Datasets:

---

PranavHarshan

/

sharegpt_formatted_med_dialog_convo

like 0

[ { "from": "human", "value": "Source: Patient: hello doctor...i am gunjan 25 years old having psoriasis from last 18 to 19 years...its a plaque type of psoriasis in which the patches are scaly , silvery white , stiff , itchy and sometimes painful...they bleed on itching...present on scalp , arm , knee ,back and umblicus...i have undergone alopathic treatment 8 to 9 years ago in which doctor prescribed me daivonex cream , diprovate lotion ,pagmatar , cream , coal tar and many more..by following them symptoms subsided for short duration...they relapsed always .. so i swithed on to homeopathic treatment...i had homeopathic treatment for 4 years but did not get relief...now i am taking baba ramdev's ayurvedic treatment from last one and a half year...but hv a very little improvement...sir kindly tell me is there any permanent treatment of psoriasis with you??? Doctor: Hi,As you said, you suffer from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But,you have to keep patience. You might get relief slowly. And due to some factors it might relapse...Remember it is a controllable disease. And there is no perfect treatment in ayurvedic or homeopathy.You consult nearby dermatologist for firm diagnosis and perfect treatment.I would like to suggest few things as follow....- acitretin 25 mg daily- methotraxate 15 mg weekly in three devided doses of 5 mg 12 hourly.- Blood tests ..routine & LFT may be done at regular intervals- Steroid with salicylic acid oint may be applied twice a day on the psoriatic lesions...on trunk and extremities- But, please avoid the use of betnovate on psoriatic lesions on foreskin and soft tissue areas..as it is a moderately strong steroid. You may apply mild steroid cream like mometasone.- Soap bath should be avoided.- All precautions may be taken to avoid dryness of skin. Winter might worsen due to dry weather. So, take care.After few months,you may be alright. But, maintenance therapy may be continued. And if there is relapse, you may restart the treatment.Have patience...Thanks.Dr. Ilyas Patel MD" }, { "from": "gpt", "value": "Target: Suggest permanent remedy to cure psoriasis" } ]

[ { "from": "human", "value": "Source: Patient: This is 57 years female from Kolkata. I m a diabetic (take (GLIMEPIRIDE 2 mg + METFORMIN 500 mg) after breakfast & METFORMIN 500 mg after dinner) & 10 iu insulin everynight ,fasting 80, PP 287 measured today. For the last 1 year, I m seeing that my fasting glucose level is under 100, but PP is above 200. What are the medicines I should take? More over what is the difference will be in result if a patient take GLIMEPIRIDE 2 mg + METFORMIN 1000 mg instead of GLIMEPIRIDE 1 mg + METFORMIN 1000 mg? Can someone tell me how this metformin and glimepiride works? Doctor: For control of post prandial glucose, take VOGLIBOSE 0.3 mg with each meal.The total quantity of calorie intake in whole day , should be divided in 4 or 5 parts. More of fibres will help a lot. Avoid high carb foods." }, { "from": "gpt", "value": "Target: Suggest treatment for elevated post prandial glucose levels" } ]

[ { "from": "human", "value": "Source: Patient: I am 44 years old and have undergone treatment for abdominal TB for 6 motnths in 2007. there was relapse and again put on anti TB drugs in 2009 (Rifampicin, Isoniazid, Etambutol,Pyrazinamide) till now. TB is only controlled and not cured till now. Again put on 4 drugs + oflaxicin since Mar 2011. Is the treatment correct? I have developed diabetes during the treatment. Doctor: HI.Thanks for your query. Diabetes has to be well under control for the effectiveness of any antibacterial treatment including that of Tuberculosis. The treatment was correct in the initial phase. After the relapse you may need a second line of treatment under the guidance and observation of a Physician. This is important as the same drugs may not be effective when there is relapse. Secondly, you need to have a proper diagnosis done by Laparoascopy and confirm whether there is relapse or aftereffect / sequel or complication of TB. This is the most important aspect." }, { "from": "gpt", "value": "Target: Does Rifampicin,Isoniazid medication help to cure abdominal TB?" } ]

[ { "from": "human", "value": "Source: Patient: I have a 7 mm stone at u.v. junction and another 8mm at right distal ureteric stone. I have taken homeopathy treatment. This is very painfull at back side. My faimily force to laser treatment.Whats I do, how many time it will takes to through out stone. Doctor: Hello and welcome to HCM. As you have 1 stone 7mm at the UV junction and a R. distal 8mm. stone, it's best that you undergo an endoscopic lithotripsy operation,using Laser or ultrasound.Both the stones can be treated in one session. The patient's usually discharged the next day, if there're no complications like, fever, bleeding or any other medical problem. your pain due to the stone will be relieved at once, and there won't be need of any other treatment like homeopathy.remember to drink minimum 12 glasses of liquids per day. wish you a speedy recovery." }, { "from": "gpt", "value": "Target: How much time does it take to remove 7 mm stone from uv junction?" } ]

[ { "from": "human", "value": "Source: Patient: I,m a lady in my seventies and have spinal stenosis in several places. I have severe pain starting in low back and radiating to buttocks and legs. I can sit without pain or lie down without pain, but if I stand or walk the pain is really bad.My question is this: surgery or no surgery?. As I understand it, if I do nothing I will progressively get worse and probably end up in wheel chair, but surgery should take care of the problem. Do you agree?? Thank you for your answer. Doctor: Hi, it appears that you have stenosis at several places. So it depends upon the number of stenosis, and degree of stenosis. If progressive disease is found the doctors may opt for surgery in some places, So i advise you to consult an orthopedic surgeon for diagnosis and treatment. Thank you." }, { "from": "gpt", "value": "Target: Severe pain in lower back, radiating to legs. Have spinal stenosis. Will surgery improve my condition?" } ]

[ { "from": "human", "value": "Source: Patient: 5 days ago I have unprotected sex with a girl it was my Frist time and today I noticed a small red blister type this at the head of my penis near the hole it has been hurting and getting itchy but it s seem to come and go and it s stings to urinate some times Doctor: Hello, , After going through your history this seems strong possibility of genital herpes which is caused by Herpes simplex virus that is type I and Type II. Due to unprotected sexual exposure. Infection can occur with out visible lesions. You should visit a Dermatologist and get examined and tested for herpes and take proper antiviral drugs that can shorten outbreaks and make them less severe or even stop them from happening. Antiviral drug like acyclovir, valacyclovir and famciclovir can be taken after consulting your doctor.There are ointment of these drugs which reduce pain and healing time. If possible other partner should be treated. Practice safe sex as it protects from sexually transmitted disease. Thank you." }, { "from": "gpt", "value": "Target: Suggest treatment for blister on penis after unprotected sex" } ]

[ { "from": "human", "value": "Source: Patient: I fell from a chair a little I over 2 months ago. The chair fell over on my leg and it ended up bruising way down deep under the skin. The bruise was barely visible but was super tender to touch. Sense the fall a hard numb knot is on my leg that will not go away. It itches often and it sometimes hurts to walk. Doctor: when a chair fell over your leg the force of the chair wasn't enough to break your bones or injure your ligaments however it caused a localised contusion to your skin and tissues under the skin, this can be associated with some bleeding under the skin and a clot can form. It can take a while to go away but it will surely get better over time. simple pain tablets should help and the itching should get better. if you think that it is rather getting worse the best thing to do would be seeing a local doctor for examination since there is a possibility that what you are having now isn't related to the chair incident" }, { "from": "gpt", "value": "Target: Suggest remedy for bruises in leg" } ]

[ { "from": "human", "value": "Source: Patient: I take celexa 40 mg for depression 1 mg kolonopin for anxiety and and see a psychologist an psychiatrist an I m so depressed I feel like commuting suicide all the time is there something wrong with me I can t tell these people that cause they just want hospitalize me then I lose my job an everybody thinks I m a nut case not sure if I m losing it or what can be done but I m not gonna take much more of the mind racing and sleepless nights? Doctor: DearWe understand your concernsI went through your details. From the given information, a conclusion is difficult, but I can say that the treatment you are getting is not enough at all. You should consult and work with your psychiatrist for a better treatment option. It is also obvious that the therapy is also not working. Either you are not doing the exercises properly or your psychologist is not capable. Address the given issues and you will be alright.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: Suggest treatment for anxiety and depression" } ]

[ { "from": "human", "value": "Source: Patient: A couple of weeks ago I jammed my 2 right toes against a dresser and since then my foot and ankle have swollen. I have been icing it and now my toes are much better, but there s still swelling on the foot and ankle. I m wondering if icing is the best thing to treat this injury. Doctor: Hello, It could be a contusion probably. Fracture is unlikely. As first-line management, you can apply ice packs for symptomatic relief. If symptoms persist better to consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: Need treatment for swollen foot and ankle after an accident" } ]

[ { "from": "human", "value": "Source: Patient: NAME : MRS.NIRMALA AGE: 53 YRS SEX : FEMALE DATE: 18-05-12 ULTRASOUND SCAN OF ABDOMEN & PELVIS LIVER appears increased in size & echo pattern. No focal lesion seen. IHBR & CBD are normal. PV & portal radicals are normal. GB is normal in volume & wall thickness. No calculi or cholecystitis seen. PANCREAS is normal in size & echo pattern. MPD appears normal. No calculi / SOL / calcifications seen. SPLEEN is normal in size & echo pattern. KIDNEYS appear normal in size & echo pattern. Corticomedullary differentiation is maintained. RK measures 104* 48mm; LK measures 108*49mm. 2 & 3mm two calyceal calculi seen in RK & 8mm calculus seen in upper pelvis. 25*13.5mm large calculus seen in lower pelvis in right kidney. Right moderate hydronephrosis seen. Retro peritoneum is normal. URINARY BLADDER is normal in volume & wall thickness. No calculi or cystitis seen. UTERUS is not seen. OVARIES: Not seen. ADNEXAE shows no mass lesion. POD shows no free fluid. IMPRESSION: • Right sided moderate hydronephrosis due to 25*13.5mm lower pelvic calculus. • Right renal two calyceal & one pelvic calculi. • Grade 1 fatty changes in liver. Doctor: though your scan shows calculii in your right kidney,as well as grade 1 fatty liver changes,these findings are not of much significance.But why uterus & ovaries are not visualised?Have you undergone hysterectomy?" }, { "from": "gpt", "value": "Target: Done ultrasound scan of abdomen and pelvis lever, no focal lesion, normal IHBR & CBD, no calculi. Please explain" } ]

[ { "from": "human", "value": "Source: Patient: Thank you. My wife has Stage 3C, had successful debulking and a post op CA 125 of 64. She was hesitant about chemo. Went to health clinic to change diet to vegan. 2nd week @ clinic she felt the cancer growing again. Now approx 8 weeks post surgery & CA125 is at 127, CT without enhancement shows more growth. PET scheduled for tomorrow. Chemo to begin July 1. What should we expect? Doctor: Thanks for your question on HCM. Postoperative chemotherapy is adviced to prevent local as well as distal spread.During surgery, due to handling of tumour mass, possibility of spillage is high. And this is the reason for local recurrence. So post operatively chemotherapy is given.Since your wife has not taken post operative chemotherapy with increasing CA 125, growth on plain CT, all these suggest local recurrence. So get done PET SCAN to rule out local as well as distal spread. And chemotherapy is the only option now." }, { "from": "gpt", "value": "Target: What does CA125 of 127 after surgery for cancer suggest?" } ]

