conversations
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[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 23 year old male in good health. Recently i noticed when I lift up one of my arms and feel around my collar bone near where my trap would be their seems to be an elongated lump on both sides. It doesn't feel like any lymph nodes I have felt in the past because they are both long and pretty skinny. I cannot feel either lump if my arms are hanging down, only when they are elevated even with or higher than my shoulder. I was just wondering what this may be. Thanks. Doctor: Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-you may be suffering from -anxiety and obsession for the armpit lumps.-From the facts given from your query,I feel your armpit is normal and healthy-as claimed from you.-Still to remove the worry-I would advise you to consult your doctor who would clinically check up the probabilities of the lumps you suspect.Hope this would help you to discuss with your doctor on your visit.Wellcome to HCM again for any more queries.Have a Good day."
},
{
"from": "gpt",
"value": "Target: What could a lump in armpit mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I have a sharp pain that comes in waves just below my ribcage that seems to be exasperated when lying on my back. I have crohns disease but am presently in remission. I take humira injections every fortnight. I also take slow K for low potassium levels. I also have been experiencing muscle spasms and tingling in my hands and mouth.I am 32 years, 51kg and 5ft 8 .Thank you for your help. Doctor: here the pain what you are experiencing could be side effect of humera injection which you are taking. I suggest visit your doctor for further guidelines.also check weather this pain was started before taking injection or after starting the treatment with humera injection. you have also explain here about the pain and tingling sensation in your hands it can be also related to cervical spine and disc. if there is a pain radiating from your neck to hand level then there might be a possibility you have a issue with your cervical spine or disc level.to have more clarity for your cervical pain i suggest to visit orthopaedic doctor or a physiotherapist and they will be able to diagnose your issue with different physical test they may ask you to go for some more test like every or blood test i suggest to do needful.at home i suggest to use hot pack on your painful area like lower rib as well as cervical spine to have shoothing and relaxing effect on your soft tissues which will also help you to have some more pain relief.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for sharp pain below rib cage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HELLO, MY PROBLEM IS TOE TINGLING, SOMETIMES BURNING AND/OR PAIN, NUMBNESS, ICEY FEELINGS, FEELS AS IF PINS AND NEEDLES SETS IN BUT NEVER ALL AT THE SAME TIME. I ALSO HAVE SOME NUMBING IN THE TIPS OF A COUPLE OF FINGERS RIGHT HAND. OH YES, THE BIG TOE S BIG JOINT ON EACH FOOT,HAS BEEN GIVING ME SOME PAIN. AM I GOING CRAZY? 72,5 9 175lbs, PACEMAKER Doctor: Hi, Please get your thyroid profile, vitamin B12, blood sugar and vitamin D checked and uric acid checked, as these are the most common causes. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes tingling and numbness in toe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having pain across my chest. It comes and gies, longest maybe a minute or so. I have also had a lot of flatulance over the last couple of days. No pain in my jaw or left arm. I am a 52 yr old woman, on meds for cholesterol, blood pressure and statin. All symptoms under control. I am at rest when this happens. Doctor: Thanks for your question on HCM.In my opinion you should be first investigated for cardiac cause. The risk factors for these in your case are1. Age more than 502. High cholesterole3. Known case of diabetesand hypertension. So please get done ECG and 2D ECHO to rule out cardiac causes.If these are normal than it must be GERD (Gastro Esophageal Reflux Disease).Try to follow these for better control of GERD.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Avoid large meals.4. Start proton pump inhibitor.5. Go for walk after meals."
},
{
"from": "gpt",
"value": "Target: What are the episodes of pain in chest along with gas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello.I was wondering if I could mix NyQuil and coffee.I need to stay up late,so I drank a cup of coffee, but I need to make sure I can still get some sleep, so I d like to take some NyQuil to, hopefully,induce sleep.Is that a dangerous combo?If it s safe, would it even work? Doctor: Hi, Nyquil which consists of acetaminophen, dextromethorphan, and doxylamine) is commonly used to treat headaches, fever, cough, runny nose, sneezing, and sore throat caused by allergies, the common cold, or the flu. There is no documented harmful interactions between Nyquil and Coffee. However, because of safety concerns, it is not advisable to take Nyquil just for the sake of getting 'some sleep'. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can Nyquil and coffee be taken together?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, I have a question, I have been working with a company for 5years they have two locations when i work at one of the locations I get these symptoms, Headache, flu like symptoms allergy, iif left over a period of time i would cough blood up or blow through my nose with the flu like symptoms, i have a sinus problem, i went to my doctor and the symptoms were linked to me being allergic to mold, however the health deprtment has not come to check it, i also developed kidney stones while working there does mold exposre cause kidney stones and what can mold exposure do to my health Doctor: hiwecome to HCMi can understand your concernaccording to your history you are allergic to mold,hence you are suffering from flu like symptoms, because of hypersensitive reaction of your lungs towards the moldAdviceAvoid direct exposure to molduse face masksyou can use Tab Citrezine for dry coughFor SInusitis meet your local ENT speacialist.Exposure to mold is not connected with kidney stonesthank you take care"
},
{
"from": "gpt",
"value": "Target: Could mold exposure cause headache,flu,sinus,coughing up blood,allergy and kidney stones"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing abdominal pain in the middle of the abdomen for about 3 weeks now on and off, it worsens when I eat certain foods, lessens when I eat saltine crackers. Its a burning sharp pain followed by chills throughout my body with severe headaches as well. It comes on goes and I never know when I will feel it again. My lower back pain is also associated in this. The episodes will last somewhere between 10 minutes to hours. Can you tell me what's going on? Doctor: Hello,thanks for using health care magicIt would appear you are suffering from a peptic ulcer disease. Peptic ulcer disease generally is caused by a bacterium called H. pylori which causes inflammation of the gastric mucosa resulting in peptic ulcer diseases. Certain food particularly worsens peptic ulcer symptoms. The pain produced radiates posteriorly to the back with a typical burning and crampy pains that might be associated with headaches and dizziness given you the characteristic picture of what you are experiencing.Peptic ulcer disease is usually treated by -first of all eradicating the bacteria by combination of drugs ( dependent on the prescribing doctor), -use of antacids ( aluminum hydroxide tablets etc),- avoiding food that provoke pain, pepper and spicy foods-regular eating, -avoiding alcohol and drugs such as ibuprofen, aspirin etc.However, you should consider seeing your local doctor for detail examination and investigations.Hope this helps you.Best regardsDr AchuoHowever, you need to see a doctor for detail examination"
},
{
"from": "gpt",
"value": "Target: Abdominal pain, burning sensation and sharp pain, severe headaches, chills. What is it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm 40 and have had Slight discomfort on left side of my chest, kind of a little pressure, actually felt like i may even stop breathing just for a couple seconds then everything went back to normal but i was so tired and no energy after this episode....What could this have been...actually twice this has happened over last few weeks Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out heart related diseases because left sided chest discomfort is commonly seen with heart diseases. So get done ecg and 2d echo. If both these are normal then no need to worry for heart diseases. Sometimes, stress and anxiety can also cause similar kind of chest pressure and left sided chest pain. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes slight discomfort on the left side of the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i found a dent in the top of my skull about 2 inches long about about an half an inch wide. its located just to the left and forward from the healed dent of my soft spot. it doesnt really hurt, but i have noticed i just havent been feeling quite right. Ive experienced head aches/migraines in the past, but been doing pretty good with them as of late. Doctor: Hi,Thank you for posting your query.As of now, based on your description, there is no need to worry and you would be fine. If your headaches persist, you may get a CT scan of the head done.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected]"
},
{
"from": "gpt",
"value": "Target: Dent on skull, healed and soft spot, painful, headaches, migraines. Will I be okay?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell at high speeds on skates. I was coming in quickly for a knee stop and misjudged my landing. I fell directly on the wheels of my skate in my crotch. There was major bruising, but then when that went away, I am still having pain in my pubic bone. This happened 2 weeks ago. Doctor: Hello, As I see this could be deep bony hurt and will take some time to heal. For a safety case its always good to take an x-ray and avoid any worries. As x-ray can give a clear picture and clear our doubts completely. For now. you can do hot water fermentation and allow some rest to happen. If x-ray revealed no hair lime fracture then rest assured you should be fine over 2-3 weeks of time altogether. In my clinical practice of 12 years, most cases give post injury complains and this is most common. But we do rule out with x-ray as we don't want to take a chance of the fracture. Once x-ray is cleared with conservative management things go fine. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes pain in the pubic bone after an injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my son turns 4 this december, since i had him in dec 2007, over the years i have observed that he leaves his mouth wide open, either while watching tv, just walking around, fixing something or with his playmates, i have screamed, bullied, cajoled smacked this mouth thinkingit will stop. but no, he still leaves his mouth open, all his pictures from his 1st birthday till date, have him leaving his mouth open.. when he does try to close his mouth, you can see that it with great effort. Please doctor, i am worried. people are begining to talk and his friends laugh at him all the time, telling him a mouse is gonna crawl into his mouth when he is asleep. please advise, me what can i do to help him and what could have caused this? Doctor: Hi,It seems that he might be having some problem in his nose producing difficulty in breathing.There can be some obstruction in air way like Adenoids, Daviated nasal septum or nasal polyp causing obstruction in breathing forcing him to take breath through mouth.Consult ENT surgeon and get examined.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes a child to leave his mouth open all the time?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with the flu and bronchitis 5 days ago. I was put on Tamiflu and Z-Pak and was told that I would be better by today. Today, I am still very sick. I'm so tired, nauseated, severe headache and horrible cough that keeps me up most the night. I'm on my 4th day of meds out of 5 days and I just wanted to know if this is normal and how much longer should it be before I feel myself again. I have two small kids and have been in the bed for 7 days now and have to get better soon! Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. You are not improving because you are not taking correct treatment for bronchitis. Best treatment for bronchitis is inhaled treatment. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Usual recovery time is 1-2 weeks.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: How long does flu and bronchitis take to get to normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: about a week ago while i was at the ATM a bicyclists \"crashed\" into me and i hit the bottom edge of the machine at the groin area (just above my penis). the area hurt for a few days (when i would touch it or stretch my legs) although i couldn't see any bruising, then yesterday i noticed that if i pressed a bit harder against it, i could feel a lump of sorts in the middle of the groin area (about a centimetre) above my penis. it's (almost) perfectly round, hard and doesn't seem to move, in a way it feels like it's the pubic bone itself. now i'm not quite sure what it could be, is it there because of the accident or is it a normal feature of the pubic bone and i just never noticed it before.. or perhaps it is something else?any help would be much appreciated. Doctor: HelloThanks for query .Appearance of a lump over pubic area after having injury is most likely due to soft tissue injury (Cellulitis).Consult qualified General Surgeon for clinical examination and to confirm the diagnosis .Taking antibiotics like Cefixime ans anti inflammatory medication like Diclofenac twice daily for a week will help to resolve the cellulitis .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes a lump in the groin area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am experiencing premature ventricular contractions on a daily basis all of a sudden. No one can tell me why. Sometimes they are as frequent as every two to three heartbeats, it makes me cough and I feel terrible. My doctor keeps saying there is nothing to worry about. But I am wondering why they have suddenly started. Doctor: hello,u neeed to know about the contractions its called abnormal as there is disruption in the electricul impluse ...which makes the heart to skip a bit..1.if you heart is functioning completely normal which is basically releved by the test like ecg,coloured doppler of heart,and tmt..if these test are normal then no need to worry 2.some habits like excess use of caffaine ,tobacco ,and eccess stress level ,anxiety, heavy excercises this will cause the heart to skip the bit.. if you keep these pronlems in control.. den u will be fine"
},
{
"from": "gpt",
"value": "Target: What causes premature ventricular contractions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started sulfamethoxazole 800 -160 tabs Sunday evening for a infection on my leg. Prescribed by a Dr in a medical clinic. He also told me if the infection starts to spread I should go to the emergency room for a antibiotic drip. I don t see much improvement today. There is a few more spots off the main infection. Should I wait for this antibiotic or seek help again. Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that you should think of culture and sensitivity from the infected leg. Take treatment according to report. Till that time continue with the drugs prescribed by the doctor.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: Suggest remedy for infection in leg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have suffered from bartholin since a child and this year have had it drained, it returned again and popped on its own, later returned the next month and I had a word catheter inserted, one month later the lump is beginning to come back again. What should I do, it is very distressing? Doctor: Hello,The Bartholin cyst is known to reappear anytime even after drainage. In our clinic, we recommend wide excision under general anesthesia to reduce the chances of reappearance.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 recurrent Bartholin cyst be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For my high blood pressure, I am taking medicines for the last 15 years; I'm 66 year old. About a few months' back I changed the medicine for this from '5 mg Lisinopril daily morning' (being used for about 10 years; for fear of that being the probable cause for reduction in libido and erectile disfunction suffered during this period) to 'Telsar 40 (mg)' every night. Yesterday night I missed taking this tablet, yet today morning when I got my blood pressure checked it was found tobe 120/90. Can I somehow think of doing away taking medicine and how I can improve my libido and penile erection? Doctor: Hi, At your age it is not unusual to find a reduction in libido and strength of erection and it is not likely to be only due to BP medication.You can try getting your Serum (Total) Testosterone levels estimated at around 8 am in the morning, and if that is on the lower side, supplementation with Injection or Transdermal testosterone could boost your libido, and if your erections are still not good enough, you can try tablets like Cialis which should be helpful in majority of patients."
