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PranavHarshan

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[ { "from": "human", "value": "Source: Patient: My right lung doesn t really hurt its just uncomfortable but when I take a deep breathe it hurts a little all the way down to the bottom of my rib I got sick an wa throwing up a lot the night before it started happening I was wondering if it hurts because I was throwing up Doctor: Hi thanks for asking question.Here are few possibilities of your chest pain.First simply if no any other symptoms then it can be because of muscular pain due to improper sleep or heavy weight bearing.Take simple analgesic for it.Second if associated headache, cold present then there might be viral infection.treat it symptomatically.Third if associated fever, cough etc .then infective etiology likely .chest x ray has to be done for it too see if any consolidation.Complete blood examination useful for deciding whether allergic , bacterial or viral infection.I hope my suggestion will help you." }, { "from": "gpt", "value": "Target: While taking deep breath noticed pain in the lung" } ]

[ { "from": "human", "value": "Source: Patient: I'm 46 yrs old woman married to 41 yrs old man. This is my 2nd marriage. I have undergone uterus opertion 3yrs Back, I wish to give my husband an offspring of his and mine, how could I give him this happiness. Pl help suggesting as we both R interested to have one Doctor: Hi, thanks for writing..What uterine surgery was done? Was it hystrectomy? If so, then you will have difficulty to conceive.. You will need a surrogate mother.. You need to get a test called AMH to see for ovarian reserve.. If ovarian reserve is good, you can try to conceive by ovulation induction or get a surrogate mother.. hope i have answered your query.. good day.." }, { "from": "gpt", "value": "Target: Can I conceive with a history of uterus operation?" } ]

[ { "from": "human", "value": "Source: Patient: I amwondering what might make my daughter 6 years old start to have white foam on her mouth while sleeping? She had tubes put in about 2 years ago and also cosmetic surgery on her ears on the outside. Ever since then she has had problems snoring and breathing while sleeping and never had this before. The past 2 weeks she has been having a white foam on her mouth after she falls asleeps and it s like she is sucking the inside of her mouth together. What can this be? Doctor: Hi... by what you say I feel that your daughter might be having a - sleep disordered breathing due to upper airway resistance syndrome. She might be having adenoids.I suggest you get back to your pediatrician for a 8 week trial of intranasal steroids and if not better she might require removal of adenoids.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What causes white foam on mouth of a child while sleeping?" } ]

[ { "from": "human", "value": "Source: Patient: my son is four and hes got a cut on the right side of his penis . right above the top. its red. he said it hurts a little and he doesnt know how it happened and i dont either. im with my son 24/7. i dont know what could of happened. im cleaning it twice a day and putting cream on it. neasporion(sp) this is day number 2 of him having it. what should i do? Doctor: hi redness in the area of cut on the penis can be cured by antibiotic like moxikind cv syrup twice daily .crocin syrup twice daily and application of fucidin ointment over the cut twice daily can cure the condition.usage of ascazin liquid can fasten the healing process" }, { "from": "gpt", "value": "Target: Redness in the area of cut in penis, child. Neosporin okay?" } ]

[ { "from": "human", "value": "Source: Patient: I have am very skinny but have a larger butt that folds over, and underneath the fold on my left butt cheek, I have this round red rash that at times is very itchy. it is fit perfectly where my butt folds so I am not sure if it s rubbing and that s what caused it or what. this rash is nowhere else on my body. what could be causing this? Doctor: Hi, This rash seems to be intertrigo. It is inflammation of the body folds due to constant friction and moisture at these sites. I would recommend you to keep the area dry and clean, wear cotton underwear and use talcum powder on the affected area. Also apply Cortisone cream on the affected area twice daily for a few days. This will help in resolving the rash. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What can be the reason for the rash which is itchy?" } ]

[ { "from": "human", "value": "Source: Patient: My grandma is 78 she has been in the hospital for almost the whole month of September. She went in first for CHF then for acid reflex and now they just removed her gallbladder . She was in CCU for a few days after that to get her breathing under control due to her CHF, they have her on lacex to remove the water. Any how now for the past few days her right hand is swollen and very weak. Any thoughts She did have 3 blood infusions Doctor: Did she have IVs or other catheters in that arm? She may have developed a blood clot in a larger vein...a venous ultrasound of that arm would be my choice of test." }, { "from": "gpt", "value": "Target: CHF, acid reflux, swelling in right arm, weakness. Gall bladder removed. Due to blood infusions?" } ]

[ { "from": "human", "value": "Source: Patient: my husband has a knot on the back, left side, of his neck. Right below the hairline. The surrounding area of the scalp/head is very tender to the touch. he is 62. he has noticed it for 2 days. he initially was feeling sluggish, like he was getting sick. no dizziness or numbness Doctor: Hello, * Likely to be due to soft tissue lesion as a sebaceous cyst or else with secondary bacterial infection causing pain on touch. * If you can provide me a photo picture of the same in private consultation, I can guide further precisely in this topic. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhagyesh V. Patel, General Surgeon" }, { "from": "gpt", "value": "Target: What could cause a lump at the back of the neck in a 62-year-old?" } ]

[ { "from": "human", "value": "Source: Patient: I am having some little sharp like pain in upper are of stomach almost like pulsating with feeling like I need to burp..Have gotten my self to burp some..Ears feeling little full like and anxiety setting in now...Took some mylanta, but hasnt really eased up yet..... Doctor: Hello!Thank you for the query.Such symptoms can indicate some stomach issue like hiatal hernia, acid reflux (GERD) or other problem. Sometimes gallstones can give such symptoms as well however the pain usually radiates to the back.Bad diet can cause mentioned by you symptoms as well as anxiety itself.I suggest you to start from diet verification. Please try to avoid fatty foods, spicy foods, fried foods, alcohol, coffee, fruit juices, chocolate. If this wont help, please consult your doctor, have abdominal ultrasound. If nothing will be found, gastroscopy should be done.Hope this will help.Regards." }, { "from": "gpt", "value": "Target: Have sharp pain in the stomach, ear feeling full and anxiety" } ]

[ { "from": "human", "value": "Source: Patient: my mum is suffering from cancer and she is now undergoing for chemotherapy and now she is feeling from Hair fall so can u guide me what kind of wigs do u suggest for her to wear she is undergone for Uterus and overy operation since 1 month before, and now she is taking chemotherapy treatment and 1st cycle of treatment is done and now from past 3 days she is been to loss her hair a lot. can u please suggest us about the side effects and her health and do please suggest on kind of wig for her? Doctor: Thanks for the query I dont think this is a good portal for wigs, any wig that will suit her face a ok. Why dont u take her along to choose one. Chemotherapy has a lot of side effects and please discuss it with your doctor as i dont know what the cancer is and what chemo she is receiving Have a healthy living" }, { "from": "gpt", "value": "Target: Is it safe to wear wigs during or after chemotherapy ?" } ]

[ { "from": "human", "value": "Source: Patient: I just noticed a soft lump along my lower jawline right along the top of my neck. It s towards the left side and is movable. I just noticed it and am worried. Also the gum around my left upper molar is swollen. Does this have anything to do with the other? Doctor: Hi..Can understand your concern..As per your complain a soft movable lump along lower jaw line that is movable is most commonly a swollen lymph node which can be due to infections originating from teeth,gums,salivary glands or any other nearby or distant structures of the body...A lump along the jawline can also be due to swelling in the salivary gland but a movable round lump is commonly a lymph node swelling due to infection..In case if you have swollen gums around upper left molar there can be a chance that there is a deep seated infection in the gums or deeply infected tooth and both these conditions can lead to swollen lymph nodes..I would suggest you to consult a dentist and get evaluated and get treated for the infection in the gums and in tooth (if infected) and as the infection will subside there are very much possible chances that the swelling in the lymph node will also subside..Hope this information helps..If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation..Thanks and regards..Dr.Honey Nandwani Arora." }, { "from": "gpt", "value": "Target: Are lump in jawline and swelling in gum related?" } ]

[ { "from": "human", "value": "Source: Patient: Dear Doctor I am 24 year old male and am suffering from piles since 2 year, these days i am too tense..can we eradicate it without surgery , or can we treatment it , with Ayurveda medicine. or any other way to treatment for pile .please suggest me any Ayurveda medicine becausei scared for surgery. Doctor: Welcome to HeathcareMagic Forum Homeopathy greatly helps in curing piles specially the 1st 2nd and 3rd degree piles and no surgery should be thought of till homeopathy has been tried. Some of the most commonly used medicines in treating piles are: Hamamelis –Q –very very useful in controlling bleeding caused due to piles Aesculus hip-piles with acute pain in the back Collinsonia..chronic painful bleeding piles with pain as if sticks were placed in the rectum. Graphitis-for piles and fissures with hard stools Ratanhia-pain as if splinters of glass were sticking in the rectum Other commonly used medicines are ..Sulphur,Nux.Vomica,silicea etc. Regards Dr Siddharth" }, { "from": "gpt", "value": "Target: Suffering from piles from 2 year. Can i eradicate it without surgery ?" } ]

[ { "from": "human", "value": "Source: Patient: I m extremely concerned about my two yr old..She s had uti after uti for the past four months. She currently has another including red swollen eyes..I m not sure if this is the right place to ask but I need answers please help my email is YYYY@YYYY Doctor: Urinary tract infections (UTIs) are quite commonly seen in children. Most often multiple episodes could be due to unrelated infections. But anatomical abberations often predispose to UTIs and need to be excluded. A DMSA scan will help in finding it out.Swelling of the eyes could be due to lack of proteins in the blood. It could arise if the child is not feeding well. But a more important condition related to protein loss could be a condition called nephrotic syndrome which could have some connection to the UTI. Please visit a pediatrician and get the child evaluated." }, { "from": "gpt", "value": "Target: What causes frequent UTI with swollen red eyes in a 2 year old?" } ]

[ { "from": "human", "value": "Source: Patient: I am from Pakistan. My nice is admitted in a hospital name “Sheikh zaid Hospital Lahore”. She is 8 years old. She is in ICU. Now she is breathing through ventilator. The Doctor Diagnoses her disease as “TTP” Thrombotic thrombocytopenic purpura. Doctor purpose the FFPs that is to change the blood. Now we have done 14 sessions with 5 bottles of FFPs but she has not been recovered yet. TTP also affect her brain and Kidney. Can you help us to come out this situation? I will send you the reports and other detail if you or someone else is willing to take over and take as Study case. Doctor: Hi, dearThis is dr Hardik Sanghvi, haematologist answering your query. I have gone through your question. I can understand your concern. I will give you all answers about Trombotic thrombocytopenic purpura. Please send me your all reports till now. So that I can help you further about treatment guidelines. Hope I have answered your question. I will wait for your reports. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What is the treatment for Thrombotic Thrombocytopenic Purpura?" } ]

[ { "from": "human", "value": "Source: Patient: My mum became unresponsive and sat rigid after eating dinner at a restuarant.? My mum and dad live in Canada and my sister went out to visit them. One night they decided to have dinner, after dinner my sister was talking to my mum, when suddenly she said she wasn't feeling well and felt faint. The next minute, she became totally unresponsive, her eyes flickered and her body was totally rigid. My dad kept trying to talk to her, but she was totally unresponsive for about 2 minutes. Then my sister laid her down and she was okay and tried to sit up. When she sat up it happened again, then my sister made her lay down again and she was okay again. My sister made her go to the hospital and they said that she had dangerously low blood pressure, they couldn't find anything else wrong with her. What could be the cause of this and what would the treatment be? Please only give helpful answers as I am really worried about her. Doctor: history of hypotension with giddiness or loss of consciousness after meals specially high carbohydrates diet indicates Dumping Syndrome.be cautious about ur diet...advice is take small frequent meals with less carbs. take good amount of fluids along with meals." }, { "from": "gpt", "value": "Target: What causes unresponsiveness with low blood pressure?" } ]

