You might require topical corticosteroid like beclomethasone, clobetasol or mometasome with antifungal cream like miconazole or itraconazole with antihistamines orally to reduce itching if any.Some time oral antifungal once dosage with prednisolone are also effective.So,you must consult to the doctor."
},
{
"from": "gpt",
"value": "Target: What causes burning rash?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: effected my right testicle....iwas hospitalized for about 5 days in an isolation room with no oral diet after i was discharched my testicle was not in normal form as it was shrinked...and i always felt minor pain just below belly..and a little pain in right testicle.....after 7 years which is now i start having pain in right testicle which moves from testicle to bottom of the belly and to right leg.....but some times it is gone and some times it happens again.....please help me......can it be testicular cancer? what should i do.......... Doctor: Since the right testis is atrophied (shrunken in size), it does increase risk of testicular cancer. You need to have a clinical examination to see if any swelling is palpable in the scrotum (skin bag containing testicles).An ultrasound scan of scrotum is required.Please see your doctor and discuss it with him."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of testicular cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm having trouble getting pregnant. i had an iud for 7 years. had it removed 3 years ago. my blood work came back normal, tsh, fsh, testeserone was a little high. my husbands sperm count is low and motility is low. i have been going to the Dr. every 6 months have not been prescribed any medications. i'm currently not on any medications. my husband has high cholesterol and high blood pressure. i have 3 kids and he has 1 natural child. any suggestions. Doctor: HIWell come to HCMIf this is case of oligospermia then chances of pregnancy would be very less likely but not impossible some time medicine helps but for that you need to see the urologist, just single sperm needed for conception, keep trying, and hope for the good, have a nice day."
},
{
"from": "gpt",
"value": "Target: How to get pregnant when sperm count and motility is low?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9yr old son was experiencing slight chest pains while in class. We brought him to the emergency room and the Dr. asked about a heart murmur. He sees his pediatrician regularly and has never said anything about a murmur. We are trying to get an appointment with a Cardiologist right now to see what is going on. Should he be experiencing chest pains? The ER DR. didn t seem very concerned about it, but should we be? Doctor: Thanks for your question on HCM.I can understand your situation and problem.In my opinion, it seems nothing serious for your son's chest pain.But better to rule out congenital heart disease as a cause for his chest pain.So consult pediatric cardiologist and get done1. ECG2. 2d echoTo rule out congenital heart disease.If both of the above tests are normal then no need to worry much for cardiac cause.Do don't worry much for his chest pain. But better to rule out cardiac cause."
},
{
"from": "gpt",
"value": "Target: What could be the reason for chest pains in child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a few questions about the symptoms and restoring my body to how it was. I may have been excessivy ejaculating and most of the symptoms are thins that I have (due to research). Lower back pain, rarely having.morning erections, impotency (my seamen is very waterlike), and I feel as if my penis is not as strong, large, and healthy as it used to be. I also read that it.drains your body of HGH and other things, leaving you tired and bioenergy deprived, causing sleep deprivation and a lack of muscle growth which also both relate to me. I have been masterbating 2+ every day at least for a while, just been stressed out. Anything I could do to reverse the effects, I know step 1 is stop masturbating, but I want to reverse the effects and go back to feeling healthy and not having pain in my testicles and lower back all of the time. Doctor: hithanks for using healthcare magici think u have lot of sexual misconception. if u r thinking that ur weakness is due to masturbation, then it is wrong. masturbation is just like sex even safer than sex. It would cause any impotency or problems. what u r feeling is due to ur misconception about masturbation. All this could be improved if u consult a psychiatrist for proper sex education. If u need our help, u can connect us.Thanks"
},
{
"from": "gpt",
"value": "Target: How to heal lower back and testicular pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my daughter is having severe chest congestion and wheezing. In the past the doctor has adviced duolin and in severe case he has said to give a combination of duolin buedocort al9ng woth ns for nebulisation. What frequency can i administer this dosage of the situation is severe? Doctor: Thanks for your question on Health Care Magic. I can understand your daughter 's situation and problem. In my opinion, you should first diagnose her, rather than starting treatment directly. Recurrent episodes of wheezing can be due to asthma or allergic bronchitis. So better to get done PFT (Pulmonary Function Test) and chest x ray. PFT is needed for the diagnosis of asthma or allergic bronchitis. Chest x ray is needed to rule out lung infection. She may need regular treatment with inhaled bronchodilators and inhaled corticosteroid, so that such acute events can be prevented. So better to consult pulmonologist and discuss all these, first diagnose her and then start appropriate treatment."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe chest congestion and wheezing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My fiance had an accident the other day in the shower. He bent down and came back up again but stood up fast (and the water was really hot) but when he stood up he got light headed and dizzy and fell to his butt. I was in there with him and I knelt down in front of him and he was twitching & his tongue was moving in and out a little bit. I thought he had a seizure. Doctors took blood test to check for diabetes and blood pressure, but it came back okay. Then I thought maybe it was just fainting with muscle spasms. He's never had this happen before. And he was lacking food in his system because he had not eaten much a couple days before. I just want to know if this could be something really serious. Doctor: Hi, It can be due to alteration in his BP. Check for diabetes, thyroid issue and blood pressure. For dizziness, you can use betahistine.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: What caused dizziness, lightheaded feelings with twitching and tongue movement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mom at 56 years (4ft 12 inch, normal bp, no sugar, no cholestrol issues), obese around 65 Kg has been recently diagnosed via an echo cardiogram to have an 15mm ASD. I also noticed that the report mentions the following (mild tricuspid regurgitation & mild pulmonary hyper tension)Are these side effects of ASD? or was the ASD caused by these? Also, her echo cardiogram taken an year ago didn't show the ASD problem.2 -D AND DOP P L ER F INDINGSRh y t hm : S i n u s Rh Y t hmMitial valve, tricuspid valve, aortic valve and pulmonic valve normal'Trivial mitral and mild tricuspid valve regurgitation.Lefr ventricle: Normal systolic function, no RWMA, Diastolic dysfunctionLeft atrium is normal. Right ventricle and right atrium is dilated.I A S :Os t i um s e c o n d um A SD me a s u r i n g 1 5mm wi t h L -R s h u n t .Intact inter ventricular sePtum.No LV/LA masses, vegetations or thrombus.Main pulmonary artery and aorta normal.No pericardial thickening and/or effusion.ECHO DI AGNOS I SCONGENI T A L HE ART DI S E A S EOstium secondum ASD measuring 15mm with L-R shuntMild pulmonary arterial hypertension 'Normal biventricular systolic functionLV diastolic dysfunction Doctor: DEAR USERTHANKS FOR CONSULTING AT HCMI UNDERSTAND YOUR CONCERN..ASD AS SUCH IS A CONGENITAL CONDITION THAT IS PRESENT FROM BIRTHBUT AS ASD IS USUALLY WITHOUT SYMPTOM IT IS DIAGNOSED INCIDENTALY DURING HEART CHECK UPSHE HAS MILD PULMONARY HTN WHICH CAN B BCOZ OF LONG STANDING ADD AND YOU DON'T HAVE TO WORRY ABOUT ITTRIVIAL MR HOPE I HAVE ANSWERED YOUR QUESTION.. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"
