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[ { "from": "human", "value": "Source: Patient: Mild polyclonal hypergammaglobulinemia i don t understand what this is, i see things about hep c . and i have results from a blood test that say im postive for hep c . never been a drug user, multi partners, never stuck my needle, did have hep b when i was in vietnam Doctor: Hi, dear. I have gone through your question. I can understand your concern. Hepatitis c may occur with hepatitis b. So if you had hepatitis b then there is definite chance of hepatitis c also. Moreover polyclonal gamaglobulinemia is due to infection and inflammation. If monoclonal then its due to malignancy. So if it is polyclonal then no need to worried. 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: what causes mild polyclonal hypergammaglobulinemia?" } ]
[ { "from": "human", "value": "Source: Patient: Helo doctor, I am Sivaprasad 25 yr old guy and i m asking question related with my mother, She is 54 yr old and living with us, our family is a small family, father mother sister and me. My mother is suspicious about everything especially things related with father. Some times it will lead to huge quarrel between father and mother, Father was trying to lie many things from mother because of this problem. This lead things more complicated. How can i overcome it? Doctor: HiThanks for using healthcare magicIn that case, you should consult a psychiatrist to rule out psychosis. May be she has underline psychosis and due to this, she suspects on your father. In that case, she needs mental evaluated and for that, better to consult a psychiatrist. If she has underline psychosis, then you would improve with antipsychotic. In case, you need further help, you can ask.Thanks" }, { "from": "gpt", "value": "Target: What causes my mother's obsession with suspicion?" } ]
[ { "from": "human", "value": "Source: Patient: i experienced either gastro or food poisoning about a month ago. I usually have pretty regular periods but this made my period come 4 days early. I am trying to conceive and now i am 3 days late for my following period. I took a pregnancy test but it came back negative. I have slight period pains and white discharge but no period. I am 28 years old. Could i still be pregnant? Doctor: Hi, you can be pregnant if you don't get your periods even now. Do a urine pregnancy test at home after one week, if you don't get periods by then. Sometimes ovulation gets delayed, thus pregnancy can happen and tushar test can be negative in 1st week. Hope I have answered your question. If you have any other query I will be happy to help.Regards Dr khushboo" }, { "from": "gpt", "value": "Target: Could i still be pregnant though the test is negative?" } ]
[ { "from": "human", "value": "Source: Patient: I have been having back pains on the lumbar part of my spine but I have noticed a bruise running along this part of my spine and it hasn't gone away and flares up every week is this a bad thing ? I have got a MRI on my back but the doctors say I have to go for a ct scan now but they won't tell me what is wrong should I be concerned ? Doctor: Hi and thank you so much for this query.I am so sorry to hear about this. Well, because you are sick it is justifiable to be concerned. However, you should exercise some patience so that the doctors ca clearly identify the problem before communicating to yo. It will not settle right to present non conclusive findings to you. I hope the results get discussed with you sooner than later.I hope this addresses your query fully. Feel free to ask for clarifications and more information if need be. I wish you well. Thanks for utilizing our services, we very much appreciate it.Dr. Ditah, MD." }, { "from": "gpt", "value": "Target: CT scan advised for back pain along with bruise in spine which is flaring" } ]
[ { "from": "human", "value": "Source: Patient: Hi I came off my birth control pill in October an bit my period on oct 24. I didn t get my period last month an 7 days late. Also have a dull pain in my LLQ that comes an goes. Could I br pregant or just possibly a missed period from coming off the birth control pill? Doctor: Hi,Thank you for your query. I can understand your concerns.Yes birth control pills can cause irregular periods. Chances of pregnancy is less. Feel free to consult me directlyhttp://bit.ly/drsombiswasRegards Dr. Som Biswas M.D.Mumbai" }, { "from": "gpt", "value": "Target: Will taking birth control period cause irregularity in periods?" } ]
[ { "from": "human", "value": "Source: Patient: Yes, please help. my husband was given a prescription from his Kidney specialist called Tamsulosin HCL 0.4 mg (taken @1 capsule at bedtime. I believe to help his prostrate. Does this pill interact with his heartmedicine? his heart medications are amiodarone 200 mg, also metoprolol tartrate 25 mg, Torsemide 10 mg. ? since taking these medications I find my husband not having a good night sleep because of strange things he seems to see. such as seeing things that are not there, having strange dreams, and talking very strange when he is sleeping. To narrow it down he is also taking glipizide for his diabetes 2. please help my husband has always been right on with his mental thoughts and actions. this scares me to death with his mental state now. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I don't think that Tamsulosin has to do with these new changes. This can be given with the cardiac medicaments but at a lower dose when uses with amiodarone. I suggest you to control the blood pressure and to see if it gets too low,and to see a doctor if these problems continue, because it can be a new problem,unrelated to heart. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Does Tamsulosin affects sleep or cause mental confusion?" } ]
[ { "from": "human", "value": "Source: Patient: Hi I have A three year old daughter and the last week she has had very bad diarrhea and tells me her stomach is in pain and points to her belly button her stomach is also bloated and hard along with the pain and has not wanted to eat that much and sleeps a lot more than usual. At first I thought she was getting sick because the first 2 days she was vomiting along with the diarrhea and had a low fever but my 7 month old has not had any of the same symptoms so should I worry and take the to the E.R Doctor: Thanks for consulting in HealthcareMagic. It seems your daughter has intestinal infection and dehydration due her previous diarrhea and cramps in stomach. Try to keep her hydrated with plenty of water or ORS, give spasmolytic drug-syp cyclopam/dicyclomin/, antibiotic-syp taxim/cefixime/, absorbent charcoal 3 tab and enterogermina 1 sashe 2 times for normalization of flora intestine. Give to her ORS 10ml every 5 min, if she will not drink water you should go to E.R for intravenous dropper for treatment of dehydration. If she will drink 1litr of water every day, its OK, you start feed her with blended food, rice, soup, boiled potato, bread. Don't give milk products, because it will stimulate gases and cramps.I will review after 2 daysBest regardsDr. Svetlana Shrivastva" }, { "from": "gpt", "value": "Target: Is diarrhea and bloated stomach a cause for concern in children?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...Numbing pain started in left testicle and has kind of shifted to inner left thigh. It started about 3 weeks ago. The pain in my thigh has been there for about the past week while the pain in my testicle is still slightly there but not as much as in the first 2 weeks. What could this possibly be? Doctor: Hello,I suggest you to see your doctor as this might indicates a referred pain for inguinal hernia. You might have some sort of infection as well. You need to get tested for these possibilities and treatment as well. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician" }, { "from": "gpt", "value": "Target: What causes numbing pain in testicles radiating to inner thigh?" } ]
[ { "from": "human", "value": "Source: Patient: I m currently on Norco 10-325 x4, and MS Contin er 60 mg x2. The norcos don t work anymore. What do you think about MS Contin er 60 mg x2, and Opana 10 mg x4? I need a 7 rod put from L-1 to L-5, and fused, S-1 removed. I also have issues with C-1 to C-7, 6-7 need to be fused, and the rest of C- has boney spurs. Really bad Fibromagia. I get a spinal block every month rotating from L to C Doctor: Hi, Since all the drugs and injections are not working, I think that surgery for your cervical spine degenerative issues should be considered. In my opinion, this way, you could get, at least, partial relief from the symptoms. Latter, you should continue treatment for fibromyalgia. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical" }, { "from": "gpt", "value": "Target: Suggest treatment for disc problems with fibromyalgia" } ]
[ { "from": "human", "value": "Source: Patient: HelloA week ago I got travelers diarrhea at my wedding...stomach pains...fever...weakness...in Mexico..the fever and weakness lasted a day....while goin to the bathroom I noticed a painful white blister/ pimple on my upper inner thigh...the skin around it was red in an uneven pattern...looking like cellulitis. My glands on my groin on that side were swollen and sore. I lanced the pustule and applied antibiotic ointment and some anti fungal...the redness slowly disapated and the pustule scabbed up...I figured in my weakened immune state I got a coincidental infection...right? Especially sine I groom and shave down there weekly so something may have been dirty. Since then...in the last week...on both sides of my crotch I've been getting small little bumps that become hot and itchy...they last a day and then something new seems to pop up...ant fungal cream seems to help but not stopping something new from popping up....nothing has looked like the original large pimple thing...there seems to be an Oder too but don't know if I'm making that up in my head....any ideas? Doctor: Hi,It seems that there might be having fungal infection and now mixed with bacterial infection as well.Go for one antibiotic mediicine course.Go for one oral anti-fungal medicine course as well.Apply triple action cream.Keep local hygiene clean, dry and airy.Ok and take care." }, { "from": "gpt", "value": "Target: What is the reason for infection on crotch?" } ]
[ { "from": "human", "value": "Source: Patient: I have been surviving with lower back problem since June 2015 causing numbness and pain on my left leg. I have since improved without medication until the beginning of October 2017 that severe pain attacked me again at the back and making my neck stiff with painful headache and fever. Can you help me please! My age is 43 years, weight 71 kgs and 5.7 feet tall Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Neck stiffness, fever and headaches may indicate meningitis, these symptoms seem not connected with low back pain. Get evaluated by your Neurologist even to exclude meningitis. If excluded, then treatment about the pain may include NSAID drugs, physical therapy, etc. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest treatment for pain in the lower back and head along with neck stiffness" } ]
[ { "from": "human", "value": "Source: Patient: I was dx with type 2 herpes a few years ago. My doctor told me a few months ago that my platelet count was low, and that he is watching it. I just read something that seemed to connect the two--can you tell me if there is a platelet problem associated with herpes, and if so, what is the treatment? Doctor: hi, platelets count may be decreased in many condition, most common is viral infection. herpes is also a viral infection so platelets may be depleted by that cause. or there may be some other cause also for platelets depletion. you need to search the cause first and then take treatment accordingly.thanks for using health care magic." }, { "from": "gpt", "value": "Target: Is low platelet count related with herpes and suggest treatment?" } ]