[ { "from": "human", "value": "Source: Patient: Hey, my mum's dentist says she has an infection that's eating away at her upper jaw bone and she has to get her 2 front teeth removed. She has been puting this off and lately she has noticed a yellow liquid leaking from her gums and a bad taste. I was wondering if you could help identify the bacteria causing this infection? Doctor: Hello, thank you for consulting with healthcaremagic. If your mother has noticed yellow colour fluid coming out it means there is an infection which is leading to formation of this pus discharge.The dentist must have taken an x - ray in which he must have identified that the front tooth are infected that is why he is telling to get them removed. So I think you should follow his instructions and still if you have a doubt you can go to another dentist and get the culture of this pus done which will give you the name of the bacteria. Hope it will help you." }, { "from": "gpt", "value": "Target: Can the bacteria which is causing infected gums to leak out yellow liquid with bad taste identified?" } ]

[ { "from": "human", "value": "Source: Patient: i woke up w very sore neck, sm pea size lump at base of skull, above neck, on the left side, nothing palpable on the right side. Now, i have slightly sore right side of neck, and a new pea size lump there, have felt very fatigued sleeping 15 hours a day since monday. Had a sore throat a week ago, it went away on its own. I do have EBV, and DM. not sure if i should wait and see what happens or go to dr. i am 41 years old, 129 pounds, hx of dm ebv and cardiomyopathy...also have very bad headache for a few days, comes and goes Doctor: Dear,Thanks for the query to HCM. I studied your query and understood your health concerns.Remedy and cause-of your problem-In my opinion your lump and sore neck is due to the sore throat.Fatigue you have is of active infection with the bacteria and DM.I would ask you to consult ER surgeon.I suggest you following -Treatment -a-Consult Er Surgeonb-Tab-Nsaidsc-If no relief I would advise FNAC biopsy and needful treatment by its excision with proper drugs.Revert to your doctor on this advise- who would help you.This would help you to resolve your query.Welcome for any further query in this regard.Write review ASAP,with strong recommendations for Me and HCM to benefit old and new patients.Have a good day.With Regards,Dr.Savaskar M.N." }, { "from": "gpt", "value": "Target: What causes sore neck and lump at the base of the skull?" } ]

[ { "from": "human", "value": "Source: Patient: I feel my wrist yesterday but I thought nothing of it because it was it just look like broken blood vessel s. But when I woke up this morning the scahlpoid bone I believe that s what it s called the bone below your thumb was very swollen and my whole rest is bruised I can move on my fingers but it hurts when I grab stuff or try to turn it sideways and I don t know whether to go to the hospital in case it s broken or stay home because I might be a sprain I don t want to waste my parents time or money please help Doctor: hiYou must go to orthopedic doctor and an MRI/xray should be done.treatment will depend on findings with immobilization.In meantime take advil tabs after meals for pain and inflammation.scaphoid ,if fractured may be treated either conservatively in plaster or b surgery ,it depends on nature of fracture.It will be taken care of ,do not worry, its not wastig moey, but prudence to save hand to prevent problems of long terms,cofide in parents" }, { "from": "gpt", "value": "Target: Suggest treatment for swollen and bruised thumb" } ]

[ { "from": "human", "value": "Source: Patient: I have bouts of lower back pain which is crippling and can last for a minute up to10 minutes. It is accompanied by a taste in my mouth like gas. I can go months without an attack and then have several in a day. Any ideas on what this could be is appreciated. Thanks. Louise Doctor: Hello. Thanks for writing to us. The sudden intermittent sever attacks of low back pain are likely to be related to muscle spasms in the area. This could be due to a positional anomaly also. Regular physiotherapy will be helpful in reducing these.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal ,[email protected]" }, { "from": "gpt", "value": "Target: Should i be concerned of having bouts of lower back pain which is crippling and lasts for few minutes?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I have a lump on the inside of my labia majora. It's the same colour as the rest of my skin and about 3mm outwards and 2-3 mm wide. I also have 2 smaller ones next to it. I've had them for about 4 months, they don't hurt, and are staying the same size. What could this be. Thanks. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some benign cyst like batholin cyst or some soft tissue tumor. You should go for examination and if needed go for excision. Don't worry much about that. Just be relaxed. 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: Suggest treatment for lump inside labia majora" } ]

[ { "from": "human", "value": "Source: Patient: hi doc, i have a friend with hepatitis b way back... i think 7 years ago? he used to drink alcohols then. he's also a smoker before but quit last year. just this june, his skin turns yellow for a week.. then by that time, he said he's been feeling pain with his tummy more often. it's been 3months and he just said it lately. what can we do about it? do you think it's chronic hepatitis already? are there some treatments i can offer to him? please help. i do appreciate your time. thanks. Doctor: To rule out hepatitis she must go through blood test that is liver function test. At the same time she must also go through cbc to get herself checked for any other ailment like anaemia. What about her diet ; urine is it yellowish? Does she vomit or feels nausea. These are few symptoms of hepatitis. She should start bland diet till the test results. Even if the results are negative she should continue with bland diet as this could be symtoms of acid peptic dyspepsia. She start taking tab pantoprazol twice daily empty stomach till she is relieved." }, { "from": "gpt", "value": "Target: What causes yellowish skin and frequent stomach pain?" } ]

[ { "from": "human", "value": "Source: Patient: I'm a 56 year old otherwise healthy woman who just experienced 30 minutes or more of heart fluttering. Felt like a butterfly left side of chest. Scared me, but don't want to sit in the ER if not serious. I do not have any other symptoms except my left leg has been having spasms all day. Any advice? Doctor: hello,I have gone through your query.Thanks for using HCM.If butterfly sensation in heart has not recurred again you may go for elective check up.But it is very important to get ECG while you have ongoing symptoms because certain arrhythmias like SVT can be picked up only while you have symptoms.So better to get an ECG while you have ongoing symptoms.Otherwise Investigations like ECHocardiogram,Exercise stress test and /or holter monitor will guide you for the diagnosis,My best wishesDr.Rajesh Teli,MD." }, { "from": "gpt", "value": "Target: What causes heart fluttering and spasms in leg?" } ]

[ { "from": "human", "value": "Source: Patient: Husband has a pituitary macro adenoma and high bp that is was not treated. His numbers radically change from normal to low to high throughout the day. MD thinks that applying bp meds, all of which have been used when husband was 100 pounds heavier in 2004 - 2009 and caused allergic reactions; slurred speech, swollen tongue, swallowing problems, swollen lips and fingers, falling asleep while watching a stimulating program, and worst of all fainting. He is terrified of the surgery and arrived for appointment at hospital and had 210/110 bp there, the surgery was cancelled. Next day at Md he was 167/93. He wants to know if he can get alternative with Artemesen drug? Doctor: Hello, Your husband blood pressure must be controlled by medication. He can use amlodipine tab 5 mg once per day to control it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist" }, { "from": "gpt", "value": "Target: How to cure allergic reactions caused by BP medication?" } ]

[ { "from": "human", "value": "Source: Patient: hi doctor,i am 23yrs old,5ft,53kgs.my married life is of 3 and half year,once i had pregnency and had aborsion in 3rd month due to no heart beat.next i moved for 1year for follicular study and had no pregnency yet .folliculin 75 ui,tablet fertyl,glycomet,thyronorm,folvite ,apcod sachet. and now doctor is suggesting me for iui.is this very early to decide plzz give me correct answer Doctor: Hi welcome to healthcaremagic.I have gone through your question.You had done treatment for 1 year with these medicine.I would advise that you can continue with these medicines for atleast 6 months as your age is only 23 and 3.5 year married life.After 6 months if couldn't conceive then go for intrauterine insemination IUI.Hope i have answered your question. Would be happy to help you further.Take care." }, { "from": "gpt", "value": "Target: Should i go for IUI?" } ]

[ { "from": "human", "value": "Source: Patient: intense, intermittent pain with constant dull pain in upper right abdomen, right under ribcage. 'attacks' consist of such severe cramping or pinching or pulling pain right up under my ribs near zyphoid process that i cant breathe or talk for a few seconds. rest of the time its constant feeling of fullness, loss of appetite, ocasional nausea, RARELY vomiting. Doctor: HI.The most probable cause of pain in the right side of the abdomen are as following:There are more chances of Liver abscess in your case.Cholecystitis- due to gall stones or gall bladder infection and / or stones.Or stomach ulcers or Liver swelling.This is best diagnosed on a simple test of ultrasonography. Return back to the hospital, get this and other blood tests for Hb, WBC, liver function tests, amylase, lipase, kidney function tests and blood sugar.X-ray of the chest to see that the lungs for pneumonia and pleural effusion. Upper GI Endoscopy if the ultrasonography is normal. The treatment will depend upon the findings, If there i sliver abscess, this needs to be aspirated under ultrasonography guidance if there is liquidation.If cholecystitis , surgery will be the best option, rest of the problems can have medical management" }, { "from": "gpt", "value": "Target: What causes intermittent pain in the abdomen?" } ]

[ { "from": "human", "value": "Source: Patient: I am looking for a good internist for our daughter going to ole miss. We need one that she can see within a day do calling usually. We also need one that will listen to her. She has recurring bronchitis, upper respiratory issues. She needs to sometimes follow up repeatedly for the same issue, it is hard to break her cycles of fevers and symptoms in the cycle. We have seen pulmonary, allergist and ENT. She knows what works and is having a hard time getting anyone in Oxford to work with her. Mom Kim Doctor: if all the other options have been worked out you may think of food theoryasit says any food can react at any time at any age and it is not treated by medicines unles you withdraw that foodthe main culprits are milk wheat potato chana nuts egg ricestart with withdawing f milk and diary completely as they are animal proteins and they are not competible with human proteins and cause these problemsif you dont get response in 3 -4 wkget blood serum tests for foodspecific antibodies for milk wheat potato chana rice nuts egg and withdraw the foodsyour symptomps will reverse in few wkand till you can use medicine according to the symptoms as you have been doing already" }, { "from": "gpt", "value": "Target: Has recurring bronchitis and upper respiratory issues. Suggestions?" } ]

[ { "from": "human", "value": "Source: Patient: I have had severe pain in my upper and lower teeth for a week now and i havnt been able to get to the dentist. it started in my upper teeth a year ago and i believe i was mis-diagnosed at the dentists, i had swelling on my top teeth and a swollen painful lump that bled, this has disapearred and the pain has really kicked in now. i havnt slept for a few days the pain is that severe. Also white puss blisters have appeared on my gums, im very worried im only 18. please help Doctor: Hello and thanks for consulting HCM.As per your query it seems to be a case of irreversible pulpitis with periapical abcess .Infection has gone deep through your decayed teeth causing pain.Only medicines wont work. You must go for an endodontic treatment like Root Canal Therapy (RCT).Dont worry as the tooth can be saved and your pain and discomfort will also subside.I would advise you to visit a dentist for exact treatment plan.Takw careRegardsDr shesh" }, { "from": "gpt", "value": "Target: Suggest remedy for puss filled teeth blisters/lumps" } ]