},
{
"from": "gpt",
"value": "Target: Are mild tricuspid regurgitation and pulmonary hypertension caused by ASD?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello my names m.m iam 39 weeks pregnant my hemoglobin level is law i ca,nt sleep a night i have fever in my arms all the time so that doctor please can you give advice the fast way that i can increase my HP and if i can start taking irion tablet because my due date is near .thanks ,Asia Doctor: Hi Asia,Looking at your symptoms, I can comment as follows.Improvement through nutrition could take minimum of 15-20 days to start and more than a month to show improvement.Hemoglobin should be normal during pregnancy and delivery too as blood loss can be seen. Instant improvement is only through blood transfusion using packed red cells. I would not advise you now, and wait till delivery. Transfusion reactions can occur and complicate pregnancy.Discuss with your doctor regarding keeping matched blood ready for transfusion on emergency.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: What can I go normalize my HB level during 39th week of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Semen Analysis says: 2.5 ml, pH 8, Rapid Progression:30, Slow Progression:15, Non-progressive Motality:10, Immotile 45%. while Morphology is: Normal 60, Abnormal 40, Head Defects 10, Tail Defects 15, Head & Mid Piece Defects 10, Cytoplasmic Droplets 03%, Headless 'pinhead' 02%, Puss Cells 3-4, RBC 4-6, Epithelial Cells 0-1, Misc. Nill. Doctor: Hi, Yes. It is absolutely normal. take Milk with turmeric powder daily at bed time to improve sperm quality and quantity. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pramod Kokare, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is pH 8 and rapid progression 30 normal in semen analysis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI i have a 7year old boy, for the last year i have noticed that he is often very pale in his face around mouth and nose area, sometimes even quite grey. He often gets running blood nose specially during night time when he is sleeping. He is quite active, happy and has pratice sports since he was 2 years.. Thank you. Doctor: your child might be having some abnormalities in blood like defects in clotting or defect in platelets.. kindly do a complete blood counts along with peripheral smear with bleeding and clotting time .check all the coagulation factor are in normal range."
},
{
"from": "gpt",
"value": "Target: What causes pale skin on face and nose bleed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been unwell for 1 year my mind feels numb i feel barley concous cant think or concentrate constant exhaustiomy brain dosent feel the same anymore dont socilize anymore too tired and detached have had lot of blood work done ct head sczan and tested for addissons disease please help i cant go on like this anymore Doctor: HiiI understand your concern. Somatization means somatic symptoms without medical explanation. Tiredness/weakness/headache/lack of concentration may a part of somatic presentation. Somatization and depression can both have same symptoms. Or it can be Chronic fatigue syndrome.go for more evaluation. Take proper sleep.Healthy diet.consult physician for general body check up.consult psychiatrist for psychological evaluation. Still if you have a query then feel free to ask. .Thank you. Get well soon."
},
{
"from": "gpt",
"value": "Target: What maybe the cause of numbness, tiredness and lack of concentration?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Um. So ive had this chest pain since 10th grade. My doctor says it is stress but i dont know if it is. It is off and on again but its like a 50/50 on if im stressed or not. It also makes it weird to breathe its on the left side of my chest in the middle. All i ever hear is you vitals are fine your breathing is fine your heart is fine. Is there anything it could be? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per my clinical experience, this type of recurrent chest pain is associated with underlying anxiety giving systemic manifestation. My recommendations at present - Consult an expert psychiatrist to find out the root cause and manage accordingly (as it requires to evaluate for the childhood trauma). - Drink plenty of liquids to maintain hydration. - Avoid stress, anxiety. - Manage to have regular sound sleep of 8 hours. - Avoid smoking or alcohol if using. Thanks. Take care."
},
{
"from": "gpt",
"value": "Target: How can recurrent chest pain be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been suffering from chronic sever lower back and hip pain for about 4 1/2 years now, but all the physicians I have seen seem unable to find the cause, or literally tell me its all in my head. I have seen at least 7 doctors and had every test you can think of aside from an MRI and no one seems to find anything thing wrong. This year I was diagnosed with stage 3 endometriosis, and my OB has chalked most of the hip pain up to the imflamation involved with my disease, but I don't think he right. I hurt constantly and have numbness in my legs feet and lower back followed by a burning sensation regularly. I have 3 kids at home that I don't get to play with without having to stop regularly to rest and now I having to take depression meds because I feel like I'm crazy. Please help! Doctor: Thank you for writing to us,Brief Answer-Its not a big issue you may find answer here.Detailed Answer-For chronic back pain:A single event may not have caused your pain. You may have been doing many activities, such as lifting the wrong way, for a long time. Then suddenly, one simple movement, such as reaching for something or bending from your waist, leads to pain.Many people with chronic back pain have arthritis. Or they may have extra wear and tear of the spine, which may be due to: 1. Heavy use from work or sports 2. Injuries or fractures 3. SurgeryFor hip pain:Pain in the hip can result from a number of factors. Abnormalities of the skin, nerves, bones, joints, blood vessels, and soft tissues of the hip can all result in pain. Sometimes diseases that affect other joints in the body, such as arthritis, can be the cause of pain in the hip. Trauma, including bone fracture, is also a cause of hip pain. Pain in the hip area may also originate from painful infections or other conditions of the skin, such as shingles. Hip pain may also occur because of a problem with the back or spine. Treatments for hip pain depend on the underlying cause."
