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PranavHarshan

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sharegpt_formatted_med_dialog_convo

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[ { "from": "human", "value": "Source: Patient: Hello, my name is Jodie. I took an elbow to my cheek bone during a netball match last Saturday and felt a bit dazed at the time, but since then I've had a headache at the back, right-hand side of my head. When the headache is at it's most severe (it seems to come and go), I've also felt nauseous. I have a history of migraines and the intensity of pain feels similar, but I've always previously had an aura precede a migraine, so this isn't quite the same. I also have very mild asthma which doesn't usually bother me, but today had a sudden onset of not being able to breathe properly. I took my inhaler and have since been fine. Doctor: i think your headache might be due to sinusitisif you havenot done xray pns waters view get your xray done as with allergic asthma there is associated sinuses which causes hedache and is misdiagnosed by migrane.i think you consult allergy specialist after getting xray pns which is likely to come positive and through allergy specialist get allergy test done which can be treted after tests by immunotherapyboth your syastems will recover permanently" }, { "from": "gpt", "value": "Target: Headache and nausea. History of migraines and asthma. Difficulty in breathing. On inhaler" } ]

[ { "from": "human", "value": "Source: Patient: hii,I'm22yrs old and suffering from hair loss, I was using mintop forte usb 5 % and a dandruff shampoo!! while using it I thought the hair fall had stopped a bit but when I stopped using it, it started again. this is hereditary as my maternal grandfather was bald. Please suggest some treatment to stop hairfall and regain hair growth Doctor: Hi. Thanks for writing to us at healthcaremagicYou seem to have androgenetic alopecia.You previously had been using topical Minoxidil alone. Minoxidil alone may not be sufficient.If I was the treating doctor I would have also started you on oral finasteride.Minoxidil and finasteride have approval for use in this type of alopecia.While Minoxidil is a non-specific hair growth promoter, oral Finasteride once daily is specific for androgenetic alopecia in males.Finasteride inhibits the enzyme responsible for converting testosterone to Dihydrotestosterone (DHT) in hair follicles. DHT is the main culprit in this type of hair loss.Results are usually noticeable over a period of 6-8 months of regular minoxidil use and oral treatment. Discontinuing treatment would reverse the improvement achieved.Therefore, treatment is long term and once the desired results have been attained, the patients may be switched on to a maintenance regime wherein once daily or alternate days minoxidil is continued life long along with life long finasteride.A biotin supplement once daily would also be useful. Biotin supports hair growth though it is not specific for androgentic alopecia.These are all prescription medications.I would suggest that you revisit your dermatologist for a review of your treatment.Regards" }, { "from": "gpt", "value": "Target: Suggest treatment to stop hair fall and regain hair growth" } ]

[ { "from": "human", "value": "Source: Patient: I have been having shortness of breath for the past few days. Last night out of nowhere I had a seizure in the middle of the night. I have looked up causes, and symptoms and everything. But I would like to know why? I have no previous incidents of seizures. Doctor: Hello there and welcome,Well Seizure in other word Convulsion or fits can be of several types and due to several reasons. From you descriptions , on going shortness of breath can cause Hypoxia(decreased oxygenation to the cells of body) which in-turn causes seizure but its not a common entity in otherwise healthy individual (are you sure that shortness of breath is the only problem?? there can be something else too which apparently may look fine).Well either way having a seizure out of nowhere is never fine, so its better to get checked to a Neurologist to get a thorough evaluation done as well as get a MRI-Brain and complete metabolic profile check-up done at the earliest to clarify the reason for the seizure.Thanks a lot for contacting HCM , get well soon" }, { "from": "gpt", "value": "Target: What causes shortness of breath and seizure?" } ]

[ { "from": "human", "value": "Source: Patient: hello i am a 31/m indian, i had an ultrasound which shows-LIVER: mildly enlarged in size (16.4cms) with grade-II fatty change, no focal lesions seen, portal vein and intrahepatic biliary radicals are normal. portal vein measures 10mm.it also shows-SPLEEN: mildly enlarged in size (13.3cms) & normal in echopattern. no focal lesions seen. Doctor: The mild increse in liver may be because you have a fatty liver. This is cause bu a variety of causes. If you on alcohol u must avoid it along with fatty food. The enlarged spllen may be an indicator of an infection. But ultrasound alone is not enough for a diagnosis. A detailed history, blood tests and examination is necessary to diagnose. You should see a dcotor who will be able to do this for you." }, { "from": "gpt", "value": "Target: Ultrasound showed enlarged liver, fatty changes, portal vein. What could it be?" } ]

[ { "from": "human", "value": "Source: Patient: Thank you for your time. I have swollen glands under my left jaw bone. It feels like three separate bumps that are about a half inch long. I noticed them about two months ago when my allergies got bad. I also noticed a painless bump on the top front of my shoulder just past my collar bone. It is hard. My shoulder is sore from wrestling last week so I am not sure if is related to the glands under my jaw. Could these glands be swollen due to my allergies? Doctor: Thanks to HCMHERE I CAN UNDERSTAND YOUR PROBLEMSwollen glands below the jaw are lymph node enlargement due to either infection in mouth or in blood .allergies are rare cuase s of swollen galnds swelling over the shoulder region also may be gland enlagement don't worry ,plz undergo for CBP,ESR ,ULTRASOUND OVER THE NECK REGIONFor allergies you can tale levocetrigin 5 mg once daily take antibiotic metronidazole 400mg thrice ,along with olaxcin 200mg twice dailytake some antiinflamatory drug like aceclofenac so I will subside in 5 days you can use mouth wash for prevention of infections in mouth . ok" }, { "from": "gpt", "value": "Target: What causes swollen glands under the jaw while suffering from allergies?" } ]

[ { "from": "human", "value": "Source: Patient: So last sunday night, i was sitting on the couch with my girl friend. we both had our clothes on and she sat on my lap and i got excited and ejaculated. i could feel it coming on so i pushed her off of me. then four minutes later the cum went through my underwear and my sweat pants and she touched it. Then she went and washed her hands with dish shoap. About an 1 and a half hours later she took a shower. She washed her hair and her face then her vagina. is there anyway she could have got sperm in her vagina from this Doctor: Hi I am awre of your concern. No it is unlikely that the sperms could have entered into her vagina. As it requires deep penetration for getting the spetms into her vagina and conceive. So don't worry" }, { "from": "gpt", "value": "Target: Can the semen spread into the vagina through the pants?" } ]

[ { "from": "human", "value": "Source: Patient: 1 of my very close has the following problem. i will explain as far he has told me. spines c5,c6 to c7 or c8 has been detected problem. Doctor said that an disc has been moved. more over the doctor has said that go for physiotheraphy and at the same time continue with some medicine he has prescribed mean time let us ask an neuro specialist advice for nerves problem. could u explain me what his actual problem is Doctor: Hi The spine is the bone in mid-line of back. it is not single bone - many pieces stacked on each other. In between pieces, there is disc. If disc becomes weak, bone may slip. The spinal cord is inside the spine. Nerves go out between the pieces. So slip may press the cord or the nerve. The nerve may become weak. Pressure on cord can cause paralysis. So you have to see nerve specialist - to prevent or treat. Good luck" }, { "from": "gpt", "value": "Target: Moved disc in the spine, prescribed medicine,physiotherapy. What is the actual problem?" } ]

[ { "from": "human", "value": "Source: Patient: i need help my son just turn 1 yesterday and last night he developed a bad cough it was so deep you can hardly hear his voice and his nose is stuffy and now he has a low grade fever but his cough is there is so deep like if is his chest is really congested what should i do i currently dont have insurance and idk what to do Doctor: Hi, I am sorry for the situation your son is going through. From what you are describing, most probably, he is having cold with laryngitis (as you are hardly hearing his voice). I advise to:- give him OTC anti-hystaminic syrup - give nose anti-congestant medication- apply cold balm on his chest and back- aerosol-therapy can help- give him anti-pyretic medication at bedtimeIf no improvement, should send to ER for immediate evaluation and specific treatment. Wish fast recovery!Dr.Albana" }, { "from": "gpt", "value": "Target: How to get rid off cough and stuffy nose?" } ]

[ { "from": "human", "value": "Source: Patient: Stone in both Kidney. One in the Left Inside lower part away from Ureter. Not in a position to be Crushed. Other One Blocked the ureter (Right Kidney ) Both kidney functioning well. Doctors advised immediate Endoscopic Surgery for right One. Pls let me know the best suggestion Doctor: HiThe stone blocking the kidney on right needs to removed either by surgery or by shock wave lithoripsy (ESWL). Occasionally if the stone is very small it can be given some time for it to pass by itself.The type of treatment depends on a number of factors to be taken in to account by the treating urologist. Hence please have a full discussion with the urologist treating you." }, { "from": "gpt", "value": "Target: Suggest treatment for kidney stones" } ]

[ { "from": "human", "value": "Source: Patient: i had a galbladder surgery september 2011 stil battling to adjust,in nov they discover a cyst 4cm big last night on the sonar there was nothing i get hotflases and pain and injections in my heels don t ease the pain a few years ago they discover spina bofida Doctor: Hi, This symptoms are not related to your gallbladder removal. I suggest to search after the spina bifida you have which may be obstructing a nerve that cause this pain. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist" }, { "from": "gpt", "value": "Target: Suggest treatment for hot flashes and pain" } ]

[ { "from": "human", "value": "Source: Patient: I am 25 years old and eat pretty healthy and had implanon put in October and I have been having a continuous period since Christmas day and it is now 01/31. Also I have had reoccurring neck pain like needles shooting up the side of my neck often in my life but a few weeks ago it was very severe and I had a headache so bad for 3 days I could barely move and I could barely open my eyes it was like a burst of bright lights in front of my eyes and since then I have noticed I have been mixing up my sentence structures and I have always been an excellent speller and all of a sudden I am misspelling simple words left and right and forgetting simple things. I went to turn on my hazrd lights in the car I drive everyday and instead would hit the turn signals. I feel like I have brain damage . Could I have had a stroke? Doctor: Hi, Thank you for posting your query. It is uncommon for a 25-year old to have brain stroke. You have features of severe migraine. In some cases of migraine, strokes can occur. You require evaluation by a Neurologist and a Brain scan (MRI or CT) to establish the correct diagnosis. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist" }, { "from": "gpt", "value": "Target: Recurring neck pain, headache, difficulty in talking. Chances of a brain damage?" } ]