[ { "from": "human", "value": "Source: Patient: rashI have a rash on both breasts which is spreading to my stomach, these bumps are slightly raised and peeling in the centre, as they get bigger the middle turns a yellow/brown with a big ring border, only itches if im hot? what could this be? thanks Doctor: Hello,Thank you for posting on HCM.It seems you are suffering from Tinea corporis, a kind of fungal infection.I would suggest you to consult your dermatologist for proper management of the condition.I usually recommend proper course of oral anti-fungal drugs like Fluconazole or Itraconazole along with anti-fungal cream like luliconazole for local application at bedtime. You can additionally use antifungal dusting powder containing sertaconazole during day time and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistaminics for itching as required.Maintain hygiene over those areas and avoid wearing tight undergarments.Hope your queries are resolved and wish you best of health.Kindly spare some time to rate my answer and drop your valuable review at the following link:https://urldefense.com/v3/__http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169If__;!!Mih3wA!SBzm6_kI6hCZ58EPH6N_05MFfiPbxWXT0a2TJCdFQObRWm5mV5ur7hW9rW0j8A$ you require any further assistance in future, you can reach me directly through the above mentioned link.Thank youDr Hardik Pitroda" }, { "from": "gpt", "value": "Target: What is the cause for rashes on breast spreading to stomach?" } ]

[ { "from": "human", "value": "Source: Patient: I had laprascopic surgery to remove my ruptured appendix 11 weeks ago. I have terrible apin around my naval radiating downwards. A CT catscan was done. My Doctor said there was inflammatory changes and gave me a prescription for antibiotics. What does INFLAMMATORY CHANGES mean? Thanks! Doctor: Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you. Inflammation is the response of the tissues to infection and injury. It is characterized by pain, swelling, redness etc. The CT scan would have shown swelling in that region which was why the doctor said there was inflammatory changes.I hope that answers your question.Let me know if I can assist you further.Regards,Dr.R.K" }, { "from": "gpt", "value": "Target: What do inflammatory changes mean?" } ]

[ { "from": "human", "value": "Source: Patient: I have been to 2 dermatologists here in Florida who are telling me to see a psychiatrist!!! I KNOW that what is going on is NOT In my mind. Our rental home (we moved in June of this year) was a filthy disgusting mess when we moved in. I cleaned with 2 pairs of gloves on that s how gross it was. Well, shortly AFTER we cleaned and had the A/C coil cleaned, we started having things falling from the A/C vent AND there are things in our water we see them pop up from the drain, we have lint that is prickly and causes picking sensations on our body. When you remove them from your clothing, they are a different color than when they were attached to the clothes. The ALL have a black or red or brown speck in the center???? Anyway, I NEVER felt like I was getting BIT rather I felt like I was getting picked , now...I am getting round burn marks. I knelt on my carpet the other day and got one below my knee . Then, yesterday sitting in the livingroom I got a stining on my arm and when I looked, there was a round burn like mark there now too.... what the heck ??? Do I have morgellons or something??? My Granddaughter who is 6 keeps saying Memah, I m getting bit but we can t find any bugs even at night which is when this happens more like @ 8-11 PM.. any thoughts? We are raising 3 of our Grandkids and NEED to know what is in this house and if it IS potentially dangerous.. Thanks. Lynda Doctor: theseare all allergies which started with the falling of waste materials from a/c outlets there are fungus left in ventilated material and that fungus continuos to grow and may be grown in water tanks and humid areas once fungus come it spreads and give symptomps you take antifungal tablet tab fluconazole 150 mgm once week for 3 months keep dry no sweating keep airy apply candid ointment night calamine lotion and mycoderm powder in day take antiallergic allegra if need be you have to monitor upto3 months" }, { "from": "gpt", "value": "Target: Prickly sensation on body, have burn marks due to objects falling from A/C vent. Morgellons?" } ]

[ { "from": "human", "value": "Source: Patient: I had a MRI and CT scan of my thoracic spine after which I was told that I have a mass attached to a muscle at the T6 level. The appearance favors a benign myxoma,fibroma, or hamartoma . Are any of these likely to grow and should I see another doctor for a second opinion and if so what kind of doctor? The doctor that did all this testing is a neurologist. Should I see another neurologist or go straight to a surgeon? Doctor: Hi, I had gone through your question and understand your concerns. All three tumors mentioned are benign and affect mainly muscles. Myxoma is found mostly in the heart.All three tumors have a low probability, but present, to be aggressive, so if you have moderate to severe symptoms, I suggest surgery and after biopsy result close follow up. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions." }, { "from": "gpt", "value": "Target: Suggest treatment for a spinal condition" } ]

[ { "from": "human", "value": "Source: Patient: i have sex right after my period ended , but he did not ejaculate inside me and only an inch of his penis inside my vagina but i m afraid of pre-cum. so i take the Postinor-2 pills after 38hours having sex and another pills after 12hours as intructed. Today is the fifth day since I’ve taken Postinor-2 pill, I experience a stomach pain especially when I press down into the part of my reproductive system and sometimes it also hurts when I don’t even touch it, I also experience lower back pain and I try checking my cervical mucus and it appears to look like paste+unstretchable+white with transparent fluid, I also experience headache sometime but I don’t experience nausea, breast tenderness ,fatigue etc. am I in risk of pregnancy? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. No chance of pregnancy. Your symptoms are side effects of I pill and may be having infection. You can get a gynaec check up to rule out any infection. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Is pregnancy possible despite taking Postinor 2 after intercourse?" } ]

[ { "from": "human", "value": "Source: Patient: my mum has had bowel cancer, she had n operation and they were satisfied that they removed all the cancer, thet said it was dukes b. but 3 months later they have now said she has the cancer back but its in the abdominal wall she is getting radiotherapy for this, i want to know what stage will her cancer be now and what is the outlook for her as noone seams to be saying very much please can you answer my questions please Doctor: Hi, dearI have gone through your question. I can understand your concern.She has history of bowel cancer. Now your cancer spread to the abdominal wall. It is considered as stage 4 cancer now. Surgery is not possible at this stage. Chemotherapy and radiotherapy is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health." }, { "from": "gpt", "value": "Target: Suggest remedy for recurred cancer in abdominal wall" } ]

[ { "from": "human", "value": "Source: Patient: I was very desperate for a job and had unprotected sex with a guy who promised me a job on the 7th of March 2014, I took morning after pills on the 8th March, first day of my last period was on 16 March (of which I was convinced the pill worked). I then had unprotected sex again (after my period) with my boyfriend several times but don t recall the dates (somewhere from March 10) . I found out I was pregnant on the 10th of April and went for an ultrasound on the 30th of April, my Doc said I am 7wks 5dys preg. How accurate could that be as I believed at the back of my mind that I am between 5-6wks pregnant. Could it be possible that the pill didn t work? I m scared and confused that it might not be my boyfriends. Please help. I am losing my mind and can t seem to not stress about this mess I put myself in. I also have one more concern please, my period was normal as it lasted for 4-5days, *sigh* my boyfriend and my mother know about the pregnancy as we (my boyfriend and I) were pretty much planning to have a child together but the ultrasound dates just really gave me a huge slap on my face. The ultrasound based on the measurement of the embryo showed that my due date is on December 12, 2014 (my doctor didn t ask me when my last period was) I am also a bit confused about two other things as well - the first one being when I use the due date calculator by sonogram (reverse calculation) it says that I conceived on March 21, (how long does it take to conceive after sex) then the second calculation based on my first day of LMP which was March 16, shows that conception date was March 30. Am I chasing empty pavements or none of this changes anything? I had a miscarriage last year and really wanted a baby but not that of a man I don t even love. Doctor: DearWe understand your concernsI went through your details. Sperm life within moist vagina is upto 48 hours. If sperm cell could not find a way into the ovum, within this 48 hours, the sperm cell dies. Sonogram shows the growth of the embryo and it could be possible that the embryo had grow a bit more faster than usual. That happens in many cases. The tentative delivery date is calculated based on the general arithmetic and assumption, but there are techniques like this too. I don't think you have anything to worry about the current scenario. Doctor said 7 weeks and your calculation is 6 weeks. The matter of 7 to 10 days tolerance is normal. Note that almost every pregnant women give birth at least a week or more before the tentative delivery date. Don't worry. You may talk to your doctor in detail. Don't be shy and afraid to talk to your doctor and clarify your doubts. Take care.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck." }, { "from": "gpt", "value": "Target: Will there be difference between sonogram calculator and LMP for conception?" } ]

[ { "from": "human", "value": "Source: Patient: I slipped while climbing into my semi truck hit my face on my seat real hard and hurt my ankle. It hurt for a second and then the adrenaline took over and my ears were ringing and I felt like puking and my vision got white and thought I was going to pass out. I sat in truck and it started to mellow out. Now I feel nautilus still and sick runny nose and congested. Ears still ringing a bit again and it s been 10 hours since. Feels like my incident knocked a bug in me or weakened me to were a bug I already had could take affect. Don t know if I gave myself a mild concussion from hitting my face whipping my head back either. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. For your symptoms you need to undergo an urgent CT Scan head to rule out any internal serious head injury .Then you should consult neurosurgeon. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest treatment for mild concussion" } ]

[ { "from": "human", "value": "Source: Patient: hai i am suffering from pigmentation for long time i used many expensive cream and also used aloe vera gel morning and evening for 6 month but it was not effectable on my face my problem is as it is but some days before i heared about pandrem plus my friend also suffering from pigmentation i advised her to use this pandrem pluse she used this ceam regulary for a week and now her face is so clean.i also now want to use this product plz advise me its good or not for my skin.my skin is normal to dry Doctor: Hi,Welcome & thanks for posting your query to HCM.After reading your query it appears that you are quite stressed regarding the problem of pigmentation and you want use the cream told by your friend.I am really surprised to see that how can we do injustice with our skin and faces without even knowing the good or bad effects of any chemical agent. The cream told by your friend contains strong steroid in it. These steroids are known to produce dangerous side effects if not used in proper guidance. Every chemical agent have good effects in good hands and the same can prove disastrous if not used properly under medical advice.It is practically injustice to use this cream or anything available in market without proper guidance. This needs a proper evaluation and then under proper follow up with a dermatologist to use any kind of creams or related things on your face. I suggest you to kindly meet a proper dermatologist for best of the suggestion and treatment else you can send your detailed query to our forum where a team of renowned doctors will help you out in your problem.Hope this information helps.Dr Sanjay K KanodiaMD (Dermatology)" }, { "from": "gpt", "value": "Target: Having pigmentation for a long time. Tried many expensive creams. Not helpful. Is pandrem plus a worth try?" } ]

