conversations
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[
{
"from": "human",
"value": "Source: Patient: I am 52 years of age. Have two daughters and was having wonderful sexual life. Curently I am taking Zen200 for depression and Tonact for my blood cholestrol. Does these medication affect my sexual life. Of late my erection of my penis is not as used to be.... I want to regain my sex life and regain joyous time... Doctor: Hello, Zen200 does not have any impact on your sexual life and you can safely take zen200 without any concerns. Nothing much to worry and your treatment is in the right track. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: Does taking Zen200 and Tonact affect sexual life?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My father in law is 70 but was walking all along until about three weeks ago. His right leg is swollen from the calf down. He is in so much pain he can t walk now. No history of diabetes. He is a smoker. He has had history of throat cancer 3 year back but was cleared of cancer after taking radiation. He did get radiation poisoning. What could the possibilities be that would cause him to not be able to walk? I m not sure what to ask the doctors to check for. Doctor: Thank you for your question.Kindly rule out deep vein thrombosis, that is, a condition where blood inside the veins deep below the skin surface gets clogged due to clots. Him being a smoker and having history of cancer in the past are risk factors. Your doctor will most probably do a Doppler venous study of his right leg to rule out the same. He may require blood thinning medicine for the same if confirmed. I would advise you to get an appointment at the earliest.i hope his helps."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen and painful leg"
}
] |
[
{
"from": "human",
"value": "Source: Patient: large golf ball lump under butt between legs more to the back. Seems to be right under the butt on the muscle, have really bad sciatica, is it the lump or my lumbar or both?? I had a cortizone injection because they thought it was my back, but im starting to worry because that did nothing for the intence all the time pain. Who should i see?? Doctor: hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a cyst (a sebaceous or a keratinous type) or a gluteal abscess. management (medical and surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a painful lump appearing under the buttocks"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i have a serious pain in my chest,when i start walking it pains me more.before that i was all weak and i had fever,my kneck was paining as well as my spinal, i took some antimalaria and the back pain is all gone what do i do for the chest painthank you david kirui Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. You are having chest pain on exertion (walking).So we should first rule out heart diseases. So get done ecg, 2d echo and stress test (trade mill test).If all these are normal then no need to worry for heart diseases. Take simple painkiller like paracetamol or ibuprofen. Apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What to do for the severe pain in the chest and back?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have had a bubble like the size of a pea on the tip of my foreskin for as long as i have known myself. i am 42 years old. i recently asked my doctor about but she said its benign and poses no danger. i can have it removed or chose to let it remain. i am in a relationship and my girlfriend is freaked out about to the pointof being irrational. does not appear to have any fluid inside. just appears to be a bubble like lump. please advise Doctor: Hello Thank you for trusting HCM It may be fore skin irritation due to vigorous manstrubation or sexual activity cause inflammtion and thickening of skin or underlying tissue (vein) cause mass like appearance. With out examination it is difficult to tell it is std, wart, thickened or inflamed vein or tissue. Please consult your doctor he will examine and treat you accordingly."
},
{
"from": "gpt",
"value": "Target: What causes lump on foreskin?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My daughter, aged 37,and her husband, aged 41, have been trying to get pregnant for over a year now with no success. My daughter thinks it is because she was on birth control for over fifteen years, but her husband recently had his sperm tested and was told that he has a high percentage of malformed sperm. Also, he smokes, I think the problem is with the sperm. Do you agree? Doctor: Thank you for the questionAs you have rightly mentioned, healthy functional sperms are required for conception. Abstinence from smoking might improve the sperm morphology and increase chances of conception. when a person has high number of malformed sperms,the chances of conception reduces but it does not mean that the married couple cannot conceive since it requires one healthy sperm for fertilisation with ovum. Consult a fertility specialist who can provide a better insight into the issue and guide you accurately on how your daughter can improve her chances of conception"
},
{
"from": "gpt",
"value": "Target: What are the chances of conception with malformed sperm?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had my copper t removed on aug 1 2014 after 2 and half years of insertion.usually i get my periods 26 to 28 days.this time till today i havent got my periods . last time i had periods on july 17 but this time its 13 days delayed and i had contact with husband only once in a safe time. i have also cheked pregnency test using Hcg . it says not pregnent. My age is 32 .n weight is 45 kgs.no health issues. my first delivery is normal....Please suggest Doctor: HelloHealth care magic user I understood your concern and My opinion is that There is a no severe side effects after removing copper T,but due to hormonal changes your period is delayedyou are not pregnant because pregnancy test is negative so nothing to worry please take following medicine to get your periodT Regesterone 5 mg BD for 5 adys ,after stopping you will get your period in 2-3 daysI hope my answers help you Thanks"
},
{
"from": "gpt",
"value": "Target: What are the side effects of Copper T IUD?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi doctor ,myself nutan here,im worried about my mother age of 45 yrs.Her problem is frequently getting numbness to her two palms with so much of pain and burning sensation and she unable to do any work.Is this a big problem? plz give me solution for this doctor.Thank you. Doctor: Numbness is generally due to involvement of nerves , has varied causes like 1. compression of nerve directly 2. Diabetes 3. Thyroid disorders commonly..*In this age group of 45 yrs female, it may be Carpel tunnel syndrome where initially numbness,burning and pain is felt.....in later stages the muscles of palms and fingers become so weak that it can't be undone..*So better go for confirmatory tests of nerve involvement and ...The treatment involves Wrist splint and simple exercises and NSAID'S and treatment of underlying cause.. only under supervision of a doctor.."
},
{
"from": "gpt",
"value": "Target: Why my mother is getting numbness on her two palms?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I m a 30 yr old Female with chronic Hep B which was diagnosed in 2004. Ive been with the same doctor since discovery. Ive taken Hepsera and now I m on Baraclude. Two years ago I was told I have a Protein S deficiency in my blood . Are these two conditons related or is this just a fluke? Doctor: hi.welcome to HealthcareMagic forum.hep b virus damages liver.liver is the site for protein s synthesis.so it may be due to hep b.contact treating doctor"
},
{
"from": "gpt",
"value": "Target: I have taken Hepsera and now on Baraclude for chronic Hep B and have protein deficiency in blood"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My daddy is having trouble with his feet and legs swelling about two times more than what they are suppose to be.My queston is/he had two or three twos cut off by a push mower about twenty years ago; I was wondering if that could have something to do with his swelling in his legs? Doctor: not relevant probably to the old lesion ...get his kidney fu actions tested and if there is any coloration or change in temperature... it must be assessed for vascular issues .."
},
{
"from": "gpt",
"value": "Target: What causes swollen leg/feet with history of toes cut off by push mower?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 38 having two kids. smallest 6 yrs. After an inter-course I took Postinor2 to prevent pregnancy. I expected menstrual period to happen after a week (as per normal cycle) but didnt happen after two weeks, Instead had morning sickness since end of last week. Then I did blood pregnancy test and found out that I am pregnent for 4-5 week. I am not much sure about this, because I was pregnent even two weeks before the pregnancy. Does Postinor2 increase bHCG level? Doctor: HelloThanks for writing to us with your health concern.Postinor 2 has no effect on the B HCG levels, do not worry.This pregnancy test is reliable.Take care."
},
{
"from": "gpt",
"value": "Target: Does Postinor 2 increase bHCG level?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: In an unfortunate accident I got bit by my dog . He has shots. All bruising and redness went away but now I have a round hard painful swelling around the bite about silver dollar size. I m putting ice on it but doesn t seem to be helping. I m scared to go to doctor in case I get my dog in trouble Doctor: Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you that there is no point of worry if your dog has all the shots. The wound area might getting healing so it become hard. You can wait for a week or so to start getting healing result.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling after dog bite"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello sir, my name is rakesh i have problem in back side of the bone ending(spinal ending) near to buttecks curving part exactly.my problem is when i sit in the bike or any buses i have a alot pain and swelling in the curving part and finally when the swelling press puss wil come wat wil i do please suggest me wat is the problem Doctor: As per ur complaint u might b having problem with coccyx last bone. Plz dont sit on solid surface or dont sit for long time, not for more than 45 mins continuosly and in between walk or sleep if u have to sit for long. And consult a orthopedic for d same if not get relief..."
},
{
"from": "gpt",
"value": "Target: How to cure spinal back bone pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello, I had a pimple on my cheek that came up about 6 days ago. It got bigger so I popped it and a lot of puss came out. Yesterday I noticed that around the pimple if i squeezed my cheek, it would be very swollen around the pimple. It is painful, I don t have any type of acne problem. I usually get one small pimple per month. What should I do? Doctor: Hi, To treat your skin lesion- Do warm moist compresses Apply topical antibiotic cream like nadifloxacin or fusidic acid If its still swollen and painful you might require an oral painkiller and antiinflammatory like ibuprofen If the lesion does not show signs of resolution you might require a course of antibiotics also. Kindly consult a dermatologist for prescription of these drugs. Never manipulate any abscess/ boil/ pimple on face as it may have serious complications. All infected cystic nodular lesions should always be drained by a medical professional. Hope that answers your query. Take care."