},
{
"from": "gpt",
"value": "Target: What causes chronic back and hip pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI my boyfriend sometimes loses his erection during sex, sometimes he cant get hard at all through various different mehods, sometimes it workd but doesnt last very long. He is 40, smokes and drinks, he has a refactory period of about 4/5 days, never can he managed twice in one day...help is it me Doctor: Hi, It can be due to diabetes, hypertension, thyroid issue, low testosterone and stress induced. I hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day.Regards, Dr. S. R. Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: What causes loss of erection in mid of the intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had pinworms for nearly 8 years. When I first contracted them, they were terrible. Probably hundreds of them. Now they come and go in smaller groups. I've taken the prescription pill and am a very clean person. I don't bite my nails and I dont understand why they won't go away. Doctor: HelloAs you mentioned that you are a victim of PIN WORM , also known as enterobius vermicularis .As you mentioned that you have taken a full course for pin worm .Still you are having pin worm after 8 yrs of treatment .Because of the ease of person-to-person spread, pin worm infections are common among family members and institutionalized population , so complete treatment and eradication is necessary and important .Dosage schedule is as :MEBENDAZOLE 100 mg twice in day for 3 days . OR Albendazole 400 mg once . or pyrantel pamoate ( 11 mg /kg maximum 1 gm )once .The same treatment repeated after 10-14 days till 4 courses to all family members .Hope this will help you.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for recurring pinworm infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI MY NAME IS CARMEN...MY DOCTOR SEND TO DO AN MRI ON MY BACK SPINE AND HE TOLD ME I CAME OUT WITH A BONE MARROW PLUS HE DID SOME BLOOD WORK ON ME AND TOLD ME THAT I HAVE HIGH BLOOD CELLS AND HE SEND ME TO A CANCER CLINIC IS IT POSSIBLE THAT I HAVE LEUKEMIA I HOPE NOT THIA HAS ME WORRIED WANT CAN I DO GIVE ME AN ADVICE PLEASE! Doctor: Hi, bone marrow involvement can be addressed by MRI still to diagnose a cancer your peripheral blood count to be mentioned in detail. If you have very high leucocyte count with high peripheral blasts count then tissue diagnosis of bone marrow to be done with flowcytometric analysis. Then only hematological cancer can be diagnosed Anyway many hematological cancers are completely curable even in advanced stage. Consult with your doctors regarding your diagnosis. Take care."
},
{
"from": "gpt",
"value": "Target: Got MRI done for spine and bone marrow. Have high blood count. Chances of having cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How to reduce eosinophil count ? Eosinophil count in my blood is 4 which is out of range,As per text it should be 3 it seems,I am getting skin rashes and cough quite often,PLease suggest me some medicines and please let me know if I can do anything with my food habits. -gurdeep Doctor: Dear gurdeep,you have to be vigilant which food causes the allergy. If you identify any stay away from it. Count of 4 in eosinophil count is not alarming. you should also rule out any contact allergy. cough is because you are inhaling some allergens. You have to rule them out one by one. in the mean time you can use long acting anti allergic tablet available on the counter to relieve your symptoms.Dr. J. Ticku"
},
{
"from": "gpt",
"value": "Target: How to reduce the eosinophil count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My sister has had severe cough, shortness of breath for three months which has not responded to three different antibiotics. She has also been on several rounds of prednisone and been using Symbicort daily per MD orders. Nothing has given her any relief. She had a bronchoscopy performed yesterday which noted inflammation. They took samples & she will get results in about 5 days. It was implied that it was asthma though she has not had a complete set of PFTs nor a methacholine test. This is a very conscientious adult who has eaten correctly, walked 4-6 miles daily, serious tennis player who never gets sick and yet has this recurring problem since the first of this year. She is a breast cancer survivor of 10+ yrs. We are both frustrated by the swift diagnosis of first COPD & now asthma with minimal testing by two different doctors. Her PCP is also not satisfied. Can asthma really been this persistent coming out of the blue? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, asthma can be seen in adult life. It is known as adult onset asthma. It behaves similarly to COPD. And your are right, diagnosis of asthma or COPD should only be based on PFT (Pulmonary Function Test). So in my opinion, you should insist for PFT. If PFT is showing obstructive defect with bronchodilator reversibility then it is asthma. But if PFT is showing obstructive defect without reversibility then it is COPD. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks."
},
{
"from": "gpt",
"value": "Target: Can asthma and COPD be diagnosed with minimal medical tests?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am on the pill yasmin and have not gotten my period during my 7 days free. this has happened me before when i was on yasminelle but i changed to yasmin so it wouldnt happen again. ive been taking yasmin for the past 7 or 8 months and this is the first time i havent got my period on it.. should i be worried of pregnancy? Doctor: Hello, and I hope I can help you today.Many women stop menstruating while they are taking birth control pills, especially after long-term use. This is because the tissue lining the uterus called the endometrium, becomes so thin that there is too little to be visible externally during the free week.Because all birth control pills contain progesterone, which suppresses your uterine lining, even switching to a pill that has a slightly higher dose of estrogen can sometimes not produce a menstrual cycle.So there is no harm in missing a menstrual cycle while you are on birth control pills. If you took all the pills in the package to close to the same time every day, and use them correctly, your pregnancy risk whether or not you get your period is still less than 1%.So I do not think that you need to be worried about pregnancy in the situation if you are taking your pills correctly and do not feel any different or exhibit any other symptoms of pregnancy.I hope I was able to adequately answer your question today, and that my advice was helpful.Best wishes, Dr. Brown"
},
{
"from": "gpt",
"value": "Target: Does delayed menstruation while on C pill indicate pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good afternoon, I awoke this morning and have back pain from base of neck to middle lower back. When I swallow something it is somewhat achy (chest area) and I have mild difficulty breathing. I can take deep breaths yet it feels labored - heavy... Just went on Ceftin for sinus infection - thought it may be that I slept wrong - sore muscles but thought I'd ask.... fatigued Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.You may be suffering from viral infection of chest which may be cause of your breathlessness and body ache. You can talk analgesic such as ibuprofen for pain relief. You should take lot of fluid to recover. Vitamin B and C help in recovery. If you have fever then it will be useful to get chest x ray. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes back pain, chest aches, difficulty breathing and fatigue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I normally have my period on time. And about two weeks ago, me and my bf had sex, and he pulled out, without a condom. I was supposed to start my period two days ago, and im 15. I m freaking out. I thought i was going to start today, cuz i had all the signs, but i haven t. could i be pregnant? Doctor: hello dear,i understand your concern.In my opinion the chances of pregnancy are less with pull out method.But rarely the precum might have sperms which might result in pregnancy.So it can be confirmed by doing a urine pregnancy test if the period is delayed more than a week.Because the test usually gives accurate results a week after missed period.Dont worry.The chances of pregnancy are rare.Avoid stress regarding the thought of pregnancy because even it might delay the period confusing the situation.So relax and consider doing the urine pregnancy test.Best regards..."