},
{
"from": "gpt",
"value": "Target: Suggest methods to increase libido & penile erection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: today i was sitting down and swinging my leg and a sharp pain went through my right side of my lower stomach. i leaned to the left then right the foward and back and the sharp pain did it every time.when i stood up and there was a tightness in my right side of my back.the pain hurt for about five minutes but my back still hurts. what is it Doctor: Dear-thanks for using our system and I understand your concern . Back pain is a very common complaint and it limits our movement and capacity to perform our daily activities. Your pain most likely is secondary to a muscle spasm because it came with any trauma. It looks that you have a pinch nerve with is giving the radiation to the pain to the right side, this is what commonly gives a sciatic nerve neuralgia, because the sciatic nerve has roots that go to the legs and this can give your symptoms. When you stood up, the nerve became trapped and that is why you had the tightness of the right side and the pain. You can use cold alternating with hot 15 min a day 3 times a day for one week and analgesics.I hope that my advise will be helpful.Dr.Sara"
},
{
"from": "gpt",
"value": "Target: What causes tightness in the back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: am on coumadin long term with inr of 2.5 i now have red spots under the skin down the front of both legs. if inr is 2.5 can my blood still be too thin. I am 77 years of age with a genetic heart disease. I am 5.5 and weigh 239 lbs. I have had av node ablated and am dependent on pacemakers and a defibulator. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Yes, coumadin can cause it.2. Due to increased bleeding tendency secondary to anticoagulation therapy, mild subcutaneous bleeding can present with large red spots.3. Improved intake of protein and vit c to stabilize blood vessels will be helpful. Good hydration and moisturizer will be helpful.4. Do not reduce or stop coumadin. Its necessary for you. Improved nutritional supplements will reduce further red spot formation.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: Can Coumadin cause red spots on the legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am Kunal from India. My Phimosis operation has done last friday. evrythng is ok but my penis top is hyper sensitive and i cant even touch it. Can you please tell me how can the sensitivity of my dick can be reduced as i am unable to wear pents and jeans due to its sensitivity. Doctor: Hi, .Within a weeks time after surgery the sensitivity will get reduced. As you had the surgery recently sexual relationship is usually advised after 3 weeks, by which the sensitivity will get settled to an extent. If it is extremely difficult for you to wear pants, you can have the dressing covering the glans penis for some more days. It will help you to avoid the friction of the skin of your penis. After sometime you can apply some local anesthetic creams on the advice of your surgeon. With these measures you can reduce the sensitivity.Wish you speedy recovery. Dr S.Murugan"
},
{
"from": "gpt",
"value": "Target: How to reduce the sensitivity in penis after Phimosis operation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son has had several lumps appear on his head. We just had an ultrasound and e-rays done yesterday and they have told us they are something like hives under the skin and we are going to see an allergist next week. Do you have any information on something like this you can give me? Doctor: Hi.Thanks for your query and an elucidate history.Head is a rare site to develop hives , yet still know in a few patients. This can be a seborrhoeic dermatitis / can be multiple furunculosis/ .If the response to antihistamine and oral steroid is dramatic , then only one can say that these are hives. So try this too."
},
{
"from": "gpt",
"value": "Target: What causes several lumps on head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: is aerocort inhaler safe for short while or can it be used for long time. what are its ill effectsI am 40 years old and have an history of cold and cough for the past 15 years.I am having breathing problem now and am allergic to food items like milk, rice, curd Doctor: Hi, thanks for using healthcare magicAerocort is meant for use in the prevention of asthma. It is not used for the cough and cold but in asthmatics to prevent recurrent asthmatic attacks.If you are an asthmatic, then you can use it long term. The benefits of preventing recurrent attacks are greater than any associated risks.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Is it safe to take aerocort inhaler for long run?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son, who is nine months old and has had auto-immune thrombocytopenia (low platelets) since birth, fell three days ago by pushing his toy box around and hitting his mouth on the corner of it. He injured his top lip on the inside. The bleeding lasted about 7 minutes and then we got it to stop. Now he has something like a blood clot on the inside of his top lip where that thing is that connects your gums to your lip. He sucks on his hands to self soothe, and doing that makes it bleed a tiny bit. He doesn t have a fever and the clot doesn t seem to hurt him. He just gets irritable if I try to look at it. What should I do to make sure it heals correctly? Doctor: Thanks for your query, I have gone through your query.The lip injury might have resulted in the formation of the hematoma. This can happen secondary to thrombocytopenia. Nothing to be panic, you can apply cold over the hematoma(ice cubes). Do not disturb the area by touching it or moving it. It subsides in a week time. If it is not subsiding then consult a oral physician and get it evaluated.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lip injury in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 25 year old female.During infertility treatment i was diagnosed with Latent tuberculosis(Genital).I have started medicine for TB course following DOTS program,I have finished 6 months and now I wanted to conceive.Now if I conceive does the tuberculin bacillus effect my baby if tubercle j bacillus is present?How can I know that bacteria present or dead? For how many months should I take TB medicine. Doctor: u have to complete the treatment course and reassessment has to be done by the gynacologist. pathology of the uterine endometrium has to be studied, if it is normal then it is fine to conceive"
},
{
"from": "gpt",
"value": "Target: How long after going through treatment for latent tuberculosis-genital can one conceive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a friend who is in her early 40's and complains how, for the past 15 years (after her last kid), she doesnt want to be physically involved in any way, shape or form, with her husband of 30 years. its causing a real strain on their marriage. she is a VERY stressful person. she is never not stressed. this can be treated medically correct? Doctor: Hello,From your qurey it looks like the real problem of your friend is psychological., i.e.,she is either depresseed or anxious person. You also mentioned that she is almost always stressful- such people cant enjoy even if they want to. Its not that they delibrately avoid sexual pleasure or any other relaxation but : they just cant getit...You will help her a lot by conviencing her to see a psychiatrist. Go alon with her to give detail of the problem as she might hesitate in first visit.yes, with proper medicines and other measures she will definitely improve.It is a common problem with people with long standing depression or anxiety ( espically in females as they tend to shy away from this topic).Good luck! Dr. Manisha GopalMD Neuropsychiatry"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for stress and lack of interest in sex"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i jammed my foot into a stool and cut between my toes. It is quite deep. I can wiggle my toe but any movement or pressure is excruciating. I'm almost immobile. I've taped my toes together, but can't walk as I'm not strong enough to hop on one foot for a distance. I crawled to bed tonight and every time I moved that leg a certain way, it caused so much pain in my cut. Doctor: Hai.this is acute traumatic pain.pPlease go for a tt injection, a dose cf antibiotics, with painkillers, keep ur limb elevated for about 30 degrees. For pain pls take tab ultrcet (tramadol+paracetamol) or plain tramadol tablet twice daily to reduce the pain.If there is mo open wound u can go for acold compression. Take care.good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment to reduce pain sustained from a cut between toes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had tendonitis before and gotten 2 rounds of steroids in my wrists, which helped for over a year. Now I have grabbing pains and tingling in both arms and swelling in my hands that can last an hour. The pain happens when I sleep and wakes me up because it is so bad. The numbness and tingling happen any time throughout the day. Is this also tendinitis, or could it be something else? Doctor: Hello, Consult an orthopaedic and get evaluated. An MRI scan is required to rule out neurological causes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Are pain, swelling, numbness and tingling sensation in the hands symptoms of tendinitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My lips remains dry. i have already started drinking lots of water. Due to this dryness something white kind of starts appearing on my lips. i often use my tongue to wet lips but it doesn t wor much....Thanks Doctor: Hi, if you are using lipstick stop using it. You apply Vaseline or such type of cream on the lips. To wet your lip never use your tongue as after your lips wet with your tongue it will be dry again and by doing of an on there will be more dryness and there will be formation of cracks resulting in infection."