},
{
"from": "gpt",
"value": "Target: Pus filled pimple. Swelling around the area. Medication?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor..... My kid is 3 years and 7 months old. All of the sudden his motion is black in color. this is happening for the last one week. He is eating normal food only. I don't know what is causing this.More over he eats his food and immediately he s going to toilet Doctor: Hi,There is no obvious reason for having black motion.Have you started any vitamin syrup contain Iron which can give rise black stool.Otherwise go for stool test for occult blood and if test is positive for occult blood then consult your doctor and get examined.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes black colored stools?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello, I have been diagnosed with IBS but I don't think it's right because I have a continued to have abdominal pain . It just started up about three days ago, and I've been on Bentyl for about two weeks. I take one capsule thirty minutes before every meal , as it says to. Is there anything else it could be? Also, I missed my period for five months straight after having a regular one for about a year and half. It just came back last month, and I have never had sex. I'm not sure if this is irrelevant but it's always seemed a little strange; my hands and feet are cold all the time. Thanks so much! Doctor: Thanks for the query IBS is irritable bowel syndrome which can only be done after excluding all other causes for your problem. Have u undergone colonoscopy and an endoscopy? I dont think u have because u wud have mentioned it otherwise. Since u have been missing your periods, plus having abdominal pains, plus cold feet. I see something which are multiple medical problems. I best thing would be to get admitted and evaluated thoroughly. Seek admission in a multi speciality hospital only Have a healthy life"
},
{
"from": "gpt",
"value": "Target: I am taking medicine for Irritable bowel syndrome (IBS). I am having pain"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi I was training at the gym on Wednesday and felt some pain I then noticed a hard lump about 2 inches from my shoulder, it now has a constant dull ache & is a struggle to lift if I try to lift I get a burning sensation. I have been taking ibprofum but it hasn't eased any pain Amy idea wat this could be? Doctor: Hi, I would advise you to see your Doctor who can examine the lump and tell you what it seems to be. He can then advice investigations if he is not sure. It is better to be sure than worry. Take care,Dr Rishi, New Delhi, India."
},
{
"from": "gpt",
"value": "Target: What was the lump on my shoulder causing burning sensation?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My period went off a week ago. My lower right back started hurting. Measuring from 1-10 the pain was about an 8. This pain has continued for 2 days after the pain stops I start to bleed. I bleed for an hour or so. I have been taking over the counter Ibuprofien which has helped with the pain. Doctor: Hi! Good moring. I am Dr Shareef answering your query.Some girls do get pre menstrual pain before their cycles, which might be severe at times as in your case. However, if it persists, I would advise you to get yourself checked up by your gynaecologist, who depending on the physical findings of a clinical examination might advise you for a pelvic ultrasound to rule out any pathological condition. Till that you may continue to take Ibuproffen for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain after menses?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Yes, I am a 38 yo female who has been experiencing bi lateral back pain in my mid to upper back for the last day and a half. The pain began on Thursday after I played in the snow with my twin. Later that afternoon I had a fever of 100 and the back pain started. I have been taking extra strength Tylenol for the pain. I haven t had a fever except for the first day. What could the back pain be a symptom of? Doctor: back pain is due to exhaution you did by playing in the snow and fever might be due to temperature change in your body from sudden cold to heat and cold climate. some people get back pain with fever in exhaution. i would suggest you to meet your GP ASAP to confirm the diagnosis and you dont get any other complication. if pain doesnt resolve in couple of days"
},
{
"from": "gpt",
"value": "Target: What is the cause of back pain with fever?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I think that I am allergic to something, food wise, but I am not sure what it is. The roof of my mouth gets smalls bumps and very itchy, and then my anus gets red and itchy as well. Obviously it's not something that I am comfortable talking about it, because it's gross. What could cause this? Doctor: thanks for your query, since you are giving history of these symptoms after taking food it can be allergic reaction resulting in allergic stomatitis. consult a oral physician to rule out these symptoms from other conditions like erosive lichen planus and lichenoid reaction...you can take cetrizine and topical steroids for the oral lesions like triamcinolone acetonide.. hope my answer will help you....take care.."
},
{
"from": "gpt",
"value": "Target: Due to allergy to certain food noticed small bumps & itchiness in mouth"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My friend was bitten by a spider. He is experiencing a burning sensation in his hands, breaking out in a rash on his arms, feels his air way swelling and it is becoming hard to breath. We gave him a benedryl to help with the allergic syptoms he was having. All of his sypmtoms have ceased but, should we seek further medical help? Doctor: Hi,Some time some poisonous bite gives rise severe allergic reaction producing severe edema in throat leading to medical emergency.Now as all allergic symptoms ceased, nothing to worry.Continue Benadryl or Cetrizine for 2-3 days more.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for burning sensation after insect bite"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I ve had wrist pain on and off for years now. It hurts the most when I bend it backwards - I have a limited range of motion because of this. There doesn t seem to be a trigger for the pain either. I work at a computer all day and it never hurts when I type, only when it s bent backwards or if there s any pressure on it. I m wondering if it could either be tendonitus or maybe early onset arthritus? I m only 24 and it s been on and off since I was about 17. Doctor: Hi, This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate the patient in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way it may be tried: - Dolokind Plus (Mankind) [Aceclofenac + Paracetamol] 1 tablet OD & SOS for 5 days. - Caldikind plus (Mankind) 1 tablet OD for 10 days. (You may need help of your local doctor to get these medicines.) - Fomentation with warm water. Let the part not be exposed to cold air. - Sleep on a hard bed with soft bedding. - Use no pillow under the head. - Avoid painful acts & activities. - Do mild exercises for neck and shoulders and hips and knees and ankles. (Take help of a physiotherapist.) - Do not ignore, let it not become beginning of a major problem. - Do ask for a detailed treatment plan. - Make sure, there is no allergy to any of these medicines. - For emergency treatment visit nearest hospital. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What cause the wrist pain while bending backward?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 24 years old girl I m also a doctor I m having prb in my spine I have gon for a MRI and the result was that I have a disc bulge at l3/l4/l5 level causing thecal impression and bilateral canal encroachment. The disc is compressing bilateral transvering l5 nerve roots.so now wat I have to do the pain is regular in back n thighs I ll be able to cure or not . Doctor: Exicion of the disc {DISCECTOMY} may be performed by your ORTHOPEDICIAN/NEUROSURGEON TO RELIEVE YOU FROM YOUR PROBLEM."
},
{
"from": "gpt",
"value": "Target: Have issues with spine, disc bulge, thecal impression, canal encroachment, transerving nerve roots. Done MRI. What is the cure?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, Myself Suchismita from India, i am 28 years, a working women. I am having cervical spondylitis from 2010, i have gone through many medicines and also physios plus exercises. Earlier when i did MRI , it shows disc degeneracy in lumbar . But recently i have done again MRI, which shows loss of cervical lordosis . I am getting often fever due to heavy stress along with severe whole body ache and also head spinning and severe headache in back side. even i am having pain in right knee. Whenever i stand for long i get the pain. Kindly suggest me the remedy. Doctor: Hi Ms Suchismita,Thank you for posting your query.I have noted your symptoms. I would like to reassure you that your symptoms and MRI findings do not suggest any serious neurological disease.You would benefit from medications such as pregabalin or gabapentin capsules.In addiiton, you should continue physiotherapy and exercises.You should jog or swim for about 20-30 minutes per day to keep fit.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: Recurring fever, body aches, head spinning, headache due to heavy stress, pain in knee on standing for long hours. MRI showed loss of cervical lordosis. Suggestive treatment?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i get ovarian cist and also have mild dysplasia ..my boyfriend n i want a baby can i still get pregnant i get ovarian cist and have mild dysplasia my boyfriend n i want a baby can i still get pregnant Doctor: Hello. Thanks for choosing HealthcareMagic forum. Due to ovarian cyst, usually the periods are delayed and eggs are not released. But the disease is not incurable. You need to have regular treatment from gynaecologist with ovulation inducing drugs for conceiving.Mild dysplasia does not hinder much in conceiving. Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Can I conceive inspite of having ovarian cyst ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I m experiencing pain in my stomach area and lower between meals for the past couple days. It seemed to be triggered one night after having a large mexican dinner at a restaurant with family. The pain sometimes gets pretty bad and seems like a burning that extends from my lower stomach area to my back. I did have my gall bladder removed last February so I didn t know if this could be something recurring from that. Should I just take pain medication (and if so what kinds) and/or antacids and wait to see if the pain resolves itself over time? Doctor: HiThanks for posting your query. Any pain related to gall bladder will be felt in right upper part of abdomen and not in your lower abdomen region. So your pain is not related to gallbladder removal. Your pain could be due to othet causes like Colitis urinary infections hernia appendicitis . I advise you to get ultrasound abdomen pelvis and urine routine test done and revert back."