[ { "from": "human", "value": "Source: Patient: yes I have dark coloring around my pee hole, I went to my local health Friday to get check for thus problem I've been having which turned out to be gonorrheaand they treated me with a shit in the buttocks And two antibiotics pills.. And just now I notice the black coloring around my pee hole.. Could you tell me if its serious or not Doctor: HI, I have read your query and according to me there may be due to unknown allergy. If according to your doctor this is gonorrhea then you should get lab test for confirm the diagnosis.You should apply locally antiallergic cream." }, { "from": "gpt", "value": "Target: What could dark colouring around urethra which hasn't improved despite taking medicines for suspected gonorrhea?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, My Husband is suffering with painful burning and itchiness of the eye, abdominal pain, blood pressure dropping at an fast rate, along with a mild faint episode for about a couple of seconds, He thinks that it might be because some food we recently ate could have been tampered with, But he is doesn t feel the need to be rushed to the hospital. However he is sleeping now and the more his symptoms dye down and he begins to relax his blood pressure steady drops. when the symptoms started it was at 66 now it s dropped from 56 to 50 is he ok? and is it possible his food could have been tampered with and this is his body telling him something is majorly wrong???? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have to take him to hospital as early as possible because it may possibility of myocardial infarction or cardiac failure or hypovolemia or septicemia or shock etc. Please consult your doctor immediately, he will examine and treat you accordingly. Take care." }, { "from": "gpt", "value": "Target: Is low blood pressure level a matter of concern?" } ]

[ { "from": "human", "value": "Source: Patient: Hi,I am starting to have dizzy spells more frequently recently. I used to have them a lot before,to the point where I would black out.that stopped years ago,dizzy spells reduced. And now its back,everyday,specially when i stretch.I've had my blood pressure checked and it was normal. Doctor: Hello!Thank you for asking on HCM!Regarding your concern, you should know that your symptoms could be related to epilepsy seizures or low blood pressure. I recommend you to closely monitor your blood pressure frequently during the day. Some tests are needed to investigate for the possible causes: - an EEG- complete blood count for anemia- a resting ECG- blood electrolytes for possible electrolyte imbalance. You should discuss with your GP on the above tests. Hope to have been helpful!Kind regards, Dr. Aida" }, { "from": "gpt", "value": "Target: What causes dizziness and black outs?" } ]

[ { "from": "human", "value": "Source: Patient: Fell in driveway on left side. CAT scan, bone scan, xrays all show no breaks and no fractures. Debilitating pain in left leg when I try to put weight on it. Pain tolerable, with pain medication if sitting completely still. What could this be? My Dr s seem stumped. Doctor: Hello, As what I see is the scan might be done only for the left side and not for the spinal region. We need to accept that due to any kind of RTA we can have multiple soft tissue injuries and some are assessed on spot and some come later stages. The pain in the leg has to be examined - like is it sharp shooting or dull aching. If sharp shooting then a nerve is getting entrapped in the spinal column due to soft tissue compression. If dull aching then it will be muscular and will recover with hot water fermentation. Please rule out according to about sharp shooting pain and dull aching pain so that you can describe much better which can help your physician to take up the measures accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist" }, { "from": "gpt", "value": "Target: What can be the cause of debilitating pain in my left leg?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I get sexual arousal in thoughts of crossdressing, i am not a gay and always wish to have sex with women. The only fear i have is whether my erection sufficient to undergo sexual intercourse with women. Can you suggest where i can do impotency tests in chennai. My age is 35, height 5.3 and weight around 75 kgs. Doctor: Hello dearUnderstand your concern.Do not think excessive regarding erection problem it cause depression and psychiatric problem and performance anxiety, depression are the most common cause of erectile dysfunction.For sexual intercourse it is not necessary you will require large penis. There is no relationship between size of penis and sexual intercourse.How can you tell you have erection problem without doing sex. Just be relax, take healthy diet, fresh fruits, anti oxidant tablet like Co Q, start regular exercise, avoid stress and thinking.If you have excessive fear for sake of gain you can do impotency test in infertility clinics. But first involve in sex and then if problem occur, go for test.Hope this may help youBest regardsDr. Sagar" }, { "from": "gpt", "value": "Target: What is the normal penis size during erection?" } ]

[ { "from": "human", "value": "Source: Patient: hi sir, is Azithral 200 okay if i give 5 ml per day to my son who is 6 years old, he is comlaining of abdominal pain from past 5 days along with cold and slight fever. from yesterday i started giving it, is it okay to continue it for another 3 days Doctor: Hello. I just read through your question.I would not continue this treatment until you child has been examined by a doctor." }, { "from": "gpt", "value": "Target: Is it okay to give Azithral 200 for 6 year old child?" } ]

[ { "from": "human", "value": "Source: Patient: Hello Sir, My 14 months daughter is suffering from high fever from last 3 days today in blood test report TLC of her blood cells is high about 17000 is more than the normal. My doctor suggested an antibiotic Monocef-O 50 4ml BD with 4ml Crocin 5 hourly, is the prescribed medicine is sufficeiently cured my baby? Doctor: Hi...Fever of 3 days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all.I f the kid is active when there is no fever, actually I feel antibiotic - Monocef-O is not indicated here. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: Suggest medication for high fever" } ]

[ { "from": "human", "value": "Source: Patient: Dr. I have a problem that has been going on for some time now, doctors aren't familiar with and civilians has never experience such at thing. I seem to have a large amount of electricity in my body, I suspect, don't really know...My symptoms are: my cell phone, gps, at times my computer with excessive use, gives me some type of electicity, magnetic, radiation type feeling through my fingers to hand and ear to head. I also make my tv scramble when I'm near..Less use of the items, less pain, more use it literally starts a burning/ going to sleep feeling of numbness..I've tried switching phones, same thing...any suggestions or maybe test that can be ran to determine what's going on with me. Doctor: Hi.Very true- only a few people have this problem , which in your case is more pronounced to the point of troublesome.Yes, some people are more conductive than others. It all depends upon the composition of your body of electrolytes and all.The currents you are feeling are due to the resistance- it is not getting grounded.The simple solution you can try - whenever possible is - try barefoot. This will allow the electric current to to get a ''grounding effect.Secondly discuss this with your Electric Engineer friend , who would understand and can tell you further solution. Let us also know any further solution you get." }, { "from": "gpt", "value": "Target: Any suggestion for having large amount of electricity in body?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I have a small lump above the veins on my forearm. I am 69 years old, and the bump is not a different color than my regular skin tone, but I just was wondering if you knew what it was. The vein itself is not swollen, there is just a lump above the vein on my forearm/near my wrist. Doctor: HiIt could be a Ganglion or Lipoma. There is no medical treatment for these.Please consult your Surgeon and get examined clinically. If it is the same diagnosis as mentioned above, it can be removed. Nothing to worry. Regards" }, { "from": "gpt", "value": "Target: Suggest the cause for lumps" } ]

[ { "from": "human", "value": "Source: Patient: I caught my daughter giving head to her boyfriend, the next day she threw up once and felt nausous. She also had a sore throat and abdominal pains/body aches . Is this something I should be concerned about? Doctor: There is no direct relation.Even with sexual relation immediate pregnancy can not happen and symptoms suggestive of this like you are seeing is not possible next day.There could be some other reason pl.take her to doctor." }, { "from": "gpt", "value": "Target: I have had sore throat and abdominal pains/body aches. Is this something I should be concerned about ?" } ]

[ { "from": "human", "value": "Source: Patient: can you interpret the result of my semen analysis, 2.4 ml, viscous, ph is 8.0, 1st hour is 60% motile, 40% non motile, 2nd hour 50% motile, 50% non motile, 3rd hour is 40% motile, 60% non motile, morphology is 51% normal, 49% abnormal, with 6-8 hpf wbc and 3-5 hpf rbc. Doctor: Hai,your semen report is normal. volume -2.4 ml. within normal (2to 5ml)Ph- 8.0 -it is alkaline-normal. (between 7.0 to 8.0) regarding motility of sperm -Rapid forward progressive sperm count after one hour - 60 %-normal. (should be 50%or more than that)morphology- 51% -normal (30% normal morphology should be there.)WBC(white blood cells)- 6-8 hpf -not significant(usually semen didn't contain WBC and rbc.)rbc(red blood cells)-3-5 hpf- not significantAs from your quote semen report is normal.thank youhope i clarified your query." }, { "from": "gpt", "value": "Target: What should be the normal values of semen analysis?" } ]

[ { "from": "human", "value": "Source: Patient: Im young and my spine hurts a lot, on a daily basis, is there something wrong? i also do lots of martialarts and sports. This may sound weird but i think this started when i went on a rollar coaster and it went on a bumpy part and i jumped a bit and i just felt a little bit of pain. I dont know if its possible though. I also crack my back a lot. Im 15 years old Doctor: dear friend thank you for posting your complain,if you feel severe pain, go for x-ray of your spine.it will diagnos whether any fault with your spine. if it is normal then no need to worry. you can take analgesic like ibuprofen, if pain is more you can take muscle relaxant like aceclofenac+paracetamol+chlorzoxazon. exercise of back/spine and physiotherapy will be more helpful to you.hope this answer will be helpful to you.for more queries plz don't hassitate to ask.get well soon dear frienddr.manu khimani" }, { "from": "gpt", "value": "Target: What is the treatment for severe back pain?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter has been told that she may have cervical cancer ! the doctor said her cervix was very inflamed ulcerated and bloody !! she has a bad smelling discharge irugular bleeding and pain !! but her cervical smear was normal less that 3 years ago ! im very worried about how bad her case my be !!! Doctor: Hi, dearI have gone through your question. I can understand your concern. She may have acute or chronic cervicites. She has inflammation and discharge so chances of infection is there. But she should ho for pap smear examination once gor screening of cervical cancer. Consult your gynecologist and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What causes inflammation in cervix and bad odor during discharge?" } ]

[ { "from": "human", "value": "Source: Patient: Hai doctor,for my 1year 3 month old son .always he is getting allergic cough and running nose and gradually going to chest infection and some time fever and chills . I am mother and I have history of allergy to dust .for my son dr.priscribed moticope suspension ,how long time he must take this medicine ?and what are the precaution to avoid this allergic .what kinds of food item to avoid.? Kindly answer for me Doctor: As per your history, your son is probably suffering from Allergic rhinitis & your doctor has appropriately prescribed Monticope (Montelukast + Levocetrizine) for him. Duration of this treatment is usually 6-8 weeks, then doctor should re-evaluate the response and treat accordingly. An alternative to this treatment is inhalational corticosteroid by inhaler. People are sometimes afraid of inhalers, but no need to worry, it is only a targeted drug delivery method to reduce side effects of drugs. Your next query was what food to avoid. Generally brinjal, egg, prawn, some types of fish, some variety of nuts, milk, soya are common causes of food allergies. However, to know for sure, I would recommend for Allergen Specific IgE Testing for your child." }, { "from": "gpt", "value": "Target: Suggest remedy for allergic cough and running nose with chest infection" } ]

