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{
"from": "human",
"value": "Source: Patient: I am shiv dayal from jagadhri(haryana) i am sending my MRI report Impression: MR imaging of lumbosacral spine reveals lumner spondylosis diffuse disc bulgs are seen at L4/5 and L5/ S1 levels causing indentation on the thecal sac, and moderate compromise of bilatetal neural foramina. Mild central canal stenosis is seen. Please sir suggetion me & give good treatment. Sir i am very worried its ill. Last thirteen years i m at bed. So please sir request again you send me suggetion my i.d.( YYYY@YYYY ). Thanking you. Doctor: Hello Report suggests degenerative disc disease of lumbo-scaral spine.Degenerative changes occurs in spine due to aging and development of weakness in annulus fibrosis.1.At L4-5 and L5-S1 level,there is lumbar spondylosis and diffuse disc bulge which is indenting over thecal sac.Diffuse disc bulge is causing moderate narrowing of bilateral lateral neural formen and mild central canal narrowing.Majority of the cases of degenerative spine disease are benefited by physiotherapy,so you should try it first.Surgery should be the last option. Treatment can be planned after consultation with neurologist.Get well soon. Take Care Dr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lumbar spondylosis diffuse disc bulge at L4/5 and L5/S1 levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir,i m 32/m/india.i m obase.wt 95 kg ht 175cms.having a male baby aged 6 months.i m suffering from dermatitis herpitoformis last 2.5 yrs & having no reliefe with different treatments.recently i m having multiple boils in my scalp.with antibiotics i got reliefe.gone through routin test...total count is higher which is 12.6 serum alkaline phosphate is higher,i.e.164.s.triglicerides,cholestrole all r bit higher then normal.urine is clear.in ct head having frontal maxillary spenoid sinusitis bilat.the biggest worry is cardiomegally in x-ray chest.s.alkaline is increased due to cardiomegally?or dermatitis?or early arthritis?or some amylodisis?please give me direction to follow.i hate to excercise.i love gambling.i daily play i.e.gamble.love to get excited.but last few weeks i noticed i get very nervous & feel palpitation while gambling.i m heavy smoker.i drink casually. Doctor: Hi, Your raised alkaline phosphatase is most likely because of your recent pregnancy. This enzyme grossly raises during pregnancy and may remain elevated for a year or more after delivery. So your level is high most probably for this reason. Other causes of elevated ALP are liver diseases or bone disease which is unlikely in your case. It's not related to cardiomegaly, or arthritis, or amyladosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Muhammad Zahir Shah, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: How to treat serum alkaline level which is 12.6?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Please write your question here hello doctor me & my wife have same blood group b+ve.is it a problem for pregnancy.?last time my wife have a pragancy bt we have to abbort our child due to baby suffering from cystic hygroma.is due to same blood group?pls give me ans with clear reasons.. Doctor: Hi, dearI have gone through your question. I can understand your concern. You and your wife both have same blood group. It doesn't cause any problems in pregnancy or child birth. Cystic hygroma can be due to congenital developmental defect. It has no relation with blood group. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What complications can arise during childbirth when couple has same blood types?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had some sites of pus accumulation in my anterior side. Among those were my both thighs,areas just above penis,and below the politeal area. all of them i ve got rid off by pressing and getting the pus out and filling it with betadene and bandaging,now all of them are gone but now a similar kind of thing have aroused in my hip s medial side. what should i do now ? Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have pustules or abscess formation. You should take a course of antibiotics. If it does not respond to treatment then go for culture and sensitivity test and then take antibiotics accordingly. You should check your blood sugar level. If you have diabetes then you should take treatment of that also.Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest medication for pus filled bumps on the hips"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor.I have 9 months old girl baby who was born in her 6th month completion.her birth weight was just 1.9 nd reduced to 1.3 due to bilrubin count on jaundice,but later it took almost 3 months for her to gain upto 2 kgs nd now she s just 6.5kgs for her 9th month which s not enough as per her growth s concerned.Iam providing her feeds frequently for every 2 hrs as per doctor s advice but im lacking little confidence on her weight increase as the month pass by,touchwood she s very active,but can yu suggest me a gud feed which can increase her weight before she s 1 yr old by july...? Doctor: I think you doing great , she is adding weight , about 20 grams per day , and she is on her 15th centile for weight on the growth chart which is fine most of the premature babies catch up with growth around 2 years of age if she is developing just fine and no health issues is present I think it's better to wait and see"
},
{
"from": "gpt",
"value": "Target: What diet increases the weight of 9 month old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 14 year old son had the following symptoms- diarrhea, light headedness, fatigue. Dr. put him on 2 Prilosec a day + high fiber diet. Shortly after he complained of chest pains and still has pain but only when he lifts something. Could the chest pain be muscular or do you think it could be related to his diarrhea or the meds? Since he has changed his diet and been on the Prilosec he has not had any diarrhea. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with lifting (movements).So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant drugs like ibuprofen and thiocolchicoside. Apply warm water pad on affected areas of chest. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest the cause for chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc! Corbin Payne here, USMC on RNR in Manilla. I'm 34, Male. Had a root canal procedure done here, prior to that, I had urticaria and was tested and the docs found nothing. They said the dental infection may be causing the hives. If so, how long after the root canal procedure till my hives clear up? Does the bacteria just leave my system right away or does it take time? Thank you sirs and maams! Doctor: Hi, Any infection can lead to urticaria. Urticaria can take few weeks to resolve. You need to continue antihistaminic. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: How long do hives take to clear?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, am in alot of pain tonight, i have a very dull pain in my lower abdomen, similar to getting hit in the testicles. This pain resides in my testicles, right side of near the base of my penis and the right side left love handle. This is extremely painful. I am rather worried as to what it may be. If it helps in the diagnosis i had diarrhoea an hour after the pain started. This however is not a digestive system pain. Doctor: HI Thanks for posting your query . It seems like the pain is either coming from your testicles which could be due to infection or there might be a stone in your urethra ( tract from where urine comes out ) I advise you to get Ultrasound Abdomen pelvis and scrotum and Urine routine tests done and revert back . You can take Anti spasmodic drug like Meftal spas , ask your local doctor for a prescription . Any clarifications feel free to ask . Happy to answer . Regards."
},
{
"from": "gpt",
"value": "Target: What causes dull pain in lower abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 4 year old daughter and she has asthma and is coughing quite a bit. We went to the doctor and they told me to do pulmacort breathing treatment twice a day and we have been. Is there anything else we can do and how long do we wait before going back to the doctor? Doctor: if the asthma is getting controlled by pulmicort you can continue twice a day if it is uncontrolled even with that you can seek adviseit is safe to use these in children according to need and requirementas the child grows the childhood asthma recover in many according to my experiences"
},
{
"from": "gpt",
"value": "Target: Is Pulmacort sufficient to treat Asthma and cough in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: So we got the preliminary results back of my husbands semen analysis today and his count was low reference range was 20-200million/mL he has 14 I don’t know how this will effect us but he is prescribed Concerta could this have caused a lower sperm count Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Low sperm count which would affect fertility (Partial or cause infertility) is less than 15 million sperm per milliliter of semen. No, Concerta has no such side effects. Let your husband stay away from addictions(cocaine, marijuana, Anabolic steroids) if any. Low sperm count can be treated with D-Aspartic acid supplements, multivitamins (C&D) with Zinc, Selenium, Magnesium, diet rich in protein, reduction of stress & anxiety, avoid lubricants while having sex, have sex when fertilization is possible. Both the partners need to get treated & stay connected with the treating doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K."