[ { "from": "human", "value": "Source: Patient: I have a pain in my left side above my thigh.think I strained my self reaching.had this a few days now...will it go away with out meds.I take 2 tynol extra strength before bed n sleep good.the pain seems to come on at night but its ok during the day.any suggestions doc. Doctor: hi,thank you for providing the brief history of you.A thorough clinical Musculoskeletal assessment is advised.As you have pain in thigh region and you feel you have strained your self this could be muscular. As the pain comes in the night , this will be totally fatigue induced pain. As during the day time the metabolism is pretty active and brain is occupied with end number of thoughts so pain might not cause trouble. So initially the pain is in the night which will go off on its own in 5-7 days of time if it is related to DOMS.Also, if the pain doesn't go in 5-7 days of time and troubles with the change of nature into Radiating, numbness and tingling sensation , a thorough clinical neuromuscular assessment is needed to understand further.Ofcourse when you take medicine than pain will come down as it will work on the pain gate theory and needs some time to see if without medicine pain reduced.Also, later stages performing some regular exercises will help improve the strength in the muscles and avoid recurrent pains.in my clinical practice we recommend such patients to get treated with physical therapy as it will improve the strength in the muscles and avoid future pain and aches.RegardsJay Indravadan Patel" }, { "from": "gpt", "value": "Target: Suggest treatment for pain in thighs" } ]

[ { "from": "human", "value": "Source: Patient: My son is an inmate and he has a work detail on a trash truck..I haven t had a lot of money to send him and he has been some food out of the trash cans that are covered and he has had dysentery for a week ..the last time I saw him he was a yellowish color and I am very worried because he has lost a lot of weight..what do you think he could have? Doctor: Hello,Thank you for your question and welcome to Health Care Magic. I read your query and I understand your concerns.The description you are making, makes me suspect of jaundice, also referred to as icterus, which is the yellow staining of the skin and sclerae (the whites of the eyes) by abnormally high blood levels of the bile pigment, bilirubin. Except the yellowish color and weight loss, does your son have any signs or symptoms, in order to make me easier helping you? The lifestyle of your son makes me suspect of hepatitis, which could be type A due to the ingestion of infected food, hepatitis B or C if your son has had unprotected sex or injected drugs. With such a presentation on my clinic, I would perform at least liver function tests, complete blood count (CBC), electrolyte panel, lipase levels, and urinalysis. Blood testing for exposure to hepatitis may also be ordered. Additional blood testing may be ordered based on the initial results. Depending on the results of initial blood tests, further studies may be needed to help diagnose the underlying disease process.Hope I helped with my answer. For further concerns or follow up questions feel free to ask again.Kind Regards,Dr. Ina" }, { "from": "gpt", "value": "Target: What makes the person look yellow in color with weight loss?" } ]

[ { "from": "human", "value": "Source: Patient: hi i am 31 yrs old and my husband is 32. we r indians living in dubai.my height is 161cm and weight is 59kg. we r married for 4 1/2 years with no child. i have 2 fibroids 4cm in diameter each . the doctor has said its distorting the uterus. my husbands sperm count is 17 million . we had been to an infertility splst who earlier did 2 iui but failed. she advised us to do ivf but she told with fibroids there is less chance of sucess but she is like there is no need to treat the fibroids . but we went to a doctor for a second opinion and she told us about the pressing of uterus bcoz of fibroid and also said abt ovary cyst present. earlier i had no cyst diagnosed. she advised me for a laproscopic myotecmy. the surgeon whom i went also repeated the same diagnosis. the fibroids r subserous. since its costly in dubai to do lapro we r considering to do it in india. should i do this or go for an ivf directly. please advise. Doctor: Hello,Welcome to Health Care Magic.Thanks for writing.I am Dr.Nitasha Khan. I have read you question completely, i understand your concern and will try to help you in best way possible.infertility is very common nw a days but it is also treatable you are lucky you just have fibroids whch is treatable and a very common condition frm my experiance females with fibroids cncieve children but since you have 2 of thm and thy wil increase in size if you cncieve so the best treatment plan for you is to under go mymectomy and remove the fibroids and also laproscopic has les risks when you remive thm your chances of ivf wil increase and you wil cncieve with these fibroids there is a chamce that these fibroids might cause prov and fail ivf .......so its bettr to do it frst also india has very good hospitals go for it u wil be fine .....and cncive I hope this answered your question.If you have more queries I am happy to answer.Otherwise rate and close the discussionRegards.Dr.Nitasha Khan" }, { "from": "gpt", "value": "Target: Is lapriscopic myotecmy best option for issues with infertility?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter was brought into the emergency room last night because she was running a fever of 103. After the doctor looked over her, he found a slight ear infection, so he prescribed antibiotics, and said to give her tylenol every 4 hours which we are doing, but as soon as the tylenol wears off, especially in the evening her temperature goes back up, i'm not sure whether we should be worried or if her body just needs another 24 hours to let the antibiotics work, and that's why she's still running a fever. Doctor: Hello. I just read through your question. typically, when a child has an illness that produces fever and antibiotics are prescribed, we expect the fever to last another 2-3 days before resolving. This means that what you are observing in your daughter is not unusual. You can continue to use the tylenol. if the fever persists beyond a third day, i recommend having her re-examined." }, { "from": "gpt", "value": "Target: Suggest remedy for persistent fever due to ear infection" } ]

[ { "from": "human", "value": "Source: Patient: Hi I am 3 months pregnant.I am suffering from sever constipation.My gyno gave me salt of magnesium,and asked to take 4 teaspoons before dinner, it was on 18/08.2010.today it is friday and i took medication only on 18th.from that time i m having loose motions after every 1 or 2 hrs till evening,at night it happens before i go to bed and not that frequently.I am having lots of pain in the hole from were we pass stool.please help Doctor: HiI have gone through your complaints.you are having constipation.first it needs to be corrected otherwise anal pain treatment wil be temparory only.advised to take plenty of water,green leafy vegetables.avoid bread & biscuits.start exercises like walking.for anal pain ,if severe advised to insert lignocaine jel,or sit in luke warm water in tub.both wil releive pain.best thing is to prevent constipation.Thank youRegardsVadundhara" }, { "from": "gpt", "value": "Target: Suggest treatment for anal pain during pregnancy" } ]

[ { "from": "human", "value": "Source: Patient: hi i had a query about soy isoflavones . Lately i have read a lot of good stuff about it and claims that it is a natural form of clomid. Although i have no problems concieving , I have two kids both concieved in the first try ,i really have my heart set on having twins this time around . I want to know if taking soy isoflavones for the 5 days during my cycle help and increase my chances for twins......also i would like to mention that there is no history of twins in any of our families. Doctor: Hi, Thanks for the query. I understand your concern. Clomid is a drug which leads to stimulate follicular stimulating hormone FSH from pituitary gland .. stimulates maturity of follicle ( higher dose of the medicine can cause maturity of multiple follicles & cause twins/ triplets/ quadruplets & so on) .. These follicles secretes estrogen .. & on full maturity of ovum... estrogen stimulates Leutinizing hormone secretion by pituitary gland which is responsible for ovulation. Soy isoflavone are known to help in estrogen production by body ... & thereby helps ovulation. Somehow it is not proven to influence FSH secretion by pituitary for more follicles to mature... Some how Isoflavones action is unpredictable in this respect... so it's not sure to cause twin or triplet pregnancy like Clomid. In case you are willing for twin pregnancy you should consult a gynecologist & use either clomid or IUI for increased chance of success Thanks." }, { "from": "gpt", "value": "Target: Does taking soy isoflavones during the cycle increase chances for twins?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here.. hi I had my baby 6mos ago by c-section. This was my 3rd c-section. For the past 1 month i've been having this dull pain in my upper back. Is this related to my pregnency? Doctor: Welcome to HCM,I had gone through the case and found that it might be due to calcium deficiency.So take calcium daily for 3 months and take proper healthy diet with milk.After delivery back pain is normal so do not worry and follow my advise.Hope my answer will be effective for you.thanks" }, { "from": "gpt", "value": "Target: What causes pain in upper back after 3rd c-section?" } ]

[ { "from": "human", "value": "Source: Patient: Hi.. GM. I am having head scalp psoriasis @ moderate to severe level. Only in scalp area. It is frequently developing even if I shampoo and clean my hair daily. Itching is also there. Pl suggest me a remedy with medical treatment that has no side affects. Thanks,. mn n Doctor: Hi... Psoriasis can affect skin,scalp, nails and bones. As you are having scalp psoriasis moderate to severe variety first try with topical application of solution containing clobetasol and salisylic acid and apply twice daily which will remove scales. Use shampoo which contains coal tar with salisylic acid or containing steroid which also helps in it.To relieve itch take antihistaminic tabs.With this if you dont find any improvement then you have to take methotraxate tabs in pulse doses start with 7.5mgper week but after thorough investigations done.if you still don't find improvement contact me further." }, { "from": "gpt", "value": "Target: How to treat head and scalp psoriasis?" } ]

[ { "from": "human", "value": "Source: Patient: Hello doctor my name is preethi 32 years old married since 8 years v have no issues now my gynec got done thyroid and fsh test done she said my fsh is at higher side it is 15.67 so i have to go for ivf i had brain hammarage last 5 years back am on antiepileptic drugs what if fsh is bit higher side am scared pls explin me Doctor: FSH is follicular stimulating hormone...it works to make the follices grow inside the ovary..if it is high, then the development of more folicles might take place. Take a second opinion from a renowned gynecologist to ask the further line of treatment for your condition." }, { "from": "gpt", "value": "Target: Women and health" } ]

[ { "from": "human", "value": "Source: Patient: My ankles are swollen and have been for five-six days. I have developed what looks like a rash around both ankles. The rash does not itch, it isn t raised, it isn t painful. I have sprayed insect repellent where the rash has developed. Was wondering what I may have. Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, first do not use insect repellent on the rash, just take some rest, keep your legs on pillow and elevated, you can take antiallegic medications, and let the symptoms vanish. hope the things get fine early.I hope that answers your query. If you want any more clarification, contact me back.ThanksDr Narender Saini" }, { "from": "gpt", "value": "Target: What causes ankle swelling and rashes?" } ]

[ { "from": "human", "value": "Source: Patient: dear madam/sir i am 24 yrs old 4 days back i had sex wit my fiancy i sapose to get periods on that day but i dint get yesterday i got only single drop bleeding i am getting fear can you plz sujjest me what best i can do now any tablets to get periods ...plz sujjest me thank u Doctor: Hello,I have gone through your query and understood the concern. Since you had the intercourse just around the time of your period, you cannot get pregnant as ovulation occurs two weeks prior to the onset of the cycle. The cause of this abnormal cycle most likely is stress. Please wait for a week after your due date and if you do not see a normal period even after this, get help from an expert to regularize your menstruation. There is no need for any medication as of now. In future, if you wish to continue sexual relationship, please use regular contraception. Hope this helps." }, { "from": "gpt", "value": "Target: What causes stoppage in periods?" } ]

[ { "from": "human", "value": "Source: Patient: What can be reasons for low hemoglobin in man of 65 years old ? Doctor: Hi.. Low hemoglobin can occur due to malnutrition, blood loss, infection affecting hemoglobin production, tumours and so on... The exact cause can be made by doing a few investigations.. Consult your doctor now.." }, { "from": "gpt", "value": "Target: What can be reasons for low hemoglobin ?" } ]

