conversations
listlengths
2
2
[ { "from": "human", "value": "Source: Patient: I am going on a six day bike tour day after tomorrow and have come down with a yeast infection and I'm very worried about wearing bike shorts for 3-5 hours a day will worsen it. I have used a one day OTC miconazole suppository, but other than that, I don't know what else to do. Would a natural supplement, like garlic or yogurt be worth a try as well? Doctor: Hello, I suppose the yeast infection is on your groin? If that's the case you can use an antifungal cream (fluconazole for example) for a couple of weeks or for at least a few days after the yeast has completely recovered. Oral treatment has some benefits and you can also use fluconazole by mouth for the same amount of time. It's better if a dermatologist diagnosed it though. I don't believe that natural supplements or any other non-pharmaceutical product would offer any help. Don't forget to keep the area clean and dry. Avoid leaving your wet shorts on, after exercising!Kind Regards!" }, { "from": "gpt", "value": "Target: Suggest remedy for yeast infection" } ]
[ { "from": "human", "value": "Source: Patient: Hi,Today I have been having really bad pain in my stomach that works its way up to my rib cage, it also feels like a crampy feeling to, do you think it is just built up gas? I have had a bowel movement today but the pain seems to come and go. And I have been freaking out a little bit because I have never felt like this before and I just didn't know if it was anything serious or if I am just worrying way to much. thanks Doctor: Well here it looks like gastric pain due to acidity and gastric gases. I suggest to have warm water with anta acid tablets. And its first time I believe so Don't worry. At any time if you have breathing difficulty along with this pain or abdomen buldging then you need to visit doctor and do the relevant tests till then relax and it will be fine I strongly believe in some time.Take care." }, { "from": "gpt", "value": "Target: What causes pain radiating from stomach to rib cage?" } ]
[ { "from": "human", "value": "Source: Patient: I got acne cauterization on my nose but now it leaves scars and there are red spots on my nose, what to do? is there any meds you d suggest in order to help with the discoloration? Doctor: Hi, Welcome to Healthcare magic forum, when did u underwent cauterization? For first few days the red spots will be there and disappears slowly, if still persists then meet ur dermatologist for treatment. Hope I have answered ur question, Regards" }, { "from": "gpt", "value": "Target: Red spots after acne cauterization" } ]
[ { "from": "human", "value": "Source: Patient: While making out with my boyfriend he bit my upper lips hard several times. Now there is a slight cut behind my lip and my upper lip is swollen. Any tips on treating either? Doctor: hi,massage it with ice and take care in future" }, { "from": "gpt", "value": "Target: What is the treatment for my swollen upper lip with a slight cut ?" } ]
[ { "from": "human", "value": "Source: Patient: I had gotten bit by a spider on my toe 5 days ago the next day after getting bit I had flu symptoms stomach ache dizziness pressure of the head and tingly feeling on the bit swollen throught only on left side red itchy eyes. I went to the hospital 4 days later we're they told me it was not the spider bit but a virus today I am having chest pains anxiety and still all the symptoms but less intense Doctor: Hi and thank you so much for this query.I am so sorry to hear about these symptoms. The description is typical of a viral infection. symptoms don't get away over night but takes sometime to get resolved. The best sign here is that they are getting less intense and this is the most important piece of information. I will suggest that you simply stick to the ongoing treatment and all would be fine. Hope this relieves you of your concerns.I hope you find this helpful and it addresses your query fully. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health.Dr. Ditah, MD" }, { "from": "gpt", "value": "Target: Having flu symptoms, stomach ache, dizziness, red itchy eyes, chest pain due to virus" } ]
[ { "from": "human", "value": "Source: Patient: i have faint feelings in the left side of my chest and left arm. has been going on for months. comes and goes. took an x-ray last month and heart sanogram last year, both normal. blood work checked out fine but last month blood pressure was 160/97. what am i really experiencing right now? Doctor: HelloThanks for posting at HCM. Your symptoms seem non specific. Since your chest X ray and heart sonogram are normal, and since you have these symptoms since months, its very low probability that it is of heart or lung origin. Your BP reading was high. So you have to monitor your blood pressure regularly for three weeks and if it is persistently higher, then you must be started on BP medications.You have not mentioned your age above. If you are above 40, I would also recommend a Treadmill test which requires you to walk on a treadmill while your ECG is continuously being monitored.. This will rule out cardiac origin of chest feeling you have.You should also do your vitamin D levels because low vitamin D levels make the bones weak and you may experience chest discomfort. Your symptoms may also be related to hyperacidity so please try antacids.Wishing you good healthRegards" }, { "from": "gpt", "value": "Target: What causes faint feeling in the left side of my chest and arm?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I have a large red lump on the left of my butt towards the top but not at the cleft. It s sore and kind of looks like a massive pimple without the White head. It s not overly painful. The glands in my crutch are sore and I think related. What is it and how do I treat it? Doctor: Hi,It seems that you might be having forming abscess due to some minor injury or ingrown hair follicle infection.This might have given enlarged tender inguinal lymph nodes.Go for one antibiotic medicine course for 5 days.Ok and take care." }, { "from": "gpt", "value": "Target: What causes large red lump on buttocks?" } ]
[ { "from": "human", "value": "Source: Patient: Hi my daughter is 3 and a half she has cold flu symptoms runny nose, dry cough which sometimes enfs up being sick after. just checked her temperature and it's 38.8 and she has started complaining that her eyes are hurting and also her knees?! Been doctors twice and have just gave her nose drops I'm quite worried about the eyes as she has never complained about them. Pls help. Doctor: Most often cough and cough in children is caused due to certain viral infections. Most often such infections are associated with allergic reactions which can be responsible for runny nose. It may also be associated with increase in temperature and muscle fatigue as in her case. The muscle fatigue is more likely to be the cause of her eye pain as well as her knees hurting. Giving paracetamol should provide relief for both fever and muscle pain. Giving some antiallergic like cetirizine syrup for a few days should help. Also give her steam inhalation. Water in the form of vapor reaches deep into the lungs and helps in diluting the cough and provides relief from dry cough. In case the symptoms last for more than 7 days or if the child grows lethargic or starts wheezing, you would have to take the child to a doctor without delay." }, { "from": "gpt", "value": "Target: What is the treatment for runny nose, dry cough, pain in eyes and knee?" } ]
[ { "from": "human", "value": "Source: Patient: I am just coming up to my 70 th birthday dont smoke drink occasionally still feel like sex but have difficulty in ejaculating. When ejaculating have semen but only oozes out no force behind ejaculation is this common at my age? Also seem to have slight pain in my testicles , Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have noticed that you have difficulty in ejaculation and the quantity of semen is very less.With increasing age production of semen is reduced due to low serum testosterone levels.This is normal at the age of 70 and nothing to be worried about.The pain while ejaculating could be due to Prostatitis which can be controlled by taking antibiotics like Doxycycline for two weeks.Dr.Patil." }, { "from": "gpt", "value": "Target: Is difficulty in ejaculating normal at the age of 70?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I had an infection(Hydrosalpinx) on left fallopian tube, so had to remove it. I have only right tube for which docter said everything is fine. Now, We want to try IUI. This(22nd sept) is my 5th day of periods.From 1st day of cycle she has given few medicines to take and from today(alternate days - 22,24,26) iam given FOLIGRAF 75 IU injection. Later she said on 28th(13th day of cycle) she will check how many follicles are formed by scanning. Based on that, if follicles are 2, she said will proceed for IUI else need to wait for next cycle. Doctor: Hello, you have fair chances of pregnancy in case follicles are in right ovary so just wait for sonography report and i wish you all the best.In case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain" }, { "from": "gpt", "value": "Target: Will IUI succeed despite having hydrosalpinx?" } ]
[ { "from": "human", "value": "Source: Patient: my son has eczema since he was 1 year old now he is 3 years n 4 months usually eczema shows during Nov 2 april and its like red circles on left n right limb and on right arm ND NOW My twin daughters have on off diarrhea with runny nose and rash on face do they all have some kind of allergy Doctor: hi, yes these symptoms may be due to allergy to some component of the food, as there is family history of atopy so there is maximum possibilities of these. these symptoms are also seen in niacin deficiensy but here these are most likely related to allergy. these can be due to henoch shonlein purpura .to diagnose the disease properly yo should go for total and differential count of WBC, platelets count, ESR, serum IgA level, C reactive protein , prothrombin time and bleeding time and also stool examination for occult blood. then you should meet a child specialist for its correlation , diagnosis and proper management." }, { "from": "gpt", "value": "Target: Does diarrhea with rash indicate allergies?" } ]
[ { "from": "human", "value": "Source: Patient: My baby has thrush that is getting worse! She was 10 weeks premature, after she turned 1 month old I was treated with antibiotic (macrobid) for a urinary tract infection. She is has been breastfed and now I need to know what I can do to get rid of yeast in both of us for good. Nystatin is not working! Doctor: Hello. Thanks for your query. As a Breastfeeding Specialist I want to tell you that Nystatin is the right choice for you and for your baby. But in order to treat the thrush you have to be treated both with nystatin. You have to apply nystatin cream on you nipples twice a day, because yeast infections moves from mother to baby and from baby to mother if you are not treated both in the same time. Also you should keep good hygiene for your breast by changing your bras once a day and baby's clothes every time you could ." }, { "from": "gpt", "value": "Target: Suggest remedy for oral thrush in an infant" } ]
[ { "from": "human", "value": "Source: Patient: 8 year old male with continuous sore throat for two months. Doctor visit x 2. States slight red but no swollen glands or lymph nodes. No fever. Treating as allergies with Claritin, nasal spray and have also used Dimetapp cold and allergy. Some days are better than others. Is this just an allergy and is there anything else we could try? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Two months seems enough time felf medication, especially such a small child. I will prefer my child to be taken careby a pediatrician even if it seems to be a case of allergy. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Is there anything else for continuous sore throat in a child other than Claritin and Dimetapp?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I am wondering about my heart rate. My resting heart rate is 107 (i am 22 and weigh 200 lb. ). Today during cardio exercise my heart rate went up to 165. What I am wondering is as I continue to do cardio exercise will it be possible for me to see my heart improving by watching my heart rate? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Increasing heart rate during exercise is a normal phenomenon. By your question, I can judge that you are an athlete so your basal heart rate is high which is quite normal for your age. So don't worry. You are totally fine. Hope I have answered your query. Let me know if I can assist you further.Regards,      Dr. Muhammad Adnan Iqbal" }, { "from": "gpt", "value": "Target: Is a rapid heart rate while exercising a concern?" } ]