[ { "from": "human", "value": "Source: Patient: Ok so my front two teeth are DEAD they have been that way since I can remember. I have noticed these bumps on my gums above those teeth. They looked like pimples so I popped them and green chunks, yellow puss, and then blood came out. I know this is not normal but my question is what should I do?? Is it because those teeth r dead Doctor: Hello, Thanks for your query. As you provided the detail,it seems that there is infection in that teeth area. But the detail you provided is not clear,recantly whether there is any yrauma in that area or not. Any ways,please visit an endodontist as soon as possible and go for thorough examination including x-rays of concerned teeth. You need root canal treatment in those teeth. Nothing to get worried. Take Care. Dr.Gunjan Gupta" }, { "from": "gpt", "value": "Target: Bumps on gums above dead teeth. Green and yellow pus and bleeding after popping. What should I do?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Doc, I m having a serious back pain that cannot allow me to concentrate on my studies or office work. I suspect the problem has been compounded by the fact that in the past few months, i have spent alot of time typing reports and assignments in the office and at home in uncomfortable positions using both laptop and PC computers. At the moment I can concentrate and study whether on a sitting or sleeping position. Infact I also find it difficult to sleep on my bed because of the the back pain. What can I do to relieve the pain? Secondly I was recently diagnosed with high blood pressure and put on medication , after experiencing alot of flactuating blood pressure readings for a period of a bout one month. I suspect this high blood pressure could have been as a result of the pain and stress which I have been experiencing for sometime now. Could this be true, and is there anything I can do to come out of the drugs by improving on the pain and the stress? Kindly assist. Felix. Doctor: My dear friend you must understand that human evolved from quadrapeds. Unfortunately in this evolution to bipedal gait no extra strength to spine came. As a consequence human spine starts degenerating from an early age of 20. You must sit with spine supported and strictly avoid bending forward. Weight reduction if you are overweight can be of great help. May do back extension exercises to strengthen the back muscle. You can consult a spine specialist to see you have neurological deficit and whether require MRI." }, { "from": "gpt", "value": "Target: Back pain, cannot concentrate. How to relieve pain? Have high blood pressure" } ]

[ { "from": "human", "value": "Source: Patient: Sir, recently i got my semen analysis report, Volume: 3ml, Fructose test – positive, Viscosity: diminished, Sperm count : 32.6 milli, Sperm Motility- 50%, Active:20%, Total abnormal 30%, Presursor cell – 2/3 hpf, Pus cells: 45-50 hpf, Epithelial cell – absent, Bacteria – not seen, Grade – 1. Please suggest me that as per the above report, could I able to fertile my wife as my pus cells are more and for the same undergone from treatment and can she easily conceive pregnancy. Doctor: Hello,Welcome to healthcare Magic.I have gone through your query and Would like to reply in detail as follows:1. Your semen is infected.2. Please get semen culture and sensitivity test done and get medicines after reportsI hope your doubt is clarified. Let me know if you wish any other information.Regards,Dr. Mahesh" }, { "from": "gpt", "value": "Target: Am I fertile as per the semen analysis report?" } ]

[ { "from": "human", "value": "Source: Patient: I am visiting an 18 year old who went into a coma after suffering an asthma attack. She s been like that for 4 weeks. She moves her eyes - but the doctors say that she has no brain function. Her brain stem is working, but apparently not the rest of her brain... what are her chances of waking up? how long might it be? Thank you. Doctor: brain functions are very imprtant for the body functions if brain is not working then it is very difficult to say anything prognosis is not good but if god helps in fewer cases but the time we cant say may be 6 months or long all will depend on the response given to medicines by body in future but at present the chances are not good" }, { "from": "gpt", "value": "Target: 18 year old in coma after an asthma attack. Will she come back to normal life?" } ]

[ { "from": "human", "value": "Source: Patient: Hi sir i am .. Last one month i am taking toomuch alcahol .. I dont have any pblm .. And iam taking some mood disorders also .. And four five time i took ipill also ... But yeaster my doctor did ultasound abdomen .. He told me some calcification is there .. I am too worried about that ... Pls help me Doctor: Hi. First of all Do not take i-pills if you have mood disorders. Alcohol is your personal choice. 90 ml per day is fine. It depends upon where the calcification is .. if in the lymph nodes it suggests a chronic disease. If in arteries or so has a different importance and you then need an opinion of a Doctor who would do a clinical examination to co-relate the problems and findings on investigations" }, { "from": "gpt", "value": "Target: What to do for calcification in abdomen ultrasound?" } ]

[ { "from": "human", "value": "Source: Patient: My dad has been to the hospital today and has been told that he has leisions on his spleen and possibly kidneys. He has lost over 3 stone in the last couple of months and has developed anaemia . He is waiting to have an ultra sound scan. He has had camera down throat and up back passage and it is all clear. What could be causing this? We are thinking cancer. How will they treat this? He is in no pain or discomfort. Doctor: Hi, with this limited information any opinion can not be given. lesion in spleen and kidney may be due to congenital cysts , but whether those lesions are pathological can be commented by expert radiologist. if any suspicious lesion in kidney found then according to the size partial nephrectomy or radical nephrectomy can be done. Consult your general surgeon." }, { "from": "gpt", "value": "Target: Possible lesions in the liver and kidneys. Have weight loss and anemia. Cancer chances?" } ]

[ { "from": "human", "value": "Source: Patient: After having sex, The next day I noticed when I had to pee it burned very badly, so I had looked in the mirror, and there was a red sore with a white center, it doesn't look blister like, or bump like,its just a little pea sized sore.? Could that just be from not lubricating enough? Doctor: HelloWelcome to HCM,Burning sensation after sex is due to many reason like inadequate lubrication, infection, local injury, etc .For proper diagnosis consult your doctor.If inadequate lubrication do more foreplay or you can use artificial lubricants.if there is infection take treatment for that.Do investigate for urine routine and micro.A swab and culture will confirm the diagnosis.Please maintain thorough perineal hygiene.Do not use local cleansers or rub vigorously, as it would deplete local vaginal flora.Thank you." }, { "from": "gpt", "value": "Target: What causes burning sensation in pee after sex?" } ]

[ { "from": "human", "value": "Source: Patient: I have a weird issue that is making all area of my life extremely hard to manage. My diagnosis is IA and severe asthma, my known allergies are wheat, corn, all nuts, tomatoes, peas green beans and strawberries. My medication allergies are PCN, Sulfa, and Erythromycin. My controller meds are not working well, they are dulera predisone burst alvesco,singular Zoloft, Prilosec xolair shots allergy shots and Zyflo, for emergencies Benadryl, epi inhaler,albuterol (inhale and neb treatments) I also carry 2 twin injection epi pens. last year was really bad due sickness,biliary duct block (Zyflo side effect), whiched turned into pancreatitis, multiple reactions several asthma attacks for the first time I had left to right shunt and known low sat of 85%-very scary! I have constant pain in my chest. I am a floor nurse at a children s hospital dealing population of pulm and infectious disease. I love my job it is my passion. I am now seriously considering filing for disability. I have had very very bad asthma and allergic reactions at work. So my question after very lengthy history is when do you know to stop working ? I was also open to all suggestions on how to be more healthy. Doctor: i think you may go for sublingual immunotherapy as it is giving good results I have been doing for last 25 yearsyou may go for all allergy tests and go for sublingual immunotherapy along with other controller medicines" }, { "from": "gpt", "value": "Target: What is the remedy for severe asthma and allergic reactions?" } ]

[ { "from": "human", "value": "Source: Patient: I have some dull pain in my right testicle but only when i sit down on a chair when it starts to hurt i usually just stand up and sit down again and that usually helps for awhile (pain is only about a 2). What could it be? There is no swelling that i have noticed, if i touch the testicle directly it s a bit tender but does not hurt. Doctor: HelloThanks for query.Pain in testicle could be mostly due to mild infection (Orchitis).Take broad spectrum antibiotic like Doxicycline along with anti inflammatory drug like Diclofenac twice daily.If problem persists consult qualified Urologist for clinical examination and get following basic tests done 1) Routine Urine test.2) Ultrasound Scanning of Scrotum. Further treatment will depend upon the results of these tests and final diagnosis.Dr.patil." }, { "from": "gpt", "value": "Target: What causes pain in the right testicle?" } ]

[ { "from": "human", "value": "Source: Patient: My SGOT and SGPT report for past few years are as underYear     Range     2003     2005     2006     2007     2009     2010     2011SGOT is 58.90 sgpt is105Other annual check report is with in the reference ranges. however I have left ventricular hypertrophy since long. please analyse and advice relevence od SGOT/SGPT ,how to cntrol it. My age is 52,weight 78 kg ,Height is 5 ft 10 inches BP 80/118 Doctor: Hi.Thanks for posting query at HCM.Usually ALT (SGPT) or AST (SGOT) values higher than \"two times the upper normal limit\", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.Alcohol ingestion and obesity are common causes of fatty liver disease.advice for fatty liver:- test for Hepatitis B and C ( if not done yet)- abstinence from \"Alcohol\" altogether- LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik" }, { "from": "gpt", "value": "Target: How to control SGOT and SGPT?" } ]

[ { "from": "human", "value": "Source: Patient: Ive had a pain in my lower leg behind my calf muscle thats gradually gone worse over about 6 months and now i struggle to crouch or kneel as the pain is like a sharp knife and also if i bend my knee when sitting its painfull to straighten but walking on my leg doesnt hurt at all Doctor: hihope this msg finds u in good health u seem to have strained ur soft tissues below knee and d nerve as wellu should get an xray done to know d exact cause..analgesics n rest with physiotherapy will help thanks Take care god bless" }, { "from": "gpt", "value": "Target: Suggest remedies for pain in calf muscles" } ]

[ { "from": "human", "value": "Source: Patient: I have a birthmark in my back about 2in long and about 1/2 to 1in wide. It s light mocha brown and it s never caused me problems. About a week or so ago it started hurting like a bruise but I never bumped it. Now it hurts if I move my arm too far back. I ve heard that people with multiple birthmarks are more likely to get a certain desease, I have 3 birthmarks. Does anyone know if I should go see a doctor about this? Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that some birth marks are associated with some diseases. But not all birth mark are associated with it. It is necessary for you to undergo examination by nearby doctors for the prognosis purpose.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic." }, { "from": "gpt", "value": "Target: Is having birthmarks are more likely to get certain disease?" } ]

[ { "from": "human", "value": "Source: Patient: Hello, I noticed in the last week I have a small lump in my groin area. There is no severe pain or discomfort, but I know it is there. It is more noticeable when I cough. I also noticed a foul order in my urine. My last 2 periods I had some clotting/bleeding 2 days after I thought my period ended. I tend to clot alot anyway during menstral periods. I thought maybe you might have an idea what might be wrong with me. Thanks Doctor: Hi, dearI have gone through your question. I can understand your concern. You have lump in groin which becomes prominent on coughing. So it is most likely to be due to inguinal hernia. You should go for examination. If needed go for ultrasound study. Treatment of hernia is surgery. Hernia repair by meshplasty is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What does lump in groin area imply ?" } ]

[ { "from": "human", "value": "Source: Patient: Since I can remember a few days before my period I always get very itchy and I would get my period and as soon as done my itchiness would complete go away and I never checked it but they would tell me because of my hormones. But I noticed last month same symptoms itchiness, redness, irritation but like a day before staring my period I one small sore and I though I had gotten it because of all the scratching. Didn t pay much attention and it was gone as soon as I finished my period. This month same symptoms itchiness, redness, irritation but this time 3 small sores but I been having like yellowish greenish discharge no bad odor. Is it herpes? I have a doctors appointment today for my blood work result. I m very scared and praying is not herpes but another infection. Doctor: Yellowish Green discharge is more commonly seen in Trichomoniasis which is a sexually transmitted disease and not in herpes infection.You should use protection while having intercourse and should maintain good personal hygiene." }, { "from": "gpt", "value": "Target: Could onset of sores with yellowish greenish discharge indicate herpes?" } ]