},
{
"from": "gpt",
"value": "Target: Does Concerta cause low sperm count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: the doctor said the pulse on the back of my leg is very strong, but that is not good, what does that mean? I have had problems with swelling and ugly looking veins in that leg and have tried for over 20 years to find out what the problem is. They get real red at times and hurt to be touched, my skin hurts, when I tell anyone my skin hurts they look at me like I am crazy. Doctor: it seems to be varicose vein ,, dilated and tortous veins of leg. . u need to use compression stocking and Consult ur surgeon with venous doppler of ur both lower limbs"
},
{
"from": "gpt",
"value": "Target: What does strong pulse on back leg indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old son has a rash. The rash is in single bumps and straight red lines on his lower legs. He has small red bumps on his back and chest. The ones on his legs are very itchy. Could this be scabies? Would scabies cause him to break out in what looks like hives on his chest and back. There are no bumps in-between his toes or fingers. The bumps on his legs are hard. Doctor: Hello, Perhaps he has big bites or papular urticaria which is a hypersensitivity reaction to insect bites. I suggest him to take an oral antihistamine e.g. Cetirizine tablet or syrup. In addition, I suggest him to apply a moderately potent topical steroid e.g. Triamcinolone Acetonide cream. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kakkar S., Dermatologist"
},
{
"from": "gpt",
"value": "Target: What could be the red,itchy rash on legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 7 month old granddaughter has had a viral infection (according to 2 drs) with symtpoms of fever, blisters in her throat, poor appetite and a rash on her arms and legs only. She is over it after 7 days, but now her mom (my 25 yr old daughter) has blisters in her throat, mild fever and severe arm and leg pain with weakness in her limbs as well. She has been ill for 4 days. What do you think this viral illness is and should my daughter see a dr? Doctor: hi welcome to hcmit seems your daughter has contacted the viral infection from the child the weakness ,pain and soar throat are due to thatadvised to take azro 350 twice daily for 3 days combiflam thrice daily for 5 days ,pantop 40 once in morning sy polybion plus 2 tsp thrice daily she can sip on warm water 3 to 4 times a day for throat soarness hoping this helpsdr sanghvi"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for blisters in throat with loss of appetite"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello I am 49 years old, 5 4 and 170 lbs. I have had a really sore hip on the right side for about two years, I have gone for every test possible and they cant find anything wrong other than a little bit of arthritis but he said nothing out of the normal. Its paining all the time, day and night, hip and the back part, but mostly deep inside the hip, not a muscle like pain. Thank you, only meds I am on is for Throyide 0.5mg low dosage. Thank you - laura Doctor: Hi,Thanks for your query.your pain is due to Arthritis. When bone is not able to take weight due to arthritis than it has to be shared by muscles. It causes pain in thigh and hip muscle.Also some time it can be due to nerve compression. You can judge your self. If your pain increases on walking and relieved with rest, it is suggestive of nerve related pain.Arthritis pain is present even when you are taking rest.I will suggest you following.Hot water fomentation. Volitran ointment Tablet Pregabalin M one daily at night time .Calcium and vitmin D3 daily. Tablet Tramadol one daily.Please consult your doctor before taking those medicines.Hope this helps. Let me know if you have any more concern.Warm Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for soreness in the hip"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes...I am helping a person who is mentally deficient and has a list of drugs which I think are causing most of her problems...they are Simvastatin, levothyroxine; enalapril ; clonidine; metformin; omeprazole, amlodipine; atenolol;; meloxicam plus cinnamon tablets, and vitamins. she is experiencing weight loss , insomnia and does not have a history of high cholesterol or heart disease. She has diabetes with related pain in her feet. She has no money or computer so I am asking about this for her... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Medication are there to take care of illness. Every medication can have some side effects which are manageable and if not the medication are changed or dosage is decreased. Its not advisable to stop any medication without consulting your practitioner. If there is any problem arising its better to consult your practitioner to know the reason behind it. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Do Simvastatin, Levothyroxine, Enalapril, Clonidine and Metformin cause mental dysfunction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir,im DURAI.im from tamilnadu(india).i has been so much suffered from ocd for last 5 years.i also get advice from my psychiatrist for last one and half years.he prescribed FLUNIL and also guide some breathing exercise.but stil im not getting so much effort to overcome my problem.please help me.... Doctor: Thanks for your question on Health Care Magic. I can understand your concern. OCD (obsessive compulsive disorder) is totally a Psychiatric disease. In my opinion, you should consult another psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Drugs are not always helpful. Counselling sessions play very important role in control of OCD along with drugs. Newer drugs are available for this. And they are very effective. So consult psychiatrist and discuss all these. For breathing issue, you should consult Pulmonary Rehabilitation center where chest physiotherapy and deep breathing exercises are done. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest medication for Obsessive compulsive disorder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a married 54 year old man, 165 lbs, exercise regulary and have a healthy lifestyle. 2 months ago I had the symptoms of prostatitis (slow urine stream, discomfort, and about 10 days of a mild fever). I saw my doctor who confirmed prostatitis with a blood test that showed a sudden PSA elevation and diagnosed an antibiotic. Just before seeing the doctor I my semen suddenly became clear and watery. After the antibiotic treatment, all the symptoms of prostatitis disappeared except that the semen is still completely clear. The quantity is the same as before, it is oily with the viscosity of water, contains some geletanous parts, but there is absolutely no whitish color to it at all. Abstaining from sex does not change it whatsoever. I wonder if the vas deferens are blocked from scaring due to the infection. It is hard to find reliable information online about what component(s) of semen causes the whitish color. My doctor considers this change trival but I'm worried that there is damage somewhere from the infection and that the change is permanent. Thank you in advance for your advice. Doctor: Hello, Prostate infection is not that easily treatable , even after antibiotics it will take time for complete recovery. Yes as you said there can be a block too. Doing a ultrasound scrotum and semen complete lab test will help you diagnose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: Can prostatitis cause semen infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes it's been 3yrs since I had my accident. I had a compression fracture to my lower lumbar. I went to er they done catscan said it's still fracture and that's why it's hurts. I also got a limp on my left leg now and got a sharpe pain when I walk.. What do I need to do Doctor: Hi , Welcome to healthcare magic. In my opinion it is unlikely to have fracture even after 3years. It should unite however malunion can occur. your treating doctor best tell you."
},
{
"from": "gpt",
"value": "Target: Why has the compression fracture in lower lumbar nor cured after years?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, this is sathya from tamilnadu,india.my brother affected by skin disease for past fifteen years.the disease is cured a while but returned after som six months when the doctor said to stop taking medicines.now a doctor in singapore found it as Psoriasis.please advise me on treatments so i will convey that to my brother. Doctor: Hi..Sathya,As you said your brother suffers from psoriasis from last 15 years.I would like to say few things about psoriasis... . Psoriasis is a chronic relapsing and autoimmune disease. There may be having scaly plaques on various parts of the body,scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunitity,stress,dry wheather...etc may be responsible for precipitation and exacerbation of psoriasis.You take him to consult dermatologist for firm diagnosis and treatment.I usually recommend cap acitretin 10 mg twice a day along with methotraxate 15 mg weekly in three devided doses 12 hourly...for psoriasis.This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamnics like levocetirizin...Avoid steroid ,as there may be severe flare up after stopping it.He may apply mild steroid cream or calcipotriol oint on the lesions on the psoriatic lesions. He may apply moisturiser to improve the skin texture. He should avoid soap bath for few weeks..And he should be free of stress and worries as that might worsen psoriasis. He might get good result.I hope you got my answer.Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for psoriasis for years"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 48 years old, female, 5 5, 145 lbs., history of a-typical migraines, and 2 abnormal ekg s, ( approx. 2 years ago a new problem that comes and goes), my throat starts making a wierd noise and I have extreme swallowing to the point of gagging, I then vomit, however, I have been in 2 ER rooms in Feb. 2011, the first one said I had an enlarged pituitary gland-and-the second one said the mri taken from a different angle said I didn t, also had eye- shutting and slurred speech which have mostly diminished, they said I was pre-stroke. Anyway, gagging and vomiting persist, if I totally stop what I was going to do, it usually stops, it s become debilitating, for the most part. Any ideas on what this could be ? I have no insurance. Doctor: Hello, I understand your concern and would explain that your symptoms could be related to a stroke. Anyway, I recommend first performing a brain MRI in order to examine your pituitary gland and investigate for possible stroke. It is also necessary consulting with an ENT specialist in order to examine your larynx and pharynx. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes migraine and abnormal EKG s?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I applied Katialis on my insect bites. After a few weeks, the applied area became itchy and burned like with blisters. Now it became worst. I have big wounds and I can't bear the discomforts. I already used Calmoceptine ointment, Benadryl and Celestamine. But nothing works. Please help. Doctor: HIWell come to HCMIf this is the insect bite then the wound need to be explore for sting inside this would be the first step in managing the would second is antibiotic and for all of this you need to go to see the doctor you wont be able to do this, take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for wounds caused by insect bite"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have suffered badly from bi polar,GAD and extreme depressionm =pus PTSD. I live in Melbourne, Victoria Australia and it is very difficult to find an understanding doctor who will prescribel 2 or 3 milligram xanax and i cannot believe the difference they make to my life. I have been through counselling,physchiatric care,valium,serepax,am on avanza and epililum but they only help to a certain degree...i feel i will take my own liffe if im continued to be shunted around like this Doctor: DearWe understand your concernsThe desire to take your path without the help of psychiatric medications,in itself is the starting of your cure process. Yes I mean it. Time and again it has been proven that medicines alone cannot cure psychic disorder. You need Yoga and Meditation for change in thinking pattern and better metabolism. Secondly you need psychotherapy to streamline life situations. Find a Psychologist / Psychotherapist immediately before your steam runs out. You can post your trouble with every minute detail in the \"Ask a Specialist\" section and address it to me. Definitely I can help you.Wish you speedy recovery."
},
{
"from": "gpt",
"value": "Target: Bi polar, GAD and extreme depression. Counselling not of much help. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. Sahu,At my 8.5 week ultrasound I found out that my embryo had stopped developing just after my 6.5 week ultrasound. My first question: Do you know of any connection between early ultrasounds and miscarriages?Next, 5 days ago, I was given two Misoprostol (Cytotec) pills to prepare me for a D+C procedure to remove the fetus, but the first pill sent me into full miscarriage the night before, with contractions, etc. The doctor told me not to take the second pill when I called her to tell her about the pain and bleeding. I postponed the surgery and two days later had more contractions and got rid of more fetal material. I went to have an ultrasound and the doctor said that the sac was completely gone but that my uterus lining was still thick at 12mm. I am happy that I have avoided surgery. I am going to doctor to check uterus lining in 2 weeks. I am not bleeding much at all now though so I wonder how the uterus will return to normal--with my next period? Also, how long should I wait before trying to get pregnant again...?Thank you!Christina in Athens, Greece Doctor: Hello Christina, Thank you for your query. I hope you won't mind me answering your query. Your body has naturally expelled the fetal tissues. Bleeding can last for upto 2 weeks. As long as you don't have abdominal pain, fever, foul smelling discharge, and prolonged /increased bleeding, you should be fine. Ovulation usually occurs within 2-4 weeks after miscarriage and period will occur within 2 weeks after that. It may be a little heavier and longer than your usual period. It should regularize after that. The body takes a while to get back to normal:- to make up for lost blood-for hormone levels to normalize-uterus to regain its normal size. I recommend :-waiting for 3 months before trying to conceive again-continue folic acid supplement. -take an iron supplement everyday for 3 months (depending on your hemoglobin and iron levels in the blood) More than 80% of women go on to have a normal pregnancy after a miscarriage. Hope you conceive soon. Take care Hope I've answered your query. Wish you good health."
},
{
"from": "gpt",
"value": "Target: What are the effective ways to get pregnant after one miscarriage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i need to know sumething! i have allot of headacka hi i need to know sumething! i have allot of headacka and i feel that i gett dizzy and sometimes i see darkness.......but the thing that is worrying me is that im not even pronausing letters correctly and even my hand writing is not det good! what do you think i have? or what do you think i should do? Doctor: Headache is a symptom of many diseases., it is not a disease itself. It can be due to low BP, Low sugars at times or it can be simply migaine. However in your case as it is associated with other symptoms, so it would be better to get a CT scan of head done."
},
{
"from": "gpt",
"value": "Target: I have severe headache with dizziness. What could be the reason for this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm having headaches.Usually always start at night.I've been allergent to tobacco ...tobacco smoke my whole life..tested for allergies in college ..Had 2 big ones tobacco and house dust..My wife smokes..is it possible i'm getting these headaches from her sleeping in the same bed... I think so...is there something i can take or just sleep in another room Doctor: Thank you for asking! As active smoking does the damage, so does the passive one too.As you are allergic to it. The headaches can be explained. You can ask your wife to compromise, make a smoke free zone. Or use of mouth freshners after smoking. Avoidance of tobacco from an unknown person is difficult. From a close relative or partner i don't think that should be a problem to the extent to consider a room change. Take simple acetaminophen for the headaches at night.Hope it helps"
},
{
"from": "gpt",
"value": "Target: Can passive tobacco smoker have allergic headaches?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After sleeping at night... I wake up with pain in my back. The pain feels like it is inside my body if that makes sense. It is really hard to describe. Basically, my back is sore and everything inside feels like it is getting crushed. Once I walk around for a 15 min or so the pain goes away. I have had this since my son was about 3months. Doctor: hi, to shortlist the causes of this type of backache i need to know your age rather than your son's. other wise the differentials could be - disc related pain, facet arthropathy ( uremic or rheumatoid), ankylosing spondilitis. take nonsteroidal antiinflammatory drugs for 7 - 10 days or log in again with details again."