},
{
"from": "gpt",
"value": "Target: Why does my lips remain dry all the time ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My 86 year old mother has had a fall 4 days ago and has been on oxycodone 5mg morning and lunch and oxycontin 5mg in evenings. She is very sensitive to medication and cannot take panadol. Previous fractures she has been put on Fentanyl patches 12 mcg/h and had this at one stage increased. It is Sunday and I cannot see her normal doctor till tomorrow but her pain has not abated and I think it would be better for her to be on the patches. I have not had her Xrayed, she is osteoperotic and from many fractures has a bent over posture. The pain may indicate a fractured rib in her back below her left scapular. Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.She is in severe pain so she may have fracture which can be excluded by x ray of chest. She can be started with fentanyl patch to relieve pain.Vitamin B and C help in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for severe pain in rib cage after a fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have this problem too. iam pregnant now, iam really happy about it. Iam now 7th month. Iam notcing that my skin is getting dark, i was very fair before, now i really look very dark. Iam mostly at home, donot go out in sun as well, but still iam having this probles. Iam using sandalwood paste every day. Iam applying milk also but stillthe skin color is not changed, iam also having dark patche son my face, which looks ugly. is any thing ABNORMAL IAM REALLY WORRIED... Doctor: Hi there, I have gone through your question question, and I think I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not worry. 2 ) There are 2 possible for skin discolouration during pregnancy. First, there is increase in the formation of substance called melanin, that imparts dark colour to skin.Secondly, in many women, during pregnancy there is increase in the insulin resistance which leads to patchy black discolouration. I will suggest you to opt a healthy diet and regular exercise regimen. Include more portion of fruits, salads and vegetables in daily diet. Drink plenty of water. Avoid deep fried foods, bakery products and refined sugars. Restrict intake of cereals and pulses to two times a day. Keep watch on your sugar levels. 75 gram glucose test will be of help. I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar"
},
{
"from": "gpt",
"value": "Target: What causes skin darkening during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a preliminary diagnosis of prostatitis with symptoms of fever, chills, painful urination, and pain between scrotum and rectum. I'm taking nitrofurantion 100mg 2x/day for 15 days. I feel better now (7th day on meds). My urine culture came back with some red blood cells and e.Choli bacteria (100,000) count. I will continue my antibiotics for the 15 days and should again have a culture & sensitivity test. My questions:1) how long should I wait before doing a culture and sensitivity test after finishing the antibiotics?2) other than poor hygiene, what else can cause an e.Coli bacterial infection?3) what are your recommendations? Doctor: Hello there,I am dr.milan an infectious disease specialist answering your question.You should take nitrofurantoin for 1 week. Than with reducing dose after urine is clear by microscopic examination or by culture report. You need to go for culture & sensitivity test by a reliable Microbiology lab and by a qualified doctor Microbiologist.Because you have already taken drugs for 1 week still it is not resolving than there need to be appropriate reporting of culture.Poor hygiene leads to infection anywhere, but here any anatomical abnormality may leads to repeated urinary infection so you should go for further evaluation of urinary system if you have repeated infections.I suggest you to go for culture of urine sample by suggested lab and than follow the sensitivity pattern of that report according to your physician guidance.Hope i have given appropriate guidance to you.if you have any query you can consult me anytime.Give me star rating, helpful vote & thank you according to your satisfaction level.Thanking you."
},
{
"from": "gpt",
"value": "Target: Can poor hygiene cause E coli infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently had 4 of my wisdom teeth removed with the two on my lower jaw being impacted teeth. I recovered quickly needing to take painkillers only on day 1. However, on the morning of my fourth day, I rinsed to vigorously, and I started bleeding again. It's coming from only one side (the left) but it's not a lot of bleeding. From now do I have to start from square one and avoid eating certain foods again? I've just been able to eat eggs again, but I don't want to make my mouth worse with how far I've been treating it. Doctor: hey...nothing to worry in this...its clot dislodged...dont do vigorous gargling...for few days....do warm salt water gargle...and have soft diet as possible for few days...avoid biting in that area....take pain killer only if pain is there...dont touch that area with tongue or finger....nothing to worry at all...be happy ...thats the best medicine!!!have a nice day!"
},
{
"from": "gpt",
"value": "Target: Are there any dietary restrictions after extraction of wisdom teeth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is Daniel and I suddenly notice my fists are dry and itchy like and it feels like a burn itch. Im a painter and i always use natural paint without oil and a i know its not from my painting job. But i do remember cleaning my house bathroom with vim white cream and i had no gloves that day. Not sure if is either the vim allergy reaction or a wall patcher i use without gloves? My fist from my left hand is red and normal color when it itches and my right fist is darker and red when it itches? I dont know if i got again to my family doctor to get another thopycal cream or buy aloe - vaseline ? Doctor: it IS ALLERGIC I THINK YOUSHOULD USE GOVES AS THE DUST INCREASES THE ALLERGIES ITCING AND REDNESS I DONT KNOW WHETHER YOU HAVE OTHER ALLERGIES TAKE CLERITIN I TAB AT NIGHT DALY SO YOU CAN CONTINUE ITBWILL COVER YUR ITCH YOU CAN ALSO TAKE OFF AND ON FOR ITCH DONT USE MUSTRD COCONUT WALNUT GROUND NUT ALMONDS SOYA USE OLIVE FOR APLICATION AND COOKING USE NONTOXIC SOAPS CREAMS OINTMENT CREAMS AND SHAMPOO YOU CAN USE DIPROVATE OINTMENT IN HANDS TDS AND NIGHT USE PETROLEUMJELLY YOU CAN APPLY FOR LONG MAY BE 3 MONTHS"
},
{
"from": "gpt",
"value": "Target: Painter, have itchy and dry fists, gets red during itchy. How can I get rid of this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i am a 21year old male and have been suffering with cystitis since 8yrs old, i drink lots of water and cranberry juice and do not suffer from it when urinating.since being sexually active i have started getting the same pain a cystitis but after ejaculation. i do not get the pain during sex or whilst i am ejaculating, only after. i am then on the loo for up to an hour drinking water to flush it through. i have been to the doctors several times with the same problem but am getting nowhere. Doctor: HelloThanks for query .During erection and sexual intercourse the blood supply to penis is icreased to many fold resulting in congestion of entire urethra .This congestion remains fora 30-45 minutes and gradually fades away .since you had established chronic infection in bladder the pain that you have after ejaculation is due to this persistent congestion of urethra.You need to drink more water before sex and empty your bladder immediately after sex .This will help to resolve the problem .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes cystitis-like pain after ejaculation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I am a resident of Mumbai,India.I am getting married in the month of november and my age is 27.My would be wife's age is 26.We are planning for child birth control for atleast 4 years untill she finishes her studies.Pease advise me the best birth control steps I need to follow up.We can't go for permanent options as it wont be possible for us to be together all thr time atleast for a year as she would be clearing her masters in bangalore.She would be spending a few months with me and the same process will follow up for a year or so.Awaiting for your response. Doctor: Hi,Welcome to Healthcaremagic,This is good and please accept greeting in advance. There are various option available to choose for contraception.In newly married couples oral contraceptive pills are very good option as success rate is very good and for that you need to consult a Gynecologist and discuss and choose one.If you are together for sometime then barrier methods are good if both of you are comfortable.Hope this helps you to take correct decision.Take care.Good Luck.Dr.Akhilesh Dubey M.D."
},
{
"from": "gpt",
"value": "Target: Getting married. Which is the best birth control steps to follow up?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 55 years old and work out about 3 times a week plus ride my horse 3 times a week. I have been having pain on my left side between my hip bone and my upper femur.I can still run, excercise only certain position hurt. Also hurts when i sleep in certain positions.It s been going on for a couple of months. Doctor: Hi, In my opinion, this pain in your left side between the hip bone and femur is related to coxarthrosis. This is a very common disease of the hip joint in women and consists of the rheumatic destruction of the joint. The risk of this disease increases with age, obesity, overusing the joint. I suggest you consult a rheumatologist, for a physical examination, and X-ray examination to put the diagnosis. Meanwhile, you should: -take an anti-inflammatory drug, Naproxen once daily, for pain relief. -exercise more -try to lose weight, and eat a healthy diet -and take hyaluronic acid supplements. If lifestyle changes and treatment don't improve pain, you might also make corticosteroid injections. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Suela Gjata, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes pain in the hips on the left side?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: This is to get information for my relative;s condition. he is a diabetic , hypertensive and is on treatment. 2 weeks back he developed acute abdominal pain and went in to shock. emergency laparotomy was done and it was found that he was having a hepatoma which bursted and segmentectomy liver was done. eventhough tumour was completely removed doctors say prognosis is poor. what is the next step? his height is 5 ' 7\" and weight 75 kg and age 74 years Doctor: Hi.Thanks for your query and history about your relative.Diabetes and hypertension cause multiple complications and can cause emergency situations if not controlled.You relative was in shock, means the condition was already critical. IF the Doctors are saying that the prognosis is poor, means either there is a complication of surgical or medical cause or the tumor is thought to be a cancer. Age is another factor against the good prognosis. 74 years is an old person and the recovery time, withstand time for anesthesia or / and surgery can have its own complications."