[ { "from": "human", "value": "Source: Patient: i was planning to apply to middle east and did a medical test for the same.found that SGPT count is 77 in place of desired 41.i have a history of gilberts syndrome.how bad is it? shoud i be worried about my liver condition.is there a way i can reduce the count in a short time to qualify for the medical test Doctor: Hello. Thanks for asking query on HCM.I appreciate your concern. You have mild elevation of SGPT. As you have not given the other Liver function test reports, I assume them to be normal. Most common cause of mild elevation of SGPT are alcohol intake, fatty liver and chronic hepatitis B or C. I would suggest you to test for Hepatitis B and c virus, ultrasound of abdomen, reduce alcohol if taking and good healthy life style including daily walk and exercise. Monitor your LFTs. With these measures hope it will become normal.Take care." }, { "from": "gpt", "value": "Target: Is the result showing SGPT count 77 is a cause of concern for liver?" } ]

[ { "from": "human", "value": "Source: Patient: My brother has been diagnosed with a GI Cancer and will begin chemo treatments next week. I was researching the drugs and have found that two have a major drug reaction---major being described as risk outweighs the benefit! The drugs are Adrucil and Leucovorin; what would be the reason for using the two together? Do I keep quiet or ask him? Doctor: Dear, I think you have wrongly been informed about the side effects of these drugs. They are safe and can be given conveniently. i will say the reverse benifit overweighs the risk. At least with first 4 or 5 cycles of chemotherapy there will absolutely be no problem. Dr. Ticku" }, { "from": "gpt", "value": "Target: Is it safe to use Adrucil and Leucovorin together for GI cancer?" } ]

[ { "from": "human", "value": "Source: Patient: I have been seeing doctors for almost a year. In May 2012 I had a grand mal seizure in the middle of the night (2am). I woke up in the back of an ambulance. I ve had many tests. EEG showed nothing. MRI showed nothing. Recent ambulatory EEG showed I was in fact having seizures or auras , but I m not epileptic. I continue to have seizures/ auras. It starts with a flash of fear, then a feeling of déjà vu, then a tingling sensation head to toe . Sometimes these episodes are stronger than others and I ve passed out. I wold Iike to know what s going on with me. Any answers? I m hypothyroid which is under control. I m also taking Fludrcort & Dexamethason for adrenal insufficiency . I am 42 years old. Doctor: Hello, Thanks for the query, I understand your problem Your symptoms suggest that you have aura/ minor seizures originating from the temporal lobe of the brain. Some patients may have normal MRI. In these cases a higher tesla MRI, 3 tesla may be helpful or even further advanced study called as PET scan may be helpful to locate the seizure focus. How ever, as you have minor seizures, these investigations may be optional. Hope this clarifies Best wishes Dr Gopal K Dash MD, DM, Post-doctoral fellowship (Epilepsy) Consultant Neurologist and Epilepsy specialist Narayana Hrudayalaya Hospital, Bangalore My Blog in the Web site: http://www.healthcaremagic.com/doctors/dr-gopal-krishna-dash/64344" }, { "from": "gpt", "value": "Target: Suffering from hypothyroidism, adrenal insufficiency. Had seizure/aura. Reason?" } ]

[ { "from": "human", "value": "Source: Patient: hello doctor,my father is 70, he has a hard heart condition and lives on battery(defibrillator), he's also diabetic.2 weeks ago he was diagnosed for stage 4 metastatic liver, they said the origin was the bladder and they discovered as well some spots in the lungs... i am very worried since he lost allot of weight, he barely eats, barely sleeps, he's always on sedatives since the pain is crucial and 2 days ago jaundice showed up as well.... can you tell me with such a case what is the life expectancy? i have to know, because my sister is pregnant at her 30th week and she lives in another country, and the doctor said she'll be able to travel until the 37th week..please doctor advise.. it's a hard case i know... but i need a professional answer to help me make the good choices... thank you. Doctor: hi,listening to your description it looks like around less than 6-8 weeks. It's very difficult to predict and it's depends on multiple factors like infection." }, { "from": "gpt", "value": "Target: What is the life expectancy of a patient with hard heart condition and jaundice?" } ]

[ { "from": "human", "value": "Source: Patient: Hello.. I ve had an laparoscopic appendix surgery and Meckels divertuculm and small bowel resection about a 45 days ago and everything was fine until 2 days ago when i start feeling pain in my appendix are similar to the pain i had before the operation...when i touch that area and when i release it it hurts even more.im very scared...please tell me Doctor: Welcome to HealthcareMagicForum Hi..Tale.., the appendix, meckels diverticulum, small bowel is surgically removed.. the nerve supply of the appendix, and lower abdominal skin on right side is same .. hence you feel referred pain... but after 1.5 months if you still feel same kind of pain, then you need to clinically examined, investigated to rule out post operative infection... do not neglect the condition.. Take care.." }, { "from": "gpt", "value": "Target: Pain in the appendix, intense on pressing post laparoscopic appendix surgery, Meckels divertuculm and small bowel resection. Advise?" } ]

[ { "from": "human", "value": "Source: Patient: Hi Doctor, I have Ehlers Danlos Syndrome and I had a MANTOUX test for tuberculose. Can it be different on a patient with EDS (the result of the mantoux on the arm) Things like local anesthesy are also running away in my body (tissue of skin is weak) But what about a Mantoux test done on a EDS patient? Doctor: Hi, Yes, Both the drugs are from the same group called bisphosphonates. Reclast is sufficient for osteoporosis.If you have taken Reclast then you can stop Alendronate. But you can take vit D3 and calcium supplements. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gaurang B Shah, Orthopaedic Surgeon" }, { "from": "gpt", "value": "Target: Can Mantoux test for tuberculosis be different for EDS(Ehlers Danlos syndrome) patient?" } ]

[ { "from": "human", "value": "Source: Patient: Hello Doctor, For the past years i have been have a nasal allergy . I use to get this Allergy in my Nose once in a week. I use to get continuous sneezing and my nose will be very heavy. itz happens mostly when i drink cold water. i can t bear a sip of cold water also. sneezing go on for whole day but when i use Cetrizine and i will get released. PLZ suggest mi any permanent solution. Doctor: Hello, You are having allergic rhinitis which will always re-occur ones the allergens ( cold, dust, pollen) are present. You need to adjust your lifestyle and avoid allergens even though it is difficult to do, at least you will reduce the chances of you getting some allergy episodes. Then you can use antihistamines such as cetrizine or a nasal steroid spray to relief the symptoms when they present. I don't think there is any permanent cure for your allergy as it is already encrypted in your DNA and that can not be corrected by any known medical therapy. Wish you the best and hope this helps." }, { "from": "gpt", "value": "Target: Nasal allergy, continuous sneezing, congestion, occurs on drinking cold water. Taking cetrizine. Permanent cure?" } ]

[ { "from": "human", "value": "Source: Patient: Hello doctor, i am married for 3 years and have been diagnosed with PCOD. I have not got my menses for a year now and have consulted a gynaec. doctor advised me to reduce weight, and prescribed me Glycomet 850 daily at night after meal. Im worried will i be able to conceive normally?? Doctor: Hi dear and thanks for your query to healthcare magic.If after the treatment of PCOS and after you will lost weight , your cycle will be regular than you should try to conceive.Meanwhile you have not periods you haven't chnaces to conceive.Hence during the time you should try to lost weight because losing weight is very important.Hope I have been helpful and please feel free for further discussion.Regards" }, { "from": "gpt", "value": "Target: Can i conceive normally as i have PCOD?" } ]

[ { "from": "human", "value": "Source: Patient: Dear Sir We have some issue with our brother A little Brief Problem of My younger brother, Two Year ago He has a met a girl and come across so much close on phone and after some times he used to go to there place to meet with her ,finally he is in love with her and there after they both have decided to marry with each other. but the Parents of the Girls are not ready to have any relation with my younger brother . They have successfully impressed upon their daughter against this marriage and she has finally agreed to keep her promise not to have any relation from my younger brother Now at this stage my brother is feeling very uncomfortable He is tying a lot to forget this girl but his conscious don’t allow him to do so , This is the basis element where we would like to consult you to get rid off such types of her memories from my brother’s life and finally he must feel some relax in his routine life . Best Rgd Ravindra Rastogi Doctor: Hi, From above description, It appear that your brother is having adjustment problem after the broken relationship with her female friend. Adjustment problem usually resolved with in 1-2 months of stressors on its own. If problem is prolonged or severe then, for treatment, you can visit specialist like psychiatrist or psychologist. Cognitive behavior therapy from trained therapist also help in these cases. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" }, { "from": "gpt", "value": "Target: Need help to forget broken relationship" } ]

[ { "from": "human", "value": "Source: Patient: So I have a small lump on the right side of my abdomen, just above the hip bone and it's beginning to freak me out a little. I've had it for around 2 weeks, I had gotten a knock in that area playing football and there was and is still to an extent bruising in the exact area the lump arose, but it didn't appear until a week or so after this happened. Should I be worried? Doctor: Hello,This is a small hematoma (post-traumatic). Usually, it is a self-controlling phenomenon but should take of the following care for better early recovery. • Apply ice 4 to 5 times a day • Keep the part clean with antiseptic liquid• Avoid direct/indirect pressure or itchingIn our clinic we recommend cephalosporin group of antibiotics (to prevent secondary infection) and anti-inflammatory agents to resolve it faster according to the case evaluation. (I can guide if you upload the photo.)Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel" }, { "from": "gpt", "value": "Target: How can a small lump on the abdomen be treated?" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I was bitten unprovoked by a Rottweiler on the 4th of February, on the back of my thigh right above where I bend my knee. I have severe bruising all the up my thigh and down on my calf. Last last I felt a large lump about the size of a small orange. What can this be and should I go get it looke at right away? It is painful Doctor: HI, thanks for using healthcare magicAfter a dog bite, if the rabies status is not known , then it would be important to have the rabies vaccine though this would not be as effective at this point.An up to date tetanus immunization is also important.The lump may be due to formation of scar tissue or fibroid tissue at the site of trauma.This is very common. It may also be due to a hematoma (collection of blood).Both of these would improve with time but it is possible that intervention by your doctor would help with this.I hope this helps" }, { "from": "gpt", "value": "Target: Suggest treatment for a dog bite" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I am feeling unwell today. I had sex this morning and felt a huge searing pain in my lower right side abdonmen, after which I blacked out. I have felt dizzy all day, having spells of everything beginning to spin and blacking out again, and continued pain (but less intense than the initial pain.) What would be the problem? Doctor: Hi, The pain in right lower abdomen after sex that was intense enough to make you faint may arise from- - A sprain in muscles of the area. - swelling of appendix - problem with right ovary ( Cyst,PCOD) - a stone in right ureter You need to consult a doctor/gynecologist for physical examination /investigations as per need. to be followed by indicated treatment. Thanks." }, { "from": "gpt", "value": "Target: What are the reasons for pain in lower right abdomen and dizziness after having sex?" } ]

[ { "from": "human", "value": "Source: Patient: would you provide a differential for a 39 y/o ? she has a pmh of active sjogrens syndrome s/p corneal ulcer with secondary raynauds, a h/o meningioma , hemangioma , arthritis, neuropathy , hypoglycemia and classic migraine with aura.Fam hx family history notable for Parkinson s and cancer of multiple sites. I will also send current symptoms and objective findings. Doctor: Hi there, I don't think there is any syndrome like this which can unite Sjogren's with meningioma, neuropathy etc. Can I ask the particular intent of this question and kindly send the objective findings and symptoms etc to make more definitive comments. Regards" }, { "from": "gpt", "value": "Target: Suffering from sjogrens syndrome, corneal ulcer, meningioma, hypoglycemia. Treatment?" } ]