},
{
"from": "gpt",
"value": "Target: Back pain, soreness after waking up. Causes and treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I burned my left forearm and left thigh (2nd degree) and am treating it with Silvadene cream after removing old cream. But I see a light yellowish gooish growth fillingin over the previously raw areas. I am hearing 2 distinct different answers... - one is that it s new growth and leave it and another is that it should be removed to promote healing. A third is that it is infection. I m confused. I have been redressing it twice a day since Wed. Doctor: Hello, It could be due to conditions like peripheral neuropathy. As of now, you can take drugs like gabapentin for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment pain in forearm and thigh"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm a 50 year old female, i woke up this morning anf heart was beating so fast i felt the chair that i was sitting on shaking with me. i got into an arguement with my daughter last night and couldn't sleep all night. Does that have anything to do with it? I'm also a smoker for the past 30 years and i drink a lot of coffee in the morning. Doctor: DEAR USER,THANKS FOR CONSULTING WITH HCMI UNDERSTAND YOUR CONCERNYOUR HISTORY OF AN HOME ARGUMENT WITH YOUR DAUGHTER MORE POINTS TOWARD A ANXIETY DISORDERTHIS ANXIETY CAN CAUSE SUDDEN PALPITATION ...AND FAST HEART RATESMOKING AND COFFEE ALSO PRECIPTATES AND INCREASES THE CONDITIONI SUGGEST YOU TO DECREASE YOUR SMOKING AND COFFEE HABITS AS FAR AS POSSIBLEHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"
},
{
"from": "gpt",
"value": "Target: What causes faster heart beat and sleeplessness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor. I am 19 years old, female. I had chest pain 5 days ago and went to the ER. I did 2 ECG, blood test and xray all came back normal. The dr said it was due to muscle pull and sent me home despite having a fever 38.1°C with pain medication as well as antibiotics. (No idea why I was given antibiotics) 2 days later, I still had chest discomfort and went to a clinic near my home. I did an ECG, it was normal. I was given nebulizer but I didn t feel any better. The dr wrote a letter and asked me to bring it to the ER. The next day, I went to the ER again and they did another ECG and it was normal. They sent me home again, saying it was muscle pull. I had episodes of sharp pain in my left chest internally few months ago that made me stop whatever I am doing until it goes away. I didn t see the dr because it only lasted awhile I don t know if it is heart related but I really hope it s not. I don t know what to so now please advice.... The chest pain I had 5 days ago is in my centre chest and it feels like there s a pressure and I had a little difficulty breathing as well. Please advice, thank you. Doctor: thanks for your question I completely understand your question chest pain can due to variety of reasons like heart related , lung related , pleura related , or just gastritis, or a peptic ulcer or it can be due to a simple muscle pull.you need to visit a pulmonologist who can get a chest xray and rule out any lung or pleural cause as catchy pain which increases on inspiration happens in pleural effusions.commonly people have neuralgias, or neural pains in chest which can be treated by methylcobalamine and other multivitamins and an analgesicsyou need to visit a pulmonologist who can take a good history and do the examination and will lead you to a diagnosis accordinglyno need to panicthanksfeel free to ask more questions may god bless you with good health"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sharp chest pain and shortness of breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad has a very bad heart and his feet started to swell today. He is almost 74 years of age, weighs about 135 lbs and is about 5'4. He has had by pass surgery 13 years ago, had a stroke 5 years ago, heartache 2 years ago and a heartache 6 weeks ago. Is this a concern Doctor: Hi,Yes, certainly it's a matter of worry and indicates that heart is pumping adequate blood so leads to swelling of legs and other sites. However it's a treatable condition. His echo should be done and he'll need some medicine called as diuretics like Dytor etc. At home, he should have strict salt and water restrictions preferably less than one litre. Also, he should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, or just walking according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode"
},
{
"from": "gpt",
"value": "Target: Could swelling in legs of a heart patient be a matter of concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have white patches on my face, which appeared during summer, they seem to show more when exposed to the sun, can you please advise why this is and what i need to do to treat it. I am worried that it could be pigmentation problem? could the white patches be due to lack of vitamins? My blood tests did show that I am lacking in vitamin D . I now have tablets which I am taking. Please advise. Any help would be appreciated. Thank You Doctor: Hello Thanks for posting your query. This seems to be ple. Polymorphous light eruption is an allergy to the sun. Application of a mild steroid cream like cortisone twice daily will resolve it. Also application of sunscreen will prevent it in the future. Regards."
},
{
"from": "gpt",
"value": "Target: White patches on face. Exposed to sun. Pigmentation problem or lack of vitamins?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother fell down on floor n banged her head to sofa on left sid..n doctors told that she is having a blood clot in brain..she is not able to Speak as well her right hand and body is not movable or paralysed ...can you please tell me how to recover fast n how mutch time will it take Doctor: Welcone to health care magic.As you told that she had stroke (clot in brain) then you should be aware that what medicine your doctor adviced should not be missed specially asprin,clopidgrel and statin. These will decrease chance of recurrence of clot. Second thing is that physiotherapy should not miss because it helps fast recovery of muscle function.Disolving of clot takes time and vary person to person.Do not worry for clot and attend your neurologist time to time and Decrease fatty diet to improve her lipid profile.Thanx for query."
},
{
"from": "gpt",
"value": "Target: How can patient with blood clot in brain recover quickly?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I think i may have gotton a yellow tongue from some antibiotic i took, now I don't know what to do. I have always flossed and brushed my teeth daily, so the antibiotic is the only thing I can think may have caused this. Do you think it could be a virus? Im confused. Cause I was sick with a dry throat and felt really tired a couple weeks ago. The antibiotic was taken two months ago. Doctor: Thanks for using Health care Magic.Read your query.Yellow discoloration of the tongue is a harmless condition where in the papillae of the tongue is usually enlarged and yellow pigments are released.It can also be of geographic tongue,jaundice.Poor oral hygiene,fever ,dehydration and mouth breathing can also be the cause.I would advice you to just use your tooth brush or tongue cleaner and keep it clean.If you use tea or coffee in excess,reduce this as this will also cause the tongue to be yellow.Reduce smoking and have a healthy diet including more fiber in it.Use a mouth wash for a while.If still persistent ,consult your oral surgeon.Hope this was helpful.Thanks and regards."
},
{
"from": "gpt",
"value": "Target: What causes yellowness on the tongue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 2 questions I was fishing and when I was trying to jump to a diffrent rock I slipped and hit my knee on the rock there s a big knot how do I heal it. I was on the swing and it broke and the chain hit me on the head and there is a knot on my head how would I heal that? This Happen in same day Bad day Doctor: It is not a knot May be you have broken the knee and your head too with a crack fracture, how do you want to get well without being a Dr? ! if all want to be Dr's without studying no Chance. Get examined & get treated as well"
},
{
"from": "gpt",
"value": "Target: How to treat a knee knot post injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doc.my baby girl of three years old suffers from a postnasal drip.and that causes her to get a tight flemmy cough.she cant get the flem out.a few weeks ago she was admitted into hospital for bronchitis.she started getting the same systems again.what could be causing this?could it be swollen adenoids? Doctor: HI...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. Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes bronchitis in a 3 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 54 yrs old have never had any bowel problems over the yrs, never constipated, eat a good healthy diet and do not smoke or drink. My question is that I am having moderate to severe pain in the upper left side of my abdomen, directly under my rib cage. I have had the pain for 2 and half weeks.......I am getting a coloscopy next week. I have had blood wrk just the standard CBC which is normal and no injuries to my abdomen, why am I in so much pain? Doctor: Hi,Thanks for writing to HCM and for your detailed history. but i need further information regarding any recent history of trauma . have you lifted any heavy weight recently ,what are the factors aggravating your pain,any history of hypertension/diabetes if i were your treating doctor i would first take ECG considering your age ,and ultrasound abdomen and pelvis most probably it is just muscle spasm as your CBC is within normal limits infectious cause can be ruled out, and no history of altered bowel habits(so intestinal disease unlikely),my advise is to take T.ZERODOL SP 1-0-1(after food) and T.PAN 40 mg 0-0-1 (before food)for 3 days .before that i advise to consult physician with ecg and ultrasound abdomen if both are within normal limits and symptoms not relieved with above mentioned analgesics ,consult neurologist to rule out spine pathologyHope I have been helpful .RegardsDr.kumaraguru"
},
{
"from": "gpt",
"value": "Target: What causes severe pain in upper left side of abdomen under ribcage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Please suggest me a medicine CERVICAL SPINE: Osteophytic lipping from C2 to C6 level Mild reduction in disc space are seen from C3-4 to C6-7 LUMBO-SACRAL SPINE: Osteophytic lipping is seen in all lumbar vertebrae.Reduction in disc spaces at all levels most marked at L5-S1 level Doctor: Hello....You have not mentioned the symptoms that you are experiencing.A reduction in disc space without any symptoms does not necessarily warrant treatment.It would also help if you could tell me your age since some disc space reduction can occur as a normal part of aging.A significant reduction at L5-S1 could suggest lumbar canal stenosis and would cause symptoms such a low back pain and radiating or burning pain along the back of the thigh and in the legs.If you are experiencing these symptoms please consult an orthopaedic surgeon who would guide you as regards the further course of action.You may need to take lumbar traction along with calcium and vit.d supplementation.Severe lumbar canal stenosis would require a surgical prrocadure known as laminectomy.Hope this helps...Regards,"
},
{
"from": "gpt",
"value": "Target: How to treat cervical spinal problems?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I suffer with pain thats on the rib cage , on both sides. now the pain has started from right under my arm pit and goes down to the ribs. i went for a scan and an exray and all was well except that i have gallstones. i am not nauseus, my stools are fine, and im able to eat anything so i dont think it is my gall bladder . i also did a blood test and even that came back fine only my iron levels were a bit low. the pain gets worse during my periods sometimes resulting in extreme pain spreading to my abdomen and back. please help! Doctor: Hi and thank you so much for this query.I am so sorry to hear about the pain you have been experiencing. This pain is suggestive of a gall bladder disease. Findings suggestive of gall stones on an xray should prompt further testing to make sure the problem is well mapped out and addressed appropriately. Having normal stools, being able to eat anything don't mean you cannot have a gall bladder disease.I would not want to start speculating on different possible causes when something clearly abnormal has been identified. Get this investigated and addressed and if symptoms should continue, then we may start looking at others, but not until then.I hope this helps you and addresses the worry. my advice is to follow up with a gastroenterologist for a more detailed investigation and management of this finding if need be. I wish you well.Dr. Ditah, MD"
},
{
"from": "gpt",
"value": "Target: Pain in rib cage. X-ray shows gall stones. Blood test shows low iron. Help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got married b4 10 months female age 24, planning for child but still i didnt concieve after marriage my periods between 34 - 40 days once visited hospital Doctor said its because on my over weight i am not getting my regular period am 60kg in weight, still i didnt go for any treatment and check up and past two months i got little period only for two days. Is dat any problem with my health? pls Help me Doctor: hi i think u have irregular periods. u need to consult gynecologist both u and ur husband should check up if u r not get pregnant after 1 year. so dont worry about it."