[ { "from": "human", "value": "Source: Patient: hello, my son is currently 16 months and i have taken him to an ent recently who told me he does not specialize in children his age. He also told me he has never seen anything like what my son has. He has had white skin peeling from his whole entire left side of his tongue for over 8 months now and currently it looks like bright red flesh. there are times he looses weight like crazy and other times where his tongue doesn't seem to bother him so much and he starts picking weight up again. please help Doctor: Hi..Welcome to HEALTHCARE MAGIC..As per your complain peeling mucosa from the tongue can be due to causes like Geographic tongue in which area on tongue peels and appears raw while other causes can be nutritional deficiency,fungal infection etc..I would suggest you to consult a Pedodontist and get evaluated and a thorough clinical evaluation and investigation like blood tests and oral swab culture can help in diagnosis and treatment can be done accordingly..As of now if the tongue is sore you can apply numbing gel containing Lignocaine and also do cool compresses over the tongue..Give him soft diet and plenty of fluids..Maintain a good oral hygiene..Nutritional supplements can be given by Paediatric Dentist if deficiency is ruled out..Hope this helps..Regards." }, { "from": "gpt", "value": "Target: Suggest cure for an infection in the tongue" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I have been diagnosed with degenerative disc disease since about age 15, I am now 48 years old. My lumbar all the way down through sacral has been fused. I have constant pain in right foot/toes that I have been able to control for about 7 to 8 years, but now pain is getting worse in back above fusion and in the front below belly button. I am wondering if I may now have an issue at T-12 ? I am a male if that makes any difference. Doctor: Hi,Thanks for writing in.The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. There might be pressure on the discs in the dorsal and lumbar spine and this is causing slight pressure on the spinal canal at a particular level and causing pinching of nerve roots leading to severe pain in the area supplied by the nerve. The disc problem which had involved the T 12 - L 1 disc might have affected the discs at other levels also. Besides you also have fused vertebrae at lumbar levels. As your symptoms are on the right it is possible that the nerve roots on the right side are affected.You require to be examined a neurologist and a MRI of the dorsal and lumbar spine if indicated to know if the nerve are under pressure and the location.There are patients who get relief by doing physiotherapy and taking neurogenic pain relievers. Injections are also given for relief. However this might not always happen. If your pain is severe and not responding to medical treatment then the disc protrusion needs to be removed by doing a small surgery at the cervical neck region. Presently, laser assisted surgical techniques are also available.If the pain is mild then it appears to be a minor problem that is treatable. Please do not worry." }, { "from": "gpt", "value": "Target: Can an issue at T-12 cause severe foot pain?" } ]
[ { "from": "human", "value": "Source: Patient: hi m a boy of 18 age, i m having masturbation from 14 years old, but it causes some problems in my regular life,i think i loss my natural growth for that bad habit .i feel bit nervous when i see my classmate is taller then me but only one year ago he was shorter then me.n another think that i m too weak to memories anything n too weak in math ,it hampered my study ,please help me to get rid of this Doctor: Hello, Height is a genetically determined factor. Avoid unwanted stress and anxiety. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: Suggest treatment to stop habit of masturbation" } ]
[ { "from": "human", "value": "Source: Patient: hi, i m 32 years old just had a c-section a week back and following the operation i started developing severe itching with rashes all over the body. At 8 and 9th month of pregnancy i had a bad itching on my stomach and now after the c section it spread throughout the body, like armpits, legs, back, etc, pls guide me asap.Telma Doctor: Hello,Thank you for posting on HCM.It’s very difficult to approach conclusive diagnosis unless for proper physical examination, anyways from your description it seems you are suffering from scabies.Scabies is a contagious disease caused due to mite and it spreads among people who are in close physical contact and by use of common household articles.Treatment is pretty straight foreword. Firstly, i would suggest treatment of your secondary infection (if any) with oral and topical antibiotics.The key to successful treatment of scabies lies in treating everyone simultaneously in the family and others who are in close physical contact. Your doctor would prescribe oral drugs like ivermectin which will kill the parasite. You might also be advised application of permethrin 5% cream and a corticosteroid with fusidic acid cream. Apply the medicated creams exactly as advised by your doctor. Take antihistaminics as advised to relieve itching and irritation. Avoid sharing of clothing and toiletries and launder all you bedding and clothes in warm water.Hope this will take care of your issue.Wish you best of health.Thank youDr Hardik Pitroda" }, { "from": "gpt", "value": "Target: Suggest remedy for rashes" } ]
[ { "from": "human", "value": "Source: Patient: My wife is 28 year old and is diagnosed with TB, she started her treatment one month ago, but she gets fever daily in the afternoon after she gets chill, and fever range is 99 to 100, i have done LFT and CBC test two times and according to doctor report is normal, but fever is not stop. Is it the TB symptoms or is it a side effect to the medication ? please help... Doctor: HelloNo this is not the side effects of medicine .Fever with chills and evening rise of temperature clearly indicates that treatment of tuberculosis is not playing its role .Either diagnosis is wrong or treatment is not responding .In my opinion get in Widal test and repeat X ray . If sputum present please get for A F B for expectoration .Some times patients ( if old lesion ) develops resistant to tubercular drugs , so keep this thing in mind and consult your doctor.As I have noted in so many cases that a freshly diagnosed patient responded ( to tubercular drug) from day one to drugs .Consult one more physician and get his opinion.Good luck." }, { "from": "gpt", "value": "Target: What could regular fever while on TB treatment indicate, LFT/CBC reports normal?" } ]
[ { "from": "human", "value": "Source: Patient: hi, im 35 weeks pregnant and was in hospital several weeks ago with a bed chest infection, i have been back to the doctors again today as i feel that it has come back. The doctor has put me on more antibiotics but im worried what will happen if this doesnt clear up as im due for a c-section on the 9th may? Doctor: Hello dearWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* There are limitations for the use of antibiotics according to your stage so better to aid the household remedies to get early recovery before c- section- Inahlation of vapors of boiled water with added karvol plus capsules or tincture benzoin 5 minutes each 3 times a day with blanket covered over the head .- Avoid exposure to dusty environments .- Avoid smoking ( active / passive ) .- Drink plenty of liquids , consume balanced nutritious diet .- Avoid excess sugar , ghee , oily , spicy , dairy fat .Hope this will help you .Regards ." }, { "from": "gpt", "value": "Target: Suggest remedy to relieve chest congestion during pregnancy" } ]
[ { "from": "human", "value": "Source: Patient: i was squeezing a staple gun for about 3 and a half hours at work today and when i got home my fiance tried massaging my left wrist because it was a little sore.... when he did that he squeezed too hard and the tips of his fingers went too far into my veins and now they hurt so bad (did he do more damage than good?) we were going to go to the hospital but i m going to wait until morning and see if it gets any better Doctor: Hello, I have studied your case. Due to compression of nerve root there can be pain in wrist, or local nerve compression like in carpal tunnel syndrome.Cold fingers indicate towards vascular occlusion.Wrist pain can be due to tenosynovitis, clinical examination can help in diagnosis and further investigation can be advised.If you can give further details then I can help you better.Pain is only at wrist? Pain increases on work or in night?, fingers are turning blue/ischemic?For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.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: Suggest treatment for soreness and pain in the wrist" } ]
[ { "from": "human", "value": "Source: Patient: My son is 7 weeks old and is exclusively breastfed. He was cranky all day today and I just changed his diaper and I noticed it smelled like fish. There was both poop and pee, so I can't say if it was the urine or poop however, his poop wasn't the normal yellow color, it was more green. It's 1:45 in the morning and I don't feel like it's an emergency, but I'm hoping to get some answers. Thanks Doctor: Greenish stools are normal in infant.they indicate short stool transit time. there is no need to worry. just look for increased frequency or change in consistency to more liquid. any of those with or without fever suggest stomach infection. Keep feeding properly." }, { "from": "gpt", "value": "Target: What causes unusual stool and urination odor?" } ]
[ { "from": "human", "value": "Source: Patient: Hi Dr, I am suffering from severe Hiccups with severe digestion problem and extremely Low blood pressure . Please suggest what do I do as I already have multiple checkups done and consulted many doctors. There was a liver Infection report positive for me. So, I stopped taking oily and spicy food long ago and took precautions too but its not benefitting me at all and the condition is getting worse as I suffer from Vomiting and high temperature every now and then. Please suggest if there is any Expert to cure this disease in Patna or anywhere who have already cured multiple cases like this or any specific step to be taken for this. Thanks in Advance, Syed 0000 Doctor: Hello! Thank you for the query. Hiccups can be caused by irritating specific receptors all around the body. According to your symptoms you may suffer from abscess localized somewhere below the diaphragm (liver abscess). I suggest you to have abdominal CT with contrast performed and full blood work with CRP level. Hope this will help. Regards." }, { "from": "gpt", "value": "Target: Severe hiccups, digestive problems, low BP, liver infection, intermittent vomiting and fever. Suggestive treatment?" } ]
[ { "from": "human", "value": "Source: Patient: dear Doctor, i am presently in my 24 week of pregnacy. from last 2 weeks i am having throat pain & cough & common cold. I have taken augementen 625 morning & evening for 5 days along with crocin as i had fever also but my fever got vanished in 3 days. Then i started with AMBROLITE D which i have finished almost 11/2 bottle but no change in cough due to which my urine passes very frequently. please suggest me some remedy and should i try homeopathy.should i do a course of aveil or citirize.... Please suggest... With regards Sanjana Doctor: Hi dear, I have gone through your question and understand your concerns. Cough should be treated by steam inhalation at least three times a day and cough syrup not containing any sedative.If it is not treated by these remedies, then you should consult an ENT specialist to get properly examined, investigated and treated accordingly.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma" }, { "from": "gpt", "value": "Target: Suggest remedy for cough during pregnancy" } ]
[ { "from": "human", "value": "Source: Patient: I was walking and rolled my left foot i had a bruise to 2nd from gr. toe I am now experiencing pain in the ball of my foot not able to apply pressure totally have to walk on the outer side of my foot. have pain migrating into ankle the bottom of my foot near toes has a sharp pain at times this happened 2 wks ago at first it was just a swollen bruised toe not this sharp pain and I could apply pressure YYYY@YYYY Doctor: Hi,Thanks for your query.An initial xray of the injured part is mandatory to rule out any bony injury (fracture). If the xray is negative for a fracture, then the other possibility is soft tissue injury either to the ligaments, tendons etc.The initial management for your condition is as follows -- Give adequate rest to the injured part and avoid any movements that produces pain- Apply ice wrapped in a damp towel to the injured area for 15 to 20 minutes every two to three hours during the day- Keep the injured area raised and supported on a pillow to help reduce swelling. I do hope that you have found something helpful and I will be glad to answer any further query.Take care" }, { "from": "gpt", "value": "Target: Suggest remedy for bruises on the foot" } ]
[ { "from": "human", "value": "Source: Patient: I have been having severe back pain today, with some nausea, and at 2 a.m. I started passing nothing but blood and mucus in the stool. I'm 64 years old, have had a spinal fusion (that's what I thought the back pain was from) and am having pretty severe pains in my lower abdomen.What should I do at this point? Doctor: This sounds more gastrointestinal than spinal. You may have a stomach virus, or less likely food poisoning. If it's not getting better, you should seek emergency treatment, or urgent care, for IV fluids, possible IV anti-nausea medications, and possible abdominal x-rays." }, { "from": "gpt", "value": "Target: What causes severe back pain, abdomen pain and nausea?" } ]