},
{
"from": "gpt",
"value": "Target: Is pain in stomach and lower area between meals with history of gallbladder removal normal?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My middle toe is swollen and of normal color. There is no heat in the toe, only the swelling. This has been this way for just under a year. There is pain upon walking with shoes on, a burning stabbing pain. This is especially painful when hiking. Any suggestions? Doctor: Hello, The symptoms are typical of what we call peripheral occlusive vascular disease. Here the blood supply to your lower limb is impaired and due to lack of blood supply, the toes turn grey. Consult a general surgeon and plan for a vascular Doppler or CT angiogram. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes swelling and difference in color in toe?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My daughter is 12 and has often complained of stomach pain over the last couple of years that doctors usually associate with ADHD. She occasionally cries from the pain, which is bothersome because she typically has a VERY high tolerance for pain. Yesterday she told me it feels like she has a lump in her throat when she swallows. Could this be something serious, and how much should I push to get a definitive answer from her doctor? Doctor: HI.ADHD is a diagnosis by exclusion , meaning when all the tests are negative . I would advise your to take her to the Pediatric Surgeon for clinical examination, proper history taking and investigations like ultrasonography, confirmatory CT scan to see for abdominal lymph nodes, appendicitis, problems related to ovaries as she is 12, or any other pathology.ENT opinion as she may have granular pharyngitis or lymphoid hyperplasia as a cause of feeling of a lump in the throat. The treatment required for both the problems will be the same and at the same time give her treatment for worms and a course of antibiotics and anti-inflammatory medicines. This should solve her problems. ADHD should be considered only if all the investigations and treatment have failed to show a cause."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain and feeling of lump in throat?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am 34 years of age and recently diagonized with a gland tuberculosis. I had swellings under in left armpit for about two months now. What kind of medical intervention will help me? what caused in the first place? and what shall I do? Pls help me understand it better. Thankyou very much! Doctor: Hello and Welcome.Thank you for your queryAs you were recently diagnosed with gland tuberculosis,I am sure you are under treatment for the same.Regarding your worry about the swellings under your armpit,they are nothing but the swollen or enlarged lymph nodes due to tuberculosis.A lymph node is an oval-shaped organ of the lymphatic system, distributed widely throughout the body including the armpit and stomach and linked by lymphatic vessels.They become inflamed or enlarged in various infections and diseases,for example in your case,in tuberculosis.I recommend you to complete the course of your tuberculosis treatment,and check for the decrease in the size of those swellings. But if they still persist,you need to check it with your doc,he may recommend a biopsy for the same.Thank YouStay Healthy."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling under armpit while having gland tuberculosis"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi i am Tuhina from (Durgapur)west Bengal. my father is suffering in lung water problem.His age is 52 .The doctor said his one side is normal and another side damage for water ...we want to bring him in kolkata for better treatment. Would you please tell me what can we do now? Which hospital, which doctor & treatment will best for him. I will be very greatful if you give me proper advice Doctor: Thanks for your question on HCM.Water in lung is known as pleural effusion. It is actually accumulation of fliid in pleural space (space around lung) not in the lung itself. So this causes compression of lung and hamper its function.At the age of 52 there are many causes for pleural effusion. The common ones are.1. Infection like TB2. Cardiac cause3. MalignancySo better to consult pulmonologist and get done CT Thorax and pleural fluid aspiration. Send pleural fluid for toutine and microscopic examination, ADA (Adenosine Deaminase), cytology and culture.By these reports we can get the diagnosis snd start the treatment accordingly."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for water in lung"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have upper back pain on both sides, chest tightness both sides and underarm pain. I had full heart work up and it was cleared. I had an upper endoscopy, lower abdominal ct scan, and gall bladder ultrasound. All were fine. I have some gastritis everyday. I am wondering if I should have my lungs or spine checked. I don't have any trouble breathing or pain when breathing, but have read early lung cancer can cause this pain. Any ideas what could cause this? Doctor: Hello Thanks for posting your query. Upper back pain and chest tightness seems to be due to muscle spasm. As your heart workup,lower abd ct, ultrasound are fine, do not worry. Also it is not sign of early lung cancer.Back streching exercises will be helpful to relieve the spasm. Doing hot fomatation and applying muscle relaxant gel will be also helpful. Hope this will help youRegards. Dr Saurabh gupta.Orthopaedic Surgeon."
},
{
"from": "gpt",
"value": "Target: Upper back pain, chest tightness, underarm pain, gastritis. All tests normal. Any ideas?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi. I am 25 years old.I have two points in my MRI.1.Large posterocentral disc protrusion noted at L5-S1 causing moderate compression on bilateral S1 nerve roots.Right paracentral disc extrusion with minimal caudal migration noted at L4-L5 with small sequestrated disc fragment inferiorly causing severe compression on right L5 nerve root.Please let me know how to get rid of this.. I have pain while bending, walking from my hip area to foot.There is no numbness of the lge though.Some docters adviced surgery and some adviced rest.Please suggest.This is affecting my work and i am morally depressed feeling that my life will end up with this pain for ever.Regards,SVR Doctor: Hello, Your MRI suggests pinched nerves in the lower back due to disc prolapse. You can take gabapentin capsules for pain relief. Physiotherapy would also help a lot. Avoid lifting heavy weights and forward bending. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sudhir Kumar, Neurologist"
},
{
"from": "gpt",
"value": "Target: How to cure disc protrusion and compressions in various nerve roots?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a small dark pink nickel sized rash on my inner thigh. Literally appeared in one day about a week ago. it's uniform in color and nearly perfectly round. light layer of pus like after a broken blister is always there. It does not itch or hurt at all and in no way is painful or irritating. not ringworm as the color is perfectly uniform. but the fact it is not fading and is nearly a perfect circle is weird. I have not been sick or taken any medications of any kind. it's not bumpy, just a uniform perfect little dark pink circle that is not getting any bigger or smaller. Help! Doctor: 0Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to a ringworm infection.Ringworm is a common fungal skin infection otherwise known as tinea.I suggest using a antifungal cream for local application such as Clotrimazole cream. I also suggest using antifungal medications such as Fluconazole 150 mg daily for three days.I recommend to use loose clothes and maintain a good hygiene. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for rashes in the thigh"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi. I have a big black patch on right and mid of my upper back. I acquired it 7-8 years ago. I first noticed it after I d been swimming for 2 weeks and assumed it was sun-burn. However it never went away. I ve seen dermatologists and they say that change of skin color is irreversible. That it s probably genetic. However nobody in my family has any issue like this. Recently a doc has diagnosed it as macular amyloidosis. She says it s due to use of loofah(excessive friction). She s prescribed ointments: xerina and kojivit. I have acne, sensitive skin, hairfall. My cycles are regular. Could this pigmentation be hormonal? Doctor: HIThank for asking to HCMI really appreciate your concern looking to the history given here by you I would say that this hyperpigmentation patch is normal and just nothing to worry about this as this is asymptomatic, neither this related any of your health issue so in my opinion just forget about this, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: What causes black patch on the upper back?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a flutering feeling in my pelvic bone area my husband and I have been trying to conceive for about a month I did get a short period but I have severe acne which is not normal for me a lot of fatigue and major mood swings a major increase in appetite and I have to pee a lot more frequently I am wondering if I could be pregnant? I took an at home pregnancy about 2 weeks into trying to conceive and it was negitive then I started a period which was short also not normal for me. Do you think I am pregnant whe.n should I take an at home test? Is it normal to have a period the same month you conceive also the fluttering is happening more often and is more noticeable Doctor: Hello,You should either repeat the home pregnancy test 3-7 days after you saw the short period or go for the blood test. The urine test should be done with a fresh early morning sample. Though you may have conceived, it is too early to feel any fluttering in the abdomen. You can also go for the trans-vaginal sonogram a week after your due date, as any gestation sac can be viewed properly by then. Hope your query has been clarified. Good luck."
},
{
"from": "gpt",
"value": "Target: TTC. Fluttering feeling in pelvic bone area, severe acne, fatigue, mood swings, short periods, increased appetite. HPT negative. Possible pregnancy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I ve been chewing tobacco for probably about a year and a half now. And I do drink a fair bit, maybe twice a month. And I ve been getting cankers in my mouth a lot but they heal up and disappear, so i m just worried about getting oral cancer or something? how likely is that? Doctor: Thanks for your query, I have gone through your query.The ulcers what you are getting repeatedly are nothing but recurrent aphthous ulcers, these can come secondary to stress or nutritional deficiency.Nothing to be panic, lead a stress free life, take proper nutritious diet.If i am your treating doctor, i would have suggested you to take topical anesthetic and analgesics like 2%lignocaine and choline salicylate gel (anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetonide 0.1% 4-5times daily after food.Do saline gargling. If the lesion does not heal in 5-7 days then consult a oral physician and get it examined.Regarding you tabacco chewing habit, when you know it can cause cancer, you better quit it gradually. Other wise, once the changes occurs in the mucosa its irreversible. So better quit it.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cankers in mouth"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor , I had a two level fusion done 2 years ago (L4-L5). After trying to find a doctor that cared and would say what I should do so I might improve my quality of life, I finally found one. He prescribed physical therapy in a therapeutic pool. I went for the first time today and am having the worst muscle spasms of my life right now. Ice is not helping; the PM doctor gave me lidocaine cream and it s not helping either. My last MRI showed scar tissue was impinging a nerve root on the left side from the surgery . This is where the spasms are the worst. What can I do? I am already on Amrix for spasms. I need to sleep but I can t because of the pain from the spasm. Thanks Doctor: dear beth.. i will advice you to opt for homeopathy.. homeopathic medicines will be of great help to you .. take rhustox 200..one dose in the morning and second dose at night for 3 days and report.. its a homeoapthic medicine so safe,sure n faster results.. godbless.. [email protected] ph: 9011895847"
},
{
"from": "gpt",
"value": "Target: Severe muscle spasms after physical therapy in a therapeutic pool. What can be done to cure as i'm already on amrix ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had a foot sprain about 2 weeks ago. I had xrays and it did not show anything. The swelling went away but I now have a hard lump where the swelling was. Doc says xray was fine did not show any masses and that its soft tissue swelling. Should I be worried about it and how long till it goes away? Doctor: Hi, dearI have gone through your question. I can understand your concern.You have soft tissue swelling. It may be due to inflammation and healing process. Your x ray is clear so no need to worry about that. It will takes few weeks to heal completely.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes lump on foot?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi there I have have had pain in my pelvis for a few months it seems to be getting worse and I am very stressed alot of the time have on going back pain from a crooked spine, a few weeks ago I had a bladder infection wich I got medication for , but still been having a sharp pain between my pelvis bone Doctor: Hello, Thanks for writing to us.I suggest you to follow the below mentioned measures to reduce your back pain-- Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer, though.- Avoid lifting weights as it imparts more strain on your back- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the intervertebral disc problems. if you want to bend forwards, do it with your hips and knees flexed.- Use a lumbosacral back support to stabilize your spinal muscles and to provide support for your spinal column.- After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. The main aim of exercise is to encourage mobility, reduce muscle spasm, prevent further deterioration in the muscles and speed recovery.- You should maintain an optimum body weight to decrease the strain on your vertebral column causing more degeneration and arthritic changes.- At times, spinal steroid injections and Facet blocks will help in alleviating the lower back pain.I personally feel that your symptoms will improve with the above measures and you can go well with all your regular activities of daily living.Hope this helps you. You can consult me again directly through my profile http://www.healthcaremagic.com/doctors/dr-saurabh-gupta/64132"
},
{
"from": "gpt",
"value": "Target: Which medication is recommended for sharp back pain and pelvis pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi doctor My age is 25 and I have just completed my p.g from last 3 month I m going through lots of stress. Actually that is love problem she left me and I m going through a trauma. Even I cant focus on my career. I cant sleep whole night. What should I do I really dont know should I take sleeping pills. please help me. Doctor: Hello thanks for asking It is common in youngsters to develop symptoms of anxiety and depression after relationship problems especially after breakup. You are not able to sleep properly and this is causing significant distress and is affecting your carrier. Taking sleet pills will not cause the condition to improve. Ypu have to face the situation. Sleeping pill will make you dependent and this can prove deleterious to your health. If you are not able to control your anxiety and depression symptoms then I would advise you to consult a Psychiatrist for expert opinion. Medicines like Mirtazapine can be used as antidepressant drugs and the medicine will help in good sleep also.Thanks, consult a Psychiatrist for detailed prescription."