},
{
"from": "gpt",
"value": "Target: What is the treatment for abdominal pain and hepatoma ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother has stage IV CHF, she experiences shortness of breath, cannot get up a few stairs without rest and often has dizzy spells, when she was in hospital she also suffered from acute kidney failure. She has been advised that she is not a candidate for heart transplant and she was advised here heart is at 10% function. Can you advise what can be done at what is approx life expectancy. Doctor: Hi ThereIt's very unpleasant to hear that and I completely understand what you are going through. Stage 4 is the last stage of ChF ( congestive heart failure) and medicines barely provide any relief to the patient. The only option at this stage is a heart transplant but again unfortunately due to the complexity of the surgery and many other factors very few patients qualify for it.90% of the patients will pass away within one year of stage 4 Heart failure. Just try to keep her happy all the time be with her don't let her feel lonely.May god bless"
},
{
"from": "gpt",
"value": "Target: What is the prognosis of CHF stage IV?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son aged 21 was told he had an enlarged liver. On a cat scan it measured 22 cm long and 17 cm on the right midclavicular line. He is 6 1 and about 150 lbs. All his blood work came back normal. Could this be his normal size or could it be enlarged due to taking an antibiotic for acne? Doctor: Welcome to health care magic. 1.The report suggest the liver is enlarged in size for sure as normal ranges up to 14 to 16 cm.2.Antibiotic can cause the enlarged liver but not to this extent after a singe course of antibiotics.3.In this case i would recommend to get a LFT liver function test that will evaluate the possible cause.4.Enlarged liver is also seen in case of alcohol abuse with fatty changes - its better to avoid if there is excessive consumption.5.Finally an BIOPSY will be definitive if no cause identified.Good luck.Hope i have answered your query,any thing to ask ? do not hesitate to ask.http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888"
},
{
"from": "gpt",
"value": "Target: What does this cat scan result indicate about liver size?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I get muscle cramps in my sides from my behind my breast on each side down each side. Recently I started walking and that s when my cramps started. I got them in my legs also but they were manage able. I stopped walking the last two days and they have stopped. I don t get it. Doctor: hi,thank you for providing the brief history of you.A thorough musculoskeletal assessment is advised.As you have started walking, due to the improper way of walking there is excessive consumption of the energy and by which there will be a possibility of the cramps. Also, when walking is performed in the initial stages, one needs to start the slow walking and gradually progress to moderate and then high speed. Also, before going for a walking performing a slow warm-up should help you, as this is the common complaint most walkers I have seen. Start with slow pace walking after a small warm-up.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What causes muscle cramps in the sides behind the breast?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have frontal lobe encepholomlecia and I m tired of the depression and memory loss. I am currently taking Effexor to stabilize my mood and Aderal for ADD. Are there any other meds that would work to relieve the symptoms? I m thinking that Aricept my help? Doctor: Hello,Thanks for using healthcaremagic.In my view you can try piracetam and citicoline which are nootropic medications. Unfortunately Aricept did not show any improvement in frontal lobe symptoms and not recommended.I mustt inform you that both are prescription only medications and you need to discuss with your doctor before making any such decision.Other than this it is required to practice yoga and meditation as they are effective in controlling few symptoms of frontal lobe damage.Thanks and regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for frontal lobe encepholomlecia along with memory loss"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had chronic (left) neck fasciculations x 7months. Family doctor sent me to neurologist for initial exam. I did great in all areas, except the fasciculations continue, sometimes mild, sometime very aggressive and visually noticeable to the neurologist at the time of my first visit 3 months ago. Thankfully, he has ruled out ALS and MS, as I have no muscle weakness at all, but the fasciculations and mild muscle cramps on the left side of my neck continue. It is not painful, but certainly disturbing. He scheduled me for an MRI of my brain...just to rule out, I guess. He ordered lots of labs; Vitamin levels-folic acid, B12, iron, D, E, mag, B1. Also ANA, lead, RPR, and lupus. Not all results are back, but I got 2 calls from his office telling me most of my vitamin levels are low, especially iron, and I should visit my pharmacy to purchace and take the supplements. I started this today. I should add that I have also had thyroid studies done and they are normal, as well as chemistries. I should add that I am female, 59 yrs old. 5 6 133 lbs. ( I ve lost 11 lbs in 2 months, without trying. Appetite is weak. I don t take any medication-other than the vitamins I started today. I do smoke-not much. I drink alcohol - moderately. Doctor: Hello, The muscle weakness along with fasciculations is suggestive of a nerve related problem- can be a nerve root compression or irritation. This can also be related to electrolyte imbalance. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes muscle weakness when diagnosed with neck fasciculations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been having sinus drainage for the past 3 months (during day and night)....cough and vomiting saliva and light mucous. I m in my mid 40 s. The doctor seems to think it s asthma or allergies. Now taking asthma medicine and on inhalers. Nothing is helping... Doctor: Hello.Thank you for asking at HCM.I went through your history and would like to know more about your symptoms like - Do you have regurgitation after taking a full meal/spicy meal, especially in lying down position? Have you ever had wheezing/breathing difficulty? Are you regularly/frequently exposed to dusts/smokes/air pollution? Do you have any other allergies? etc.From your given history, I would like to make following suggestions for you:1. Were I treating you, I would prescribe you regular montelukast, an antihistamine like cetirizine/levocetirizine and an antacid like omeprazole/pantoprazole/rabeprazole before each meal for at least 2-4 weeks.2. I would also suggest you regular steam inhalation (please be cautious to avoid burns) and nasal irrigation with saline sprays, which will help better drainage of sinus cavities.3. If you have not received antibiotics in last 3 months, I would prescribe you an antibiotic for 14 days.4. Please avoid exposure to dusts, smokes and air pollution as much as possible.5. Regular breathing exercise and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will also help you in a long run.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you a rapid recovery and the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: What is the remedy for cough,vomiting and sinus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is chandra, from last two days i cant move my left eye brow, i cant close my left eye lid completely., i cant smile properly. When i see myself in the mirror and tried to smile only the right part of my lips are moving. I can feel slight numbness on left part of my face. While eating food am not able to open my mouth completely, the left side of mouth, both the upper and lower lips not moving. Im having a slight pain at the bottom of my left ear. Im worried. Please try to help me. Doctor: Hi Mr Chandra,Thank you for describing your problems in detail.These are suggestive of left sided facial paralysis (also called as Bell's palsy). This is most often caused by a viral infection such as herpes simplex. Diabetics are also more prone to get this illness.You should consult a neurologist, who would examine you and do a facial nerve conductions to confirm the diagnosis.Treatment would consist of medications such as aciclovir and prednisolone. In addition, physiotherapy would also be useful.Most people would recover within 3-4 weeks of treatment.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: What could be wrong if I cannot move my left eyebrow, cannot close my left eyelid, cannot smile, numbness in left side of face, pain below left ear?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 14 yr old granddaughter has been having stomach pain and is extremely lethargic when this happens. She has had a HIDA scan that showed white spots in her gallbladder. What would these white spots be ? She is scheduled for a 2nd HIDA scan this week. Doctor: Hi and thank you asking HCM You are reporting for white spots in gallbladder. This radiological sign may be related with - gallbladder polips - gallbladder stone or sludge. It would be great if you upload to me HIDA scan report so I can check it by myself. Dr. klerida"
},
{
"from": "gpt",
"value": "Target: What causes white spots on gall bladder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI MY DAD HAD A BIOPSY OF HIS PROSTATE AND WENT HOME FINE THE NEXT DAY HE HAD A SEPTIC SHOCK 104 FEVER THEY SAY ITS DUE TO THE BIOPSY HE HAS A BLOOD INFECTION AND IS ON A RESPIRATOR AND ALL TEST HAVE CAME BACK GOOD THEY SAY ITS A BACTERIA BUT THE INFECTION IS NOT GETN BETTER ITS NOT GETTING WORSE BUT HE IS STILL N ICU TOMORROW THEY ARE SUPPOSE TO REMOVE HIM OFF THE RSPIRATOR SO HE CAN BREATH ON HIS OWN WHAT KIND OF QUESTIONS SHOULD WE BE ASKING AND IS THERE ANYTHING U CAN SUGGEST TO MAKE HIS HEALING PROCESS BETTER? Doctor: HI, thanks for using healthcare magicI am sorry that your father is so unwell. The chances of sepsis following prostatic biopsy is low- 0.1% to 0.3%. Normally antibiotics are given prior to the procedure to reduce the chances of infection but in persons who develop sepsis it is suspected that the bacteria involved is resistant to the antibiotic that is commonly used- ciprofloxacin. Your father may have been given this antibiotic.This resistance is the most common reason for sepsis.You can consider enquiring whether this is the case in your father's condition.In addition whether the bacteria is still present on blood culture or are the cultures now clear of bacteria.His prognosis and course of recovery expected.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Had biopsy of prostate done. Had septic shock and high fever. Has blood infection. On respirator"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was just told by oral surgeon that I had a RANULA. He wants to cut each side of the floor of my mouth and drain but not cut it out. Then stitch it up. I'm not comfortable with the evasiveness and not removal of it. Can you tell me what my options are? Thanks Marilyn Doctor: Hello,You can consider removal, but this can include some additional removal of surrounding tissue or part of the salivary gland. Drainage as a first step is less aggressive. Ifthe condition does not reoccur and is not chronic, you may not need additional treatment. Conservative treatment as a first step is generally my recommendation.Injection of an antibiotic directly into the site is another consideration for treatment. Consider seeing another surgeon for a second opinion, if you are not comfortable. A thorough clinical exam with diagnostic test is necessary to give you proper recommendations, but do not feel forced to make a choice if you do not feel you have all the details necessary to make you comfortable with proceeding.Thank you for your inquiry."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for ranula"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am trying to get pregnant from 1 year. I took the fertility treatment also, after different trails doctor suggested to go for IUI and did the scanning on 2nd of my period. In the results they said one previous unruptured egg is there. So suggested to take the ovaral g for this month. Can I get clear explanation on this. Is this is reason why I am not getting pregnant? Doctor: Hello,This is no reason for Infertility.We need to get all the basic investigation done for you and your husband and then only we can know the exact reason for infertility and that can be treated accordingly.Knowing the exact reason is very important.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mandavi Rai"
},
{
"from": "gpt",
"value": "Target: How can infertility be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 5 year old granddaughter has recently developed itchy, eyes only at night. Her eyes swell shut and I have to put warm wash cloths over them to keep her from scratching them and hurting herself. Twice within a week, she had thick slime in her eyes. I ve been giving her childrens benedryl but it doesn t seem to do anything except eventually put her to sleep. She has no allergies until now. Any ideas would be greatly appreciated. LAS VEGAS, NV Stephanie Doctor: Hello Stephanie,There are two possibilities:1. Allergic conjunctivitis - you can try eye drops like Olopatadine 2 drops/eye upto three times daily for 5 days and see the difference.2. Nasolacrimal duct blockage - the connection between the eyes and draining sinuses, but is usually in younger children If Olopatadine does not work, see an Opthalmologist.If there are other symptoms such as sneezing, red eyes then allergic rhinitis/rhinoconjunctivitis is a possibility and Olopatadine will help.Best Wishes."
},
{
"from": "gpt",
"value": "Target: Itchy eyes, painful, slime from eyes. No allergies. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im 27 and a smoker. About twice a year a wake up from chest pain and excess saliva, to the point where I need a trash can to spit in every minute or so. The chest pain feels like someone is squeezing my heart. Sometimes I throw up, like today I did. It usually last for about 2 hours. I cant do anything but lay down and wait for it to pass. Doctor: Hi,I understand your concern and would explain that your symptoms could be related to bronchitis or gastro-esophageal reflux. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - a chest X ray study and respiratory function tests - a resting ECG- some blood lab tests (complete blood count, PCR, ESR)I would also recommend trying an antiacid. If this helps, a fibrogastroscopy would be needed to exclude esophageal spasms or gastroesophageal reflux. Meanwhile, I would strongly encourage you to quit smoking. It would definitely help improve this situation and prevent possible further episodes. Hope you will find this answer helpful. Let me know if I can assist you further.Wishing all the best!Regards,Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sudden onset of chest pain with excess salivation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor !!! before till 8 month she was taking an femilon but she stoped havin it since 8 months n also in these 8 months v did not have sex tooo!!! n now again she started to to take femilon is it safe!!! n v r worried to ve an i-pill for every 5 times in a month so doctor suggested use to use femilon plz tel me wat all should v do!!!???? Doctor: hello dear.understand your concern.look every contraceptive method have some side effects & failure rate.femilon have also miner side effect & failure rate like another contraceptive method.but it is more safe then i pill 5 times a month.so i advised to take femilon insted of i pill.that much use of i pill increase chance of miscarrage in future life.while femilon don't do that harm to you.hope this will guide you.best regardsDr.sagar"
},
{
"from": "gpt",
"value": "Target: Is Femilon safe to take for contraception?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have one 9mm kidney stone in my kidney....what are my options for treatment. My doctor says that if I can pass it , it will be very painful. I have had smalled ones in the past and some of them were very painful....I am male 5'7 140 good health...on meds...metforman.. for diabetis. Doctor: HelloThanks for query .You have been diagnosed to have a stone of size of 9 mm in your kidney .It is very optimistic to expect the stone of size of 9 mm to pass down spontaneously ..The best option is to get it fragmented by a procedure called Extra Corporeal Shock wave Lithotripsy(ESWL).This is simple procedure and does not require hospitalization nor anesthesia and is carried out as out patient procedure and gives very good results.Dr.Patil.."