[ { "from": "human", "value": "Source: Patient: my legs between my calf and ankle are a red purple colour, like chicken legs. They are itchy, hot, very tender and and swollen, and have been like this for well over a year. Left leg the discolouring goes 20% around, the right leg the discolouring goes all the way around the leg. The skin is very thin and shiney. My legs fill up with water and I need to take strong diuretics on occasion to empty my legs I have had varicose vein operation on both legs about 15 years ago. I am over weight and dont exercise much as I have severe back pains due to a fall many years ago. Any thoughts? Doctor: Hello, Consult a general surgeon and evaluated. We have to rule out possible causes like vasculitis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: Why are my legs between my calf and ankle reddish purple colored?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter is 6 years old and she has been wetting herself in school everyday. I ve talked to her, restrict her beverage intake to nothing after 8 pm, and sometimes she is dry in the morning and sometimes she is wet. What else should I do to keep this from happening? Doctor: HI your child may be having a problem referred as Incontinence because she had daytime wetting also according to your history.Having intermittent bed wetting can be there in 2-5% of the children which will decrease gradually with the measures your are following.But, please consult a pediatric nephrologist /urologist as it needs more history and examination to pinpoint the cause.Happy to help you further if you can elucidate the complaint further as I will be treating this complaints in my clinic.Thanks" }, { "from": "gpt", "value": "Target: Suggest remedy to deal with uncontrolled urination problem in 6 years old child" } ]

[ { "from": "human", "value": "Source: Patient: I recently went to the er 2 days in a row due to low back pain that radiated into my left hip, and down my leg into my knee and foot. The pain was radiating my whole left side was swolen. i also had and still have pain and swelling in my shoulder and elbow as well. One ER doc said it was siatica, and the other said all he seen on the hip xray was little spots from my pain management injections that i have never recieved! When i told him that I had not recieved injections he just got rude and said yea ok??? Ive had the pain for sometime now, and it does get more severe durring the week of mother nature. Where the left hip socket is located the is an indention forming and you can feel little bumps under the skin, and is even more painful to the touch. He had alot of fun poking on it and making me cry and squirm saying that it was scar tissue from cutting myself there, WHICH I KNOW I HAVENT DONE. I take hydrocodone 10/325 daily and i explained to him that i had plenty, didnt want his pain meds that my mission was to find the underlying cause so that i wouldnt have the pain. The hydro..... takes the edge of but i am still experiencing a great deal of pain. My husband warned me not to go that i would be mocked and treated like a pain med seeker, but I would like to think that a patient can have pain and really want/need a diagnoses rather than the need to mask the pain. Both ER docs gave me toradol which made things alot worse in the long run on my stomach and intestines as I have a pretty harsh case of crohns disease and have had a bowel resection. My obgyn made some since he said it appeared to be osteo setting in. They made a referral to a pain mang dr and a rhumatologist but neither can see me untill the end of july. I have a 1 and 2 yr old need help alot sooner than July.......Please any suggestions i am desperate Doctor: Thank you for the question.I would suggest you see a physical therapist in meantime as you wait for pain/rheumatologist docs.i would recommend lumbar traction for 10 days, massage with Kati basti(an ayurvedic oil)applied for 30 minutes after heating/alternatively Relaxyl gel for local application after hot fomentation. Avoid lifting and bending, lie in most comfortable posture on firm matress.Take neurobion forte tab once daily for 3 weeks and a short course of Voveran Sr 100mg once a day for 7 days" }, { "from": "gpt", "value": "Target: What causes low back pain radiating to left hip and leg?" } ]

[ { "from": "human", "value": "Source: Patient: Hello. My name is Gary, and I had a skeletal survey done on 3/13. I have Multiple Myeloma, and have been having tightness, cramping, and soreness in my thighs, backs of my legs, and calves. I was glad to find out that there are no new lesions, but the report did say that I have vascular calcification in the soft tissues of the thighs bi-laterally. I am not overweight, and have never had any issues with vascular problems, or blood flow. Could this be causing the discomfort in my legs, and what does the report mean? Thank you, Gary Doctor: I understand your case and your fears about the expected surgeries. Avascular necrosis of femeur head is difficult complication which need orthopaedic surgeon expert on this subspeciality. I advise you to visit your doctor and do his instructions even if there is major surgeries should be done." }, { "from": "gpt", "value": "Target: Is vascular calcification in thigh causing leg discomfort?" } ]

[ { "from": "human", "value": "Source: Patient: I have a pea size lump on the back of my calf. Sort of in the muscle fibers. It's about 2 inches above my Achilles' tendon. I limp when I walk because obviously the muscle flexes and loosens. I can feel one developing on the other leg in the same spot. It's also making my leg ache. Doctor: Hi! Good morning. I am Dr Shareef answering your query.If you are an over active sportsperson, you might have developed a small hematomas by rupture of the muscle fibers. In this case you may have to give enough rest to the limbs so that they get absorbed, and relieve you of your symptoms. Also you should stop any kind of blood thinning agents if you are on it. However, before starting any treatment, I would advise your to get yourself clinically examined by your family physician for a proper diagnosis and management. Till that you can go for some anti inflammatory drugs, along with a proton pump inhibitor drug to get some symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef." }, { "from": "gpt", "value": "Target: What is a lump on the back of my calf?" } ]

[ { "from": "human", "value": "Source: Patient: I am curious as to why my son, who is just getting over a week long battle with his first gastro-intestinal virus, has suddenly completely changed his personality. I just keep hoping he\"ll get back to normal, it\"s been a week and 2 days since the first vomit struck. Appetite is very poor and he is being very nasty (he's only 3) Any advice?? Doctor: HI, thanks for using healthcare magicA loss of fluids and electrolytes as well as weakness from the illness itself may be causing the change noted.He should return to his normal self when he has fully recovered.His appetite will return as he continues to get better, it would be important to make sure he uses enough fluids even if he does not want to eat.I hope this helps" }, { "from": "gpt", "value": "Target: How to treat gastro-intestinal virus infection?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter age is 3 years old and just about 2 feet, we did xray recently and found in report mentioning below.1) some haziness RT in paracardiac region2) Small patch in LT in Retrocardiac region could you please explain for the above and its something to worry aboutThanks Doctor: Hello, It can be a consolidation due to pneumonia or other respiratory infection. Most cases respond well to antibiotics. Vonsult a paediatrician and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family physician" }, { "from": "gpt", "value": "Target: What does haziness paracardiac region suggest?" } ]

[ { "from": "human", "value": "Source: Patient: am 42 female suffering for the last 6 months with i asume is anal fissure where my skin on the side of my anal area is sore and itching and very dry and can't stop scratching it which causes it to bleed. what can i use to prevent this as this is very embrassing. Doctor: Hi,From history it seems that there might be having some local skin infection like dermatitis or having yeast infection.Apply triple action cream locally after proper cleaning.Take Cetrizine medicine for itching, this will help healing of local lesion by stopping itching.Keep local hygiene clean, dry and airy.Ok and take care." }, { "from": "gpt", "value": "Target: Suggest medication for sore, dry, itchy anal area" } ]

[ { "from": "human", "value": "Source: Patient: Hi I have horrible dental hygiene , havnt been to a dentist in 5+ years. I have a tooth that is basically like a bowl meaning the inside is gone and the outer walls remain. It has been hurting on and off the Past few weeks and this morning I woke up with a swollen jaw/cheek, and when you feel my cheek it is hard near jaw line. It s also numb when I move my mouth. I don t have a dentist, what should I do and is there any home soothing method, thx. Doctor: Hi, Thanks for asking the query , As described by you , your tooth is badly carious and the infection had spread to the surrounding periapical tissues . You need to visit to the Dentist and get check up done . Take an x-ray of the tooth . If you delay the treatment the infection will further spread to surrounding jaw bones spaces leading to space infections. At home take saline water gargles 3-4 times a day . Maintain a good oral hygiene . Use 0.2% of chlorhexidine mouthwash gargles twice daily . Take tab Flemiclav three times tab Dolonex three times for 3 days . Get complete mouth scaling and polishing done . Hope this helps out . Regards...." }, { "from": "gpt", "value": "Target: Having big cavity in tooth, horrible dental hygiene. Painful, swollen jaw. Numbnesss in mouth. Solution?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter is on amoxicillin for an ear infection and she hasnt had many dirty diapers for about 2 days now. For example, last night I gave her a bath after she peed around 8pm and she didnt pee again until 11 this am. She cries a lot more than normal and her naps seem to be longer than usual. What should I do? Doctor: Take care of her fluid intake and feeds. May be she has slight fever and her intake is less causing these symptoms." }, { "from": "gpt", "value": "Target: Can antibiotics affect urination and stools frequency?" } ]

[ { "from": "human", "value": "Source: Patient: i'm female, 27yrs old. 60kg and 165cm. ihave 3 child (4yrs, 2yrs and 8month baby) i have hairloss so i do the blood test, my blood chemistry result : Glucose (fast) 80.5 mg/dL; Haemoglobin 13.3 gr%; Hematocrit (pcv) 41%; Gamma GT 122.8 U/L; SGOT 156.3 U/L; SGPT 278.8 U/L; Total Bilirubin 0.8 mg / dL HBsAG Non-Reactive; Anti-HBs Non-Reactive; Anti-HCV Non-Reactive; Helicobacter Pylori lgG also non-Reactive; Pancreatic Amylase 168.3 U/L; Creatinine 0.6mg/dL and urea 23.2 mg/dL. so what cause of my GGT, SGOT, SGPT and Pancreatine Amylase so high?? and how to treat this problem? Doctor: Hi welcome to HCM...Let me know you your history suggesting towards pancrease problem like pancreatitis....Perform USG or CT like investigation for look for hepatobiliary system...CBC also done ....For pancreatitis if acute, food not taken for few days to rest pancrease and in chronic case low fat diet taken along with pancrease enzyme supplement....If needed ryle tube inserted....Symptomatic treatment done with iv fluid and antiinflammatory drug...If gall stone present then surgical removal needed....If pancrease affected secondary to stone by bile duct obstruction then ERCP done ....Meanwhile fruits given more and fatty and outside food less.Alcohol avoided...Consult surgeon and discuss all this with him...Take care" }, { "from": "gpt", "value": "Target: Suggest treatment for high result in ggt,sgot,sgpt,pacreatic amylase" } ]

[ { "from": "human", "value": "Source: Patient: Today s ultrasound impressions Single live intrauterine gestation of 19 weeks 1days Isolated choroid plexus cyst lateral ventricle (4mm).no evident congenital anomalies seen Cervical length 4.2cm.internal is closed Sir now I am 21yrs and it is my first pregnancy ...is there any problems?? Doctor: Hello,Your antenatal ultrasound is perfectly normal and there is nothing to worry in it.There is no congenital anomalies or other problems for your babythanks" }, { "from": "gpt", "value": "Target: Is an isolated choroid plexus cyst in the lateral ventricle of the fetus at 19 weeks a cause for concern?" } ]

[ { "from": "human", "value": "Source: Patient: Age-40yrs/10mts, H-5.5ft, W-67kg, i'am a type 2 Diabetic patient and am suffering from the year 2007. I'am planning to increase my family but still there are no results. I consulted with the Doctor and was later asked to do a Semens test on Sperm count. My sperm count has become very less (14mil). Doctor has prescribed me some medicines but at the same time told me that the count is very less and far below the required rate for reproduction. But through some sources i came to know that there are some possibilities to increase the quantity and quality of sperms with the advice of a specialist/consultant Doctors. Please may i request you for your favorable reply. We have a gap of 8yrs. now from the 1st child. Doctor: medications rarely increase the sperm count and quality.. but you need to know that cigarette or weed smoking lead to sperm count reduction.. if you dont smoke tou should consider having an IVF cycle" }, { "from": "gpt", "value": "Target: Suggest medication to improve the sperm count" } ]