[ { "from": "human", "value": "Source: Patient: Sir my second trimester has been started. As doctor has suggested to take daily calcium with vit D3tablets (500mg+250iu) . I just want to ask that instead of taking tablets daily can i take calciferol granules once a week/two weeks as i dont like tablets for me it is very difficult to take them. Kindly suggest me Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Calciferol granules containing vitamin D helps to increase the calcium absorption. So, they can be used as additive to calcium supplement but not as substitute because they themselves are not providing calcium. So, better to use calcium supplements as advised by your doctor because calcium supplementation during pregnancy is very necessary for the bone growth of the baby and also for lactation. If you are not happy with regular tablets you can choose chew able tablets or dis solvable tablets or in form of capsule with chocolate flavor like Caldikind Plus etc. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Can Calcirol granules be taken instead of calcium tablets during pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: I was playing tennis and severely pulled my hamstring. 2 days later my whole thy was purple. My concern is the bruising has moved down to my calf then it was sore and now to my ankle and Achilles and now they are sore. Is it normal for the blood to travel down like that? Doctor: Hello there,Strenious activities like tennis ,involves activities of sudden acceleration and deceleration ,making an individual more prone to have soft tissue injuries of thighs,knee and ankle.In your case it appears that you might have hamstring sprain along with injury to achilles tendon and other tendinous structure. I suggest you ,kindly consult an orthopaedician for examination and envestigative evaluation.Thank you." }, { "from": "gpt", "value": "Target: What causes bruising on thigh, calf and ankle?" } ]
[ { "from": "human", "value": "Source: Patient: hi I was playing soccer and after the game a day later had bruising on the lateral side of the posterior right knee. hasn t gone away in days. I bit of discomfort and pain when I make certain turns. I do have osteo arthritis in that knee and chondriomalacia in the tibial and medial compartments. Doctor: Hi, Thanks for your query. It could be due to strain or arthritic changes. Give rest to the part. Get it checked out. Hope this helps you. Warm regards" }, { "from": "gpt", "value": "Target: What causes discomfort and pain in right knee?" } ]
[ { "from": "human", "value": "Source: Patient: question I have a large lump in my tummy right at my belly button ... not sure if its a hernia or not but my feet are also swelling daily and not going down and I feel winded having to take walks. or anything and feel as my back is killing me with agonizing pain like I could cry is this all because this could be a side effect? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have umbilical hernia or inguinal hernia. Your description sounds that. You should go for examination of your swelling whether it is hernia or not. If it is hernia then go for hernia repair surgery like meshplasty. If you don't have hernia then go for fine needle aspiration cytology. Then 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 lump on the stomach?" } ]
[ { "from": "human", "value": "Source: Patient: hi i had taken valparin chrono tablets (300 mg in morning & 500 mg at night) for 4 yrs ...for the treatment of neurocysticercosis..now as adviced by doctor i hv stopped the medicine...but sometimes I feel unconscious after waking up in the morning...pls suggest if there is any side effect of these doses.. YYYY@YYYY Doctor: Hello, It produces neurological side effects like nystagmus, ataxia, etc. It also produces fulminant hepatitis, curling of hair. Some git disturbances also there. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.T. BALAMURALI, General & Family Physician" }, { "from": "gpt", "value": "Target: Are there any side effects of valparin chrono tablets 300 mg and 500 mg?" } ]
[ { "from": "human", "value": "Source: Patient: My grandson is quite finicky. He isn t eating as nutritiously as I d like (I take care of him two days a week.) He only eats: ham, hot dogs, pizza, tater tots, mac and cheese, peas, applesauce. The parents don t want him to have baby food any longer but when he looks at new foods he pushes them away and won t open his mouth to eat. I don t know what else to give him. Oh...he loves bananas but he gets constipated so I do give him the baby prunes. Doctor: DearWelcome to HCMWe understand your concernsI went through your details. You are an experienced person and you have experience in feeding your children. Your children too were doing the same thing and you did some tricks to make them eat nutritious food. Majority of times, those tricks don't work and you start punishment schedule. Here, in the case of your grandson, you should use the same tricks. Children are always like that. They demand what they like. If you succumb to their demands, they insist again. I don't have explain the whole process. You have very good idea what to do. Use \"reward or punishment\" method judiciously.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. Take care." }, { "from": "gpt", "value": "Target: Suggest treatment for finicky behavior of a child not eating healthy food" } ]
[ { "from": "human", "value": "Source: Patient: I had squamous cell carcinoma removed from the temple area about 2 years ago. This weekend I woke up with a dime sized red spot on my face that almost looked like something had bitten me but no bite spot in center, no itching or anything. The next day I woke up and the red spot was gone but in its place was a very small bruise-looking spot with dry scaly skin on and around the dark spot. It is 3 days later and no change, moisturizer does not help. Should I be worried that this is more skin cancer? Doctor: People who develop skin cancer once have an increased risk of new skin cancers later on. Also fair skinned people, people living at high altitude and those having excessive sun exposure are at an increased risk. What i would have wanted to know is whether the lesion is at the same site as the previous cancer in which case the chances of it being cancer are higher than otherwise. The description that you give is not that of skin cancer. So i would suggest you to take a course of antibiotics (Tab Ciprofloxacin 500mg twice daily for 5 days) and if the lesion still persists or worsens, then show it to a skin specialist. It is more likely to be a benign skin condition." }, { "from": "gpt", "value": "Target: Red spot on face without spot in center, no spotting or itching followed by small bruise post removal of squamous cell carcinoma. Skin cancer?" } ]
[ { "from": "human", "value": "Source: Patient: chest pain & stomach painFor a year now I've been getting bad chest pain, like if a 350lb person is sitting on my chest. It has gotten to a point, many times, that I cry because it hurts so bad. What do you think it is? I'm a Medical Assistant and I assume many different things. The stomach pains are definetly to cry about. It feels like someone is stabbing me, above my belly button to the right and left about 3inches. I'm scared! Advice? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of GERD (gastroesophageal reflux) is more. But better to get done ecg and 2d echo to first to rule out heart diseases because this can cause similar symptoms. If both of these are normal then no need to worry for heart diseases. GERD is due laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain, pressure, stomach pain etc. So avoid stress and tension, be relax and calm. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic drugs. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What could be the reason for having pain in my chest and stomach?" } ]
[ { "from": "human", "value": "Source: Patient: so i had sex with my girlfriend and when i came it hurt. when i went to go use the bathroom i noticed there was a small amount of blood coming out of my penis. and anytime i urninated for the next couple of days it hurt. this has happened now twice but about a month or two apart. Doctor: Hi ....Your provisional diagnosis : Urinary tract infection...Here first get your urine routine microscopic examination as having blood in urine and burning while urination....If pus cells and RBC present along with bacteria than UTI evaluated to look for cause ...Than investigation neeeded with USG to rule out stone , kidney affection , cystitis like bladder infection ....Suitable full course antibiotic given like Cefixime for 7 to 10 days. ...If needed uribe culture done to reach up to exact diagnosis ...Take care Advise : physician consultation ..." }, { "from": "gpt", "value": "Target: What causes bloody discharge from penis after sex?" } ]
[ { "from": "human", "value": "Source: Patient: I have had unexplained weight gain. My abdomen is swollen from right under my breasts down. Myvabdomen is tender when I press on it. I'm extremely fatigued and can't sleep. I'm also having tenderness in left breasts and I have had complete hysterectomy & don't take hormones. Please tell mevwhat could be wrong Doctor: The distension of the whole abdomen can be due to :-Ascitis, meaning collection of the fluid in the abdominal cavity. This can be easily confirmed by ultrasonography, and and can be tapped to send the fluid for analysis. Ultrasonography will also help to see all other organs. -Gaseous distension, which in turn can be due to intestinal obstruction and can be due to multiple factors. This can be diagnosed by X-ray of the abdomen in a standing position. This can cause pain in tenderness. A proper diagnosis will decide for the further treatment." }, { "from": "gpt", "value": "Target: What causes swollen & tender abdomen in patients with hysterectomy?" } ]
[ { "from": "human", "value": "Source: Patient: hi was just wondering my lil guy who will be 3 in a month has had cellulitis for almost a year now, its pretty much all through him as he gets the lumps anywhere now where as before it was just his legs and hips. i have noticed that the last 2 months now though all it takes is him to fall and get a little scape for it to come back. a perfect example is yesterday well he was out playing he fell and scrapped both legs, an elbow and his hand(nothing big just a lil scape like kids his age gets all the time, well when he woke up today his wrist now has a cellulitis spot on his wrist which means he will start getting a bunch more as always. is there any side effect from all these out breaks he is getting because how young he is and is it a bad sign that he gets it that easy Doctor: recurrent cellulitis can cause damage in the lymphatic system , so in cases of recurrent cellulitis the skin should always moisturized, dry skin can be easily broken . the use of prophylactic antibiotics like penicillin is very helpful in preventing future cellulitis I hope this helps" }, { "from": "gpt", "value": "Target: Suggest medication for cellulitis" } ]
[ { "from": "human", "value": "Source: Patient: Hello Doctor.......... I have been married for 7 months and want to become pregnant but my problems are before marriage itself i had irregular periods . i did not take it so seriously to consult a doctor but now i really want to become a mother....... can i become pregnant????? plz help me ..... Doctor: Hi, Thanks for asking. I understand your concern. * The first line treatment is giving threee cycles of oral contraceptives.. which in turn correct menstrual cycle following the course.This most of the times helps in conception within few months. *In case there is no improvement &conception you need more specific investigations &treatment. Please contact a gynecologist. Plese don't worry.. your periods would be normal &ovulating soon... &you will conceive too!Thanks." }, { "from": "gpt", "value": "Target: Suggest possible medications to improve chances of conception" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I was rollerblading the other day and fell. I scraped my knee badly. The thing is I don t eat what I should so my mom s worried i might have done something to my knee. I ve been up all night crying and i feel asleep at 3 and woke up at 5. its hurts badly Doctor: Hello, The symptoms seem to be related to the injury. I suggest using anti-inflammatory medication such as Ibuprofen. I also suggest using cold compresses in the area of pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician" }, { "from": "gpt", "value": "Target: Suggest treatment for knee hurt after fell" } ]
[ { "from": "human", "value": "Source: Patient: I've tried ashwaganda brahmi combo and the first week I felt so much better,had more energy ...etc,then when I got my period had very intense anxiety simptoms.Do you think this might be do to those supplements.I started those to help with stress!Thank you Doctor: Dear User,Thanks for using health care magic.Generally Ashwaganda and brahmi are used for anxiety symptoms and there is no evidence that these itself can cause anxiety symptoms.Thanks" }, { "from": "gpt", "value": "Target: Is anxiety the side effect of taking ashwaganda brahmi combo?" } ]