},
{
"from": "gpt",
"value": "Target: Suggest treatments for a 9mm kidney stone"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: This is Arun (35 yrs old male) from Chennai, India…. From past 2 weeks I have swelling (no wound or cuts) in my external abdomen. Now it’s little bit paining…. Last month my grandfather(90+ yrs) died cause of Abdominal Cancer. I had seen in his stomach same kind of swelling but its large in size. I like to undergo treatment for this problem. Initially what type of test I have to take ?Which is best hospital in Chennai ? Kindly advise me.Thanks & regardsArun kumar. S Doctor: Hi Arun. Please dont worry. Simply get an ultrasound of the abdomen done. Meanwhile start yourself on Tab PAntoprazole 20mg twice daily and Tab Buscopan 1 tab thrice daily, both for 5 days. If the ultrasound is normal and the pain and swelling subsides then there is nothing to worry about. Else, consult an oncologist at Apollo or Adyar institute."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen abdomen with family history of abdominal cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with a collapsed neck vertebrae and I have pains in my left arms and in my left back shoulder. My doctor prescribed predniSONE and I have been taking them but the pain is still so intense. I also use heating back to relieve the pain, and currently wearing a neck brace. Anything you can advise to help with the pain? Thank you. Doctor: Hi,A collapsed neck vertebrae needs to be operated to relieve compression and associated neck muscle spasm. Conservative treatment with medicines won't provide a permanent relief.Hope this helps you. Let me know if I can assist you further.Regards,Dr. Jenis Bhalavat"
},
{
"from": "gpt",
"value": "Target: Will taking Prednisone be safe for collapsed neck vertebrae?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Son is 2 years Old . He had 1st occurance of Nephrotic Syndrom when he was 1year 2 months .And later it relapsed at the age of 1 year 7 months . Again now at the age of 2 years it relapse.Now actually it started with Fever , Cough , Motions and then edima. He is on Omnacrotil Forte , Junior Lanzol , Asthaline for wizzing problem. His albumin level's in Urine is 4+. Please do let me know if there is anything to worry due to somany replases within 1 year. And also do let me know the precausions to be taken to avoid the relapse. Is it advisable to look after homeopathy as alternative. Doctor: Hello friend,I am a Homoeopath answering your question through Health care magic.My strong advise is to stop all the chemical drugs for your young baby. Further medications will worsen the kidney condition of your child. Basically your child is allergic or sensitive and that is why it shows symptoms of breathlessness and wheezing. The drugs which you give to your baby may temporarily give relief but in long run, they may not cure the chronic problem of your child and is surely going to get his nephrotic syndrome worse. The best precaution to prevent relapse of nephrotic syndrome is to avoid further medication and to adopt Homoeopathic treatment.In Homoeopathy, we take the case of the child in detail , with special attention to the mental and physical symptoms of the patient, its family history and select a genetic constitutional curative remedy that will give him cure not only for the symptoms of Nephrotic syndrome but also his asthmatic conditions. So approach an expert Homoeopath with your child as early as possible and I can assure you cure for your baby. Best wishes,Dr. C. J. [email protected]"
},
{
"from": "gpt",
"value": "Target: Fever, Cough, Motions, Edima. History of nephrotic syndrome. Omnacrotil Forte, Junior Lanzol, Asthaline prescribed. any advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 15 years old and i am having wet dreams since age of 13 i am totally frustrated of it and about mastburation i try maximumly to mastburate only once in a month and i am trying to get rid of it but these wet dreams make me mad i am not able to concentrate on my studies plzzz help what should i do. i have wet dreams 2 times a week plzzz help how should i cure it also i live in delhi since i am still at the teen age is there any other way to stop wet dreams Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.First, I will suggest you to see a doctor for some analysis. This is just to be sure that everything is OK in your body. After that, you should take an appointment with a child and adolescent psychiatrist to find out what's going on with your wet dreams. Don't panic and ask for help. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Elona Dashi"
},
{
"from": "gpt",
"value": "Target: Is it normal to have wet dreams?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am type 2 non insulin diabetic and made very poor choices in food this evening. Just checked my glucometer and reading was 414. Took my vyctoza injection of 1.2 mgs right away. I am not having any symptoms at the moment, but it is bedtime and I cant go to sleep with this reading on my mind. Am I in danger of going into diabetic coma with this high reading? Is there anything I can do at this moment to counter act this reading? Doctor: Hello,For now, if you don't feel any symptoms of hyperglycemic coma then don't worry and do these things.Since you took your Liraglutide injection at evening time, you can check your blood sugar again and if this is in the normal range, that's fine.Usually, type 2 DM with BS of 400 mg/dL doesn't do anything acutely so relax and just monitor the sugar and keep yourself well hydrated.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ameet Kumar"
},
{
"from": "gpt",
"value": "Target: How can high blood sugar levels be managed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 24 year old daughter has an extremely highWBC with vomiting and pain in her back ribs but not losing weight but feels fatigued. Help I am scared! What are the possibilities of this phenomenon!! She goes for BW again tomorrow and the dr. Is very nervous about this!!! No Epstein Barr, but what could it be?? No weight loss at this point. Doctor: hi there,\" extremely high wbc counts\" is a very misleading statement and doesn't give any indication to her condition. However when the blood counts are high a peripheral smear study is mandatory and it gives a clue to the current situation. High counts can be due to something as simple as an infection or could be much serious like a hemopoetic malignancy. Instead of getting all worked up get her blood work done including a smear study and a differential count and if required a bone marrow study. These will be able to give you a clear picture as to the cause of this leucocytosis and a treatment for the same can be started. At present you need to be positive and strong and be brave for your daughter as she may also be scared and will need your support. Don't worry and let the results come in and hope for the best. Take care."
},
{
"from": "gpt",
"value": "Target: High WBC, vomiting, pain in beck ribs, fatigued. What could be this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can I take cyclobenziprine 5mg & Melxicam 15 together at bedtime for lower back pain? I have chronic pain from degenerative disc disease & my back is usually \"under control\" with exercise & being aware of how I move. However, occasionally it will become very painful. In the morning, I take Synthroid 25mcg for a recently diagnosed thyroid problem....Thank You! Doctor: Hi Thank you for your question.Cyclobenzaprine is a muscle relaxant whereas meloxicam is an antiinflammatory medication. Both have different mechanisms of action. Use of these medications particularly cyclobenzaprine for long periods is not recommended. Occasional use of these to keep pain under control is fine. However it is recommended that you consult your doctor before starting any new medication as the close monitoring is needed for side effects.Hope this is helpful. Please let me know if you have further questions."
},
{
"from": "gpt",
"value": "Target: Chronic pain from regenerative disc disease, thyroid problems. Can i take cyclobenziprine, melxicam for lower back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor,For the past 4 days I have had symptoms which started as a fever, body aches, headache, chills, swollen tonsil with white patches, and now swollen and bleeding gums with sores on the inside cheeks and a white tongue.. I'm very weak and with little appetite. The fever has let up though I continue with body aches. I was prescribed an amoxiciliin today though no test was done to see if it's strep throat. Could it be herpes or gingivitis? Or a combination? Thanks for your help Doctor: Hello,Thanks for posting on HCM,If you have swollen tonsils with white patches then it may be more due to oral candidiasis. Prescription amoxicillin without confirming if it is actually strep throat is a little premature but not poorly thought of.Having bleeding and swollen gums is a sign of gingival diseases. Your symptoms are hardly related to herpes but could still be a viral condition.My suspicion is directly more towards oral candidiasis with gingivitis that might of viral or bacterial or fungal origin. You will require some mouth white antibiotics solutions and treatment for candida and stept throat combined. If it is herpes, then the infection will clear off on its own without the need for a treatment. You need to revisit your doctor for further investigation before you can continue treatment with amoxicillin. Hope this helps"
},
{
"from": "gpt",
"value": "Target: Fever, body aches, headache, swollen tonsil, white patches, swollen and bleeding gums. prescribed amoxicillin. herpes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i did a gamma gt test 2 weeks ago and it was abnormally high - had a reading of 282. I did the same test yesterday again and the reading was 200. Do my doctor tells me this is still abnormal, especially when all my other liver function test had quite normal readings. My questions are (1) What could be the cause of such reading, I dont consume alcohol in excess (2) Right now I have changed my diet and stopped alcohol intake completely, how long would you estimate my readings would normalize (3) Asides alcohol, what other factors could be responsible for such a reading. Doctor: Hello, onyxera, Eventhough the other liver tests come down when you quit drinking, GGT enzyme takes much longer to come down. Important thing is that you completely stay away from alcohol intake, does not matter whether it is beer, whiskey or wine. You don't want to cause more damage to the liver. I would expect, with proper diet, vitamin supplementation ,especially Super B-Complex Vitamin, Vit-E 800 i.u. daily and 1000 mg. of Vit-C daily, within three months that should come down to normal levels. You asked, what other things can do this. Hepatitis B and C ,in chronic form can do this. You always have to have tests done for this, because lot of times there may not be any symptoms. Other major cause is drug induced damage to the liver. Even Acetaminophen, taken in excess can cause liver damage. So do NSAIDS such as Ibuprofen, Naproxen etc. Certain antibiotics, sulfa, tetracycline family of drugs can affect the liver in some. THere are some rare metabolic diseases and genetic enzyme deficiency that can cause liver disease. Hope this answers your concerns. I wish you well, have a happy ,healthy,New Year."
},
{
"from": "gpt",
"value": "Target: Gamma gt test showed elevated values. What besides alcohol could be responsible for rise in levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... my aunt is in the hosptial with chronic congestive heart damage however she was at the same hosptial 2 week before she went back with a good heart but they sent her home with the fluid still on her legs and feet now when we had to take her back 2 weeks later that are telling us to consider comfort care cause its nothing they can do. but my she was up walking round before she went now she can barely move she sleep all day her urine is dark brown her stool when she can is white she barely talks she got worse since being in the hosptial than at home how is it possible she this bad off Doctor: Hello,Brief Answer: Your aunt may need more anti-failure treatment, salt restriction and may be an anti-failure deviceExplanation: My opinion is that congestive heart failure mainstay treatment is diuretic,anti-failure drugs, salt restriction. some times when ejection fraction of the heart is too low we may intervene with anti-failure devices that may enhance heart condition this type of treatment has certain indications as not all patients are suitable for that kind of treatment. Stool and urine color you mentioned means your aunt mostly has obstructive jaundice, you need to check that with your doctors.I suggest my patients the following: salt restriction and adherence to anti-failure treatment is mandatory.The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about the echocardiography data and electrocardiograph if available.Conclusion: I suggest you check with your aunt physician Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mahmmad Gamal"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chronic congestive heart failure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 36, 300 lbs. and am experiencing pulse rates over 100. I had chest pain a few days ago, but my pulse rate did not go over 99. The ER took an xray of my heart, EKG, and blood work twice and it all turned out fine. Tonight my pulse rate is over 100. Is there a way to lower the rate Doctor: pulse rate increased called as tachycardia. if ur EKG looks fine then its sinus tachycardia. u not not do anything for that ,maybe its because of fever or thyroid issues.u check ur TFTs from lab and do ESR test.it may reveal something.for medication, u can take betablocker prescribed by cardiologist."
