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{
"from": "human",
"value": "Source: Patient: i started having pimples off late..i did not care but they started multiplying.when they have occured i have nt touched some but i have squeezed out the puss for some.i had a fair complexion but now i am even losing that too..i am turning 20 in a month and i wana look great that day...so please advice a quick remedy doctor .but i am not ready to take any peels as my parents are against it.some pimples have also left brown marks.mainly i want my fair complexion back quickly. Doctor: your acne is curable. dont worry. follow the following: 1. clindac a solution ( clindamycin) : apply over your face at bed time for 15 days 2. tab doxycycline 100mg twice daily after food for 5 days. 3. change face wash to elovera body wash 4. stop using harsh creams. switch to lactocalamine ( caladryl) which is a skin soothing agent plus is sun protective as well. 5. last but not the least drink plenty of water and cut down on junk food( if you take it) kindly dont prick if you dont want scars do get back to me in a week to 10 days time. thanks - dr sujjalaxmi"
},
{
"from": "gpt",
"value": "Target: Having pus filled pimples. Remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain at the base of my neck, left side mostly, and back my the shouldef blades. for about 3 days. now, since yesterday I swallow food and the pains intensify in my neck AND the spine. I tried icy hot but it doesnt go away. need help as to relief methods please Doctor: this is because of the spasm in your neck muscles secondary to cervical spondylitis. you need to apply any analgesic gel/ointment before the heat application. along with this you shall require muscle relaxants and analgesic combinations for 3-5 days to settle the pain. you cold take a combination of aceclofenac with myoril or ask for a prescription from your GP"
},
{
"from": "gpt",
"value": "Target: Suggest medication for pain in neck and shoulder blades"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir,My Mom Had undergone surgery 6 montsh back for Paratid cancer and now the doctor said it has been spread over to lungs,heart so nothing can be done.but last few days we observe that boils and puss on the places where surgery done and water is coming out also it is so painfull.could you please suggest us how we can get rid of these pain and feel comfortable till she lives Doctor: Hi,Thanks for writing in.It is important to know the exact clinical manifestations so that a staging can be done. This will help guide treatment. If there is boils and pus in the area of surgery then an infection of post operative nature should be looked for and treated on time.Pain is to be attended with adequate pain relief medications. She needs to be asked how comfortable she is with present pain relief medicine and if there is severe pain then increase in medication is required.Head and neck cancer including parotid has good treatment and survival rates. In stage 4 cancer also there is survival of 30 to 40 percent till 5 years. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What causes boils and pus formation on the surgical site?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2.5 years old child (10kg) is suffering from loose motions (4 times a day) and gets fever upto 104 deg since past 4 days. Otherwise he is fairly active (when not having fever) and his appetite has dropped but not significantly. We have been giving him meftal-p for fever and flora BC for motions. Please advise what further course to take as frequency of his motions has not decreased at all. we have been advised to give DIOF twice a day to him. Doctor: supplement with oral re hydration therapy (ORS solution), to avoid dehydration, since diarrhea is associated with fever its better to start with antibiotic."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for loose motions and fever in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is sarah I have hyperplasis since 2011. I do not want to have a hysterocotomy. I want to have a baby I have read to have a lot of stuff even to have part of my stomach removed an the enlarged lymph nodes removed. what should I do please help. Doctor: Hello and welcome to HCM,Hello and welcome to HCM,The treatment option for you depends on the type of hyperplasia that you are having.Hyperplasia with atypia has high risk of developing cancer thus hystrectomy is required in such cases.You will have to discuss about the treatment modalities with your gynecologist.Thanks and take careDr Shailja Puri"
},
{
"from": "gpt",
"value": "Target: What is the best treatment for hyperplasia other than hysterectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i got my normal period at the end of april the 21st as per usual and it seemed completely normal it was about 4 days long which is normal for me, ive never had a period longer then that. last friday may 11th i got i guess my period again, it was alot heavier then usual and the color was a little different, its over a week later and im still kinda spotting, during the week i had my not supposed to be here period, i had a sore back and i was getting horrible pains in my stomach and i was vomiting and nausea all week. is it possible for me to be pregnant and not be aware, and have miscarried. im 20 years old and underweight if that matters for anything. Doctor: Hello,.Pregnancy is possible if intercourse is done around ovulation time in regular cycle.Now you are presented with irregular bleeding with different color and twice in month.It may be due to early implantation leading to miscarriage.Also you have stomach pain and vomiting.Do a USG pelvis and consult with gynecologist with report.Be well and practice safe sex in future to avoid unwanted pregnancy."
},
{
"from": "gpt",
"value": "Target: Long period, stomach pain, vomiting, nausea. Pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband was diagnosed 15 months ago with MAI. He has taken antibiotics since then and now he has been asked to provide 3 x sputum samples to see if the MAI is clear. We are on holiday when they want the samples, do they have to be fresh or can we hold onto them for 5 days until we return? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, fresh samples are required to know whether MAI (mycobacterium avium intracellular) infection is treated or not. So don't collect sputum sample while you are on holiday because bacilli can be dead and degenerate if kept for 2-3 days in container. So chances of false negative result is high in this. Take samples once you reach home and able to send to laboratory on the same day. This will give exact results. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks."
},
{
"from": "gpt",
"value": "Target: Are fresh sputum samples required for testing MAI chest infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have this fluttery felling in my neck that will happen real fast and make me short of breath. it is not continuous but it is happening frequently, at least 8 times an hour. i also have a tightness in my chest. i have had an ekg and chest xray, both of which were normal. help this is wearing me out Doctor: Hello, I suggest you to do ultrasound of carotid artery. Meantime, check the blood pressure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes fluttery feeling in the neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can a soybean allergy cause blood in urine in a small child, he was diagnosed with a soybean allergy while he was on prosobee for a short time and it caused bloody stools, but we have never really paid much attention to what he eats with soy in it until lately when he complained of pain in groin area like a hernia pain but there is no hernia and no infection (UTI) culture was negative but he continues to have blood in his urine x 3 weeks now Doctor: Hello.Thank you for asking at HCM.My first and practical answer to your query will be - No, food allergy can't cause blood in urine.As a doctor, I must let you know that there have been rare cases of food allergy causing hematuria (blood in urine) recorded in medical literature. But they are very very rare. So practically, I would not consider soybean allergy causing blood in urine in your child.There are many causes commonly causing blood in urine in children. It is very important to diagnose and treat the cause.So personally I would suggest you to consult a Pediatrician who may suggest you some blood and urine investigations as well as ultrasonogram of genitourinary system which may help in diagnosis of the cause.Hope above answer solves your query.Wish your child a quick recovery and best of the health.Regards."
},
{
"from": "gpt",
"value": "Target: Does soybean allergy cause blood in urine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 4 months ago i caught a weird cold or infection. i was coughing yellow mucus and stuffy nose for a month. Now i get tickles in my throat and feel the need to clear my throat. my throat and chest feels itchy. my doctor prescribes allergy and antibiotics over the months but i never get better. Doctor: Hi, . You may be having postnasal discharge. This is the reason you are trying to clear your throat always. You need to fond out what you are allergic to. Since you have developed it 4months ago, you need to check if you have been using any new perfumes, pillow cover etc. You can do a allergic test for this. You will need to be on allergy medications. Wishing you well."
},
{
"from": "gpt",
"value": "Target: Yellow mucus with stuffy nose for more than one month"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing back pain that I have been told that I have a lot of arthriris activity going on in my back. I also think maybe by sciatic nerve has been giving me problems. I haven t been able to walk without help for the last couple of weeks. My question is what can I do to help ease the pain in my back. I also was in a car wreck 5 days ago which just really aggravated the situation Doctor: Dear patient There are many reasons for chronic back pain and therefore different treatment. As you said you have got arthritic changes in your back which mostly is in facet joints xray will confirm diagnosis. I would advise xray of lumbo sacral spine anteroposterior and lateral views to confirm diagnosis. If facet joints are the culprit nerve blocks and ablation is very helpful in pain relief. If that is not the case MRI of the lumbo sacral spine is very sensitive and specific for diagnosis of spine pathology. Please get it done from radiology centre nearby you. You need to consult pain care specialist with reports."
},
{
"from": "gpt",
"value": "Target: How to alleviate chronic back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had been using a Zen Physio Deep Tissue Massaging Machine for the past 3 days which I believe has done more harm than it has good. I have a lot of pain in the lower lumber region and around my extensor muscles which go into spasm If I stand or elevate my legs. I cannot apply any pressure, so I can not stand and pain seems to be relieved when I lie down flat. Could you advise me on what would be the best thing to do? Doctor: U could have either a vertebral disc problem or ur deep vein pathology .it requires further assessment and history which is incomplete here.consult neurosurgeon ."
},
{
"from": "gpt",
"value": "Target: What causes painful lower lumbar region after using massaging machine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m smt megha i m newly mard women ...sir ,due to miscarriage for 2 months i m sufferng frm infection n doctor has suggested me to tke these tablets orni500,ferinum-xt and nervon..sir wether this infction wil be curd or not by takng this tablets plz tel me.. Doctor: HIWell come to HCMAfter the miscarriage chances of infection may be there, but not always some time on precaution basis antibiotic being given, if this is infection then clinical symptoms is the only signs that could prove this, with antibiotic course this would come around within week, this is nothing to worry, take care and have a nice day"
},
{
"from": "gpt",
"value": "Target: What was the infection caused after miscarriage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my partner has been diagnoses as a cystic fibrosis carrier which has affected his fertility and we think that it may have blocked his tubes we have been told that there is ivf treatment avalible for us but we would like to know if there is a chance that we could conceive a child naturally Doctor: you can also go for inta uterine insemination technique by collecting and proper washing of sperms,otherwise it is safe to go for ivf"
},
{
"from": "gpt",
"value": "Target: Suggest chances of natural pregnancy with cystic fibroids"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I got rear ended in October 2016 It was minor but nevertheless the left side of my neck and lower spine got hurt, I went through physical therapy which helped a lot, The MRI showed normal results. Over the months I still had off and on pain on my lower back, last month I was on my 30 minutes walk when I felt tingling sensation on my left foot and been having them off and on since. Could this be due to the accident or could it be something else? Doctor: Hello,Thank you for using healthcare magic.I read your question and understood your concern.If you did not had these complains before but after the accident , somehow it is related to the accident indirectly, as it may have triggered muscular pain . Even though MRI is normal still you have have nouromuscular pain that takes time to go with physical therapy.Dr. Selmani"
},
{
"from": "gpt",
"value": "Target: What does pain in the lower back indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Male 20 years old adverse reaction to an antibiotic Not previously allergic to antibiotics. Psychotic episodes , pupil dilation , headaches, hallucinations. The patient is actually my son who is currently in the mental health ward of the hospital. The Doctors there have never dealt with a drug reaction like this before and currently do not have any answers. He is taking seroquil twice a day and that has helped somewhat but his pupils are almost always dilated, he acts like he has just taken amphetamines and his brain races. Do you think his brain chemistry may have been altered or his neurotransmitters affected by this reaction? If so what could be a possible treatment? Doctor: hello welcome to healtyh care magic its not too common to have such adverse reaction from anti biotics but in medicine we cant decline also any thing i think u should consult some physician"
},
{
"from": "gpt",
"value": "Target: What is the treatment for drug induced psychotic episodes ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Ive had my mirena fitted last wednesday and I suffer from ulceritive colitis. Ive had severe cramps on that day and for the next two days just mild cramps. However I would like to ask if the mirena causes a flare up of ulceritive colitis since im experiencing some tightness in the back side and like\" hemorroids pain\". Im kn a long term treatment of pentasa 500 mg bd Doctor: Hi,Thank you for choosing Healthcaremagic. No mirena does not flare up Ulcerative colitis, it could be unrelated. Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!"