},
{
"from": "gpt",
"value": "Target: How to treat stress?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi,I have some small bumps about 1mm in diameter in the inside of one cheek near my front bottom jawline that have been there for about 6 months. They are whitish/yellowish and hard. One bump is slightly larger but very small and felt like it was just one the soft tissue but has became like the other tiny pimples. Any idea what this might be?Also I have already seen my dentist about this and they didn't seemed concerned about 2 months ago. I'm wondering if I should be as they still have not disappeared yet although they are completely painless and have not got bigger as far as I can tell. Doctor: Hello and welcome to HCM.i have read your query and understand your concern.please mention your age.do you have any bad oral habit. according to your info i have came up with certain possibilities :1. Ordinary warts (verrucae vulgaris)2. Fibroma3. Irritation from tongue or sharp edge tooth4. Due to related dental infection (decay)5. torusbecause you said that the bump is since 6 months i think you should visit a dentist for a second opinion.Don't have to worry so much as most of the oral bumps are non cancerous and it has not shown any change also in your case.Hope this ans your query. Take careRegardsDr. Shesh"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for bumps inside cheeks"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, My 2 year old daughter woke up vomiting for no apparent reason not to mention she has 3 small red spots on her cheeks? What could this be? Should I take her to urgent care? Her pediatrician isn't in office today? I'm concerned because she says her tummy hurts but I don't know why? Any advice? Thank you Doctor: i not think much problem , give syp domperidone 2.5 mg for vomiting . give some antacid like digiene for tummy that is hurting . dr ashok khandelwal mbbs md"
},
{
"from": "gpt",
"value": "Target: Why my daughter is vomiting with pain in stomach?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello. I ve had pain around the left side of my chest for the past 9 years. 4 years ago, Doctor said it was pleurisy. Pain came back of recent and didn t want to take chances, so I did chest xray and ECG, all came out perfect. Kindly, what could be the problem? Pain is triggered when I do strenuous exercises. Dee. Doctor: If its nine years old, it's not going to get you. Positional and motion related discomfort that is worse with exercise is almost always musculoskeletal. It is usually related to the ribs, either at joints in the back, with the cartilage in front or at irritation of the muscles between the ribs. When its muscles, you can almost always point to it."
},
{
"from": "gpt",
"value": "Target: What causes sudden left-sided chest pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have consumed regular cinnamon on my oatmeal for several months. I have read that this will cause liver damage. My body is covered with sores. is there any way to reverse any damage that I have done. I no longer use ordinary cinnamon. Charlotte Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Cinnamon doesn’t cause any body sores and liver related problems. The sores may be due to some other causes and may not be related to cinnamon intake. Wishing you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Could sores on body be due to liver damage caused by consumption of regular cinnamon?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: helo doctor my name is AAAA age is 24 male i m having allergy of sneezing i have gone to many doctors from my child hood But none of them had cure my allergy Now i m taking Avil 50 but head its quite danger & havey dose tablet wat to do? Also I m taking 2tablets at once....then i get relief. before it was like I have to take this tablet 3-4times in a month... but now i have to take this tablet every alternate day..bcz every alternate day my snizzing starts.. Befor when i was taking 2tablets I feel sleepy...but after taking 2 tablets i dont feel sleepy..but i feel hungry & my left leg is stars paning (vibrating). also i feel restlessness please help me Doctor: good morning, by these symptoms u have suggested u r suffering from allergic rhinitis, for this problem u should take flixonase nasal spray daily in the night for atleast 3 months, ur problem will be controlled. by taking too many avil tablets , u may get addicted to it, in a heavy dose its life threatnening and may cause seizures, it should not be sold over the counter by the chemist without the doctors prescription, what u r doing is self medication which is absolutely wrong and putting urselves in danger. kindly consult an ENT specialist for a detailed checkup and need ful. u should avoid dust , smoke , smoking , cold air and cold water, strong fumes and scents, u r problem will be in control."
},
{
"from": "gpt",
"value": "Target: Having allergy of sneezing. Taking two Avil 50. Side effects of heavy dosage of tablet ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had a TAH on Dec 16 and my belly still seems swollen is this normal and I am wondering if possible around certain times of the month your body can still feel like it is going through PMS and would you have bloating and cramping, even though I had a TAH Doctor: Hi.There may be a collection either in the abdominal wall like a seroma or there can be an intestinal problem due to adhesions.High resolution sonography along with Standing abdominal x-ray can give an indication about what is going on inside.Please consult your Doctor and ask for any investigations like CT scan of the abdomen if he/she feels so.Feeling like PMS and bloating and cramping can sometimes be just a psychological thing if you are sure that the whole uterus was removed."
},
{
"from": "gpt",
"value": "Target: Is swollen stomach normal after TAH?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I cut my shin deeply last thursday - a week ago - and closed it up with butterfly stitches and have had it dressed twice since at the medical centre. They added a few more plaster stitches and dressed it. I am on a course of antibiotics. Question: Am I ok to remove the plaster stitches and shower now? Doctor: Hello, I suggest to clean the cut with hydrogen peroxide and cover it with an antibiotic cream such as Neosporin cream. I also recommend to cover it with a clean bandage and change it everyday. 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: How to cure a deep cut on the shin area?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I ve never had sex before, however I was fooling around with my partner last Saturday - heavy rubbing of genitals and he did not penetrate while there was a discharge from both of us. He did not ejaculate nor penetrate me entirely but I could feel his precum on my vulva. Reading this board makes me really worried.. Is it possible that you can get pregnant from precum on labia and around the vaginal walls? My bf had ejaculated earlier that day and the odds of having some sperm left is high.. I am really worried as this is my first attempt of loosing my virginity and getting pregnant while being practically still a virgin would just freak me out!! I am excessively burping since last two days... please help Doctor: Hi,I understand your concerns. It is unlikely to get pregnant from pre-semen but still possible. I recommend that you use condoms.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Salah Saad Shoman"
},
{
"from": "gpt",
"value": "Target: Is it possible to get pregnant from presemen fluid?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i am not certain i have allergies. my symptom is a few sneezes when i wake up in the morning. that is the only time throughout the day. no other symptoms (itching eyes or nose, watery eyes, redness, puffiness, sniffels, coughs ............nothing else). few sneezes occurs no matter the season (summer winter fall) Doctor: Hi,You might have sinusitis or allergic rhinitis or upper respiratory tract infection or bronchitis with congestion which actually causes all this symptoms.You can do some routine blood tests with sputum examination and chest X- ray to have confirmed diagnosis.Anyway,you should be given oral antibiotics (quinolones or macrolides) in full course for about 4 to 5 days with antihistamines syrup or mast cell stabilizers and nebulizers with steam inhalation to get rid off complete infection from throat or chest.Consult ENT specialist for further treatment."
},
{
"from": "gpt",
"value": "Target: What causes itchiness in the eyes and nose?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i took 600mg of misoprostol to end a four weeks old pregnancy. it didn t work and i want to remain pregnant. there was no bleeding except for slight dirty brownish discharge. if i go on with the pregnancy is it possible that the baby will be born with some congenial deformities? Doctor: HiYou should visit your doctor and an ultrasound is required to check the status.Any history of abdominal cramps or bleeding you should immediately visit your physician.Around 1% of exposed fetuses develop fetal abnormalities associated with the use of misoprostol. These abnormalities include Moebius syndrome, limb defects, club foot, central nervous system anomalies and anomalies involving the palate.Anomaly scan can be taken at 18 to 21 weeks.Further evaluation should be done based on the presenting symptoms. 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 misoprostol 600 mg?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i am currently suffering with passing blood when i urinate, it also burns and i get a pain just above my pubic bone, and i get it every time i try to hold my urine in. i have seen the doctor nearly every week for the past 4 months and have suffered numerous kidney infections yet they can not seem to find the problem and no antibiotics have helped, i am currently on a waiting list to have my kidneys scanned which could take up to 6 months. the doctor mentioned it could be an STD but that is impossible as i am not yet sexually active. Doctor: HelloThanks for your query.Based on the facts that you have posted it appears that you have hematuria,burning urination since last four months and have been prescribed antibiotics with no satisfactory results.Hematuria can be due to other causes like stone in urinary system or tumour in urinary system and needs to be investigated in detail by doing following tests.1) Urine culture 2) Ultrasound scanning 3) I.V.P.(Intravenous Pyelography.4) C.T.scan of the urinary system.5) Endoscopic examination of bladder .chronic UTI .Please try to get the appointment earlier with Urologist and follow his advice for further treatment.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suffered from kidney infection. Having burning sensation, blood in urine, pain above pubic bone. Could it be STD?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I found out that I m 5 weeks pregnant about 4 days ago. I was having slight pains in the abdomin area. So I went to the hospital and turn out I was pregnant. Dr. recommended a vaginal ultrasound and ever since I ve been itchy and my inside is red and swollen. Is this normal? I m very quite worried. Also I have been discharging white liquid that turns into white cottage type. I need help in what this can be. Doctor: Hello,I have gone through your query and understood your concern. The origin of your present complaint dates to the time of your sonogram. Your symptoms do suggest a fungal vaginitis. This has perhaps been caused by the instrumentation you had during the sonogram or improper cleaning later on. You should immediately see your health care provider, get a proper examination and initiate treatment to control the infection. Vaginal medication is preferable since you are in the early stages of pregnancy and anti-fungal medications are not advisable orally. Do not douche or use strong soap solutions; use lukewarm water to clean the genital region. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for slight abdominal pain,itchiness in vagina and white discharge"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello doctor,I have filariasis and is in early stage. There is symptoms of occasional fever, and very very little of swelling when i walk more as like some someone gets lightly wounded. Whether can i be cured and how. I am a working professional and just have started my career please help me. Doctor: HelloFilarial infestation is caused by W. bancrofti and W. malayi ( two strains ).Diethylcarbamazine ( DEC) is the drug of choice but it also has certain limitation.It has selective effect on microfilarial ( mf) .Microfilarial in peripheral blood are killed but those present in nodule and transudates ( as in hydrocele ) are not killed .So , as you mentioned that this is an initial stage , so this treatment may be a success for you .So take a prescription from a doctor and take complete treatment.Good luck."