[ { "from": "human", "value": "Source: Patient: Hi, doctor, my lower back starts aching if I stand a lot. Actually at my work , I stand the whole time approximately 6 to 8 hours and I work really hard... after like 4 or 5 hours I feel this pain in my back in the two kidney areas....if am not working for a couple days and not standing continuously this pain won t appear. Whenever this pain comes in, it feels very uncomfortable to stand. it feel like my body is gonna fall apart at my lower back..and I will have to bend my body..I am afraid if this has to do anything with my kidney. Do you have any suggestions?... sincerely, elizabeth Doctor: It's not connected with kidney.Continuous standing causes fatigue and some pressure on vertebral column which in turn affects lumbo sacral region of spine. Look for some swelling in lower limbs or any radiating pain to legs. If not, OK.Hot water bath, some spray or light herbal oil massage over back at night will strengthen the lumbar sacral region to overcome fatigue.Additionally, if need be, Rumalya forte Ayurvedic tabs will help a lot. Turmeric powder 1/2 tsp in warm milk or water drink is also a natural pain manager.Hope it helps." }, { "from": "gpt", "value": "Target: What causes pain in lower back after standing for a while?" } ]

[ { "from": "human", "value": "Source: Patient: I have had severe back pain at S1 . I may get back pain also around the thoracic region. I am not on any Rx s. I am feeling the pain at this point intermittently. I am working with a physical therapist, and I am at 9 visits with the therapist. I have history of hypothyroid issues. I want to be pain free, and without medication just like I was before this started. I was in a slip n fall accident in 2014 and an auto accident in 2016. The auto accident resulted in surgery of my right leg due to fractures to the tibial plateau, tibia, patella, and a torn lateral meniscus. My gait is unusual, and it has changed. I am happy that I am walking now. Doctor: you had an accident which resulted in injury to multiple boneshowever you might have sustained injury to lower back that time specially in discin a severe injury you might not have noticed pain due to disc prolapse as you have started bearing weight disc might have been bulging causing painother thing is that abnormal posture leads to abnormal weight bearing which leads to increase load across lower back leading to pain across joint." }, { "from": "gpt", "value": "Target: What causes intense lower back pain long after a injury on the right leg?" } ]

[ { "from": "human", "value": "Source: Patient: Hi its mamlmp from jalandhar i have question about nerve weakness. acualty my husband had accident three months ago and his hand bone get creaked and he had plaster his hand for two months now his left hand toe and two finger not feeling anything and his hand is so soft.if possible will you give me right advice what can we do for to cure his fingers work properly..thanks and reply ASAP if possible kindly thanks to concer about my problem... Doctor: Hello madam,Loss of sensation over fingers,weakness in grip strength if it there ;are of neurological injury. This could be due to tight plaster or bandage or direct injury to nerve.It has to be evaluated to look which nerve is involved and at what level so examination and several investigations is needed .Kindly consult an orthopaedician for the same.I hope your husband will get well soon.Thank you" }, { "from": "gpt", "value": "Target: What have the fingers of hand and toes lost sensation post accident?" } ]

[ { "from": "human", "value": "Source: Patient: Yes, can you tell me what could be causing soreness and sometimes a burning feeling in my lower right back area. I have celiac and have been on a strict gluten free diet for over 10 years. Almost every morning lately my stomach is upset and I need to stay close to the bathroom. By noon I feel better and can get on with my day. Not sure what is causing this. Any ideas? Doctor: hi sir/madam,As per ayurveda Burning sensation of the body is a characteristic feature in many diseases like Alcoholic intoxication, Diabetes mellitus, Cachexia etc. This is termed as ‘Daha’- in Ayurveda, mainly influenced by increase of Pitta Dosha.Causes of burning sensation in body:-1. Excess intake of alcohol.2. Dry and spicy food.3. Suppression of thirst and hunger.4. Severe emaciating disorders.5. Long lasting illnesses.6. Injury.7. Long term medicinal intake.8. Poisoning.9. Stress.Other causes:-1. Diabetes.2. Peripheral artery disease.3. Neuropathy.4. Sun burn.5. Chemical burn.6. Heat burn.7.Sciatica.8. Cold.9. Cerebrovascular accident.10. Back injury etc.I will prescribe some good ayurvedic medicine which will give you good results:-1. Kamadugha rasa:-1-0-1 after food.2. Usheerasava:- 1 spoon mixed with one glass of water.3. Sarivadyasava:- 15 to 30 ml with equal quantity of water.4. Shatavaryadi choorna:- 1 spoon mixed with honey.What all to avoid:-1. Alcohol2. Asa foetida.3. Garlic4. Pungent substances.5. Salts.6. Anger.7. Heavy exercise.8. Incompatible food stuff.9. Exertion in sunshine.What all you should take:-1. Raisins.2. Amla.3. Cow’s milk.4. Green gram.5. Banana.6. Bitter substance.7. Herbs of cold potency.8. Cold water bath.9. Intake of cold substance.I hope it was helpful.Have a healthy day." }, { "from": "gpt", "value": "Target: What causes pain and burning sensation in the lower back?" } ]

[ { "from": "human", "value": "Source: Patient: My age is 30 years,trying to conceive now.I am under follicular study.Doctor told I am developing an egg on right side and on 12th day(14th july 2012) doctor has given me ovidac injection and asked to have intercourse for two days(15th july,16th july)from the day of injection.but i got my periods today(28th july).what could be the wrong?Why am i not conceived?:-( Doctor: Hi, Thanks for choosing HCM your age is 30 years,yes you really need to concieve 13th day you would ovulate so ovidac was given Do you have pcos? because though an egg starts to develop due to assisted medicines ,it slowly regresses and you may not be able to ovulate thus failing to get pregnant and what about the semen analysis of your husband? sperm count should be more than 20 million/ml and motility should be more than 50% if any or both of you are obese there are chances of failure so try to reduce weight get a check of your hormones including thyroid ? you may also need to get checked if any of your fallopian tubes have blocked for this usg is done talk to your doctor and get it done so that you can go for iui,ivf etc dear , stress causes failure to concieve too so dont worry wish you good luck hope i answered your query feel free to contact me for further queries thank you" }, { "from": "gpt", "value": "Target: Trying to concieve, was asked to have intercourse after egg develops, but had period. Why haven't I concieved?" } ]

[ { "from": "human", "value": "Source: Patient: Hello. I've fought with a heangioma of my left lower lip for my whole life and had 3 laser surgeries done on it when I was 10-12 years old done by a great doctor named Clayman from Detroit, Michigan. He was one of the only doctors at that time that would perform surgery on it. He had to do the surgery through my mouth. It grew around a nerve and the tumor was never fully removed. It has grown over the years and now I am having complications with it aka swelling of half of my lower lip and pain. I was wondering if there was a doctor in Florida maybe even at Shands in Gainesville who was willing to treat my case. The little research that I have done suggests that there still are not many doctors who will treat and do surgery on my type of hemangioma. Please help. All comments will be appreciated. Doctor: Hi, dear I have gone through your question. I can understand your concern. You have hemangioma. It is vascular tumour and it isbenign Iin nature. But complete excision is the treatment of choice. If it is not removed completely then chances of recurrence is there. If laser surgery is not helpful then you can go with simple surgery followed by plastic surgery for reconstruction of lip.Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: Suggest treatment for hemangioma of lower lip" } ]

[ { "from": "human", "value": "Source: Patient: i started one night with wheezing and cough mostly felt on the right side when i lay down. after about 2 or 3 nights wheezing went away. this all happen at night when i lay down along with aching bones, flue like symptoms. Than came the sharp pain in my chest bone and shoulder blades, than again happened when i lay down at night. my dr. put me on a puffer now seems not to be so bad. still feeling very tired. Doctor: Hi,Welcome to health care magic,This symptoms of wheezing and cough with bone pain or flu could be upper respiratory infection or acute bronchitis.It can be diagnosed clinically but you must undergo routine blood investigation with sputum R/ M and C/S,chest x- ray to rule out any other pathology of lungs.You might require long course of antibiotics (amoxyllin with chavulanic acid or cephalosporins) with other supportive treatment like bronchodilators (steroids,beta agonists,anticholinergics) inhalers or nebulizers with steam inhalation frequently.Consult pulmonologist who will take complete medical history and thoroughly respiratory system examination to identify the actual cause.Regards," }, { "from": "gpt", "value": "Target: What causes wheezing and cough with aching bones and flu like symptoms?" } ]

[ { "from": "human", "value": "Source: Patient: My mom had a virus for the past week including congestion, a phlegmy cough, bad head ache, and she vomited once. I spent the past four nights at my grandmother's house to stay healthy but I am home now and afraid of catching it because I can't afford to miss school! My mom is feeling better and her doctor said it was not the flu. Do you think I can still get the virus, or would I have gotten it by now? Doctor: HI, thanks for using healthcare magicThe cough/cold virus or flu can be spread by coughing, sneezing, contact with nasal secretions.Careful hygiene techniques like handwashing, covering nose and mouth when coughing and sneezing, would prevent spread.I hope this helps" }, { "from": "gpt", "value": "Target: Can virus infection spread through cough?" } ]

[ { "from": "human", "value": "Source: Patient: Hi i keep getting a sharp pain at the top of my ribs on the left side it will last awhile then turn into a dull ache i just wanted advice also I have been sweating a lot which might be nothing to do with the pain but i don t usually sweat this much thanks for your time amy Doctor: Thanks for your question on HCM.In my opinion we should rule out cardiac cause as most common cause for left sided chest pain and perspiration is heart problems. So get done ECG and 2D Echo to rule out cardiac cause.If this is normal than get done CBC and thyroid level (S. TSH) to rule out anemia and thyroid diseases.As anemia and thyroid problem can cause chest pain and perspiration. If both of these are also normal than your symptoms are mostly related to stress and anxiety. So avoid stress and anxiety. Be relax and calm." }, { "from": "gpt", "value": "Target: What is the sharp pain in my ribs followed by sweating?" } ]

[ { "from": "human", "value": "Source: Patient: Last Friday, I think our condom broke during intercourse. My period was already late prior to that, and I still haven't gotten it. What can I do to make sure I don't get pregnant, or how can I get rid of it if I already am? ( Without Abortion) PLEASE HELP. Doctor: Hi, If you periods are already irregular it's to predict the chance of pregnancy.But if regular , Chances of pregnancy are low in last week of the cycle ( safe period) . Now presence of pregnancy can be confirmed by either simple urine pregnancy test or more confirmatory is Serum Beta HCG. If within 72 hrs of condom failure emergency contraceptive pill can be taken. earlier the better.Getting ride of it means Abortion !" }, { "from": "gpt", "value": "Target: Is there any chance of pregnancy if condom broke during intercourse?" } ]

[ { "from": "human", "value": "Source: Patient: Hi,I am a 19 year old male, with near perfect health(never broken a bone, been diagnosed with a disease, had any real problems), but twice in the last two years, I have experienced extreme heart pains that disable my ability to move, inhibit my ability to breathe, and are, as I said, extremely painful. Any idea as to why this may be? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Sudden onset chest pain with breathing difficulty should be first evaluated for heart diseases. So get done ecg, 2d echo and stress test (trade mill test).If all these are normal then no need to worry for heart diseases. In teenagers, stress and anxiety can also cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What does recurring pain in heart, inability to move with breathing difficulty mean?" } ]