},
{
"from": "gpt",
"value": "Target: Does Mirena cause a flare up of ulceritive colitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My arms are very dark due to exposure to sun for the past 6years now. I have tried many ayurvedic treatments and several home remedies, but they were all futile. Kindly advice. Doctor: Hello. Thanks for writing to us. If you have tried many remedies already then the best for you is dermabrasion or the LASER therapy for skin lightening which you can discuss with your dermatologist. You can also try bleaching with diluted hydrogen peroxide. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: My arms are very dark due to exposure to sun. What are the remedies for this ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey am sagar.. 19 yrs old ! Well for the past few months I have noticed that my lip color is changed from pink to dark brown .The upper lip seems to be dark & the lower lip is not gotten all that worse,its just pink yet a little dark. Am really feeling a lot sad about it .Please suggest how to I get rid of these dark lips I do not smoke .. i just started to drink coffee like 1 month Doctor: Hi Sagar, To treat your dark lips, you might try these treatment options- 1) avoid tea,coffee, smoking 2) use a lip balm with good SPF. 3) apply Kojic acid or hydro quinine or liquorice arbutin based cream over lips to lighten lip color 4) you may also take lactic acid or arginine peels Hope that answers your query. Take care."
},
{
"from": "gpt",
"value": "Target: Noticed change in lip color from pink to dark brown. How to get rid of this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I slipped and fell my lower back hit a step and then I fell to the ground. I am having trouble walking there is a sharp pain shooting through my back and a large lump has developed where I landed in te steps feels solid not sore to the touch no bruising or swelling yet. Doctor: hido ice fomentation at the site of injury.take tab,ibuprofen and rest.keeping in mind the nature of your injury it's better to do xray , to rule out fracture.take care"
},
{
"from": "gpt",
"value": "Target: What is the remedy for a sharp pain in my lower back after an injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on the pill for a long time now (years). During the second week of my pills I missed 4 pills and 1 pill of the third week. I am not due for my period until next week, but I am bleeding . It is not as heavy as my normal period. My boyfriend and I have had unprotected sex pretty much every day that I missed my pills. Could I be pregnant? Is this just my period starting since I missed pills? Doctor: Hi,this bleeding in all likelihood is an early period because of you missing out on your pills as long as your last period was normal.And as it occured out of turn and before it was due, it was light.However I would suggest that if you miss one pill you should take it as soon as you remember or take two the next day and continue the cycle but if you miss 2 or more pills use another form of contraception like condoms for the rest of the cycle and drop the pills till next cycle and remember that in such a case your periods would not be on time."
},
{
"from": "gpt",
"value": "Target: On contraception since long, bleeding, had unprotected sex. Can pregnancy occur due to missed pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have cold-like symptoms-stuffy nose, pressure in my ears, sneezing, and coughing. what I am concerned about is i have felt this coming on and worsening for 4 days. now i am coughing yellow thick mucus from my lungs. my eyes also burn and itch. no fever , however, so this leads me to believe it might be allergies. my allergies have been with me a few years now (i'm 62), but i have never been this bad. should i see a doctor? Doctor: Hello,Provided the history you do need to go to a doctor and get sputum cultures. Yellowish sputum usually indicates infection. You might need to be on antibiotics for a few days. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Purnima Sharma"
},
{
"from": "gpt",
"value": "Target: How can allergic rhinitis and chronic cough be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 3 years & 4 months old, recently she is complaining about the stomach pain. For last five days she is having stomach pain (thrice a day) immediately she wants to pooh ( semisolid & liquid), also she vomits once a day for past 2 days, having cold & cough. We met a doctor yday . His final diagnosis was female child in the age 3 to 5 years will get this kind of problem, as they are going to school that to becoz of fungal infection. IS that so? Pls clarify. Thanks!! Doctor: Hello,Your daughter probably has acute gastroenteritis. It may be viral, bacterial, and fungal. Some polluted food had eaten by her, require some antibiotic, proper hydration, antiemetic as ondansetron, probiotic.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sachin Kumar Agarwal"
},
{
"from": "gpt",
"value": "Target: What causes stomach pain with loose stools and vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Are hydroxzine which is listed on my allergy list and hydrochloricthiazide ( in Lisinopril/ HCTZ) the same thing? My pharmacy (that I have gone to for years) and have had Lisinopril/ HTC 20 filled for years now says it is. I have not have any trouble taking Lis. Usually I react to meds with hives. What do you think? Doctor: Hi, I understand your concern. Hydroxyzine is an anti-histamine which is also used to treat tension and anxiety due to its sedative effects. Hydrochlorothiazide is a diuretic med used to treat hypertension. This is not the same as hydroxyzine. So, you can use it safely as long as it is not in your allergy list. Hope this answers your query."
},
{
"from": "gpt",
"value": "Target: Are hydroxyzine and hydrochlorothiazide, which is a component in Lisinopril, the same?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Son 3 1/2yrs old hx of sinusitis ,ear infections, seasonal allergies and enlarged tonsils and adenoids Currently on singulair, nasonex, Zyrtec..we have stopped giving him the nasonex as his allergies were getting better (my mistake) He starts coughing while eating and gags at time .. Could this be related to his enlarged tonsils/adenoids? Thanks for your advise Doctor: Hi, I had gone through your question and understand your concerns. Adenoids cause secretion of mucus,which pass through nasopharynx and cause cough, you should wash his nose daily with nasoclear or physiological solution to remove mucus,bacteria,allergens from nose. You can discuss query about adenoectomy with your treating Doctor.Hope I have answered your question. If you have any further questions I will be happy to help"
},
{
"from": "gpt",
"value": "Target: Could the coughing while eating be related to enlarged tonsils?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 1 year old has been unwell for 4 days with a cold, last night he had temp and coughing, he was very restless, i have given him calpol and nurofen, but this morning i have nosed dry blood in the left ear, i took him to the gp 3 days ago where he ruled out a chest infection!!!?? Doctor: HiAfter an acute episode of cold and cough blood in war may be due to acute ear infection causing ear discharge. In that case such young kid will need antibiotics. watch if it is one time phenomenon or is there an active ear discharge. continue treatment for cold and cough. Avoid water in ear/ any ear picking. If discharge continue see an ENT specialist."
},
{
"from": "gpt",
"value": "Target: What causes dry blood in ear of 1 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just received a phone call stating my mothers kidney levels were very high and need attention, she is 84. Her level is 1.74. She s on several medicines ( Celebrex , simvastatin, bystolic , citlopram, prilosec , synthyroid & 81mg bayer) & had two strokes one last April & the other in August. She is doing really well overall since having them but now this. What could be causing this and what is usually done under these circumstances? Prognosis? Thank you in advance for your help! Kim Doctor: HiThanks for the query.I assume that her serum creatinine is elevated (1.74); this indiactes dysfunction of the kidneys.The causes can be many but use of celebrex for long time is known to cause kidney problems.However we need to find out if there is any other cause by doing a urine analysis; ultrasound of the kidneys and a few other blood tests.So I suggest that the celebrex should be stopped immediately and that she see a nephrologist who can perform the tests which I mentioned.Based on the results he/she can suggest further treatment.After seeing all the results we can give a better idea of the prognosis although prima facie it does not seem too bad.Hope this helps.Good luck."
},
{
"from": "gpt",
"value": "Target: 84 year old having kidney problem. On celebrex, bystolic, citalopram. Had stroke. Prognosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ma son is 6 yrs old.. he has fever for 15 days continous high grade... not responding with antibiotics.. USG report is mesentric lymphnod enlarged in periumblical region. other routine test are normal.. now doctor plan for ELISA for KOCH\"S and IgG and IgE.. what may be the diagnosis?? or please suggest what to do... Doctor: Thanks for asking in healthcaremagic forum I appreciate your concern. Paracetomol is the safest drug for fever in children. Lymph node enlargement can be due to Tuberculosis/local infection/gen viral infection etc. So, as your doctor is investigating the cause, be patient till then and follow your doctor's advise. All the best."