},
{
"from": "gpt",
"value": "Target: Is early stages of filariasis curable?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had the mirena placed on Thursday of last week (6th) since then I have gained 6.5 pounds, I look like I am 9 months pregnant and grossly distended, then this morning I woke up and could hardly open my eyes due to hives on my eye lids, and I also have dry patches all over my face. My entire body hurts and I am horribly tired dispite sleeping most of the weekend. I had it placed not to prevent pregnancy but to stop periods as I am having an iron absorbtion problem which is making me extremely anemic. I am beginning to think that it is the Mirena causing these new issues as I don t know what else it would be. I also have not stoped having cramps since it was inserted. Doctor: Hello!Weight gainmenstrual irregularitiessleeprashdistended stomachare the side effects of mirena.You should consult to your doctor to see another method to stop your bleeding.Take care of your self"
},
{
"from": "gpt",
"value": "Target: Weight gain after mirena, distended stomach, episode of dry patches on face, body pain, continuous cramping. Reason?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello! Tonight I noticed a small non painful lump in my armpit. It is about the size of a pea and does not hurt at all. I also started my menstruationn tonight and I have read that these can sometimes go hand in hand. I can gently pull at the skin in my armpit at the lump comes with the skin and I can then feel it all around. It is pea sized all round and feels like a hard sponge Doctor: welcome to Health care magic.1.Generally there are carbuncle / furuncle seen in that area. 2.Due tio infettad hair follicle.3.Avoid blade shaving for some time and usage of after shaves. Trim the hair if necessary.4.If it red and very pain flu get a course of antibiotics and usually it will resolve.5.Nothing to worry its just a localised infection / inflammation.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: Is it to be concerned about the lump in the armpit which is painful?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hello I want to know if I have a hemorroid or rectum cancer im a little scared. I dont have blood in my stool but I can feel a lump or something inside my rectum when I wipe. it only hurts a little if I squeez my butt cheeks together. and it only itches sometimes. Can you tell me what you think it maybe? Doctor: Nothing to worry, it is a pain less polyp which is benign. donot squeeze it might bleed. for itching u can use xylocaine jelly twice daily, once in the morning after bath and once before going to bed, do not scratch it may lead to secondary infection."
},
{
"from": "gpt",
"value": "Target: Noticed a lump inside the rectum"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi i had a baby 10 months ago and have suffered tail bone pain since I went to the gp a few weeks following delivery and iwas told It was totally normal and it would resolve in a few months since then It has got a lot worse, it s bruised and tthere Iis a deep red purple line starting in the middle of my buttocks nd ending at my tail bone wen I went back to the doctor afew days ago I was told to take pain killers and eventually it would resolve Is this normal? Should I get a second opinion please help :/ Doctor: Hi, Tail bone pain is common after child birth as during normal delivery, the bone gets stretched too far, I would recommend you to1 Use a ring pillow while sitting, so that you do not irritate your bone each time you sit2 While lying down do not lye straight, lye either on sides or prone,3 far a period of 14 days take antiinflammatory medication like ibuprofen 400 mg three times a day.4 Hot Sitz bath will help relieve pain.I hope that helps, If you have any more doubts, please feel free to contact."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe tailbone pain"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Had chest x-ray due to frequent cough that I thought was due to a cold. Used OTC cough syrup-Tussin CF, tried coricidin HBP. MD prescribed Benzonatate after first visit, symptoms continued. Second visit 5 days later, had chest x-ray. Radiologist read-Vascular congestion in mid chest area. What is the probable cause of vascular congestion? and probable treatment? Doctor: Thanks for your question on HCM.Vascular congestion on chest x ray is known as pulmonary edema. And it is mostly due to cardiac Cause. Mostly heart failure.So get done1. ECG2. 2D echoTo rule out heart failure.You may need diuretics and other cardiac supportive medicines.So consult cardiologist and discuss all these."
},
{
"from": "gpt",
"value": "Target: What are the causes of vascular congestion?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had an episode this afternoon where I could think straight but the words came out gibberish. It lasted for about two minutes. No other symptons. I checked my blood pressure and pulse and they were normal. Now I am tired. What's going on? BTW I'm 63 and in excellent health, exercise regularly and eat well. Doctor: hello,Your symptoms- speaking gebbrish followed by tiredness-- is highly in favour of seizure episode ( partial seizure). You must see a neurologist or atleast a GP and get an EEG brain and CAT scan head at the earliest. EEG should preffrably be done before starting any drug to get correct results.Usually such episodes are repetitive in nature.I dont want to scare you but these symptoms must be looked into carefully.I hope the reply is useful.wish you good health.Dr. Manisha GopalMD Neuropsychiatry"
},
{
"from": "gpt",
"value": "Target: What causes tiredness?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: sir,i am a patient of bph of size 44 ml,there are two small stones in lower calyces of left kidney.largest stone is .89cm. Today i have done my urine RE,found a few R.B.C. please advice me what to do & why urine contains occult blood.SPSA-1.6,UROFLOMETRY- 562/17/9 Doctor: Good Day and thank you for being with Healthcare Magic! Basically blood in the urine can be brought about by kidney stones , prostate enlargement or both. I would suggest getting treated for kidney stones either by medical dissolution (potassium citrate) or shockwave therapy (ESWL) to get rid of your stones. For your prostate if you have urinary frequency then I would suggest seeing a urologist to get medicine to decrease the size of the prostate (dutasteride). I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes"
},
{
"from": "gpt",
"value": "Target: What causes blood in the urine with kidney stones?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: dear dr, my wife is 3 months pregnant. during the last scanning,the doctor said that the blood flow to the uterus is a bit low. so he advised aspirin tab alongwith calcium and iron tabs.but after the lupus anti coagulant screen test and cardio lipin test at ranbaxy lab , he suggested that she should follow Heparin injection daily for 34 weeks ie till pregnancy.is that genuine? we are confused pls give a solution.. Doctor: Hi.Yes, heparin will help thin the blood and improve the blood flow to the placenta, so yes, this is correct and please do not hesitate to take any treatment advised by your doctor.Best wishes."
},
{
"from": "gpt",
"value": "Target: Why should Heparin injections be given for 34 weeks of the pregnancy?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Good morning doctor,I am Abhik Pathak here,suffering from fatty lever,having SGOT-136,SGPT-86,BILIRUBIN 4.5,TOTAL CHOLESTEROL 177,my physician haS been Rx-UDILIV 300 for 30 days twice daily before food,I am alchoholic and smoker for last 3 years,please suggest me how to deal it beside ofcourse quit drinking habit. Doctor: Hi your concern is clear dear....You have alcohol induce fatty liver.If serum cholesterol high then it might contribute.Alcohol damage the hepatocytes.so dear you have to avoid alcohol...maximum safe limit is 20 gm / day.....Take low fat diet.Fruits and green leafy veg more.One tsp licorice with honey taken daily....Avoid smoking.Refined food avoided....Regular exercise done....Don't worry.Take care.Dr.Parth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fatty liver"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My 3 year old had a 104 fever last night complaining of stomach pain and burning eyes. I took him to the doctor yesterday when the fever was much lower (101) and the ruled out strep. I was worried about strep because my neices had been visiting the week prior and they had it. He also complained of congestion in his nose, but nothing came out when he went to blow his nose. Could this be a sinus infection? Doctor: Hello,You can do the following:1. Provide him with a lot of hot fluids.2. Syrup Paracetamol four times a day if fever persists. (In case if the fever is above 100 degrees Fahrenheit, then do cold sponging).3. Syrup Zentel or Bendex single dose along with dinner.4. Syrup Bonnisan one teaspoon, twice daily for a week.5. Nasoclear spray, if there is too much nasal congestion. If symptoms persist, consult a pediatrician immediately.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Arun Gangadhar"
},
{
"from": "gpt",
"value": "Target: What is the treatment for fever , stomach pain and burning eyes?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am on diabetic and high bp treatment. Recently in my blood examination, it was found that my serum creatinine level has gone up to the level of 2.0. I am taking following medicines. 1. glymer 2mg twice daily 2. glycephase 500 twice daily 3. amlodipine 5mg twice daily 4. telma h 40 once daily 5. telma 40 once daily 6. ecosprin 75 once daily 7. storwas 10 once daily. PRESENTLY MY BP AND BLOOD-SUGAR LEVEL IS VERY MUCH UNDER CONTROL. MY ULTRA-SOUND REPORT WRT MY KIDNEY AND PROSTRATE IS ALSO NORMAL. please advice me. Doctor: hi gothi, you need to consult a nephrologist for this. you may have to change some of your medications. the nephrologist will also advice further tests, including 24 hour urine protein to see if your kidney is leaking proteins etc. good control of diabetes and BP can protect your kidneys for longer time. be on regular follow up. take care."