[ { "from": "human", "value": "Source: Patient: Hi my husband had an ultrasound back in 2009 with results showing: Liver with changes likely due to diffuse fatty infiltration with no clear evidence of focal lesion . Also, Gallbladder with a non mobile focal lesion in the posterior wall of the body, likely due to a focal deposit of cholesterol or a true polyp , followup in 6 months is recommended. The lesion measured 0.7 echogenic. Fast forward to now 2012 Has not been feeling well, went to primary and they JUST mentioned this report...WE were told back in 2009 that report was negative. Only just found out because we asked for all his records. My question is: Should we be worried about this now that he is feeling awful. Can a polyp on gallbladder turn to cancer. What would be the the symptoms? Doctor: Hi, benign polyps are more common. but gall bladder polyp should be operated to get a tissue diagnosis. fatty infiltration to liver are common condition. liver enzymes to be mentioned. AST/ALT ratio 2 indicate alcoholic fatty liver disease. anyway treatment of fatty liver is to treat the etiology. consult your physician. take care." }, { "from": "gpt", "value": "Target: Liver with changes likely due to diffuse fatty infiltration, focal deposit of cholesterol. What is wrong?" } ]

[ { "from": "human", "value": "Source: Patient: hi i am samarpita kar. basicaly i was having a eregular period. after consulting with dr.suparna roy(gyn) ,she gave me some test. after doing those tests it was found that there is a cyst near the liver . she prescribed me tarana tablets and told me that it will clear the cyst. please let me know is it possible? regards, samarpita kar Doctor: Hi, Welcome to Healthcare magic. You have not provided on the details regarding what type of cyst is found near the liver. If you could send the scan report, may be i can give a better opinion. Tarana is for your irregular periods. It does not clear any liver cysts." }, { "from": "gpt", "value": "Target: Diagnosed of cyst near liver, irregular periods. Prescribed with Tarana tablets. Can this medicine cure the cyst?" } ]

[ { "from": "human", "value": "Source: Patient: Hi doc im a obese 19 year old male 275 lbs 5 ft 9 and lately my belly button has been stinking but today I had looked at my white tee shirt and there was blood around it and when I put a qtip in it to clean the blood from aroumd the outside more smelly bright pink leakage came out can you help me Doctor: Hi.This is called an umbilical granuloma. IT has the classical characters of stincking smell and discharge as you explained. Since it has got a stinking discharge this can be an umbilical sinus or a fistula, wherein there is connection between the umbilicus and wither the urachus meaning the urinary bladder or the intestines with Meckel's Diverticulitis. I would suggest you first to get a clinical examination done by a Surgeon and CT scan of the abdomen to confirm the diagnosis with associated problems as discussed. You will an exploratory surgery and to deal with the findings." }, { "from": "gpt", "value": "Target: What causes stinking smell and pink leakage in belly button?" } ]

[ { "from": "human", "value": "Source: Patient: Hello doctor.... Iam 21 year old male, i have some question please answer them. 1.sir , i daily have a handjob , does it effect on my future sexual with partner. 2. as i have read more on web on different websites , all says differents answer, my question is does daily handjob effect on my face or on my body, because i have pimples on face and i am weak in body. 3.does daily handjob effect on penis size, because i do handjob from about 2-3 years. 4.what are cause of pimples on face and solution on it ? please give answers as iam scared and worried... Doctor: Thanks for asking in healthcaremagic forum Masturbation done when excited under limits is not harmful and it cannot cause pimples as such and cannot affect your future sexual life (if done under limits). It is not a disease. All the best." }, { "from": "gpt", "value": "Target: What are the side effects of masturbation?" } ]

[ { "from": "human", "value": "Source: Patient: i m 33 years old i have got married 5 years ago i have probleum that i could not enter in my wife and i donot have any intercourse with her i always try but i always released my sperm out what should i do . i have concered doctors and conducted test all of them ok. kindly help me out Doctor: HiGREETINGS I can understand your concern. Have you tried dapoxetine anytime before intercourse? If not consult an andrologist or urologist and get a prescription for dapoxetine .If you have tried dapoxetine,need to consult a qualified sexologist and get sextherapy .Hope my answer helps you. Regards" }, { "from": "gpt", "value": "Target: Suggest treatment for premature ejaculation" } ]

[ { "from": "human", "value": "Source: Patient: My 3 grandson has very painful bowel movements & constipation (since he was 7 mos. old) that have caused his parents to take him to the emergency room where they could find nothing abnormal though all they did was take xrays. The docs just tell them it s normal, have him drink prune juice, etc to no avail. This sounds very serious to me as I ve seen the pain he goes through and have cried myself watching him. What should be our next step in helping this poor little guy? Doctor: Hi, Constipation is common in young children. It may be due to: (1) Inadequate/ improper toilet training in toddlers (2) Predominant milk based and no fiber diet (3) Stool withholding maneuvers due to fear of getting pain while passing hard stools (4) Some times hypothyroidism (low thyroid hormone levels) and rarely surgical conditions such has Hirschsprung's disease may also cause constipation. As the stools get stagnant in the bowel, they get harder and children can experience painful bowel movements due to excessive stretching of bowel wall. Sometimes these excessive stretching may cause blood in stools. I am sorry to hear that your grand son is suffering in pain. I would like to help him by giving some medicines to empty the bowel. First step is to remove the hard stools struck down in colon by giving an enema, followed by maintenance dose of laxatives to soften the stool. I would like to teach them about toilet training if not trained. Along with this, high fiber diet (green leafy vegetables) would help. I think the information provided will be useful and I am happy to reply to your queries. Hope your grandsons get well soon. Thank you. Regards, Dr. Nirubhan Bharathy, Pediatrician" }, { "from": "gpt", "value": "Target: What causes constipation and painful bowel movement in 3 year old?" } ]

[ { "from": "human", "value": "Source: Patient: My father had a stroke 4 months back. He is hypertensive is on medication now which includes antihypertensive drugs, atorvastatin, glycerol and asprin. He has recently developed lumps below the nipples in chest. They are painless ,Is it a side effect of any medicne or the result of walk and excersise he is doing during the rehabilitation. Doctor: Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns. Causes for lump below nipples in chest-Cause is related with Atovastatin with which breast glandular tissue develops in males and is known side effect.This lump is not related with exercises done for rehabilitation.So please consult ER Physician.This advise is based on the facts from the history you give and needs further clinical check.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N." }, { "from": "gpt", "value": "Target: What is the cause for lumps below the nipples in the chest?" } ]

[ { "from": "human", "value": "Source: Patient: Hello! I had some pain behind my belly button this morning that lasted a little over an hour. It was on and off for an hour and ranged from mild pain to sharp stabbing/pulling pain behind the belly button. I ve only experienced this once before, around 6 months ago, a few days after an early miscarriage . The pain then was also on and off but milder and lasted maybe 2 days. I took a pregnancy test again today and it was negative. I m at day 34 of my cycle so I am a few days late. My average cycle is 30 days. If I m not pregnant, what is the cause of the belly button pain? Pre- menstrual cramps feel different. I would appreciate your help. Thanks! Doctor: Hello Maris, Thanks for posting on HCM, Abdominal pain around your periods may be due to many causes. Taking pregnancy test in an early stage of pregnancy might come negative (UPT are not 100% effective) and so it is required that you visit your doctor so he can request for a serum beta HCG test and also for an ultrasound to determine the cause (and exclude pregnancy as cause). Other cause of abdominal pain might be pre-menstrual (and since you mentioned that yours feel different during this period, then that should be excluded), pelvic infection, threatened abortion etc. I suggest you get properly investigated for pregnancy before you repeat another miscarriage again. A preventable cause of miscarriage could be detected early enough. Hope this helps and wish you the best" }, { "from": "gpt", "value": "Target: On and off stabbing pain behind belly button. Pregnancy test negative. Cause for pain?" } ]

[ { "from": "human", "value": "Source: Patient: hi I have a pain in my left side around the kidney area not sure why I have this pain it came on suddenly?? it hurts when ever I cough or move that area. I did have a few alcoholic beverages last night but not much and I have not had a injury. my cough is not an issue im just getting over the flu but the pain in my kidney area is quite painful. Doctor: Hello Left side pain may be due to many reasons like renal calculus,liver or gall bladder pathology,musculoskeletal pain etc.You need proper clinical examination and few investigations.Investigations include routine hemogram,RBS,liver function test,urine RE/ME,ultrasound of abdomen.Ultrasound of abdomen is very important in you case,as it can exclude many conditions.Treatment depend upon findings.Get well soon. Take Care Dr.Indu Bhushan" }, { "from": "gpt", "value": "Target: What causes pain in the left side around the kidney area?" } ]

[ { "from": "human", "value": "Source: Patient: hello i am 34yr old and have a 15 yr child i have only been pregnant 1 time and have been tryn to become pregnant for the last 2rys my MD just gave me a rx of clomiphene 50mg that i just started as of 11/24/13 i do have 1 fibroid but its only the size of a very small marbel but what concerns my is that i have been on my cycel for over 20 days will this rx still work and will it help stop my cycel Doctor: Hi,Your age is more. Small fibroid will not affect . The tablet will help you in getting good follicle. Regards,Dr. Mahesh Koregol" }, { "from": "gpt", "value": "Target: Trying to conceive but have a small fibroid. Will taking clomiphene affect my cycle?" } ]

[ { "from": "human", "value": "Source: Patient: i have no tubes how can i get pregnant? and i dont have alot of money. Doctor: Without tubes, it is not possible to get pregnant naturally. It is like Driving a car in the sky. Where will the ovum travel if there are no tubes. But anyway there are artificial methods which you can always try." }, { "from": "gpt", "value": "Target: I have no tubes how can i get pregnant?" } ]

[ { "from": "human", "value": "Source: Patient: My grand mother is now 68 years. her teeth has fallen. She now has difficulty in eating anything. She usually swallows the food and she has difficulty in taking foods like chappathis. We went to a dentist and the doctor advised her for getting dentures. What are theses dentures? Doctor: Hi Dentures are a set of artificial teeth (upper and lower), which are removable ie: can and should be removed at night or during cleaning. They resemble gums and teeth and are made of acrylic material. Denture fabrication will take around 5-6 visits to the dentist. Wearing dentures will not only help your grand mother to chew properly but also improve her appearance which will make her feel good. Regards" }, { "from": "gpt", "value": "Target: What are dentures?" } ]

[ { "from": "human", "value": "Source: Patient: Hi I got my tooth removed on Saturday and my blood clot where I got my tooth removed turn white,grey and alittle brown after two days after I got my tooth removed . Is it bad that it is white and grey and brown ? And how does the whole healing process work this is my first time getting my tooth removed? Doctor: Thanks for your query, I have gone through your query.The healing process following extraction starts from the time soon after extraction. Following extraction, the blood will get clot in the socket, then it becomes hard to form a callus in weeks, later it calcifies to become a soft bone. This is how the socket heals. it takes around 15 days for the socket to close completely. The grey and brown colour of the clot formed at the site of extraction is normal. nothing to be panic.I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: What is the healing process after tooth extraction?" } ]