},
{
"from": "gpt",
"value": "Target: What could be the reason for irregular period and not able to conceive ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My name is tiesha bennett and i have klippel feil syndrome and my local doctors dont have a clue about this.....i feel my body and bone muscle getting weaker i need help i dont know where else to turn i looked this up on line please respond i need your help i dont know how much more can take i have 4 kids by miracle but i think it only made it worse i have scoliosis also and i cant work because of it.0000 Doctor: Hi, You need to consult a neurosurgeon. Examination and evaluation will help to decide whether the operation is required or physiotherapy with medications are sufficient at this stage. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for Klippel–Feil syndrome"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In every spring/summer i feel i am short of breath as if my nose is blocked. I have a dry nose. i feel suffocated at times when i think about it. I am a little clostrophobic so the very thought of travelling by air makes me feel suffocated. I am confused what is the problem. Is it all in my mind that makes me feel so as if i dont think about it much i dont even realize that i am having any such problem. Doctor: hi not worried when feel this do it take a glass of boiled water put one teaspoon of table Camphor salt and smell it for three minutes watching watch God bless you"
},
{
"from": "gpt",
"value": "Target: Why do I have shortness of breath in spring/ Summer ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain in my upper shoulder down to my elbow. It gradually gets worse throughout the day and really aches by night. It has caused issues with sleeping and throbs really bad at times. It comes and goes throughout the day. It has been this way for about 2 weeks and I did;t do anything to injure it. I recently saw a chiropractor, but nothing has changed. Also, in the last couple of days, I have felt it get tingley in my forearm. Doctor: Dear patient your symptoms indicate diagnosis of cervical disc pathology with resultant nerve compression. Pain in the right shoulder to elbow and tingling are due to nerve compression. This needs to be investigated with Mri of cervical spine to confirm diagnosis. please get it done from radiology centre nearby you. Meanwhile start tab pregalin x 75 mg one at bedtime. Also take tab ultracet twice a day for pain relief. You need to consult spine surgeon with report."
},
{
"from": "gpt",
"value": "Target: What causes pain in the upper shoulder down to the elbow?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 27 yrs-lady,suffering from psoriasis since 13 yrs.i taken English medicines,Ayurveda medicines also.am staying in Hyderabad,my parents want to do my marriage but my health problem not curing that is psoriasis,will it cure,if the people having psoriasis they can do marriage or they live alone in life long....please suggest me good doctor to consult in Hyderabad.please please Doctor: HelloThank you for posting in HCMYes psoriasis is a curable disease and you can remain symptom free if proper treatment is taken for necessary period closely monitored by a competent Dermatologist.You can get married and have a normal life while on treatment and afterwards.Dr.V.K Somani in Jubilee Hills is reputed to be a good dermatologist in HyderabadHope I have answered your query. If you have any further questions I will be happy to helpHope yoy get well soonDr.Jayasree P, MD"
},
{
"from": "gpt",
"value": "Target: Suggest medication for psoriasis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a nexplanon implant put in in 2010 with no major problems, I got it changed 3 weeks ago and since then I have had diarrhea, a constantly bad headache, stiffness in my neck, I feel nauseous all the time and I hager pins and needles in my hands very quickly if I don t move enough. I do have suspected ms but since all these problems have only started since I got the implant changed I was wondering if that could be the cause for them all. If it is the problem how long would I have to wait to get it removed, my concern is it masks one if my episodes if I try to just live with it. Doctor: Hello. Thanks for writing to us. The changing of implant does not cause any symptoms. The problems that you are having are more likely to be due to electrolyte imbalance, vitamin B 12 deficiency or a recent viral infection.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,[email protected]"
},
{
"from": "gpt",
"value": "Target: Diarrhoea since changing nexplanon implant, headaches, nausea, stiffness of neck, pins and needles in hands. Are these due to implant change?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi... i have very less blood flow during menstruation cycle, maybe this because of hormonal balance, i took the medicine ( Ayurveda treatment) then my period was okay, but again after leaving the medicine, the blood flow is reduce..... what to do to make it normal?... i want to know that because of this problem i cant conceive in future? Doctor: 1. you haven't mentioned about your AGE, but going through your history, it seems that you are in Reproductive age group (conceive in future).Amenorrhea is a sign of underlying disorder. 2. have you consulted with a Gynecologist about the same? was it oligomenorrhea, hypomenorrhea, were Hormonal Imbalance,thyroid function,hemoglobin level test carried out, did USg revelaed any structural abnormality? (hypoplastic uterus,PCOS 3. family history (mother,grand ma, sister)??? suffered from same complaint 4. any physical/mental STRESS? 5. your body weight?? (people with less body weight tend to get scanty periods) 6. after proper check up with your Gynecologist,you can consult with Ayurveda Physician about necessary medicines and life style modifications."
},
{
"from": "gpt",
"value": "Target: Scanty blood flow during periods, hormonal imbalance, ayurvedic treatment stopped, irregular periods again"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 3 mth old baby started loose motion in a gap of 3-4 hrs since yesterday morning by evening she had 6 times, so i consulted my dr whop said to give nutrolin b , in night i gave nutrolin b 2.5 ml, now in morning she had motion after gap of 8 hrs, is it improvement sign? Doctor: Dear friend is the child on breast milk?? Or you started something else? Exclusive breastfeeding helps baby to prevent lose motion... Breastfed babies can pass small amount of lose stool daily for 6-8 times... That is normal... Keep watch on frequency of urination... Lose motion can cause dehydration and in infants important sign of dehydration is decreased frequency of urination and fever.... If baby is urinating at least 6 times a day continue breast feeding... No additional treatment required also wight of the infant should be monitored... Kindly state birth weight and current weight... Also state whether the mother of baby has any other illness?? Was she got tested for HIV during pregnancy.... Detailed history of feeding is needed..."
},
{
"from": "gpt",
"value": "Target: How to reduce loose motion of a 3 monthh old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my daughter was at the babysitters today and she was playing with others jumping from bed to bed. Well my babysitter showed me my daughters tooth and it was chipped all the way to the base of her gums but she still has some of her tooth showing. Is this normal? Would the rest of the tooth fall out? Doctor: Thanks for your query, I have gone through your query.The tooth has been chipped off secondary to trauma. If there is sufficient tooth structure we can still save the tooth by doing root canal treatment and crown.Consult a oral physician and get a radiograph done to rule out any fracture is there in the root. If there is root fracture, then the tooth has to be removed. I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Is a tooth completely chipped to the gums normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been requested by my Family Practitioner to get a blood test. Levels for Ferretin, Transferrin, Fe and Retic count are being requested. I do take Crestor 40 mg QD, Welchol 3 tabs BID and Zetia10 mg QD for Lipid treatment. I do take Vitamin D3 5000iu QD as a supplement after a previous blood test indicated Anemia. #1 Should I be fasting for this test? #2 Suggestions? Doctor: Welcome to H.C.M.rDear friend , for Ferritin, Transferrin, Fe, and retic -No fasting is required.Blood test should be early in morning and avoid high iron containing meal one day before test.But for Lipid Profile like cholesterol 12 hours Fasting is required.Thanx for query."
},
{
"from": "gpt",
"value": "Target: Is fasting required for a blood test?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mum has emphysema. she has had 4 times in last month or so she has been taken to A & E. each time they cant do a lot. say she has chest infection and give her steroids and anti biotics. She doesnt have oxygen as her levels are fine. we went to chest clinic this week and she breathed in tubes for the nurse before we went to see professor in chest clinic. He said to her to carry on using her 3 different inhalers and nebuliser. I asked how her breathing was and he said very bad. He said she had bronchitis and will get it over and over again. They dont explain much really. She is not eating properly and i am trying to get her to eat small portions often. She has extremely sore throat after taking steroids, a sore mouth and teeth and she is very thin. I am just wondering how far advanced she is with this disease as nobody seems to say anything. I know they cant say really, they just said she will carry on getting infections and it wont get better, which i know already. Is there stages in the disease i need to know about. Is she in a bad way etc? Doctor: Hello Thank you for asking.There are a lot of patients with these complains that i see in my everyday routine.From your information i can give you some helpful data. Emphysema of the lungs combined with chronic bronchitis represent a single lung diseases called COPD.In some patients it is the emphysema symptoms with dispnea that predominates not bronchitis and in some others is bronchitis with cough and sputum.COPD is a chronic lung diseases mostly in smokers or ex smokers,or in patients suffered for a long time from uncontrolled asthma or asthma not treated or in patients that live or work for a long time in dirty environment.To determine the diagnosis of COPD it will be done a test called SPiROMETRY with brochodilatator.If the test is positive than the next step is to define the grade(stage) of the diseases.There are four grades A,B,C,D.According to the grades it is the treatment.But i also recommend a cardiologist consult because in most cases COPD is associated with cardiac diseases.I wish you good healthThank youDr.JolandaPulmonologist"
},
{
"from": "gpt",
"value": "Target: Suggest the levels & treatment for bronchitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I been running and doing squats for five consistent days. I decided to take a break on Saturday and on Sunday when I kicked a soccer ball I felt something on my thigh and then had a pain in my thigh. Each time I use my thigh muscle it hurts. Did I pull a muscle? Doctor: Yes, Most likely.You must train your muscles for particular game well before you try perfect shots.warm fomantation will help & give relief from pain.You may also take Paracetamol 250mg BD along with Multivitamin tab 1 OD for 4-5 days.cotact me again, if no relief in 2-3 days."