[ { "from": "human", "value": "Source: Patient: my husband recently developed muscle weakness, dizziness, and slight tremors. He has had a litney of blood tests, emg and is scheduled for a muscle biopsy. so far all results have been normal except for emg and ebv. he also has elevated ck levels. what could this indicate? Doctor: Hello, As I was going through history it missed too many things like - is he having high blood pressure? Diabetes? kidney infection? etc. Tremors of upper limb or lower limbs or in general of the body.? His age and body weight? Did you try meeting up a neurologist for the same? As tremors are HMF related issues and it definitely needs a brain scan. Has it been done? Tremors can occur due to end number of factors. We need to have a thorough examination - physical as well as diagnostic procedures so we can come to a better conclusion. As EMG and NCV are abnormal there is a definite need for the Scan once as per what it appears. Medical therapy will begin once we get hold of the reports and then exercise therapy to not lose muscle strength. Hope you take the guidance of neuro physician. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist" }, { "from": "gpt", "value": "Target: What causes muscle weakness, dizziness, and slight tremors?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Dr, Im Anil,27 yrs, i have been in stress since long. All the activities i do and study gives me a temporary relief, when my day is about to end i feel like loosing something and doing something worthless. Unable to recover from my past failures. I was held in final yr practicals, denied my certificates on time by instutution for which i have to forgo my PG seat for which i got eligibility through entrance. All this happened 3yrs back. Since then im unable to prepare for another entrance and had to compromise myself with Fellowship Program. Financial Problems are raging the mess. Unable to attend classes, im unable to bear the fact that i have lost the oppurtunity to study the subject of my interest and in the college feel insulted when other PG s do what im not allowed to do as a Fellowship Trainee. Im surprised that when i look at my past 3 yrs, mostly i was under sleep inducers.im preparing for entrance now and unable to concentrate for long, Pls help me sir Doctor: hithanks for using healthcare magicI think u are in depression. In depression, person mainly think become his past mistakes and critics himself for them. Thinking become more pessimistic and sleep remain usually disturb. This is all in ur case. U should consult a psychiatrist for treatment. U need some antidepressants that would help u. U can also consult a psychologist for cognitive behavioral therapy. Dont worry u will definitely improve, but u need time.Thanks" }, { "from": "gpt", "value": "Target: Have been under stress, unable to recover from past failures" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I m 25 year old female who started Qlaira 2 and half weeks. I ve been experiencing pins n needle sensation frequently in my hands n feet , also yesterday my left baby toe has a odd numbing sensation on and off and i keep getting pains in my legs as well as an axious feeling, I m concerned if I should stop the pill or just finish the first pack. Doctor: Hello!If the side effects of one medication are more than benefits you should stop taking them.You should consult with your doctor to start another method of contraception.Take care of your self" }, { "from": "gpt", "value": "Target: On Qlaira 2, have frequent pricking in hands and feet, intermittent numbness in baby toe, leg pain, anxiety. Should I stop the pill?" } ]

[ { "from": "human", "value": "Source: Patient: Our 11 year old has always had these uncontrollably yelling screaming appasodes that last one hour, she must always be right, controlling, she kicks and punches, she only like certain things, she doesn t like new people or things unless its her normal likeings same as clothes only like certain ones, she talks loud over everyone and right in your face remind you she s always been like this we just got custody and mom says this is just who Carissa is to me we have major concerns can you help me figure out what wrong so we can correct this for her and everyone else Doctor: DearWe understand your concernsI went through your details. I can understand your emotions. You should know that child rearing is an act. A child aged 11 is going through a developmental period where he needs maximum attention and appreciation. If do not get these two, he will fight for it until he gets it. But if you learn to ignore his activities in tune with the given scenario, he slowly succumbs to the pressure. I am not suggesting that you doing everything wrong. You should introspect. Definitely there is something wrong in your behavior towards the child. Behavioral disorder of the child is another view point here i must not overlook. To determine or diagnose the child's behavioral disorder, I will need more information about her behavior. Or you may consult a nearby psychologist for assessment of her behavior.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck." }, { "from": "gpt", "value": "Target: Suggest treatment for behavioral changes and anger disorder in a child" } ]

[ { "from": "human", "value": "Source: Patient: My son is 15 months and he has Inguinal hernia since he was 9 months. We have bring him to doctor and scheduled him to have surgery in next few days, soon after he recovered from flu and cough. I heard about Inguinal belt support for hernia from my relative and do some googling. My question is, do the surgery is necessary, I means, he is just a baby. And do this support belt is really help? Thank you. Brando. Greetings from Indonesia Doctor: Hi, surgery is must for hernia in babies. Small babies are more prone for complications than adults. I advice you to go for surgery. Take care." }, { "from": "gpt", "value": "Target: Is surgery necessary for inguinal hernia in babies?" } ]

[ { "from": "human", "value": "Source: Patient: Came out of the hospital a month ago with multiple clots in my lungs and one in the back of my left leg. Took shots of loveonx and on warafin. INR checks good between 2-3. The question I had was that every now and then I feel a mild discomfort above my heart area in my chest. When I take a deep breath I can feel the same discomfort in the same area. Is this caused by the clots? They told me I have some in my pulmenary artiries. Doctor: Hi. I can understand your concern. Yes the cause for your chest pain is due to the clots. It will take time to settle. But do consult your doctor if it does not settle.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What causes multiple clots in the lungs?" } ]

[ { "from": "human", "value": "Source: Patient: I was in the ER 3 nights ago with sever upper abdomal pain. After an ultra sound , the doctor said I had gallstones. I have an appointment in a week with a specialist to follow up. For the past two days I have had clay or pale colored stools . I know the gall bladder issue is the cause. My question is am i ok to wait a week to see the specialist or should I try and move the appointment up? I wasn t sure if that was a sing of a serious problem or not. Doctor: Do you have jaundice.. is there itching all over the body ? If you are developing clay colored stools it is possible that a stone is impacted in the bile duct.. yes you must consult your specialist ASAP." }, { "from": "gpt", "value": "Target: Severe upper abdominal pain, pale colored stools. Gall bladder stones?" } ]

[ { "from": "human", "value": "Source: Patient: Ok my husband had a aortic valve replacement and a bypass he is 44. His upper lip after they took tube out is so swollen you coud not believe. All doctors ENT included have no idea. Have never seen this before. Nurses the same. he has had 9 surgeries in the last 9 years and this has never happened. He had cance when he was 18 all surgeries are a result of chemo or radiation. Any ideas? Doctor: You don't say how long ago his heart surgery was. If it was within the past week, some patients will have local swelling of the lips, perhaps from mild trauma or irritation from the endotracheal tube being in the mouth or moving around a little or sometimes the patient biting on the tube and/or his lip while sedated or unconscious. That should subside naturally over the course of a week.It is also possible he might be allergic to latex, a component of the tape glue that is usually used to secure the tube during intubation to prevent it from moving around or inadvertently coming out. That usually subsides when the tube and tape are removed.If the tube have been out awhile without improvement, or if the lip swelling is continuing past a week or so, then his doctors should review his medication list for drugs that he might be allergic to. A common cause of lip swelling are drugs in the ACE Inhibitor class, such as Captopril, Lisinopril, Benazepril. Withdrawing or stopping these blood pressure or heart failure drugs usually will cause the lip swelling to stop fairly quickly. Good luck, and let us know what happens from here." }, { "from": "gpt", "value": "Target: What causes swollen upper lip after bypass surgery?" } ]

[ { "from": "human", "value": "Source: Patient: I am a type II diabetic and have been using a oral medication for the past 25 years, since I have heart disease and kidney problems they tell me not to us Actos or Avandia which I am presently using. My heart specialist suggested I try Humulin but says I should get with my personal Physician and see which Humulin I should start with? Any suggestions?Steve Doctor: Hello,Thank you for your query. I understand your concerns.Your heart specialist is correct regarding Avandia and Actos causing heart problems (usually heart failure) and kidney problems. You could benefit with insulin as it is safe in both heart and kidney disorder patients.Humulin is insulin. I will try and explain to you in brief. There are 3 types of Humulin.1)     Humulin S/Humulin R: This is short acting (S) or Regular (R) insulin. This needs to be taken 30 minutes before meals. Its action starts about 30-60 minutes after injecting, and it has its peak action at about 3 hours after injecting and the action lasts for about 6-8 hours. It is usually given twice a day. This insulin helps to reduce the blood glucose spike which is seen after a meal; hence this is given before the meals.2)     Humulin I: This is Isophane/intermediate acting (I) insulin. It is given once a day usually. Its action starts after 2-4 hours after injecting, its peak action is around 5-10 hours after injection, and the action lasts for about 16-18 hours. This insulin helps to reduce the background blood glucose levels (there is a constant supply of glucose in the blood throughout the 24 hours and this is synthesised from the liver and muscles by a variety of chemical messengers like glucagon, cortisol, adrenaline etc.)3)     Humulin M3, M5: These are pre-mixed insulins and these insulins have both the short acting and the isophane insulins mentioned above in varying ratios (30/70; 50/50). This is to be injected 30 minutes before meals and has the advantage of taking two insulins with one shot. Disadvantage is that it is slightly tricky to titrate your dose if your sugar is fluctuating. I am not sure how your blood glucose level is. If it is very high you could benefit with morning and evening doses of Humulin S along with bed time dose of Humulin I. Once your sugars are under control you could switch over to Humulin M3 twice daily. I would advise you to see your doctor, so that you could discuss with him in detail about the various insulins.I hope this answer has been helpful to you.RegardsDr Sunita Sayammagaru" }, { "from": "gpt", "value": "Target: Which Humulin is advisable for diabetes in a heart and kidney patient?" } ]

[ { "from": "human", "value": "Source: Patient: I am told by my neurosurgeon that he doesn t think I need surgery. I have pain all the time, inflammation. But he doesn t believe my nerves are being affected, Emg tests come out positive on upper and lower back, But he thinks is possible that nerves are compressed by inflammation which in turn is caused by damaged disks. There is just one area or disk that he believes might get better with surgery. I know that the damage is not in just one area, but I have symptoms that truly affect my life, thought he believes that my spine itself is stable. How can it be stable and yet have so much damage and cause me so much pain? Problem is on upper and lower back, but more noticeable on lower back and legs Doctor: Hello,One really needs to see your scan before a comment can be made upon the issue. If possible, please upload the pictures of the scan. I might add that the neurosurgeon may also be evaluating whether the condition will improve after surgery.Please understand the subtle difference- you don’t need surgery either because your scan may not be so bad OR because the neurosurgeon does not (in his/her experience) think there will be improvements after surgery.As for the stability of the spine and the associated pain, there are other features like he motor weakness and the sensory symptoms that need to be taken into account when considering stability.However, if EMG is affected I think surgery may be looked into unless there is not much scope for improvement.As I said, would need to see the scan before I can make a definite comment- so please upload the images of the scan and the report.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Saumya Mittal" }, { "from": "gpt", "value": "Target: How can pain and inflammation in the lower back be treated?" } ]

[ { "from": "human", "value": "Source: Patient: hi Robert my mom has low hemoglobin count its 5.49 but just 2 days back we have provided her 2 bottles of blood externally,Now its reach to 7.59 So is this expected result ? or still having an problem ,why its not reach to 10 or above, I need to suggestion please Doctor: Thanks for contacting HCM. This is the expected result. Your mom's hemoglobin was very low(5.49) and could have led to cardiac failure so blood transfusion was given and reached 7.59 as can be expected after infusion of two bottles. Now with the help of your doctor find out the reason as to why she had low hemoglobin at the first place because if the cause is not treated she will again develop low hemoglobin. Also, to further raise her hemoglobin give her iron supplements which should provide atleast 100mg of elemental iron 2-3 times a day. Regards" }, { "from": "gpt", "value": "Target: What causes low hemoglobin count?" } ]