[ { "from": "human", "value": "Source: Patient: I just got my MRI results back and it says that T1 AND T2 weighted images of the brain demonstrate an abnormal diffuse appearance of the brain parenchyma. Incidentally noted are prominent perivascilar spaces....what does this mean? But it sayd Normal mri of the brain for my age....I m 33 Doctor: Hi, T1 and T2 weighted images are the sequences of MRI done in order to differentiate between grey and white matter of brain.Usually there will be demarcation seen between white matter and grey matter of brain parenchyma.Abnormal diffuse appearance can be early feature of cerebral edema.If you are not symtomatic (headache, vomiting, visual obscuration)you need not worry.This abnormal diffuse appearance can also be artefacts of MRI.Prominent perivascular spaces are spaces around blood vessel which is also normal in your case." }, { "from": "gpt", "value": "Target: What does T1 and T2 weighted image of brain demonstrating an abnormal diffuse pattern in MRI scan mean ?" } ]

[ { "from": "human", "value": "Source: Patient: My daughter has ADD, and currently takes Concerta 54 mg. She s 10 yrs. old and weighs around 94 lbs. She still struggles to pay attention at school according to her teacher. Her pediatrician recommended increasing her dose to 72 mg daily. I m wondering if a 72 mg of Concerta is a safe dose for her age and weight. Doctor: Hello. I just read through your question.Increasing the dose in a child who is not dully responding, is very common. Typically the dose will be increased and the response observed. If the desired response is achieved, everything is good. If not, the dose is decreased again.It is safe, and a very common method. You do not need to worry." }, { "from": "gpt", "value": "Target: Is increase in dosage of concerta medication to child advisable?" } ]

[ { "from": "human", "value": "Source: Patient: I take warfarin due to changed out mitral valve It has always been 13mg/day since 14 years ago when operated on. I have bruising side of my left breast with smallish lump that is little painfull. I had no impact, just played some golf. Mr Barry Any ideas ? Doctor: This could potentially be muscle strain with associated inflammation from overuse and or repetitive movement. Alternatively, Warfarin necrosis of the breast is a rare complication yielding similar symptoms (though not identical) however these symptoms usually present days after Warfarin beginning. A white lump sounds to me as if it could be cyst-like; Cysts being a very common manifestation of the female Breast in general as individuals age and or reach certain age checkpoints. I would have a physical exam performed by OBGYN and or Primary Care Physician, explaining to them your symptoms and how the lump has come and changed in size and or consistency. From there they can pin point to you the likely diagnosis. I will also say that slightly painful is more often than not a good sign, if you are worried about cancerous potentialities. Nonetheless a checkup would be best recommendation. Many cysts come and go according to dietary and or hormonal causes; so really getting to the bottom of your habits with a physician will further help reach a diagnosis." }, { "from": "gpt", "value": "Target: Reason for a small whitish painful lump on the left breast while on Warfarin for changed mitral valve ?" } ]

[ { "from": "human", "value": "Source: Patient: I am a 69 yr old woman. I have lupus and a stent in my heart; been on blood pressure medicine since I was in mid 20's. Last few days my heart rate has been mostly in mid 40's but has been 38. This does not seem to be changed even with activity. Should I be concerned Doctor: Dear Sir,I will advise you to see a cardiologist for this , this needs to be investigated .Dr. Shruti" }, { "from": "gpt", "value": "Target: Should I be concerned for the low heart beat, having stent in the heart and Lupus and taking medications for BP?" } ]

[ { "from": "human", "value": "Source: Patient: Hi ThereI have slight cramping and bloating in my stomach and I have reflux I burp a lot and can feel it pushing up to my throat and every time I yaw it feels like my vagus nerve is stimulated in my neck and make me nauseous in my throat or is this sensation due to my reflux pushing up when I yawn? I don't yawn often and I am not throwing up at all just get this sensation when I yawn sometimes worse and sometimes not bad at allI have been under a lot of pressure lately could this be the case why my stomach produce reflux?Kind Regards Doctor: Hello,Welcome to Healthcaremagic.Thanks for your query.I have gone through your query and understand your concern.I suspect you may have gastroesophageal reflex disease(GERD).It can be well treated with proton pump inhibitors like pantaprazole and life style and dietary changes.My advise is.1. Avoid coffee, peppermint and chocolate 2. quit smoking and alcohol.3. Eat healthy and non spicy food4. DO not eat junk and too much of fried foods.5. Exercise regularly6. Consider doing yoga and meditation.If the problem persists.Please do investigations for H.Pylori infection.Then consider endoscopy.Hope this helps.Please reply for further queries.Wishing you good health." }, { "from": "gpt", "value": "Target: Slight cramping and bloating in stomach, reflux, nausea, vagus nerve stimulation. What is it?" } ]

[ { "from": "human", "value": "Source: Patient: In week 3 of internal shingles (right side, around breast and back). Have had head pain in one spot on right side of the top of my head at the same time. Of concern over the last few days is a weakening of my voice...it kind of gives out toward the end of a short sentence. Related? Doctor: genrally not...this could just be due to post viral weakness..just havr plenty of fluids and good nutrition..if problem persists or worsens see physicianfor symptomatic relief from headache you could take paracetamol." }, { "from": "gpt", "value": "Target: Can shingles cause headaches and and weakening of voice?" } ]

[ { "from": "human", "value": "Source: Patient: I ve been going though the last couple of weeks being more conscious of my swallowing than previously. There will be times in the day when I feel like there s a lump in my throat and when I swallow it subsides for a while. I have no pain and there s no coughing or bleeding but there is a recurring feeling of being swollen around my Adam s apple periodically. It doesn t affect my singing as of yet and I can breathe normally but I ve never had this before for this long a time and I m just wondering what it is. Please let me know what you think. I would appreciate a professional opinion because I automatically start fearing the worst. Doctor: Hi.Thanks for your query. If you are a female patient the chances of this problem being globus pharyngeus are the most probable. But to prove this I would advise you the following:::-Laryngo-pharyngoscpy by an NET Surgeon to ascertain about the real presence of any pathologic lump / swelling.-MRI of the neck to see that there is any growth / mass or any other abnormality.If the above tests are normal, it is obvious that the stress and anxiety have taken a toll to give you these symptoms; you can swallow, sing well, there are no other symptoms , why to worry about cancer so much, there may not be any," }, { "from": "gpt", "value": "Target: What causes lump in the throat?" } ]

[ { "from": "human", "value": "Source: Patient: my son is suffering from microcephly and cerebral palacy.He is six and half years old. He can not walk, stand ,speak and hold things.Can he be treated? Hello Dr. my son is six and half years old. he is sufferinf from microcephly and cerebral palasy.he can not stand, walk, speak and hold things.Is there any treatment for him in any steam of medical science?Please answer my tis queston?Plz. Doctor: hi archana, im really sorry for your state. cerebral palsy is a disorder of development. Your son unfortunately has a small brain which is not adequately developed due to some event during birth or any cause which is unknown. Unfortunately there is no cure for it. However there is lot of scope for improvement with proper training for him. with regular exercises, he can be trained to do his daily activity in such a way so that his disability can be limited. you need to find out which hospital has a good scope for managing such children near your area & with proper guidance your child can improve to a great deal." }, { "from": "gpt", "value": "Target: My son is suffering from microcephaly. Is there any treatment for cerebral palsy ?" } ]

[ { "from": "human", "value": "Source: Patient: I feel itchy and get boils on my skin after it turns red.please tell me what are its side effects.i am taking this tab from last 1 year. please tell me its side effects as soon as possible Doctor: Welcome to Healthcare MagicAre you taking this Cetrizine tablet because of the itching. How many tablets do you take in a day and how many days a week. Please explain your problem as to why you are taking this. This medicine is known to cause sleepiness, drowsiness, urinary retention, dry mouth and throat, cough, constipation, allergic reactions which can include rash and difficulty breathing. It would be best to apply soothing lactocalamine lotion to relive the itch as well and avoid sun exposure. Eat plenty of fresh fruits and green leafy vegetables. Drink plenty of water. Consult a Dermatologist for proper diagnosis and management of this issue with proper solution." }, { "from": "gpt", "value": "Target: I feel itchy and get boils on my skin after it turns red" } ]

[ { "from": "human", "value": "Source: Patient: Hi, I recently found out I’m pregnant I took two pregnancy test both coming up positive and then took a digital one to tel me how far I am gone which said 3+ weeks. Very early days I know. But I’m experiencing a dark colour blood like discharge the past few days? I’m so worried is this normal Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Please go for proper checkup, as this condition is not normal. I hope this information has been helpful for you. Regards." }, { "from": "gpt", "value": "Target: What causes dark vaginal discharge during pregnancy?" } ]

[ { "from": "human", "value": "Source: Patient: My grand mother is a known case f htn nd hypercholesterl recenty she develop imbalance while walkng nd weakness. N her MRI report shows lacunar old bilateral frontoparietal infarct with changes of cerebral atrophy nd doctor also made a suspicion of parkinsonism and she is stared with tab. Pacitane. What should b done hence forth to avoid more complication. And what can happen at worst Doctor: I carefully read your query and I am sorry about your grandmother's health issues.The diagnosis of bilateral infarction would justify her symptoms. A lacunar infarction is small but since you say frontoparietal meaning involving two lobes I guess there must be multiple ones. Those infarctions have already happened now can't take them back but you can reduce the risk of further ones in the future by treating hypertension and high cholesterol you mentioned as well as with aspirin. The risk of her having a stroke will remain significant but by these measures we can lower it.As for the atrophy if severe it could be a sign of dementia, meaning a fall in her higher mental functions like memory, speech, judgement, complex tasks, planning and organizing, etc, if that is a case it is a progressive disease which could progress for years and render the patient unable to take care of herself and immobilized in bed. But I'm saying that just because you asked for worse case scenario. At the moment there is no diagnosis of dementia if there are no higher mental signs you have noticed, it's not defined by atrophy, atrophy is an aging process which can be found also in old people without dementia.There are many types of dementia, most frequent is Alzheimer's disease, but if there is Parkinsonian syndrome it can manifest dementia in advanced stages, as well as imbalance. Regarding the treatment pacitane is used to treat parkinsonian tremor, but you should be careful in old people as at times it cause psychic symptoms like hallucinations, agitation. I hope to have been of help." }, { "from": "gpt", "value": "Target: Suggest treatment for cerebral atrophy" } ]

[ { "from": "human", "value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...I am 55 year old and my Echoo +ve,TMT-moderality +ve.Dr. advice me for angio due to some problem I am anable to get it done. Dr. advice me to take Ecosprin 100mg, Imdur 30mg, Crestor 10mg, Xm Beta 50mg. you are requested to suggested me can it be cure by exercise, yoga or medicen or what I should do Doctor: Welcome and thank you for asking on HCM!I have gone through your question. Yoga , exercise and dietary changes(lifestyle changes) constitute only a part of the treatment . You definitely need to be on medicines (compliant). Angiogram will answer manyquestions like .. the presence of and severity of the coronary artery disease (blocks) and the treatment needed subsequently for optimal outcome. Undergoing an angiogram is not a bad idea (recommended)Hope to have been helpful!Wishing good health, Dr D Sunil Reddy" }, { "from": "gpt", "value": "Target: Can echo and TMT being positive be cured with lifestyle changes?" } ]