},
{
"from": "gpt",
"value": "Target: Suggest safe medicine for fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, 15 days back I was detected by Jaundice of 4.3 level and my SGPT was 485. After a lot of diet control and heavy Glucose intake (500 gms daily) now my Jaundice is at 2.0 but SGPT is still at 321. What type of diet plan I should follow specially to control SGPT. I am non alcoholic. I am already on boiled food diet largely involving rice, vegetables, dahi. and fruit juices. Will a lot of walking help or make it worse. Kindly advise me in detail. I NEED IT. Doctor: Hello As your SGPT was so high then it can be possibly because of Acute viral hepatitis.As SGPT is a liver enzyme and it was increased in your body so it will come back normal slowly only.For nowDrink plenty of fluids and juices Do exercise as you used to do"
},
{
"from": "gpt",
"value": "Target: Suggest diet to control SGPT levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my kid has a cycle vomit disorder after a period of good appetite period he sometimes loose his appetite whenever he saw any food he refuse to eat or drink and wanna vomit after taking hereclene for a period of 3months he will gain weight and eat much but it nver last long then he will go back to his vomitng and loosing appetite again what will i do.he is 3 yrs old thank you Doctor: Hi...cyclical vomiting syndrome is some thing which should subside on its own. This symptoms will gradually decrease in frequency as the age progresses. Till then we need to be patient regarding this ups and downs in appetite.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cycle vomit disorder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i don't hv moustaches & beards . My age is 26. Wat should i do?? My frnds tease me everyday. My father, younger brother have already moustaches & beards. To which specialist i should consult? Plz give me detailed description..... wat sould i do???? Do u know any specialist in India, if possible in Bangalore?Can it be cured without transplantation??? Doctor: Hi, If there is no visible skin condition, no need to worry. It's a genetic issue. Yes, there are few cosmetology clinics available in Banglore (you can google it ). Share pictures for confirmation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to grow mustache and beard"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: its my son.age 1yr 4mnth.He is running consistent high temp in the upper limb area:head,chest,abdomen.A little pale.The heart is beating faster than normal and there was this initial sound in the lung area.The noise has disappeared now.I ave adminstered oral ampliclox (2 doses in 12hrs),pcm and alaxin(an antimalaria).As at this nite the temp has not gone down much.What should I do next. Doctor: Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.PLEASE DO NOT SELF MEDICATE WITH ANTIBIOTICS AND ANTIMALARIALS LIKE THIS.I SUGGEST YOU GET IN TOUCH WITH YOUR KID'S PEDIATRICIAN.regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What is the cause of fever, paleness and noisy breathing in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently had an issue where I was driving I went to the ER and they could not answer my problem. My sister got me to pull over I was repeating I M Fine over and over and she put car in park and I was still acting like I was driving. she also called my husband they said my eye were extremely wide and dilated and they talked to me and asked me my name and I would say I m Fine. They got me to eat a cookie thinking my blood sugar dropped. They got me out of the truck and I staggered around like I was drunk laughing and then they got me in to my husbands car which I then started to cry. At first he thought he would take me home and that is what he did and went to take me out of the car and I collapsed and they put me back in the car and by that time I was coming around and asking how I got in my husbands vehicle and how I got a cookie and where we were going and why and what happened because I could not remember. Doctor: hi and thanks for questions.as per description of your symptoms i thought u have ?convulsion episodes in which u lost your mind control, u repeat the thing that u do at the time of episodes. because in disorientation u didn't find where u are? what r u doing? second thing after convulsion episode a post ictal confusion state start in which same thing occur. u should rest for some times, do your lab test like HB, CBC,S.NA and S.k+level. consult psychiatrist first.thanks"
},
{
"from": "gpt",
"value": "Target: What causes sudden disorientation and unresponsiveness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A guest at our home has pinworms. The doctor told us all to take Reese s pinworm medicine. We took one dose yesterday. We also washed and vacuumed everything yesterday and again today. When can we assume the pinworms are gone and stop washing everything everyday? Also, I am somewhat dismayed to find that though I had no symptoms yesterday, I do today. Should I take another dose? If not now, when? Thank you! Doctor: You may not need another dose of the medicine but the most important thing is to get rid of all the pinworm eggs by washing clothing and bed linen in hot water daily. You need to take showers, not baths and wash well around the rectum each morning to get rid of eggs. Washing the toilet seat daily is also a good idea. Once everyone is no longer having symptoms you may stop washing the clothing and bed linen daily."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pinworms"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have problems with my gallbladder leading to gallstones being lodged in my bile duct causing alot of pain and discomfort to me and my daily routines iv had scans and blood tests but nothing is being done urgently i can hardl stand straight alot of the time and iv now had it for 2 years and im on 30/500 co codamol and buscopane which is making me worry about being on them for so long and im getting very worried if something isnt done about my gallbladder soon if it will rupture and cause more harm than good and also noticing i have to use bathroom alot and getting alot of pain in my gallbladder when i do so Doctor: Hi and welcome to HCM. The best treatment i surgical pricedure since it is very routine today,have minor complciations and recovery is very quick. Also, the cure is permanent and you wont have symptoms right after surgery.Other methods are less invasive but also much less efficient. You can always try with dieatry changes and ursodeoxycolic acids but as i said it wont be siccesful as cholecystectomy is.Thanks for the query. Wish you good health. Regards"
},
{
"from": "gpt",
"value": "Target: What treatment do you suggest for gallstones ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: We just noticed that our 4 year old son has a very hard lump that feels like a bone on the back of his head about 1 inch from his ear underneath his hair. Otherwise he looks and feels fine. The lump is painless and does not seem to bother him. What could it be? Doctor: Welcome to HCM!Hi, If I were your son's treating Doctor for this case of hard, back of head lump, I would come up with three possibilities, these include: 1. benign and simple conditions like lipoma or neurofibroma; there is nothing to worry about these! 2. a sebaceous cyst or dermoid cyst or some other cysts like branchial cyst or lymphatic cysts! Nothing to worry about these also!3. a hemangioma or dermatofibroma: Nothing to worry about these also!Therefore, overall it is a benign and not serious type of lesion still I would suggest you to go for an FNAC and ultrasound of the lump for confirmation and to relieve your concerns!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 son good health."
},
{
"from": "gpt",
"value": "Target: What is the hard lump on my son's head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had numerous kidney stones in both kidneys cysts on liver and kidney and I am a celiac Ive had stroke heart attacks and and possible stroke small in my sleep A tia and also have had a head injury which resulted in a coma I m am going to a urologist who is doing test at this time should I be taking prescription pain medications instead of ibrofin Ive been taking aprox 6 per day my pain subsides but wears off affer a few hours I had a angioplasty approximatley 3 weeks ago they noticed the stones then I have had an ct scan x rays upper and lower gis they did an ultra sound and found 7 stones in my kidneys some more than 5cm and a few cysts on my kidneys and one on my liver I dont have a family history of heart attacks or strokes i m waiting to see the DR on monday if my pain doesnt decrease should I go to er or wait? Doctor: Hello and welcome to HCM.As an Urologist,i can understand your anxiety.You should've written your age and gender. You've large kidney stones,cysts in liver and kidneys,CAD,H.T.,and TIA's. You shouldn't take ibrofin at all.Before seeing Urologist,do these tests: Hb,creatinine,uric acid,LFT,RBS,platelets,and CT-IVU.The stones should come out,if there's no contra-indication.If you've any doubts,send the reports to me,as a direct question.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Do kidney stones need immediate treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am 53 years old and having severe knee pain to the point where I am afraid I could fall simply by walking The pain is only when I walk and I can hear grinding.Sometimes I run approx 1 to 2 miles at a time and don t feel the pain This came on suddenly. I also have body aches and lower back pain but only when I am horizontal and sleeping or trying to...other symptoms include cold sores in my mouth and very stiff and tired Doctor: Hi,Thanks for your query.Although it isn't possible to diagnose your condition without an examination and a few tests, your history is suggestive of osteoarthritis knee. Often called wear-and-tear arthritis, osteoarthritis occurs when the protective cartilage on the ends of your bones wears down over time. Osteoarthritis treatments can slow the progression of the disease, relieve pain and improve joint function.I would suggest getting this evaluated by an orthopedician for detailed examination. You may get the X-ray/MRI, some blood tests and joint fluid analysis under his/her guidance to reach the accurate diagnosis.The following measures will help with the painDo regular Exercise. Exercise can increase your endurance and strengthen the muscles around your joint, making your joint more stable. Stick to gentle exercises, such as walking, biking or swimming. Lose weight if you are obese- Being overweight or obese increases the stress on your weight-bearing joints, such as your knees and your hips. Even a small amount of weight loss can relieve some pressure and reduce your pain.Use heat and cold to manage pain. Both heat and cold can relieve pain in your joint. Heat also relieves stiffness and cold can relieve muscle spasms.Apply over-the-counter pain creams. Creams and gels available at the drugstore may provide temporary relief from osteoarthritis pain.Take diet rich in calcium, vitamin d3 and minerals.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe knee pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband (33 years) is having nephrotic syndrome which was detected 2 months back when he started getting severe intermittent abdominal pain. His protein dipstick levels are (+++), creatinine: 1.3. He is having no other visible signs of ailment. Could he be treated completely? Doctor: it depends on the biopsy finding of kidneys. many nephrotic syndrome patients remain symtoms free with steroids or immunosuppressive medicines for long term. please consult treating physician."
},
{
"from": "gpt",
"value": "Target: Can nephrotic syndrome be cured completely?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Doctor i am 45 yrs and my wife is 41 yrs. We have a happy married life with two siblings. Now when i want to have sex with my wife she does not get mood to do so. but she prefers sex very much. Is there any herbal medicine for her so that she can cope up with sex. Doctor: hai,Ashwaganda,shatavari,celastrus panniculatus seed, tribulus these herbs works for female libido condition.certain foods like onion,garlic,almond,dal with ghee in food will help.stress will decrease the sex desire. so avoid stress.thank youhope i answered your query"
},
{
"from": "gpt",
"value": "Target: How to increase sexual desire using herbal medicines?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have Psoriaz more then 6 years already. It became worse after born of my 2 children one after another with difference 1.5 years. I've tried many ways to ged rid of this, even took a courses of UV lights but nothing helped. Now my Doctor prescribed me Neotigasone, 60 drugs which I should dring for 2 months...I wanted to ask if this could help me or make some harm? Thanks Doctor: Hello,Welcome to healthcare magic,Neotigasone is acitretin and it is an approved medicine for Psoriasis. This will help you. If you are taking the medicine under supervision of your doctor and if you continue monitoring your blood parameters as advised it should ideally do no harm. When you are on the tablet you should not get pregnant and I am sure your doctor would have counselled you in this regard. Your skin and lips can become dry, so kindly use a moisturizer regularly.Hope this helped,Take care."
},
{
"from": "gpt",
"value": "Target: Is Neotigasone drug effective for psoriasis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: helo sir i m 24 yrs old, 76 is my weight and height is 5.8. i m trying to concieve from last 5 months but still badluck...i have irregular periods, without any medicine my periods are never on time. i also have excess hairs on body. my all reports including TSH,FSH,LH,prolactin,USG all are normal excpet DHEA but doctor says that this does not do anything with concieving. From last two months i m also taking duphaston on day 5 of my period to 20 days and also taking PROLAFIN for first 5 days of my period but as i told u still badluck...my husband serum test is good..dr says that there can b a possibility of PCOS inspite of all the tests are fine...so just guide me wat can be the possibility of infertility and wat is the solutuion... thanks Doctor: Hi, I have gone through your question and understand your concerns. Irregular periods, excessive hair on the body and increased DHEAS level is suggestive of polycystic ovarian disease. In this condition, there is infrequent or no ovulation and hence there is infertility.The first line of management in PCOS is ovulation induction and prolafin is ovulation induction drug which you are taking.It has a success rate of 35-40% in each cycle, and can be taken for 6 cycles continously.Duphastone is progesterone which supports the pregnancy by making uterine environment more favourable for conception.I would suggest you to take the treatment as advised by your doctor and if you fail to conceive in 6 months, then do go for intrauterine insemination.Hope you found the answer helpful.Wishing you good health."