[ { "from": "human", "value": "Source: Patient: I have been diagnosed with RA in Jan 2014. My CRP level is high, 28mg/l. I have changed my diet to gluten free, and have been incorporating lifestyle and environmental changes to reduce inflammation and pain. I take a multi-vitamin as well as fish oil. I would like to continue this path, alternative ways to dealing with this disease. Frankly, the medications for RA have alarming side-effects, so I would like to try everything else first. My pain/joint-swelling is mostly in my ring and pinkie finger on one hand, and my other pinkie on my left hand, as well as severe pain on the top of my feet. My question is, I have seen some improvement with the changes I have made, and I would like to continue but at what point do you believe medication is a must? - Doctor: Hi I have read your letter and came to conclusion that you do not want to start medication for Rheumatoid Arthritis at this stage. though this is the normal reaction in patients diagnosed with chronic diseases, I would strongly advocate starting medicines at this stage prevent progression of the disease rather than starting late when the damage has already been done.This other methods may continue by the side to improve the quality of life." }, { "from": "gpt", "value": "Target: At what point do I have to introduce medication if diagnosed with RA few months ago?" } ]
[ { "from": "human", "value": "Source: Patient: Is it possible I have AIDS?Here's the thing. My friend has protected sex with whores. About a month ago, he got drunk and had unprotected sex with a whore and idk if he contracted aids. About two weeks ago, he had protected sex with a friend of mine, but she blowed him without a condom. A week ago that girl gave me a bj, and idk if she got aids from my friend ( if he got it from the whore) and then she passed it to me by giving me oral without a condom. I'm really worried, any help would be appreciated . Thanks beforehand Doctor: Hi, you have chance but no need to worry. just go for confirmatory hiv testing once after a month of exposure. You can go with p24 antigen or pcr. It will give perfect result and clear your all doubts.thanks for using health care magic." }, { "from": "gpt", "value": "Target: How to diagnose AIDS?" } ]
[ { "from": "human", "value": "Source: Patient: I have chronic pain due to peripheral nuropathy i have been taking gabapentine and oxycodone for several months it makes the pain bearable BUT the longer I use it the more is required to ease the pain. Where does it stop I cannot just keep increaseing the dosage my Doctor has changed my prescription to other pain killers but they don t seem to work very well, what are my options? Doctor: The doctor has done the right thing of changing the medication. It is suggested to start with low dose and increase it only on the advice of Doctor.Use of drugs with low dependence potential such as gabapentine, nortrptyline can be considered.Regards" }, { "from": "gpt", "value": "Target: Suggest medication for pain relief and dosage due to peripheral nuropathy" } ]
[ { "from": "human", "value": "Source: Patient: Hi, we married in 2003 and tried to have baby for past years with no succeed. We decided to have IVF treatment and found a infertility doctor in our area. there is a problem, my husband and I are both TB positive so that infertility doctor require a clear form from my family doctor to show we are safe to get IVF treatment. we both had chest x-ray and all clear. but my family doctor do not want to write the clear form for us, is that common case? do we have to take 6 month medicine to treat the TB postive first and then to get IVF? we don t want to wait another 6 months, is there another way that we can get my IVF done without any treatment with TB? thank you! Doctor: Hello. Thanks for writing to us. If both of you are positive for TB, then chances of conception without taking treatment for Tb are considerably decreased even after IVF. It is better to be clear of TB and then go for IVF as it is a costly treatment. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]" }, { "from": "gpt", "value": "Target: IVF treatment. Can it be done if the partners are both TB positive?" } ]
[ { "from": "human", "value": "Source: Patient: I felt a crack in the sternum whilst working out in the gym. The pain is quite severe . I visited my doctor who suggested that I had bruised the cartilage and that all I can do is take pain killers,the pain is still severe after a week. Is this a long process of healing and should I give up working out ? Doctor: dear sir/mamthe healing proces usually takes fron 3 to 6 week so have patience and try to rest. if continue to exercise you may develop a cronoc pain or this will last longer" }, { "from": "gpt", "value": "Target: When will it heal if having pain in sternum after working out in the gym?" } ]
[ { "from": "human", "value": "Source: Patient: I have had a pain in my left side for months. At first I was diagnosed with costochondritis?But the pain seems to have centered around my left abdomen my doctor is sending me for an ultrasound but it could take a month to get an appointment. It felt like something popped I my stomach this evening.......my doctor said it might be a cyst should I be worried Doctor: Costocondritis and abdominal pain not related, cyst most commom in pancreas or some times in spleen, but cyst r not found in stomach,if u r alcoholic, chance of pseudo cyst more in pancreas, cyst of spleen r cum by birth, but ultrasound req for diagnosis of cyst..if pancreatic cyst it disapper mostly if not disappeared u hav 2 undergo operation" }, { "from": "gpt", "value": "Target: What could abdominal cyst suggest?" } ]
[ { "from": "human", "value": "Source: Patient: I have continued right flank pain, had pyelonephritis Dec 3 - 10, then passed kidney stones Dec. 17th. The pain in on going and doesn t seem to get better. it is somewhat relieved with pain medication . It is definitely MUCH worse between the hours of 1 am - 9am and I need to urinate at a minimum - 1 time per hour if not more during those hours and very little comes out. I just had more blood work and a CT scan with contrast this week. Don t have results back yet. I am tired of this pain and worry. I have a history of recurring pyelonephritis, usually twice per year my entire life. Right kidney functions 30%, left functions 70% - as of 15 years ago. Any input you can provide would be greatly appreciated. Doctor: Welcome to HCM!Your reports are needed.Chronic infection can be due to DM, so check your Blood Sugar Level.Also do Renal Function Tests fresh, Serum Uric Acid levels,Sr. calcium & Sr. PTH.A urine culture & sensitivity report is needed.A fresh DTPA renal scan renogram should be done & cause for reduced renal function (specifically Right sided) needs to be be sorted out with further investigations.You haven't mentioned your age.Till then, with your Urologist's opinion, you may take antispasmodics, analgesics, solifenacin, imipramine, diuretics (if required).Do Uroflowmetry, USG KUB - look for post void residue.Wish you a speedy recovery.Take care.Regards." }, { "from": "gpt", "value": "Target: Continuous flank pain, urge to urinate at a minimum. History of recurring pyelonephritis. Any inputs?" } ]
[ { "from": "human", "value": "Source: Patient: I was running across a football field about a month ago and when I went to slow down I slid into the goal post and it bruised instantly so I put ice on it and now i have a bump about the size of half a baseball and it is completly numb. Do you have any idea why? Doctor: Hello, It's accumulated of blood after trauma.Apply alternating warm and cold compresses to disperse the accumulated blood and byproducts. If still no improvement, follow up with orthopedic doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician" }, { "from": "gpt", "value": "Target: What causes a bump over a bruised spot?" } ]
[ { "from": "human", "value": "Source: Patient: I am having severe ache in my dorsal part of head N it feels heavy.. At times the pain gets severe N I can feel the pulses pumping and the pain passes to forehead too.. I consulted a doctor who prescribed me medicine for this bt dats not working.. It starts from the time I wake up.. Wats d reason for this? I am having proper digestive system working bt I get burbs quite often. Plz telme d reason N remedy for it. Doctor: Hello dear,Most common cause of persistent headache with feeling of heaviness,while you are awake is TTH(Tension type headache),which is a stress associated headache.However,very frequently in clinical practice migraine is confused with TTH.Sometimes both may overlap.Migraine is typically episodic.hemicranial,pulsatile(though you are having pulsatile headache,but TTH may also have it)headache,which is precipitated with any triggering factor like cheese,coffee,smoking,bright light,loud sound,stress,lack of sleep.Migraine can be associated with nausea,photophobia(headache increased with bright light),phonophobia(headache increased on talking or with sound) or some visual abnormalities(like seeing zig-zag or flashing lights,half words or alphabets).You may have TTH or migraine ,possibly in that order.Burbs have nothing to do with it.In TTH drugs like escitalopram or amitriptyline are useful along with some mental relaxation techniques.Migraine can also be effectively managed with medicines.You need to visit a neurologist for this.I hope it helped." }, { "from": "gpt", "value": "Target: What causes ache in dorsal part of head??" } ]
[ { "from": "human", "value": "Source: Patient: I have an appointment for Monday, but my symptoms are getting worse so I wanted to do some digging on my own. I've been dizzy/fuzzy-headed, even when sitting. I've gained weight over the last few months and have lessened my intake in the last couple of weeks, but no weight loss. I'm in the beginning stages of menopause. 47 years old Doctor: Hi, thank you for asking Healthcare Magic.I have gone through your query and understood your concerns.From this presentation, it is possible to come out with so many diagnoses. A thorough clinical assessment and some laboratory tests are needed to determine the cause of this. I would suggest you see a doctor for evaluation.I hope that answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. We will be delighted to answer more questions from you.I wish you good health" }, { "from": "gpt", "value": "Target: What are the causes for dizziness and gaining weight of a person in early stage of menopause?" } ]
[ { "from": "human", "value": "Source: Patient: I'm a 30 year old female and I just had an ultrasound today of my stomach....I've been experiening a lot of tummy issues for a few years now - mostly nausea. When I was having my ultrasound done I had noticed some lighter white circles that were around the size of a quarter. When I asked what they were, she told me that she can't say, but they are \"unusual\" should I be concerned, because I feel like I'm loosing my mind over it being something serious like cancer!! Doctor: hi this is dr.subhadeep.thanks for the opportunity to help you.from your description it is not very clear cut still I will try to help you.your age is 30 years very young and unlikely age for cancer.you haven't elaborated any other symptom other than nausea like weight loss within 4 years,wether you felt any mass abdomen, weather you r having any reflux of food vomitting,blood in stool etc.please don't mind but please can you let me know weather your periods r regular or not.in the absence of all the other mentioned symptoms I can only think of chronic gastritis and those white lines can be due to fibrosis of the pylorus of the stomach.malignancy is a rare possibility.kindly elaborate your USG report.USG is always not significant as it is observer dependent so a CECT and UGI scopy will be ideal for diagnosis.if suppose your kidney functions r not normal or if you r having amenorrhea an MRI abdomen will be a safer choice. kindly get back to me with a CECT/MRI abdomen report.hope the consultation was beneficial.for your nausea you can use a combination of tab pantopazol+t.domperidone combination BD before food.let me know if the consultation was beneficialregards" }, { "from": "gpt", "value": "Target: What is the treatment of nausea and discomfort in the stomach?" } ]
[ { "from": "human", "value": "Source: Patient: HI there. I am a 43 year old female of good health. I have a very low hemoglobin that my dr. and I are trying to increase. It was \"5\" at my last test. The last couple weeks I have been getting a numbness in my fingers on one hand. Could this be related? Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that yes such a problems are common with low haemoglobin. I advice you to start the injectable iron therapy to boost up your haemoglobin. In addition to also adviced to take vitamin B 12 and folic acid treatment.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic." }, { "from": "gpt", "value": "Target: Can low haemoglobin cause numbness in fingers?" } ]