[ { "from": "human", "value": "Source: Patient: Experiencing sharp prick pains on left chest area below the nipple. Lasts only a second.Also feel a slighter prick pain on inside left arm above the elbow. Both pains occur a couple times a day. How serious is this? Reno Ouellette Doctor: Hai,ur pain can be dueto gastritis, pain of cervical spondylitis radiating to the arm and chest due to some common nerve supply, or cardiac problems, pleuritic pain .most pricking pains are due to gastritis, u can start with antacids and pantoprazole as a course. Pls go ahead with upper gastrointestinal endoscopy, ecg, chestxray,mri neck to rule out any compression. U can meet a physician andrule out the possible cases . Good luck." }, { "from": "gpt", "value": "Target: What causes sharp prick pains on left chest and inside left arm?" } ]

[ { "from": "human", "value": "Source: Patient: i recently found a small quarter size mass in my abdomin (lower left). It is some what sore to touch/rub. I have also had a year with some stomach / abdomen pain i.e. burning sensation. Also, some tiredness with cough. Am I over reacting or should I seek medical help? Age 38, male. thanks Doctor: Hi.Thanks for your query.The mass in the lower abdomen can be a hernia. Please check if it is reduced easily and pops up on coughing. Id it is so it is hernia and surgery is the only treatment for this. If it does not change the size or shape : it can be a mildly infected sebaceous cyst as it is sore to the touch as per your history. IT is still to be operated . You get 2 benefits. You get rid of the massAnd you get a proper diagnosis. So please go ahead and get operated before it leads to some complications" }, { "from": "gpt", "value": "Target: Does a quarter size mass in abdomen require medical attention?" } ]

[ { "from": "human", "value": "Source: Patient: Hi doctor I'm 34y, Height 5.3\" and the Weight is 63kg. I got pregnent 04 years ago. But it was a eggtopic. It was abotioned normally after 06 weeks. according to the hsg dye testing tubes are normal. acording to cromosom and kyrotyping report there is a problem with 22nd cromosom. and according to the my husband report there is a problem with 15th cromosom. there for I want to know can't I make a baby without geting doner eggs and doner spirm. Doctor: Hi, I think you can go for IVF with your own eggs and your husband sperms. Just do a peri implantation genetic diagnosis of the embryos. It will tell you regarding the genetic problem in embryo. If embryos are having abnormality, don't proceed with transfer. Then the only option is IVF with donor eggs and donor sperms. Hope I have answered your question. Regards Dr khushboo" }, { "from": "gpt", "value": "Target: What is the problem in getting pregnant?" } ]

[ { "from": "human", "value": "Source: Patient: i have a back pain in upper left back while breathing,first i got operated for appendix in 2012 and then there was a slight symptoms shown of tb in Citi-scan i was undergoing with treatment of tb till now, since 11 months but the pain is not yet gone;it gets worse when i do some exercise;what should be done Doctor: Hello,I had gone through the case and found that there is very common problem occur which is Pleural effusion (accumulation of water or pus in between the layer of lung).Due to which pain occur during cough and breathing.So do not worry, go for echo cardiogram or ultrasound of lung region.If fluid is much more then take treatment like tapping of fluid and go for investigation of fluid.This will be effective and useful treatment.Hope my answer will be effective treatment.Thanks" }, { "from": "gpt", "value": "Target: What causes upper left back pain while breathing when on TB treatment?" } ]

[ { "from": "human", "value": "Source: Patient: in my left armpit,when i raise my arm..just a little below it..not really around my breast...but a little near it,there's a toy pellet gun type of bullet type of lump.. earlier this week, i was having mild pulse like pain in my left breast,sometimes in the right breast.. this would last for 1-3 minutes..then again maybe 6-8 hours,again same pain.. this morning, i was having discomfort in my left armpit itself.. a mild pain.. i noticed this lump few years ago,but back then, i havent expererienced this discomfort..just earlier this week.. what could this be? please help.. thank you Doctor: HI,Dear, Thanks for the query from you for your painful bb size armit lumps in both the armpits for 1 wks time,which was existing for few yrs painlessly.1-I feel concerned that you are serious to know why the 2 armpit lumps are painful over last 1 wk or so?2-In my opinion this tender bilateral armpit lumps are the fibroadenosis and the pains since last 1 wk,is most probably a starting cyclical pain,which were not there for few yrs of these lumps.3-As such these armpit lumps are fibrocystic -mastodynia cancers as such,but need suprevision for suspicious cancerous developments in these lumps in few cases.4-I would advise you not to worry as its a cyclical change with the fibrocystic change and needs follow up and is a benign tumour as such-due to hormonal imbalance during the cyclical changes.5-Hope this would solve your worry of the bilateral armpit painful lumps.6-Wellcome to HCM for any more query." }, { "from": "gpt", "value": "Target: What could the painful lump causing discomfort be?" } ]

[ { "from": "human", "value": "Source: Patient: Hi. I sprained my ankle 10 days ago and it was put in a cast for 7 days. I have been using an ankle brace for the past 3 days, There was minimal bruising, i.e. only 3 really dark purple bruises and some discoloration on the sides of the ankle, but quite a bit of swelling. The swelling has gone down almost all of the way. I still have pain in the evening when I go to sleep. I am going on a 10 hour flight on Saturday and my question is, should I inject myself with Fragmin, or would taking an Aspirin and wearing compression socks be enough. As a side note, I bruised really badly when injecting the first 4 days, there was intense pain for about half an hour after each injection and there was a dark red circle around the injection site. The pharmacist suggested that I stop injecting and use aspirin. Doctor: dear friendi have not understood the need to use dalteparin that is fragmin and aspirin in a case os simple sprain ankle which has been adequately immobilized by a cast. Do you hav any co existing disease due to which this was indicated, in normal course the bruises resolve on their own in time it does not need any rigorous intervention.as regards to you need for travel is concern , if you are mobile and can walk, periodic walk down the aisle and keeping hydration should be adequate to prevent stasis induced DVT in long flights. all you need is to keep flexing your toes and contracting your calf muscles when seated for a long time.in case you do have clotting condition then use of aspirin is a good idea but still the former two ie fluids and walking still stay as use ful." }, { "from": "gpt", "value": "Target: Suggest treatment for ankle sprain" } ]

[ { "from": "human", "value": "Source: Patient: after a long day of using my hands today, my distal inter-phalangeal joint of the middle finger on both hands really hurts :( I have been soaking them in epsom salt bath for an hour or so, but now I am considering hitting them (gently with a low force blow) using a rawhide mallet Doctor: Hello, As a first line management, you can take analgesics like Aceclofenac or Tramadol for pain relief. If symptoms persist you can consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician" }, { "from": "gpt", "value": "Target: How can pain in the finger joints be treated?" } ]

[ { "from": "human", "value": "Source: Patient: Hello its probably nothing but im curious to find out why im having chest pain while walking, that started on sunday and this evening ive been having sharp pains when i take deep breaths its mainly on the right side. Ive no shortness of breath, should i just keep an eye on it for now? im 27 and theres no history of heart problems in my family. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This seems more in relation with muscular ache due to some sort of sprain or strain .* Guidelines for better recovery - Local application of analgesic spray or ointment 3 times a day after applying heating pad for 5 minutes . - Tab. ibuprofen ( 400 ) mg 3 times a day after meals preferably with antacids . - Deep breathing exercises , YOGA will support great .* Consult later doctor if required only .Hope this will help you for sure .Wishing you fine recovery .Welcome for any further guidance .Regards ." }, { "from": "gpt", "value": "Target: What causes chest pain while walking?" } ]

[ { "from": "human", "value": "Source: Patient: almost 3 years back my mom was diagnosed with cervical cancer. about a year after the first her cancer had grown over 3times bigger and spreaded in her overies, lungs and her neck. at the ending of september 2009 they told her she also has a brain tumer, and about 3 months ago its in her spinal cord and everywhere in her back. i am but 15 years old, shes been in the hospital for 4 weeks tomorow and the doctor tells us she wont make it thru the week, she's had more morphine to kill 3 people. i dont know how she does it. shes been sleeping for 3days strait now. hasnt opened her eyes, hasnt eaten or drank in 3 days. she has a catheder and her urine is very dark like red almost and within those 3 days she peed once and it was barley anything that came out. im scared and i dont know what to do. ive always had my mom around since i was little, i love her so much. But 3 days ago. she told my grandma \" mom i love you i love you so much. but im done fighting and ill do anything for god to take me now. mom please whatever you do dont let me suffer this anymore, please\" since then she hasnt woken up. the doctors even had to put her dose of morphine down cause they wanted to see if shed wake up but nothing. shes still sleeping, they came in and bathed her this morning rolled her around and everything she didnt even wake up from that nothing not eve a peep. her feet and hand are swollen and blue and cold. her breathing is weird. it goes from slow to fast. i dont like it! what do i do ? Doctor: good morning. Your mom is suffering from cervical cancer which has spread to many other areas of the body. Moreover she has a poor performance status because of cancer associated pain and weakness and thats why she is sleeping and tired and most of the times she is in bed. At such a stage of illness we dont give any chemotherapy to patient as patient will not tolerate the chemo. Chemo is given only to a fully mobile patient. The only treatment left is to give her symptomatic treatment for pain, sleep, fluids anti vomiting drugs, oxygen etc.Regards" }, { "from": "gpt", "value": "Target: Suggest treatment for cervical cancer" } ]

[ { "from": "human", "value": "Source: Patient: have a rash on both of my arms and lower part of my legs with a stinging needle sensation. i have gone to a derm. and was put on a steroid cream, which help with the fever and the swelling that was occurring. it actually went away for a couple of weeks and is now coming back. any suggestions? Doctor: Hi,You said you have rash on extremities with stinging sensation. Most probably the rash you desribed might be miliaria...as there is stinging sensation. There may be reddish microvesicular rash. Other possibility is prurigo...as the the lesions are relapsing. It is difficult to pinpoint exact diagnosis with this little history. You personally consult dermatologist.Blood tests may be done to rule out internal diseases. You might get relief after taking antihistaminics like desloratidine. Soothing lotion of calamine with alovera might improve the disease. If needed, steroid in tappering doses may be taken.You might feel better in few weeks. I hope you got my answer.Thanks.Dr. Ilyas Patel MD" }, { "from": "gpt", "value": "Target: Please suggest treatment for rashes on the arms and legs" } ]

[ { "from": "human", "value": "Source: Patient: I had pain on my spinal cord six months ago, consulted a doctor and went for physiotherapy and the pain is gone 90%, though I have pain on my foot palms. and a bit around my ankles, one surgeon says I need surgery to put back the dislocation, but I feel much better, not feeling fully recovered, keep going for physiotherapy, another doctor says never go for surgery, I am confused, I am 45 years old, a male, a shop assistant working hard 14 hours a day, I live in India Doctor: Dear friend, welcome to HCM ! It depends on your affection of lifestyle. Though i need to see all your reports to comment accurately, generally if physio has helped you greatly and life is easy, can avoid surgery. if despite physio, you feel trouble working, you can go for surgery. In suitable cases, nowadays , they (spine surgeons) are doing microscopic spine surgeries under local anaesthesia, where you walk out the same day. It is very much available in India. We have it. pl. post all reports using the site's uplaoding application on your right. Take care and please keep me informed of your progress. Good Luck ! I hope to have answered your query satisfactorily. May I request for your rating and review of this answer before you accept the answer and close the query (if there are no more follow up questions)? Thank you !" }, { "from": "gpt", "value": "Target: Done physiotherapy for spinal cord pain. Have ankle and sole pain. Should I get surgery done?" } ]