},
{
"from": "gpt",
"value": "Target: What are the chances of pregnancy if ejaculation is not happened inside?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I believe i have a tapeworm because i have white tissue and slimy discharge all over my stool and a little pink meaty looking slime in alot of it. And i have severe cramping in my abdomen and really fatigue. And a little blood also. I do eat beef medium rare but i am not going to do that anymore. And i also found out i have 2 cyst on my ovaries. I feel something moving aroung in my abdomen like a baby wiggle sometimes and i am for sure not pregnant. Its very nasty looking and smells weird. What can i do about it and or is there something else that could be doing this with my balmovements? Tiffany Doctor: Hi. The sure way to diagnose the problem is to test the stool at least on three occasions. Consult a Doctor about this , who would give you an antibiotic course for nasty looking and weird smelling stool. The feeling of something moving can be a reaction of the intestine to the infection or infestation. Your Doctor may prescribe a medicine for tapeworm too."
},
{
"from": "gpt",
"value": "Target: What causes severe cramping in abdomen and what is the moving sensation around abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, my brother had a motor vehicle accident in 2003, he had convulsions on the same day. He had 2 infarcts in his brain . He has mild paralysis on his left side with a drag to his left leg. In 2004, he had convulsions and was put on antiseizure medications Gardenal and Sodium valporate. it was increased in 2005 as he had an other attack. After that he has had no problems. The drag in his left leg has increased lately and he has been undergoing accupuncture and PT. The physiotherapist gave him thiosinaminum 4x last week. Yesterday night he had a grand mal. Please advise Doctor: Hi, You need to take your brother to a neurologist and have a regular follow up. I hope he has not missed any of his medications. He might require another CT of his head. Thank you."
},
{
"from": "gpt",
"value": "Target: Had convulsions, brain infarction, mild paralysis, on antiseizure medications, giving thiosinaminum, had grand mal. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: okay so i had sex with my boyfriend, and it was really rough , and i would always bleed after. But it would go away the next day. the next couple days it hurt down there and i didnt know what it was. But i feel a lump on the inside of my vegina near the perineum but its on the right side near the vagina lips. It hurts to walk/sit when i cough it hurts. I dont know what this could be. ? its the size of about a grape i think . i just really hope i dont have anything serious. Doctor: Hi,Dear.Thanks for the query to HCM virtual clinic.I studied your query in all its details and understood your health concerns.Cause and Remedy-In my opinion the cause of the lump in your case appears to be post-coital traumatic vaginitis, which lately has caused Bartholin cystitis which causes pain while sitting for 2-3 days time and recovers by body natural healing process.This time its not healed up and hence would need treatment from ER Gynec doctor who would treat it with medicines accordingly.Hope this would reply your query to your satisfaction.Write Excellent review and hit thanks if this reply is liked by you and is helpful to you.Welcome for any further query in this regard to HCM.Have a Good Day.Dr.Savaskar M.N."
},
{
"from": "gpt",
"value": "Target: What causes lump in vagina that hurts while walking or sitting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father is 85 years old with low Hemoglobin & low RBC. Extreme fatigue, lethargic and weak. He's had a colonoscopy, endoscopy, swallowed a camera (to take pics) and a bone marrow test. All came back with no sign of any cancer etc. He was told bone marrow may get \"lazy\" with old age. He had his 1st shot of Aranesp friday? Will this likely help in getting RBC and hemogloin higher? He formerly walked 4 miles/day and did workouts 5 days/week (3 at fitness center and 2 at rehab from heart attack in 1996). Podiatrist told him to stop walking 3+ months ago due to small toe pain so I worry he's had muscles also atrophy. Doctor: Hello,aranesp is indicated for patients with anemia and chronic kidney disease (CKD) or malignancies. Your father seems to have none of them although at his age CKD is possible. Aranesp increases the bone marrow production and may indeed help in increasing the hemoglobin and hematocrit if sufficient iron stores are present. The reason that the official indications are the ones I've mentioned is that its utility is doubtful in other situations (like most cases of the myelodysplastic syndrome for example or anemia of frailty). So the answer is that it may help or it may not! According to the information you've provided You'll have to judge by the results. Do not expect much though...I hope I've helped!Kind Regards!"
},
{
"from": "gpt",
"value": "Target: Will Aranesp shot help in getting hemoglobin and RBC higher?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am on Torpol for blood pressure. It is usually in the 130/86 range even on the medicine. In the last six months I have lost about 30 lbs ... From 315 down to 285. My blood pressure has been dipping into the 111/62 range at times. Is that Ok? I feel a slight light headedness but nothing besides that. Is it too low? I am 34 yrs old... 6'6 Been on different blood pressure meds since 2003. Doctor: Hello!Thank you for asking on HCM!Regarding your concern, I would explain that these blood pressure values are not too low, but as you are experiencing lightheadedness, it means that it is low for your body (as you are not accustomed to such blood pressure values). As you have lost some pounds, it has lead to a drop in your blood pressure. Coming to this point, it is necessary reducing Toprol dose (take half of the dose) as you have a lower weight now and do not need such dose for the control of your blood pressure. You should discuss with your doctor on the above issues. Hope to have been helpful!Greetings!Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Is it to be concerned about the BP decreasing regularly?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a serious issue that s has been going on for 2 years now..I had a cesection in 2010 and ever since then I havse not been right...I have had multiple check ups from my ob/gyn and my gastro ...I have been havin continous abdomen pain..I have off and on bleeding but yet my doctor says he doesn t know why I have had blood work done and my white blood cell count came back abnormal twice but yet the doctor doesn t know why..I have been sick lately can not have intercourse can not work out without passing out and at times I can barely move...I don t know what is going on with me but I feel like its.getting worse everyday I feel like I should be on the mysterydiagnosis show since nobody seems to understand what is going on better yet figure out Doctor: Hello! Thank you for the query. Your symptoms are very characteristic for endometriosis. This condition is caused by appearance uterus cells (so called endometrium) outside the uterus, in your case in abdominal cavity. Such disease can be caused by C-section during which cells from inside the uterus are taken to the abdominal cavity. It gives pelvic pain, pain during intercourse, irregular bleedings and many others. This symptoms very often are getting worse during bleeding time. Endometriosis can also cause adhesions in abdominal cavity what leads to bloats, constipations and many others symptoms of partial intestines obstruction. Diagnostics of endometriosis is quite hard as ultrasound and CT scans can show nothing. The only method that usually visualizes this condition is laparoscopy - some kind of minimal invasive surgery during which the camera is put inside the abdominal cavity. So if you have abdominal ultrasound and abdominal CT performed, the time has come for laparoscopy. Hope this will help. Regards."