[ { "from": "human", "value": "Source: Patient: I have physiologically distended gall bladder shown in my sonography in October when I had similar lower right abdominal pain and lower back pain. No Cysts were found any where and everything was normal. The pain subdued after some medication given by physician. Now it has come back again. And it is more painful than last time. Should I get a CT Scan done? Doctor: Hello! Thank you for the query. Gallbladder rather gives upper right abdominal pain radiating to the back with nausea and vomiting. Lower right abdominal pain and back pain can be caused by urinary tract infection or urinary tract stones. Frequent urinating and burning while urinating can be also present. Lower right abdominal pain should be always checked with possible appendicitis. With this condition nausea appears, the pain can aggravate while coughing or walking, heart rate is accelerated (above 100/min). Other possible reasons of such pain are ovarian cyst, ectopic pregnancy. Abdominal CT is not a necessary test. More valuable can be urine analysis, blood work, CRP, pregnancy test and abdominal ultrasound. Hope this will help. Regards." }, { "from": "gpt", "value": "Target: Abdominal pain has reoccurred. Earlier had physiologically distended gall bladder. More painful now. Suggestions?" } ]
[ { "from": "human", "value": "Source: Patient: i mastrubuted more than 100 times.i am facing headache problem,fatigue.please help me how to overcome such things.mcafee, pandora, limewire Doctor: Hi thanks for contacting HCM...Let me know you , you have over habit of doing masturbation because of which you have fatigue....I can give you few suggestions to limit masturbation and focusing on career...Daily do yoga in early morning....-It will help in relaxing mind....Daily exercise done ....Try to avoid watching pornographic videos and reading magazines .....Eat healthy and balanced diet. .Endulge yourself in doing some activities...Meet with friends and relatives....Focus on reading or if doing job....Try to avoid alone in room more time to avoid thought about masturbation...Make goals daily and do work according to it...Counselling session can be attended...Hope your concern solved....Take care ...." }, { "from": "gpt", "value": "Target: How to get rid of masturbation?" } ]
[ { "from": "human", "value": "Source: Patient: there is constant feeling of heaviness in my stomach all the time.and full loss of appetite.this results in weakness in body and dizziness in head.no treatment is working.all the tests are ok.please help me. Doctor: Hi.. You could be having symptoms of indigestion.. Most often these are better preventable then looking for symptoms of relief.. Avoid spicy food. Eating in less amounts and more frequently, avoiding caffeine, good sleep, antacid medications can help in better control of the symptoms.. An endoscopy can help in finding the root cause for the symptoms.." }, { "from": "gpt", "value": "Target: Why does I feel heaviness in stomach?" } ]
[ { "from": "human", "value": "Source: Patient: IAM JOHN RAJ KUMAR 44 YEAR OLD WITH HISTORY OF RECENTLY DETECTED HYPERTENSON . MY ROUTINE SCAN SHOWED FATTY LEVER AS WELL GALL STONES AND POLYP IN THE GALL BLADDER.MY CHOLESTEROL LEVEL IS 290. TRIGLYCERIDE IS 358.KINDLY OPINE IF CHOLECYSTECTOMY IS REQUIRED OR NOT Doctor: Your lipid profile is deranged so you should start medications for it. It will also control your fatty liverAs for gall bladder stones and polyp, if not causing any pain so cholecystectomy can wait" }, { "from": "gpt", "value": "Target: Would I need Cholecystectomy for fatty liver, gall stones and gall bladder polyp?" } ]
[ { "from": "human", "value": "Source: Patient: I have a lump in my right testicle. Feel like fluid filled cyst. Pain occasionally What to do. I am a 24 year old guy. Very tensed. Have done an ultrasound. Minimal hydrocele is noted in ultrasound. But i can feel the lump. Its very small in size.. please reply. Doctor: Hi,Any lump in this area should be examined by a doctor. Therefore, I suggest you see your doctor for advice. Regards." }, { "from": "gpt", "value": "Target: Suggest remedy for lumps in testicles" } ]
[ { "from": "human", "value": "Source: Patient: Hello, I have a lump on my right testicle , right on the top pole, its is like a floppy BB pellet, I am going to see a gp tomorrow, i was just wondering if you give me any clues as to what it might be now, as just to make it easyier to sleep as i want to know what else it could be apart from cancer . ( i first really noticed it after having sex with my girlfriend i had a sharp pain in my right tesicle that the subdued after about 5 minutes so i felt around and found this lump) Doctor: Hi, you should have a testicular ultrasound. chance of malignancy is very less as generally malignant testicular swelling is not associated with tenderness. you may be suffering from teticular torsion or epididymitis. consult with surgeon. Take care." }, { "from": "gpt", "value": "Target: Lump on the testicle. Concerned about cancer chances" } ]
[ { "from": "human", "value": "Source: Patient: anyways.my daughter (shes 2) was playing in the bathtub and laied on her belly to pretend swim and she inhaled a little water, she lost her breath and couldn t catch it for a couple breaths . anyways she has been fine running around and playing, but has had what sounds like fleem (she didn;t have it before) I tell her to cough and clear her throat and it goes away for about a minute and is back again. shes asleep now and has that rattle in her chest when she breaths some. Should I be worried? What should I watch for? Doctor: give steem inhalation&consult peadiatrition if it persist" }, { "from": "gpt", "value": "Target: Water inhaled, lost breathe for a while, feels fine, rattling chest" } ]
[ { "from": "human", "value": "Source: Patient: I have a terrible skin rash, I have tried many treatments for scabies, dry skin, steroid shots for itching, olive oil baths. Sometimes it subsides, I ve had this problem for nine months. I look like I have a bad case of the measles. I m terrible to scratch and it is becoming sores. I do have Hep C and possible a damaged liver. I just can t stand this anymore. Doctor: Hi, Measles is usually short limiting condition and not usually associated with itching. As you have severe itching, you could be having scabies, papular urticaria or an eczema. These conditions could be differentiated only after proper clinical examination, for which I recommend you to consult your nearby dermatologist. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest treatments for recurring skin rash with itches" } ]
[ { "from": "human", "value": "Source: Patient: Ive had an infection in my lungs x3months currently on 3rd antibiotic, also have HX of Benign mass 2007 with left lobectomy and resection, my current cxr showed pleural thickening at the Apex and Osteopenia, productive secretions of yellow pus and light green moderate amount, should I be concerned? I also worked as a phlebotomist for 7 years in a local hospital that was torn down for asbestos ?? Doctor: Hello, According to the history of your situation, yes, it might be related. However, if you have currently done a chest CT than the situation might be more clear. Mostly this might be related to bacterial bronchitis too. So better for you to consult your doctor for this to be sure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist" }, { "from": "gpt", "value": "Target: Is secretion of yellow and light green pus related to pleural thickening?" } ]
[ { "from": "human", "value": "Source: Patient: Whenever I try to rest my elbow down on a hard surface(table, desk, etc.) it always hurts. I can feel the vein that clearly causes a very sharp pain whenever I do so. What can be done to stop this from happening? I will go to the doctor, hopefully my appointment can be scheduled soon. Doctor: Hi there.It is possible you have tennis elbow which causes pain on the outer aspect of the elbow on extending the hand. I suggest you use Tennis elbow splint. Take Tablet Ibuprofen 200mg twice a day for relief. I suggest you get examined by an Orthopaedic surgeon to confirm this diagnosis and if needed steroid or PRP injections may help." }, { "from": "gpt", "value": "Target: What causes elbow pain when placing on hard surface?" } ]
[ { "from": "human", "value": "Source: Patient: My child is extremely tired all the time was going to buy her a tonic minadex but unable to find it can you suggest something else, she is 10 years old growing all the time and started her periods in may still irregular but know thats normal. Was at doc today but he suggested waiting a bit see how she goes but this been going on since may. Doctor: Hi....by what you quote I feel that the irregular periods she's having might have resulted in some anemia. Anemia can cause such easy fatiguability and lethargy. Rather than multivitamin I suggest giving her iron and vitamin D supplements as she's a growing adolescent.If I were your pediatrician I would suggest using 100mg of elemental iron and 1000 IU of vitamin D supplements for a period of 3 months and then review her progress a month after starting the above medications.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What causes tiredness and irregular periods in a 10 year old?" } ]
[ { "from": "human", "value": "Source: Patient: My 10 year old nephew had allergy testing done after developing huge lumps from mosquito bites. He s allergic to mosquitos and bees. The doctor insisted on food allergy testing. Parents were told he has severe allergy to peanuts. This child eats peanuts and peanut butter by the spoonful with no problems. How can he be highly allergic to peanuts? Doctor: Hi...a kid who eats peanuts and stays healthy cannot behaving allergy to peanuts. Other food allergies may co-exist. But what you are quoting could be an insect bite allergy -the lesions which are now there. By what you quote it seems rather like a skin allergy which is unlikely to be food allergy. Food allergy apart from skin manifestations might have some sort of gastrointestinal manifestations like vomiting or diarrhoea or pain in the tummy.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: Could huge lumps be due to insect bites or peanut allergy?" } ]
[ { "from": "human", "value": "Source: Patient: My father in law has been struggling for over a year. He was diagnosed with sjogrens syndrome and fibromaylgia. Now, they are saying he does NOT have sjogrens. He went through weight loss, muscle weakness, joint pain, pale, headaches, seizures, etc..... We need an answer. We have been seeing doctors in little rock arkansas and getting NO where. Doctor: Hi,for the fibromyalgia i will wish to help you out here. Usually people tend to lose weight or put on weight based on their body composition and the physiology of the human body varies from one to the another. Muscle weakness, Joint pain and headaches are common in Fibromyalgia. Let me assist you first in brief about Fibromyalgia. It is a condition where the pain is in the fibers of the muscle, due to which muscle pain, weakness, tiredness, headache, etc troubles the patient. For dealing with fibromyalgia one need to first understand that the recovery is slow and steady in this condition. Strengthening the muscles by doing regular exercises, going for long walks for generating enough cardiorespiratory endurance, are utmost importance. Do regular Breathing exercises as the oxygen is the source of energy needed for any metabolic reaction in the human body at the cellular stage. Doing meditation will help control the mind and behavior as in fibromyalgia usually there will be a lot of irritation and frustation too, so meditation will also help. I will strongly recommend to focus on regular exercises, long walks, meditation and breathing exercises. Possibly you has also helped many people along with the previous use. Ofcourse you can see a physical therapist for his utmost guidance and knowledge if you need more assistance.thank you" }, { "from": "gpt", "value": "Target: Suggest treatment for Sjogren s syndrome and fibromyalgia" } ]
[ { "from": "human", "value": "Source: Patient: iam worried about my 2 year old daughter she has been having trouble sittng (sits to one side and not flat on her bottom) and walking with a limp the past few days but today and tonight its getting real bad.she is on tegretol for epilepsy and started a med today as she has aneima.please help!! Doctor: Hi.... I understand your concern. This is not related to her seizure disorder or tegritol or the anaemia.This could as well be a simple viral illness causing myositis or inflammation of the muscle.But if limp is progressing to weakness which increasing in nature, I suggest that you take her to the nearest Emergency Room to get her evaluated neurologically.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What causes trouble in sitting?" } ]