[ { "from": "human", "value": "Source: Patient: feet over heat when sitting or laying down makes concentration impossible sleep comes best early in morning I feel blood pools in my feet creating pressure and generating heat mentioned earlier ice water help briefly symptoms are getting worse Michael Doctor: Kindly tell me your ag & sex?This is burning feet syndrome, often associated with diabetes or other metabolic disorders.Multivitamn tabs.1 OD along with other neurotropic medicines ( gabapantin) will help you.You may contact me again if needed." }, { "from": "gpt", "value": "Target: What causes heat and pressure on the feet?" } ]
[ { "from": "human", "value": "Source: Patient: Husband has a large, painful groin what he thinks is a cyst, sebaceous perhaps. It is near the fold where is underwear elastic meets his leg. It is becoming larger each day, more painful. He doesn t have an appointment a surgeon until the first of May. Should he go to an ER in the meantime? He is getting more uncomfortable each day that goes by. Doctor: Hi, dearI have gone through your question. I can understand your concern. It may be sebaceous cyst or dermoid cyst or some other lesion. It is not a serious problem. So no need to worry. treatment of choice is surgical excision and histopathological examination. 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: What causes cyst on the groin with pain?" } ]
[ { "from": "human", "value": "Source: Patient: Hi doctor . I am 29 yr old,married for about 2 yr,having no children,had an early miscarriage in January. For a yr, I m having a problem of light brown spotting after 8-10th day of my periods. It remains for 2-3 days. My cycle is irregular(of 35-42 days). How can I know about my fertile period when I can try for a baby? Plz help. Doctor: hi as u have irregular period perfect fertile period is difficult to find out but we can make average period duration. its around 38 days ,ovulation occurs after 14 days so ur fertile period range from 12-26 days after menstruation." }, { "from": "gpt", "value": "Target: How can a woman having an irregular cycle determine her fertile period ?" } ]
[ { "from": "human", "value": "Source: Patient: I am taking primobolan + testestrone shots in my gluetus twice a week, I notice that my gluetus where i am taking the shots have ball shape can be noticed clearly , I am taking im shots right and don t feel any pain in the place , also color of the place not changing, How can i get out pf this shape or reduce it .?? Doctor: Hi, Consult an orthopedician and get an MRI scan done. 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: What causes a small growth in the gluteus while on Primobolan and Testosterone shots?" } ]
[ { "from": "human", "value": "Source: Patient: I have a phantom salty taste and tiny amount of chest pain? The salt taste is really strong, and I ve had it over a week. Is my lung infected? Also I keep an aquatic turtle tank in my room is it possible I have a bacteria infection in my lungs from the vapors? YYYY@YYYY Doctor: Thanks for your question on Health Care Magic. I can understand your concern. No need to worry much for lung infection. Possibility of Upper respiratory tract infection (URTI) is more. So drink plenty of fluids orally and keep yourself hydrated. Avoid oily and spicy food. Avoid hard to chew food. Take antihistamine and anti inflammatory drugs. Do warm water gargles 5-6 times a day. Don't worry, you will be alright in 5 days with all these. If not improving then get done chest x ray to rule out lung infection. 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 sour throat and chest pain?" } ]
[ { "from": "human", "value": "Source: Patient: A month ago I was diagnosed with a small aneurysm which was all I was told. My family dr prescribed me a beta blocker and ativan. I took the ativan for 14 days then stopped. It s been 10 days. I feel shaky and have pain at the top of myhead but not sure if it is still from stopping the ativan or the beta blocker or the aneurysm. Though the specialist won t see me for 8 to 10 months. I m at a lost and tired of feeling this way I can barely walk across a parking lot without feeling lightheaded. Before taking any pills I was feeling fine now I can barely leave the house. Thanks for your advice. Doctor: Hi, I had gone through your question and understand your concerns.As I can tell from your history I suppose the aneurysm was an incidental finding, which is not very uncommon, with several reports reporting a 1% incidence. The strategy management of small aneurysms (less than 7 mm) consist on a angio CT per year to see the dimensions of the aneurysm, which in case they stay identical no treatment is recommended.Regarding the therapy I suppose the doctor saw that you are quite anxious, thus he prescribed the above mentioned ones, which in fact can cause the lighheadness as adverse effect, but the aneurysm is not associated to this, nor to the headache, unless it is a hyperintense hyperacute kind of headache. In that case you should take emergent medical consult.Basically, I would recommend to change your medication for your anxiety and assure you the aneurysm you have is not responsable for none of these symptoms.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health." }, { "from": "gpt", "value": "Target: What causes headache and dizziness while suffering from aneurysm?" } ]
[ { "from": "human", "value": "Source: Patient: I just had some non-cancerous stomach polyps removed on Friday. I have been in intense abdominal pain since. My doctor has recommended I take Lansoprazole twice a day (which I understand can cause stomach polyps) and mylanta for pain. He suggested I only drink liquids. He won't prescribe a pain med over the phone, what I am wondering is what could possibly be causing all this pain? Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with stump ligature following polyp removal through endoscopy or cauterisation giving tissue stretching sensation . * Can safely take tab. tylenol ( 500 ) mg morning and evening after meals with your current medicines .Hope to clarify .Welcome for further questions .Thanks for using Healthcaremagic.com & giving opportunity to assistWishing fine recovery .Regards ." }, { "from": "gpt", "value": "Target: What causes abdominal pain after stomach polyp removal?" } ]
[ { "from": "human", "value": "Source: Patient: I take quinapril for hypertension. It has been very successful for me for over 15 years. Is there a risk or issue if I were to change to enalapril? Both are ACE inhibitors, but it will be much more economical for me to change since others in my household take enalapril. Would the dosage be the same? Doctor: Hello. Welcome to HCM and thank you for your question. I carefully read your query. Well, as you are aware of, they both are from the same class of drugs (angiontensiogen converting enzyme inhibitors). The effects of these drugs, are a class-effect, which means all the benefits and side effects are dedicated almost equally to every member of this family of drugs. In fact, there are some studies that prefer the usage of always innovative agents, and let the old agents aside. My opinion is that this is not indicative that a more expensive drug should be used, at all costs. In developing countries, such as mine, cost-effectiveness is always an issue, and we receive great results even when we use the older drugs. As I said, this is a class-effect and it is totally safe to switch from one ACE-I to another, and also effective. Of course, bare in mind, that all the ACE-I have the side effect of dry cough, which can happen up to 15% of people using them. In that case, I recommend you to switch to angiotensin receptor blocker (ARB: the \"sartans\"). I hope I was helpful with my answer. Good day. Dr. Meriton" }, { "from": "gpt", "value": "Target: Is switching from Quinapril to Enalapril for hypertension safe?" } ]
[ { "from": "human", "value": "Source: Patient: I am in terrible pain after having a colonoscopy and banding of three haemorrhoids done 14 hours ago as day surgery at a hospital. I called an ambulance and they told me to keep taking paracetamol with codeine. They said there was no point in me going to emergency as they wouldn t do anything else. I am not getting any relief and have felt like I am fainting from the pain. It is 3.30am and I can t ring the surgeon until 9am. Is this normal and what pain relief options do I have ? Thanks, Stuart Doctor: Thanks for query.The pain you are experiences is due to banding of hemorrhoids. take regular pain killers but instead of that it is going to persist for 2 to 3 days its normal .don't worry its severity will wane off as time passes.regards" }, { "from": "gpt", "value": "Target: Is it normal to have pain after colonoscopy? How to overcome this?" } ]
[ { "from": "human", "value": "Source: Patient: Yes I forgot I was healing from a cold sore on the side of my mouth...The cold sore had a scab on it because it was healing and that s why I forgot. And I kissed my boyfriend now I am nervous because I don t want to infected him because he doesn t know I have HSV 1. Please help...my head hurts thinking about this Doctor: HSV 1 transmit manly by contact and droplet ...it was a mistake pkease take care again ....avoid kissing ..perform hand hygiene..and itis good from u to have these great feelings ..dont hurt ur self but take care next time" }, { "from": "gpt", "value": "Target: How can HSV 1 transmission be prevented?" } ]
[ { "from": "human", "value": "Source: Patient: I did ivf in January 2012 but after 4 months I had missed abortion and on December 2012,and now had missed abortion and on December 2012 I am going for FET frozen embryo transfer ,my question I am going for FET frozen embryo transfer ,my question to u is the frozen embryo is of same cycle and I think it will have same abnormalities and same thing may happen again,is it wise to go for frozen embryo transfer or go for fresh cycle pls advice. Doctor: HELLO ANMOL. Well sorry to know that you had missed abortion.But there are many causes of missed abortion after IVF and getting frozen embryo transfer may not solely increase your abortion risks. And as such if you have frozen those embryos, you should use them because going for a fresh cycle will have pretty additional expenditure and cumbersome of additional gonadotrophin use. Going for stimulation and ovum retrieval is not without risks , i tell you.So i advice that you that you use those frozen embryos now and if failure you can go for a fresh cycle after a few months. all the best" }, { "from": "gpt", "value": "Target: Missed abortion after IVF, going for FET. Is it wise to go for it ?" } ]
[ { "from": "human", "value": "Source: Patient: Hi Dr I am 31 years old, 1,72 and weigh 72 kg s. I am currently trying to fall pregnant. I have had very irregular periods the last 3 months. I had a miscarriage about 2 months ago. My gp gave me Primolut N to use. I have since had irregular discharge (pink and brown). I have not had a normal period since the miscarriage. A sonar showed that all was normal after the miscarriage. I suspected that I was pregnant, but should not have been more than 4 0r 5 days now. This morning I again had a pink discharge. Does this mean that I might not be pregnant, as suspected? Doctor: Hi welcome to the health care magic You are having irregular periods... For that investigation needed as follow.... -pelvic examination -pelvic USG -Serum TSH, prolactin, testosterone estimation -ESR and CBC -RBS -Smoking, stress, weight loss history etc According to cause specific treatment given For Hormonal imbalance drug that you have been prescribed like synthetic progesterone can be used.... If needed vaginal swab taken to rule out infection After treating any organic cause if present and after regularizing period frequently intercourse around ovulation will lead conception... Take care If frequent intercourse occurs than molecular study needed for rule out chromosomal Abnormality which is common cause of abortion Consult gynecologist for examination with keeping all this in mind" }, { "from": "gpt", "value": "Target: Will irregular periods affect chance of getting pregnant?" } ]
[ { "from": "human", "value": "Source: Patient: Child, since birth had a barking cough, when addressed with his dr. he indicated that lungs were clear - no throat redness. I have been around babies many years and have never heard a cough like unless the child (or individual) had the Croup (?). Although I m sure this is not common is it something that might need to be addressed with a Pediatric Pulmonologist? Doctor: Hello,Yes, if the cough is persistent and the regular pediatrician cannot determine the cause then a pediatric pulmonologist should be consulted.Regard" }, { "from": "gpt", "value": "Target: Should croup symptoms in a child be treated by a pediatric pulmonologist?" } ]