[ { "from": "human", "value": "Source: Patient: Hi my dad is 78 yrs old. He is slowly loosing his memory. Today, he picks up the phone and said he was going to his cousin's house thinking the phone was his car. He can barely finish a conversation. I am very worried. Can I ask his primary to put him on a low dose of Aricept. Pls help Doctor: Greetings !Well Aricept ( generic - donepezil) is a drug that helps in slowing down the process of dementia ( alzheimer's disease) so starting your father on this drug will be prudent in terms of preventing worsening of his dementia at a fast pace like he is facing right now.So i will encourage you to ask his doctor to start him on 5 mg / day dose of aricept which shall be raised to 10 mg/ day after 2 weeks and maintained on it. This dose is necessary to achieve desired results because low / sub-standard doses can become ineffective after a while.I hope this helps.Regards" }, { "from": "gpt", "value": "Target: Can low dose of Aricept help a person who is losing memory?" } ]

[ { "from": "human", "value": "Source: Patient: i am expecting bad news from my boss. he stopped by and set up a meeting for couple of hours. my heart has been pounding every since. what can i do to control it. i have tried drinking water. before the meeting i might just need some medication? is this called an anxiety attack? Doctor: Hello. Thanks for asking on Healthcaremagic. Yes you are right. You are having an anxiety attack. You might need anti anxiety medications and might need to consult a psychologist for the same. It is important to modify your lifestyle. Do some relaxation techniques like yoga or meditation and keep stress at bay. Always keep one thing in mind that pondering over the situation and getting tensed over what will happen will not change the future. On the other hand such a stress about your future will hamper you mentally and impair your strength to deal with the after effects of what happens. Instead, accept all that happens with a smile and divert your energies to find solutions to whatever happens and turn the tables in your favor. Thanks" }, { "from": "gpt", "value": "Target: Suggest treatment for heart palpitation with anxiety" } ]

[ { "from": "human", "value": "Source: Patient: My 1 year old boy has what seems like 2 -3 white lumps underneath his foreskin where it attachs to the penis shaft, one of them when we touched it isqueezed out hard white stuff and the other looks just like a pimple but it is hard to touch? any suggestions? Doctor: Hello. I just read through your question.You can keep a layer of Vaseline on the area at all times. This will allow the skin to heal underneath." }, { "from": "gpt", "value": "Target: Suggest treatment for white bumps underneath foreskin in a child" } ]

[ { "from": "human", "value": "Source: Patient: I went to Urgent care yesterday after a fall. They took X-rays and just called to tell me I have a displaced fracture of the distal 3 rd of the clavicle with overlapping fracture fragment. They said I would need to go to ER to have it set. What exactly does that mean. When I left yesterday the doc said it would heal on its own. Doctor: Hi, I have studied your case with diligenceThis can be delayed healing may be due to displaced fracture clavicle.Other reasons can be poor bone stock or due to smoking/drinksIf you can send all your x ray reports I can help you better.You can take second opinion with radiological film. You can send your reports of x ray directly to me on http://dyyyyyr.yyyyyyyyyyy.com/doctors/dr-yyyyyyy-yyyyyyy/00003.If fracture is not displaced it will heal with conservative treatment. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care" }, { "from": "gpt", "value": "Target: What does this X-ray report indicate?" } ]

[ { "from": "human", "value": "Source: Patient: I would like to know what means \"subcentimeter periaortic lymph nodes are present\" from a cat scan done about 2 weeks ago. Thanks My e-mail is YYYY@YYYY OK I want to unsubscribe. I can't afford to pay. anyway I don't have any credit cards . So let me unsubscribe.Good bye and good night Doctor: Thanks for your question on Health Care Magic. I can understand your concern. No need to worry for periaortic subcentimeter size lymphnode. Lymphnode is enlarged in infection. And it is considered pathogenic if the size is more than 1-2 cm. Smaller than this is considered as normal. So no need to worry for subcentimeter lymphnodes. If you have coughing or chest congestion, than this can be the cause for your CT findings. So take broad spectrum antibiotic,you will mostly improve in symptoms. Hope I have solved your query. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What does \"subcentimeter periaortic lymph nodes\" on cat scan suggest?" } ]

[ { "from": "human", "value": "Source: Patient: I am going for an open lung biopsy 2/3/12, went for blood work and found out I have low platelettes. I am a very heavy drinker and I'm sure that is the cause. Is there anything I can do (besides to stop drinking) to still go ahead with the surgery? I don't want it postponed because I've been going through tests since the last week of November and it's been stressing me out. Doctor: hi, dont worry relaxed. there are many causes of low platelets. its start from simple viral infection to malignancy. first you need to search the cause for that. then you can take treatment accordingly.it will definitly give benefits to you. moreover if your count is not too low then you can go for surgery with slight low count also if anesthtist permits. and if very low then you can go for platelets transfusion also. just consult your doctor and take treatment accordingly.thanks for using health care magic." }, { "from": "gpt", "value": "Target: How to improve platelets level in the body?" } ]

[ { "from": "human", "value": "Source: Patient: I was bitten by a dog a week ago, it s teeth didn t break through my pants but it did break the skin, which I m guessing is just from the pressure of the dogs Mouth. It was small, not deep at all and healed with a little bruising. The bruise is almost gone but I ve developed a lump where the bite was and I have no idea what it is. There s no pain or redness or puss. Just a lump, any ideas as to what it is? Doctor: Hi,It seems that there might be having small collection of blood or some induration following dog bite.As there is no signs of infection, nothing to worry, gradually it will be absorbed.Apply ice pack for 2-3 days.Go for ARV shots.Ok and take care." }, { "from": "gpt", "value": "Target: What causes a lump at the dog bite site?" } ]

[ { "from": "human", "value": "Source: Patient: My father is 60 years old. In August 2012, he was diagnosed with squamous cell carcinoma of upper alviolous. He was successfully operated upon with clear margins. Doctor said no follow up therapy was required, still we went ahead with full 30 cycles on Radiotherapy which got completed on 2nd nov 2012. my father was recovering well when the disease relapsed in May 2013. we had limited options and doctor suggested 6 cycles of chemo consisting Paclitaxel and carboplatin which ended in sep 2013. now he is on geftifib (500 mg daily), but a white spot in upper part of his mouth is spreading and he feels acute pain which get relieves only after he takes tydol. Taking 3-4 tydol 100mg daily is making him slip into depression. please suggest what treatments we have for him. according to doctors surgery is ruled out. Doctor: HIThank for asking to HCMI really appreciate your concern for your father, for the malignancy the line of treatment mainly decided by the oncologist and the oncosurgeon this is team work, and this team taking all the possible aspects into consideration right from the clinical condition of the patient to the test reports, side effect of chemotherapy, prognosis, so this decision can only be taken by the medical team, so in my opinion it would be better to have a words with them, hope this information helps you, have nice day." }, { "from": "gpt", "value": "Target: How to treat squamous cell carcinoma, doctors have ruled out surgery?" } ]

[ { "from": "human", "value": "Source: Patient: I have been on Methotrexate for 5 years and the last 8 months hav e noticed signifecant hair loss. My eyebrows disappered about four years ago. When I initially started the MTX I was perscribed Leucovorin calcium for three months only. If I start taking it again will my hair grow back? Doctor: Thank you for the question.You have not mentioned the condition for which you have been prescribed methotrexate leucovorin . starting Lecovorin calcium might help in regaining hair . Balanced diet, regular exercise/yoga and stress free lifestyle needs to be adopted for good hair growth. Your medical condition itself might be the cause for hair loss. so further evaluation would be required." }, { "from": "gpt", "value": "Target: Will hair lost due to methotrexate grow if calcium is taken with it?" } ]

[ { "from": "human", "value": "Source: Patient: hello doctor, i am a TB patient, susceptibility testing report showed my TB was Multi-drug resistant (sputum was collected before treatment, and result came out after 2months of treatment started) , but my doc said first line/primary TB drugs were take effect on me accounding to my chest X-ray, and after 9 months treatment, my AFB culture was negative, and x-ray showed opacities was stable. is it possible that MDR report was wrong? thanks. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of false MDR report is very less. So better to rule out MDR TB first. So get done Sputum for genexpert. This is newer, faster and more accurate test. It shows rifampicin resistance if it is present. Report of genexpert comes within 24 hours. If Genexpert is negative then no need to worry for MDR TB. But if Genexpert is positive, you should start second line treatment for MDR TB. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What is the reason for positive test for multi-drug resistant TB?" } ]

[ { "from": "human", "value": "Source: Patient: Hi doctor, recently i had a chest xray as part of Australian Tourist visa medical test and diagnosed with homogenous opacity. Doctor gave me an antibiotic course which I have completed and have done another xray which came out with a little spot. Now I have to undergo 2- month long sputum test. I am under the process now. In the mean time, i have done another quick sputum test. The result found no AFB. I am 75 year old male, however do not have any symptom of coughing, cold , sweating or an thing else. I am completely doing fine healthwise. Could you please advise if I am carrying a TB germ? Many thanks. Doctor: Hello!Thank you for trusting us at HCM. As you wrote you underwent a two month treatment after some homogenous density in your lungs. As per DOT s if patient is tested negative after two months of treatment he is not infective anymore but you should complete continuous phase of remaining 4 months.Regards!" }, { "from": "gpt", "value": "Target: How to identify that I have tuberculosis?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I have a rash around my waist under and around my belly button . They favor chicken pox but Ive had them before and they are spreading down my thighs . IM 28 YRS old no health problems as I know of .I do have alot of anxiety but who doesn't these days Doctor: Hello. Thanks for writing to us at healthcaremagicChicken pox usually presents as fluid filled lesions and mainly involves the torso, face as well as proximal extremities; there may be associated fever.The rash which you have is unlikely to be chicken pox and probably is a fungal infection; fungal infection is common at sites such as waist, lower abdomen and thighs. The lesions are itchy in fungal infections and they can progressively spread to involve large areas.As the lesions spread they become annular with central clearing and peripheral red raised margins. These are usually scaly.I would suggest that you visit a dermatologist in your region for a confirmatory diagnosis.You try an OTC topical antifungal e.g clotrimazole 1% cream, twice daily for a few days.If indeed this is fungal than Oral antifungal can be added by your dermatologist in addition to the topical antifungal.You may use an OTC topical antihistamine e.g cetrizine 10 mg once daily for symptomatic relief from itching.Regards" }, { "from": "gpt", "value": "Target: Is rashes on waist and belly button sign of chicken pox?" } ]

[ { "from": "human", "value": "Source: Patient: I recently had a total shoulder arthroplasty two weeks ago. When is it possible to resume my weight training with my personal trainer. Also, is it possible to resume some speed bag boxing as I love hitting it. I hit the gloves of my trainer also. I am a female over 50. Thank you. Doctor: hithank you for providing the brief history of you,As you have undergone shoulder arthroplasty, you need a thorough musculoskeletal assessment.As to understand that now you have a new joint, which is artificial in nature. So the chances for it to have dislocation will be very high. Also, undergoing the weight training needs to be waited till the shoulder girdle becomes stronger as now you do not have any ligaments to support or hold the shoulder joint.Also, first you need to consult the surgeon who operated you, post which he will send you to a physical therapist, as physical therapist will assess the muscles and direct the rehabilitation plan according to the requirement of the shoulder joint. Post which you may have to go slow with strength training and also boxing. Because each time the shoulder dislocates it will give you recurrent to the dislocation.Undergoing the complete 100% rehabilitation under a physical therapist will be even the choice of your surgeon. Post which you can undergo weight training and boxing.RegardsJay Indravadan Patel" }, { "from": "gpt", "value": "Target: Is weight training possible post shoulder arthroplasty ?" } ]