},
{
"from": "gpt",
"value": "Target: How to lower pulse rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I got my lower right wisdom tooth removed 35 days ago. It was a impacted partial bony. Since it was removed I've been in constant pain and still have swelling and a lump on my jaw. I've been to my oral surgeon twice since and have been told that I have trauma to the jaw, and to rub and stretch my jaw bone. The swelling has only increased the last two days and I dont know if I should get a second opinion or whats going on. I never had a dry socket and the extraction site is healed. Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain swelling and lump at the site of wisdom tooth extraction even after 35 days is not normal and can be either due to any remaining root portion of tooth that is flaring up infection while it can also be due to infection at the extraction site..Any foreign body inclusion in the extraction socket can also cause pain and swelling or lump formation..To rule out the exact cause you need to get an x ray of the extraction site done and then only the exact cause can be ruled out..As of now take anti inflammatory painkiller like Ibuprofen, do warm saline gargles and do cool compresses over the swelling.. You can also send me x rays here on HCM by asking a direct query so that I can guide you better..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling on the jaw post wisdom tooth removal"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor, I am 27 years old and trying to conceive.my doctor suggested me ovaa shield tablets from 3day of my period till 27th day.Follicule ruptured on 14th day(got to know through inernal scan).This is the fist month i am using ovaa shield and duphaston(from 17th day to 26th day).usually get my period on 28th day,but this time i didnt get it even on 30th day.does ovaa shield delays a period? Doctor: Hello. Thanks for writing to us. Ovashield itself is not likely to cause a delayed period. At 30 days, it is too early to be called as a delayed period. You need to wait for a week more and then test your urine for pregnancy. You can also go for a blood test which is more accurate to detect pregnancy. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Trying to concieve. Prescribed Ovashield tablets. Follicle ruptured. Periods delayed. Pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My HB is 9.5. I am Type 2 Niddm with fasting levels around 150. My ferritin is low at 4.5 and so are haematocrits at 34.4. The serum iron is 14.3 and MCV at 71.6. The MCH is at 19.8 and MCHC at 27.6. The RBC show moderate anisopoikilcytosis. I have been diagnosed with Microcytic Hypochromic Anaemia. All other tests i,e, creatinine, OTPT, TLC etc are within normal limits. Please guide me the best supplement for increase the iron deficiency. Doctor: Hello! Thanks for being with HCM. Microcytic hypochromic red blood cells means red blood cells are small in size and amount of hemoglobin inside the cells is less. Variation in size and shape that is called anisocytosis and poikilocytosis. You have Hemoglobin of 9.5 gm%,hematocrit 34.4,mcv 71.6,mch19.8,mchc 2876,serum iron is 14.3 and normal leukocytes and platelets. These changes can be seen in: 1.iron deficiency anaemia 2.chronic blood loss due to peptic ulcer,hemorrhoids,heavy menstruation,etc 3.Anaemia of chronic disease such as chronic kidney disease,tuberculosis,malabsorption. Serum iron of 14.3 is very low.It indicates iron deficiency. Hence iron supplement should be started.Oral iron supplement foe 3 months will be sufficient as HB is 9.5 i.e. mild anaemia. Tab. Orofer-XT,Tab.Levogen Or syp.RB tone or dexorange are good iron supplements. Consult with your treating physician for treatment of diabetes as your FBS is also high. Hope this could help you. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Type 2 diabetic. Diagnosed with Microcytic hypochromic anaemia. Supplements for iron deficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is a healthy 21 yr old and injured his knee dirt biking. MRI shows grade 2 MCL tear. Adjacent medial meniscal capsular separation without surface tear of the meniscus. We have an appt with ortho surgeon tomorrow but trying to get prepared. My web research seems to show treatment as just rest, ice, elevate, brace and wait. I m hoping no surgery---correct? Doctor: Grade 2 tear in Medial Collateral Ligament of knee joint is generally caused by similar injury as your son has. In this condition ( incomplete tear/ sprain) of the ligament , conservative treatment is generally sufficient. Medicines , support , Local heat therapy and partial weight bearing walking for 6-12 weeks is sufficient for most cases."
},
{
"from": "gpt",
"value": "Target: Does meniscal capsular separation require a surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, last week a heavy box fell on my hand. causing my hand to hit the dresser and the box. now 2 finger joints are really swollen. The more swelling i get the more the pain throbs. I dont see any discolor and for the most part i can move it with ease. Is it just a bruise? Doctor: Hi, Although it appears to be a bruise only, I suggest an x-ray for ruling out any fracture of the fingers. In the meantime take pain killers, hot fomentation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes painful swollen finger joints?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am a new immigrant...came to Toronto 1 month ago .... since on board to plane to till now often i am feeling suffocation prob. Until the first time i never feel like that.....i guess the room/ car or plane heater is causing this kind of uncomfortable situation...how to deal with that...i am a regular smoker ..like 3 to 4 cig one day Doctor: HIWell come to HCMI really appreciate your concern, because of the allergic condition, that might be causing the narrowing of bronchial spasm, if you are smoker then you need to quit this, to avoid such condition Tab Ketotifen 2 mg once in day after meal can be tried, hope this information helps, take care, have a nice day."
},
{
"from": "gpt",
"value": "Target: Why am I feeling suffocated in airplane?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recently, the last 3 days, I have had a tightness/soreness in the balls of my feet along with my big toe . Friday night I awoke to this same tightness and also mild swelling in my hands, specicifally the ring finger and pinky. It was to the point that I made my fingers raw trying to get my rings off but eventually they came off. I took my blood pressure and pulse and the pulse was normal but BP was 144/95 (Friday night). Saturday morning my BP was 141/89. Saturday night 126/95. Saturday night I also experienced a spell were my heart started to race for what seemed like too long but I would say it lasted about 2 minutes (I was awoken by it). I was told my a doc Saturday that it could be a virus and she would wait until Monday to decide if an MRI was needed but she wouldn t be surprised if shingles showed up either. Any thoughts? Doctor: HIThank for asking to HCMI can understand this it could be non specific type of complain and no need to worry about this certain medical history really help well in deciding what that must at least the question of forum is concern and that is information about age and gender which are missing here it is not easy to answer the medical query with very little information without the clinical examination but most of the time the age and gender are not given hare, hope this information helps you have nice day."
},
{
"from": "gpt",
"value": "Target: Soreness in balls of feet, hand swelling, BP 144/95, heart racing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have a child that has cerebral palsy who is constantly throwing fits. Sometimes these fits seem to be like temper tantrums, but at other times they seem like he is in a very aggressive rage to the point he will bang his head or bite his self, he has also been known to pull hair or pinch. Sometimes though in the middle of the raging fit it s like he becomes very scared, and begins to cry telling me he s scared. Is it common for children with cerebral palsy to throw fits like this and if so can you give me any advice or suggestions to help ? Doctor: Hi there.Yes, Epileptic and behavioural disorders can be associated with Cerebral palsy and Mental retardation. He needs to be examined by a Paediatric Psychiatrist and Behavioral sciences team for a proper diagnosis and management."
},
{
"from": "gpt",
"value": "Target: Does cerebral palsy lead to fits?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. Yesterday I started having pain in my upper left back whenever I bent over or tried to move in a funny way. Today, I have started to have pain in the left side of my chest whenever I breath deeply. I have never had anything like this before, but for the past few days I was sitting funny, (lying down in wierd ways or such). Could you please help? Thanks. Doctor: Hi,It seems that as you had some unusual way of sitting might have produced some uneven strain on your affected parts muscles might have given this problem.Take some pain reliever with muscle relaxant medicine for 2-3 days and you will be alright.Apply analgesic, muscle relaxant cream on affected parts.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Upper back pain on bending, chest pain on deep breathing. Possible reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 39yrs male penile inflammation on foreskin along with mild rashes and redness...sometimes get itchy especially appears after usage of condom and brief sexual intercourse.... subsides after a couple days; but reappears again during next intercourse. usage of placentrex gel or soframycin will help? Doctor: Hi, I had gone through your question and understand your concerns.First , you should rule out latey allergy first or allergy to some soaps or shower gels or even to underwear. Second, it may be recurrent balanitis and this is treated by antifungal cream such asClotrimazole (Lotrimin, Mycelex) is a very effective over-the-counter medication. Sometime sin mor esevere cases Sometimes a cortisone cream can help to improve the problem more quickly. If there wont be improvement then you need to consult urologist or dermatologist and it would be good to avoid intercourse till symptoms persist. If discharge occur, you should do STD testing as well.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for penile inflammation on foreskin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hai my name is raj,i am 32 years old. few years back after a long time I started exercise,after five days i felt a strong lower right abdominal pain .Its gone automatically after few days without doctor help at that time i stopped exercise. I felt the same problem but not so much strong after 2 years,few days back when i was walking on the stairs I felt strong pain even I was not able to walk or sit.I went to the doctor and he gave me pain killers,I checked up a lot of test all were o.k.but still i feel very light pain 24 hours in abdoman. he advised me to do exercise . Please suggest.......still i am facing problem. Doctor: Dear Rajeev, From your question it seems that you must have pulled your abdominal muscles while doing exercise. Do not do exercise with heavy weight. Do warm up exercises before starting exercise. Build your stamina slowly. Start with only five minutes daily and slowly increase the duration by one to two minutes after every three or four days. Take hot water fomentation. If pain is severe take analgesic like combiflam."