[ { "from": "human", "value": "Source: Patient: I had two heart attacks about three years ago and have been on heart, blood pressure, cholesterol and diabetes medications since. I am 58. One year ago I started having the experience as if someone broke my erection. Now it still hurts and I can t get a full erection and looks like it is broken. I feel too embarrassed to talk about it. Doctor: Hello,You may be experiencing Peyronie's disease, this is condition where the penis is curved. There may be an area of fibrosis/scarring present.The exact cause is not known but there are medications that may be able to help. You should consider making an appointment with an urologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Michelle Gibson James" }, { "from": "gpt", "value": "Target: How can erectile dysfunction while on BP, cholesterol and diabetes medication be treated?" } ]
[ { "from": "human", "value": "Source: Patient: My son s silver cap is real loose in the back. He started crying with pain. I gave him ibuprofen but he said he could taste some blood. It s barely still in his mouth but I don t wanna pull on it cause he s hurting so bad. No dentist office is open yet. What do I do? Doctor: Hi dear,This need to be re fixed. Pain and bleeding indicates secondary infection inside.Avoid manipulation, do warm saline gargles and see your dentist asap.Take care Thank you" }, { "from": "gpt", "value": "Target: Suggest treatment for loose silver cap" } ]
[ { "from": "human", "value": "Source: Patient: Hello Doctor, My brother aged 57 had swelling over the chest wall since 4 months, no pain. CTscan chest;Soft tissue swelling over anterior chest. Biopsy diagnosis ;Diffuse Large Cell Lymphoma | Which is the best treatment for Lymphoma? Wheather Amway products like Perselienium-E[Tablets], Protein powder and Bio-C[tablets] are recomended for improving the cells and tissues. please tell me the stage of deases. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. First of all let me clear you about his disease. He is having diffuse large cell lymphoma. It is very rapidly growing and life threatening cancer. For accurate staging, PET scan is needed. So first of all consult oncologist and get done PET scan and determine staging. Only treatment optional for lymphoma is chemotherapeutic drugs. Amway products are herbal products. They are supportive in nature, not curative. So better not to take give only Amway products. Consult oncologist and start chemotherapeutic drugs. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks." }, { "from": "gpt", "value": "Target: What causes the swelling of soft tissue on the chest?" } ]
[ { "from": "human", "value": "Source: Patient: I recently had a lower molar extracted. The gum on the adjacent tooth is receded so that the lower root of the tooth is exposed and extremely painful to cold. Is this a sign that the tooth is dying or will it be okay once the gum grows and covers this defect in the gum? Doctor: Heloo pt-Causes of Gum Recession and tooth sensitivity-Plaque induced Gingival inflammationFaulty Tooth BrushingTooth malposition or position of tooth in archTraumatic BitePeriodontal ProblemsSmoking and Tobacco products" }, { "from": "gpt", "value": "Target: What causes gum recession and tooth sensitivity?" } ]
[ { "from": "human", "value": "Source: Patient: I started getting dizzy spells about 2 weeks ago.My hands shake, and my body jerks every once in a while. The dizzy spells are a little worse, and sometimes after a bad spell, my blood pressure drops to 87/45. in that area.What would you suggest is wrong. Doctor: Hi ThereAfter going through your query I understand your concern.I would like to tell you that low blood pressure is a cause of dizziness in itself. Causes of low blood pressure can be dehydration, lack of nutrition, blood loss, medicines, pregnancy or heart diseases etc.It's advisable to keep yourself Hyderated and eat healthy. Physician consultation is highly recommended to evaluate cause of low BP and treatment in a proper way.Hopefully this has answered your query.Kind Regards Dr Navneet Mahajan" }, { "from": "gpt", "value": "Target: What causes recurrent dizziness and low BP?" } ]
[ { "from": "human", "value": "Source: Patient: Dear Sir/ Madam, My mom aged 46 was asked to go for the tests such as EEG , NCS and CT scan last week.... Once got the reports, He said her EEG was abnormal and has seizure disorder.... a neurologist prescribed her to take Encorate Chrono 300 two times a day, Frisium 5 and 1/2 Gabantin Forte in the night.... She is taking these medicines for the past one week..... But she is not feeling comfortable as she is suffering from severe head ache, nausea, vomiting, loose stools and feels weak too....! I cant see her suffering like that.....! And also she is developing mental stress on the same..... She has iron deficiency and also her hemoglobin level is already low..... What can we do now....? Is it good to continue these medicines....? or have to consult some other doctor....?And why she is developing these much problems suddenly...? Is these are the side effects caused by those medicines...? we are helpless....! Can you plz suggest us...? Thank You.... Doctor: HIThank for asking to HCMI rally appreciate your concern if your mother does not have any episode of seizure then no need to give this medicine which is given for this, if I would be her doctor then I would treat her with the following medicines,1) Tab Diazepam 5 mg at bed times 2) Tab chlorpromazine three times in day3) Tab Ciprofloxacin 500 mg twice in day for 5 days hope this information helps you have nice day" }, { "from": "gpt", "value": "Target: Abnormal ECG, seizure disorder, low HB, anemia. Got severe headache, nausea, vomiting, stools, mental stress post taking Encorate Chrono 300, Frisium, Gabantin Forte. Advisable to continue medicines?" } ]
[ { "from": "human", "value": "Source: Patient: my daughter keeps getting a pain in her tummy, the pain gets worse if she eats and she sometimes feels nauseas if she eats, she gets this pain every 3 to 4 months (intermittantly), I have taken her to a doctor but to no avail, the pain is in her upper abdominal. she is 13yrs old Doctor: Hi,It seems that she might be having chronic gastro-intestinal infection giving this problem intermittently.Give her one course of ofloxacilin, tinidazole combination medicine for 5 days.Avoid taking fried, chillies and junk food.Ok and take care." }, { "from": "gpt", "value": "Target: What causes pain in the upper abdomen?" } ]
[ { "from": "human", "value": "Source: Patient: i have a lump of knot on my shin bone, I have had the knot for years. I am not a sick person. the only doctors that have seen the kont were prenatal doctors and said very little about it. I am scared of what it could be but i would like to have it removed someday if it so able to be. Doctor: Hi,Dear,Thanks for the query to My HCM Clinic.I studied your query in details and understood your health concerns.-Cause of your Shin lump -a-In my opinion-c-this is -Sebaceous Cyst ? or a Lipo-fibroma ? Lipoma? or Varicose lump-you being lady.This advise would help you to plan treatment with your doctor.Hope this resolves your query.Wellcome for further query in this regard. Have a Good Day...!!With Regards" }, { "from": "gpt", "value": "Target: What causes lump of knot on shin bone?" } ]
[ { "from": "human", "value": "Source: Patient: My 9 year old daughter has complained of her left nipple hurting for the past few days. I investigated it tonight and there is a hard lump under the left nipple, but not the other. She shows no sign of puberty and if she follows my lead that will not be for another 7 years. Her other nipple is fine and has no lumps. Any thoughts other than puberty which is far off. She is a skinny minny and not overweight by any means Doctor: Hi,Congratulations you think well. Yes could be a sign of menarche, the first thing that change in the woman body is the breast they start to grow. And this could came with pain. Pain relieve can help. It s time to search a GYN." }, { "from": "gpt", "value": "Target: What causes nipple pain and lump under nipple in a 9 year old?" } ]
[ { "from": "human", "value": "Source: Patient: I have a17 year old daughter, 5' 4\" 125 lbs about who has just develoed what appears to be seasonal allergies, itchy eyes, sneezing etc. It's been raining for two days, should'nt that relieve the symptoms? What concerns me more is she seema to always be very warm and has been having rashes on her arms and legs which the pediatrition said was due to the cold. She is not heavy but she has a hard time tasking anything off and doesn't seem to eat much. Her sister has a auto immume condition. could all this be related? Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make following suggestions for your daughter:1. Were I treating her, I would suggest her montelukast and an antihistamine like fexofenadine or levocetirizine or cetirizine for 3-5 days. It will improve all itchy eyes, sneezing and rashes.2. It is possible to feel warm when some one has an allergic reaction, due to release of histamine. However, I would suggest you to measure her temperature with a thermometer. If she has fever, I would suggest her paracetamol and tapid sponging.3. If she has repeated such seasonal problems, I would suggest her allergy testing for common air-borne allergens, especially pollens in your region. 4. From your current history, I would not think of any autoimmune condition at present. 5. As she is not eating much and she has a hard time tasking, I would suggest you to check her hemoglobin levels and thyroid function. If they are abnormal, they can be treated.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your daughter the best of the health ahead.Thank you & Regards." }, { "from": "gpt", "value": "Target: What causes itchy eyes,sneezing and rashes on arms and legs?" } ]
[ { "from": "human", "value": "Source: Patient: Behind my lower teeth at the front under the tongue is a bit swollen n tender. N my eye is swollen too. I can move and eat ok to swallow but I can't chew. And I don't think I have fever.. I'm taking antibiotic n drop but I don't think it's working -- it's almost 3days now.. Pls tell me what is wrong with me Doctor: Hi,Thanks for your question.With symptom your describing there should be an calculi (stone) in the duct of submandibular salivary gland, i recommand you to please visit an dentist or an ENT surgeon." }, { "from": "gpt", "value": "Target: Why is the swelling behind the lower teeth below the tongue that is causing pain while chewing and swallowing?" } ]
[ { "from": "human", "value": "Source: Patient: Please explain this report in layman s terms. Thank you, MRI - OI/MRI CERVICAL SPINE W/O CONTRAST Axial imaging: C2/3: No Buldge. Spinal canal and foramina patent C3/4:2 mm uncovertebral spurring and bulge. Spinal canal patent 1 cm. Minimal left foraminal narrowing with patent right foramina C4/5: 3 mm uncovertebral spurring and bulge. Spinal stenosis 7 mm with mild cord flattening. Moderate bilateral foraminal narrowing C5/6: 3mm uncovertebral spurring and bulge. Spinal stenosis 5 mm at least moderate. Correlate flattening. Moderate to severe left foraminal narrowing with moderate right foraminal narrowing C6/7 3 mm uncovertebral spurring and bulge. Spinal canal slightly narrow 9 mm. Mild bilateral foraminal narrowing. C7/T1: No bulge. Spinal canal and foramina patent Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is compression of spinal cord in the neck region. It may require surgery. Consult a Neurosurgeon. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What does this MRI report indicate?" } ]
[ { "from": "human", "value": "Source: Patient: for ever since i can remember ill be fine one minute then the next my heart will start racing i get dizzy and lightheaded..feel like im going to pass out ive been to the dr. numerous times and they say everything is coming back normal can someone please help me Doctor: Hello and thank you for using HCM. I carefully read your question and I understand your concern. I will give you my opinion about this.You explain about fast, racing heart beats and feeling dizzy, light head. My opinion as a cardiologist is that this symptoms are related with some heart rhythm issues. It might be possible that the doctors do not find anything, because you are under normal rhythm when you meat the doctors.This rhythm problem might be different.The most important one is atrial fibrillation. This is an arrhythmia when the heart runs in a chaotic way. This is why you might feel your heart running fast. Also it doesn't wok properly, it doesn't feel normally and for this reason the person might experience dizziness, lightheaded. This rhythm issue might happen once a wile, it comes and go, and so it is difficult to catch it.So, my opinion is that you should do some examinations, where the most important one is holter rhythm monitoring for 48 h. Taking the monitor for 48 h rises the possibility to chatch the rhythm problem if it is any. I don't know if you already did it, but you may repeat it again to rise the possibility to catch something.Also, I will recommend a cardiac echo, a blood analyze to exclude anemia or thyroid gland problems that cause this kind of problems sometimes.If all this examinations result normal,than you should not worry.Only after this we might say that every thing is alright, its just stress.Hope I was helpful. Wish you good health.Best regards." }, { "from": "gpt", "value": "Target: Suggest treatment for dizziness and lightheaded feeling frequently" } ]