[ { "from": "human", "value": "Source: Patient: My 34month old son was a vivasious toddler. Outside everyday .. Loud and bold .. Hearty tantrums and was always eating. Now he seems more slender.. Rarely goes outside.. Pecks at his food lays in bed most of the day and is pale. His only complaint is of his foot.. Standing still he had agonizing pain for an entire 2 days but there was no sigh on any problems. This was 6 weeks ago. I m becoming concerned it s something worth looking into Doctor: Hi....by what you quote I feel that foot pain is not the only reason. There is no reason why a well eating kid should become a picky eater due to foot pain. It can be even an iron deficiency or he's becoming less social for psychosocial reasons too. I suggest you seek your pediatrician consultation and if nothing is found in clinical examination, better see a child psychologist too.Regards - Dr. Sumanth" }, { "from": "gpt", "value": "Target: Suggest treatment for foot pain and behavioral changes in a child" } ]

[ { "from": "human", "value": "Source: Patient: Help. I recently got bad flu and deleloped pneumonia which took almost 2 month to recover from. Now. Have contracted a col which has developed into bronchitis. I need something to hel me breathe more easily. I have Breo and Ventolin but they are not working so well Doctor: Hello,If you have severe breathing problem use oxygen/ BiPAP, go for sputum gram staining, bacterial culture sensitivity, viral PCR and fungal staining.Hope I have answered your query. Let me know if I can assist you further.Regard,Dr. Chandra Shekhar" }, { "from": "gpt", "value": "Target: Suggest treatment for breathing difficulty when diagnosed with bronchitis" } ]

[ { "from": "human", "value": "Source: Patient: I have been sick for 8 days im counting now and its been really rough. Well it started with a sore throat and then I lost my voice and coughing up mucus and today I had trouble breathing which scares me very badly do you have any idea whats wrong with me? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after viral upper respiratory tract infection (URTI). It is caused by inflammation of airways. This can cause coughing with mucus expectoration and breathlessness. You need inhaled bronchodilators and inhaled corticosteroid (ICS). Antihistamine and anti inflammatory drugs are also helpful. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What causes breathing difficulty after a sore throat infection?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter underwent operation to remove a brain tumor, it's been almost a couple of months since the op. Now my daughter says, she noticed a lump behind her right ear, the tumor was removed from her right side. She's awaiting to do her radiotherapy. Thanks for your reply. Eathomas Doctor: HI,Welcome to HCM.That lump could be a lymph node, and it might signify that the tumour was malignant and it is now spreading.But for confirmation you need to show it your treating doctor and get a needle biopsy, as this might change the radiotion therapy protocol.Hope i have been helpful.Regards,Dr. Ashish Verma" }, { "from": "gpt", "value": "Target: What is the lump behind the ear from where tumor was removed?" } ]

[ { "from": "human", "value": "Source: Patient: I AM 30 WEEKS PREGNANT AND MY COUNTRY IS EXPERIENCING AN ELEPHANTIASIS OUTBREAK, I AM TOLD I CAN NOT TAKE THE PROFELAXIS THAT IS BEING GIVEN FOR PREVENTION, I AM AFRAID OF GETTING IT, WHAT MEASURES CAN I TAKE TO PREVENT IT, OR IS THERE SOMETHING I CAN TAKE IN MY CONDITION? Doctor: hiheterazan tab100 mg once a week for prevention.contact your nearest health centre to obtain first hand knowledge of prevention and procure medicines.use mosquito nets, apply anti-mosquito cream to exposed hands, legs ,neck and face.Avoid water collection in flower pots, vases or in ditches around your housethanks" }, { "from": "gpt", "value": "Target: Recommend preventive measures for Elephantiasis" } ]

[ { "from": "human", "value": "Source: Patient: hello, im wondering if the contraceptive pill im on could be causing my severe mood swings? i can become very upset or angry and somewhat psychotic over very minor things. i say things i wouldnt normally say to my partner like i dont love him which is ridiculous and unfair. would things improve if i came off it completely? its microgynon 30 Doctor: Yes, contraceptive pill can cause mood swings.Stopping it for a while would prove it.Use an alternative method for a couple of months and see the difference." }, { "from": "gpt", "value": "Target: Does taking contraceptive pill cause mood swings?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I appreciate any help you can offer for my situation. Today, both my same sex partner and I had our yearly physical examinations. I have been to this office before and my spouse (who I have a domestic partnership with in NY and a legal marriage from MA) has come into the room with me before at this practice. My spouse was called first. The nurse rudely stated that I would not be allowed into the room for her physical exam as this was office policy. This didn t seem fair as just a few weeks ago, my spouse came into the room with me when I went in for a breathing test due to a prolonged asthmatic episode. The nurse would not give any reasoning for this and just said that this rule applied to the yearly physical exams. By her attitude, I immediately got the feeling that she was denying us access because we are a same sex couple. After much arguing, she nastily stated that she would just let the doctor deal with it. Both my spouse and I are on the same insurance policy and have signed the appropriate forms to have information released to each other. I have certification in HIPAA as I work in the mental health field and have never seen anything like this. My spouse wanted me to come into the room with her and verbally agreed. What is the deal? Doctor: Hi,Your query relates to treatment of prolonged asthma attack. 1. Asthma is diagnosed on the basis of clinical history and breathing test or pulmonary function test is the confirmatory test for asthma.2. The patients pulmonary function test were probably done to monitor the airway function.3. The main treatment of asthma is inhaler therapy which is required to be taken as per your physicians prescription.4. If there is an asthma attack , a stepup of the therapy needs to be done and a consultation with your physician is required.ThanksDr. MishraConsultant Pulmonologist" }, { "from": "gpt", "value": "Target: Suggest treatment for prolonged asthma attack" } ]

[ { "from": "human", "value": "Source: Patient: I slipped getting on a train, caught my shin and knee between the train and the platform and sustained heavy bruising, no muscle or ligament damage as after the initial shock, was able to walk fine. However, there is a bit on my shin that has a solid lump, its still showing a light brown bruise and although still not painful when walking, if I press down on the lump it is practically numb with a slight tingling and it is pretty solid, it is right on the shin bone - slightly concerned that maybe i chipped the bone or something? Any idea what this might be and if it will go away on its own or should i be worried? Doctor: Hi, With your description, there does not appear to be any bony injury. It is likely to be a blood clot which is healing. During the healing process, it changes colour and it might take a few weeks to heal. Numbness will recover gradually. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Gopal Goel, Orthopaedic Surgeon" }, { "from": "gpt", "value": "Target: What is the lump on my shin?" } ]

[ { "from": "human", "value": "Source: Patient: i have a 2 different painds in my upper left abdomen. The first pain feels like my stomach is knotting up and I have to push on it to keep it cramping,, I think this maybe a haital hernia but not sure. The 2nd pain scarces me more, it's a fist sized dull pain on the left size of my abdomen right below my rib cage. I tend to notice this pain more when walking or hiking with little food in my stomach. I also small lumps or bumps just below my skin on the left side of my abdomen that feel soft to men and would probably be hard for anyone else to feel them. Dont smoke almost never drink alcohol. Doctor: Hi, the pain could be due to gastric irritation, or pancreatitis, or may be kidney pain due to infection or stone. I advise you to consult a surgeon for diagnosis and treatment. I to my patient with such symptoms prescribe omeprazole, domperidon, and antacid gel . Thank you." }, { "from": "gpt", "value": "Target: Have abdominal and rib cage pain, possible hiatal hernia, knot like sensation in stomach, lumps in skin. What seems like the problem?" } ]

[ { "from": "human", "value": "Source: Patient: I was just in the hospital with a very low red blood cell count. They mentioned viamin B12. I was also just reading an article on the internet about N2O and that inhaling it in the form of a whippet can cause these problems. Can you give me more information about this....like how often using it affects you. I don t use it often but I am pretty confident this could have been my culprit. Please any information regarding health risks. I had to have 4 pints of blood and was in ICU for 4 days. Doctor: Hi, dearI have gone through your question. I can understand your concern. You have low rbc count. Causes of low rbc count is either decrease production or some blood loss. You may have some bleeding or hypoplastic bone marrow. You should go for complete blood count and peripherals smear examination. If needed go for bone marrow examination. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What causes low red blood cell count?" } ]

[ { "from": "human", "value": "Source: Patient: Dear Doctor, i am 44 yeasr old. my wife is 36. i am suffering from diabetics, arthrites and taking medicines. but presently unable to satisfy my wife due to not errection of my penis. please advice. but my wife needs too much sex. i am afraid she can do sex with others. i am totally harassed. please advice and help. Doctor: Hello, Some diabetics medicines may cause erection problems. Please talk to your diabetologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist" }, { "from": "gpt", "value": "Target: Suggest treatment for erection problem" } ]

[ { "from": "human", "value": "Source: Patient: I am an 18 year old woman and with school and trying to find a job, I have a lot of stress on a day to day basis. I find that masturbating before bed helps me de-stress and fall asleep easier. Is that a problem medically though and could it have negative effects in the future? Doctor: Dear user,Thanks for writing to HCM.I have gone through your question and understand your concerns.Masturbation in private or with a partner is a normal and healthy part of sexual enjoyment. Sexual arousal and orgasm releases certain chemicals in your brain which alleviates stress and induces relaxation.Sexual intercourse is of course not bad hence masturbation.There are no negative effects on your health and sex life.Relax. Wish you good health." }, { "from": "gpt", "value": "Target: Can masturbation be used as stress reliever?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, Ever since I was little I found myself crying easily and the older I got the worst it became to the point where I cry in the middle of a simple conversation with someone. Of course I had went through depression but I never took any pills for it because I ve been doing well with controlling it on my own but here recently I ve been crying uncontrollably randomly for no reason when I m not even sad and it s getting to the point where I have to let myself cry until it stops on its on. I was wanting to know if you have any idea whats wrong with me. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Crying might be part of your personality to express the worry which is built inside you and don't get back to take medications to combat depression if you are suffering so practice to speak to your family members and dearest friends initially and make sure that you won't cry later on apply same to strangers. Consulting psychologist may further be beneficial for you in getting a change in your behavior. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What makes a person cry easily for small things?" } ]

[ { "from": "human", "value": "Source: Patient: I had back surgery last December 18, 2012 and was diagnosed with a enlarged S1 root nerve the surgeon went in to remove what appeared on a Mylogram and MRI a cyst but found out when he got in there that it was an enlarged root nerve he did not remove it because of the fear of leaving me with no feeling in certain parts of my legs and feet. He said he just made space for the root nerve in hope that it was just inflamed and would help if not my next option would be Mayo Clinic... well here it is May and all my pain has returned, just looking for some additional options. Thank You. Doctor: Hi, Thank you for posting your query. Since six months have passed since the surgery, it would be preferable to repeat an MRI scan of the spine with contrast to evaluate the enlarged nerve root at this point of time. The treatment options would depend on the MRI findings. As of now, you could take pregabalin or gabapentin capsules for pain relief. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected]" }, { "from": "gpt", "value": "Target: History of back surgery, diagnosed with enlarged root nerve. No surgery done, made space for root nerve. Pain has returned, advice" } ]

[ { "from": "human", "value": "Source: Patient: Hi I m Tiffany I had a MRI of tte left knee without contrast the findings show mild degeneration of the medial meniscus, mild thickening of the ACL, small to moderate joint effusion, mild lateral patellar tilt and medial patellar retinaculum is somewhat thin. What does this mean? Doctor: This looks like degenerative changes to an arthritic joint. Apply warm packs, avoid squatting, kneeling, cross leg sitting. If you have a lot of pain, arthroscopic debridement can be done to remove any bony debris and injured meniscus." }, { "from": "gpt", "value": "Target: What does the MRI of the knee mean?" } ]