[ { "from": "human", "value": "Source: Patient: i have had a painful sore throat for the past three days. It is painful to swallow and I have no other symptoms. feels like it is more towards the roof of my mouth. When I sneeze, that is when it is the most painful. what should I do.. I have tried drinking warm tea and have taken ibuprofen for pain. Both relieve it temporarily, but what can I do to get rid of it permanently? Doctor: WELCOME. HERE IS UR PLAN. U REQUIRE ANTIBIOTICS. I WOULD SUGGEST CAP CECLOR 500 MG (1+1+1) FOR 10 DAYS. IF U HV CULTURE FACIITY AVAILBLE GET THE CULTURE DONE FIRST. DO LISTERINE GARGLES N CONTINUE TYELENOL N ANTI ALLERGIC AS PER NEED. HOPE THIS HELPS. THANX" }, { "from": "gpt", "value": "Target: Suggest treatment for sore throat with painfull swalloing" } ]
[ { "from": "human", "value": "Source: Patient: hi doctor i am 25 yr old girl unmarried 6 months ago i consume a tablet isotrion for my skin treatment bt soon after using it acidity start developing i stop dat n restart using it with ocid tablet.... bt my prb got worsen day by day i complete stop dat tablet 6 mnths ago bt still acidity occuring in moderation. but sir from d last 4 months i got diagnosed wid swelling liver my stomach is bcome like a pregnent women one n having difficulty while breathing . doctor plz advice me sumthing how can i get rid of it m completely shatterd with bcoz did disease is not ending in anyform Doctor: Hi I have read your history and I am sorry for experiencing such sad situation.Isotrion has a lot of side effects sush as :- severe pain in your upper stomach ( gastritis, ulcers or esophagitis ), nausea and vomiting.- hipertrigliceridemia- bronchospasms ( difficulty while breathing) during the treatmen. you have done the right thing takeing ocid ( omeprazole) and you should continue it. With regards to the difficulty while breathing, it is possibly realted with:1. swelling liver if it is severe because it pushes up the diafragma and you feel difficulty while breathing2. hiper acidity may couse GERD ( gastroesophageal reflux disease) and difficulty while breathing.I recommend you to do an upper endoscopy so we wll know exactly your diagnose, and the GI doctor will decide if your concerns are from hyperacidity. and than you should perform chest X-ray and consult a pneumologyst if you have lung any lung problem. all the best Dr.kleridap.s. if you have further concern, please write me back!" }, { "from": "gpt", "value": "Target: Consumed isotrion for skin treatment. Developed into acidity, swelling in liver. Why is breathing difficult?" } ]
[ { "from": "human", "value": "Source: Patient: My partner has a very red rash in neck area, somewhat like a moth shape, with long body and winging out at the sides. He is English, has fairish skin generally, but a quite red rash has developed over his throat area - over the adam's apple and down on to the chest area. Doctor: Hi, It could be due to sunlight, the condition called as photosensitive dermatitis. But I recommend you to visit your Dermatologist to confirm the diagnosis as there are multiple causes for red rash in neck area. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What could a red rash in neck area be?" } ]
[ { "from": "human", "value": "Source: Patient: Hello,I'm using 21 day pill Junel for 2 months but my period did not start during the forth week neither after first month nor after second. I had my period in the middle of the second month of taking pills as a normal 5 days period. So now I am not sure if I'm still protected after 7 days break while I did not have my period. Please advise. Thanks! Doctor: Hi ! Good morning . I am Dr Shareef answering your query.Pills do prevent pregnancy, but they do not provide a 100% guarantee. One can still get pregnant while taking the 21 day pill. If you have got any doubt, I would suggest you to go for a urine pregnancy test, followed by a serum HCG and an ultrasound if need be for confirmation and if advised by your family phusician. Thanks for using healthcaremagic for your health query. Good luck. Dr Shareef." }, { "from": "gpt", "value": "Target: Periods in the middle of second month of taking 21 day pill Junel for 2 months. Still protected during non period days?" } ]
[ { "from": "human", "value": "Source: Patient: Ok I'm 15 and I have this thin little peice of skin connecting the head and shaft of my penis together and I don't have a foreskin I'm circumzied but it is a thin peice and it bleeds when I masterbate and I don't know if I could get it removed or what? Doctor: HelloThanks for query .You are facing problem of bleeding from the penis while masturbating due to a small tag of skin (Adhesion ) between lans penis and shaft of the penis .You need to consult qualified general surgeon or urologist for clinical assessment and get it( Band of adhesion) excised under local anesthesia .This is a simple surgery done under local anaesthesia as a out patient procedure and offers permanent cure .Dr.Patil." }, { "from": "gpt", "value": "Target: Noticed a thin piece of skin on shaft of penis that bleeds during masturbation" } ]
[ { "from": "human", "value": "Source: Patient: I have had a terrible pain in the right side of my head for almost 4 months. The pain comes up from the base of my head to the right side of my head and stops right behind my right eye. I have had a cat scan, brain mri both of which showed nothing. And had an mri done on my cervical spine that shows that I have DDD. I have had 2 cervical spine surgeries in the past year and a half. My doctor is scratching his head trying to figure out how to get the pain under control. I have had 2 steroid injections that have done nothing to relieve the pain. Doctor: Hello, I have studied your case.First possibility as per presentation of your symptoms is migraine.Migraine usually involves half part of your head and associated with nausea.Pain is severe and aggravated by triggering factors like irritant smell, travelling.Another possibility that you may be having vascular compression due to DDD.I will advise MR Angiography scan to confirm diagnosis.Some medication like analgesic [paracetemol] will reduce pain, After clinical examination, medications for migraine like sumatriptans can started consulting your doctor.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care" }, { "from": "gpt", "value": "Target: Can steroid injections be taken for severe headaches as well as DDD shown on MRI of cervical spine?" } ]
[ { "from": "human", "value": "Source: Patient: Facing acute scar & marks problem on my face due to polonged Acne/pimples. Also, hyperpigmentation & tanning is also there. Kindly dvice. My dermatologist has advised me TCA wit medicines like SOTRET, DOXY C-1 Forte (both once a day for 1 month), Sofradex (to apply) & Adaplene (to apply).... My problem is 8 years old, scars & marks have become hgh from last 1 year Doctor: Hello, Superficial scars would respond to peeling but deep acne scars which are mainly pitted would not. In deep pitted scars, one needs to release the scars from their underling attachment with the help of needles called subcision and after that fill in the dead space so create with artificial fillers or fat to smooth out the surface. However, you can go in for the TCA application as the first step and then consult a plastic surgeon for further procedures which I have mentioned." }, { "from": "gpt", "value": "Target: Severe scar formation on the face due to acne. Have hyperpigmentation and tanning. TCA with sotret and doxy c prescribed. Need permanent cure" } ]
[ { "from": "human", "value": "Source: Patient: I just fell about an hour ago on my right side. Seemed that my upper (right) arm took the fall. No pain in rasing arms, however I do have pain under right breast (rib area) and on the right side of my breast. Painful when making any quick movements. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x ray done to rule out any rib fracture or it could be just a muscle pull. Do not lift heavy weights.Possibility of musculoskeletal pain is more. Ibuprofen is anti inflammatory. You will definitely improve with combination of painkiller and muscle relaxant drugs. Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks.Hope I have solved your query. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: Experiencing pain under the right breast after a fall" } ]
[ { "from": "human", "value": "Source: Patient: Hi I am swapna age of 35 recently I went through liver function test in that sum counts ar higher then normal count they are Alkaline phosphatase 125 Globulin 3.9 Gamma-glutamyl transfarase 154 So I want to know why this happend * from past 8 months I am taking medicens for fertility ( to become pregnent ) Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The GGT level is bit high. It is elevated in conditions like alcohol liver disease and hepatitis. Some drugs can also cause elevated GGT levels. You can redo the test after one week to asses the progress and if necessary stop the drug you are taking and reassess. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes elevated alkaline phosphatase and GGT levels?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I am 36 yr old male. i have 2 stone in my both kidney, 5 mm and 7 mm. My doctor prescribed me for taking Stonvil and Lasilactone 50. Will it enough or i should take advice from other doctor.I am asking this because i am taking Stonvil from past few month and doesn't found any positive result.please advise....Thanks Doctor: HelloThanks for query.You have two stones in both the kidneys (5 mm and 7 mm) and have been taking Stonvil and Lasilactone since few months .Truly speaking there is no medicine that can desolve the stone .The only way that they will come out is through urinary passage with urine .Since the stones are small and if you do not have pain you can expect them to pass out with urine .Ensure to drink more water.However if you develop obstructive symptoms like pain and vomiting you may need to consult Urologist and get them fragmented either by doing endoscopic procedure (URS) or ESWL depending upon the position of stone .Dr.Patil.." }, { "from": "gpt", "value": "Target: Is stonvil and lasilactone beneficial in treating kidney stones?" } ]
[ { "from": "human", "value": "Source: Patient: I just had an episode of dizziness , tremor , feeling of intense internal fever, and redness in neck area that lasted around 4 minutes. This occurred immediately after a painful sexual encounter. I have a current history of moderate dysplasia . There is one spot that has never been an issue and tonight on contact I began to hyperventilate along with other symptoms listed Doctor: The symptoms mentioned by you seem to be of vasovagal syncopy due to dysparunea.Tonight symptoms may be due to psychological fear of recurrence of symptoms like previous episode." }, { "from": "gpt", "value": "Target: Dizziness, tremor, internal fever, redness in neck, symptoms after painful sex. History of dysplasia" } ]
[ { "from": "human", "value": "Source: Patient: How soon does coumadin get in your blood system? My daughter was diagnosed with a blood clot in her right thigh and was put on coumadin we are giving her 2 injections every 12 hours and she is taking a pill as well. This was last Friday March 28,2014 Her leg is still very swollen, in the mornings when she wakes up it s not as swollen but by the evening time it s bad. She has it elevated up and her toes and foot get very cold is that normal? she said today it feels very tight and she is tired. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Coumadin gets into the blood system immediately and gets activated within two hours and is active for upto 12 hours.2. Swelling is due to thrombus formation blocking the blood vessel leading to increased hydrostatic pressure.3. continue the elevation. Not to worry, it will reduce slowly.Hope it helps.Any further queries, happy to help again." }, { "from": "gpt", "value": "Target: How soon does Coumadin get into your blood system?" } ]