},
{
"from": "gpt",
"value": "Target: Diabetes, high blood pressure, high serum creatinine level. Advice?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my rotator cuff tends to be clicking as i rotate it in circles, i do lift at the gym training for hypertrophy, the pain feels like its slightly at the front of the rotator cuff, but more so in the back where it is located. i also have regular problems with golfers AND tennis elbows. whats going on? i understand i am injured, but why so frequent? Doctor: Hello, I have studied your case.Repeated injury can be due to life style or age.For rotator cuff injury you may need MRI for confirmation.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start IFT ,or ultrasound which is helpful in your case.You may need to take rest for early healing.Also check your vit B12 and vit D3 in your blood.If not relieved arthroscopic treatment will help.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes pain and clicking in rotator cuff?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had a stinging bite like sensation on the outer right side of my leg just below the knee. A hard lump started to form and it became so very itchy for a while. Then painful with dark purple bruise like colouring. The swelling has gone down a little but the whole area is very painful to touch. Should i see a doctor asap. thank-you. Doctor: Hi,Welcome.Based on the facts of your query-You need to have treatment for-Unknown Insect Bite with Cellulitis with hard lump-which could be treated as follows-Get Second Opinion from SurgeonCold Compress-Tab Chymoral- 1 x 2 times per day.Tab- Motrin-4oo mgm. x 2 times per day.Tab-ZincovitAntibiotics-if need be,as decided from Surgeon.Hope this would help you to plan further treatment with your doctor.Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for itching lump below knee"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Doctor, i am a 56 year old woman, i happened to feel some intense pain on my left side, it is now gone but i also noticed an orange coloration in my urine (only happened once) and has not come back. I have read and the usual answers vary from simple dehydration to kidney stones and even cancer... Doctor: HelloThanks for query .Severe abdominal pain with hematuria (Orange coloured urine) at the age of 56 is most likely to be due to stone or mass lesion in kidney and needs to be investigated .Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Serum PSA.4) C.T Scan of abdomen Further investigations if required and treatment will depend upon result of these tests and final diagnosis.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain and orange colored urine?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have excess mucus draining down into my throat. It is very thick while sticky stuff that I have to wipe out of my mouth. I have had sinus surgery; been check for allergies; use netty pot; use nasal sprays; had my house checked for mold and nothing seems to help. It is really bad and I have fought this for three years and have had no help. I have taken several sinus medicines. Doctor: sinusies are always affected by allergy even if you get operated they flare again because you havenot treated allergies if you want cure you consult wih allergeologist who will be able to fing allergy and trat by desensitisation therapy till you get tretment you can use allegra 120 mg morning and syp piriton 1/2 tsf night with warm water apply neomycin h eye ointment in nose bd and sea water drops in each nostril at night these will work as preventors for your allergies till you gety treatment of allergis"
},
{
"from": "gpt",
"value": "Target: Mucus in my throat. Had sinus surgery. Use netty pot, nasal sprays. What else can be done?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi. My daughter is 7 months old. She has been getting eye infections. First she had a cold which was resolved but eye infection s still coming back. We took her for blood tests to check for allergies and got the results back yesterday.Her blood count came back normal. Allergy count is 28, they checked for all the come allergies, wheat, cats, dogs, yolk etc. and everything came back normal. Doctor said she definitely has an allergy and that I should give her Singulair and an anti-histamine for 2 weeks and then he wants to see her. I don’t understand why we cannot pick up what the problem is, don’t blood tests show everything? Doctor: Hello. I just read through your question.The most common reason for what you describe is a narrow tear duct. This often prevents appropriate drainage of tears and can lead to repeated eye infections. The technical name is Nasolacrimal duct obstruction. I recommend consulting with a pediatric Ophthalmologist about this problem. It is treatable and does resolve."
},
{
"from": "gpt",
"value": "Target: What causes eye infection?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Ten years ago I went through Treatment for Hepatitis C with Interferon Alpha & Ribavirin my immune system seems to have become increasingly compromised. Pneumonia X 3 in 2 yrs, Renal Failure last year. I just had labs done a few days ago and they display an Elevated ANA. My understanding is that this isn t the best of news at going on 63 yo in September? Doctor: Hi & Welcome.The presence of elevated antinuclear antibodies or ANAs are suggestive of autoimmune disease.Your immune system normally makes antibodies to help you fight infection. In contrast, antinuclear antibodies often attack your body's own tissues — autoantibodies specifically targeting each cell's nucleus.Elevated ANAs are the hallmarks of autoimmune diseases like systemic lupus erythematosus, scleroderma, sjögren’s syndrome, polymyositis/dermatomyositis, mixed connective tissue disease, drug-induced lupus, and autoimmune hepatitis. In view of the above possibilities, I would therefore advise you to consult a physician or rheumatologist for proper clinical examination and to find out the exact cause of raised ANAs.Hope these answer your query."
},
{
"from": "gpt",
"value": "Target: What does elevated ANA suggest?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I had unprotected sex on 23rd may, had my periods the week before which unusually lasted for a week. Been expecting my next periods since yesterday 9th June but nothing yet. Been cramping for five days now, and my tummy feels bloated, I spotted last night.. Had used p2 after I had unprotected sex as prescribed... So worried, could I be pregnant or it is just the pills side effects? Doctor: hi dear it is the effect of p2..according to you you had sex on 7-8 the day of the cycle plus you have taken p2 so it's very less chances of becoming pregnant..to treat this pain I advice you to take tab.pcm, tab hifenac TH and hot water shake plus if possible bed rest..if your period gets delay by 2 week go for usg to confirm regarding pregnanthope this will help youThanks and regardsDr.Sohil takodara"
},
{
"from": "gpt",
"value": "Target: Can p2 cause stomach cramps and bloating?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am scheduled to have my gallbladder removed next week due to gallstones. I recently have had what I think was a GI bug, I felt better the last couple of days and now my upper right stomach is hurting and I noticed today that I have blood coming from my belly button. Is this something that I should notify my surgeon's office about, or just wait it out until the surgery next week? Doctor: Hello,Yes, you should definitely tell your surgeon about this. Blood from anywhere in the body is not a usual thing. Do it as early as possible.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. B.dinesh"
},
{
"from": "gpt",
"value": "Target: What causes blood to come out of navel?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have an extremely sharp pain in my right side of my rib cage around my bra line and am coughing up white, metallic tasting phlegm. The pain feels like a pinched nerve in between my ribs and is debilitating...the cough only makes it hurt worse...any clue? Doctor: Thanks for your question on Health Care Magic. I can understand your concern.If the chest pain is disturbing your routine activity then get a chest x ray done to rule out any lung infection or it could be just a muscle pull. Do not lift heavy weights.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What could cause sharp pain in rib cage?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I frequently get pain on my upper left side similiar to pleurisy, which I had about 30 yrs ago, oddly enough this seems to happen when I over work my self or, belive it or not it or not, when I over eat. I am not over weight I weigh 112 and am a 5fi1in female. I am on meds for high blood p. and cholesterol. Which is under control. Thank you. Doctor: Hi.Thanks for your query.Read your history and understood your problem. You have a problem for over 30 years, you say.Pain in the left upper side of the abdomen, like Pleurisy, increases on overwork and over eating.The probable causes are: Looks to be affection of the inter-costal nerves which gets exited on the factors you mentioned. The overwork can exhaust the muscles of the lower chest and / or upper abdomen causing stretching of any of the inter-costal nerve causing this typical pains. Full stomach acts in the same way. I would advise you to consult a General Surgeon, discuss about this issue as I mentioned. He may have a clinical examination and may ask you to over-eat and see what the problem like.If required CT scan of the upper abdomen and lower chest may find some abnormality of the ribs. Local injections for inter-costal nerve block can be tried as a diagnostic and therapeutic test.Ct will help to prove or to rule out other causes."