},
{
"from": "gpt",
"value": "Target: What is causing pain in my thigh?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter who is 15 is in the hospital for liver failure. Enzymes are over 1700 they have ruled out Tylenol. They are still running test to see what is causing the failure. They have no answers to what is going on. It is not drugs or alcohol those were the 1st things they ran on her. I am thinking maybe could be mono or something alone that line that kids would get. Reye Syndrome.. Doctor: Hello welcome to the health care magic Your child having acute liver failure cause and admitted for that... The causes can be as follow which should be ruled out with history, examination and investigation accordingly... -Drug induced (hepatotoxic drugs) -viral hepatitis (if jaundice, abdominal pain present at the time of admission)-Metabolic disorder like Wilson disease, alpha 1 antitrypsin deficiency etc... -cardiovascular problem like septicemia, heart failure etc... So according to cause found treatment will be instituted until then Symptomatic management done Hence suitable investigation done according to suspected cause like serum hbsag testing by ELISA, HBA ELISA, HCV ELISA, serum ceruloplasmin, EKG etc.... Take care Hope your concern solved"
},
{
"from": "gpt",
"value": "Target: What causes liver failure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My three year old son has been complaing on stomatch pain and he point to his belly button and then the spot between his rib cage. I notice it when he bends over and pushes his truck and then he says it hurts or when he is running sometimes too. Could it be a hernia? I am taking him tonight to the Dr. Doctor: HiWelcome to the HCMAbdomen pain in toddlers can be due to various factors. The problem which you are describing doesn't seem to be due to hernia. In my opinion it can be due to the following problems:1. Musculoskeletal pain- it's likely because it gets aggravated on use of muscles like bending and pushing. It should respond to acetaminophen or diclofenac.2. Pain due to gastritis can also present like this. An antacid such as Digene, lansoprazole or ranitidine will be helpful in this case.3. Many a times dehydration and salt loss can be the reason. Give him lots of fluids like lemonade, soups, Buttermilk etc in hot weather or work up.Hopefully this will help you. For any further questions, you may contact me.Take care"
},
{
"from": "gpt",
"value": "Target: Is stomach pain and belly button pain sign for hernia in 3 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have high level of enzymes in my liver and am always dehydrated, I also have low levels of ferretin in my body and recently have started to become dizzy, confused, fatigued and increasingly tired. My GP has arranged for ultrasounds and a visit with gastrogenitus specialist. What do you think this could be??? My hepatitis tests have come back negative which is one good thing. Doctor: Hi thanks for asking question.Your serum ferritin levels is low so you can have anemia.Low HB that is anemia can lead such symptoms.so correct your anemia with ferrous sulphate tablet.Maintain your hydration.Take enough nutrition with more fruits.As far as liver enzymes concerned then in your case no hepatitis present.Do you have done USG??? Because fatty liver simply can elevate liver enzymes..If no liver problem present then let me know you do you have any heart problem???Because if you have hypertension induce or other caused heart disease then it might be possible organ not getting enough oxygenated blood.In heart problems also liver enzymes can be elevated.so if present treated accordingly.Do you have any muscle problem???Myositis or muscular trauma can lead elevated enzymes.Repeat your liver enzymes after few days.I hope my suggestion will helpful to you.Regards;Dr.Parth goswami"
},
{
"from": "gpt",
"value": "Target: What causes elevated liver enzymes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey. My aunt is schizophrenic and we are concerned about her. She takes pills for depression and im sure that makes u a ton worse. But our concern now is that she is SUPER thirsty. We got home and she had drank all of our water and now shes pacing around and going to the kitchen sink for more. Its like shes an addict looking for a fix. we are doing our best to stop her so she doesn’t die from over dehydration or something like that. Is this common in schizophrenia? What should we do? Doctor: HelloI read your statement and i understand your concern about your aunt conditionIncreased water intake during Schizophrenia (Psychogenic polydipsia) is common among the patients suffering from this diseaseThe cause in not know as we refer to it as psychogenic polydipsia. The results of this behavior, sometimes, are very devastating. If water in body becomes too much so that kidney cant excrete anymore, then Sodium is diluted (Relative Hyponatremia), causing Heart arrest and seizures and may lead to deathTake your aunt to Psychological for sessions of Cognitive Behavirol Therapy and try to console her not to drink that much water."
},
{
"from": "gpt",
"value": "Target: What causes excessive thirst while suffering from schizophrenia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: It started a few months ago....i noticed when I awake in the morning or it may wake me up, my toes are burning...the sheet lying lightly on top of my toes increases the pain..also, my knees started throbbing severely at the same time....I almost feel it's virus related....the pain in my toes often radiates upward, but it's a different foot or toe, it's random...the burning is the problem...there is some burning in my hands, but slightly less intense as the toes...toes are bad....they are NOT HOT OR SWOLLEN Doctor: Hello dear,The symptoms as mentioned in your post can be attributed to:1. Compression of nerve fibers at the lower limb due to maintaining inappropriate posture.2. Inadequate hydration status & electrolyte imbalance of the body3. Dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level.Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in your diet.Physiotherapy & postural exercise will also be helpful.If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done.Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.Wishing you a Good Health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for burning pain in toes and hands"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my uncle is suffering from depression.by profession he is an engineer . actually he is some what weak in technological aspects like computer, mobiles etc. during working hours when he works with these, he feels unconfident and also discouraged seeing others doing the things with ease. it was not so before, so what can be the possible treatment for him ? Doctor: HIThanks for using healthcare magicIn case of depression, he needs antidepressant like paroxetine or escitalopram. That would help him to come out of depression. These medications are not available over the counter, so he needs prescription from psychiatrist. Better to talk to patient as soon as possible. In case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: What are the possible treatments for depression?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Someone suggest me to apply Evion 400 capsule in oil and massage gently for 5 minutes. After this your hair fall will stops. Is it true. Can I apply it with oil or is there any side effects. Please suggest me because i am goint to get marry on 8th dec. Doctor: Hi.\"Welcome to Healthcaremagic. com.I have read your query in detail and do understand your concern.\"Evion contains Vitamin E and it is useful for healthy skin and hair.It can be massaged in oil with no side effects.However, Biotin i more important for hair growth than vitamin E.Biotin supplements should be taken orally for 3-6 months.Take a nutritious and protein rich diet(pulses, milk products, eggs).Avoid routine application of gels or frequent blow drying of your hair. Use a sulfate free shampoo for your hair twice a week. \"Hope this helps!Good luck!\""
},
{
"from": "gpt",
"value": "Target: Is there any side effects for evion 400 capsule in massage for oil?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I took plan B Sunday morning I had no side effects that day but as Monday morning rolled In I had the urge to pee but every time I went nothing would happen. But I would still have that urge. it was very uncomfortable. And now when I do pee there is blood coming with it. Is that normal ? Doctor: Hello dearI understand your concernConstant urge to urinate and blood discharge is due to side effect of the Plan B pill.Blood discharge is a breakthrough bleeding due to high progesterone withdrawal effect. It will disappear in the next 2-3 days.High progesterone cause dilation of smooth muscle of the urinary tract and aggraavte the urinary tract infection.Urine test will help to diagnose the urine infectionInfection will require tablet pyridium, septran and syrup citalMaintain proper pelvic hygiene, wash vagina with warm salted water.Drink plenty of water and juice of cranberry, orange and pineapple.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
},
{
"from": "gpt",
"value": "Target: What causes constant urge to urinate and blood discharge after taking plan B?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my 2 and a half year old son has had intermittently high temperature for 3 days with intermittent abdominal pain. The pain appears to be quite severe when it comes. The pain has only become severe in last 12 hours. But temp has been fine in that time. When pain free he seems completely fine Doctor: Hi dear,with such presentation in my clinic, I will at the first exclude severe conditions:-UTI by urine test;- intestinal infection by stool analysis;-parasites by stool for cyst and ova;-mononucleosis by blood test and etcI suggestCefixime 4 mg/kg/dose twice a day for 5 days,Vizylac 1 capsule daily for normal intestinal flora for 1 monthCharcoal 1 tablet/10kg for absorption gases and toxinsHope it helps"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for intermittent abdominal pain in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I would like to know if my pinky toe is broken, sprained etc. i stubbed it yesterday, there was a very minor cut it does not hurt, i put neosporin on it. But my toe, whenever i push it to much it hurts. I played soccer with it, it didnt really bother me that much, but afterwards it still hurt. It also hurts when walking a bit. What should i do? Doctor: If sprain is of 1st level (mild) and recent, Ice application and immobilisation with adjacent finger (tapping) will help. Some filling in shoes could be beneficial to protect and continue playing. If pain is aggravating, stop movement of toe and give proper rest."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for broken and sprained toe"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 33 years old man. I have non alcoholic fatty liver. My ALT increased 72 to 225. All reports are normal lipid profile is normal hepatitis is negative but alt increased day by day. What treatment should be applied to control ALT permanently. Can fatty liver become normal again and reverse? My liver is a mild enlarged in size. What is the best treatment for fatty liver to control ALT permanently. Plz tell me in detail. I will be thankful to you. Doctor: Hi I can understand your concern...You have fatty liver....With proper life style habits yes fatty liver can be reverted .....it takes 6 to 8 month to revert fully....Following are some good advise regarding your case.Loose weight if overweight.Cutt off oil in cooking.Tranfat foods avoided like cheese, burger , pizza , meat , baked pestries etc....Refined food avoided.Fruits more.Sunflower , canola like good oil is to be used.Avoid alcohol....In stead of refined sugar honey can be used.Regular exercise done ....In lunch and inner include salad made of carrot, tomato and green leafy vegUdiliv tablet can be taken ....Hope your concern solved...Dr.Parth"
},
{
"from": "gpt",
"value": "Target: What is the treatment for enlarged liver?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good day, I am on trigestrel contraceptive pill for about 3 months now. I had intercourse with my husband during April 2013 and had my last period around 17 April 2013. I have always been on the pill i havent skipped once and i did not have any intercourse during this month May 2013. I am on my 5th red pill and my period is just not coming. Is it possible that i could be pregnant. Doctor: Hello,It is quite possible for a female to miss her periods or rather delay her periods inspite of being on regular birth control pills.There could be various causes for this like...If you have changed the type of birth control pillIf you have tried to prepone or postpone your periods in betweenIncreased physical or emotional stress.Incresed physical activity.Being on some diet.If you had some illness recently.And lastly,if you are pregnantIf you have taken some medicines like antibiotics recently.Just wait for 2 weeks more and if you don't get your periods,consult a Gynecologist and get yourself examined and investigated properly.Thanks"
},
{
"from": "gpt",
"value": "Target: On trigestral contraceptive pill. Missing periods. Pregnancy chances?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father in law is having stage 4 brain cancer and is under life support.no oxygen,pulse and heart beat is normel.but he is in coma stage.sleeps all the time,urine and stool passing is normal.how many more days accordind to u can i able to c him.tnx Doctor: Thanks for your question on HCM. I can understand your situation and problem. Stage 4 brain cancer carries bad prognosis. And since he is in coma, this will worsen the prognosis further.In my opinion, in stage 4 brain cancer life expectancy is less than 6 months.But with coma life expectancy will decrease further. May be less than 1 month."