},
{
"from": "gpt",
"value": "Target: What causes infertility in women with irregular periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a 4months old baby. last night i had sex with my husband and the condom got busted. i expect my period on the 23rd of january (which is in a few days). however i just purchased gynaecosid tablets, do i go ahead and take them? what are the side effects? Doctor: Hi.I've gone through your query and I can understand your anxiety. If there is history of unprotected sex during the period of breastfeeding, there are high chances of pregnancy. To avoid it, you can safely go ahead with hormonal methods of contraception either as birth control pills or implants or mirena. As you have taken gynaecosid pill, it's safe to use during breastfeeding & it won't cause any harm to the baby. But can expect common side effects of birth control pills like Nausea, vomiting, headache, breast tenderness, abdominal bloating, swelling of the ankles, weight gain, irregular periods etc. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Yogapriya V, General and family physician."
},
{
"from": "gpt",
"value": "Target: Can gynaecosid cause any side effect for feeding mother?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 71 year old , non-smoker with CLL for almost 16 years , no medication for CLL just under supervision ofa hematologist. I have never had asthma or heart problems. For the past 2 weeks I have come up withpersistent coughing especially at night and sometimes I feel I am choking. My doctor mentioned it is just a coldand you will be o.k. prescribed cough sirup which has been of no use. I started taking advair yesterday. Please advise which specialist I must see and how long it is going to take before my coughing stops.Thanks, John Doctor: Hello dear, thanks for your question on HCM. I can understand your situation and problem. You are having chronic cough. Chronic cough in old age with co morbid condition like CLL must be investigated thoroughly. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x ray. 3. PFT ( pulmonary function test ). 4. CT thorax if required. Following are the possibilities in your case. 1. Lung infection2. Bronchitis3. Metastatic spread in lungs.So chest x ray and CT are needed to rule out infection and metastatic spread. PFT is needed to rule out bronchitis. Consult pulmonologist and first diagnose yourself and then start appropriate treatment."
},
{
"from": "gpt",
"value": "Target: What is the treatment for persistent cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi ,,, Happy weekday to all.. I m from Bangalore India,, last 2 week back i had met with my bike accident there were some bruiches in my body, head, hand, legs but thats been recovered ..But there is still a joint pain in my right hand palm when i lift a weight i feel tat ,, Doctor: Hi after an accident you have recovered but still have pain in (R) Wrist and palm. In my opinion you might be having one small fracture ( Fracture scaphoid ) in your wrist . I suggest you get an x ray and if there is no fracture start pain killers and wrist brace with thumb."
},
{
"from": "gpt",
"value": "Target: Suggest a medication for joint pain in my right hand palm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes, I have leukemia, I m a 42 yer old mom. To a son and daughter 13 & 14 yrs old. My husband is not always nice and supportive of me he calls me crazy and many more things. So I Dane and I go stay with my mom & dad so I can get better mentally soi can have the strength to fight CML. I come from a good family I grew up lays looking on the bright side and speaking to everyone at high school no matter who they were. I like people. I got to moms house tonight at 10 pm was very upset things my husband sad to me because he can be a real jerk but after me staying at my parents for 3 moths and Hume working from hom being mr mom and dad and pay bills, I thought it was good for him. O see wht hardc work a mother does . The cancer has made it very hard to move and to stay awake but when I got here tonight I think I took 7, 10 mg Valium to calm down s that too much??? I was nt trying to hurt myself I just have to relax so I can go to bed. Ms. Gavin Doctor: Hi,Thanks for writing in.Cancer is a challenging condition and you must fight it. It is normal to go through various levels of stress when taking treatment for a condition like CML. It is unfortunate that your husband is not interacting with you in a positive manner and this is making you spend months at your mothers home to get peace and make a recovery.Valium is diazepam that is a benzodiazepine and its maximum dose is 10 mg 4 times a day. You have taken a much higher dose at once than recommended. Though nothing will happen if you take it on one occasion but taking it on a regular basis can cause harm to your body and mind. Please use mental relaxation techniques like doing yoga or reading a book when you feel anxiety. Please do not worry."
},
{
"from": "gpt",
"value": "Target: Is it safe to take 7 valium at a time as I have leukemia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was implaneted a stent for MI in March this year (2011). Before angioplasy, echocardiogram showed my LV ejection fraction 49%. Can I improve my ejection fraction further? Please let me know the foods, vitamins, drugs i can take to improve my heart's EF. Doctor: Hello,Normally ejection fraction may improve slightly after stenting. But having 49% Ef is not bad. Normal Ef is more then 55%. Healthy lifestyle like avoiding fatty, oily and high calorie diet, regular exercises, fish oil or fish, green leafy vegetables, fruits and avoiding meat etc will help. Lipid profile 6 monthly or yearly if it's deranged. Avoid smoking active or passive and alcohol if any. In the drug, antiplatelet like aspirin and clopidogrel, statins, beta blockers and ace inhibitor, which you must be on.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sagar Makode"
},
{
"from": "gpt",
"value": "Target: Can ejection fraction be improved after stent implantation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter aged 36 has been diagonised with infection in the bladder. She has been having loose motions for the last couple of months. She cannot digest food properly and has motion soon after taking food. Other symptons are, very fast hear beat now and then, feels very cold, shivering, when the heart beat is fast feel numbness on the left side of the body. Doctors have also termed anxiety as one of the reasons. what should be the right course of treatment. what should be her diet. Doctor: Hi dear,thank you for your query.sometimes due to long medical illness result in anxiety and it is normal phenomena.but if anxiety affects your health in any way than you need to take treatment.At present you need to take SOS anti anxiety medication like clonazepam, etizolam etc..once your medical condition improved than your anxiety also improved but if not improved you need to take proper treatment for anxiety.Thank you"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for anxiety disorder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, i have just started using mouthwash after i brush my teeth and have noticed that my tongue feels like it has a blister or been burnt on the tip. i have also noticed that some of my taste buds on the front and partially on the side seem to be enlarged and almost look like little pimples. i do not think they are cankers because they have only appeared after using the mouthwash two or three times. what do you think they might be? Doctor: hello and welcome, this blisters are of aphthous ulcer type which can be caused either due to allergic content in mouthwash used or due to food ingested causing allergy like mixture,crab etc. avoid harsh tongue cleaning. take vitamin becosules to overcome vitamin b-12 deficiency. take tab.flanzen-10 mg,thrice daily for 3 days,tab.wysalone-5mg-thrice daily for 3 days. avoid intake of hot and spicy food. please change your mouthwash if it is cauing allergy. regards dr.bindiya"
},
{
"from": "gpt",
"value": "Target: Using mouthwash after brushing teeth, blisters on tongue, enlarged taste buds. Can they be cankers?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My symptoms are very similar to wasp sting & numbness. I wasn t aware of being stung at any point but I ve been to the E.R. & CT & MRI of brain were both clear. I do have problems with disks in my neck & back but I ve never experienced weakness like this...it was what I would imagine the effects of having a stroke would bring on. 3 weeks later I can t pick up a soda can or put a ponytail in. I have follow up with neuro but not for 2 more weeks. Any other possible causes for numbness & weakness in a limb? It does seem to be centered the strongest around my thumb and there is a small red mark like a bite or sting. Thank you for any insight. Doctor: hi,as per your history it looks like more of the back and neck issue which can be ruled out with the help of the MRI and the extent of the soft tissue Injuries.also, by performing regular exercises alog with medication improve the cellular metabolism and improve the immune system as well. A physcial therapsit will help you with therapeutic ultrasound therapy and TENS therapy.usually patients recover in 3-4 weeks but have to prolong the physcial therapy as it is a slow moving process towards the injury. but 99% of people become better.with the grace of God I hope to see you cheerful."
},
{
"from": "gpt",
"value": "Target: What causes numbness and weakness in the limb?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I bumped the inside of my ankle right above the bone that sticks out and have a lump the size of a pea with bruising below it.The bruise continues getting bigger.I am 55 with essential thrombocytosis,on warfarin and aspirin.History of mesenteric ischema.Is this lump something to be concerned about? Doctor: Hello, You might have developed a hematoma. There is possiblilties for active bleeding as you are on blood thinners. Consult an orthopaedician and plan for an MRI scan. The warfarin has to be stopped to prevent the bleeding after discussing with your cardiologist. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to heal ankle injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Friend Is 33 Weeks Pregnant And Has Been Smoking pot everyday for over a year, She Continued to smoke pot through out her pregnancy due to hypermedia gravidarium She Quit Almost 2 Months ago but is worried she will show up positive when she has her baby, What Are Her Chances of her showing up positive on the drug test and will cps take her child away in Fl? Doctor: HI, I understand your concern. Smoking pot in pregnancy is definitely harmful for baby. The effects range from abortions, premature delivery,still birth, low birth weights,congenital malformations.. specially about cognitive development of baby YOur friend has smoked for about 6 months of pregnancy.. the risk of it's effect on development remains there. She has stopped from 2 months.. so she is likely to skip the detection test of marijuana at child birth. Thanks."