},
{
"from": "gpt",
"value": "Target: Abdominal pain, occasional bleeding, abnormal WBC, cannot have sex, had C-section. What is it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor. I have PCOD. I get periods very late and mostly with the help of medicines like meparate. I have already gone through treatment of three months for PCOD. In which Doctor suggested Berbitol medicine. I am still in the same condition. My age is 34, height is 4 11 and weight is 53 kg. Many people have suggested to take Hempushpa for 3 months to cure menstrual problems. Is there any side effect of Hempushpa for PCOD patient? Doctor: Hello, Take a total of 14 ml in a day followed by two dosages of 7 ml each. One early in the morning and the other during the night before sleeping. It is recommended to take the syrup after eating something (Not empty stomach)- Or directed by a physician. It is a safe ayurvedic preparation. It is free from side effects if you do not exceed the recommended dose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does taking Hempushpa for treating PCOS cause any side effects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Is there such a thing as a blood pressure halter that a patient wears and BP is monitored 24 hrs a day? My mother 80 years has an orthostatic condition that is worsening. Her BP drops 30-40 pts when she stands up. we would like to monitor this with a BP halter if there is such a thing. she wears compression stockings already. Doctor: Welcome to H.C.M. I am Dr Krishna Dubey.My pleasure to help you.Yes friend ,now this is standard practice to monitor 24 blood pressure.The 24 Hour Blood Pressure Monitor will monitor your blood pressure over this period.This instrument is a small computerized device and this regularly test ( At fixed interval)your blood pressure over the course of the day. As you told about your mother with history of worsening orthostatic hypotensionthen i suggest you for 24 hours B.P monitor.Thanx.Keep in touch.Always welcome for further query"
},
{
"from": "gpt",
"value": "Target: What is a blood pressure holter moniter?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Problem: presence of red blood cells (R.B.C) in urine sample Hi, my mom is 59 years old and she recently had her routine blood and urine checkup. Fortunately, every thing was normal except for presence of 6-7 RBC in her urine. She also had kidney and bladder sonography which indicated a 20mm cyst (fluid-filled and simple) in her right kidney. Bladder sono also showed that about 20 ml urine residue in her bladder. I am wondering whether the blood is related with the kidney cyst or it maybe related to a problem in bladder. Many thanks Doctor: HelloThanks for query .Your mother has been detected to have simple Renal cyst in her Rt kidney and 20 ml of residual urine in bladder .It is common to have residual urine in females after the age of menopause due to incomplete emptying of bladder secondary to Post Menopausal Urethral Stenosis which gets infected causing (Cystitis)The presence of RBC in urine is due to infection of the bladder (Cystitis) that she has and not due to cyst These cysts are benign in nature .Get her urine culture done and start appropriate antibiotics as per culture report to control the bladder infection.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes red blood cells to be present in urine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi am christine my baby has sypillis i have taken her to the clinic and she was injected with pencilin but now she is have fever cough and vomiting i have taken her to the clinic a gain n they say she has malaria should i treat her with malaria medicine? Doctor: Hi.... fever and cough or usually symptoms of viral illness rather than malaria. The main symptoms of malaria will be very high grade fever with chills and Rigors. Cough is usually not a prominent symptom in malaria. I suggest you go ahead with a blood smear examination for malarial parasite and if it is positive go ahead with treatment of Malaria. Usually for cough and fever Malaria drugs are not indicated.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for malaria in child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 37 years old . I got married 2 years back . since then my husband & I tried for baby but unfortunately my fallopian tube is block from both side My doctor suggested for IVF .Once I through that procedure and i got positive result but it was not developing after 7 week .so we abort it. Now I am going through for 2nd time but I am not having periods I missed my periods doctor gave me meprate but it was not affecting. so what should i do ? Doctor: Hi,I read your query and I understand your concerns.Following is my reply:1) Your age is on higher side.2) hENCE IT IS POSSIBLE THAT YOU DEVELOPED SOME CHROMOSOMAL ABNORMALITIES WHICH ARE COMMON FOR THIS AGE.3) gO THORUGH SECOND TIME WITH HELP OF pgd IF POSSIBLE.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol"
},
{
"from": "gpt",
"value": "Target: What causes fertility problems?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there Doc... I m a 33 year old female, 160cm weight 66 kg. Upon going to the clinic due to urine infection, the doctor decided to give me a scan a couple of weeks ago and my doctor mentioned that I have fatty liver and some kidney stones ( calcification stones). I am quite concerned about the fatty liver... and am on Silimarin for 1 month given by the doc. May i ask, what is the best and fastest way to heal or cure my fatty liver. I eat pretty healthily but have a bad lifestyle due to work... could eating out worsen the fatty liver? Thank you so much for the time taken to reply my deep concern. Have a great day ahead.. Doctor: Hi, many thanks for the query!You haven't mentioned whether you consume alcohol or not, anyways, if yes,then best & fastest way to heal or cure your fatty liver is to STOP alcohol intake.Eating outside may not worsen it.You can start \"LIV 52\"-Himalaya with your doctor's opinion.You also haven't given details of your kidney stones, but for thatconsult your Urologist.Wish you a good health.Take care.Regards."
},
{
"from": "gpt",
"value": "Target: Fatty liver, kidney stones, prescribed medicines. Alternatives?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, My girl child is 75days old and weighs 4.6kgs,my wife breast feeds her every 2 hours and also gives lactogen 100ml each 4 times in 24 hours . She says baby is hungry and the baby s paediatrician says it s fine to feed her lactogen . I am confused . Thank you in advance . Doctor: Hi, welcome to HCM. Can understand your concerns. Yes it's safe to give lactogen but breastfeeding is best for child. Take care."