},
{
"from": "gpt",
"value": "Target: What treatment is suggested for stage 4 brain cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello...I am a 63 year old male with a swollen left leg, foot and knee. I weigh 350 and am 6 1 . I have had a doppler vein scan...no blood clots. I have also had a blood test for diabedes and a thyroid blood test...both normal. I have intense pain in my knee and heat or cold do not seem to help. The back of my calf has 3 deep dimples that look like healed over knife slashes. All the hair is off the calf and it is very hard. I have been to a dermatologist who diagnosed it a edema and refered me to the wound clinic at the local hospital. (appointment is next week). I am on benicar hct and atenolol for blood pressure and have take pravastatin and then crestor (13 weeks). This was about the time when the swelling appeared, about 10 weeks ago. Any help you can offer will relieve my anxiety. Thanks Doctor: Hi,i can understand the pain and discomfort you are going through.you have cleared that you have no DVT which is the most dreaded complication, but let me tell you that DVT can still develop if you do not keep the feet moving, you have no diabetes or thyroid problem, now the only source left for unilateral (only one leg) edema is lymphatic obstruction and the edema in such cases is non pitting.you will need an lymphangiogram to see if this system is blocked, moreover you also need to rule our infection as a cause, although it is unlikely, as it manifests fast, but still possibility has to be kept in mind.take care and consult your doctor to get investigated, till then keep limb elevated, put a compression dressing like a crepe bandage over the limb, do not walk more and keep your toes moving constantly."
},
{
"from": "gpt",
"value": "Target: What causes swelling on leg and knee?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Helo doc...I can t get my toes to curl closed...the sciatic pain has gone and there s still numbness and tingling in my right foot!..it has affected my walking ,right now I have a limp because the toes cannot grip or balance even if I stand on my right leg...do I have a serious problem here? :( Doctor: HiIt may not be that serious problem and may be manages with physical therapy and addition of methycobalamin, vitamin D, vitamin E, and Vitamin B1,6,12...it can settle with this but does take time.please see a neurologist also for this for evaluationBest wishes"
},
{
"from": "gpt",
"value": "Target: Is numbness and tingling in foot with inabiltity to grip or curl the toes with history of having sciatic pain concerning?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 53 years old, female, and have led a too-sedentary life for several years due to injuries from a car accident. I have been getting back in shape a little and now I am worried about some feelings I have just recently as this week. I feel tired, haven't slept well, feel depressed, almost weepy. Two nights ago I was ironing and got an intense sharp pain right at my right temple that lasted for a minute or two. I finally sat down and took my blood pressure. It was something lilke 116/6? and my heart rate was 78 or so. I feel some tenderness in the same spot on my temple tonight, without touching it. I have been eating a lot,and feel like Im having an anxiety attack(physical chest symptoms) and for some reason I am worried about my heart. Any thoughts. email> YYYY@YYYY Doctor: Hi.I understand your concern.insomnia or sleeping difficulty and tiredness are the symptoms of depression.Depression can co morbid with anxiety feature or anxiety disorder.Treatment is must and early treatment will bring better recovery.Treatment only can possible after proper psychological evaluation.It can be treated with multi modalities of treatment like medicines,psychotherapy,counseling and ECT.Choice is depend upon symptomatic presentations and severity.Consult psychiatrists and get further help.Glad to help you further.Thank you."
},
{
"from": "gpt",
"value": "Target: What causes tiredness and depression along with sleeplessness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am 51 and was diagnosed with viral infection yesterday and symptoms are sore throat and as well as some swelling of throat. The symptoms began late Thursday night after working at a soup kitchen. I had fatigue, body aches and dry throat but woke up fine on Friday and spent half the day with family. I have been working there for over 9 yrs but I think I caught it there during the day by someone sneezing or coughing that is caring this virus. How long can my symptoms last and do I avoid all contact with individuals since it is contagious and is my family in any danger? Thank you. I wasn t paying attention and didn t realize that there is a fee. Thank you anyways for your time, Doctor: Hi,Welcome to healthcare Magic!You have posted the query in the free consult so you would not be charged but I hope it is not too late for the answer.The viral infections are contagious and can spread to other family members.Keep a distance of approximately one meter so that others do not get the cross infection from you.You should ensure good nutrition and hydration and remain indoors resting.It usually takes about a week's time to recover fully from viral infections, although it may vary depending upon the causative microorganism.I hope the advise would be informative and useful for you.Take Care!"
},
{
"from": "gpt",
"value": "Target: How long will a viral infection last and is it contagious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 12 year old son has a lump under is right nipple, he says it is sore I am concerned because it is bigger than a quarter. What should I do? My first thought is it is probably puberty but I am thinking now I should make an appt. With his pediatrician Doctor: Hi, dearI have gone through your question. I can understand your concern. Your son may have gynaecomastia. It is common at pubertal age. You should go for examination. If needed go for fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of puberty?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I occasionally have a sudden uncontrolled deep inhalation. I could be talking, eating, or nothing at all. Any reasons why? I am 61, 5'4\", 150 lbs. and have a variety of medical conditions: Parkinson's, antiphospholipid antibody syndrome, epilepsy, mitral valve prolapse, bi-polar. That's all I can remember right now. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Possibility of psychiatric illness like anxiety or depression is more likely for your symptom.You are already having bipolar disorder. This can complicate anxiety and depression.So better to consult psychiatrist and discuss this symptom.You may need counseling sessions and anxiolytic or antidepressant drugs.Don't worry, you will be alright with all these.Avoid stress and tension, be relax and calm.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What are the episodes causing deep inhalation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: exactly on this date june 3rd my feet swelled not, excessively so but swelled anyways. am not a candy or a sugar eater ever now and then. my legs feels a bit funnny the bottoms of my feet feels a tad funny. am very anxious to get some clue as to why this is happen to me all of a sudden. am not, over weght i don,t drink nor smoke nor do i do drugs can you give me a hint a clue please. constance Doctor: hi constanceYou need x rays of feet to determine any arches defect or bony malalignments present since long, and producing symptoms now.Consult an orthopedic doctor.Aslo medical causes,vascular causes have to be ruled out.Commonly, it is gravitational oedema.try to raise feet on a stool while sitting, dont stand long or walk much, use loose footwear, do contrast bath of feet (alternate dipping in hot and cold water), seek help of a physical therapist alsobest wishes"
},
{
"from": "gpt",
"value": "Target: What causes swollen feet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: after tooth implant, i am still having pain and acute irritation of gums, after 5 days. I do not have any inflammation. So, should I take metronidazole or amoxicillin or neither and wait it out?. For pain I am using ibuprefen 800mg 2 or 3 times a day. the gum irriration just some things from the counter. Please advise Doctor: Thank for your query. I have gone through your query.There will be slight discomfort or irritation for another two days. This can occur either because of the wound contraction or because of sutures.Nothing to be panic. Continue the medicines(both amoxicillin and metronidazole) for another two days.You can use topical metronidazole ointment, apply over the gums where you have irritation, apply 3-4times daily for 5 days. Do saline gargling. Get the sutures removed, if they have give non absorbable sutures.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain and acute irritation in gums after a tooth implant"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, we are married since November 2005 and my wife was suffering from pcod and she had successful laproscopy in last of december 2012.......Now today (6th April) was the 13th day of my wife...she was regularly going to the hospital for follicular studies from 9th day (2nd April)....she has 2 big follicles of size 18 and 20mm today....Today ( at 2pm on 6th April )she had hucog 0000 hp as per advice of her gynecologist....we had intercourse 2 times (night of 10th day and 12th day).....Please advice when can these follicles rupture and what would be most appropriate time to do intercourse in order to get pregnant...Thanks and best regards....SAM Doctor: Hi,Thanks for the query.Usually after giving the injection it will take around 36 to 40 hours for release of the ovum.So you better have intercourse for three days from tomorrow.Possibly that will help in increasing the chances of pregnancy.She can continue the tablets prescribed by the doctor during this period.If she miss the expected date of periods go for pregnancy test once.For more details you can ask me through: http://www.healthcaremagic.com/doctors/dr-sree-gouri-sr/63429Take care."
},
{
"from": "gpt",
"value": "Target: Have pcod, done laproscopy, follicular study, had hucog hp, had intercourse. Best time for intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Three weeks ago I was poisoned by a very close relative of mine, and as God could have it, I noticed it and went to a herbalist. I live in Liberia, somewhere in West Africa, an issues like mine involves seeing an African herbalist. Well he prepared leaves to bring out the poison and I am well now,but, I still feel lil pains inside my stomach and inside of my chest gets itchy often. Is it something bad? What do I do to solve this problem? Doctor: Hi.Thanks for your query..Noted the history of poisoning and your visit to herbalist in Liberia.The cause of the itchiness in the abdomen and the chest can be remaining minor parts of the poison and or the reactions due to unknown factors. You can continue the further treatment and consult the herbalist for further treatment. You can certainly try oral steroids and an antihistamine."
},
{
"from": "gpt",
"value": "Target: How to cure abdominal pain and itching in the chest after poisoning?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell down 15 steps on my back a month ago and had a lot of bruising around and on my tail bone. The pain has worsened and I am unable to stand for more than 5 minutes. The low back pain is bad, but the pain in my legs is unbearable. It s sharp and very distracting. Ive noticed that when I feel like I need to go to the toilet, I cant wait at all if I want to avoid an accident and sometimes I don t get any warning. It just comes out. This only happens with bowel movements. Doctor: please get an x ray done first there are high chances of getting a fracture in spine after such falls you can use LS belt on your lumbar spine for relief"
},
{
"from": "gpt",
"value": "Target: What causes severe back pain and leg pain after a fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m a 20 year old male and this might sound wierd,but after i masturbate i usually fall asleep very quickly den just as i go into it i immediately have a dream that of being stangulated,i cannot move but i can feel the strangulation,i can breathe,it was almost a real life experience,the whole epidsode lasted for 1-1.5minute,when i woke up my heart was beating very fast this has happened a few times,and next time it happened i could say its a dream but the choking is so intense i try to react,it happens mayb once amonth Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You must understand that a dream is just a dream. Numerous studies were carried out to analyze dream but hardly it made any progress in dream analyziz. Therefore, even we consider dreams as just dreams. They do not have any worldly implications. Go with the research indications. Ignore the dreams. If you start worrying about those weird dreams, you shall become obsessive and anxious. Your studies or job may be affected due to that.Ignore them.Hope this answers your query. If you need more of my help on this regard, please post a direct query. Please provide every details as possible. I shall teach some tailor made psychotherapy techniques which should be of immense help. I am always available to clear your doubts.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes the strange dream of being strangulated after masturbating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old son was prescribed to take 8 ozs. of milk of magnesia and also take Nulytely. His Gastro doctor is trying to clean him out due to impacted stool. He said to give him the Milk of Magnesia at 9:00 tomorrow morning but I don t know how soon I should give him the Nulytely? Also, I think 8 ozs of M of M is so much? Doctor: Thanks for the question.I have been seeing children with this problem repeatedly.This is quite common as children eat small amounts of fruits and vegetables and to top it their water intake is also less.You can ask your doctor to add liquid paraffin in suspension for (this is available in India by the name cremaffin). twice for three days (this will lubricate intestine and passage of stools will be easy) and then lactulose twice after meals(this will cause softening of stools).With this his food habits need change which included lots of vegetables, salads, fruit, fresh fruit juices with pulp, lots of liquids. If he prefers junk food then allow it only twice or thrice a week that too with salads and fruits. Avoid refined starches all together. This will lead to better bowel habits. Vaseline may be applied at the anus so that passage of stool is easy."