[ { "from": "human", "value": "Source: Patient: Hi: I was diagnosed with bursitis in my right hip 5 years ago. Since then, my thighs on both sides have deteriorated visibly and I am having trouble walking. I had a minor heart attack a few months ago and my walking situation is even worse. I have a good doctor but he doesn t seem to understand my walking situation. I have had hip xrays and all is well. I am in constant pain. Thank you, Anne Doctor: Hi,Thank you for your query. I can understand your concerns.It seems that you are suffering from chronic non-infectious hip bursitis. Hip bursitis most often involves the bursa that covers the greater trochanter of the femur, although the iliopsoas bursa can also become inflamed.Treatment includes rest, ice application, and NSAID (/Non-steroidal-anti-inflammatory-drug) e.g. piroxicam 20 mg once daily orally along with ranitidine 150 daily orally for acute exacerbation of pain. You can undergo MRI hips to assess the extent of inflammation.Additionally you may undertake the followings:-Activity modification-Avoid the activities that worsen symptoms.Assistive devices-Use of a walking cane or crutches for a week or more when needed.Physical therapy-exercises to increase hip strength and flexibility. You may do these exercises on your own, or a physio-therapist may teach you how to stretch your hip muscles and use other treatments such as rolling therapy (massage), ice, heat, or ultrasound.Steroid injection-Injection of a corticosteroid along with a local anesthetic may also be helpful in relieving symptoms of hip bursitis. It involves a single injection into the bursa. The injection may provide temporary (months) or permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be neededGenerally, no surgical intervention is required for cases of trochanteric /hip bursitis, because most patients respond well to nonsurgical treatment.Only rarely does a patient with trochanteric bursitis need a bursectomy and partial resection of the greater trochanteric process.Regards Dr. T.K. Biswas M.D.Mumbai" }, { "from": "gpt", "value": "Target: Suggest treatment for hip bursitis" } ]
[ { "from": "human", "value": "Source: Patient: hello sir, i'm maha, my husband is suffering from infertility. now he is taking 'speman' capsules, himalaya product. now i saw in net that spermac, vital M-40 and safed musli is good for infertility men. shall i tell him to take those capsules? otherwise please give some suggestions for good one. Doctor: HelloThanks for your query,based on the facts that you have posted it appears that your husband is suffering from Infertility.At the outset let me state that he needs to get investigated to find out the cause of his infertility.Please consult qualified Infertility specialist or Urologist for clinical examination and get following basic tests done 1) Semen Analysis 2) Serum Testosterone 3) Blood sugar levels 4) Ultrasound scanning of scrotum.5) Colour Doppler study of scrotum.Further treatment will depend upon the cause of his infertility and final diagnosis.All the products that you have asked for are supplements and has no rationale to take without finding the cause of his infertility. Dr.Patil." }, { "from": "gpt", "value": "Target: Suggest medication for infertility in men" } ]
[ { "from": "human", "value": "Source: Patient: i stopped taking birth control pills on the 9th. i got my period from the 12th-16th & had unprotected sex on the last three days of my period (14th,15th,16), i did not take the next box of birth control pills because i forgot to order them. can i be pregnant? Doctor: HiGREETINGS Chances of pregnancy is very less since you had sex immediately after your periods,.You had unprotected intercourse only 12 to 16 while on menses.Much before ovulation. Hope my answer helps you. Regards" }, { "from": "gpt", "value": "Target: Is conception possible after having intercourse during periods?" } ]
[ { "from": "human", "value": "Source: Patient: i had liposuction on my planks and im guessing no moe than 200ml from each side was removed...how long do i have to wait to go on a night out and have drinks with friends? also my surgeon told me in consultation i didnt need a pressure garment (which i purchased one 8 days after the surgery) but for the first 7 i wore a spandex ..will this affect my recovery time and final result? Doctor: hi sarah the compression garments after liposuction is a must to prevent swelling and loosening of skin from where the fat has been aspirated. you have to wear it for minimum of 3 month to get the good shape . the amount of fat aspirated is small , you can go outside but avoid alcohol for at 1-2 weeks regards" }, { "from": "gpt", "value": "Target: Had liposuction on planks, wearing spandex. Will it affect recovery time and final result?" } ]
[ { "from": "human", "value": "Source: Patient: Hi there, I have few small pink hard lumps or spots around the opening of my anus. They present no pain and I have not had heavily blooded stools, only very rarely having light blood stains on my toilet tissue from perhaps excessive wiping. I am not sure whether they are a form of haemorrhoid or anogenital wart. I am a gay man but have not engaged in any form of sexual activity for at least three months. Using my fingers to test the area both the outside and inside of the anus felt tight and lumpy. Is it imperative I visit a GP or sexual health clinic ASAP? Doctor: Hi, dearI have gone through your question. I can understand your concern. Most probably you have some piles. You should take treatment of that. For that you should consult general physician. No need to go for sexual clinic. If needed then go for surgery to remove haemorrhoids. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What causes hard pink lumps around the anal opening?" } ]
[ { "from": "human", "value": "Source: Patient: I contracted an intestinal amoeba while on vacation in Vietnam about four months ago. I have had two courses of Flagyl which made the symptoms go away for a while. Recent stool sample show that the same infection has recurred. Is there other treatment. My gastroenterologist stoke to an infection disease doctor who wants to do blood tests for amoeba antibodies. I understand that part. He is also suggesting a colonscopy with biopisies of the rectum and colon. I had two normal colonscopies...the last three years ago. Would appreciate another doctor's opinion. Thank you. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Many a times metronidazole won't affects the amoebae, it requires different anti helminthic drugs like Tinidazole.It will cure the amoeba Infections, but once it is treated you should take luminal amoebicide diloxanide furoate under your doctors guidance.This will cure the infection remains in side the gut and prevent the reinfection.Please adopt good hand hygiene practise, as it will prevent cross infection to other people. Please take a filtered water or boiled water this will prevent the future infection.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM." }, { "from": "gpt", "value": "Target: What to do for infection diagnosed through stool test?" } ]
[ { "from": "human", "value": "Source: Patient: when I bend my wrist forward or backwards, my wrist hurts very badly. I did not injured it that I am aware of. The pain is getting worst. Also in the same hand, when I sleep, my pinkie finger and ring finger fall asleep and I wake up with pin and needles in these two fingers. Doctor: Hi,These may be the symptoms of carpal tunnel syndrome. It is caused by compression of the nerve that controls sensation and movement in the hands which is the median nerve. The treatment depends on severity of the symptoms and how long you have been suffering. Wrist splints and steroid injections may help. Surgery is offered in severe cases or when the symptoms have persisted for longer than 6 months.I suggest you see your doctor to confirm the diagnosis.Regards,Dr K A Pottinger" }, { "from": "gpt", "value": "Target: Suggest treatment for pain in wrist and pins and needles in fingers" } ]
[ { "from": "human", "value": "Source: Patient: Hello,I am scheduled to have four impacted wisdom teeth removed this Friday, February 17, 2017. It is a non-emergency, elective procedure at this time. I am an otherwise healthy 30 year old male. I had a medical checkup and bloodwork with my general practitioner about 6 months ago, and everything appeared to be normal. During my consultation with my oral surgeon, my blood pressure was taken throughout most of the consultation, and no one mentioned to me that anything was out of the ordinary. I regularly exercise 3 days a week with no significant shortness of breath or dizziness. For my procedure on Friday, I am scheduled to undergo \"twilight\" anesthesia as explained by my oral surgeon. I am unsure what exact drugs they will be using, but my understanding is that they will be similar to (if not the same) drugs used for general anesthesia.My question and high concern involves my recent recreational drug use and its potential adverse effects with the anesthesia. I typically use alcohol and marijuana on the weekends (including this past weekend) with friends, which have caused no problems in the past. More recently (as recent as last weekend), I have also engaged in moderate cocaine use. I will be taking any and all steps necessary to abstain from cocaine usage going forward. I would not consider myself \"addicted\" to it at this point, so abstinence should not be an issue.My understanding is that cocaine, due to its relatively short half-life, will typically leave your system within 72 hours. I will be abstaining from all previously mentioned usage this entire week, and it will have been approximately 5 days between any usage and the procedure.Due to the nature of my work and my father's relationship with the oral surgeon (he is a dentist, they refer work to each other, and I have given my father permission to view my medical records if necessary), I would strongly prefer to not mention any of this to the oral surgeon. At the same time, I understand my safety is important.To boil all of this information down to my question, if the cocaine metabolites have left my system by Friday morning, will I be in a safer condition to undergo the procedure? Because the procedure is elective, I have no problem postponing the procedure for another 1-2 weeks at a minimum to ensure my system is clean and my vitals are stable. I have read conflicting medical research online, with some journals indicating a cocaine positive patient is not at any greater risk for complications than a cocaine negative patient, but I have seen other medical professionals recommending that such patients wait closer to 2 weeks.I apologize for the rather lengthy question, but I wanted to provide as much information as possible to receive a more informed response. I do appreciate your help and advice. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Yes, it is true that you should be clean of any recreational drugs in your blood before you go for any anaesthesia procedure. You should be free from any drug intake for about 2 weeks.But still without intimating your Doctor/dentist, it is not appropriate to proceed for treatment procedure. So, my suggestion is to discuss with your dentist and get a blood test done and once you are assured then you can proceed for anaesthesia and treatment. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora" }, { "from": "gpt", "value": "Target: Is tooth extraction safe while on recreational drugs?" } ]
[ { "from": "human", "value": "Source: Patient: I went to the dentist 2 days ago due to pain/itching in the gums between my implant and molar. The onset of the pain was 3 days prior to my appointment. The implant was done 2 years ago and I had this same pain at one point during the process for which the dentist prescribed an antibiotic and it resolved. The night before my appointment, I noticed my gums were painful in my entire mouth (something I've never experienced). The morning of my appt, my gums were so painful that I mentioned I wanted to forgo the routine cleaning I was to have in addition to having my dentist check the gum pain at my implant. My x-ray proved no infection at the implant and I had the cleaning. I have very little plaque buildup and take very good care of my teeth regularly. My dentist mentioned enamel wear due to bruxism but didn't feel it necessary to prescribe a splint. Since the exam and cleaning 2 days ago, my gums are so painful that brushing and flossing are very painful as well as eating. I woke from sleep at 2 am and my gums were extremely painful and it was excruciating to clench my teeth together. The teeth pain was a new symptom. In the 2 hours that I've been awake, the tooth pain has greatly subsided, but the gum pain remains. Also, my submanibular lymph nodes on both sides are very tender. I see no rash or discoloration in my gums/mouth. One last comment: I consumed about 10-15 sugar-free mints the evening prior to my dentist appt. I had never had them before. I'm wondering if the sudden whole-mouth gum pain could be an allergic reaction to them. Thank you for your help. Doctor: Hi, Thanks for asking the query, For succesful placement of Dental implants the periodontium and the supporting structures like gums, alveolar bone should be healthy. Pain after implant placement is due to gingivitis, periodontitis, gingival recession, alveolar bone loss. I would suggest you to visit to Dentist and get a checkup done. If there is bone loss flap surgery has to be performed. You maintain a good oral hygiene. Avoid eating hot and spicy foodstuffs. Use chlorhexidine mouthwash gargles twice daily. Hope this helps out. Regards..." }, { "from": "gpt", "value": "Target: Pain/itching in the gums between implant and molar. Cure?" } ]