[ { "from": "human", "value": "Source: Patient: The other day I was in class and all of the sudden I felt weak and I felt like if I had a separate hearbeat in my head. When they checked my blood pressure it was 150 over 116. It has never been that high and my chest felt very thight, but then like an hour later everything went away. What should I do? Doctor: hi therePlease furnish us with ur age and smoking habits and any other medical condition.The event which has happened goes in the favour of an ischaemic episode. You need to see a cardiologist asap.Good luck" }, { "from": "gpt", "value": "Target: What causes sudden weakness, chest tightness and high blood pressure?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, back in the begining of November I caught what I thought was a cold. After five weeks of nose congestion I started taking Cefdinir. The congestion went away but in the half way through the antibiotics I began to get a dull head pain around my whole head. It keep me up at night. I could put my head on a pillow. After the meds, I went back to my general doctor. He told me I was getting better. But that night the pain was terrible. I called him the next day and told him something was wrong. He ordered a CT scan and found that I had a sinus infection in the frontal sinus' and ethmoid (spelling) sinus'. Since I am allergic to pennicillin, they put me on Cipro but later switched me to Biaxin. It has been slowly getting better, but I still have a dull ache around my head and nerviouness. It wakes me up a couple hours after I fall asleep. Could the CT scan have missed something or (since I've never had a sinus infection before) is this part of the sinus infection? Doctor: HI, thanks for using healthcare magicThe dullness implies that the sinuses are still congested somewhat.In addition to the antibiotics, you would need to consider a decongestant and antihistamine.A topical and oral decongestant may help. These are available over the counter.Also a topical steroid nasal spray may help as well. This includes meds such as nasonex, nasocort, rhinocort, flonase.I hope this helps" }, { "from": "gpt", "value": "Target: Suggest treatment for a sinus infection" } ]
[ { "from": "human", "value": "Source: Patient: I am 65 years old and I am feeling acute pain in my back ,hips,down to knee and then further down to the point above ankle.I have been taking medicine like Nervio, Hifenac,Deugaba,Rejunuron etc but with no relief.These medicine have lot of side effects and I do not want to continue. I am experiencing loose stool also.I got MRI also and findings are that i am suffering from lumber spondy losis with degenerative disc disease and multilevel disc bulge with right para central disc protrusion at L4-L5 causing right lateral recess steno-sis and narrowing of the neutral foramina bilaterally with ligamentum flavum adding to the compressive effect. I am attending physiotherapy treatment but with little relief.Should I continue to walk in acute pain? If so please suggest distance.Should I continue medicine? If so which one is good. Should I believe that there is no cure further and I have to suffer with this pain in my rest of life.? Please help me. Doctor: Hi, Shri sushil kashyap, Thanks for query. You have got multiple problems in your spinal canal giving you so much pain. These problems makes treatment too difficult. There one option is surgery and whether it is possible or not can be decided by spine specialist. Consult spine specialist and seek his advice. Avoid more walking as it may give pressure on the prolapsed disc producing more problems. You can do your routine work. Go for physiotherapy as advised by your doctor. Take pain reliever as and when require. Ok and bye." }, { "from": "gpt", "value": "Target: Acute pain in the back, hips and legs. Taking Nervio, Hifenac. Lumbar spondylosis with degenerative disc disease. When can I stop medications?" } ]
[ { "from": "human", "value": "Source: Patient: About three weeks ago I had a cavity refilled. Since then I have been back in the office for 2 bite adjustments. Obviously, my mouth had some irritation from the bite being off. Within this time I also found out I was pregnant. Since my last bite adjustment, about a day later, I have had severe pain in my jaw. It wraps around the top jaw line around to the bottom. Taking tylenol and applying an icepack do make the pain go away, until the tylenol has worn off. I am a known tooth grinder, but can this pain be all muscle related from the grinding? I have switched to soft foods to help eliminate more chewing than neccessary. The pain is the worst at night. And I definately wake up right at the 4 hour mark when the tylenol has worn off. My dentist is not in for another day, which will make it 5 days with the pain. I am worried that there might be something more than just muscle issues from grinding. And being pregnant makes the worry even more. Any help would be appreciated. Doctor: Thanks for using Health Care agic.Read your query.Since you are pregnant ,taking panadol and ice pack is the good option.Pain in the tooth associated with postural variation pain and associated symptoms suggests the tooth being pulpally involved(irreversible pulpitis).I would suggest you to have the filling removed and have the root canal treatment done.Hope this was helpful.Thanks and regards." }, { "from": "gpt", "value": "Target: What causes pain in the jaw?" } ]
[ { "from": "human", "value": "Source: Patient: a 33yr old female reported with dull nawing continous pain in lower left posterior region of her jaw and left half of tongue.pain radiating2 lower lip left half of face ear .H/o extraction with 37 (with ankylosed roots) 1and half month back doc. who extracted her tooth hd given her antibiotics with antiinflammtory analgesic n serratio and antacids still after 1 nd half month shes in pain clinically socket completed healed but left buccalplate is swollen slightly n e/o slight swelling still present after extraction IOPA of that region no significant finding ..i think it may be due to nerver injury either at time of extraction or while giving block.so in this condition can cap nervemax given to a pt with renal disorder? if nt then suggest me d option for so? Doctor: hello thanks for consulting at hcm. she might have bony spicules left at the socket region..or it also could be due to nerve injury during the extraction,,nerve repair takes atleast 6months to 1 year,,neurobion has healing effect,, either ways plz take a consult with oral physician for the prescription ,check up and treatment,,hope it helps,,take care.." }, { "from": "gpt", "value": "Target: Suggest remedy for pain in jaw" } ]
[ { "from": "human", "value": "Source: Patient: Sir, my mother suffers from gastric problems.Some of the problems she always mentions are,☆hot air passage through her throat ☆she feels that some one protruding on her head with a needle.☆she says that hair on her head bind together and divided in to small parts..she takes a head bath to tries avoid that Is there any problem inside her head or it is related to gastric..?Please give some advice Doctor: Hi thanks for asking question.Here she might have obsession compulsive disorder like thoughts.She had no neurological signs and symptoms that suggest any organic causes.By stress taking gastric problem can occur.According to gastric problem it is treated.If ulcer like condition omeprazole can given.She can be given fluoxetine like drug after doctor consultation.Behaviour therapy can be given after consulting doctor.If still want to rule out neurological signs then CT scan can be done.Endulge her in some activity daily.Give her advise regarding doing yoga and meditation.I hope she will recover soon.Wish you good health" }, { "from": "gpt", "value": "Target: Suggest remedy for problems in head" } ]
[ { "from": "human", "value": "Source: Patient: i am 17 yrs old. weight 60 height '5'4' i have met with a boy in face book.. we are friends.. but we never met each other... he use to tell me every thing that happened in his life.. he is of age 17 .. when i said that i can not talk with him for 1 month he said that he can not wait he wants to talk with me.. nd even he is missing me.. but why he is missing me he does not know.. even he likes my picture so much.. so what u can make a conclusion about this??? what does actually this means??? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I do not know whether you know that person? His exact age? Whether he is married or not? etc. There are so many episodes like this. If you search internet, you shall find so many experiences. You need to be careful. Love do have certain behavioral patterns, especially of obsession / possessiveness. Fraudsters do show false signs of possessiveness just to win your heart. Once they are able to lure you into their web, they ask for your photo's of different positions, then they record voices, record messages send by you etc etc. Then they use these to blackmail you. These things happen across the world. I am not denying the fact there are genuine relationships also.You should take care of yourself. You are just 17 and you should concentrate yourself in your studies. Please do not indulge in affairs, especially through social platforms. You shall do all those after the age of 21 after completion of your studies. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck." }, { "from": "gpt", "value": "Target: What is actually happening to my friend?" } ]
[ { "from": "human", "value": "Source: Patient: My husband has been sick for the past week. First he started off with white bumps on the side of his tongue and then sore and swollen throat only on the left side with slight fever. He went to the er 4 days ago and was tested for but was treated for strep. He was prescribed amoxcicillan 3 times a day for 10 days but so far his illness has not improved. He still has a mild fever, sore and swollen throat, night sweats, body aches, chills, and complains of his jaw hurting. Is it really strep throat that he has? Doctor: Hi.Thanks for the query..It looks like viral infection but strep throat is bacterial infection..So my suggestion is to get his blood test done for confirmation..A throat swab culture can also be advised..If viral infection is confirmed then antiviral medication can help in reducing Infection..However supportive treatment like Acetaminophen to reduce fever, Ibuprofen to reduce inflammation and pains and warm saline gargles and antiseptic mouthwash gargles can help in improvement..Hope this helps..Regards.." }, { "from": "gpt", "value": "Target: What do sore throat and white bumps on the tongue indicate?" } ]
[ { "from": "human", "value": "Source: Patient: I was diagnosed this week with having dead bone in my knee which has caused terrible pain for months. My doctor is suggesting arthroscopic surgery as a conservative action but did suggest I will eventually need knee replacement. I just turned 58 years told and I realize I am limited on remedies. Leaving the dead bone in the knee....does this cause more serious problems? Doctor: Hello, If you are in early stages of osteonecrosis (dead bone) your doctor may help you with painkillers etc, but the best solution is surgery. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician" }, { "from": "gpt", "value": "Target: Will leaving dead bone in the knee cause serious problems later?" } ]
[ { "from": "human", "value": "Source: Patient: hi doctor im 22 years old and i started having acne a week ago and now they are all over my face .my doctor advised me to take azifast 500 tablets for five days empty stomach.im just worried because i have had no acne for about 5-6 years now.is the treatment right?and i would also like to know that what else can i do to prevent them?my weight is 45 kg and my height is 5 feet 2 inches(female). Doctor: Hi Welcome to HealthcareMagic. You are given the right treatment.Azifast is an antibiotic and if it is a capsule it should be taken on empty stomach.Please go ahead and use it.If the acne don’t come down in a week , you can see a Dermatologist and get acne specific medication. Hope i answered your question. Take care" }, { "from": "gpt", "value": "Target: Suddenly i got so much acne on my face, what is the treatment ?" } ]
[ { "from": "human", "value": "Source: Patient: yes i just left my doctor this morning he stated he thinks its vertigo so he said do you want me to give you something for vertigo so we can see if it helps you i said yes so i get to the pharmacist he gives me a bottle of glycopyrrol and tells me its to treat ulcers and thats what it tells me when i look it up can you please tell me something about this Doctor: Get Tab. Vertin 8mg and have it thrice daily for 5 days. This is only symptomatic treatment. If no relief, consult an ENT specialist." }, { "from": "gpt", "value": "Target: Suggest treatment for vertigo" } ]