},
{
"from": "gpt",
"value": "Target: Feeling abdominal pain while doing exercise or climbing on stairs. Any suggestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doc......i m 37 years old male. 10 years back i had tuberculosis tumor under my both arms. i got oprated and doctors removed it and after that i used medicine for nine months{miren p + treptomicine injections}. but now i m sufering from the same symtoms. i hv wounds under arm with puss. wt do u suggest me to do ? Doctor: HiI understand your concern and situation.It seems that you have some bacterial infection which is drug resistant or tubercular infection. You must also take tests like gram staining, ZN staining and culture sensitivity for aerobic and anaerobic bacteria and mycobacterial infection. You must take treatment according with regular drainage.Take careBest of healthDr Sheetal Verma"
},
{
"from": "gpt",
"value": "Target: What causs wounds with puss in under arms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hey im 14 years old and i have a dent on my forehead since i was a baby can it be fixed ? Doctor: Hi.. dear crystal.., Thanks for choosing HCM.., Dent on forehead...need correction.., If U neglect it ....going to fix permenantly.., Hene..FACE SCAR REVISION SURGERY is best option.., Here CO2 Fractional LASER...is used., LASER Re-surfacing Helping scar remodel.., Good scar correction is depend upon....use of newer techniques.., SILICONE plus HEPARIN are more helpful in these technique.., So consult good Dermato-surgeon..,thanQ"
},
{
"from": "gpt",
"value": "Target: How can I fix the dent on my forehead ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 5 week old baby. Sometimes after I breastfeed, my fingers are very swollen, itch, burn and are red. I stated back on a low dose oral contraceptive about 10 days ago. The swelling has also happened in my feet. Could this be an allergic reaction? Thank you Doctor: HI, thanks for using healthcare magicIt does sound like an allergic reaction based on the symptoms that you have mentioned.Breast feeding itself would not cause this reaction, it would have to be some chemical agent that you are coming into contact with at some point.You may want to make note of different possible causes to that you can determine the most likely one.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Could swelling in fingers and itching be allergic reaction to contraceptive pill?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I suffer from general bloated stomach and sporadic attacks of burping, particularly in the morning. On bad adys I wake feeling very achey, almost like I have been poisoned overnight. I also have irregular slep patterns, and tests have shown I have high cortisol levels. Other investigations have shown I have mild scoliosis , which I am told can also have an effect on nerve bundles around the stomach. I have regular colonoscopies because of history of bowel cancer in the family - all clear - and tried the usual food intolerance diets with limited success. I find that it isn t a major debilitating problem, but a low level hinderance that impacts on me on me and generally lowers my quality of life. I really notice the rare days when I feel ache-free and have a flat stomach and good energy. It is particularly annoying as I am a keen runner, and it can make the first 20 minutes of a run an uncomfortable burp-fest! It doesn t feel particularly food related, if that makes any sense. Doctor: Hi, High serum cortisol level may be a feature of cushing syndrome. You should do a dexamethasone suppression test and if cortisol remain high then abdominal imaging and brain imaging may be done. Consult with an endocrinologist. Take care."
},
{
"from": "gpt",
"value": "Target: Suffering from general bloated stomach and sporadic attacks, high cortisol levels. What can I do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had a temperature of 39.1 a few days ago, and felt achey all over, had a bad stomach, and for some reason my scalp felt really tight , I felt awful. The next day I felt bettter then the day after I felt as bad again. Yesterday I felt fine apart from a sore thoat, and today I now have light red small spots all over my body, but feel fine. Do you have any idea what this is? I m also 6 weeks pregant so quite worried. Doctor: Hello, and I hope I can help you today. High fever and a rash in an adult, pregnant or not, needs to be investigated. There are diseases also, such as Rubella, that can also affect the pregnancy. In your case specifically, I am concerned that you may have scarlet fever. Scarlet fever is a reaction to a strep bacterial invention of the throat. Without antibiotic treatment, the bacteria can spread through your blood and cause infection of your heart valves. The disease Rubella (German measles) can cause birth defects if the baby is exposed, and it also causes fever and rash. I strongly advise you to see a doctor even though you are feeling a bit better. Youwill need some tests to get an accurate diagnosis and you may still need antibiotics for treatment. I hope everything works out for you and the rest of your pregnancy. Best wishes, Dr. Brown"
},
{
"from": "gpt",
"value": "Target: What causes spots all over the body and body aches during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My right Butt cheek hurts after i sit for a period of time and then it s hard to get up and walk. It hurts down my right side of my leg, causing me to lip. I can t sleep on either of my sides because of pain, have to sleep on my back all night. Can you tell me what might be wrong? Doctor: Hi, Causes of pain in the buttocks range from temporary annoyances, such as bursitis, bruising, piriformis syndrome, muscle strain, and shingles, to more serious diseases with long-term consequences, such as cancer, arthritis of the sacroiliac joints, and herniated disc with sciatica. Until examination is done it is difficult to say what it is. Please get it done X-ray pelvic joint, MRI spine, nerve conduction study. Use cold and warm compression, physical therapy, NSAIDS treatment. If symptoms not improved please consult your neurophysician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes right-sided buttocks pain causing difficulty to walk?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m sukhjeet. My son is 4 months old.he still spits up. What ever he drinks vomit out right away. It s going on since he is born. It s so depressing. Some times I have to change him 10 times in a day. I give him colic aid as well. Before feed. And I tried changing formula tooo.whT should I do? Please help Doctor: Hiwecome to HealthCareMagicI understand your concernVomiting in babies is mostly due to reflux ,which normally persists till 6 months of age.It is not cause of concern provided baby is gaining appropriate weight,passing urine every 4-6 hourly,active ,accepting feed,tummy is soft.It does not require any medication apart from proper burping aftee feed and feeding baby in sitting posture.It will disappear at 6 months of age when semisolids are introduced.Hope I answered your query.thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for vomiting in 4 month baby"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes, I had a vein to blow between my thumb and second finger. This happens every 9-10 months and often after using my hand a lot in repetitive motion or holding something heavy. It starts out as a sting, turns red, and then stings/throbs for hours and swells. A blister then forms on my hand and it goes away after a couple of weeks. Should I be seeing a Dr. about this? Doctor: Hithis sounds like an overuse reaction. As long as you know that it comes after a long period of handling heavy objects and it occurs on the pressure areas of your hand you can try wearing protective gloves when handling heavy objects for a long time and see if this help prevent your condition"
},
{
"from": "gpt",
"value": "Target: What causes stinging red swelling around vein between thumb and finger?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My blood pressure is usually around 112/65. I ve had two episodes recently where it has spiked to 162/102. There is no history of high blood pressure in my family. Im 5 8 and weigh 172. I m on no meds. I don t smoke. I work full time as a hospice chaplain. What are some things that could be causing this. Doctor: Hello. I understand our your concern, but it's nothing to worry about. It is normal for blood pressure to go up sometimes, especially after physical activity or stress. You can only begin to worry if you measure your blood pressure consistently for 2-3 weeks every day and the reading is above 140/90 mmHg and you should see your physician. Besides this, you are okay and have no reason to be worried. Warm regards"
},
{
"from": "gpt",
"value": "Target: What causes sudden elevation in the BP level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a retired physician My wife 643 yrs old non hypertensive non diabebetic til now since few yrs she is allergic tuat times getting occasonal cough recently treted for bronchitis now echo shows AORTIC EARLY CCALCIFIED VALVE 60 percent flow SHE HAS NO ODEMA EXERTIONAL DYSPNOEA ONLY AFTER CLIMBING 15 STEPS she is not on any drugs no free fluids in lungs n abdomen eats well wt 160 lbs is ther eany way she can repeat echo n get treatment kindly suggest Doctor: Hello thereI understand your concernAs I understand she has mildly calcified aortic valve and she is mostly symptom free. Therefore there is nothing to be done actively at this moment. A serialised echo can be performed every year to keep a check on the deterioration. but mostly it will depend upon the symptoms.Many able bodied people do also get breathless climbing 15 steps. Hope I have been able to answer your query wellStay healthy. spread your smile"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for aortic early calcified valve"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with asthma, recently with bronchiectasis , and I also have chronic pneumonia . I still currently get sick very frequently and my doctor and I can not find the solution to my treatment. In the past year I have had two CT scans, a bronchoscopy (which showed I was growing strep-pneumonia) and last week an open lung biopsy (which I was told only showed inflammation on the pathology results, and currently still growing cultures). I usually take either bactrim or levaquinn with prednisone for a period of time to treat my pneumonia but as soon as I get back off of it I get e pneumonia right back. Can you please suggest any further treatments or any further disease possibilities or autoimmune diseases. My dr thought it may be autoimmune but nothing showed up on the biopsy. Doctor: Hi, You seem to have been diagnosed as a case of asthma with bronchiectasis with on and off pneumonia episodes. A diagnosis of ABPA (Allergic Broncho Pulmonary Aspergillosis) can be considered in such a scenario. Do get your total serum IgE levels, Serum IgG and IgE specific for aspergillus, sputum fungus examination. If it is detected then oral steroid therapy will have to be started to which your condition should respond. Regrading the autoimmune profile, if your physician is suspecting then collagen vascular diseases are a possibility for which you may undergo a extranuclear antigen profile. For episodes of pneumonia antibiotics will have to be taken as per culture sensitive reports of the organisms isolated from the sputum/ bronchoscopy samples. Also you may consider yearly flu shots and 5 yearly pneumococcal vaccination for prevention of repeated infections. Regards Dr. Gyanshankar Mishra MBBS MD DNB Consultant Pulmonologist"
},
{
"from": "gpt",
"value": "Target: Diagnosed with asthma, bronchitis, chronic pneumonia. Taking medicines. Pneumonia persists. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there! My brother is 8 years old, have had 3 seizure in the past 3 years, about twice a year witnessed by his mother. when he seize he just hold his stomach for less than a minute and then he feels lethargic and weak after that. he is 8 year old, male, his overall condition is normal. He is doing good at school with no other complaints.After exclusion of other causes of his seizure, he has been diagnosed with epilepsy. His last laboratory are normal, EEG is normal, and doctors put him on Depakene \"valproic acid\" tablets 200mg and Neurobion tablets \" vitamin B1, B6, B12\".My question is should he take those medication or stop taking them because he is having one seizure a month and his labs is normal? Moreover, some doctors said that he should not take drugs and others stated that he has to keep taking those drugs at least for 2 years in a row. Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.Question : Should the vitamin tablets be continued for the seizures and epilepsy?Answer : In this case, it is better to continue the tablets till he reaches 12 yearsHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care."
},
{
"from": "gpt",
"value": "Target: Should the vitamin tablets be continued for the seizures and epilepsy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My younger son is at the age of 7 years. He has asthma. Few days ago, as per doctors instruction, X-ray has been done. The result is,flesh of his nose increased. 2 month s medicine has been given and it s continue now. My question is is it harmful. Pls advice. Doctor: HiInformation provided by you is insufficient. I would like to know the name of medicine which your child is getting before any comments on its side effects or its effectiveness.Also do mentioned about the severity of your child's asthma.It's common to have childhood asthma along with rhinitis."