[ { "from": "human", "value": "Source: Patient: My mom, 81 yrs old, has been diagnosed with hyperthyroidism. Her thyroid is fine and she has no tumors. She now has a very dry mouth -doesn't appear to be producing saliva. My mom was very healthy and strong before this. Is the mouth thing related and what would be causing all of this? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your complain yes, dry mouth can be a symptom of Hyperthyroidism even when it is being treated, however it can be due to a number of other common causes like: -Severe dehydration, -Side effects of medications if you take any. -Salivary gland dysfunction. -Nerve damage supplying salivary glands. -Oral infections like thrush. -Sjogren's Syndrome, etc. -For dry mouth chew sugar-free chewing gums. -Drink plenty of water. -Avoid regular mouthwash and use specialized mouthwash that are formulated for dry mouth patients like Biotene. -You can also instil artificial saliva drops. -Suck tart candies as it also stimulates saliva flow. If does not improve consult her Physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes dry mouth while suffering from hyperthyroidism?" } ]

[ { "from": "human", "value": "Source: Patient: I m 18, and my wisdom tooth is coming in on the bottom left of my mouth. The pain has been okay but this morning they were extremely swollen and bleeding . My whole jaw is sore to talk or eat, is this something I should worry about? I also have an appointment sometime next week to go to the dentist to see when we could extract them. Doctor: Hello, I am Dr.Neha Gupta (dentist) and am glad to address to your query here. The most common cause of pain from impacted tooth is the inflammation in the soft tissue covering over the offending tooth(Pericoronitis), mostly caused by food impaction in the soft tissue space over the tooth and/or bite injury over the soft tissue covering the impacted tooth, by upper molar tooth. As your third molar has remote possibility to be erupted in the mouth(as cover by bone and no space to be be erupted) the symptom like pain may frequently appear. The Third molar has no function for mastication(chewing) or maintaining occlusion, so it is always better to extract the tooth when it starts causing problem. In an experienced surgeons hand your impacted tooth can easily be extracted without causing much problem. You may have a mild pain and facial swelling for couple of days after extraction( as some amount of bone is to be removed) and you can also join to your work in couple of days. Take care and please keep me informed of your progress at healthcaremagic through my profile directly. Regards" }, { "from": "gpt", "value": "Target: Wisdom tooth coming out. Jaws swollen, bleeding, sore. Should I be worried?" } ]

[ { "from": "human", "value": "Source: Patient: I have had flesh eating batc. For12 years I have had over 25 operations in this Time the bat. Keeps coming back I have had 4 different batik. At one time I have been on pick lines for 6months at atime blood loss transfusion. Had pick lines about 4 times in 12 years and I keep getting worse do you know anyone else who has delet with this thank you Gary Johnson Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Higher antibiotics needed. Get blood culture and pus culture done to find out the exact organism and to choose best antibiotics. Consult a general surgeon for expert opinion. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: How can flesh-eating bacterial infection be treated?" } ]

[ { "from": "human", "value": "Source: Patient: What could have caused me to all of a sudden feel like I was passing out, so dizzy, sick to my stomach, heart racing when the dentist was giving me numbing shots to numb my teeth. He had already given me several shots with no problem, then all of a sudden everything went wrong. 5 days later I still feel light headed. No pain from the tooth extraction. I have had extensive dental work with no problems. He said he gave me something different in the shot but I was to sick to ask any more questions. I did not go to the doctor because I was afraid they would tell me I had a panic attack. It wasn't a panic attack, something went wrong in that chair. I couldn't even drive home I was so sick. Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have mentioned in your query it can be due to Anxiety , or due to side effect of Anaesthesia also . Dont worry these symptoms last for few days after that you will be normal if it continues for week then consult your dental surgeon again and then go for any treatment . Take proper sleep of 8 hours . Do take proper nutritious healthy diet . Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health." }, { "from": "gpt", "value": "Target: Why am I feeling light headed after 5 days of tooth extraction?" } ]

[ { "from": "human", "value": "Source: Patient: I am a 63 white female using the Climara patch 0.075. I have used this for approximately 20 yrs after acomplete hysterectomy. Recenntly I was treated surgically for Clear Cell Renal Cell Cancer Grade one and noother signs of cancer. Now all the doctors want me to discontinue the patch, but I feel so much better on it.No foggy brain, no low libido, etc. What do you think? Continue or discontinue? Thank you for your time. Doctor: Hi, thanks for using health care magicClimera patch contains a form of estrogen.Your doctors may want to discontinue it because prolonged use is associated with increased risk of heart disease, stroke, breast cancer or a clot. It would be best, if suggested by your doctors, that you discontinue the medication to reduce the chance of complications. I hope this helps" }, { "from": "gpt", "value": "Target: Using Climara patch after a complete Hysterectomy. Treated for Renal clear cell cancer. Should Be discontinued from patch?" } ]

[ { "from": "human", "value": "Source: Patient: Discharge from my belly button and smelly belly button. What could this be? It doesn t hurt as of right now. Could this be something serious? Are they anything at home I could use? Doctor: Can someone please help me out with this I really need to know something.I'm freaking out badly." }, { "from": "gpt", "value": "Target: Odor smell from belly button" } ]

[ { "from": "human", "value": "Source: Patient: I have had a hoarse voice for a week and recently started coughing up a yellow thick mucus. I went to a clinic yesterday and they did a rapid streptest and said it was positive. I have been on penicillin and clarithromycin for about 32 hours now but still no improvement in my voice. Doctor: Dear Friend.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.This can occur due to severe Laryngitis.Best treatment for this is Steam Inhalation and Warm Saline Gargles.Do them.Also, if you have only the problem oh hoarseness of Voice, also get your Thyroid Function tests.Review with reports.This is my personal opinion based on details available here. If you still have any query you may please ask me.Stay Healthy. Dr Anshul Varshney , MD" }, { "from": "gpt", "value": "Target: Whats the best medication for hoarseness?" } ]

[ { "from": "human", "value": "Source: Patient: iam surenderrao from hyderbad pharmacy student in search of a best hospital in india for rectum cancer teatment . iwanto know whish is the best hospital in india (or) ayurveda in india treatment for rectum cancer my fatheris suffering from rectum cancer Doctor: Hi! Welcome to healthcaremagic.com.Its really heartening to know about your father's condition.I assume you have done all the tests to know stage,type.spread etc,, of the disease.There are many good cancer centres all over the country-starting with Basavatarakam hospital in hyderabad,Apollo jubilee hills,HCG cancer institute bangalore.All are equally good except for the cost factor involved .I suggest you can google the contacts from web and speak individually regarding costs,follow ups etc..All the best." }, { "from": "gpt", "value": "Target: Which hospital is best in India for rectum cancer treatment ?" } ]

[ { "from": "human", "value": "Source: Patient: my right leg got affected with hyparesthesia after I had to take a bedrest for about 6 weeks,after I had undergone a femur-neck surgery due to an accident on my room floor for a hill skid. What is the indian allopathic remedy for a cure? In fact I can't stand or walk through the right leg as I experience severe pain form the right waist to the foot. Doctor: thank you for posting your querythere are many pain killer medicines in allopathy, generic names are paracetamol, diclofenac, aceclofenac, tramadol etc. you can use one of these listing and according to severity of pain you can also use combination of these generic medicines such as diclofenac+paracetamol+serratiopeptidase, tramadol+paracetamol etc.. you should keep your doctor's prescription with you.i suggest you for homeopathic treatment if you trust in homeopathy.if you desire consult a homeopath doctor nearer to you.as you also described that you had femure-neck surgery, i suggest you for physiotherapy because physiotherapy is most important after surgery. start it when your complete bed rest is over and when doctor advise.i hope this answer will be helpful to you.for more help and query please don't hassitate to ask.get well soon dear friend.dr. manu khimani" }, { "from": "gpt", "value": "Target: Allopathic treatment to cure pain from waist to foot" } ]

[ { "from": "human", "value": "Source: Patient: Why is barium enema xray done ? is it painful ? is it done to find out any suspicious cancerous growth ? Doctor: Hi.. Barium enema is a investigation done to see if there is a problem in the lower Gastrointestinal tract.. The procedure is not painful.. You will be given a enema with a radio opaque material and then a X ray will be taken.. It is done to check if there is any structural problem  in the lower GI tract.  Bariun enema X Ray's can pick up cancereous growth, but the diagnosis can only be done by a colonoscopy or a biopsy...." }, { "from": "gpt", "value": "Target: Barium enema x ray" } ]

[ { "from": "human", "value": "Source: Patient: I have had about 7-8 pilondial cysts in the past 12 yrs. I had one come about 2 months ago. About 4 days ago i assume it became infected it grew and became extremly hard to walk as it always does. Usually i go to doc and get it lanced. This time it actually ruptured on its own. The pain has subsided but it is still fairly large. Do i still need to go to the doctor if it is draining on its own? Doctor: go n check by doctor so you dont develop fistula in future cz cyste often gets infected n pilonidal cyste might develop fistula in future so you must check for that" }, { "from": "gpt", "value": "Target: Does a draining pilonidal cyst need medical attention?" } ]

[ { "from": "human", "value": "Source: Patient: my son had cancer in his testicles, had one removed had chemo for 12 weeks, 6weeks in and 6weeks home, then had radiation.3months later of with the other testicle, same treatment, he has neuropathy in both legs had a toe removed, has no feeling in his legs or feet. had an mri/mra done dr said the nerves are bad but has done nothing. does to much radiation cause all the problems he has been in the hospital 3 times for tramping on nails and glass, because he has no feeling in his feet infections from all of these .can\"t get on disability. tired of not getting the right treatment . thank you sir, I know this is long Doctor: your son probably has neuropathy. His nerves must have got effected because of cancer medicines. Since testicular cancer is one which is curable, therapy for cancer cannot be compromised. Sorry that your son has bad adverse effects which usually doesnt happen so badly. Such severe neuropathy requiring amputation is rare. Medicines that can decrease neuropathic pain are available which will allay his pain" }, { "from": "gpt", "value": "Target: Cancer in testicles,neuropathy in both legs,toe removed,no feel in feet.Undergone MRI, bad nerves,chemotherapy done for 12 weeks.Any suggestions??" } ]

[ { "from": "human", "value": "Source: Patient: hi,I am single, I am male.I do a lot masturbation. I have more time headache ,I find Forgetting to learn and forgot name of some people,I have pain on back of my head,I feel Nausea.Amnesia,I from Afghanistan,there is no system for paying money for you what shod I do,I kindly request you to help me,thanks Doctor: HelloThanks for your query,You had been indulged in masturbation since many and now facing problems related to general healthFirst of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." }, { "from": "gpt", "value": "Target: Can masturbation cause nausea and amnesia?" } ]