},
{
"from": "gpt",
"value": "Target: What is the pain in my upper left side?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: sIR, Recently I have done my entire body check-up at Apollo Hospital, Bhubaneswar. There the doctor found MTM positive and adivsed me to do Angiogram. Kindly advise me how to proceed? Where can I get the Angiogram done? Raj Kumar Toppo 0000 Doctor: Hi, It must be TMT( Tread Mill Test) not MTM. Positive TMT means that there could be a blockage in the vessel of the heart. In the case of positive TMT, Angiography is advised to ascertain the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sameer Maheshwari, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Is it advisable to have angiogram when diagnosed positive for MTM?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hello doctors, i am 39 years old and i woke up with extreme body aches. My aches are in my forearms, calfs, neck and thighs. I have a hard time picking up a glass or even brushing my teeth. I have not worked out or done any heavy lifting. My blood pressure the last few visits has been running high. Not sure if this can be associated with my aches? Doctor: Hi,Usually high blood pressure doesn't cause such pain. I would advise you to see your doctor to perform some examinations to find out the cause.Take care"
},
{
"from": "gpt",
"value": "Target: Is high bp causing aches all over the body?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi, I m a bit concerned about my 9mth old who has had a high temp all day and been off her food since yesterday. I have been giving her 2.5 ml nurofen and 5ml calpol at 2 hourly intervals but it is a struggle to keep it below 38. She also has really cold hands and feet. Doctor: You have to give nurofen 15mg/kg/dose and paracetamol 15 mg/kg/dose every 4 to 6 hourly and if there is temperature in between do tapid sponging means to wipe whole body with a cloth mersed in water"
},
{
"from": "gpt",
"value": "Target: How safe is taking Nurofen and Calpol for high temperature and loss of appetite?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: 3 days after have a wisdom remove my tongue bloomed with a thick brownish slime this seemingly went away after a z pac nystatin and salt water rinse about 8 mo later it comes back with a vengance the tooth socket became slightly painfull i thought the next tooth was migrating not the case my tounge was covered with brown slime it scrapes/brushes/h2o3.3% off only to return next morn the socket symtom has gone away the dentist called it a mystery a prescribed antybiotic after a week of that and scraping/brushing/ect it is a clear/white/yellowish slime so we have started nystaten and clortimazole for the last 5 days but the slime coating just returns in the morning anyone know what this could be no swollen glands or sore throat fairly healthy diet not diabetic but do suffer from symptoms of chronic fatigue syndrome for last 15 years age 47 6.1 275# gabapetun,, famotidne coenzyme q200 mg qd, betacarotene ,super b complex, bp normal col slightly high yearl blood work normal as of june 2010 ,mom dec liver cancer bro stage 4 lung cancer/chemo sis dbl mastectomy/lymph/chemo Doctor: Hi,Thanks for posting the query, I would suggest you to consult the concerned Dentist and get an x-ray done of the region, there could be possibility of pus accumulation, also get the healing socket examined, at home take lukewarm saline and antiseptic mouthwash rinses, take complete course of antibiotics and analgesics, maintain a good oral hygiene.Take care!"
},
{
"from": "gpt",
"value": "Target: What could the brown slimy discharge from mouth after extracting wisdom tooth be?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have an 18 year old that suffers from migraines. Last year she was in the hospital because of memory loss. When she awoke one morning she couldn t remember what happened the day before or for that matter the week prior to. They ran a battery of test trying to figure out what was going on. She had many different specialties overseeing her case. Now she is at college and is having the same symptoms. Thanks, Karla Doctor: The migraine itself can cause memory loss, especially if it is just during the migraine. However, I would make sure she had an EEG (possibly a 3 day EEG) to rule out seizures. There is an entity called transient global amnesia where patients lose time for about 3-6 hours and often never have it again. Many if not most people that experience TGA have a history of migraine. She needs to have the migraines treated appropriately."
},
{
"from": "gpt",
"value": "Target: What causes memory loss while suffering from migraines?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have a tooth infection. There is a swelling in the gums just above the infected tooth. The Doctor had asked to undergo root canal for that tooth some 10 months back . BitI haven't done that. Antibiotics were prescribed back then. I don't have time to go to a dentist right now. So please prescribe some medicines Doctor: i..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain if you have tooth infection that has lead to swelling of the gums and is already advised for root canal treatment is indicative of pus formation below the root tips of the tooth leading to formation of a Dental Abscess..In this case taking only medications will not relieve you permanently and in case if temporarily the swelling and pain subsides also there will be recurrence as the effect of medications will cease off..Therefore, root canal treatment is must and also if treatment is not done the decay will keep progressing and damage the tooth and if not taken care you can even loose your tooth..As of now you can take antibiotics like Amoxicillin and anti inflammatory painkiller like Ibuprofen by consulting a local physician or dentist..You should do warm saline gargles..Avoid chewing from the side where tooth is present..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: Suggest medication for tooth infection"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My son was diagnosised withmono about three weeks ago. He had an ear infection also, and it was treated with cipro antibiotic. He now is feeling good he says but has a rash. It favors the measles somewhat, but it is red. Is this from the medicine or is it from the mono? Doctor: Hello, The rash could be either because of mono or it could be because of antibiotic which has been given on top of a viral infection. But whatever it is it is a very self-limiting and simple rash do not worry. It cannot be hundred percent confirmed whether it is due to the viral infection or the antibiotic. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes red rash after taking Cipro while having mono?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My husband id 41 years old and sometimes he happy then sad it s a up and down constantly he can be very negative at times and this kind of behavior is about to push me away and not be apart of this marriage anymore. I did hear from a family member that he had a plate placed in his back head area but he has never dicussed this matter with me at all. Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. Your husband's symptoms could be indicative of a mood disorder. However he needs a detailed psychological assessment to make a definitive diagnosis. If he does have a psychiatric disorder, then there are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome your problems. I would advise both of you to see a psychiatrist or a counsellor to help sort out your marital problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: Constant mood wings, happy and sad at times, excess negativity. How can I overcome this?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I had foul smelling discharge after sex and found out I had clue cells and many white cells. My doctor precribed an antibotic which I had to take for 7 days. Symptoms got better but still presence of many clue cells. A culture was done and staph areus was found. Will cleocin clear up the infection? How will it affect my normal flora? Will straight hydrogen peroxide douche help and if so how often should I use it and for how many days? Can I use the hydrogen peroxide while on my period? Doctor: Hello,The cleocin should take care of the infection and douching should not be needed. If you have persistent symptoms after taking the cleocin see your doctor again.Regards"
},
{
"from": "gpt",
"value": "Target: Will cleocin clear up staph aureus infection?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I was streching and when i was done i decided to do the splits and heard two loud pops come from my lower butt/groin area. Now I am in horrible pain and can t walk. I know it s not a broken bone, but its still scaring me. Is it a pulled muscle/ tendon? Doctor: Hi, What I feel is this should be called as a piriformis muscle spasm. As in stretching the muscle get stretched and lengthened and post which it take some time to regain it's position. Try having more breaks between exercise and modify the exercises if needed which don't give trouble. Also use firm clothing which do not restrict the muscles to perform actions. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes pain while walking after stretching exercises?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi I m Samantha Oglesbee and I have kbg syndrome and I have seizure cause of this and I think I might have schizophrenia cause i started hearing voices in my head when i was in middle school 2011 when i was in 8th grade after i dumped my first love the day after valentines day there was this voice telling me to get back with him but i never happened ever since that day more and more voices have come as i got older i have a told of six voices in my head so far as of now Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.In my opinion, the symptoms of hearing voices, in terms of several voices discussing the patient among themselves are:-Voices giving commands-Having fixed beliefs-Have attentional impairment-Difficulty planning activities-Withdrawn behavior-And sometimes incoherent speechHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gayathri"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of schizophrenia?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am having tightness in my right knee. There is not any pain, but when I go to bend my knee it is extremely tight. On occasion I feel a tightness on top of my knee cap, but most of the time it is right below the knee cap (upper shin area). I have attempted to do extra stretches of my quads but the tightness is still present. Doctor: Hello, I have studied your case. There is possibility of spasm or meniscus injury.Till time continue knee Range of motion exercise, active and against resistance.Strengthening Exercises: Do quadriceps strengthening static exercises, Straight leg raises, hip adduction and abduction, ¼ and/or ½ squats Active assisted ROM stretching, emphasizing full knee extension (flexion to tolerance).Physiotherapy like ultrasound and TENS may help you.If no relief then you will again need investigation like MRI and BLOOD COUNT.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 tightness in the knee cap"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i was speaking with my best friend about some bad things that were happening, and him asking questions like \"why do i do this\". he has aspergers syndrome, and was \"officially\" diagnosed by a doctor. he told me that i have a whole lot of the same symptoms that he does, and that i might possibly have AS as well.the symptoms we share are things like--difficulty understanding certain types of sarcasm and jokes, difficulty reading people/understanding body language, apparently odd gait/posture, intense and limited interests, and social anxiety.do you think he is right? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Aspergers syndrome is an autism spectrum disorder. poor social interactions, obsessions, odd speech patterns, difficulty in reading, fewer facial expressions, unusual sensitivity to stimuli etc are common symptoms.Because of the vividness of this problem, there is no specific methods of treatment. The following are usually applied. parent education and training specialized educational interventions social skills training language therapy sensory integration training for younger kids, usually performed by an occupational therapist, in which they are desensitized to stimuli to which they're overly sensitive psychotherapy or behavioral/cognitive therapy for older kids Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment and symptoms of aspergers syndrome"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi doctor, I recently got kicked in the penis and it bled, I went to ANE instantly and they said it was something to do with the tissue. They did not ask me to go back. But now when i am erect i struggle to keep it erect for long and it isnt as big as it was before the incident, is this right? Doctor: HelloThanks for query .You have sustained injury to your penis .Based on the facts that you have posted the problem of erection to sustain for long time is likely to be due to damaged erectile tissue when you were hit on the penis resulting into venous leak causing early return of the blood from erectile tissue .This can be confirmed only on Color Doppler Ultrasound Scanning of penis .Please get it done at earliest to confirm the diagnosis .Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes the pain and lack of erection after a tissue damage in penis?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: i used play football two times aweek at night for 2 hour each night my knee starting littel pian but i keep playing footbal so my the pian got more. i went x ray and they siad u don y to take an y action what i have to do? i am stiil have the pian thanks abdi Doctor: Hello, As this knee pain can be due to ligament sprain occurred due to weakness or the muscles. But x-ray is good to check the mechanics of the same. Try using knee cap, do exercise for the thigh muscles, use balance board training and do some stretching before the game. You should do well. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for knee pain"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi Doctors,I am 29 year old, 5.4, 67 kg. married since a year and trying to conceive. I have been tracking my periods since a year this is the status -I have skipped my periods for a month if I do not take Primolut N tablets. Hence, I have a tendency to take 5 tablets to induce periods regularly on a monthly basis. Last period that I got on tablets was 14th April 2011. Then I stopped the tablets and started herbal medicine (Angus Castus). Checked my ovulation using OPK and also monitored my cervical mucus. Got ewcm on 13th May morning, hence we had unprotected sex on 13th May night. I must highlight that my LH hormone was not high enough to be detected on OPKs as I would get only faint lines, hence went with the more traditional method of ewcm.I have not got my periods since 14th April. I took hpt at 14dpo, 18dpo and 20dpo – considering 13th May as my day of ovulation. I have got –ve hpt, but ever since 13th may, I have experienced sinus problems, feel more tired than normal pms, feel tingly sensation on my lower abdomen, feel constipated, want to sleep all the time. I am in UK and I approached my GP who suggested FMU to be tested. I have a history of cystic ovaries (as a child since I got my periods at the age of 11 – I was in India at that time). Its hard to get hold of gyno here and I am unable to convince my GP to get my harmones checked and do sonography to check my cysts (if I have them). GPs here tend to follow a process and unless I do not tick all boxes for their procedure, I will not get appointment with the gyno. Sorry about the long story – but please can you help me. Much Much appreciated. Many Thanks! Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] Please do not panic.2] from your history it appears that you have PCOS condition, leading to irregular cycles that makes you to induce periods with primolut N.3] As you have noted ovulation day as 13th May, I will suggest you to do Urine tests after 27th May.4] Because it is 14 days after ovulation you will get your periods or miss it if you are pregnant, so perform urine test only after 27 th May, if you don't get your periods.5] As far as PCOS is considered have healthy diet pattern. And regular exercise regime. Avoid deep fried foods, bakery products and refined sugars. Have plenty of fruits , vegetables and salads in your diet.I hope my answer helps you.Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for infertility problem"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Doctor I'm 59 yrs old. I had my colon removed the age of 24 and rectum removed 4yrs later. Last August I had my gallbladder removed. I'm having abdominal pains now, feels like my stomach & have been getting bleeding in my stool, when I empty my bag from my ileostomy. Also I've been experiencing a burning feeling at times coming up my throat. Please tell me what your guesses might be. I'm probably going to ER tonight.Thanks Eddie Doctor: Hi ,You have not told for what problem you underwent these surgeries.Some of the syndromes have associated small intestinal involvement like Polyps which can bleed sometimes.U may need ileoscopy and other investigations . I hope this will help you."