},
{
"from": "gpt",
"value": "Target: Is smoking pot during pregnancy harmful?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, im 17 years old and i am a runner the head of my penis hurts when i go for a long run out in the cold. But when i ran on the treadmill latly at the gym the head of my penis has not hurt at all. Why is this? i am concerned. My penis has no bumps or anything on it. Doctor: Hello, Penile pain can affect the base, shaft, or head of the penis. It can also affect the foreskin. An itching, burning, or throbbing sensation may accompany the pain. Penile pain can be a result of an accident or disease. It can affect males of any age.There are many reasons for the pain including Peyronie’s disease, priapism, balanitis, Sexually transmitted infections (STIs) etc. Therefore I suggest consulting an urologist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. K. V. Anand"
},
{
"from": "gpt",
"value": "Target: What causes pain in penis head while running?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 26 month grandchild unab;e to put right leg on floor. Unable to walk for 3 hours this morning but is now running around 4 times since leg gave away for a few seconds. Brought him to hospital no pain allingment is normal xray are all normal Any ideas This all started about 16 months ago Doctor: Hi, By what you quote it could be muscular pain due to spasm. In muscular spasm x ray is normal and it usually gets relieved without any treatment. I think that you need not to worry about this. Regards - Dr Deepak Patel, MD Pediatrics"
},
{
"from": "gpt",
"value": "Target: What causes the 2 year old not able to keep the right leg on the floor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a minimal to moderate disc disease at C4-C5, produces minimal central canal stenosis and up to moderate left foraminal stenosis. question: can I continue swimming ( free style ). Does this bulging get worse as you age and how can you stop it from getting worse Doctor: Hello!Thank you for asking on HCM!Regarding your concern, I would explain that swimming does not usually worsen this clinical situation. Correcting your posture is the best way to stop the progression of this disorder. You should avoid weight lifting and straining physical activity. A cervical collar can help for the pain time after time. But, as this condition is progressive and can cause gait difficulty and pain in the future, it is necessary to periodically follow up with cervical MRI and consult with your neurologist or spinal surgeon. Surgery would be the only way to definitely solve the problem. Hope to have been helpful!Wishing all the best, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: Any suggestion for having minimal to moderate disc disease at C4-C5?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello...have been havin yellowish clumpy vaginal discharge and was prescribed FAS 3kit for the same. I have started the dose today but even before i took my first tablet developed a low grade fever. My question is...can intake paracetemolnalong with the FAS 3 kit or do i need to call my doctor Doctor: Hi,Yes, Paracetamol can be taken safely while on FAS-3 kit. FAS-3 kit contains a combination of an antibiotic, anti-fungal and an amoebicide commonly prescribed to treat mixed vaginal infections. There is no documented harmful interactions between Paracetamol and FAS-S kit, Paracetamol may be taken along with it for the symptomatic relief of pain.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can I take paracetamol with FAS 3 kit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ive just had my second tooth fracture in one yeat, first one was corrected by implant very costly. iI have had my first consultation for recent fracture which is upper side dentist mentioned cantilever bIiiridge or implant my question how successful is this type of bridge.I am 64 years of age medically fit however i take thyroxine 125mcg Doctor: Hello, Thank you for consulting with HCM.The cause of tooth fracture can be cavities, as they might be progressing from inside of the tooth toward outside.But there is nothing to worry, as they can be restored by root canal treatment, but if the infection has progressed very deep then you have to go for removal of the tooth.Bridge is also a good option for replacement of tooth.Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What causes tooth fracture?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am a 24 year old female and lately I noticed my heart rate increases a lot when standing up or walking casually. When I am laying down my heart rate is around 65 bpm and when I stand up and start walking around the house it goes to 150-160 bpm. When I go out and walk for about 10 mins I start getting really sweaty and feel hot, and sometimes I m completely out of breath. Ive been told couple years ago by my GP that my blood pressure drops when I stand up. Could this be heart failure, or Postural Orthostatic Tachycardia Syndrome? Also in the past year I ve been very sedentary because of my college work, with most days not leaving the house or only walking for shorts periods of time. Is it something wrong with my heart or I m just very unfit, due to a very inactive lifestyle for the past year? Doctor: Hello!I passed carefully through your question and would explain that your symptoms could be related to orthostatic hypotension or intolerance. Postural tachycardia syndrome is not usually associated to drop in blood pressure values. Coming to this point, I would recommend performing a Head Up Tilt test to investigate for orthostatic intolerance. Some other blood lab tests (complete blood count, PCR, ESR, blood electrolytes, thyroid hormone levels) are necessary too. Hope to have been helpful!I remain at your disposal for any further questions, whenever you need!Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Why does my heart rate increase upon standing and walking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Prescribed penicillin today for a repeat tooth infection. Had it a year ago, and then it went, but now it's come back. A build up of fluid in gums above or in infected area. Have had two penicillin so far, along with Ibuprofen at 4pm and 8pm. Intend taking more at midnight, then I am on four a day every 5 hours. Face is swelling and gums feel numb. Is this normal, in that the penicillin is doing what it is supposed to and this is what is supposed to happen. I have taken before and been fine, so sure it's doing what it is supposed to, but face seems to be swelling more than before since I have been on the pen. Not sore to touch, just feels like the start of a balloon on my face around the infected area. Doctor: Welcome to HCM forum. It's very simple that penicillin has worked before to control your oral infection, doesn't mean that it will work for every time. Penicillin is a narrow spectrum antibiotic i.e. it works on limited number of bacteria. This time you may have been affected by some kind of bacteria that is not controlled by penicillin. Facial swelling due to infection is generally 'not sore in touch', as the pus or fluid produced from infection( inflammation) is spread into the tissue spaces of the face and does not create much pressure on nerve endings. But the continued facial swelling may lead to grave consequences. You should IMMEDIATELY visit to dentist. Let him/her examine your problem properly and prescribe a proper antibiotic to control your infection. Do not try to treat infective facial swelling by yourself. You may invite a serious trouble by doing this. Wishing you a good health."
},
{
"from": "gpt",
"value": "Target: Swollen face and numbness in gums after taking prescribed penicillin for recurred tooth infection. No soreness. Normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: April, 2017 my son fell off his motorbike - at the time he had no injuries. In June 2017 he noticed a small finger size dent in the center of his forehead right at the hairline area. As of today, the dent has gotten bigger with a line coming down the center of his forehead. Can you give me some info as to what might be causing this dent to get bigger. Thanks, Al Doctor: Hello, The increase in the dent can be related to bone growth along with a calcium or vitamin D3 deficiency. You need to get his serum levels checked and start with suitable supplements. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What might be causing a dent on the forehead to become bigger after a motorbike accident?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I am 17 weeks pregnant and since last night the lymph nodes under my neck have become more and more swollen. It is only on the left side of my neck. I have also lost my appetite completly since yesterday morning which is a first for me, especially now that I am 4 months pregnant. I have had my nodes swollen a lot before, but never like this. There is actually a throbbing pain and I have never felt them this big before. Should I go to the doctor or just wait it out at home and see if it goes away? Thank you so much for your help! Doctor: You should visit a doctor and get yourself examined.It could be some inflammatory pathology requiring treatment."
},
{
"from": "gpt",
"value": "Target: What causes swelling in lymph nodes during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My fiance is 54 yoa, white male. He has CAD, has had two MI s. / p MI (1)2004- tx was c stent implants. in 2006- MI (2) presented and emergency quadruple by-pass heart was performed. He is on 19 medications- to name a few- PLAVIX 1 PO QD, NIASPAN 1000MG TID, 81MG ASPIRIN 1 PO QD, FOUROSIMIDE 40MG 1 PO QD, k-dUR, CRESTOR40MG 1 PO Q NOC HS;SIMVASTATIN 1 PO Q NOC HS; TL GUARD TABS 1 PO QD, QUINIPRIL 40MG 1 PO QD, CLOPIDOGRAL TABS 75 MG 1 PO HS; RANITIDINE 1 PO BID; LEVOTHYROXINE 0.125MG 1 PO QD;LEVOTHYROXINE 13MCG 1 PO QD;sYNTHROID0.112MCQ 2 PO QD; ? ///OTC VIT D _3 1000 i.u / NIACIN 500MG He is 340 lbs; 6 1 . He is a smoker. He is undergoing a lumbar procedue whereby they will inject steroids into his spine. He will be under anesthesia. What are riskd considering his med HX. Thank you Doctor: Why this lumber procedure? Regarding medication aspirin and clopidogral (both drugs thins the blood) to be stoped for atleast 5 days and be prepared with platelets and fresh frozen plasma,if unfortunately he had bleeding not stoping then this can be used.start clopidogrel and aspirin after 48 hrs of procedure."
},
{
"from": "gpt",
"value": "Target: Has CAD, MI's with stent implants, on medications. Due for lumbar procedure with injections in spine. Any risks ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Dr. i am a 31yr old male.....last week i had gone for an LFT and ultra sound scan which showed SGOT as 78 ,SGPT as 102 and a small poly measuring 3mm is found at the gall bladder .I am having continuous stomach pain for last two weeks and urine colour is yellow.And an unusual smell is coming from the mouth too...I changed my food habit and now I dont eat nonveg and oily food....I included plenty of vegetables and fruits to my daily food chart.I stopped drinking alcohol which was always under control.I am really worried ....The stomach pain is really irritating now.please help me doctor ..... Doctor: Hi Welcome to Healthcaremagic Forum Symptoms suggest the that you may have cholestatic jaundice (which is liver damage due to blockage of bile duct). Visit a physician/ or hosptal, and start the treatment before it worsens. Eat very light , bland food for now, and plenty of water, juices. Takecare."