[ { "from": "human", "value": "Source: Patient: I have tiny flesh colored bumps on my buttocks and a few small bumps located on my anus the bumps on my anus itches a little soar but not really noticeable also tiny flesh colored bumps on perineum no its no pain im really scared please tell me what could it be I want nothing but the truth its really stressing me out and taking a toll on my everyday life also tiny flesh colored bumps on legs by the knees and a little bit up and I have some on my elbows and a little bit up also I had got one red itchy bump on my right risk kinda medium size but not really when I don t scratch it dont itch and goes down please help been having this problem for about a week now also a little bit of left adominal pain but not major and when I woke up this morning my face was kind of swollen and felt tight Doctor: Hi, thanks for sharing your health concern with team HCM!In the present case of itchy tiny perineal / back swellings or lumps, if I were your consulting physician, I would just consider 3 possibilities like: 1. skin papillomas or warts or benign fibro-epithelial polys2. infection / fibrosis of multiple hair follicles3. skin infection due to fungus, proctitis, piles, fistula or worms! As per your description, I would like to advise you seitz bath with cetrimide antiseptic solution and apply calamine lotion for itching and go for stool examination before farther medication!Take caution not to get injured there as this might invite infection.Hope you got your answer. Please feel free to write to us if any more queries or with the reports / follow-up...Wishing you the best health!" }, { "from": "gpt", "value": "Target: What causes tiny itchy flesh colored bumps in buttocks and anus?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I'm 20years old, male. I have had this dull pain on my right testical, walking, sitting the pain is there. I've had this for about 4years and has progressivly got worse. When ever i masterbate, i notice like a swellon/lump that appears above my right testical under my penis like next to the tube on my penis.. Doctor: Hello, It may be infection or spasm in the muscle. Use tight undergarment. You can take pain relief medicines like paracetamol. If the problem persists, please do not ignore it. Do ultrasound of scrotum to find out the cause. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta" }, { "from": "gpt", "value": "Target: What does dull pain in right testicle with swollen lump after masturbation?" } ]
[ { "from": "human", "value": "Source: Patient: My partner had prostrate mapping(perenial) after normal biopsy s found cancer . 2days after he was hospitalised with severe urine retention 8ltr s came away when catheterised . He has had it in one week tomorrow. He is still bleeding from the penis and in alit of discomfort . Will he be able to have it out or are the risks to high. He has enlarged prostrate and nerve damage due to diabetes type 1 for 30 years . Please help linda Doctor: Hi,Thanks for writing in.It is possible that due to the combined effect of nerve damage and diabetes, the urinary bladder function is compromised and he had got an autonomic bladder. In this condition the bladder muscles malfunction and do not contract when required. Having 8 liters of urine drained using a catheter is a large amount and having that kind or urinary retention is a serious concern.The bleeding through penis can be due to injury as a result or urinary retention of during drainage. He should be taking a short course of antibiotics and the bleeding is also to be controlled at the earliest. He will improve over next few days. Please do not worry." }, { "from": "gpt", "value": "Target: What causes urine retention after prostrate mapping?" } ]
[ { "from": "human", "value": "Source: Patient: hi,i've been taking godex ds for almost 1 month now,1 tab b.i.d.,my doctor advised me to take this because my ultrasound reveals that i had a mild fatty liver,i am asking your advise on this wheter to continue or stop the treatment since i have to travel 5 hours to reach my doctor.thanks!i am 45 yrs old,female,68kgs,5'2\" ht. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.There are two main types of fatty liver disease so treatment depends on this: Alcoholic liver disease and Nonalcoholic fatty liver disease. You can get alcoholic liver disease from drinking lots of alcohol. It can even show up after a short period of heavy drinking, other causes are obesity and hepatitis B and C.If you have alcoholic liver disease and you are a heavy drinker, quitting is the most important thing you can do. Talk to your doctor about how to get help. If you don't stop you could get complications like alcoholic hepatitis or cirrhosis. Even if you have nonalcoholic fatty liver disease, it can help to avoid drinking. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week.Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice. This should lead to improvement. You should repeat your liver markers in 3-4 weeks.I hope I have answered you query. If you have any further questions you can contact us in every time." }, { "from": "gpt", "value": "Target: Suggest treatment for fatty liver" } ]
[ { "from": "human", "value": "Source: Patient: I am a 66 yr old morbidly obese female (5 4 and 285 lbs). I live at home and take care of myself and our home but am fairly inactive. For several weeks my legs seem to ache more than usual (I have bad knees due to injury and arthritis and weight). My left leg aches more than the right and wakes me up sometimes at night. I take 2 aleve a day. Sometimes I substitute that with ibuprofen. Should I be concerned or is it something I can cover with my Dr in a month when I see him? It s not joint pain....more like muscle or behind my knee 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 calf muscles.The following measures will help with the painDo regular Exercise. Exercise can increase your endurance and strengthen the muscles around your joint, making your joint more stable. Stick to gentle exercises, such as walking, biking or swimming. Lose weight if you are obese- Being overweight or obese increases the stress on your weight-bearing joints, such as your knees and your hips. Even a small amount of weight loss can relieve some pressure and reduce your pain.Use heat and cold to manage pain. Both heat and cold can relieve pain in your joint. Heat also relieves stiffness and cold can relieve muscle spasms.I do hope that you have found something helpful and I will be glad to answer any further query.Take care" }, { "from": "gpt", "value": "Target: Suggest treatment for severe leg pain" } ]
[ { "from": "human", "value": "Source: Patient: I have just noticed a long indentation in my skull on the top about a quarter to half inch wide and about six inches long. I am diagnosed with Sjogrens and distal tubular renal acidosis. Lately my skin and hair has been very dry. Iam not sure if the indentation is related and can find very little information. Is this serious. It has become sensitive to touch and I also had a recent TIA and could not pinpoint the cause. Is any of this related. What could cause this indentation? Doctor: Hi,I would explain that the indentation does not seem to be related to the TIA. But, as it is related to the scull structure, considering your past medical history, I would recommend consulting with a neurologist for a physical exam and some tests: - a brain CT scan- vitamin D and calcium plasma levels for possible deficiency- complete blood count, PCR, sedimentation rate for inflammation. You should discuss with your doctor on the above issues. Hope to have been helpful. Let me know if I can assist you further.Wishing all the best, Dr. Aida" }, { "from": "gpt", "value": "Target: What causes skull indentation?" } ]
[ { "from": "human", "value": "Source: Patient: Hi my name is Carolyn, I have extremely high cholesterol, dr. started me on pravastatin a week ago, now for the last 2 days I have had these pains in the lower part of my stomach on my sides that really hurts. is this one of the side effects of this drug? thank you Doctor: Hi and welcome to HCM. Thanks for the query.This is not a common side effect of pravastatine and I think you should try to find another cause of your symptoms. it can be caused by gynaecoliguc issues or bowe issues such as IBD,gastritis or inflammatory bowel diseases. You can also try to switch antilipemic but as I said it is not likely caused by parvassttine.Wish you good health. Regards" }, { "from": "gpt", "value": "Target: Is lower stomach pain due to side effect of having pravastatin for high cholesterol?" } ]
[ { "from": "human", "value": "Source: Patient: I had 3 miscarrage and I did all analaysis requirment every thing is normal with me but the doctor sayed let your husband make semen analysis but my husband didnot do it I wonder if I can know the syptoms and signs of sperm wekness ,you should know that I have 3 kids and the 3 miscarrages are pregnancy numbers 4,5,6. Doctor: Hi,Thanks for writing in.Sperm quality changes with age, any medical problems and medications taken for any medical problem. Please have your husband discuss this in detail with your doctor and get sperm analysis done. It will be known if his sperm quality is abnormal and that is causing miscarriages." }, { "from": "gpt", "value": "Target: What are the symptoms and signs of sperm weakness?" } ]
[ { "from": "human", "value": "Source: Patient: I have been having these feeling of electrical tingles in my legs and arms, more legs. The arms is associated with burning feelings. My legs feel like dead weight particularly my right one. I have been through a round of test had MS ruled out by blood work and numerous MRI s. I have so many other symptoms what is wrong with me? I am getting desperate for an answer. Doctor: From what you have written, you are having Peripheral Neuropathy. It could be due to a large number of causesHave you ruled out Diabetes Mellitus ? Does your work bring you into contact with lead (eg paint industry) ? I would like you to first rule out Vitamin Deficiency and some simple investigations before thinking of MS and MRI In case, you are not satisfied, Feel free to ask more doubts and I will reply" }, { "from": "gpt", "value": "Target: What causes heaviness and tingling sensation in limbs?" } ]
[ { "from": "human", "value": "Source: Patient: I have been having pain in my stomach area close to my groin area. The pain will subside and then come back. I recently had carotid artery surgery. I have had (2) hernia surgeries, however they never subsided and then came back. What do you think? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * The pain in lower abdomen can be from muscle pull, intestine colic, constipation related or others. I would like to have all details of symptoms, exact site of location of pain for better in depth guidance. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes pain in the lower abdomen?" } ]
[ { "from": "human", "value": "Source: Patient: sir whenever i passing urine some of RBC and pus,epi cells are coming out with urine. I took urine test and adomen test all results are normal (Kidney). Both seminal vesicles enlarged and inflammation found.I need to cure this problem can u help me. Doctor: HelloThanks for query .Your routine urine examination has revealed RBC,Pus Cells in urine and ultrasound scanning has reported seminal vesicles to be enlarged .Presence of pus cells and RBC in urine signify UTI mostly Cystitis and the enlarged Seminal vesicles are mostly secondary to UTI .Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2)Trans Rectal Ultrasound scanning (TRUS)3) Semen Examination and Culture Take broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin and anti inflammatory medicine like Diclofenac twice daily and urine alkalizer thrice daily .Later on switch on to appropriate antibiotics as per culture report.Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil." }, { "from": "gpt", "value": "Target: Suggest treatment for enlarged seminal vesicles" } ]
[ { "from": "human", "value": "Source: Patient: My 2 month old farted and clear liquid came out then yellow seedy poop. She s been pooping while farting and they are runny, first green now yellow. She is breast fed and formula fed. Should I be concerned? No fever and acting normal, except her stomach makes noises, but it doesn t upset her. Doctor: Hello. I just read through your question. At this age, bowel movements can take many forms and still be normal. As long as she is comfortable and gaining appropriate weight, it is not a concern. You can continue feeding as you have been and not worry." }, { "from": "gpt", "value": "Target: Suggest treatment for sickness in the stomach" } ]