},
{
"from": "gpt",
"value": "Target: Is lactogen intake safe in a 75 days old infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 5-year old daughter has mild cerebral palsy. She has many of the related conditions including seizures, GERD, hypotonicity, chronic constipation, neurogenic bladder, sensory processing disorder, oral-motor difficulties and global developmental delay. She has been in PT, OT and speech since she was 9-months old. We have only recently, however, discovered that her tongue does not move to the right which makes her speech and feeding issues much more difficult. Her MRI showed enlarged ventricles, atrophy in the frontal lobe and hypoplastic corpus callosum. What would cause her tongue to be unable to move to the right and are there any specific therapy techniques that would help? Thank you! Doctor: It seems that spasticity of the muscles that move the tongue to the left (which means muscles on the right lower jaw) has prevented movement of the other sided muscles. If the problem is pervasive, and not resolved with muscle-relaxants, you may consider surgery to cut the muscles that are spastic or consider botox injections into the affected muscles.Dr. Taher"
},
{
"from": "gpt",
"value": "Target: Why doesn't tongue move to the right when suffering from cerebral palsy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my spine has been hurting everyday for 2 weeks now. It s causing me a lot of discomfort. This, along with a crushing headache everyday too. These aren t like normal headaches, it s a constant burning pain and mainly at the back of my head. I ve noticed a dent either side of my forehead too which I m pretty sure haven t been there until now. Also a large vein has appeared and doesn t go away on the right side of my forehead, pretty sure that wasn t there either until this all started. Also, I d like to add I m been experience nerve pain for over a month now that started mainly in my fingers and a bit in my wrists and toes. But over recent weeks it s just in my wrists and it s a constant burning sensation, like pins and needles feel to it. I had a blood test and it showed I was low in folic acid. I have a doctors appointment in a weeks time and hopefully she ll book me in with a neurologist. But for now I m really worried. And wondering if it the spine pain and headaches could be related to the nerve pain. Thanks, hope to hear from you. Doctor: Hello! Welcome to HealthcareMagic! You may have a condition known as OCCIPITAL NEURALGIA. The dents are of no significance and even more because of the fact there is symmetry. Low? Or Abnormally low? Usually folate is hard to be deficient in so I'd also check B12 and B1 as well. I'd be happy to get into more details on your headaches since that is my subspecialization in the field of Neurology. Please rate this a 5 STAR CONSULT and write to me at: www.bit.ly/drdariushsaghafi with more questions. Take care Regards, Dr. Dariush Saghafi, Neurologis"
},
{
"from": "gpt",
"value": "Target: What causes spine pain and headache with low folic acid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing achy chest pain in my uppder chest and upper back on and off for the past week. Today the pain was worse and even my bones in my arms felt achy.Now I have woken up with what feels like heart burn, burning in my throat and my back is achy across. My heart rate is normal, breathing is normal. I feel like I have been punched in the back shoulder blade and have heartburn. What could this be? Doctor: Hello,Brief answer: Probably coronary artery disease. Detailed answer: Hello, I have read your question and understood your concerns. All the symptoms you described above are characteristic and related to coronary artery problem. This condition happens when the coronary arteries become stiff and narrowed, as result of atherosclerosis plaque formation. Atherosclerosis plaque is result of high cholesterol levels, smoking, drinking alcohol, or high blood pressure.So, first thing first, is to do some lifestyle changes, including consuming a healthy diet, low in fat, carbs and salt, rich in fibers and antioxidant. If you are a smoker or alcohol consumer, it is necessary to quit smoking and drinking. Change your everyday habits, try to do some exercises, or even walking at least 30 minutes per day. Check your blood pressure regularly.I would recommend you also to consult your cardiologist, and do an electrocardiogram and an Echocardiography. These 2 examinations are necessary to check if there is a concrete problem with your coronary arteries.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Genti Mulla"
},
{
"from": "gpt",
"value": "Target: What causes recurring upper chest pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, Today I woke up with a stomach ache so I went to the bathroom and after that when I wanted to get out I felt dizziness and fell straight on my face and then I woke up and when I got out of the bathroom I fainted again but this time it was more hurtful and scarier I woke up and my body was in a very straight position. is that normal to wake up from a faint and you are lying very straight? I went to my mom and she gave me orange juice and said its probably because I haven t ate however I did eat launch before sleeping. I have fainted before like three times but this time it was scarier. Do I need help or is that normal? Doctor: Hi and welcome to hcmyou ned to do gastroscopy to rule out some more serious issuesWIsh you good health. Regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dizziness and stomach pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 16 month old has had a fever all day but tonight it reached 104.9 at one point and is now 102.9 after tylenol and advil (after nurse friends suggestion). His cheeks are very rosey. We brought him to a doctor at 6pm tonight and they said he was Strep throat and 2 ear infections. Also noticing his heart is beating really hard and fast. Also keeps doing full body twitches as falling asleep on me Doctor: Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever and body twitches in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have recently had my two lower wisdom teeth surgically extracted (four days ago), the pain from the wounds seems to have gone but i am now experiencing pretty severe pain in my jaw on the right side - i still cannot open my mouth more than a fraction and i have pain in my ear and down my neck. is this normal? should i be concerned yet? what worries me is going back to the dentist and them wrenching my jaw open to have a look, i just couldnt face it right now! Doctor: Hello,Thanks for consulting HCM, Read your query , as you have severe pain in jaw after wisdom tooth removal this pain can be due to traumatic extraction or due to painful temporomandibular disorder or dislocation of Tmj joint . Dont be worried so much I will suggest you to consult your dentist and go for examintion of temporomandibular joint and extraction socket , inmeantime do warm saline rinses gently , avoid opening excessive mouth opening , take soft diet , for pain you can take medicine like flexon MR or Mypspaz forte , follow post operative instructions .Hope this will help you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe jaw pain post teeth removal"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had a cardiac catherization done on Feb.3, 2012. I have a large knot in my leg where the cath went in and swelling, my leg hurts when I walk still and I seem to have to limp sometime, and at night I can t seem to have my leg strait when I am in bed, because it hurts to have it strait, so I have to bend it. Is this normal or am I worrying for nothing. Thanks! Doctor: Hello, Most probably it will be a reactive swelling arising out of local inflammation.You can opt for an ultrasound for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to treat a large know in the leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 18 year old boy n hav kidney stone. 2 to 3 days back I m hav burning sensation while urination and today even blood came out with the urine a little. I often have stomach parins due to the stones. what could be d problem ? Doctor: hello, burning sensation usually refers to having an infection. however the passage of blood can be due to the passage of stone. pain can be due to the movement of the stone in the ureters which will cause pain. pain in the stomach can be due to the pain killers you might be taking for stones. i would advise you to get yourself a thorough medical examination including blood calcium levels, urine microscopy, culture and also a gastroscopy to rule out gastritis. if the symptoms worsen contact your emergency number. i hope i have answered your query. take care"
},
{
"from": "gpt",
"value": "Target: Stomach pains due to the stones"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, After having my first baby i was dignosed with PCOS, but the symptoms i had even earlier . Now I am trying to conceive again, my doc has prescribed me duphaston from day 16th to day 25th and folic acid. Please let me know my chances of getting pregnent. Does PCOS hamper fertility after having a baby also? Doctor: Yes pcos can affect fertility even after having baby. Go for complete harmonal check up and start ovulation induction drugs after consulting your gynaecologist."