},
{
"from": "gpt",
"value": "Target: Can SGOT 78,SGPT 102 and polyp at gallbladder be the cause for severe stomach pain and smelly urine ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 55 and have depression and anxiety symptoms. Also had a spinal fusion C5/6 last Feb for spondylosis. Was referred to PT for treatment to relive remaining numbness but he suggested seeing neurologist. Saw a neurologist who was dismissive of my problems which are trouble swallowing, poor hand/eye coordination, severe constipation and autonomic nervous system symptoms of tachycardia and excessive sweating. Collapsed in street a few weeks ago and had glucose level in blood of 3.1- banged back of skull but was not concussed although had momentary loss of consciousness. I have a feeling that I could have Parkinsons disease- 2 odd facts being a sudden craving for bananas, which I hated before and starting to smoke for first time-I have read that these 2 things raise Dopamine levels. Have MRI booked for 5/4 but understand that PD doesn t show up on them. From these details, what do you think? Doctor: Hello, Point of clarification so that you are clear about concussions and TBI's. If you had a \"momentary loss of consciousness\" then, by definition you DEFINITELY suffered a concussion and even more to the point, a TRAUMATIC BRAIN INJURY (TBI). That event by itself should get the attention of at least a neurologist with a subspecialty or interest in this type of problem. I suggest you see such a specialist. You are a bit on the young side to have PARKINSON'S DISEASE and there is no correlation between your cravings and the onset or risk of developing PARKINSON'S DISEASE. In fact, perhaps it would help to understand that PARKINSON'S DISEASE comes about as the result of a LACK or DEFICIENCY in dopamine in the body. If you have read that smoking and banana ingestion RAISE dopamine then, clearly this is against the notion of developing PD. I am not sure what the MRI scan is actually going to show in your case and yes, you are correct. PD is not something that can be diagnosed by MRI or any other imaging study. It is still a diagnosis made on clinical (not laboratory or diagnostic testing) grounds. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist"
},
{
"from": "gpt",
"value": "Target: What could tachycardia, excessive sweating, constipation, low glucose levels, poor co-ordination indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is a parkinson patient for the last 9 years. She takes two syndopa plus tablets four times a day and Syndopa CR at bed time. In the recent months her parkinsons symptoms worsened and she freezes a lot and not able to walk. any suggestions pl Doctor: Hi There After going through your query I understand your concern.I would like to tell you that after many years of treatment many people develop peak dose dyskinesia and benefit of medicine lasts for only two hours. She will either require to add new medicine like methyltransferase and monoamine oxidase or dose adjustments from Syndopa CR to Syndopa IR.Kindly consult a Neurologist regarding this for a proper management.Hope this will help Kind Regards Dr Navneet Mahajan"
},
{
"from": "gpt",
"value": "Target: Need treatment for parkinson's disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a cold then i had a bad cough whent to the doctor he said i dont need anything. My back is in agony from coughing an im waking up every our in the night! My chest feels damp when i breathe in even if im indoors what could it be or why is this?? Doctor: Hello,Welcome to HCM,The history and symptoms suggests me that you may be having some allergic reactions to the allergens. It is important to identify the allergen causing these symptoms.You requires chest examination and the chest X ray to find out the reason for your symptoms. For the present symptoms I would suggest you to follow1.Syp Codiene, thrice daily.2.Oral Levocast, once daily for 15 days3.Oral antibiotics like Tab Bactoclav, 625mg, twice dailyThe aforementioned medicines will helps to reduce your symptoms and improve your condition.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my sister was at the dentist recently who noticed a spot near an area where she has lost some bridge work. She is on medication and her teeth are in poor condition. The dentist said the spot could be caused by a number of factors - there is a white substance under the spot Doctor: Hi Dear,Understanding your concern about your sister.Gum soreness could be because of number of reasons like gingivitis means gums inflamation , periodontitis , autoimmune diseases , vitamin deficieny , menstrual factors or because of mouth injury. Appliances like bridges could cause irritation to that area and constant irritation can cause ulceration will lead to spot and white patchy area.Treatment for this is saline rinses, gargles with mouth wash.Dologel or pain relieving mouth paints best treatment options.Mix equal parts of water and hydrogenperoxide and apply it with cotton swab. Repeat it 3 times a day.Milk of magnesia application is anothee treatment option.Get well soon.Best wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes soreness in gums and teeth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI my daughter is ten years old, healthy and very active, yesterday the school nurse called to let me know that my daughter was having chest pains. The nurse informed me that she checked her oxygen and heartbeat and that everything looked fine. My daughter told me that this sharp pain, right in the middle of her chest, began after she was outside at recess, doing little activity; swinging on swings, when she came back into the classroom she felt her chest heavy and the pains started, so she went to take a drink of water (room temperature). This only made it worse and that is when she went to the nurse. I had her rest yesterday, and every so often she would say that her chest was hurting her. Other than that she was her normal self. This morning I had her stay home from school so I can keep an eye on her. So far she has been fine, only when she is in movement with deep breaths she complains saying, \"ouch, my chest\". I'm back and forth on what may be causing this and if I should be rushing her to the clinic. She seems ok in all other aspects. I will let you know that asthma runs in our family, my grandmother and brother have severe asthma and i, myself have mild. Listening to her, I don't see or hear the symptoms of it. Is there anything that I should be doing to make her feel more comfortable? or should I take her in for a check-up? Being mid-Friday afternoon she will not be seen by her family physician, I would have to take her into a small emergency medical clinic. Any advice? Thank you. Doctor: Respected user ,hiThanks for using Healthcaremagic.comI have evaluated your long query thoroughly .* This seems in relation to muscular stretch with exacerbation by fear .* Recommendations at present - Counsel her for total normal condition , that will relieve her stress - Allow some juice or fruits to her - Let her be comfortable in fresh air outside say in park or garden - Give analgesic tab. paracetamol ( 250 ) mg stat dose - Ask her if any unwanted thought process going inside subconcious mind but gently - Allow her to have sound sleep of 7 - 8 hrs - Make her more joyful with her likelihood activities - Later consult doctor if required .Hope to clarify your query .Welcome for further assistance .Thanks for using Healthcaremagic.com & giving opportunity to assistWishing fine recovery to your Angel .Regards dear take care"
},
{
"from": "gpt",
"value": "Target: What causes pain in the middle of the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, when i am watching tv or reading a book or simply talking with my wifewi Wyyyr. Wife. This screen is messes up. Ihope you are getting this. When I m by self or doing certain things my mind starts doing other things. It starts doing weird things. I hope you can help. Please. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I sincerely opine that you have no mental problem. Everyones mind wanders while doing things which are boring or which they don't like. Mind wanders mainly because it cannot get engaged to something whichh you consider boring. The best method to be interested is to make the task creative and dynamic. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes inability to concentrate on things?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have sperm count was 13 million when use homeopathy medicine it is increas to 22 million .last time i went to india homeopath doctor say to me make semen test result was 8 million ,then doctor advised to me hormone test the result was testosterone was 1.3 ng/ml .then doctor give me testes tablets also .testes 3x .use after one months make semen test count is nil .after one month again ia make semen test tha result was same if this tablet effect semen count less.now i am 42 year old Doctor: Hai,Your testosterone level is subnormal, that is below normal.but initially you got near to normal count (22 million)Normal count - 20 to 200 million/ml.later it has been decreased. I don't have a idea about testes tablets.I advise to better consult a infertility specialist to get a clear idea and further management. natural way to increase sperm count.milk and milk productsdates,wheat,sesamejaggery,almond,cashew,pista.peanuts.pomegranate,arrowroot,cucumber seed,Avoid junk,fried,caffeinated foods and stress(highly influential)be hydrated,do exercise.Thank youhope i answered your query."
},
{
"from": "gpt",
"value": "Target: How does one increase sperm count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have what looks like to be a bug bite meaty part of the frenulum on my penis. It is a little swollen and hurts a little and I see what may be small white pus. Do I need to see a doctor or will it go away with time. As an additional note, I am 45 yrs, I don t sleep around, so I am sure something must have bitten me. Doctor: Hi, it seems to be an infective boil possibly due to a bug bite. It would be better to get it checked up and take a course of antibiotics. Apply warm compresses to decrease the pain and swelling. I also usually suggest anti inflammatory medicines like Paracetamol or Diclofenac for 3 to 5 days. Take care.Dr Rishi, New Delhi, India."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful swollen penis with white discharge"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old daughter, 90 pounds has a bad case of strep and was given 400mg/5ml amoxicillin. The prescription was written for her to take 1ml/2x a day. The doctor refuses to change the script, but pharmacist says this is too little a dosage - she should be on at least 875mg/day. I m confused? Who is right? Doctor: Thank you for asking query.As per weight of the child daily dose of 800-1200 mg would suffice.It could be a typing mistake or doctor doesnt know dosage.Hope this is helpful to you.Rate the answer if you like it.Regards,Dr rushikesh kute"
},
{
"from": "gpt",
"value": "Target: What should be Amoxicillin dosage for strep infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 29 years old. About 4 weeks ago I had a bruised left ankle which I thought was a sprined ankle-there was no visible bruise. Then it was gone. Three days later my left calf felt bruised but no visible bruis. Then it was gone. The next day I had a tingling feeling on the left side of my face. Almost like how it feels when a numbing shot is wearing off. I read up on some information and it sounded almost like shingles. But then two days later it was gone. A week later the area above my left breast was bruised but with no visible bruise as well. I stopped drinking caffeine because I thought it was a cyst. My mother has cysts in her breasts (seen by her yearly mammogram) and she said when she gets off her daily caffeine it gets better. Three days ago the area under my ribs on the right side felt bruised but had no visible bruise as well. Yesterday I had the tingling feeling under my nose. Now it's tingling on the left side of my face into my hair line and down my hair (occasionally). I'm sorry- these are a lot of symptoms, but I just don't understand what this could be. I stopped taking my birth control pill because I was afraid of blood clots, and am currently only taking synthroid. Thank you for your time and help! Doctor: Hi,You seem to be having a sensation of bruising without actually seeing any bruises. So what exactly is this sensation that you are feeling? Is it numbness or tingling or something else altogether? It might be a good idea to get yourself examined by your family physician. He/she will be able to determine if there is a problem in the circulation, or are there blood clots or whether it is something else altogether."
},
{
"from": "gpt",
"value": "Target: Sprained ankle with a bruise. Tingling in the face, bruises spreading on the body. Concerned about blood clots"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi..how are you? I felt a spongy large area on the upper left side of my chest. it was there a few years ago, but now it's getting bigger an noticeable When i apply pressure on it, it hurts a bit. It looks like a lump.. about 2 inches below my collarbone Doctor: Hi?This is likely to be a lipoma which is a fatty lump. It is not serious and can be left alone. If it is bothering you, it can be surgically excised. Regards,Dr K A Pottinger"
},
{
"from": "gpt",
"value": "Target: What does a painful lump on left side of the chest indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I'm a 24 year old female and about a week ago I noticed a lump on the right side of my neck near my jaw bone it does not hurt just kinda bothersome my mom says it could be my thyroid because my hands and feet sweat alot and I'm tired more than often lately?? Just not sure if its an emergency or if it can wait cuz I have no insurance? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged lymphnode or thyroid enlargement. Lymphnode enlargement can be due to reactive hyperplasia, tuberculosis or lymphoma. Thyroid swelling can be due to colloid goiter or other cause. You should go for ultrasound study of neck. Then if needed go for fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment accordingly."
},
{
"from": "gpt",
"value": "Target: What causes lump on right side of neck near jaw bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had blood sample taken from vein inside my elbow. All seemed well till after about 8 hours or more I noticed red rash spread around the arm close to the needle prick point. I had similar issue last time I gave blood for lab testing.My platelets count was a bit lower than normal suggesting mild thrombocytopenia. Is the rash due to thrombocytopenia? Doctor: Yes dear ,platelets count and thrombocytopenia are coneccted .A healthy person usually has a platelet count of 150,000 to 400,000. You have thrombocytopenia if your number falls under 150,000.Regular intake of healthy diet with lots of fruits and vegetables, especially green leafy greens,tomato ,brocally, berries ,Papaya and leave extract , Omega 3 ,coco nut water & lot of water to give your body the nutrients it needs. And regular walk , exercise ,yoga ,deep breathing for proper blood circulation , and proper rest and sound sleep to enhance strengthen immunity of your system give further resistance from diseases . You should avoid fried fast foods ,and refined flour sugar foods Also stay away from alcohol and caffeinated beverages. Partaking in these foods and drinks can cause your platelet count to drop even further because they may hamper production by the bone marrow., and refined sugar foods.Also avoid mental strain , worry , anger .Constipation is the mother of all ills ,should be avoided at any cost . Hope this helps solve your query .Take care .All the bestDon't hesitate to come back for further query, if have any ."