[ { "from": "human", "value": "Source: Patient: I have varicocele grade 3 and I m taking daflon 500mg , chymoral forte and cefixime 200mg I m taking these medicines for 10 days it helped the situation but i m not recovering fast I want to ask how long it will take to completely get healthy and also is there any other allopathic medicines that can help me . Doctor: Hi, Indication for surgery in varicocele is: 1. Significant testicular asymmetry (>20%)demonstrated on serial examinations. 2.Testicular pain 3.Abnormal semen analysis results. Wear an athletic supporter to relieve pressure, use pain killer in case of pain. Permanent solution is to get surgery. Vein embolization is seen in day care procedure. Please consult your surgeon he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards,      Dr. Penchila Prasad Kandikattu" }, { "from": "gpt", "value": "Target: How long does it take to recover from grade 3 varicocele?" } ]
[ { "from": "human", "value": "Source: Patient: I am female , 49 years old. I visited my doctor today and with complaints of two weeks of headaches. He gave me a muscle relaxant injection and said it was stress. The pain was relieved for about two hours. This evening, I have a pulse of 105 resting and a little tightness in my chest. Doctor: Thanks for your question on HCM.In my opinion you may have delayed allergic reaction (mild) due to injection.Intravenous /intra muscular injection can cause delayed type of reaction (after 24 hours) in susceptible individuals.So you may had mild type of reaction. Chest tightness and tachycardia (rapid pulse rate) can be seen in allergic reaction.So your present symptoms can be due to mild allergic reaction after injection.Or it can be due to stress and tension.So avoid stress and anxiety. Be relax." }, { "from": "gpt", "value": "Target: Can an injection cause chest tightness with a high pulse?" } ]
[ { "from": "human", "value": "Source: Patient: gums look like there thinning and bruised greyish? very concerned im a 21 yr old mother of a baby. Unfortunatly i did smoke and sumtimes a pack a day. But stopped as soon as i saw this. in could this be cancer? I have no health insurance because I do not have a job & im not Pregnant. as that is a requirement in my state I Also have PTSD and thyroid disease. Doctor: Thanks for using Health Care Magic.Read your query.Good that you have stopped smoking. the discoloration of the gums can be due to smoking.I advice you to consult your local dentist and get it checked and get thorough professional cleaning done.your dentist will make an appropriate treatment plan for you.Thanks and regards." }, { "from": "gpt", "value": "Target: Why my gums look like bruised and greyish?" } ]
[ { "from": "human", "value": "Source: Patient: Hi..I am 30 years old Male and I have been having pain in the left side of my Groin. Its not very chronic but when I press in that area or stretch my thigh or lift my leg it starts paining. Also past couple of weeks I was having a back ache for which I consulted an Orthopedic and he showed me some exercise to do which relieved me a lot. But now I am getting this pain which is not very severe but would like to be cautious. Could you please help? Doctor: Hello, Looking at your details it primarily looks to be a groin strain .I shall advice you to avoid any type of stretching of legs and heavy exercises for few days. You may have a good analgesic like advil for relief from pain. Even after all this your problem does not resolves in 5-7 days then you should consult to your doctor and have an X-ray to rule out problem. Take care. 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: What causes pain in groin?" } ]
[ { "from": "human", "value": "Source: Patient: I have a small red bump on the bottom side of my penis, about the size of a pimple. At this point, it is not painful in any way. I have just finished taking an antibiotic to fight a UTI or what may have been chlamydia and am concerned that this could be herpes II. Are herpes sores generally a single bump and can they appear in near-pea size without being painful? Doctor: Hi i appreciate your concernit can't be herpes because it generally appears in clusters and painful conditionit could be a sebaceous cyst or syphilitic ulcerplease make a visit to your doctor for through examination and lab testsHope I have answered your questionthanks for using health care magicgood luck take care" }, { "from": "gpt", "value": "Target: Suggest treatment for a lump appearing at the bottom of the penis" } ]
[ { "from": "human", "value": "Source: Patient: I have had a high bilirubin for about eight years now and the doctors that i have seen haven t been able to find the reason for this they ran a series of test hepatitis and all but still no answer. My eyes and skin doesn t show but i would still like to find out why my bilirubin is so high. Another problem that i have been having lately is allergic reaction could the Jaundice cause that Doctor: Hi and welcome to Healthcare magic.Thank you for the query.I dont thik allergies and hight bilirubin count are related. But you should find the cause of jaundice if there are some symptoms that bothers you. Kit can be metabolic disorder or congenital disorder and more specific tests should be done in this case. Also, you should follow some hepatoprotecive diet and see will there be some improvement.Wish you good health. Regards" }, { "from": "gpt", "value": "Target: High bilirubin levels, allergic reactions. Due to jaundice infection?" } ]
[ { "from": "human", "value": "Source: Patient: I have frequently watering mouth and metallic taste in mouth. The only medication I take is birth control pills. my age is 30 years. this is happening since last few days. Started after having a special fish preparation 1 week ago, that was quite spicy. have tried antacid but didn't help. trying to achieve some career goal so stress is there. Help me. Doctor: Hello,As far as metallic taste in mouth is concerned this can be due to drug oral contraceptive pills you have taken or due to de-papillation of taste buds.For this, I will suggest you to take medication like Vitamin B complex once daily by consulting with local doctor.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Priyanka Tiwari" }, { "from": "gpt", "value": "Target: What causes metallic taste in the mouth?" } ]
[ { "from": "human", "value": "Source: Patient: My father was diebetic from last 25 years and now a CKD patient, at this stage his creatinine has rised to 6.6 and urea is 135.9, we were thinking to start the dialysis. I want to know if he could be treated using Stem cell treatment method and what will be the expences for this. Doctor: Hi, dearI have gone through your question. I can understand your concern.Your father has diabetes and chronic kidney disease. His creatinine level is very high and he should go for dialysis. Stem cell treatment can be given. It regenerate the kidney components and revert the chronic kidney disease. But it required detailed examination and investigations whether he is eligible for stem cell therapy or not. Cost is also depends on your kidney function and amount of kidney damage. So consult your nephrologist with all details.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: Is stem cell treatment viable here?" } ]
[ { "from": "human", "value": "Source: Patient: Hi I m Mary and I too have this LEukocytoclastic Vasculitis, diagnosed in June 2007 with biopsy and? ... also told I had Hep c. I was diagnosed with stage 4 non Hodgkin s malt lymphoma in November 2008 after an endoscopy with biopsy. I went through treatment with 8, 4 hour Rituximab infusions 1 per week. This treatment cleared up everything. The lymphoma came back in late 2011 and after the same amount of treatments I m again in remission. My biggest problem now is this vasculitis is now on my kidney. I had a kidney biopsy in 2011 and it is this LCV. After treatment for lymphoma my kidneys got better but now it s been back since 6/2013. My kidneys bleed as they did in 2011 which caused me to get 3 units of blood to replace the blood lost in my kidneys. Right now my kidneys still bleed and hurt , it s also on my gastrointestinal track. My blood pressure is once again out of control as it was in 2011 and half of 2012. I had a mini stroke and was in ICUS in 4/2012. My immune system is in terrible shape and I m struggling to try to keep this all in control and find a cure. I ve found several years ago that my vasculitis flares up worse when I do any type of activity. I was a very active hard working Licensed Electrician for over 20 years before my diagnosis. I have never been anywhere close to lazy but I must start being extremely lazy if I plan to stop this spread to other organs. I was also diagnosed with a brain tumor in 1/2010 it was an inch and now is a little over 2 inches, it s ok for now but due to all my health issues were just monitoring it. I hope to learn something from you all and possibly you can learn from my experience with this disease. Stress of any kind makes this LCV worse. Walking, deep cleaning, activity, too hot, too cold, etc.! Thanks for the support what magic do you have for my condition? Thanks Doctor: HiAfter hearing your history i would advise you to take TRANEXAMIC ACID tablet 500 mg twice daily for 5 days.I would also advise you to do a CT scan of whole abdomen.RegardsDR DE" }, { "from": "gpt", "value": "Target: What is the treatment for bleeding in kidneys and gastro intestinal track?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...I Gave my 20 month old son squash for the very first Time yesterday and today he had very watery, foul smelling pale yellow stool. And while he's moving his bowels he would cry and whine even though the stool is very loose. Could that be a sign of a allergic reaction Doctor: Hello.Thank you for asking at HCM.I went through your son;s history and would like to make suggestions as follows:1. As he has taken squash for the first time and he had no symptoms immediately after taking it, I would not first think of allergy.2. I would think of simply inability to digest the new food item or sometimes food poisoning.3. I would suggest you to give him plenty of fluids and he will recover by himself.4. You may try giving him squash again after 2-3 weeks and in small amount, once he is able to tolerate it, you may gradually increase amounts.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your son the best of the health.Thank you & Regards." }, { "from": "gpt", "value": "Target: Could watery, painful stools in a child after intake of squash be allergy?" } ]
[ { "from": "human", "value": "Source: Patient: I fell a few days ago and a ladder bar went between my legs and must of hit my tailbone , I was very on the ladder so I was more concerned about hanging on than any injury . I didn t notice any pain at the time . But now I have a small bump on the side of my tailbone. It is semi painful , it s uncomfortable to sit in some ways . I m asking whether or not to go to see doc or can I just ride this out Doctor: hi,thanks for writing to healthcaremagic.you seem to have tail bone injury, not necessarily a fracture since you didn't have immediate pain.please take following treatment:1. avoid sitting on hard surfaces.2. Infact for sitting you should buy a ring pillow or doughnut cushion which has a hole in between, so when you sit on it, your tailbone area keeps hanging in the air. you can also buy a coccyx cushion for this purpose.3. avoid sitting for a long time4. till you get hold of one such pillow you can manage by alternate sitting on each side of your buttocks5. do seitz bath- take warm water in a tub and dip your bottom in it. do it 3-4 times a day.5.take a mild antiinflammatory like ibuprofen or naproxen.6. avoid constipation- take high fibre diet. this will avoid strain on your tail bone while passing stools .it should improve in 2-3 weeks hope i have answered your query .if satisfied, please rate my replythank you" }, { "from": "gpt", "value": "Target: How to cure painful lump on the back bone after falling down?" } ]
[ { "from": "human", "value": "Source: Patient: I have few questions regarding brain angiograhy. My mom went for her brain MRI last week and neurosurgeon ask me that she need brain angiography. What I want to consult one more doctor if you want I can share the copy of her MRI reports. Sure May I have your name I have few questions regarding brain angiograhy. My mom went for her brain MRI last week and neurosurgeon ask me that she need brain angiography. What I want to consult one more doctor if you want I can share the copy of her MRI reports. Doctor: SEE MR, why did you consulted neurosurgeon? that means, wheather she,is suffering from high blood pressur sinc long time? or anything else? brain angiogram is different from brain angiography,first one is non invasive investigation,while 2one is procedure carried out to correct abnormalitis in brain circulation,of course you can take reports of MRI by requesting hospital dr or RMO OR ADMINISTRATOR. THING IS THAT WHOMSEVER YOU CONSULT, IF THEY WILL BE HAVING ALL RIGHTS TO INVESTIGATE PATIENT WITHOT ANY1S PREIER PERMISSION,ESPICALLY IN CONSULTATIONS OF SUPER SPECIALISTS." }, { "from": "gpt", "value": "Target: Why is a brain angiography done ?" } ]