},
{
"from": "gpt",
"value": "Target: When should Nulytely be given?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hallo Doctor, Recently like 3 months i have been experiencing a needle like sharp pain in the right side under the abdomen .This i only feel it when i bend mostly when applying oil to my right leg. It is worth to mention that i had a yeast infection which i treated recently with medicine described by the Gynecologist . the pain only comes when i bent and immediately i stand it disappears. what could be the cause? Doctor: Hi welcome to Health care magic forum. Thanks for calling H.C.M. Forum. You had a yeast infection and got treated, Now you are getting pain in the right lower abdomen only when you bend to apply oil to the leg since 3 months. Relieved when you become straight. it appears to be a pain due to stretch, or pressure. It appears to be due to hernia, or stone in the ureter, or may be in the hip joint. I advise you to consult a surgeon for diagnosis and treatment. You may have to take M.R.I. besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards."
},
{
"from": "gpt",
"value": "Target: Sharp pain in the lower abdomen. Was treated for yeast infection in the recent past. Are these related?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 26 years old and 17 weeks pregnant and notice about a week ago that I my vaginal smell like my period. This is my 4 pregnancy and never had this before. I would like to know if this is normal or if something I should worry about. I do not have any discharge. I want to say my doctor but I dont want to seem like first time mommy . I sure you know what I mean. With this pregnancy I have been so worried about everything and not with my others. Please help me. Doctor: Hi , Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options . Basically, vagina contains various bacteria and other micro organisms. Due to war.th and moisture of vagina and natural increase in the moisture during pregnancy a typical smell can be found during pregnancy. I will suggest use of Lactacyd vaginal wash alternate days at the time of Bath. Also Clindamycin vaginal tablets one at night for 7 days will be of help. Keep private parts clean and dry. Please keep watch if there is smell or itching due to vaginal discharge. I hope this answer helps you. Enjoy your pregnancy. Thanks Dr Purushottam Neurgaonkar"
},
{
"from": "gpt",
"value": "Target: What causes vaginal smell during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello my name is chris lane and i was born with CAHD salt wasting form it causes a lot of problems for me as well do my ongoing permanent medication(dexamethasone, and fludrocortisone) the chronic pain and dizziness have always been apart of my disease and I am desperately seeking to find out if I would qualify for medical marijuana.THANKS!! Chris Doctor: Hello, Medical marijuana is not the best treatment option for chronic pain because it can cause addiction and tolerance if used for a long time. For this reason, I would recommend discussing with your doctor on the possibility of other treatment options for the management of chronic pain, including Duloxetine, Amitriptyline or Gabapentin. Hope you will find this answer helpful! Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for CAHD causing chronic pain and dizziness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a impacted wisdom tooth and the 2nd molar on my bottom right side removed almost 6weeks ago. It was a very long and difficult extraction and also resulted in an immediate dry socket the next day, like the blood clot never formed. Well after what seemed like forever i believe that is finally starting to heal but now i have this huge swollen red painful lump on the inside of my cheek where they were removed that kinda looks like a cluster of sores or lumps. This preety much fits right where the remaing large whole in my gum is Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have swollen lump inside cheek dont worry swelling occurs in some patients after wisdom tooth extraction . As you have dry socket after that you have swollen lump for this you should consult dentist and go for Oral examination . Meanwhole you can do Betadine gargle two - three times a dayHope it will help you."
},
{
"from": "gpt",
"value": "Target: What is the cause for huge painful swollen lump on the inside of the cheek where the tooth is removed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My endometrium size is 0.8cm. The GYN said I need to be concerned. I had a transvaginal image last year. Currently, I had another transvaginal sonogram- the results are the endometrium does not appear to be thickened. I do have an IUD per the report the IUD in in place and good position. Just concerned about the endometrium. Doctor: HiWhat is your age? The ultrasound was taken on which day of the period? Why did you do the ultrasound last year? Since you have the IUD inserted I presume you are less than 45years.The endometrial thickness of 0.8 cm after the first week of mensus for all women before the menopause is normal.The second ultrasound is reaffirming the same opinion that I have written.There is no need for you to be concerned.I hope i have answered to your satisfaction . If you have any further queries do contact me through healthcare magic"
},
{
"from": "gpt",
"value": "Target: No thickening of endometrium, IUD in place and good condition. Should I worry?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a severe rash in my armpit at first it looked like shingles but the bumps have developed whiteheads on them and when I had a shingle outbreak a year ago under the other arm after a few day it did not look like this plus this spreading around my outer arm and onto the side of my breast. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Is there any itching associated with the rash? Also is it painful? What are the modes of hair removal you use for that area? It looks like folliculitis which is very common in areas of thick hair growth. I suggest you start with laser hair reduction which would help permanently reduce your hair growth and further reduce the chances of folliculitis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Smruti Pevekar"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rash in armpit area"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, My baby is suffering from cough and cold. Last two days he vomitted the mucus also couple of times...But he is taking food and all and not vomitting the same. I have consulted a doctor yday and he adviced for Zyrtec only. I am giving 9 drops for him...But since i noticed some kitch kitch in the morning and he is getting the temtation again for vomitting, can i give aAsthalis also..previously my doctor has prescribed him for the same. He is aged 1.5 yrs. Thanks in advnce, manoj Doctor: Your child is suffering from a respiratory tract infection which is likely to be caused by a virus. As he is trying to cough out the thick mucus, the gag is triggering a vomiting but not otherwise. Zyrtec (cetirizine) is an antiallergic which relieves the allergic component of such infections and should be given for a few days to relieve the khitch khitch. Give him steam inhalation or nebulisation if possible. The water in the form of vapour or fine particles will reach deep into the lungs and help in diluting the cough and give him relief. Asthalin contains Salbutamol which is a bronchodilator and needs to be given if the child has wheezing. It can best be delivered by nebulisation but syrup is another alternative."
},
{
"from": "gpt",
"value": "Target: Can Asthalis be given to a child for vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My aunt met with an accident on 24 nov 2010 and got a fracture on her left side hipbone. a rod has been placed on the left side through an operation on 25th nov 2010 and the following medicines were given post operation: Ultracet, livogin Z, Citzine10 and Veloz D. she has been discharged on 27th nov. but since then she is having constant stomachache and vomitings and is unable to eat anything as it is thrown back immediately. what can we give her for relief? Doctor: Hi. Thanks for choosing healthcaremagic. I am pleased to answer your query. From the details you have given, I understand that your aunt was hospitalised and treated for fracture hipbone. It is likely that the stomach ache and intractable vomiting that she experiences now, are due to gastritis, probably induced by pain killers/iron preparation(Livogen Z). I suggest that Livogen Z may be stopped for a few days and Veloz D may be continued, which will help in relieving her symptoms. Tab. Ultracet may be taken only when needed. i.e. if she has pain in her hip. But if her vomiting is so severe, she needs i.v fluids. so please get her admitted in a nearby hospital. Hope this helps."
},
{
"from": "gpt",
"value": "Target: What causes persistent stomach pain with nausea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: SIR i took practine dexona for quite some time for weight gain before 5 yearsbut now i am facing infertility(5 years married ). doctor is saying there is no problem with me and with my husband ,no reason for not concieving .is taking practine dexona arise infertility problem in me ? Doctor: Hi,Thanks for writing to HCM Using dexona won't cause fertility problem after stopping it . While taking dexona you may have temporary loss of sexual desire. If no cause is found out then there may be problem in ascend of sperm or sperm penetration or implantation. I sugget you to start with ovulation inducing drugs like clomephine . This will help multiple follicles to mature and rupture . This will increase chances of conception. I suggest you to go for IUI . It is intrauterine ingestion of sperms . Here sperms are washed and processed and placed in uterus .I suggest you to discuss with your doctor.Hope I have been helpful .RegardsDr.Deepika Patil"
},
{
"from": "gpt",
"value": "Target: What causes difficulty in concieving?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Here is my question I have a friend who has an irregular heart beat and he had a Black widow blood clot and nearly died. How do you get a Black widow blood clot. he was able to live because his once he called his wife complaining of a stomach ache, losing brate and his arm bothering him. She told him to run to the hospital. He did and was brought back to life after being lst for 22 minutes. it is an amazing so which just occurred on November 20 of this year. he just got home Wednesday. Again the question is how do you get a Black widow blood clot Doctor: HIWell come to HCMI really appreciate your concern, certain creatures are there which got the deadly venoms and these are either neurotoxic or hemotoxic in case of hemotoxic it changes the all chemical constitution of blood like its ability to form the clot or preventing it from forming clots, and in this way venom affects the blood property, hope this information helps, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: What is a black widow blood clot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just got over the flu about a week ago, I got better a couple days later but then bronchitis kicked in. It gave me a chronic cough which I still have and I am still coughing up stuff. I can deal with the bronchitis but my major problem now is that my upper right chest is in pain. It hurts when I take deep breaths, especially hurst when I cough, and also hurts from some basic movements. Today a slight stinging occurred. Could this be something serious or something simple that will take care of it self on its own? Doctor: Hello thanks for posting at HCM. Going by your description, seems like you have got lower respiratory tract infection preceded by upper resp tract infection. The lower respiratory tract infection seems to have involved the pleura, the covering of the lungs, hence you get the pain. Please do a chest x ray to find out about the involvement of pleura and fluid accumulation within the pleura. This usually will settle with antibiotics. Since you mentioned that you had bronchitis, I suppose you were already on antibiotics. But some times people get infected with drug resistant strains I suggest you to cough up the sputum in a sterile container and give it for testing (aerobic culture) . It will show what microorganism has infected you and drugs that can act against it. According to the test results antibitiocs can be changed or continued. A lower respiratory tract takes about 14-20 days to go back to normal. So the cough will continue for some time. You can take anti tussive medications for the same. Wishing you good healthRegards"
},
{
"from": "gpt",
"value": "Target: What is the treatment for cough and bronchitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was in a car accident yesterday, and I escaped alive, but very bruised. Over the course if the day, a bruise has been forming on my stomach, where i believe I smashed into the steering wheel, but can't remember. I have been experiencing sharp pains in my stomach, and brief periods of nausea and dizziness. Doctor: Hi...you may have injured your spleen which is very common after this type of accidents...better show to a surgeon asap and get a usg abd done...dont delay...Dr. Ashish Verma"
},
{
"from": "gpt",
"value": "Target: What to do for bruised and painful stomach, dizziness and nausea after stomach injury in an accident?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend worked in the oil fields for 7 years in the past and has developed a gurgling sound when breathing. He complains of chest and lower back pain.He is now a trucker and states to also have a taste of blood in the mornings? Could he have lung problems? Doctor: Hey there,Yes it could be a lung problem.As he had worked i oil field chances of lung related disease are more.Get done chest X-Ray and Ct thorax."