},
{
"from": "gpt",
"value": "Target: What causes rashes on the arm after pricking needle for blood sample?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a male, age 21, and I was diagnosed with Friedrich s ataxia when i was 17. I haven t asked this question to my doctors yet, but I m wondering if it can make it hard to keep an erection. I can get one , but it s hard to keep. And also if there is something I can do to take care of the problem. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Nerve damage on ataxia can cause errctile dysfunction.So your suspicious is right that you have problem because of the ataxia.But phosphodiaster inhibitor sildenafile can help cure the problem. Whenever you want erection you can take the drug.Please take the drug under your doctors guidance. Because this drug may be contraindicated in some individuals.Some other vascular device can hold the blood flow and can prevent the erection are available in the market and you can ask for this device to your doctor.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: Is friedrichs ataxia related with erectile dysfunction in males?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 52 and have Hypothyroidism. My current blood test revealed an ALT level at 81. I am 6'3\" and 255lbs. I have been walking 2 to 3 miles per day since blood test 2months ago, and lost 10 lbs. I dont drink, dont smoke, was tested for Hepatitis C that was negative. I eat alot of organic vegatables and friuts daily. I do take three tablespoons of Olive Oil per day. What could cause this elevation. Blood tests for ALT last July 2010 were normal. Doctor: Hi, dear. I have gone through your question. I can understand your concern. Alt is a liver enzyme. Its level increase in liver damage. It may be due to some infection, alcohol, drugs or toxin. You should go for complete liver function test. Also go for ultrasound abdomen. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes high level of alt ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i have been diagnosed with having mild gastrits i was taking omeprazole but ive stopped taking as ive developed this cough and the back of my throat feels sore also ive stopped taking citralopram for anxieyy as this aggrovated my stomach is this cough due to my gastrits im so anxious that ive got somthing seriously wrong wiyh my stomach ie cancer and scared i may develope cancer of the oesphagus also im coughing no blood or any kind of phglem Doctor: hi there, first of all you have to relax and stop worrying bout getting cancer. Gastritis gets aggraved by stress and it is no solution to your problem. If you are so anxious about getting cancer then visit a gastroentrologist who will do an endoscopic examination and if required will take a biopsy from the esophagus which can be examined microscopically to rule out malignancy. It will relieve you of the anxiety and decrease your stress. Look for solutions to a problem instead of worrying about it. This approach will help you in other aspects of life. Take care"
},
{
"from": "gpt",
"value": "Target: Taking omeprazole for mild gastritis. Cough with sore throat. Stopped taking citalopram. Chances of cancer in the esophagus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI, I was wondering if you know anything about enlarged or low red blood cells in relation to low back pain in males. After having a bone marrow test, the white blood cells either became low or high. This is for my friend s Dad so I don t know the details, but everything is checking out fine everywhere else....Kidneys, colon, liver, spleen are all okay. I know this is really vague, but any hunches you might have would be helpful and appreciated. Thanks. Doctor: Hi, I had gone through your question and understand your concerns. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to go on lifestyle modifications for three months. I retest them again after three months and if they continue to be in high range then I advise them to go take many physiotherapy modality like IFT and SWD OR TRACTION therapy by which we control the pain of lower back but there is no relation between back pain and low rbc values.... in fact due to some jerky movement and muscle spasm he may have this type of pain..."
},
{
"from": "gpt",
"value": "Target: Does enlarged or low red blood cells cause low back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had unprotected intercourse with my boyfriend on my ovulation day exactly 1 week ago and he ejaculated inside of me. I used the restroom an hour ago and when I wiped a clear sticky gel-like substance was on the tissue. My last period was on October 22nd and ended on October 29th. Am I pregnant? Doctor: Hello!Thanks for your query.The chance of pregnancy on the day of ovulation are not large as 2 days before ovulation, and to confirm/exclude the pregnancy you need to do pregnancy test at lest or ultrasound(the best)Take care of your self"
},
{
"from": "gpt",
"value": "Target: Is there any chance of getting pregnant due to intercourse on the day of ovulation ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor i had pregnancy symptoms 4 weeks before and My period supposed to be first week of march but it didn t. my period is not that regular.14th of march i bleed-ed only on that night but it was for one full pad till morning. then it stopped. PREGNANCY test is negative.I have breast tenderness, left leg pain, stomach bloating , headaches . short of breath and pulse(86). I am really confused what is happening on me .please help me.nizmin Doctor: Hi, Thanks for the query. Scanty flow during periods can occur due to many causes like hormonal imbalance, anemia etc. And also just by symptoms we cannot confirm or rule out the pregnancy. The symptoms you are experiencing can also be due to hormonal effect as part of routine menstrual cycle. So you better go for blood test for pregnancy once. If the test comes negative, you can take symptomatic treatment for current symptoms. If the symptoms persist or become severe you better consult gynecologist and get investigated to find out the actual cause of the problem. Take care."
},
{
"from": "gpt",
"value": "Target: Irregular periods. Pregnancy test negative. Breast tenderness, left leg pain, etc. Confused and worried. Pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 40 yr young female and currently have a tooth abscess . I was placed on Clindamyacin, which I have taken several times in the past 20 yrs off an on for different things, as I am allergic to Amoxil, and Keflex. I have only had 3 doses of my current prescription, but I can not shake these ugly thoughts of going into anaphalaxis shock, yes I know I spelled it wrong, but I m very afraid of this happening. Can anyone out there offer me some reassurance or info on this?? I could really use the help as I am due for another dose of it soon. Thanks in advance to anyone taking the time. Take care all Robynn Doctor: Hi,Robynn, As you are sensitive to other antibiotics and clindamycin work well on your infection,do not think of other antibiotic,you are lucky that this medicine is still effective otherwise there might have been big problem to treat infection due to allergic to other antibiotic. ok and bye."
},
{
"from": "gpt",
"value": "Target: Can an online doctor advice me on clindamycin related anaphylaxis ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear sir, I have been taking peel treatment for my pimples and afrer 2nd seating mybskin was seemed to be lightly red and burnt. Is it normal?? Or i have got side effect of peel?.if this is side effect upto how many days it will last.? Wheb my skin become normal like before? Pls help me Doctor: Hello,Thank you for posting on HCM.Chemical peeling is a simple procedure which causes controlled burning of skin leading to exfoliation superficial skin layers, decreases acne and pigmentation and gives you a rejuvenated skin. Usually post peel, redness and crusting is common and usually moisturizer and sunscreen is enough to take care the post procedure sequelae. Sometimes, chemical peels may cause excessive redness/crusting due to deeper penetration of peel, but its difficult to rule out without proper clinical examination or pictures. Anyways, start applying a cream containing desonide (Desowen cream) twice a day gently over red/irritated skin followed by good quality moisturizer like Cetaphil DAM. Always make sure you use your sunscreen before going out in sun and repeat application after every 3 hours and use proper clothing to cover face. Avoid pricking/scratching/peeling of skin. Use gentle cleanser like Cetaphil cleanser for sensitive skin for regular face wash.Take some antihistaminic like Levocet if excessive itching is there. Hope this will take care of your query,Thank youDr Hardik Pitroda"
},
{
"from": "gpt",
"value": "Target: Is it normal to have lightly red & burnt skin after 2nd sitting of peel treatment for pimples?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am my cousin of age 4 half is suffering from hepatomagely disease , he is having stomach pain , doctor asked to do 4 test 1st-serum lapid profile 2nd-serum liver function test 3rd-serum thyriod stimulating hormone 4th-serum cortisol plz give me advice for his stomach pain and also for his diet .. Doctor: If your cousin has hepatomegaly (It is not a disease it just denotes that his liver is enlarged)you might have to check his blood picture and reticulocyte count to rule out any hemolytic disease of the new born.Serum lipid profile was advised by your doctor to rule out any lipid profile.Liver enzymes were advised to rule out any defect to the function of the liver due to deposition of waste products in the liver.Serum TSH and cortisol were done to assess his metabolism.Regarding his stomach pain you can give him syrup carmicide 5 ml if needed.Regarding his diet you should avoid very hot or very cold foods.Avoid fat containing meals like fried foods and spicy food.Give him a lot of fruits and make him drink enough water.The treatment of the condition will depend upon the blood results"
},
{
"from": "gpt",
"value": "Target: What medicine can I take for hepatomegaly?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having episodes of breathing pains in my shoulder blades (lungs??) and sometimes chest. These happen for seemingly no reason and somewhat frequently. Also, during exercise I have breathing difficulties that come with high pitched sounds. What can this be caused by? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of bronchitis (inflammation of airways) is more. And the high pitch sound you are talking about is mostly due to wheezing which is again very common in bronchitis.. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system2. PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease. And treatment is based on severity only. You will improve with inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Quit smoking if you are smoker. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for breathing problems"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Xiphoid process. No protruding lump but for three years have been tight in chest. Some days can get out of bed with tightness there, some days almost none. Starting to affect breathing as I feel I always struggle a bit, never comftorable . Pushing on Xiphoid area seems to allow easier breathing, sometime eases pain Doctor: Thanks for your question on HCM. Xiphoid process related problems can be due to GERD ( Gastro Esophageal Reflux Disease ). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have this habit. 8. Loose weight if you are obese. Do these life style modifications and your xiphoid discomfort will mostly solved."
},
{
"from": "gpt",
"value": "Target: What causes tightness in chest and breathing difficulty?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son was 4 years old and he was sick (fever) for the past 6 days. During the day time his temp. was normal, but in the evening after 6 pm the temp. was around 100 to 101. He given the blood and urine samples yet to receive the report. Can I know why he was having this kind of temp. Doctor: Thank you for asking query.First of all i would like to know some history.What is the weight of child?Is Fever associated with rigors?Any other complaints like cough,vomitting?There can be many causes for fever like infections-malaria,typhoid,denguebut if you tell detail history i will be able to conclude.Hope you find this helpful.Rate the above answer if you like it.Regards,Dr rushikesh kute"
},
{
"from": "gpt",
"value": "Target: What causes fever in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: bike accident. fell on left thigh. at first was just discolored and a little swollen and tender. about a week later i must have aggavated it and it suddenly began to swell and very painful. 3 days latter still swollen and tight, lump on upper outer thigh. i can walk without help but very painful. Doctor: Hello, What I feel with the history is, this could be a muscle tightness at the region. As there is a fascia which runs over the later aspect of the thigh and may get tightened due to injury. This shouldn't be a serious issue to concern. Doing hot water fermentation and gentle circular kneading massage will help reduce the lump and swelling. 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: Any suggestion for having swollen/tight/lump on upper outer thigh?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have taken SEVERAL antidepressants and anxiety meds , all with side effects or did not work.I have done a lot of research and have spoke to 2 close people with the exact same problems.I want to be put on the same medication regimen, this is my last chance to get better .I can't go thru this anymore!How do I convey this to my new doctor with out coming across as a know it all? Doctor: Hi.. Thanks for the query. First & foremost please dont loose hope! You can still get well with a combination approach of drugs (antidepressants, anti anxiety drugs as per your clinical profile), lifestyle modifications, daily exercise routine, yoga-pranayama & counselling (known as Psychotherapy/talk therapy). For this to happen & for chalking out effective treatment regimen, you need to take all your past medical records to your Psychiatrist; discuss with him details of past medications, reasons of NON response to previous medications, what all side effects you had, whether there was any treatment discontinuation etc. Based on this & your current condition I am sure an effective treatment strategy will be formulated by your doctor. Good luck! Believe!"