},
{
"from": "gpt",
"value": "Target: Is the medication harmful?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have recently had a skin punch biopsy for a light sensitive rash on my arms and face. I saw an allergist first who tested me and said the rash was not associated with any allergies. He sent me to a dermatologist who does research at NIH who immediately said he thought I had lupus. The skin biopsy revealed vacuolar interface dermatitis with rare dyskeratotic keratinocytes with an early lesion of erythema multiforme. Blood work revealed Sjorgren s Anti-SS-A of 8.0 and Sjogren s Anti-SS-B of 1.5...The ANA Direct was positive. Isaw a highly recommended rheumatologist in the DC/MD area where I live. Because I also have dry mouth from medications that I take, she diagnosed me with only Sjogren s disease and subscribed Plaquenil. She says I do not have lupus. A friend who is a resident and rheumatology resident at Emory University says she thinks it is subacute cutaneous Lupus. In the last few months, I have developed fatigue, muscle and joint pain and have difficulty remembering names and words. My doctor also did not do an immunefluorescence test..she said I did not need it. My doctor friend could not understand why she would not do it and the dermatologist who reviewed my test results with me told me he thought it was absolutely Lupus and that I would probably be sent back to him for that test. I have an upcoming appt. with the rheumatologist on Feb. 2, but my family thinks I need to change doctor s after the conflicting information. Help, do I have subacute cutaneous Lupus Plus Sjorgen s or maybe starting to develop SLE by itself. I am very confused and do not want to be misdiagnosed. Doctor: Hello,When you have Sjögren's syndrome, it can be a part of lupus and so is the skin rash, as you have systemic symptoms: fever, arthritis, etcetera. It will help to get the Antinuclear Antibody Panel ( ANA ) and ANA panel and start you on prednisone and other medications for systemic lupus, which works for skin and Sjögren's syndrome: Imuran or Cellcept. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Priya Sadanandan"
},
{
"from": "gpt",
"value": "Target: Is a sensitive rash on the arms and face related to subcutaneous lupus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ive had a headache for almost 2 months now. Its only on the right side of my head and the worst pain is in my temple, ear and jaw. The right side of my face is swollen severely and my temple is bruised. When the pain shoots through my head into my ear and into my jaw it makes me clench my teeth really hard because it hurts so bad. What is causing this and how can I stop it? Doctor: Hello and Welcome to HCM, Thanks for writing to us. Various causes are: TMJ disorders Bruxism Trigeminal neuralgia Treatment for jaw pain may also vary with the underlying cause and its severity. While most complaints of primary jaw pain can be addressed by a dentist or an otolaryngologist, you may need other specialist doctors for secondary jaw pain. You may consult your family doctor or dentist and if required, he will refer you to other specialists for further investigation and treatment. Hope this helps you. Wishing you good health... Regards."
},
{
"from": "gpt",
"value": "Target: Have headache, pain temple, ear, jaw, clenching of teeth. Have swollen face, bruised temple. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a pain under my left breast when I cough, sneeze, or laugh. I have had this for the past 7-10 days. This pain occurred after I had a cold/URI prior to this happening. I went to see my PCP a week ago who seemed to think this could be a pulled muscle since my lungs were clear. He did prescribe tessalon perle to help with the cough. The pain is stabbing and near my heart. I have also been taking 2 tabs advil of 200mg off and on. Not seem to be helping. Doctor: reasons of pain in that area can be due to -muscle pullcostochondritisresp tract infection/ pneumonitissyn pneumonic issuesrarely cardiacall these causes can be discussed with your physician and he can rule out the causes by examination and certain investigations if neededin my patients I request for a chest X-ray and an ecg and if needed an endoscopy to rule out the causes and preferably start them on some proton pump inhibitor if neededyou can disscuss he above mentioned modalities with your physician who can help you to confirm the diagnosis and to start you on certain medicines if neededthanksfeel free to ask more questions"
},
{
"from": "gpt",
"value": "Target: What causes pain under left breast while coughing or sneezing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello there, A few days ago, I started having neck issues and assuming its from work being I have a very physical job, but whatever the case may be. At first I had thought it was pulled muscle knotted up, but I noticed I had these bubble like/ball like things in my neck that move around and I m not sure if it s swollen lymph nodes or something else? I been getting these killer head ache from it so bad I feel like my neck/head is going to exploded. Going to be seeing my doctor this weekend but it rough because i work 12 hr shifts being the holidays coming up and on the 3rd shift. Doctor: Hello,I read carefully your query and understand your concern. The symptoms seem to be related to .mudcle knots in the neck.I suggest using muscle relaxant such as Baclofen three times a day.I also suggest using magnesium supplement for muscle relaxation. I suggest warm compresses for local application at the neck area.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in the neck and headaches"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir, i m 28-year-old married female, last month i was diagnosed with a problem of bilateral multiple renal calculi and cystitis. i have not any pain. please tell me the treatment n physician to whom i may contact regarding this. Doctor: renal calculus can be treated with Ayurvedic medicines. There is good success rate in these cases. Have lot of water to increase urine flow and amongst medicines to cure calculus i would advise you to have tab. sheet prabha 1 tds and to cure cystitis add gokshur guggul along with it 1 tds."
},
{
"from": "gpt",
"value": "Target: Treatment for bilateral multiple renal calculi and cystitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have threadworms and took 1 x mg zentel tablet 2 days ago, i felt the medication work in the evening when it hit the gut and it gave me immediate relief however when I woke in the morning i could still feel some worms wiggling. I learnt that I should have taken 2 x zentel tablets so proceeded to take the correct dose the same time the next day. Again in the evening I felt the zentel work and it gave me relief, again however upon waking I can still feel some worms??? How are they surviving and do I continue to take zentel daily or try an alternative? I am being scrupulously hygienic to prevent possible reinfection? Please help Doctor: dear friendthe correct dose of Albendazole is 400 mg in a single dose the best would be to take one tab at night after meals and repeat the same after 15 days.\\also use a glove at night as the re infection by the eggs can take place"
},
{
"from": "gpt",
"value": "Target: Can Zentel be taken for deworming?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i HAVE PAIN IN THE LOWER RIGHT SIDE AND AND BUTTOCK AREA. iT GETS WORST WHEN I STAND OR WALK, BUT DOESN T APPEAR WORST WHEN I SIT. i HAVE HAD THIS FOR FIVE DAYS, AND HAVE USED VARIOUS PAIN RELIEVERS, ALEVE, AND CORTIZONE. THE PAIN DOES NOT GO AWAY. EMAIL ADDRESS: YYYY@YYYY Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Pain may be due to gluteus muscle spasm which on action on standing. Gluteus maximus, medius and minimus are the three main buttock muscles. Gluteus maximus is biggest muscle in the body and some sources say it’s the strongest. All of these muscles may get tendon problems causing pain in the buttock. There are also a number of trigger points within these muscles that may give pain within the buttock. There are three trigger points commonly encountered in Gluteus max, another three in medius and minimus. Other possibilities like hamstring tendinopathy pain which may be triggered by overuse of muscles of hamstring. You may take rest , use cold and worm compression . Use pain killer medication like naprosyn or ibuprofen or indomethacin. If symptoms not improved please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain in the buttocks?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother has been diagnosed with cancer. There is a lymph node in his neck that has tested positive for cancer. However, his doctor believes the originating site may be in his tonsils. He is scheduled to have his tonsils removed immediately, then undergo chemo and radiation, then removal of the lymph node. What does this all mean? Doctor: Hi, dearI have gone through your question. I can understand your concern. He has tonsil cancer with lymphnode metastasis. He should go for tonsillectomy followed by chemotherapy and radiotherapy according to need. It depends on stage and type of cancer. But surgery is the first step. Consult your doctor and plan 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 tonsils cancer with neck lymph node metastasis mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello my 2 year old son has spots all round his bum area and come down the inside of the top if his thighs. its dont look like nappy rash, because hes had that and its never looked like this. the spots are raised and bumpy, a bit like chicken pox but without the heads. what do you think it is? Doctor: Hi,Is he having any other symptoms like fever? Are the lesions itchy?If no fever, raised lesions which are not fluid filled can suggest an urticaria (will be itchy), a contact dermatitis or a purpura. Urticaria will respond to antihistamines, calamine lotion and occasionally steroids. Purpura need further evaluation to rule out conditions like HSP (Henoch-Schonlein purpura). Kindly show it to your pediatrician.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician"
},
{
"from": "gpt",
"value": "Target: What causes spots all over the buttock area extending to the thigh?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my two year old has a rash which started on the back of her knee there were 7 little bumps that looked like pimples then a bout a week later there were little clusters of them on the same area. they dont look like pimples any more they are bumps the same colore as her skin. now it seems to be spreading she has some on her back and on her stomach and now on her arm and some on the other leg. she dosent have a fever and its not bothering her. im using lotramin on her to see if will work i also tried cortizone but only for a day. is it some thing i should be conserned about or could she just be having a reaction to something. Doctor: Hi, By what you say I feel that this could be hand foot mouth disease. But skin conditions are best to diagnosed and treated after seeing them directly I suggest you upload some images here so that we can get back to you with a better and appropriate suggestion. 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: How can knee, back and stomach rashes with lumps be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: virus started Dec 23. went to clinic 1 week later with asevere cough and some back pain. She diagonised Bronchitis and persscribed Cipro 500 twice daily for 10 days and Bromfed 4 times daily. Eight days after I finised taking Cipro went back in again with back pain and she prescribed more Bromfed..As of the last couple days I have riband back pain, Should return to the Clinic again or will this pass? Doctor: Severe cough may cause stretch to lower back muscle.that we call muscle strain because of excessive bouts of cough that require muscle action.this will slowly go away . You need to avoid excessive forward bending and twisting and jerky movements. You can take some pain killers if pain is severe enough that is affecting your daily activities . If pain persist for more than 2 weeks then you must consult a orthopaedic surgeon for expert opinion and further management ."
},
{
"from": "gpt",
"value": "Target: Should i consult a doctor as i am having back pain and cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a 1\" wide by 1/2\" protruding lunp on the left side of my lower leg not in my calf muscle but next to it closer to the side/front of my leg. It doesn't hurt and is not discolored and is hard. I just got it recently. What can it possibly be? Doctor: hi.do you have any history of trauma? how long has it been there? do you have any other symptoms aside from the lump?it is best if you consult w a general surgeon or an orthopedic surgeon for physical examination. that \"lump\" might just be a cyst or a lesion with underlying pathology. further diagnostics (such as MRI or xray) would be directed accordingly.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: What could protruding lumps on leg suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am 15 weeks pregnant. About two weeks ago I noticed a golf ball size or little smaller lump/knot on my shin under knee . It had fever on it for few days. And now I also have swollen. Feet, ankles, and its painful. The knot feels like a bone hard. What could this be? Doctor: Hello and welcome to HCM,A lump on the shin associated with fever, swollen feet and painful ankles suggest infection.I am of the opinion that there is some kind of infection / inflammation in the veins of the lower limbs.Pregnancy predisposes to clotting in lower limb and there is increased probability of infection of the blood vessels called thrombophelebitis.I suggest you to consult your gynecologist first and then your surgeon for clinical assessment and then management.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: What causes swollen lump under shin?"
}
]
|
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