[ { "from": "human", "value": "Source: Patient: helloMy boyfriend and myself both engaged in sex six days ago. When he ejaculated the condom had slipped off but I the condom out soon after he ejaculated. There was semen inside of the condom but I then checked to see if any had remain in my vagina but with my discharge I could not tell. I started ovulating two days prior to the incident. When I noticed I was ovulating my cervical mucus was a egg white stretchy consistency. After the incident about 45 minutes to an hour later I took the next choice one dose pill. So now six days later I'm having lower back pain and slight to mild cramps. I want to know if I was pregnant Doctor: Hi, Based from the information provided it seem that you took emergency contraceptive pill after a kind of unprotected intercourse with your boy friend and it was on the second day of your ovulation and now after 6 days you started having menstrual cramps and lower back pain. Its normal to have such things, the emergency drug which you took is intended to make you menstruate earlier so that the embryo will not implant in the uterus. Even if it did implant the cramps and menstruation will get the pregnancy out of your system. Advice :- please be careful next time. Emergency pill in not to be used for every night use . ThanksDr. JAY PATEL." }, { "from": "gpt", "value": "Target: Lower back pain, mild cramps, stretchy consistency during ovulation. History of slipped condom during intercourse, intake of next choice pill. Possible pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: I was exercising doing a chest fly and i felt a muscle under my arm and down the left side of my ribcage area grab. It felt fine the next day so I went golfing. Now I have pain in that area, at the bottom of my shoulder blade and in my pec muscle. Any advice? Doctor: Hello, It could be a sprain or tendon injury. As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist you can consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: How to treat pain in shoulder blade?" } ]

[ { "from": "human", "value": "Source: Patient: About three weeks ago I bruised the area on the back of my knee. It featured a large knot and severe black and blue bruising. After a week or so the knot became smaller but the black and blue mark transitioned into a large itchy rash that hasn't gone away. I have used triple antibiotic ointment on it and hydrocortisone along with other itch medications to no avail. Any guess on what is going on here? Doctor: Hi, I feel that the rash could be due to application of powerful medications which could have damaged the skin. I strongly recommend you to stop all these medications and to consult your Dermatologist to get proper treatment. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes itchy rash on back of knee?" } ]

[ { "from": "human", "value": "Source: Patient: i hope you can help me with my problem. Im half way in my pregnancy but i am not really sure who the father is. I first had my period round the 11th or 12th of june. My ovulation should have been round the 26th. I had sex with friend A on the 25th and 26th, and he came in me. Two days later i had sex with friend B, we did it twice in a row, but both times he didnt come in me. and i took \"the morning after pill\" the day after. So after that i had my period on the 9th or 10th of july (dont remember exactly). After this i have only had sex with friend A, havent had sex with friend B since that one day on the 28th/29th of june.. On august 5th when i should have gotten my period ( i have a cycle of 27 days every month ) I did a clear blue indicator test and it said was conceived 1-2 weeks, which means i was 4 weeks pregnant at the time. Period stayed away, i only had a little bit of brown blood like 2 weeks later when i was about 7 weeks if i remember correctly. I had an ultra sound on sept 2nd and my gyn told me i was 7 weeks and 5 days. I am so worried the period i had on the 9th of july wasnt a real period at all ( if i remember correctly i had it for about 3 days which i almost always have when on my period. but i dont remember if it was as heavy as regular ), and i am contstantly telling myself the indicator from clear blue can be wrong as well... I have also smoked cigarettes ( i stopped when i was 8 weeks ) so now im also telling myself because of the smoke the baby was smaller then she should be and that she wasnt really 7 weeks but more like 11 weeks from the month before... But on the ultra sound she really was a little shrimp, couldnt really tell it was a \"baby\"... im just losing it and i really want to hear ur thoughts.... Thank you for your help in advance. Doctor: Hi,You are pregnant with friend A, and your last menstrual period was on 9/10 of July. This corresponds to your ultrasound dates and your urine pregnancy result as well.Do not be anxious about it. Though the baby forms only after ovulation, the pregnancy is always calculated from the last period day, which might be confusing you.Do not worry and the early pregnancy ultrasounds are very accurate in diagnosing the exact dates of pregnancy .You were wise to stop smoking, but smoking will not cause the early fetus to shrink as you have described. Smoking usually causes the baby in the last trimester to be underweight by 500 gms or so.It doesn't affect so early in pregnancy. I would advise you to stay away from smoking and take help from smoking cessation services if required.Do not worry.Hope this helps .Regards." }, { "from": "gpt", "value": "Target: When does pregnancy occur after having intercourse?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Doctor, I am 32 years old female. 8 years back married after one year of marriage wanted to extend the family but didn t succeed. Then one after other tests were done. 8 times IUI done but no use. Tube tests done no problem, 2 years back laproscopy done and chocolate cyst was removed. recently IVF done that time my AMH level was 1.15. All pitted eggs came itseems. IVF also came negative. Now they suggested IVF with Donors egg. Can t i become prgnant with my own eggs? My email id is YYYY@YYYY Doctor: Hi, AMH value of 1.15 is not that low. But more important is your response to previous stimulation. Chocolate cyst removal invariably reduces ovarian reserve. What you can try is to take some medicines to improve your ovarian response(which your infertility specialist will prescribe you) & ask doctor to modify protocol of IVF stimulation to get better quality eggs. Whether its possible to conceive with your own eggs or not will depend on your response after taking required medicines. Wish you good luck." }, { "from": "gpt", "value": "Target: Trying to conceive. IUI done several times, IVF suggested with donors egg. Chances of conceiving?" } ]

[ { "from": "human", "value": "Source: Patient: I have hand tremor since last 5 years And since last 2 year ..I am getting severe pain in my entire body... I am suffering from different kinds of severe pain like burning, numbness, tingling in different parts of right side of the body from head to feet.Sometimes it happens in the left side as well. Sometimes I get the pain throughout the body but sometimes it is at particular parts like in the nerve from the ring finger to the wrist, just below the elbow, in the shoulder, right cheek, near the right ear,below the right ear at the neck, right side of the chest, in the waist, thigh joint, knee, and nerve from the finger of the feet. I feel numbness in one nerve from the knee to the feet. All these pain makes me weaker and causes fever almost every night.(The temp remains normal or low temperature nearly 97.5-97.8) The pain gets more acute with more physical stress. Any pressure in hand or leg increases the numbness leading to pins and needles. Sitting at a particular position increases the burning sensation and cramps at the back. I have hand tremor since last 5 years. But it was not causing much problem to me. But because of all these pain and weakness the tremor has also increased. Feel nauseatic normally in the morning because of Low BP(90/60) Doctor: HIThank for choosing HCMAs usual you also have not mentioned here your age and sex, any way here is the answer (May not be much helpful).This could be essential tremor, but need to be differentiate with Parkinson's disease, this not a low blood pressure, it is your idea that low blood pressure induces the vomiting and nausea, in case of low blood pressure first symptom would be syncope, hope this will help you a lot Have nice day." }, { "from": "gpt", "value": "Target: Have hand tremor, body pain, burning, numbness, tingling, fever, nausea in the morning, low blood pressure" } ]

[ { "from": "human", "value": "Source: Patient: hi my husband has on going back problems. he fractured his back last year. hes had another fall and is in pain. what pain killers will be best for him to take? hes stubborn and wont go back to the doctor as hes scared he will lose his job as he will be a liability. Doctor: Thanks for your query, I have gone through your query.As far as the pain in the back is concerned, it can be secondary to the inflammatory response to the trauma or a fractured bone. You need to consult an orthopedician and get it evaluated. Mean while you can take a course of analgesic like ibuprofen or diclofenac(if you are not allergic). You need to get a radiograph done to confirm the diagnosis. Later once the diagnosis is confirmed, we can manage accordingly. Do not neglect.I hope I have answered your query, take care." }, { "from": "gpt", "value": "Target: Suggest medication for pain in back due to a fall" } ]

[ { "from": "human", "value": "Source: Patient: Hi doctor, I have oily skin and dry skin at the same time. My skin is usually oily but once i wash it, it becomes dry. Then i use a light moisturizer. Once i do that my skin starts looking oily. After sometime my skin becomes dry and flaky again. It is like dandruff on my skin in some parts. I also have cystic acne and there are marks on my skin. I have stopped using soap or facewash on my skin and wash it with only water. Still the problem persists. Please tell me what to do. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of dry and flaky skin, my treatment advice is - 1. Avoid using soap or perfume for 7-10 days. 2. Apply an emollient cream like Enmoist cream. 3. Take a vitamin B12 supplement. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest treatment for dry and flaky skin" } ]

[ { "from": "human", "value": "Source: Patient: I have a mass that doesn t move around but is soft when touched it is about the size of a large egg on the outside of my left upper arm ,lined up where my arm pit is on the inside,, It is causing a numb feeling under it . and my fingers feel Pain in them as well .I have not had any injury Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have lipoma or some lymphnode or soft tissue tumor. You should go for fine needle aspiration cytology of that lump. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What causes painful soft lump in the armpit?" } ]

[ { "from": "human", "value": "Source: Patient: I have a fairly consistent blood pressure of 150/75 while on Diltiazem and Diovan. I am a competative athlete (powerlifter), weighing 140kig and do regular cardiovascular training. I have been training for approximately 20yrs. I do not take any synthetic testosterone or any other enhancing drug. I have asked my doctor and he says it's hereditary. What do you think? Doctor: Blood pressure is some thing multifactorial and have pleomorhic a number of things are responsible for it" }, { "from": "gpt", "value": "Target: Is blood pressure of 150/75 in an athlete normal?" } ]

[ { "from": "human", "value": "Source: Patient: I twisted my left ankle 10 weeks ago. I was able to walk with some pain after the accident, and around 1 week after the accident I was able to walk with very little pain. However after long periods of rest when I start walking I feel a little bit of pain localised in the sorroundings of the Talar-Navicular joint (Got this name from Google :). This is from the inside of the foot. If I press this location I feel a localised burning pain. I can move my ankle in most directions without pain. It is only when I try to put pressure on my foot sideways towards the big toe, that I feel pain. Any ideas what is the problem and how I can treat it. It seems to me that it is taking too long to heal. Thanks for your help Doctor: a chronic lateral collateral ligament sprain..you need physiotherapy and strengthening ex as this injury is commonly recurrent." }, { "from": "gpt", "value": "Target: What is the cause of ankle pain felt while putting pressure on foot and how can i treat it?" } ]

[ { "from": "human", "value": "Source: Patient: I have been getting a tingling in my left arm that has been going on for about 2 weeks. Today I was feeling very faint so I went to the ER and was check out. They told me everything was ok, but I am feeling very strange. My labs came back with Hemoglobin 10.2, MVC @ 68.4, MCH 21.3, RDW-CV 16.7, Platelet count 410, my AST 14, CALCIUM TOTAL 8.3, CORRECTED CALCIUM 8.5. should I worry oe am I paranaoid? These are not normal labs for me, I have never had low hemoglobin ??? I know I give blood every 2 months for the past 2 years. Doctor: Hi, Your hemoglobin ,MCV and MCH levels are lower than the normal and RDW is higher,suggestive of Iron deficiency anaemia,and it has to be confirmed with the other lab tests like serum iron,serum ferritin and TIBC.Frequent blood donations may be the cause.So it would be better if you stop donating blood, atleast for 1 year.Take diet rich in iron including green leafy vegetables and egg,liver,legumes,citrus fruits.And consult your physician for further management Take care." }, { "from": "gpt", "value": "Target: Tingling in left arm, feeling faint, Hemoglobin, MVC, MCH, RDW-CV, Platelet count, CALCIUM TOTAL,never had low hemoglobin, give blood every 2 month" } ]