[ { "from": "human", "value": "Source: Patient: I have chronic anemia. My hemoglobin is usually around a 7.2 and 6.5; I am treated with blood transfusions on a 3 week basis. I have been noticing that near the time I am due for a transfusion, my feet begin to swell and I have pain in my right leg on the tibia. I do work a desk job and have been trying to move around more, the pain is relieved a bit by movement. Can a low hemoglobin cause swelling of the foot and lower leg? Doctor: Hello, You have mentioned you have anemia and you are getting blood transfusion on regular basis every three month..What is the cause of anemia .Do you have any bleeding problem or kidney problem or any abnormal hemoglobin . Swelling in leg may be due to low protein in blood which may be due to anemia, kidney problem and thyroid problem. Get your CBC ,KFT, thyroid profile done and consult your G P" }, { "from": "gpt", "value": "Target: Have chronic anaemia, blood transfusions weekly, nearing transfusion have swollen feet, leg pain. Cause?" } ]
[ { "from": "human", "value": "Source: Patient: my father in law is 77 yrs old with 3 aneursyms around the heart and has enlarged aorta. He has been in the hospital with rapid heart rate for two days and the doctor has put him on cumadin (sp) and no heart doctor yet has been in to see him. He has other health issue as well. Thus far the aneursyms have been inoperable. Any thoughts? Doctor: hello,treatment of aneurysm depends upon the site, if it's involving ascending aorta then Surgery is needed. If it's involving descending aorta then either surgery or it can also be treated by angiographic techniques and will not have that high risk of surgery. Till the time, his definitive procedure is completed then should be on medicines like beta blockers and other blood pressure medicine. He should strictly monitor his blood pressure and should not rise excessively." }, { "from": "gpt", "value": "Target: Suggest treatments for aneurysms and enlarged aorta" } ]
[ { "from": "human", "value": "Source: Patient: i have woken up with severve back pain. i have laid on the floor and on the counch for the past 10 hours. it hurts really bad to turn over or get up. i was actually in tears at one point. i tried ice for 20 mins but that did not work. will this go away with more rest? i am 31 and weigh 185. Doctor: Hello, Thanks for your query.It seems that wrong body posture; inadequate exercise and reduced muscle tone is taking a toll on your back. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation).During the day don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time.I suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your Physiotherapist. This will help to relieve the possible muscle spasm which causes the pain. You may go for a physical examination by your Orthopedician to rule out any spine related pathology.I do hope that you have found something helpful and I will be glad to answer any further query.Take care" }, { "from": "gpt", "value": "Target: Suggest treatment for back pain" } ]
[ { "from": "human", "value": "Source: Patient: My 11 year old daughter has a smooth rash on her arms and small patch on her stomach, she does not have a fever or any other syptom this rash does fade after taking benadryl I took her to the dr and he says that it is not Chicken Pox I am at a loss here I have no idea whether my other 2 children would need to be away from her or not...Please help me.. Doctor: Rashes on arm patch on stomach is due to pityriasis rosasea.patch on the stomach may be herald patch.there will be mild itching in this condition.and if patch on stomach is tinea infection it may be id reaction .use a antihistamine.antibiotic and a calamine lotion." }, { "from": "gpt", "value": "Target: Rashes on arms, small patch on stomach. Taking benadryl provides relief. Permanent cure?" } ]
[ { "from": "human", "value": "Source: Patient: hello doctor I am infected with fungal infection over a year ,and consults many doctors near my city ,they gave me medicines (cram, tablets and a fungal dusting powder) ,then after use of medicine my skin clean means round circles (fungal infection) removed ,but after 1 month or 1.5 month , problems creates again ,it is done 5-6 times ,but problem still as new, doctors say me use clean towel and did not use your old clothes when problems created, and said that wash your under garments, with hot water, I can do everything but not successful. now problem again increasing, it effects on my back side of ears, I am also sending scan picture of cream i used.plz see it WWW.WWWW.WW plz guide me and give me guidance Doctor: HI, thanks for using healthcare magicIf the infection is recurring then you likely need a prolonged course of oral medication combined with topical treatment.A swab of the lesions should be done to identify the specific fungus and the agents that it would produce the best response.In addition you may want to consider screening for reasons that may be affecting your immune system and preventing you from healing.I hope this helps" }, { "from": "gpt", "value": "Target: Suggest treatment for recurring fungal skin infections" } ]
[ { "from": "human", "value": "Source: Patient: my son was born with a hard pea size lump on the left side of his head right above his temple, i was told it would go away but he is now 5 months old and its still there. The size is still the same, im worried! i tried looking it up and asking but no answers. Doctor: Hello!Thank you for the query.It does not sound like something serious. It may be some benign lesion like lipoma or cyst. It is rather not connected with the brain.I suggest you to consult a doctor and have an ultrasound of this lesion. In most cases, it can be removed and tested under microscope to make sure it is benign.Hope this will help.Regards." }, { "from": "gpt", "value": "Target: What causes lumps in head?" } ]
[ { "from": "human", "value": "Source: Patient: I m 62 yrs old, healthy, normal height and weight. Yesterday afternoon, I began feeling poorly, had a temp of 101.7, muscle aches, chills, slight headache and felt fatigued. Today my temp is 102. and I feel basically the same after lying around all day. I ve had this years flu shot, back in November 2013. My eyes feel scratchy and a bit droopy. What can be the matter with me and when should I start feeling better. I m very rarely ill . . . . . . in fact, can t remember when I ve had something like this. Doctor: Thanks for your question on HCM.In my opinion you are having viral infection. Your all symptoms are typical of viral fever. But I still advice you to get done CBC (Complete Blood Count) to rule out bacterial causes of fever and malaria.And flu shot has protection for one year only. The influenza virus changes its morphology anually. So new vaccine has to be taken every year.So in my opinion, since your vaccination protection is over, I think you are having viral fever only.So first treat your viral infection with plenty of fluids, multivitamins and anti inflammatory drugs. And than get done your flu vaccination." }, { "from": "gpt", "value": "Target: What could cause low fever, muscle ache, chills, slight headache and fatigue?" } ]
[ { "from": "human", "value": "Source: Patient: I have a swollen whartons duct w what looks like a white ulcer on it. My dentist is sending me to an oral surgeon(dmd?). Extremely worried, I asked my dentist on a scale of 1 to 10 how nervouse I should be, he said a 2. What would the symptoms be if it is cancerous? Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query , as you have mentioned that you have swollen Watsons duct , it can be due to obstruction, salivary stone in gland dont worry dentist has reffered you to surgeon to go for investigations and silography done , As you are worried about cancerous dont worry about cancerous lesion go for proper investigations first ,Consult Oral Surgeon and go for treatment done, Hope this will help you. Wish you good health Regards , Dr. Priyanka tiwari" }, { "from": "gpt", "value": "Target: What could be the reason for having swollen Wharton duct what looks like a white ulcer on it?" } ]
[ { "from": "human", "value": "Source: Patient: Hello iv started having back burning sensations and pain in my right side tabout 6 weeks ago that as now travelled into my right groin sometimes my ribs ache underneath. I feel sick most of the time and not got an appetite iv had kidney scans an bladder and all come back clear .. I had the same back burning sensation and side pain July had an operation in nov to have a tumour removed and full hysterectomy I went back to work jan feelin on top of the world ns now pains started all up again in April Doctor: Well. It is obvious that you have uterus problem which referred the symptoms to other sites in spite of my expectation to hear from you about gynecological problems but you didn't. We can say your problem of previous pain was due to the uterus tumour which was relieved by hysterectomy. But now, you may have another problem despite the similarity in complain. So, now you have to rescan the kidney and do urinalysis to rule out the stone or gravels ..etc. If these problem is not renal, it may be neurological in the form of herpes zoster or it may be myositis or panniculitis which are simply treated. Best wishes." }, { "from": "gpt", "value": "Target: Right groin, ribs pain, burning sensation, loss of appetite. Kidney, bladder scans normal. Tumor removed, hysterectomy done. Advise?" } ]
[ { "from": "human", "value": "Source: Patient: Hi! I feel a burning sensation in my penis, but this is all the time, I do not feel it when I pee, it is just there! The skin is a bit dry as well! I am married for the past 4 years and I do not think this can be a sexual disease. What might be please? Doctor: hiii.i think you are suffering from urinary tract infection.it is not a big problem.kindly take t.norflox bd,t.para tds,c.omez bd for 5 days." }, { "from": "gpt", "value": "Target: Why do i feel burning sensation in penis?" } ]
[ { "from": "human", "value": "Source: Patient: I ve a friend whose had severe muscle cramping in his hands and forearms since early childhood. At age 54 now it apparently has become worse and he has to take muscle relaxers to the point of anebreation. He has never been a drinker or a druggie, has a thin build, and eats a healthy diet. What might be the problem? Doctor: Hello, What I feel is the history you provided isn't sufficient for us to judge what could be the issue. usually people with Hyperhidrosis may face this issue due to lack of sodium in body. Also, if your friend having High BP or diabetic issue at this age what you mentioned? Because that can help us to come to a conclusion that what could be the cause. As you mentioned it is from childhood then I feel she has the issue of losing sodium more out of the body and which is the reason she gets cramps every now and then. You need to check out the past medical history and provide us with some more inputs by which we help better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist" }, { "from": "gpt", "value": "Target: What causes severe muscle cramping in hands and forearms?" } ]
[ { "from": "human", "value": "Source: Patient: I recently finished my birth control pack (the active days). I never take the last week because theyre just placebos, and i usually get my period 3 days after i stop the active pills. so say fridays my last active day then by monday usually. now its thursday and nothing. Ive have cramping, and today just some spotting. Is it normal to skip periods while on the birth control pill? so far (for a year) its been pretty consistent. Doctor: Hello mam, thanks for trusting health care magic. In my opinion do your urine pregnancy test which if negative get a pelvic ultrasonography and b HCG testing because it can be an early pregnancy or worse ectopic tubal pregnancy and then visit a gynecologist with reportsIn case you have further questions you can consult me on health care magic forum and i will be happy to helpTake care and wish you all the best.Dr Manisha Jain" }, { "from": "gpt", "value": "Target: Finished birth control pack. Started cramping and spotting. Is it normal to skip periods while on the birth control pill?" } ]
[ { "from": "human", "value": "Source: Patient: hi my daughter is going to have her plica fixed with surgery, shes 13 an plays alot of sports. she really likes softball an is the catcher, what are your thoughts on her still playing that position after pt an all. or is there a non surgery alternative. thanks andy Doctor: If physical therapy can not fix this in 3 month then you should choose surgery i am a physical therapist i would not try more than 3 month then i will recommend surgery (Honestly )Good Luck" }, { "from": "gpt", "value": "Target: Can one actively participate in sports after undergoing Plica surgery?" } ]