},
{
"from": "gpt",
"value": "Target: What causes pain in the chest and lower back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am a 23 old male 170 lbs, i have psoriasis near the bottom of my balls, and has actually come up on the head of my penis area, but i have noticed that the tip of my piece at the pee hole opening both sides have white bumps and they some times stick together. i have picked at them a little and they start to bleed right away... could it be of an std that i have not picked up on?i have to pull both sides apart before peeing and i also have had more urges to pee even if i just finished peeing Doctor: Hello welcome to 'Ask A Doctor' service. I have reviewed your query and here is my advise. Yes it can be a std or a infection. I would like to advice you visit a dermatologist for proper diagnosis and proper treatment. Hope I have answered your question. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes white bumps that bleed when pricked on penis head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About three weeks ago I woke up and my left jaw bone was very painful and stiff. Even my teeth hurt. On most days this eases up and is very tolerable. But some days it is still and very painful all day, causing headaches and extreme ear pain. Is this TMJ or what. On the night beofre this accurred, I fell asleep on my stomach and slept almost all night on the left side of my face. Sometimes damp heat helps. Doctor: Dear patient Considering your case source of pain is mostly Tmj sprain or early arthritis. This needs to be investigated with Xray of tm joint. Visit radiology center nearby you and get it done. Meanwhile start tab diclofenac 50mg twice a day for pain relief. You need to consult expert ENT specialist with Xray report. All the best."
},
{
"from": "gpt",
"value": "Target: What causes stiffness and pain in the jaw?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im looking for answers on hepatitis c . I keep looking online but nothing is really helping me to understand why its hard for drs to diagnose the diseease. I read that you (doctors in general) would have to suspect it first in order to have the tests done for a proper diagnosis? But even after they told her she had it they would just drain her and load her up with pills and send her home just so she could come back in a couple of days and do it again. Iwhy didnt they tell us about getting a liver transplant WAY earlier? I would think they could see the chirosis of her liver in a scan or something the day they told her (over a year ago). I feel she could be alive right now. They didnt give us the transplant option till she was weeks away from death. Im just so confused about so many things. She got really sick just 2 months before she died. It happend so fast. Too fast. Doctor: Hello, tabithaschrier, Before 1992 we did not have reliable tests for diagnosing Hep-C viral infection. Now , we can not only correctly diagnose Hep-C viral infection, we can actually measure the virus count in an infected person and also find out the Geno type of the virus. In most cases, any time someone has abnormal liver tests that cannot be explained , always test for Hepatitis B & C. If a person has risk factors, like multiple sex partners, intravenous drug abuse, accidental needle prick and exposure to contaminated blood, sharing tooth brushes, razors, getting tattoos with dirty needles, all of these are risk factors and the doctor should know about this. When once the diagnosis is established, after the HCV RNA viral count, Geno type, the doctors can start treatment. The treatment consists of Interferon injections along with an antiviaral like Ribavirin orally. The duration of treatment any where from 24-48 weeks with close monitoring of blood tests. If by week 12 there is significant drop in viral count or disappearance, that is a good sign the treatment is working. Now there are newer more effective drug combinations for cure of this. If the damage to the liver is so severe and there is advanced cirrhosis with signs of liver failure, then transplantation can be considered. There are instances of Hep-C coming back after liver transplantation. Hope this gives you some insight into the problem. I wish you well."
},
{
"from": "gpt",
"value": "Target: What is the reason for difficulty in diagnosing hepatitis C?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My feet sting and burn all the time and are so sore to walk home I have degenrative arthiritis and I have detroration in my lower disk pretty bad and I am seeing a pain management doctor but not relieving the foot pain could help me with what else might be going on Doctor: HIThank for asking to HCMI really appreciate your concern the burning feet syndrome is likely if I would be your doctor then I would treat you with the following medicines,1) Tab Calcium pentothenate 2 tab once in day2) Tab Aspirin 300 mg once in day3) Tab Alprazolam 0.5 mg at bed time 4) Tab Multivitamin once in dayhope this information helps you take care and have good day."
},
{
"from": "gpt",
"value": "Target: How to treat foot pain that feels like stinging and burning sensation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been diagnosed with osteitis pubis. i have had this condition for the last ten years and I don't find relief in anti inflammatory drugs neither do i like taking them. my worst pain comes on after i walk carry heavy stuff or push anything. i am looking for some pilates or yoga postures to correct my problem Doctor: **1. since the case is diagnosed and you are under supervision and management, thus prior to any holistic approach, consult an Orthopedic surgeon for relevant examination and investigation [since condition is 10 years old] to exclude osteomyelitis of pubis bone or related structures. [nerve injury/compression]2. Exercises for osteitis pubis rehabilitation concentrate on stretching and strengthening all affected areas, including the groin, lower back, hips and thighs. 3. Rehabilitation under the guidance of an experienced Physiotherapist is highly recommended. The return to normal activities/condition should be totally guided by their experience to avoid a future re-aggravation.PS. It may take the rehabilitation process in excess of 3 months.4. Some of the exercise recommended for osteitis pubis is/are: clammers, core strengtheners, wall bends, gentle side stretches .PS. Because your condition may differ from others, consult with your doctor or experienced yoga trainer before starting new exercises or yoga postures"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for osteitis pubis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have this bad cough that goes on non-stop and causing me headache and chest pain, I even feel that my throat is injured, it burns a lot, I have been taking antibiotic and drinking tea with honey but I guess they arent working... help me please, I'm really tired. Doctor: Hello dear patient,For your cough I would suggest you to take Adulsa Mother tincture. Put 30 drops of the tincture in half a glass of hot water. Consume the entire solution immediately. Do this thrice in a day, the last dose to be taken 15 minutes before you go to bed at night.Make sure that you do not eat or drink anything else 15 minutes before and 15 minutes after taking the medicine.Don't worry. Your cough will go off.All the best!"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for cough that is causing headache and chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi ,im almost 22 weeks pregnant and the other day i found some lumps in my vagina and today found one on the lip i dont know what it is and i'm getting quite worried help?! i feel too embarrassed to go to the doctors and would realy appreiciate it if i was told what it could be . Doctor: Hii appreciate your concernLooking at your history this could be bartholin cyst which can develop due to blockage in its draining duct or STI you need not to worry it doesn't need any immediate intervention if it is cyst until it gets infectedso visit your doctor for check up and investigationsHope this information will help youwish you good healthtake care"
},
{
"from": "gpt",
"value": "Target: What does lump on vagina indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i m from Bangladesh and cauple of days ago one of my uncle come back from ITALY and found her at brain trumer and i found her prescription that doctrors diagnosis her Hyperpnea . i want to know actually Hyperpnea cause and treatment to you. Thanks sir Doctor: hi,hyperpnea is the sign that described as increased depth and rate of breathing. It may be physiologic (normal)—as when required to meet metabolic demand of body tissues (for example, during or after exercise, or when the body lacks oxygen at high altitude or as a result of anemia)— it may be pathologic, in response to shock (due to any cause ), metabolic acidosis etc.in your case it is pathogenic and primary cause for hyperpnea should be found to treat it."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hyperpnea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MY daughter has found five lumps under her armpits right where you shave and they are hard and the size of marbles. She just had a checkup last week and they said she was ok. She has had ovarian cancer and uterus cancer and lymp nodes, they were all removed about five years ago. But, she has been fine since then. Is this anything we should be conerned about? She did talke to a doctor that said it is probably a cyst. But, she kind of dismissed it. can we get a free answer or do we have to pay for this? Doctor: Hi,Dear,Good Morning.Thanks for the query to my HCM online- clinic .I studied your query in-depth.-In my opinion your armpit lumps are not cancerous and have no relation to the Cervical and Uterine Cancers of your daughter.-Cause of the Lumps-These armpit lumps-are the-Chronic furuncles with Cystic Changes with infected fluid in it-due to the infection -post-shaving of the armpit and the use of sprays and improper armpit hygien.-Treatment -a-Consult A ER Surgeon.b-Antibiotics for 5 days, c-With NSAIDs would regress these lumps.If need be -these chronic furuncle-abscesses need to be drained properly-which is a remote possibility. -Alerts/ Warning for you-Plz consult your ER-Surgeon doctor and take treatment ASAP-is the Advise from me.-Hope this would resolve your worry-some query.Wellcome again to HCM .Have a good day."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lumps under the armpits"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my baby is 2 and half year old,i am givind salbutamol exovaler if needed now she is having cough at night time some time day time too doctor ordered for flexotide exovaler for 1 month before i given oral steroid for 3 days so it is safe to give flexotide exovaler Doctor: Hi,Thank you for asking question on health care magic.Flexotide is a steroid.It is safe if you follow doctors instructions.Steroid given for a long time will have side effects.Inhaled steroids given for a sort period intermittently are quite safe.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: Is it safe to flexotide exovaler for 2 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has begun enormous projects, failed, and convinced us that he knows what he is doing. While we have lived this nightmare, and I search for answers I can't help but think his small tic that he makes with his toungue clicking the roof of his mouth may be more than just a habit. He is particularly slow at getting anything done and becoming more belligerent as our world crumbles around us. OCD comes to mind. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely think this may not be related to OCD. Every human being comes with some peculiar habits when they indulge in work which requires extreme concentration or medium amount of concentration. This habits normally can be termed as mannerism. In a way the mannerism is of compulsive type, it is not related to OCD. You watch yourself and you will find some mannerism in you also.You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Is tongue clicking the roof of mouth a symptom of OCD?"
}
]
|
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