[ { "from": "human", "value": "Source: Patient: I am 28 yrs old and have smoked for 12 years. I have recently felt pressure or a tightness on my neck with no pain... Just the tightness. Upon feeling my neck, I found a peanut shaped lump on the front lower left side just underneath my Adam s apple. Again, there is no pain and it is not attached to my skin. it moves up and down with my throat when i swallow as if it is attached to mu throat. i have no allergies and have no fever or cough. Is this cancer? Doctor: Get a thyroid scan done for ruling out throglossal cyst and throid nodule. ( ultrasound scan).Lymphnodes enlarged in cancer usually do not move with swalloing .Quit smoking as soon as possible." }, { "from": "gpt", "value": "Target: Am I having cancer?" } ]

[ { "from": "human", "value": "Source: Patient: My friend has Cystic Fibrosis and he is 14 years old, and i will be 14 in june, and i want to donate one of my lungs to him when i get to the age i am able to. What age do i have to be to donate a lung? Will i be able to function normally with one lung? Will it make his Cystic Fibrosis better? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. You can not donate your lung because you won't live normal life with one lung. So forget about donating your lung. Yes, cystic fibrosis patients can live good quality of life after lung transplant. There is lung transplant registry maintained globally. You should enroll your friend's name in it. When the donor lung is available, your friend will get lung transplant done. So consult local pulmonologist there and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks." }, { "from": "gpt", "value": "Target: Is cystic fibrosis curable in a 14 year old?" } ]

[ { "from": "human", "value": "Source: Patient: hi my partner and i (both 33 years old) would like to add to our family, but he had the snip 7 years ago when he was with his previos partner after his second child. what are our options? we woul donly like one child and he plans to have snip again after we have a child so reversal seams alot to ask and to do. are there any other options open to us? does are % of success lessen which each year after the snip? Doctor: Hi, Yes, you can recanalize the tubes and work your way. Another option is TESA- testicular sperm extraction where your healthy sperm will be taken from tour testicle by surgical procedure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" }, { "from": "gpt", "value": "Target: Is vasectomy reversal the only option here?" } ]

[ { "from": "human", "value": "Source: Patient: I am 32 and have had 2 successful pregnancies but had my tubes tied. My new husband and I are undergoing IVF right now his sperm count is great and they did the first two ultra sounds where done to make sure things where looking good. Do you think chances are high that I will get pregnant on my first IVF try? Doctor: HiHiven that your partner's sperm count is good and you have no other medical issues other than your tubes being tied I think your chances of pregnancy are fairly good. Having said that you should remember human reproduction is quite inefficient .....most of the IVF clinics quote a success rate of 30%.Let me know if you have any other queries. Thanks" }, { "from": "gpt", "value": "Target: Would IVF be successful if ultrasound shows normal results?" } ]

[ { "from": "human", "value": "Source: Patient: i suffer from severe pain in my back after long periods of standing and have also noticed that the bottom of my back, my coccyx, is really noticable and i have a dip at the top of my bum. I think this has happened since i gave birth. Is it normal or should i get it checked out? Doctor: Hi,Welcome to healthcare magic.After going through your query I think you is suffering from chronic backache . Treatment of back pain is exercises and analgesics (diclofenac 100mgSR). It is not normal. Sometimes vitamin D deficiency is the cause so get her vitamin D checked .If it is low then vitamin D supplementation (with milk) can be taken.Avoid long continuous standing.Sit in a straight posture. Eat milk and milk product, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised . I think your query answered.Welcome to any follow up query" }, { "from": "gpt", "value": "Target: Need treatment for back pain after delivery" } ]

[ { "from": "human", "value": "Source: Patient: 786 MY NAME IS RAHIMULLAH: I am 30 years old when I born from my mother I had undesinded testes when I become 14 years old I operation it right site and I operation left site when I become 26 years old I get marred tow years ago I have no children and I have azoospermia I must mention that both site became hol with its self . Rahimullah My email add is :( YYYY@YYYY ) My skype name is (rahimullah100) And my phone no is: 0000 and 0000 Can I have care or no? If yes how and where? if in India how much money is need send email or add me in skype to chet and I understand you I well be faward to your answer Thanks rahimullah Doctor: Dear Rahimullah,I do empathize your situation. If after surgical treatment for your undescended testes on both the sides, your semen shows no sperms, it is now unlikely that you can have your own sperms. You can go for donor's sperm; then either intra uterine insemination or in vitro fertilization with embryo transfer. However, you have to understand the legal provisions and aspects of donor's semen. Each country has its different laws. Please find out the legal status before you go for donor's sperms. In India, (provided there is no legal hassle) the cost depends upon the procedure required to be performed and the number of times it needs to be performed. More details may be on the Direct question. Best Wishes,Dr. Nishikant Shrotri" }, { "from": "gpt", "value": "Target: How can azoospermia with undescended testes be treated?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter is 28yr her son is 6yr and her daughter is 8yr. The 8yr old was admitted to the hospital 4 days ago for spinal maningitis found out it was the viral not the bacterical kind. Now all three of them are at the hosp. right now recently some walls were openned in the building she lives in. A complaint was made to the health department about mold. This was a yr ago. However this we just found out, and my daughter moved in there months now. not yrs ago they have been sick ever since. My granddaugher came home yesterday now shes back up at hospital er. with my daughter and her son as well. The fella that lives below her is also in the hospital. Do you have any suggestions my daughter cant make another move either. I was told by the local health dept. it has to be in writing that this illness is from mold before they will even test the building? What do you think symptoms are headache, vomiting, dizzy, cant straighten up, cant keep anything down. fever all symptoms on each are the same? Doctor: Hi,Thank you for posting your query.Based on the description, the symptoms are suggestive of viral meningitis. So, I agree with the doctor's observations and diagnosis. However, the building is unlikely to be the source of the virus. The virus most often is in the environment, and can affect several people in the locality. In any case, it needs to be investigated by the Health authorities, as several members in one building are affected.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/" }, { "from": "gpt", "value": "Target: Suffering from spinal meningitis, affected by mold in the building. Having headaches, vomitings, dizziness, fever. Suggestions?" } ]

[ { "from": "human", "value": "Source: Patient: iam a 30 yr female.i have very low cal i take 1500mg of vit d and drink soy milk and eat dariy foods as well that are better for you.i belive i have some kind of arthritis in my rib bones on both.this has been going on for three years.anyway the pain that is feltls real tender like bones are sunk in and a heavy ness like something heavy placed on ribs.the pain comes and goes most prim is when cold weather and rain makes it worse sometime it hurts bad i cannt even move.my question is should i get an xray for rib bones to see if that i do have arthristis in rib bones?thank you Doctor: generally the condition associated with ribs is called as Costochondritis and it's not arthritis so yeah u can get the x Ray done but just a rib binder and NSAID will help u" }, { "from": "gpt", "value": "Target: What are the signs of having arthritis?" } ]

[ { "from": "human", "value": "Source: Patient: Went to emergency room last night with 102.7 temp severe headache no elevated white blood count over14 after X-rays flu test cat scan and other urine and blood work all came back neg except white count sent home with pain med and antibiotics. Come back if not better Doctor: I read your question and I understand your query.Many types of infection can cause headache and fever, it's hard to be precise without knowing more about physical exam and history. The most probable cause in your case, assuming that they didn't find anything specific in their physical exam would be influenza given it's high frequency and the negative test results. If that is the case simple supportive treatment is needed, take a lot of fluids, vitamin C, over the counter medication for fever and pain like acetaminophen or ibuprofen. If you have some new symptoms or the situations persists for many days you should be checked up again.I wish you a speedy recovery." }, { "from": "gpt", "value": "Target: What causes severe headache and fever with normal X-ray and CAT scan?" } ]

[ { "from": "human", "value": "Source: Patient: hello doctor ..im 28 yrs age frm nepal..my current report is Hbeab+ve, Hbeag-ve, Total brilium=0.5mg/dl, c brilium=0.10mg/dl, ALT=19.0 iu/ml, AST=23.5iu/ml, Total protin=7.3g/dl, Albumin=4.8g/dl...and HBV DNA Viral copies/ml plasma=750...so doctor i want to know my stage of disease and condition of liver ....should i start medicitions..?..is there further test to findout liver demage except byopsy..?.should i take byopsy..?..if i..what is the procedure..?..and doctor since 6,7weaks im facing the problem of hard and black stool..but black stool is sometime..every difficult to pass out stool...and slight pain in liver side..is this hep b symptoms.? Doctor: Hello      First of all start treatment ,don`t delay it for the sack of investigation.No doubt investigation has great importance in diagnosis & in managing disease.Biopsy is the final diagnosis in medical science.Liver biopsy can be done as an OPD procedure without nay admission.For hard stool you must take plenty of liquids. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery”" }, { "from": "gpt", "value": "Target: My total brillium is 0.5mg/dl and total protein is 7.3g/dl. Should i take liver byopsy ?" } ]

[ { "from": "human", "value": "Source: Patient: I have been recently told that I have PVCs. I have been taking Bystolic 2.5 for two weeks now. My heart racing sometimes especially at night. He recently prescribe digox. I don't think that I really need that but I want to take it if it's needed. Just getting a second opinion Doctor: Hello, It is OK but there are bette drugs to control VPBs. -Stop smoking. -Get Thyroid test done. -Tell me your age & BP. Show me your resting ECG. I shall be able to solve your problem. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Is Digox effective in the treatment of premature ventricular contractions?" } ]

[ { "from": "human", "value": "Source: Patient: I am a 58 yr male hematoma patient feel chest sprain with burning sensation and very difficult while walking now a days after every 5 mts almost for a while only while walking I tried Antacand and Miacardis 80m 12.5 also and Concord plus have a bp of 190/90 no relief still difficult to walk. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.You are having hypertension accelerated hypertension.So chest pain on exertion (walking) in an accelerated hypertensive patient can be due to heart diseases.So better to consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).You will need additional antihypertensive and other cardiac supportive drugs.Don't worry, you will be alright.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: Suggest treatment for chest pain" } ]

[ { "from": "human", "value": "Source: Patient: my father had ankel leg facture… i think it is called as calcal facture..6 months is passed.he cant able to walk as he walk at early days..is it curable if we came to you..some times he is telling it is painful when walking so plzz rply fast. we are staying at AP…. my father is 50 yrs old…plzz say whether it is curable or not..bcoz if it curable then we have to come to chennai. so plzz rply as fast as possible Doctor: Hello,Generally, mildly displaced and undisplaced fracture calcaneum are treated conservatively with plaster cast. Until and unless there is severe joint involvement, most of calcaneal fracture pain go away with in 12-18 months. If pain is continue to there then fusion of joint is only option. Till then you should do following to have relief:- Do warm water fomentation for at least three times a day- Use soft heel insole in shoes- Take intermittent analgesic medicine- Take help of a physiotherapist for relief Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon" }, { "from": "gpt", "value": "Target: Is calcar fracture curable?" } ]