[ { "from": "human", "value": "Source: Patient: Good Day ! I am a 53 years old male, 1m79, 83kg, non-smoker (quit 10 years ago), eat healthily and follow a fairly regular exercise programme. Of late I have been experiencing mild stabbing pains in the left pectoral muscle when running, usually after 3-4km (out of 10). Is this a potential coronary problem ? Doctor: Yes of there is pain on left side of chest then there is chances of heat disease. I would suggest you to get ECG and 2 D echo test to confirm if there is any abnormality. You should also check your cholesterol level.I would also recommend you to avoid sweet and carbohydrates in your diet. I hope this answer will be useful for you. let me know if there is any other followup questions.thanks" }, { "from": "gpt", "value": "Target: Will the pain in pectoral muscle be due to potential coronary problem?" } ]
[ { "from": "human", "value": "Source: Patient: hi, i m in early stage of jaundice where my blood test results are given below: sgot is 335 u/l sgpt is 832.6 u/l bilirubin 4.7 MG/DL let me introduce myself,i m female and 21. What are all the advisable indian(tamil) food i can have? How long i need to follow this? I m a non-veg eater and love to eat snacks as well. Any advice from you that i m starving of these non-veg and snacks for a week itself? Doctor: Hello! Thank you for the query. This is not early stage of jaundice! There is no diet to treat it. There is nothing you can do by yourself. It is strongly advisable for you to get medical help. Your liver tests are very bad and can be life threatening. Such liver tests results can be caused by viral infection, bile ducts blockage, liver cirrhosis, liver cancer. You should have abdominal ultrasound, GGT and AP blood tests, amylase in urine and blood, HAV,HBV,HCV tests. Do not neglect it and get medical help as soon as possible. Hope this will help. Regards." }, { "from": "gpt", "value": "Target: Early stage of jaundice. Blood test shows elevated sgot, sgpt, bilrubin. Dietary advise?" } ]
[ { "from": "human", "value": "Source: Patient: i had a baby a year ago. i delivered by csection. where my scar is i have a lump on the right side. its very painful and it feels like some one is stabbing me. i went to the hospital for it a couple months ago but they said it was tissue and slapped me with some pain meds and sent me on my way. its still painful HELP! Doctor: Hi,From history it seems that your problem might be due to,1, painful incision scar due to formation of fibrous tissues,2, developing keloid formation,3, due to adhesion inside due to previous CS.4, Developing incisional hernia.Consult surgeon and get examined.Ok and take care." }, { "from": "gpt", "value": "Target: Suggest treatment for painful lump on c section scar area" } ]
[ { "from": "human", "value": "Source: Patient: I have a pulling sensation coming brom my bell button down to the top of my vagina bone, its not constant but its happening often and just started about 2 weeks ago. it come about every other day and only stays for about 10 minutes but its definartely not a comfy feeling for those 10 minutes. what could it be? Doctor: Hi.,Thanks for your query Pulling sensation could be due to associated muscle spasm. If pain persists then get it checked by your doctor. Hope this helps you. Warm regards" }, { "from": "gpt", "value": "Target: What causes pulling sensation below the belly button?" } ]
[ { "from": "human", "value": "Source: Patient: I have had this pain in my side for about three years now. t only occurs this time of year and ends in may. Not sure what to really classify it? I have gone to the doctors before when this first happened. I can t seem to get any answers. Any suggestions? Doctor: Both sides pain may be due to spasmodic muscular pain... It automatically heal in few hour. But if it comes to irritate during short time you should consult to you doctor" }, { "from": "gpt", "value": "Target: How to treat pain in body sides?" } ]
[ { "from": "human", "value": "Source: Patient: Tonight I was a restaurant outside and after eating I felt lightheaded and did pass out. This has happened before and my blood pressure was low. Not sure about tonight. I am female 59 years old and in pretty good shape. Didn t eat much today and had a wine sangria before dinner didn t know if potassium or magnesium might also cause this type of symptom. There was a nurse their and kept telling me this is not normal Doctor: Hello!Your symptoms could be related to post- prandial hypotension. This disorder can be related to autonomic nervous system dysfunction. The changes in blood electrolytes can lead to cardiac arrhythmia, but they are not related to eating (symptoms occurring after eating are not explained by these changes). I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG- a chest X ray study- a Head Up tilt test- some blood lab tests (complete blood count, fasting glucose, blood electrolytes). I would also recommend performing a fibro-gastroscopy if these symptoms persist or you have other gastro-intestinal symptoms to exclude possible hiatal hernia. Meanwhile, I would recommend avoid large meals, hypercaloric meals and try to eat more frequently during the day in small portions, in order to avoid distension of your stomach and blood sugar overload. Hope to have been helpful!Best wishes, Dr. Iliri" }, { "from": "gpt", "value": "Target: Suggest treatment for lightheadedness and low blood pressure" } ]
[ { "from": "human", "value": "Source: Patient: I had my gallbladder removed nearly 3 years ago, I m now 14 weeks pregnant, I noticed yesterday morning tat my wee was red and also this morning, brought a urine sample 2 my doctor and he said I d bile in my urine, I ve 2 bring him another test on Thursday morning, is this dangerous 2 t baby?...wat does it mean for me? Doctor: Hi.Having bile in your urine may require some amount of monitoring and intervention, but in my opinion there is nothing to worry about. If it has been established that the blood in your urine is not related to the urogenital system in anyway, then there is nothing to worry about ma'am.Best wishes." }, { "from": "gpt", "value": "Target: What causes urination bleeding and bile in urine in a pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: My 4 year old son has had a nagging cough for approximately 1 week, this morning he woke up with a blotchy red face. Thinking it was a possible allergy reaction I gave him Benedryl--the blotchiness came and went all day. He has no fever and this has not slowed him down at all. Doctor: Hi...Thank you for consulting in Health Care magic.By what you quote it should be an urticarial or a simple skin allergy. You can use Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 7-10 days. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine but I suggest you get the kid evaluated with your paediatrician.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).," }, { "from": "gpt", "value": "Target: What is the treatment for cough?" } ]
[ { "from": "human", "value": "Source: Patient: hello thankyou i have had a duel chamber fitted in dec for bradycardia, all was well then april gone i had a very mild h/attack caused through plaque i have a leaking valve which is mod at moment my main query is that my blood pressure has dropped to 114/64 my doctor dropped my b/p meds from 4 to 2 and i am on other heart meds b/blockers statins b/thinners and aspirin i am rather frightened whats going on now thankyou my pace maker as i may have said is now set at 55 thankyou. Doctor: Hello, I understand your concern and would explain that low blood pressure values could be related to heart failure. Anyway, I would like to review your cardiac ultrasound report for a more professional opinion. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist" }, { "from": "gpt", "value": "Target: What are the ill effects of drop in the blood pressure?" } ]
[ { "from": "human", "value": "Source: Patient: Abt a month ago a co worker pushed several boxed cases into my rt rear shoulder area. The boxes hit me flush against my shoulder and elbow. At impact I felt a strong tingle up the back of my neck splne and head area. While at the same time a shooting pain down from my elbow to my rt wrist into my rt hand...and as wild as it sounds it felt like someone was pulling strings out of my fingers...the 3 on the end. It hurt so bad. My neck cramped ,my fingers locked and my elbow at times still feels like someone is sticking a pin into it. Well since then I wake in the nite with finger pain and often my wrist may lock. Also I ve lost the ability to move my fingers and they hurt all the time. My question is...could it be possible I could have some type of nerve damage or circulation disorder develop because of the force and what I felt occurs at the point of impact? Doctor: Hi, Thanks for your query. Shoulder trauma can be associated with injury to nerve fibres. To access the nerve injury you can go for nerve conduction velocity test. I suggest you to get it evaluated by your doctor. Hope this helps you. Warm regards" }, { "from": "gpt", "value": "Target: Can shoulder trauma cause nerve damage?" } ]
[ { "from": "human", "value": "Source: Patient: i seem to have burst a blood vessel on the inside of my mouth. Between my inner lip and my lower incissor. The blood buildup is the size of a nickel. I feel no pain but when it happened it hurt real bad. How can I take care of this and is there a way to take the pressure off and drain the excess blood away? Is this bad? I am 58, 5'9\", 158lbs. I have no health issues other than borderline high BP. Doctor: Thanks for your query, I have gone through your query.The bleeding could be because of the trauma or secondary to the drugs taking for hypertension like aspirin. these two conditions can cause hematoma.Consult a oral physician and get it ruled out. Apply cold with ice pack and followed by hot. Avoid trauma to that area.I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: How to treat burst blood vessel inside mouth?" } ]
[ { "from": "human", "value": "Source: Patient: I have a lot of pain in my legs, they re very sore. They feel like I ve been working out, but I haven t. The muscles are sore after minutes of crossing my legs, after sitting for short periods they hit getting up and are stiff, until I get moving. Even then they re still sore, but a little better. Doctor: Given your symptoms, the problem could be anything related to blood circulation to degenerative to Rheumatological disorders. Your condition warrants, detailed history and Physical examination. Consult your GP!" }, { "from": "gpt", "value": "Target: What causes pain and soreness in legs?" } ]
[ { "from": "human", "value": "Source: Patient: hi i have got married in 2010 nd befor my marriage i used to have irregular periods nd even now i have taken so many tablets nd injection for 6months it resulted me a cyst in right ovary then i used novelon for 2 months now everything is ok but i want to get pregnant nd my doctor gave me siphene nd lynoral 0.01mg nd folic acid tablets,can u tell me by using these tablets i can concieve this month?please tell me Doctor: hi, siphene contains clomiphene citrate which will help in induction of ovulation in case of anovulatory disorders and irregular periods, folic acid will help in the fertility and also for the brain development of baby if pregnancy occurs, but the chance of getting pregnancy with one cycle of treatment is around 35 to 50%, if you trace ovulation and plan intercourse around that time then there will be more possibility for pregnancy. take care." }, { "from": "gpt", "value": "Target: Having irregular period. Taken treatment. Now having cyst in ovary, used novelon. Trying to conceive, taking siphene, lynoral, folic acid tablets. What are the chances of conception?" } ]
[ { "from": "human", "value": "Source: Patient: hai good evening madam / sir, i m jnn,mhi from kurnool and i m a diabetic patient and also having hair loss probelm my doctor suggeted me to use the following tabs 1. curzlvit, 2. minokem 2% lotion and 3. ebexid tabs ( for reduce weight ) by using the 3rd tab can i reduce my weight? Doctor: HIWell come to HCMHair loss may not be due to diabetes but this could be due to something else and possibilities of fungal infection of scalp, thyroid dysfunction, some systemic disease need to be ruled out, what ever medicines give can be taken, but better try to reduce the weight with low calorie diet, exercise, rather than medicines, hope this information helps, take care." }, { "from": "gpt", "value": "Target: How to treat hair loss in a diabetic female?" } ]