[ { "from": "human", "value": "Source: Patient: i have been masturbating since i am of 11 but now i am of 13 and i used to do over-masturbating like 2-3 times a day and now i can feel its side effects like i feel tired all the time,fizzy vision , hair loss ,lower back pane ,and i can t concentrate on my studies and height has stopped and at the age of 10,11 i had a shine on my face but it has all gone my skin has become some how darker than before and i had memory loss .can you tell me how to overcome its effects without any medical treatment or herbal treatment or any pills Doctor: Hi, Welcome to Health care Magic. I have gone through your query. All the problems you have been facing are definitely not due to masturbation. Masturbation is a common thing and 90% people do masturbate. 2-3 times a day is also not over masturbation. Masturbation does not cause fizzy vision, hair loss, low back pain and dark complexion or growth retardation. The memory loss you have been experiencing is due to lack of concentration and exhaustion. If you have too much erotic thoughts try to control yourself by keeping yourself busy in other activities like laying or interacting with your family memebrs. Try to meditate atleast 15-20 mins a day. Feeling tired and fizzy vision and loss of glow in face could be due to improper diet. Firstly be comfortable with yourself. Do not think something is abnormal with you. All the changes you are feeling are due to hormone changes that usually occur at your age. Take lots of fresh fruits especially citrus fruits and bananas. Take fresh leafy vegetables and carrots. Use almond oil for your hair ( it is rich in Vitamin E) If you are a non vegetarian take chicken or mutton liver( atleast once a week, egg ( Daily) to imrove your memory power. You do not require any medicines a good diet and some quality time either with your family members or friends would be enough. Hope you got my point. Wish you healthy life ahead. Take care" }, { "from": "gpt", "value": "Target: Herbal and natural treatment for masturbation addiction" } ]

[ { "from": "human", "value": "Source: Patient: Our 5 year old is having bad stomach pain since this this morning. She threw up (vomited) all the food she ate and pain got a little better but now it is coming back. She is lying down and running 99 fever.. Please help wiht some advice.. Shall I take her to emergency ? Doctor: Hi,Thanks and welcome to healthcare magic.Pain, fever,vomiting specially if pain is on the right iliac region, it needs immediate consultation at ER.Otherwise you may try paracetamol 15 mg/kg /dose to control fever.Ondem syrup to control vomiting and Cyclopam syrup for control of pain may be tried for 1-2 days.If no improvement better consult pediatrician .Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam." }, { "from": "gpt", "value": "Target: Is consulting doctor required for stomach pain, vomiting and fever?" } ]

[ { "from": "human", "value": "Source: Patient: sir,,,i will be 17 yrs this MAY....but my height is only 5 2 sir....i am very disappointed....i want my height at least 5 6 to 5 9 at best.....i dont know what to do.....plz tell me if there are any exercises or any steps for me....in fact my weight is about 70 kg....plz help me sir Doctor: you can consider maintaining healthy diet rich in calcium..zinc ..and vitamin D You can get vitamin D from foods such as fish, mushrooms dairy products, eggs, pork, alfalfa, and tofu or by getting adequate sunlight exposure.sleeping well and exercising is important..swimming..hanging..stretching and basketball...your body can still grow longer till 21 years old..do your best you have 3 more years" }, { "from": "gpt", "value": "Target: How to increase height?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Doctor my age is 19 n half..my height is 5'6\"....n it has been stopped from last 2 years ..but now not grewing...i heared very much about HGH humane growth harmone which starts remaining inches in u r body...please suggest me a good HGH medicine which i use...THANKS Doctor: thank you for query.I do not recommend any hormones.natural is best.You can try with exercises like skippingpull ups swimming etc.Have a balanced diet rich in proteins vitamins and minerals.It also depends on heredity." }, { "from": "gpt", "value": "Target: How to grow taller?" } ]

[ { "from": "human", "value": "Source: Patient: My husband has been developing muscular weakness for over a year, he had shinles a year and ahalf ago. He has had flu, and a bout of bronchitis. It started with thigh muscles, now his arms also feel heavy and numb. Is this post herpetic neuropothy, or a muscular disease? What Dr. Should he see? Doctor: Hello and welcome to HCMI have read your query I hope this will helpYes shingles can cause muscle weakness in form of a POST HERPETIC MOTOR NEUROPATHY along with alot of other Central nervous system complications...From the history provided by you as he is also having numbness I think POST HERPETIC NEUROPATHY is more likely than a muscular problem..I will advise you to take his problem seriously and consult a NEUROLOGIST have his NERVE CONDUCTION STUDIES done and proceed accordingly..RegardsDr faeza" }, { "from": "gpt", "value": "Target: Does shingles cause muscular weakness?" } ]

[ { "from": "human", "value": "Source: Patient: My wife had taken mifepristone 200mg in the morning and taken the misoprostol 400mg oraly at night as directed by the physician on the same day, She is having abdominal pain and headache and little amount of bleeding also. Is that any sever problem? .....taking both pills on same day? Doctor: Hi,It may not be harmful but it may decrease their efficacy. The side effects of vomiting, bleeding and spotting in women who received misoprostol on the same day is significantly less compared with women who received misoprostol 48 hours after the mifepristone. However, taking mifepristone and misoprostol on the same day may not be effective at causing abortion within the first 24 hours compared with the standard time interval of 48 hours between medications.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician" }, { "from": "gpt", "value": "Target: Is taking mifepristone 200mg and misoprostol 400mg same day harmful?" } ]

[ { "from": "human", "value": "Source: Patient: I have a sore on my right breast. It is lower right side. It is slightly larger then dime. It sometimes looks like a bruise but then It gets a yellowish head on it, and then (i know I shouldn't squeeze it but I do) a yellowship thick dishcharge comes out. I have put neosporin on it but it will not heal... my breast feels heavy and hot to me. Doctor: HiThis sounds like a staph infection and topical antibiotic cream isn't enough for it.You need to see a doctor for a course of antibiotics like Septra DS" }, { "from": "gpt", "value": "Target: Suggest remedy for soreness in right breast" } ]

[ { "from": "human", "value": "Source: Patient: Hello, I'm asking on behalf of my girlfriend. She's been experiencing sore nipples and cramps at times while on birth control. She's been on it for several years now and we have sex regularly. What might be the causes of this? She's not due for her period for another week Doctor: Hello,Thanks for trusting us with your health concern. Experience of sore nipples and occasional cramps is a side effect of hormone contraception. However, if she never experienced these while on the pill all these years but only during this cycle, you must check for the possibility of failure. To detect early, you can go for the estimation of the serum beta-hCG titres a few days later. If positive, please see a specialist for further management. If negative, consider this as a normal phenomenon and wait for the next period. Periodical follow up is necessary while on hormone contraception to monitor hepatic, cardiovascular and coagulation profiles. Hope this helps." }, { "from": "gpt", "value": "Target: Why is my friend having sore nipples and cramps while being on birth control?" } ]

[ { "from": "human", "value": "Source: Patient: My 17 year old daughter who is not & has not been sexually active, informed me last night she s had bleeding going on for 2 weeks and its not from her periods which are regular. The bleeding is significant and when in her urine and stool, bright red. I have made an apt tomorrow for her primary. Very concerned, we lost our 34 yr old cousin in October to stage 4 colorectal cancer. Doctor: HIWell come to HCMI really appreciate your concern this could be menses blood only and nothing to worry about this, looking to age of your daughter this is not the cancer and this is just out of question, hope this information helps, take care." }, { "from": "gpt", "value": "Target: Is blood in stool and urine signs of colorectal cancer?" } ]

[ { "from": "human", "value": "Source: Patient: I have had some just pain after an exercises couple days ago. I went cardiology and he send me couple tests. CBC,conoray CT,and sterres test. I have done all and I am going to see him next week. In the mean time I feel very dizzy and nauseous. Can you help? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. For relief of dizziness, you can take betahistine capsules; and for relief from nausea you can take ondansetron tablets. However, you should remember to get evaluated by the doctor, if symptoms persist. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes dizziness and nausea?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I'm 28 years old and I am 25 weeks pregnant! My last bllod pressure reading was 140/80. My normal blood pressure reading is usually 120/80. I have no swelling and no protein in my urine but I was obese before pregnancy and have only gained 3 kg so far. I'm being very careful with what I eat. Should I worry? Is it considered high? Doctor: Hello!Welcome on HCM!I passed carefully through your concern and would like to explain that actually we cann't conclude on high blood pressure based only on one single value. Furthermore, 140/80 mmHg is considered a borderline value (systolic component) and actually there is no need for antihypertensive therapy.Considering your overall clinical conditions are fine (no excessive weight gain, no edema, no renal impairment) there is nothing to worry about.You just need to frequently check your blood pressure values, renal function tests, complete blood count, body weight and consult with your attending physician in case any abnormalities become present.Wishing you all the best!Kind regards,Dr. Iliri" }, { "from": "gpt", "value": "Target: Suggest treatment for high blood pressure" } ]

[ { "from": "human", "value": "Source: Patient: Hi... I had iui on Wednesday 5 th February ... It s now 7 days post iui... I ve been having back pains/cramps on and off the last few days.. Had menopur and hcg trigger ... Still another week to go till I test... This is my third iui the last too failed.. Is there any signs symtoms I should look for ..? Thanks xx Doctor: Hi,Welcome to HCM.There are no signs or symptoms to look for after IUI. If you are having lower abdominal cramps not related to bowel/bladder movements, you need increased progesterone support. Kindly contact your doctor for the same if cramps are not related to bowel/bladder symptoms.Regards." }, { "from": "gpt", "value": "Target: Signs and symptoms to look out for during IUI?" } ]

[ { "from": "human", "value": "Source: Patient: I developed a herniated disc November 29, 2013. I have been going to physical therapy and will see a Neuro Surgeon this Monday January 13, 2014. I have numbness in my lower left calf (in front) which has been there since the herniation. I woke up this morning with my ankle swollen on same side. Should I be concerned? Just wanted to say this incident was the worst pain I have ever experienced. Doctor: Hello!Welcome on Healthcaremagic!Your symptoms (swollen ankle) do not seem to be related to the herniated disk. It could be indicative of a deep vein thrombosis or arthritis. For this reason, I recommend going to the ER for a physical check up and some tests: - a Doppler ultrasound of the leg vessels- an X ray of the ankle- complete blood count, PCR, sedimentation rate- D- Dimmer levels. Hope you will find this answer helpful!Kind regards, Dr. Aida" }, { "from": "gpt", "value": "Target: How to treat herniated disc mediated calf numbness and swollen ankle?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, my name is Melissa. My son has been laying around for about 2-3 days and complains of a headache, and stomache ache along with a cough. Plan on bringing to dr tomorrow, but until then what could I do for him? Any sugestions or possible idea of what he has? My son is 9 and weighs roughly 85lbs and im guessing 4ft 5 Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your son is having symptoms of headache and stomach ache which seems to be due to food poisoning/ acute gastroenteritis caused by viral infection and electrolyte imbalance in body. Avoid taking any sharp and spicy food. You should take plenty of fluids. You should give Ibuprofen to child along with proton pump inhibitors as well. Give your child banana on daily basis and light food. I would suggest you not to panic at all. Drink plenty of fluids to rehydrate yourself. Visit general physician once and get it examined. You should go for blood tests as well and start treatment after proper examination. You should start treatment with combination of fluoroquinolones and ornidazole. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: What causes headache and stomach ache?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Dr. Choudrey, I had a mitral valve replacement in August 2017 with a cows valve. I’m currently on Ameoderon, and metropopol. I also like the natural benefits of ginger and tumeric is it ok to drink teas of the these 2 herbs. Also I just started Eliquis. Doctor: Hi,Welcome.Yes you can take take ginger and green tea while on Metoprolol and Amiodarone or Eliquis.Don't stop any of the medication, they are very important for you.Thanks and take care" }, { "from": "gpt", "value": "Target: Is herbal tea intake suggestive while on Amiodarone and Metroprolol?" } ]