[ { "from": "human", "value": "Source: Patient: My 5 yr old son cut his right inner pinky on a metal object, he sliced about 1 long and it looks deep.... We put presser on it to stop the bleeding and put a non sting medical kit disinfectant wipe over it and put neosporin over that. I asked him to bend his finger and he can and he stopped crying.... It is lightly wrapped in bandaids and then gauze and bandaids over that. He has all his regular shots thoughout the years. What should be my next step? Can he wait until morning to go see the doctor? Doctor: Hi,As bleeding is stopped you can wait till morning and in the morning consult your doctor and get examined.If you think wound is big and deep, go to ER as he might require stitches.Ok and take care." }, { "from": "gpt", "value": "Target: Suggest treatment for skin cut on finger" } ]
[ { "from": "human", "value": "Source: Patient: Hello I am a 23 year old girl and I have autoimmune hepatits. my desease is under control right now and my doctor tapered taking prednisolon after about 11 months taking it regulary and now i quit taking predisolon completely. my blood test seems to be very good my SGPT level is 6 IU/L and my SGOT level is 14 IU/L. my SGPT seems to be too low even when I took prednisolon it wasnt that much low and i am worried about that. do you think everything is ok? thank you so much Doctor: Hi, Low SGPT is OK in your case. No need to worry. Theses levels are of concern only when they are elevated! So be happy! Take care" }, { "from": "gpt", "value": "Target: Autoimmune hepatitis under control, tapered prednisolone dosage, blood tests normal, SGPT seems to be too low. Worrisome?" } ]
[ { "from": "human", "value": "Source: Patient: hello doctor My son who is 3 years was suffering from cold and was suffering to breath. So we gave him dulion respules 3 nos dosage of 7.5 ml (2.5ml x 3)in two hours I want to know wil there. Be any side effects of giving over dosage of dolution. With regards V.C.Vijay Doctor: Hi dear welcome to the HCM,Yes, It may increase heart rate and its contractility. restlessness,insomnia tremors etc.Please immediately stop the duolin.Gradually its effect will wash off in two to three days. Further it can be resumed with your pediatrician consultation.Hope the query is answered.thanks" }, { "from": "gpt", "value": "Target: Does over dosage of Duolin Respules have any side effects?" } ]
[ { "from": "human", "value": "Source: Patient: doctor I think I have an internal infection and it hurts in connection to acid burning in my brain but I estimate it to hurt when I focus on the prostatic urethre, ejaculry duct , membraneous urethra bulbourethral gland, bulb of penis or bulborethral duct but not if I focus on the corpus cavernosum and the corpus spongiosum. when the amino acid infection recedes from penis I have to hold my head still and think of g spot... Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It is not clear what your symptoms are. There is no such thing as acid burning in the brain and even if you had some sort of infection of the prostate and the urethra, it doesn't have anything to do with the brain.Terms like amino acid infection do not make any sense either. So please, if you really need our help, try not to make conclusions but list your symptoms, their evolution in time, and if any tests have been done or medicines have been used up to now.I leave it at your disposal for other questions.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Olsi Taka" }, { "from": "gpt", "value": "Target: What is the cause of acid burning in the brain?" } ]
[ { "from": "human", "value": "Source: Patient: Hi Doctor ! My age is 31 years & l had tb in my uterus. Now l had completed my 6 months course of AKT-4. Can I conceive naturally & how much time it will take ? Doctor: Hi,thanks for query.After completion course if your ovulation is normal you can conceive right away.After the treatment when the tissue inside the uterus and tubes become normal so you can plan your pregnancy now.You can very well conceive naturally.Bye." }, { "from": "gpt", "value": "Target: Had tb in uterus and i'm on AKT-4. Is it possible to conceive naturally and how long it will take to conceive ?" } ]
[ { "from": "human", "value": "Source: Patient: Lately in the mornings I wake up early (5 am) in discomfort with a full bladder. After urination I am in painful agony. The pain is shooting in lower left abdomen and will usually last for 20 min to a few hours. In the past I have had several ongoing problems with UTI's but this is completely different. Any ideas? Doctor: Hello, welcome to healthcare magic forum,See it seems to be a kidney like problem, it will be wise to get a urine examination done along with a ultrasound, by this we will get clue to move forward towards diagnosis and treatment.Regards." }, { "from": "gpt", "value": "Target: what causes pain in lower left abdomen?" } ]
[ { "from": "human", "value": "Source: Patient: Hi Doc,I was given HCG shot (Corian 5000), when my ovary size was 23*25 mm.I have consulted with another doc and she said this size is very large and egg will not be productive even after getting ruptured by HCG. My period was due on 4th May but i havent got yet. Since last 15 days, i was busy in my brother s marriage and have done really heavy and hectic work.I dont see any symptom of pregnancy . Do you suggest I should take the urine test or shall i wait for for another 2 3 days. My period is due since last 6 days. Doctor: welcome to healthcaremagic you take the preg test if pregnant it will be +ve by this time hope for the best" }, { "from": "gpt", "value": "Target: Is there a chance of pregnancy in a women having a large ovary ?" } ]
[ { "from": "human", "value": "Source: Patient: Hi Doctor, I am taking duphaston 10mg after my ovulation date , 2 tablets in a day & 2 tablets in night from past 1 week and I have abdominal pain, Leg pain, cramping, back pain sometimes pain in left & right ovary side.....but there was no signs of implantation bleeding....Am I pregnant? Doctor: HiImplantation bleeding occurs when the fertilized egg attaches to the lining of the uterus. Implantation bleeding typically is a light spotting or bleeding that occurs about ten to fourteen days after conception.You need to wait for few more days.Urine pregnancy test should be done by 10 days of missed period.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician" }, { "from": "gpt", "value": "Target: What are the side effects of duphaston 10mg?" } ]
[ { "from": "human", "value": "Source: Patient: this is the second night in a row that my 5 year old daughter has broken out in red blotchy rash. I took her to the ER last night and they gave her benedryl & prednisone. She has had a bad cough for about 10 days and occasionally coughs up clear thick mucous. She runs a fever in the late afternoon and evening (oral 99 to 101) that responds to ibuprofen. The ER said it was an allergy to the red dye in the new children s advil i bought (i ve always bought the orange). But now she s starting with the blotchy, itchy legs again tonight without Ibuprofen. She s had a dose of benedryl and the oral prednisone 7.5 cc. Any advice? Doctor: Hello, I appreciate your concerns.First, I would strongly advise you to add hydroxyzine (an anti histamine) to the benadryl. It works very well and the rash as well as itching decreases soonSecond, think of all the food and any other medicines you have given her on the day, and the day prior to appearance of the rash both times.If you find something in common, try avoiding that to prevent an allergic rash again. Hope this helped you. Ask your doctor to add Hydroxyzine for the rash and itchiness" }, { "from": "gpt", "value": "Target: Suggest treatment for allergic skin rashes on legs" } ]
[ { "from": "human", "value": "Source: Patient: My name is Gwendolyn Fails, D.O.B.10/08/1969. You did ankle surgery times three on my left ankle. I had a total fracture with all ligaments torn. When I arrived to the Vaughn Regional Medical Center in Selma, AL I could turn my foot upside down. I worked as a Licensed Practical Nurse. I worked approx. ten years after that date. The injury was in 2003. Since then I am experiencing extreme pain to both ankles but worse to the left ankle. I also has developed Narcolepsy(sleep apnea). I applied for social security and was denied and went to the reading and was denied. I am now awaiting for my Attorney( Micki Beth Stiller) to apply for a appeal for the decision. If there is anyway you can forward needed paperwork to my attorney it would greatly be appreciated. My number you can reach me at is 334-782-1044 or 334-875-2828 and leave a message. Thank You for your time. Gwendolyn Fails Doctor: Hello Mr fails, I could understand that u have been operated thrice may b for one other reasons, now u could have developed kind of reflex sympathetic dystrophy with stiffness in ankle so best treatment would be to go for physiotherapy, do warm water streching exercises, wear pepper able socks while walking, keep Limb elevated, and take medicines like Ultracet, lympedium, rantac&multivitamin. Send me x rays for further study & need some blood investigation. Let me know how did u felt after advice. Thanks." }, { "from": "gpt", "value": "Target: Suggest treatment for ankle pain after undergoing an ankle surgery" } ]
[ { "from": "human", "value": "Source: Patient: Hello Doctor, My son is 1 Year 10 Months old. About 4 months back he developed allergy symptom; He cough & sneeze all of a sudden. When ever he started coughing, it will end with sneezing and it continues for 2 to 3 hours non-stop. Our family pediatrician has suggested to give Ascoril LS -2.5ml. It is working effectively. But i am worried regular usage of Ascoril for him. He develop this continuous cough 2 to 3 times a week. Can you please guide me what would be the correct diagnosis for him. Is this cough & sneeze is due to allergy? We are unable to understand he is allergic to what? Sweets or dust or some thing else? Thanks in advance. Doctor: ensure if the baby is not having post nasal drip which STIMULATES the nasopharyngeal mucosa causing increased cough. i wish i could examine the p[atient to see for other causes." }, { "from": "gpt", "value": "Target: What causes coughing and sneeze in a 10 month old baby?" } ]
[ { "from": "human", "value": "Source: Patient: My abdomen hardens after walking and/or going up steps/hills, I can feel it tightening up and this isnot comfortable. It also feels heavy sometimes and becomes uncomfortable to walk to where i hold onto buggy in the store to shop. Lower back pain has started this week just like i used to have with my periods. I am 65 and 16 months post radical tah/bso Doctor: Hi, The backache & The abdominal stretch can be after effect of the operation ( ? total abdominal hysterectomy With both sides ovaries). * The backache can be due to osteoporosis following the ovarian removal.It can be managed by calcium,vitamin D replacement along with hormonal replacement if recommended by your doctor. - considering your age, X Ray spine will help to asses diagnose posseblity of lumber spondillitis. Depending the indication for your operation, your doctor may suggest MRI to exclude certain other possibilities * When you climb the stairs,or lift /push a buggy,the abdominal muscles naturally get tight. The pain you feel is due to weakness of abdominal muscles /stretching of the scar. This will reduce over few more months . You can start light abdominal exercises to strengthen your abdominal muscles. Pain killers will give you temporary relief. Thank you." }, { "from": "gpt", "value": "Target: Abdomen hardens, tighten up when going up, uncomfortable to walk, back pain. Recommendations?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I'm a patient age of 62 years having a renal problem.I was going through treatment having some medication taken.after I have finished my course, both lower limbs and tummy got swollen and increase in weight. I went to medical lab where renal routine test was done and my results shown that my creatinine level and urea level were high.my creatinine was around 7.I am now admitted and went for dialysis two days before,hopefully my reading level drops a bit.but today morning I went for lab test but my creatinine level and urea increases again.My question is what do you suggest as a treatment for me.is my situation can be said having a kidney disfuction or I will stay on dialysis. Doctor: it could possibly be that u have right heart failure or liver problem or as such a kidney problem. it is has to be ascertained by your doctor what is the problem. then we can decide whether you will be on long term dialysis." }, { "from": "gpt", "value": "Target: Swelling in the limbs after taking treatment for renal problem. High urea and creatinine levels. Need alternate treatment" } ]