[ { "from": "human", "value": "Source: Patient: I had a leathal dose of CO poisoning resulting in 3 hyperbaric chamber treaments. I had a 3 day hospital stay followed with 8 days in patient at a rehab hospital. The injury was diagnosed hypoxic brain injury. I have numbness in arms, hands, legs and feet. Doctors now would like to to conductive nerve survey. Is it needed.My email is YYYY@YYYY Thank you Doctor: Hello. Thanks for asking from HCM.I can understand your concern. It is good that after CO poisoning, your consciousness is intact. It means that your brain is almost spared. Your numbness can be due to nerve or spinal cord damage. To find out the cause, the doctor is advising you some investigations like nerve conduction study. Nerve conduction study helps in evaluating nerve damage. In case of nerve damage, conduction velocity decreases. Spinal cord damage can be found out by MRI of spine.At home, you can follow few tips like: Avoid touching excessive hot or cold objects if your extremities are numb, as they can cause damage to your skin.: Wear soft shoes and gloves to protect your skin. : You should eat food which are reach in vitamins and minerals like green vegetables, fruits, curd. It will help in healing of nerves.Thanks. Hope it will help you. Take care." }, { "from": "gpt", "value": "Target: Is nerve conduction study suggested during hypoxic brain injury?" } ]

[ { "from": "human", "value": "Source: Patient: my wife was diagnosed with h pylori. the doctor gave her antibiotics and the bloating in her abdomen went down. A few weeks later, she swole up again. He referred her to a gastrogist. This doctor did a colonoscopy and sent off a biopsy. The doctor's nurse called my wife back and said something about the h pylori was showing up, but it should have been gone. Tomorrow, the gastrologist is going to go through her mouth and get 3 biopsies to send off again. Does this necessarily mean that she has some kind of cancer? Doctor: Hi, dearI have gone through your question. I can understand your concern.Your wife has gastritis due to H. Pylori infection. It may be possible that still there is infection by h. pylori. It need a long course of antibiotics and long course of proton pump inhibitor like pentoprazole or rabeprazole. Doctor want to confirm the diagnosis that's why they are taking more biopsy. Biopsy does not means cancer all times. So don't worry about cancer. Just be relaxed. Go for biopsy and give me follow up with report.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: What does recurring H pylori infection suggest?" } ]

[ { "from": "human", "value": "Source: Patient: My.appendix was removed 20 years ago and now Ive been having a slight pain and burning sensation in that area I ate sunflower seeds and it made it worse and also when I drink beer it hurts also ive had ultrasounds and they found nothing but its getting worse Doctor: Hello and welcome to HCM .The human appendix is a vestigeal organ that is it is just an evolutionary remnant in the human body and so when inflamed and removed the body does not suffer from any repercussions generally .Twenty years is a long time time and had you had any post operative complications you would have felt them within 24 hours of the surgery .Since the ultrasound is inconclusive it is best for you to get an abdominal CT scan done to rule out any other organic change .If it is not associated with any other change in the stool you need not to worry .The red flag signs where you should rush to an emergency room are-pain associated with fever,abdominal rigidity , projectile vomiting ,visible peristalsis ,blood in stool and nausea .Possible causes can be ilaecocaecal valve pathology ,Irritable bowel syndrome etcHope this helps ,thanks ." }, { "from": "gpt", "value": "Target: What could cause slight pain with burning sensation in the area of removed appendix?" } ]

[ { "from": "human", "value": "Source: Patient: Well, over the past year or so I have experienced a series of strange sensations, including numbness and tingling , pins and needles, and a burning sensation on my legs and arms. I ve also experienced periods of weakness and vertigo . Late last fall, I began to have involuntary muscle spasms in my arms, legs and face. The spasms can last from 10 minutes or persist for hours. It s not painful but it is extremely irritating. I also have experienced a light tremor in my hands that sort of comes and goes and my fingers move by themselves at times. I also have trouble walking heel to toe (shaking uncontrollably) and my feet swell on a regular basis. I am wondering if all of these symptoms are related and if so what might the cause be. I have gone to a nuerologists and gotten a series of blood tests and an EMG , but I cannot afford the MRI so I have been considering putting any other tests on the back burner until I get the finances to cover the expenses. The nueroloist has not told me if he thinks what s going on is serious but he did say that at 27 years old the symptoms that I am currently experiencing are strange and may be an indication that something is wrong with my peripheral nervous system. Is this an issue that I should address immediately or can I afford to put it off until I get better health insurance? Doctor: Hi Nelson, Thanks for writing in. Your symptoms could simply be attributable to a thiamine (vitamin B1) deficiency or something more serious. The swelling in the feet makes it more likely that it is thiamine deficiency. I would suggest that you start taking a multi vitamin supplement like tablet Centrum to help. This needs to be taken once a day. Also, have plenty of fruits and vegetables. Also, stop using alcohol and have a healthy and balanced diet. If your symptoms don't improve within 2-3 weeks, we would need to look at other causes. You can try this and comfortably push things to a date when you are in a more comfortable position. Hope this helps." }, { "from": "gpt", "value": "Target: Numbness, tingling, burning in limbs, weakness, vertigo, muscle spasm, tremor" } ]

[ { "from": "human", "value": "Source: Patient: Beneath my lower left jaw on my neck, I sometimes have this pain that i can only describe as what feels like bones moving within my neck which causes a strain in talking and movement. It goes away after a couple of minutes and it usually lasts up to 2 minutes each time. Could you explain what it is so I can prevent this pain from ever occurring again? Doctor: Hi,Thanks for posting the query, I would suggest you to get the jaw examined by an Oral Surgeon and see what the probem, this could be due to neurological problem, infection, leion in the bona, also get an OPG radiograph done, for pain relief take tab Ibugesic plus..Take care!" }, { "from": "gpt", "value": "Target: What causes pain in the lower left jaw?" } ]

[ { "from": "human", "value": "Source: Patient: (1)Is there any way to treat hairfall....I mean i am lossing a lot of hair from the top of head,even when i shampoo my hair once in 3 days..My hair is oily, age is 19, male.....(2)Also Can i use shampoo daily??...Even when i apply shampoo to my head, i get hair on my hands...(3)Also is there a way to regrow hair using oil or something like that... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Loss of up to 100 hairs per day is normal. Anything above that is abnormal and in such cases the cause of hair loss should be identified and treated.You can apply shampoo regularly and it does not cause your hair loss. As I told, few hairs coming in hand while shampooing is completely normal and it is a part of hair cycle.For regrow hair, you can apply Hair serum daily.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Siva Subramanian." }, { "from": "gpt", "value": "Target: How can hair loss be treated?" } ]

[ { "from": "human", "value": "Source: Patient: ive been taking vyvanse for add and have been on it for almost a year now. i want to stop because i dont like the way it makes me feel anymore and feeling like i need it to make it through the day. are there any suggestions for a good way to come off vyvanse that will lessen withdrawl symptoms? Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are experiencing difficulties due to your ADD medication and would like to stop them. However, you have not mentioned the dose of Vyvanse that you have been prescribed. So, it is not possible for me to suggest a tapering schedule.Moreover, it is not a good idea to stop medication on your own without informing your doctor. So, I would suggest that you let your doctor know about your problems so that he can advise you on the further course of action.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist" }, { "from": "gpt", "value": "Target: How to wean off ADD medicine, Vyvanse, with minimal withdrawal symptoms?" } ]

[ { "from": "human", "value": "Source: Patient: I have had a sore leg for 2 weeks, Thursday I woke up and have a black & blue bruise on my knee cap, it does not hurt, just the leg does, this morning I woke up with a big black & blue bruise behind my knee going up my leg, the leg is still sore and the pain is going into my butt. What could this be? Doctor: Hello,I have studied your case and I think that you might have knee synovitis. It can be due to sudden twisting of knee joint. I would suggest you to apply compression bandage and Ice application. There is also role of rest. You need to avoid squatting and sitting cross leg for long hours. You can take tablet Brufen for pain relief. Thanks" }, { "from": "gpt", "value": "Target: What causes sore leg and bruise on knee cap?" } ]

[ { "from": "human", "value": "Source: Patient: hi my father has a stomach cancer stage 2 but i did allow him to take the chemo therapy but he feels better now , and he's not taking any medicine but some times he's having a hard time swallowing is this connected to his condition? actually doctor said he's food appetite should be back in two months after the major operation and he's is very good in eating lots of appetite even without vitamis Doctor: Hi, dearI have gone through your question. I can understand your concern.Difficulties in swallowing is not directly related to stomach cancer. It may be due to loss of apetite or due to some oesophageal problems. He should go for endoscopy to search the cause. Then he should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health." }, { "from": "gpt", "value": "Target: Is difficulty in swallowing related to stomach cancer?" } ]

[ { "from": "human", "value": "Source: Patient: I have a child that has broken out in small bumps in between her collar bone area and on her sides a little. Its a very light rash and they itch. At work another woman said her son had the same rash in the same areas. Is this a coincidence or something to be concerned with? Doctor: Hi! this is not co-incidental and possibly related! As per my experience, I have seen some community infections that often infect children...In fact, some infections are contagious or community-based and in such cases of itchy skin rashes, I must consider some possibilities like:1. fungal infection like ring worm2. viral exanthem3. parasitic or worm infestations4. co-incidental skin infections, bites, folliculitis etc..Therefore please se a dermatologist for a close and detailed examination and opinion regarding treatment if needed...regards!" }, { "from": "gpt", "value": "Target: Suggest bumps in collar bone" } ]

[ { "from": "human", "value": "Source: Patient: My 7 year old daughter has had low appetite all day and has just started having a sudden onset of pain on her upper right abdomen, under her rib , in her gallbladder area. I am just concerned as mostly everyone in my family had had to have theirs removed, so im unsire if I need to take her into the emergency room or not. Doctor: Hi, I do not think it is an emergency but if she develops bilious vomiting or abdominal distension, high-grade fever with chills and rigors then it is an emergency. 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 could be the cause for sudden loss of appetite and lower abdominal pain in a child?" } ]

[ { "from": "human", "value": "Source: Patient: On 11th day my RT Ovary is 1.5X1.4, LT Ovary is MSF, EM Thickness is Mild tripleline. On 13th day my RT Ovary is 2X2, LT Ovary is MSF, EM Thicknes is Tripleline 7.2mm. Dr gave HCG 10,000 iu. on the same day. Still takeing F-gam. Hormone test was done on 2nd day and its all normal. On 15th day RT Ovary collapsing, LT Ovary MSF, EM Thickness is Tripleline 8.8mm. Dr asked me to take Sugest 200mg for 15days from day 16th. And to continue with F-gam. Does Sugest 200mg help in pregnancy?. Doctor: Hi, Welcome to HCM. Yes the doctor is giving you the right treatment. Since ovulation has occurred on 14th or 15th day of your menstrual cycle, every thing appears to be fine. You have I presume had sexual intercourse on those days. Now follow the advise and instruction of your consulting doctor and hope for the best. Wishing you all the best." }, { "from": "gpt", "value": "Target: Rupture in follicular study, what does it mean ?" } ]

[ { "from": "human", "value": "Source: Patient: My three year old is complaining of headache in the front and back of head, his neck hurts and his ear hurts just behind the ear. He is running a slight fever and his face is flushed. Should I be concerned and have him checked at the clinic for menigitis? Doctor: Dear friend,after thoughtfully reading the case history of your child I wold say he is suffering from some infection which is causing him pain in head and neck region.neck pain in this age group always points to the meningitis.so i would say give the baby some antipyretic for his fever.and then go for a thorough check-up and blood investigation for meningitis under a bedside guidance of any paediatrician.my best wishes for your little one.thank you." }, { "from": "gpt", "value": "Target: What causes headache in a child?" } ]