[ { "from": "human", "value": "Source: Patient: Hello doctor, please be patient with me. What I'm about to ask you I want it to be between us. I'm 19 years old male, my height is 1,95 meters, I weight 73 kilograms. I want to talk about amphetamine. Yes I use amphetamine, I'm an occasional user, I didn't had any medical problems with it nor do I have them now, I just want to ask for solution Doctor: It can cause pulmonary artery hypertension or Vasculitis. This drug is banned in most of countries. If you are a occasional user then u can leave it easily." }, { "from": "gpt", "value": "Target: Does the use of amphetamine cause health problems?" } ]

[ { "from": "human", "value": "Source: Patient: my son is 2 years old and not circumcised. He has been happy all day, however in the bath tonight he started crying and I saw that his penis was red & swollen halfway up on the left side. He can t talk to much yet, however I don t think it hurts on the other side or on the tip as he didn t cry when I checked these. It s almost like it s stinging him as he didn t even want a washer or nappy touching it. Any ideas what this could be? I ve given him paracetamol, but not sure what else to do. Doctor: Hi,Swelling and redness are signs of inflammation. You should dry the area very well after bathing and apply a zinc oxide cream as Desitin cream 4 times daily (every time before applying the cream, you should wash the area then dry very well then apply the cream).Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman" }, { "from": "gpt", "value": "Target: What causes red and swollen penis in kids?" } ]

[ { "from": "human", "value": "Source: Patient: I was stung by a bee on my eyelid yesterday applied ice and cortisone. I am ten weeks pregnant. when I woke this morning my eye was smaller and my cheek seemed puffy only minor pain near eye do I continue to apply ice and cortisone and let it run it s course? Doctor: Usually bee bite is not very severe if it was a normal bee, and you are already applying doing anti inflammatory treatment. I also suggest if if its paining a lot and if you are not sure which kind of bee it was then visit a doctor near you and check with any medication need to be taken. This advise is given since you are carrying and I Dont want any complication to happen with that.So precautionary visit of doctor or you gynecologist will be helpful.Take care." }, { "from": "gpt", "value": "Target: Does bee sting during pregnancy need medical attention?" } ]

[ { "from": "human", "value": "Source: Patient: I have a low ache in my back and also pressure in my groin area. I have had an ultra sound and they found nothing out of the norm. This has been going on for 6 months. My pap was normal. Also some days it feels good, other days a lot of pressure. Not pain, mostly pressure. I had a UTI in Feb. and was on 3 different antibiotic before it went away. I think this was the start of everything. Any thoughts? Doctor: Hello,Usually this kind of pain is due to ureteric stone or uti.Drink lots of water, take a course of antibiotic, and take drotin for pain relief." }, { "from": "gpt", "value": "Target: What causes ache in back and pressure in groin?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I'm a 23 year old female, 4'5\" and 118 lbs, very active and an overall health nut. I don't smoke, eat fast food or junk, and avoid caffeine like the plauge. In the past 6 months my blood pressure has leaned towards the lower hypertension range, but has never been any concern for me or my doctor. For the past week or so, however, I have felt \"jittery\", with an uncontrollable tremor in my hands and shoulders. After expressing my concerns to the pharmacist I work with, she made me sit for a few minutes, then took my blood pressure. It was 137/90 with a normal heart rate. Should this raise concern, and any shot in the dark as to what might be causing this? Doctor: Hello!Welcome on HCM!I passed carefully through your question and would explain that your symptoms could be related to thyroid dysfunction or any other metabolic disorder. For this reason, I would recommend consulting with your attending physician and performing some tests: - a resting ECG- complete blood count for anemia- thyroid hormone levels for thyroid dysfunction- blood electrolytes for possible imbalance- vitamin D levels for possible deficiency. Further tests may be needed ( an EEG to exclude seizures). Hope you will find this answer helpful!Wishing good health, Dr. Iliri" }, { "from": "gpt", "value": "Target: What causes hands and shoulder tremor with a normal heart rate?" } ]

[ { "from": "human", "value": "Source: Patient: My son (9) got an abscess in his jaw a few months ago which had to be surgically drained because the antibiotics weren't working (he was given an antibiotic that wasn't strong enough, then when he was switched to clindamyacin the infection was too severe for it to work) . He got another infection a couple of weeks ago, this time, the antibiotics were administered in time and the infection went away. It is not caused by a tooth, that has been ruled out. He does have a swollen lymph node, which I know is common with infection, but he also has a hard immovable mass which seems to wrap around the lower part of his jaw bone, just in front of the lymph node. I do have an appointment with an ENT, but it isn't for a couple of weeks. I am just wondering if I should be worried about something serious. Doctor: Hello,I am glad that you will be seeing an ENT. An oral surgeon is another specialty that can evaluate a swelling in the jaw. There may be a cyst or chronically inflamed lymph node. The panorex is an X-ray showing the jaw to disclose irregularities. Other causes are possible and further tests can be considered depending on the initial evaluation. This may take additional time to resolve since you have reported multiple infections and difficulty with antibiotics.thank you for your inquiry. I hope the area will improve shortly." }, { "from": "gpt", "value": "Target: Suggest treatment for an immovable mass under the jaw bone" } ]

[ { "from": "human", "value": "Source: Patient: Hi,Last year in Spetember I noticed that there is a small black spot in my back of the neck. I thought it is kind of allregy due to a chain which I was wearing around. But later it started apprearing infront of neck, side of my neck and in a leg. And now few of the black spots have started appearing in a upper body.I have consulted three doctors and they all told me it is due to any kind of allergy. Right now I am taking Ayurvedic medicine because allopathic medicine did not suit me.Please suggest. What is the reason for this? I am really concerned about it. Doctor: See as u are saying that black spots appearing at different areas of body ,cannot be due to your neck chain,and its not that allopathy treatment doesn't suits u unless there is a particular drug allergy.what your need is to be diagnosed this skin problem by a dermatologist and after the appropriate treatment u will get cured.doctor cannot comment only on the basis of description,one need to see it." }, { "from": "gpt", "value": "Target: Suggest medications for allergy" } ]

[ { "from": "human", "value": "Source: Patient: Hello My Name is Kursha. I have two friend that really need help and i dont know what to do. The yre both are seeing people. My friend has a best friend name Tom and One has a friend name sally . Im getting really scared because they are seriously having conversation with them like really keeping conversation with them. They are fighting and wrestling.Do you think its something mental.... Doctor: hi..may be its mental..as keeping conversation with invisible persons is an indirect sign of having hallucination..still its a little mysterious why both of them have the problem at the same time..so please consult a psychiatrist..wish them good health.." }, { "from": "gpt", "value": "Target: Patient seeing imaginary people, fighting and wrestling with them, talking with them. Mental problem?" } ]

[ { "from": "human", "value": "Source: Patient: I was playing on my laptop, all happy, then I just noticed a lump on my lip! It appeared really quickly and wasn't there 2 mins ago or even 30 seconds ago! It's the same colour as my lip itself and it sometimes tingles! Please help! I'm really concerned about this. What type of lump is this? Doctor: HiWith your query, as such no lesion will appear in 2 mins and go off immediately but with your tingling sensation I assume you had a lesion at vermilion border if it is so then it could be HSV 1 if not please vusut your dentist fir correct treatment" }, { "from": "gpt", "value": "Target: How to treat a lump noticed on the lip?" } ]

[ { "from": "human", "value": "Source: Patient: Good afternoon, my urologist prescribed potassium citrate for the prevention of uric acid kidney stones. I m worried about the numerous side effect listed in some articles. This is my first day on this medication. So my dilemma, do I change my diet to a more alkaline diet or stay on this medicine and take a wait and see attitude? Doctor: Hi, I would recommend to that you take the medications as prescribed to dissolve the stones that you have right now then follow an alkaline diet to prevent stone recurrences. Please make sure that you don't take the medicines on an empty stomach because it might cause stomach aches. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Manuel C See IV, Urologist" }, { "from": "gpt", "value": "Target: Should I follow an alkaline diet or take Potassium Citrate to prevent uric acid and kidney stones?" } ]

[ { "from": "human", "value": "Source: Patient: I cant find sleep...i woke up at 3 am and i have deadlines to meet but my body is aching....i was diagonised with lupus so i'm on medication of Pulmison 20mg (2 tablets per day, methotrixate( 6 tablets per week),folic acid( 1 tablet per day) and flucoric capsules( 1 tablet evrry monday,wed and friday),purbac ds 960mg( one tablet per day) and altosec 20( 1 tablet before meals).........can i take redbull just for today only. Thank u in advance...Berlinah Doctor: yes, you canbut remember there, too much redbull may be dangerousalso, your sleep is also important in lupustake careDr Alok" }, { "from": "gpt", "value": "Target: Can i take redbull only for today when on pulmison and folic acid for lupus?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, My name is Kristine. My father lives with me & my husband because he has dementia. He has been seen by a Nerologist and was with the Doctor doing test. She rated him as severe dementia. This doesn t tell me any stage. How many stages are there? Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Thaere are 4 stages. MCI, mild, moderate and severe. He in the final stage. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy                                        " }, { "from": "gpt", "value": "Target: How many stages are there in dementia?" } ]

[ { "from": "human", "value": "Source: Patient: 1 and a half year old infant girl complaining of pain in her genital area. Saying pee pee but not having any in her diaper. Probably a reference to discomfort. May have been a tiny speck of blood in her dry diaper, unsure. No trauma. No discharge or odour. No fever, vomiting or other symptoms. Teething and also having teething pain. Any ideas other than uti? Doctor: Hi...it could be a worm infestation or local fungal infection. I suggest you consult your pediatrician regarding this.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: What causes pain in genital area of girl child?" } ]

[ { "from": "human", "value": "Source: Patient: sir my 12 months baby was diagonised with bronchopneaumonia.she treated with monocef antibiotic but after she had given monoclav syrup but stil discharge she still vomit n coughing.heavly.plz help sir .im from varanasi.my baby is suffering for last 14 days Doctor: Sorry to hear the condition. Bronchopeumonia has been correctly treated with Monocef. Once on antibiotics the pneumonia resolves and the secretions present in the lungs starts to come out with cough. Thus at present you baby is trying to clean up his lung through cough. Please not be concerned with it. Give MAXTRA drop 0.5 ml three times daily, it will relieve some of the cough. Be patient your treatment is in right tract, just give some time. Vomiting will decrease when cough decreases." }, { "from": "gpt", "value": "Target: Child have cough and vomiting continuously" } ]