},
{
"from": "gpt",
"value": "Target: Does PCOS hamper fertility even after having a baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi me and my wife was try to ivf .because my sperm is less. and my wife eggs was workin slow.we had one baby was 2008..now we want one more babby .but stiil my sperm is lees and my wife eggs small.pleas help for as what we need ...ivf or medication... Doctor: Hi, I think you should go for IVF because both you and your wife have problems. But if you want to try 1 or 2 cycles of IUI, you can go for that. Your wife will take some medicines like clomiphene for the growth of the follicles and track the follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, injection will be given to rupture the follicles. IUI will be done the next day. Progesterone will be given for 2 weeks. Do a urine pregnancy test at home after that. If it doesn't work, then you can go for IVF. Your wife can take DHEA for increasing the number of follicles. Discuss with your doctor. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Recommend IVF or medications for fertility problems"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother is suffering from lung infaction from last six months. She has diabetes,thyroad,BP & ven blockege in heart. She has been admited 4 times due to lung infaction & every time she need ventilater to breath normal. Please advice proper treatment to make my mother s life easy. She is retaired teacher. Doctor: Hello!Welcome to Ask a Doctor service!I understand your concern and would explain that considering the repeated lung infarction, it is important taking anticoagulation therapy (warfarin) in order to prevent future episodes of pulmonary embolism. I would also recommend performing a Doppler ultrasound of the leg veins in order to investigate for possible varicous veins and treat them if present. Hope to have been helpful!Wishing good health, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lung infection while having diabetes and heart blockage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 1) Degenerative disc diseases at L5/S1 level. 2) Central and both paracentral disc bulge at L5/S1 Level Causing thecal sac indentation, mild spinal cannal stenosis and bilateral neural foraminal narrowing. 3) Screening of whole spine shows disc bulge a c3/4, c4/5 & c5/6 Levels causing thecal sac indentation & mild spinal canal stenosis. Doctor: Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : Suggest treatment for degenerative disc disease which is at L5/S1 levelAnswer : If you have only Pain, then you can try conservative Management (Bed Rest + Physiotherapy + Tablets) for 3 weeks If you have Numbness and / or weakness, you have to go for Surgery Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for degenerative disc disease which is at L5/S1 level"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, I Am Male Of 19 Years, My Weight is Just 50 kg, My Height is 5 feet 9 Inches I want to put up some weight as if i am Very thin & want To Gain weight Faster i opted for supplement named Endura mass or Protinex . In Morning When I wake Up I Feel tiredness and drowsiness, 3 Years Back I also Suffered From A Serious Jaundice....Will It Be Good To Take These Health Supplement...Please SuggestThank You Doctor: Hello dear,I have gone through your post in which you have asked about Endura mass & Proteinex.Endura mass & Protinex are products made of certain nutrients and proteins which are helpful for gaining weight.But these products are only dietary supplements & should not compromise on routine healthy food such as:1. Consume more of natural diet like fresh fruits, green vegetables, milk, eggs, wheat, etc.2. Avoid oily and junk food.3. Stay away from smoking & alcohol.Best is to stay active, exercise regularly, avoid stress, get good sleep, think positive and stay happy.Wish you a healthy life.Take care"
},
{
"from": "gpt",
"value": "Target: I feel i weigh less want to put on weight. taking Endura mass or Protinex. What else can be done?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a ct scan ready to read. I have right pain and no one knows what may be the cause, i m frustrated because i though perhaps it was a kidney stone again. I just want someone to take an extra look.. I hurt, I need an answer and advise on where to go from here. Doctor: Hi,Thanks for writing in.It is possible that there is a less serious cause leading to your pain. If a kidney stone is ruled out then we must see for other causes like gall bladder, appendicitis, bowel disorders, liver problems etc. Sometimes small stones in gall bladder are not well visualised in CT scan and a ultrasound scan might help. You may send across your CT scan images or report directed to me (Dr.Vivek Chail, Radiologist at HCM) and I will have a detailed look and give you my opinion. Please contact [email protected] in case you are unable to upload your report or images."
},
{
"from": "gpt",
"value": "Target: What is causing pain on the right side of abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on depo shot for about two years now and have loved it. No problems or complaints at all.. havent had aby problems spotting or cramps or anything. It wasn't until just recently I became sexually active and am now experiencing some lower abdominal pain/cramps, very light but not often spotting like brown, & somewhat more tired. Is this normal or should I be worried I may be that 1 percent that got pregnant on depo? Doctor: HelloThanks for your query.Spotting on the Depo is very common.However, the cramps are not.You could be having cramps due to initiation of sexual activity or a mild pelvic infection.The only way to differentiate these from a pregnancy is to take a test and to visit your doctor.Please do so.Take care."
},
{
"from": "gpt",
"value": "Target: Lower abdominal pain, spotting after being sexually active. On depo shot, no problems without having sex. Any ideas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m surfing from morphea sclerderma last 8 years, i was take a treatment for different doctors, but my patches is stil there and new patches are comes, this problem is only my left leg, it has cover my full legs, plz suggest what should i do for permanent solution... Doctor: Hi, Firstly, sorry to hear about your condition. As you know this needs to be examined physically to understand the extent of the condition. Also as you mentioned you been to many doctors so have you ever been offered superpotent topical or intralesional corticosteroids? If this has tried and there are not much changes than I would say, we need to look for other branches of medicines likes homeopathy or ayurvedic medicines to have some additional benefits along with allopathy. Hope you understand that combination of two therapies are always helpful when single part of it is not efficient. Also you should consider yourself for regular exercises as it improves the overall immune system and also improve the metabolism for absorption of the medicine. 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: How to have a permanent cure for morphea sclerderma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was stung by a wasp on my ring finger about 3 weeks ago. I didn t think to remove my ring since I had never had a bad reaction to a sting before. The next day I had to cut my ring off b/c my finger was so badly swollen. After about a week, the swelling disappeared after spreading to my other fingers and hand. Now I have a problem with the muscles in that hand. When I hold my fingers straight out and try to put them together, my pinkie sticks out by itself. I m also having some difficulty typing this with that hand. Should I be concerned or is this something that will take some time to clear up? Doctor: Hi,Wasp bites releases a toxin called apamin which causes nerve damage which is temporary and clears up after a while. Since its now 3 weeks and our finger still sticks out then this needs to be checked out for a compartment syndrome which means increased pressure in the compartments of the hand.See if you have numbness along the finger.This is done by a hand surgeon. meanwhile continue anthistamines (benadryl) exercises squeezing a sponge in a bowls of warm and cold water."