},
{
"from": "gpt",
"value": "Target: Removed colon, rectum, gallbladder. Abdominal pain, blood in stool, burning throat. What is it?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Hi my husband went to the er Sunday evening for blood in his urine and having a hard time peeing; it came back as his prostate being inflammed. so he has been on a antibiotic since Monday. Today he said it itches when he pees.. is this normal since being on antibiotics? Doctor: HiYou have not mentioned the name of the antibiotic that was prescribed.Antibiotics can cause allergic reactions.Antihistamines can be taken to reduce itching.Incase of persistent allergies,kindly stop the drug and visit your physician for alternate antibiotic.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician"
},
{
"from": "gpt",
"value": "Target: Is itching normal while taking antibiotics?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I am getting frustrated w/ my doctor. I have Hep C so he blames all problems on that. I have had a hysterectomy and now have terrible hot flashes but because I am a smoke he will not give me anything for that. I have a dozen nodules in/on my thyroid but my blood levels are in the high side of normal so I do not take a thyroid medicine. I have fybromalgia that I take gabapentin and tramadol for. For well over a year now I have been having these episodes where I become very hot, shaky, nauseous, and feel like I am going to pass out. They are getting worse. I am having severe headaches. They say I am not diabetic. Twice in the last 3 weeks it has felt like someone flipped me sideways and I have about fallen. It only happens for a few seconds. I am becoming very frightened by all of this. I have a doctor appt. tomorrow. But I don t know if he will listen to me Doctor: Thanks for your query at HCMAccording to your history you have undergone hystrectomy that could be a possible cause of your hot flushes, etc. You seem to be having some hormonal problem. You must visit a gynaecologist and get investigated for hormonal tests. You might need hormone replacement therapy. I would like to add drugs being taken for hepatitis also cause such problems. But you get you viral titre done at 6 monthly basis and regular follow up. Can you guide me on your prior treatment.Take care!"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hot flashes, nausea and severe headaches"
}
] |
[
{
"from": "human",
"value": "Source: Patient: azoospermia is treatable or not? what are its reasons? i am 35 years old....married for 5 months... Doctor: Hi Faisal, Welcome to HealthcareMagic Forum. Does anybody else in your Family has the same problem? Azoospermia is the condition where there is complete absence of sperm in the ejaculate. It could be due to Hormonal Imbalance, Absence of testes, Varicocele or Testicular Failure. The treatment depends upon the cause. You should be getting yourself completely evaluated by a Urologist to rule out the exact cause. Good Luck."
},
{
"from": "gpt",
"value": "Target: Can azoospermia be treated through diet or medication ?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: my name is tito from California usa I had a stroke 16 monthes ago I had 2 rh side brain hemrges brain bleeding im 48 and my rh side was perilized and now for ive been getting stronger how longe will my pains hurt and I work on my body will I not live long I can drive and walk I just feel my brain my pop or start bleeding I was just wonting to know thanks god bless Doctor: Are you sure your haemorrages in the brain were on right side and weakness of limbs on same side? If so probably you would have had a cerebellar haemorrage or lower brain stem haemorrage. Do you have hypertension if so on regular medication? Its nice that your recovering from weakness. Your survival depends on how much care you take on your body like regular excises. If you have hypertension regular usage of medication and aviod smoking , alcoholism and fatty diet if any. Regular physiothearpy and exercise are advisable. You live as normal persons life if you take care of above mentioned things. Pains no need to worry it vl subside slowly take simple analgesics like paracetomol."
},
{
"from": "gpt",
"value": "Target: Stroke, right side brain haemmorhage. How long will the pain take to subside?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: hi i hope you can help me for past 3weeks i have nt been feeling okay on the first week i had nausea, stomack cramps, diorhea and burping. went to the doctor and was told i had cought a virus. i got better for about 3day but then the excessive burping started. i would feel nausea and better as soon as ive burped. ive gained 5kg even though i can barely keep anything down nd my stomack is bloated. i went back to the doctor only to be told again its a stomach virus i even did a pregnancy test. help because im still nauseous everyday and the burping is getting worse. Doctor: It may be bad gastritis. Eat small frequent feeds, blend food, fruits. Take antacids and prokinetic, and keep propped up after food intake. If no symptom relief consult gastro physician."
},
{
"from": "gpt",
"value": "Target: Can viral infection cause excessive burping, nausea and cramps?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: Iast year 2 November,I had this following symptoms Sweet Urine,Consistent urge to urinate,itching around my scrotum,itching all over my body after bath,headache and sometimes joint pain.My doc sent for urinary analysis,urine M C S and swab. Swab came up that I had staphylococcus arearus.And it wasn t resistant to about four but I have used up the antibiotics except one left incase serious case.Now I am trying traditional herbal treatment for two weeks with the rules No alcohol,No sex,No sweet food.and this drug just have effect,the symptom I have is the movement sensitive. Please doctor I need an immediate cure this ,please help me. Doctor: If the Staphylococcus aureus is reported sensitive to 4 antibiotics - then you would need a prescription for a course. I am not aware of herbal therapies for infections. Advise you to seek help asap, lest the UTI gets complicated and difficult to treat later. Drink lots of water."
},
{
"from": "gpt",
"value": "Target: How can staphylococcus aureus with urinary symptoms be treated?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: My endometrial thickness ia 9.2 mm. I am 43 years old. I have two kids 16 and 11. I have so much lower back pain and pelvis pain . The right ovary measures 2.6 x 2.4 x 1.1 cm. There are 2 exophytic simple cysts arising from the right ovary measuring 2.4 x 2.1 x 2 cm and 1.8 x 1.8 x 1.3cm. Doctor: Low back is more or less not related to any gynaecological problem.it might be some disc prolapse or spondylosis. .that we ve to look for.pelvic pain tio is possible due to dat.it needs proper clinical evaluation."
},
{
"from": "gpt",
"value": "Target: What causes lower back pain and pelvis pain?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have had nausea with weakness, dizziness and pain in left side of my abdomen since I woke up this am. I REALLY feel ill! Had blood work done yesterday at my doctor's but have heard nothing on it yet. Connie @ YYYY@YYYY Doctor: This can be due to gastroenteritis and get a course of an antibiotic completed. Get ultrasonography and other tests of urine and stool too. The treatment will cure you nicely. Watch for if you have bloating , constipation or loose motions .,"
},
{
"from": "gpt",
"value": "Target: What causes nausea,dizziness and pain in left side of abdomen?"
}
] |
[
{
"from": "human",
"value": "Source: Patient: I have the shakes in my body. Poor balance. Cold and numb extremedies. Burning and tingling my hands and feet. Headaches and pressure like someone is squeezing my head. Lines and spots in front of my eyes and light headedness. I have trouble sleeping and am stressed out and depressed about feeling this all the time. No one seems to have an answer. Doctor: Hi,Thanks for writing in.It appears that there might be a condition involving the nervous system in your body. All the above symptoms like balance, numbness and tingling, headaches and spots in front of eyes are all associated with conditions of nerves affected in various regions. This can be due to an acute cause or due to chronic problems like neuropathy associated with diabetes or auto immune disorders. History of any other medical conditions and medications that you are taking is important. Vitamin deficiency states can also appear as non specific symptoms as described by you. Please consult a neurologist and get a complete neurological examination done. Investigations like MRI scan brain and spinal cord might also be required for you."
},
{
"from": "gpt",
"value": "Target: What causes tremors in body,poor balance and tingling in hands and feet?"
}
] |
Subsets and Splits