[ { "from": "human", "value": "Source: Patient: I have swelling and severe pain and burning in my toes (for 18 months). Gout and diabetes have been ruled out. An EMG over a year ago said it was not neuropathy. A friend was told by her oncologist to take B6 to ease neuropathy-like pain during chemo treatment. Is this a possible solution for me? Doctor: Hi there,welcome to HCM.Thank you for your question.Swelling with pain and burning over toes can be most commonly caused by conditions like Diabetes and Gout,which have been ruled out in your situation.Neuropathy is a generic term used for a set of conditions which can result in the symptoms u have.Most commonly such systemic conditions like diabetes or vitamin deficiencies would cause symptoms on both lower limbs.EMG in isolation would be insufficient to rule out all kinds of neuropathy. Additional tests like blood tests for vitamins,nerve conduction studies for nerves would help in ruling them out. If your symptoms are only one sided, regional causes like pressure on nerve at certain points of your limb need to be ruled out.Narrowing of blood vessels in your limbs can also lead to such symptoms. Any injury in the past can also present with pain and swelling now.In addition,there are certain medications which can cause similar symptoms as a side effect.I would suggest you to meet your physician for further evaluation and follow up with a neurologist.Since smoking is associated with and can exacerbate all kinds of neuropathy, you should consider quitting it, if you do smoke.Hope this answers your query Thank you.With best regards. Dr.SBK" }, { "from": "gpt", "value": "Target: What causes swelling, severe pain and burning in my toes inspite of no diabetes?" } ]

[ { "from": "human", "value": "Source: Patient: Hi ...my husband was diagnosed with anterior renal failure...he had kidney pain, fever chills and high creatinne levels at the time, but with due course of time and with some antibiotics the creatinine levels came back to normal on their own.....the ultrasound showed no abnormalities.....should we get an mri done? The doctors have diagnosed the reason yet...they r suspecting t was some vciral infection...?.. Doctor: Hello There is no need of MRI(Abdomen) in your husband's case.MRI is mainly required in assessment of soft tissue pathology.Your husband had acute renal failure and that too is resolved now.Many causes can cause acute renal failure and it is good that it is reversed.Ultrasound findings are also normal.It might be due to some viral infection.Get well soon.Take CareDr.Indu Bhushan" }, { "from": "gpt", "value": "Target: Should we do MRI scan for Kidney pain and renal failure?" } ]

[ { "from": "human", "value": "Source: Patient: I'm almost 74. Because my PSA went from 5.0 to 7.5 in four months, I was referred to a urologist. He did an exam and immediately found a \"jelly-bean size\" nodule on my prostate. I'm getting a biopsy in three weeks. That seems like it's a pretty big size for a nodule. Should I be really concerned? He said that it was probably 50-60% chance of cancer. Your thoughts?? Doctor: Hi and welcome to HCM. I still think it is more likely to be just benign adenoma or hyperplasia amd you can hope for it. But if course,you must rule out malignancy. even if this is cancer,complete cure can be achieved since moder treatment methods are good enough for it and prostate cancer is tumor with very good prognosis.Thanks for the query. Wish you good health. Regards" }, { "from": "gpt", "value": "Target: Should I be concerned for having jelly-bean size nodule on prostate?" } ]

[ { "from": "human", "value": "Source: Patient: I ve had a dry cough since Sunday, for the past couple of nights I can t sleep because when I lie down I can t stop coughing. Even during the day I m constantly coughing. It s hard to talk without coughing. I bought mucinex fast max but it s not helping. Doctor: Hi Dear, Welcome to HCM.Understanding your concern. As per your query you have persistent dry cough which is due to lung infection leading to upper respiratory tract infection / bronchitis. I would suggest you to visit pulmonologist once and get it examined. You should get pulmonary function tests and X-ray chest done. Avoid use of sharp , oily and fried food substances. You should take cough expectorants. You should do warm saline rinses 3-4 times a day. You should avoid cold carbonated beverages. Apply mist humidifiers in room. You should take throat soothing agents such as streptcils. Take combination of antibiotic amoxiclav along with anti histamine such as Levocetrizine. Doctor may also refer you to gastroenterologist for proper diagnosis if he/she find this problem to be related with acid reflux ( GERD ) . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: Suggest treatment for persistent dry cough" } ]

[ { "from": "human", "value": "Source: Patient: My granddaughter was diagnosed with lupus-sjogren s disease two days ago. She is only 26 years old. What can we expect as far as any treatment, meds, possible cure, prospects of having children, etc.?? I want to be informed as a grandparent so I can afford the best possible outcome possible. Lupus-sjogren s disease doesn t define her, she is a competent adult who happens to have this disease!! Doctor: Hi, This is an autoimmune disease and it attacks the body's own cells and tissues. It targets tear glands and glands that make the saliva, triggering swallowing difficulty. It damages other organs (thyroid, liver, joints, nerves, etc) later, get her treated well. She should be encouraged and well supported both emotionally and psychologically to cope up with the symptoms (discomfort, dryness, pain, fatigue, depression). Generally, these patients experience a decreased quality of life. You can take care of the quality of life and not let it get compromised (psychosocial life). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician" }, { "from": "gpt", "value": "Target: How does Sjogren s syndrome affect the quality of life?" } ]

[ { "from": "human", "value": "Source: Patient: Hi sir....I am suffering from alternating constipation/diarrhea , malabsorption , Muscle cramps , brainfog , fatigue..etc..since 2 months..last month i was diagnosed with 4mm gallbladder polyp ..no calculi...nowadays i am suffering from right sided sholder pain radiating from ribs..very slight ofcourse..i am sick of right side abdomen soreness...i am planning to take taurine 2mg daily(divided 2 doses) , Magnesium Glycinate , Omega 3 s 2000mg -(divided 2 doses),Vitamin C 1000mg(divided 2 doses) Doctor: Hello, chaitanya.krrish, I am assuming that when you say malabsorption, you are not digesting foods properly. I am not sure if the doctors diagnosed malabsorption after doing x-rays and blood tests. Lot of conditions can be associated with malabsorption such as Crohn's disease, Celiac disease, Pancreatic problems, Tuberculosis involving the intestine or other diseases that can affect the small bowel. Hope you have been tested for all of these. Gallbladder polypis usually asymptomatic and generally does not need treatment. If that is very large and occurs in a very elderly, then we advocate removal because of chance of cancer. Muscle cramps can be due to potassium deficiency along with magnesium. Pain in the shoulder could be bursitis or arthritis and if you have a pinched nerve it could radiate. I am in favor of taking the supplements that you mention. I would also recommend a good super B-Complex vitamin daily. I want you to be tested for Pernecious Anemia due to vit-B12 deficiency. That can give you brainfog . If you have not had your stool tested for ova and parasites, get that done along with a complete metabolic panel of blood tests, thyroid function tests and a complete blood count. I wish you well." }, { "from": "gpt", "value": "Target: Suffering from constipation, malabsorption, muscle cramps, fatigue. Diagnosed with gallbladder polyp. Pain in the ribs area. Medication?" } ]

[ { "from": "human", "value": "Source: Patient: I have had a sore jaw for two days with difficulty chewing and now have a swollen area just beneath my jaw that is very tender and feels hot to the touch. It feels like a swollen gland but I have no cold or flu or problems with my teeth at present. What if any glands lay just beneath one's jaw? Doctor: HelloWelcome to HCMI read your query, the pain and soreness in jaw must be due to swollen and infected salivary gland. You should get your OPG xray done and visit your dentist meanwhile you can start with antibiotics and painkiller dose coverage for 5 days.Amoxyclav 1BD, flexon AA 1 OD along with becasule Z 1 OD FOR 5 days.Thanknyou" }, { "from": "gpt", "value": "Target: Noticed soreness of jaw and swollen area beneath the jaw" } ]

[ { "from": "human", "value": "Source: Patient: Recently, I discovered a round lump below the right shoulder around the scapula area. It seems to be getting bigger. It's not very painful, but if pressed I feel some pain. However, I feel some constant pain around the right shoulder area. My index and right thumb feel numb. From time to time, I feel a tingling from shoulder traveling all the way to the elbrow and then to the right index and thumb. What is this illness? Is it serious? I've scheduled an MRI next week and I'll see a tumor surgeon following that. I'm 54 years old. Any advice would be greatly appreciated. Jeffrey, California Doctor: Hi,Welcome.Based on the facts of your query-You seem to have lump growing Sebaceous Cyst/ with infection lately / or Dercum's Lipoma,which is why its growing and getting little painful.All these pains / tingling is due to the painful round lump below right shoulder.Treatment-Opinion from a surgeon /USG to differentiate with Lipoma.Surgical Excision of the Seb-cyst or of the Lipoma, would resolve your problem soon.Hope this would help you to plan further treatment with your doctor.Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS" }, { "from": "gpt", "value": "Target: Suggest medication for round lump below right shoulder causing pain" } ]

[ { "from": "human", "value": "Source: Patient: Hello, my husband has an enlarged liver with inflamed tissue and many, many fatty cysts. His gall bladder was removed and was very diseased. His body had walled it off. He also recently had a biopsy of his prostate and that tissue is inflamed. He has a lot of digestive trouble too. His SED rate is 3 times the normal rate. Any ideas? Doctor: Hi,Alcohol ingestion and obesity are common causes of fatty liver disease.Advice for fatty liver:- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese- \"recheck liver enzymes after 12 to 24 weeks\" and/or ultrasound.Any further questions are welcome. Hope I have answered your concern. Wish you good health.Regards,Dr. Tayyab Malik" }, { "from": "gpt", "value": "Target: Suggest treatment for liver condition & digestive problems" } ]

[ { "from": "human", "value": "Source: Patient: I am a 48 year old male who had slight numbness in hands and feet one early morning and my BP was 170/100 pulse 96/ min at that time. My ECG and Brain scan was normal. I was given two injections of Clexane 0.60 per day for 5 days along with Nootropril 3g , Strocit 500 , Monocef 1 g,Rantac 50, Emeset 4 , NTG 25. After discharge I have been prescribed Stroicit Plus , Telpress AM, ClopitabA 150, Stator 40. My BP during hospitalisation has been 120-130/80 throughout 5 days. I have problem of cervical spondilysis due to continous working in laptop for which I have taken treatments occasionally. My BP was always in the range of 120-130/80-85 during my previous visits to my family doctor and was not prescribed any medications before. Kindly advise how long I will have to continue with this BP medication and what will be the after effects of Clexane .60. Doctor: dear if ur BP ranges between 130/80-130/80 then h need not to take any medication for BP, n the drugs u mentioned above, has no any Bo medication n injections clexans is for 5 days only after that u should continue with clopitab only" }, { "from": "gpt", "value": "Target: Are there any side effects of taking Clexane 0.60 for BP?" } ]

[ { "from": "human", "value": "Source: Patient: My son (8) has bad allergies right now, itchy eyes and runny nose. He is now complaining of a sore itchy throat. When I looked in his mouth he has a cluster (the size of a dime) of little red pinpoint spots. It is on the roof of his mouth just in front of the uvula. Doctor: Hi Thank for asking to HCM. As per clinical history it appears as your son are having allergic rhinitis.If I were your son treating doctor, I would advice him Antiseptic Mouth Wash , Steam Inhalation & Steroid nasal spray with antihistamine . Your son will get relief .Certainly above treatment will give you much relief but if relief is not upto satisfaction level then consultation with your ENT doctor will become essential.Hope above information helpful to you , take care.Regards - Dr KK ( Karade )" }, { "from": "gpt", "value": "Target: What does itchy eyes and sore throat with spots near uvula indicate?" } ]