},
{
"from": "gpt",
"value": "Target: What causes discomfort in the muscles post a wasp sting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My eight year old daughter broke her tibia and fibula and had a cast for five weeks. She did not have surgery, now the cast is off and anytime she is upright for any amount of time her foot and ankle turn purple. What causes this and will it go away eventually? Doctor: hi,thank you for providing the brief history of your daughter.A thorough clinical musculoskeletal assessment is advised.As she had a fracture of tibia and fibula, for which cast was taken in to consideration a treatment of choice, the healing process would have been over by now. The discoloration of the skin is the metabolic waste which can be drained out by elevation of the leg over the pillow above the level of the heart.Also, physical therapist can help teach some simple exercises to strengthen the muscles of the leg and avoid vascular insufficiency. This is a usual way we deal with our patients in such cases and majority responds well.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What causes purple coloration of foot and ankle post fracture?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: As a baby she vomited a lot after she would drink a bottle but she was growing and gaining weight so her doctor said he thought that it would improve as she got older and her sphincter muscles became stronger. As she got older it did pretty much go away so I thought he was right. Around the age of 13 or 14 she started having episodes where she would vomit constantly for about 7-10 days. She would keep absolutely nothing down but she didn t feel sick..So not like a stomach virus. This occurred frequently so we went through many tests. Upper GI s etc. She tested negative for celiac disease and food allergies and they never found anything. The only thing that ever flagged was her serum amylase would be high. All other pancreatic enzymes were normal. We tried her on a gluten free diet which seemed to help a little ( now I know this helped some because of her eliminating a lot of the products enriched with folic acid) I work in a laboratory so I am fairly familiar with lab normals. She was a majorette and performed in numerous parades from the time she was 5 until about two years ago when she could no longer make it through a parade without nearly passing out. At around the same time she started to become very anxious and emotional. She had a couple panic attacks and started not wanting to go to school. She was unable to explain why because she had no rational reason. My daughter and I are extremely close she is my best friend and I am 100% sure that there was no bullying or arguing with friends or the typical high school girl drama causing any of the issues. She was well liked, a straight A student in honors classes. Her only issue evident to me was she was too hard on herself and pushed herself too hard. Even as a freshman she was stressing over getting into an ivy league college so I know her college choices etc stressed her some, but that was it. She spent the last half of her senior year on homebound because of her illness.I took her to another doctor, a counselor and a psychiatrist to try to figure out what was going on. The psychiatrist spent a whole 15 minutes talking with her ( all of which i was present for) and basically asked her which anti depressant she wanted to try. I asked him if we could at least do some blood work before we rushed into that. So he agreed basically just to appease me. This time her amylase was still elevated and also her folic acid level. Two different doctors told me that was fine.,but being her mother and knowing that she did not take any supplements and that her diet was that of a typical 18 yr old I still found it unusual so I did my research and discovered the MTHFR mutation. I requested that another doctor order the test for the MTHFR mutation she disagreed with me and insisted she have a HIDA scan because she was sure it was her gall bladder. I agreed to the testing, but insisted she still order the MTHFR mutation test. She did. It was no big surprise when the MTHFR came back positive and the HIDA scan was completely normal. She on the other hand said that it was fine because it was heterozygous. I immediately started her on methyl b12 and eliminated products enriched with folic acid from her diet. The vomiting for weeks was apparently due to her body detoxing itself ( if what I read was correct not only does the folic acid build up but it could also cause build up or deficiencies of other things like copper, iron etc. ) So with the methyl b12 and diet change the anxiety went away, the vomiting stopped, she graduated with high honors from high school. Received a full scholarship to college and is now in her second semester. Sounds like a happy ending right? Well here s where it gets tricky. Her mood swings are starting back, she is extremely emotional and stresses constantly. I know she cheats occasionally on her diet, but not alot. It is hard to find things she can eat that she actually wants to eat in a college cafeteria. So she is basically attempting to prepare her own meals in between her classes. She is pre pharmacy so it s a heavy load. Now she is once again vomiting every time she eats. This happens even when she is not eating any folic acid. We are on at 4 weeks now and no signs of it stopping. Doctor: Hi dear,I understand your concern,she should get examined for uric acid, liver tests,B12, folic acid,stool culture, stool for cyst and ova, ultrasound of abdomen. I suggest domperidone 1 tablet 15 min before meal for 1 month. Follow Pezner's diet 1, avoid uric acid enriched food, take Citrarginine 1 ampule resolve with water 2 times before meal for 10 daysHope it helps"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chronic vomiting in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a 22 year old female who has pretty good health. I started the birth control sprintec yesterday and woke up this more feeling very nauseous then followed by fainting. I completely blacked out and hit my head pretty hard, is this a direct side effect of the pill? Doctor: Hi, This episode needs to be ruled out. These pills can be pro thrombotic which means blood clot can be formed in heart or brain causing such episodes. However, EKG and echo need to be done to look for any signs of cardiac syncope. Holter monitoring may also be needed if any suspected abnormalities of rhythm are suspected on work up. Brain imaging may not be needed now but if cardiac work up is unremarkable may be needed as well as carotid Doppler. Sugar levels and thyroid profile may be needed as well as electrolytes levels may be evaluated. Hope I have answered your question. Let me know if I can assist you further. Wishing you a speedy recovery. Regards, Dr. Saddiq Ulabidin, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can intake of sprintec cause nauseous and fainting feeling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 57 year old female. When I sit for any length of time, whether it be 5 minutes or 5 hours, I have difficulty walking. I also get a lot of pain on the outside of my right leg. Another thing, when I sit or lay down, shocks bounce back and forth all over both legs and feet constantly. It never stops until I get up and move around but the second I lay back down, it starts again and is continuous. Do you have any idea what could cause this? Doctor: hi,thank-you for providing the brief history of you.As per your age there are possibility of having degenerative changes in the knee joint and also the lumbar spine.The knee joint pain can be due to early osteoarthritis changes in the knee and the shocking like pain in the legs is due to nerve pinch in the lumbar spine.I will advice you to undergo a thorough clinical examination and an MRI of knee and lumbar spine to u understand the possible soft tissue Injury.Treatment:Physical therapy in my clinical practice has successfully reuslt on patient with similar complaints.Physical therapy includes - Therapeutic ultrasound therapy, TENS therapy and exercises.I expect you will recover in 2-3 weeks of time.Regards Jay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What causes pain while standing after sitting for some time?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son s doctor has been retracting his foreskin. My son is 3 weeks old. He has done it twice. The first time, I didn t notice my son in pain so I didn t really question it and I didn t know much about what is right and wrong regarding what to do with his foreskin anyways. Today, he retracted his foreskin for the second time and I could see it ripping. He cried this time. Although his doctor was not trying to retract it completely, just little by little, it didn t feel right. So I ve been looking online and seeing that everywhere I go says to never forcibly retract his foreskin and that many doctors do this because of their lack of knowledge regarding foreskin care. Is this true? Is he correct in asking me to little by little retract it slightly or should I let nature take its course? Doctor: HI , What your doctor did is not right as there is no need to retract the foreskin if there is no difficulty for your son in passing urine. If though foreskin is nonretracting, just leave it off is my advise as long as your son is comfortable in passing urine.Hope it answers your query"
},
{
"from": "gpt",
"value": "Target: What causes pain in retraction of foreskin in infant?"
}
]
|
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