},
{
"from": "gpt",
"value": "Target: What to do for depression and anxiety?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a sinus cold, sitting up to sleep at night, last night felt sharp pain in right side of chest (from breast bone to side - mainly focused under breast) is this something that I should be worried about? It happened about 3 times last night. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This indicates possible underlying lower respiratory tract infection along with existing sinus infection .Hope this clears your doubt .Wishing you fine recovery .Welcome for any further assistance .Regards take care ."
},
{
"from": "gpt",
"value": "Target: What could cause sharp chest pain while suffering from sinus infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a colonoscopy last Wednesday and aspirated. Ended up in the emergency department and diagnosed with aspiration pneumonia.I am on antibiotics now. I am able to breathe better than yesterday but I am still coughing a lot, at times producing dark phlegm. And I am very tired. How long should I expect this to last? Thank you! Dani B Doctor: Hello,For your pneumonia, complete the course of antibiotic. Sputum culture and examination done if needed to do further work up.If your cough is not expelled properly, then cough expectorant syrup containing Ambroxol plus Terbutaline drug can be prescribed. Kindly attach your reports for giving more comment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami"
},
{
"from": "gpt",
"value": "Target: What causes coughing up dark phlegm while treating pneumonia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: severe pain on the right side of my neck just below the skulland the shoulder area have taken medications such as pain meds,inflamation ,muscle relaxers,heat patches .ice packs .nothing seems to help.having alot of constant pain,trouble sleeping ,loss of appetite.unable to function without pain . Doctor: A course of physical therapy or chiropractic would likely help. Also, your doctor, or a pain doctor, could perform local muscle trigger point injections. Finally, you could benefit from acupuncture."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for severe pain on the neck"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 3 1/2 years old and this past weekend he has been running a fever of 102 to 104. The doc tested him for the flu and came back negative and said it was just a virus but didn t give us a specific virus, but now he is throwing up every where and running just a low grade fever. Any idea on what it could be? Doctor: Hi...by what you say I feel that your kid is having a prodrome of viral diarrhea.He might start to have diarrhea also.Nothing to worry about this. As of now you can give vomiting medicine as prescribed by your pediatrician.I will explain you what to do if diarrhea starts - Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes low grade fever and vomiting in a toddler?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. Doctor, my mom was operated 3 mnths back for a calcified cyst in her L4-5 spine. Before surgery she had radiating pain in her left leg. But now after 3 months she is complaining of back pain radiating to her right. As per doctor's advice ee repeated MRI which is normal. So Hey is the pain and what can we do now? Doctor: Hello,Thanks for your query.After going through your query I came to know that your mother is suffering from chronic backache which may be due to lumbar spondylosis. Rest in position of relief, Cartisafe D once daily, NUROKIND GOLD ONCE DAILY and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You have have already done MRI TO RULE OUT other causes. You can discuss with your treating Doctor about it.I do hope that you have found something helpful.If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries."
},
{
"from": "gpt",
"value": "Target: How to treat back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had cough and sore throat so the doctors gave me amoxicillin and i felt better but the cough didnt go ,i rejoined my work and then i got fever,cough and nose started flowing and then i was said i have got flu so to take rest, i did take rest and now i am back on antibiotocs since the cough has not gone its seem have got chest infection.yesterday night i felt feverish,bodyache and shivering , i wonder why i felt that because in past i had such symptons just for a day and it would disappear the next day.pls help me to understand my case Doctor: hi sir, it is due to viral fever... u have to continue medicines for 7 days atleast... for cough ascoril syrup 10ml thrice a day after food, blumox ca 625 tab twice a day, after breakfast and after dinner... and dolo650 tab thrice after breakfast, after lunch, after dinner... dont eat non veg and outside food.. drink hot water.... thank u, have a nice day"
},
{
"from": "gpt",
"value": "Target: What causes body pain, feverish and shivering?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have experienced staring spells, seizures, and now fainting since I was 7 1/2 years of age, I am now 74. A neurologist misdiagnosed me as having petite mal epilepsy. He prescribed Dilantin. The spells continued. For 55 plus years doctors the doctors tried many other AEDs and the spells/seizures continued. My EEGs are always normal. I notice when I was in my early teens that overwhelming emotions (usually anger, stress, frustration) usually precluded a seizure. A new acquaintance who was a Shaklee distributor and vitamin fanatic suggested it sounded like hypoglycemia to her. To prove her wrong and shut her up I went on the low blood sugar diet. After 3 weeks on the diet the seizures stopped. Eight weeks into the diet a friend talked me into having a piece of chocolate cake. 10 minutes after eating the cake I had a seizure. I had gone to doctors, read books, etc. and decided it was only the power of suggestion that caused the seizure and went off the diet. By this time ( I was 30) I had been told it was hysteria, neurosis, dissociation, and PTSD. I withdrew from all AEDs and the seizures continued on every 2 weeks as usual. While researching recently I ran across the word neuroglycopenia that perfectly describes my symptoms. I m back on the LBS diet since January this year and have been seizure free. My blood sugar is normal and I m on a blood thinner, so I m cautious about having a spinal tap; however I would be willing with the doctor who is familiar with neuroglycopenia. A few nights agao I fainted after eating several pieces of sgar-free candy with aspartame in it. I heard the next night on the news that aspartame and other sweetenrs are not as safe as once thought. Do you know of any medical doctor or research facility in Southern Califonia who is into the study of neuroglycopenia? Thank you, Julia Atencio Doctor: Hello, Low blood sugar is testable. If the sugar is low then it is there, and if it is not low then it is not. A glucometer or glucose tolerance test would demonstrate it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Matt Wachsman"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of neuroglycopenia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A few months ago, I noticed the middle finger on my left hand started getting stuck in the closed position when I would wake up in the morning. I also noticed there is a small bump at the inner base of that finger. After doing some research online, I found that this might be pointing toward arthritis (specifically trigger finger ). I am 33 years old, so this seemed odd to me, but I made a mental note and went about my business. Plus, it started getting a little better as time went on. Recently, I ve found that anytime I sleep on my left arm it starts to go numb and tingle (it falls asleep ). This has been going on for about a week, or so. And, for a couple of days within that timeframe, my left pinkie finger would tingle throughout the day. That sensation has gone away, but my arm still falls asleep when I lay on it. I am young (33), athletic (slender/muscular 230lbs, 6 5 ) and have always thought of myself as a generally healthy person, but this is starting to worry me a bit. I have thought this might be stress related, as I ve been working long hours at work, or that maybe I just need to get more sleep, as I am lacking in that area, as well. Any thoughts or recommendations would be appreciated. Thank you! Doctor: HI,Dear,Welcome to HCM.Based on the facts and data of your query,You seem to have a complex problem from the disturbed forearm compartments,mostly due to the-overwieght issues with cervicle spondylitis/ and due to the hypothyroid entrapment of the forearm nerves / or could be due to the? rheumatic nodule with synovitis,on the base of the left hand middle finger / or could be due to the accompanied dupeutran's contracture,which may start like this/ or due to the psoriatic teno-synovitis of the left hand.All these possibilities would need to be ruled out by check up with and Second Opinion from your Physician or with your Orthopedic doctor/ or Sports doctor,as you are an athlete.Remedy-1-Check out with Ortho-Surgeon and Physician team if need be, would be needed to find out the cause of the stuck middle finger with nodule at the base of the left middle finger.Only after proper X-ray and CT study of the indicated parts as advised from OrthoSurgeon, you could get the correct treatment either with the medicines and or with the surgical correction if need be.2-At 33 with 6ft 5 inches,you are still overweight,though muscular, and need to reduce on at least 20 kgs to reduce the load on the hormonal system,which appears to be stressed with the stressed immune system, which seems to be causing this teno-synovitis or rheumatic problem in your upper arm and hand.Hope this reply would help you to resolve your sever anxiety.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for small bump at inner base of finger"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son had a slight fever on Wednesday of last week, it seemed to be gone the next day, as he seemed much better as well. However, Sunday night he got a heavy flem-like cough that only lasts for 20-30 minutes but it made him vomit at the end of the night while he had fallen asleep. The cough gets bad while he s sleeping (for a short period of time), and I m not sure if he s swallowing the flem OR if there isn t much flem for him to spit. We gave him cough & cold syrup as of Sunday & gave him fever reducing Advil syrup as of yesterday. Should we keep doing the same or should we be addressing something else? Doctor: Hi...Greetings form chennai..By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing and I suggest you meet a paediatric pulmonologist who is near your place.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment severe cough in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i felt a lump in my jawline just last night it's small, the size of a ball i felt a lump in my jawline just last night it's small, the size of a ball bearing it hurts a little if i press on it just when i press on it its onmy left cheek, right below my 2nd molar but it's not in my gum it's inside my cheek you know when you clench your teeth with your mouth closed and there some kind of muscle that tenses up on your jaw its right at the end of it cos i can feel the lump get pushed but its not swollen on the outside and my lymph nodes are not swollen i can pinch my skin but i cant feel the lump because its very small and it moves around. it's way underneath, you cant even see it from the outside you also cant see it from inside the mouth now it kind of hurts cos ive been pressing on it all morning. i am afraid it could be cancer, cos they start out as lumps right but then i dont feel sick or weird or anything, i just happened to rest my head on my hand last night and i felt it Doctor: I went to the dentist 3 days ago to have an extraction done on my left bottom molar it was infected everything went good. That night after the numbness wore off I noticed a lump on my left jawline close to my chin it was small I wasnt worried about it...It is now the size of a half dollar and it itches really bad and hurts when I push on it. It is on the outside. Please if you know what this is let me know thank you."
},
{
"from": "gpt",
"value": "Target: lump in my jawline"
}
]
|
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