conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor,My name is Syed Salauddin and i am 24 yrs old. 2 months back i have made scan of my whole abdomen and have been told that i have gall stones of size 3-4mm, and the doctor also told that the only option to remove stone is remove gall bladder, but i dont wanna lose any of my organ. Would you please suggest me any other way of treatment.Thanks in advance,Regards. Doctor: . Hi and welcome. In some cases, gallstones can be treated with medicine. Certain chemicals, ursodiol or chenodiol, which have been shown to dissolve some gallstones, are available in oral bile acid pills. These medicines work by thinning the bile, which allows gallstones to dissolve. Another non-surgical treatment for which gallstones must meet certain criteria is extracorporeal shock-wave lithotripsy (ESWL). It is most effective on solitary gallstones that are less than 2 centimeters in diameter, so fewer than 15 percent of patients are eligible for ESWL. The goal of the treatment is to break up, or fragment, gallstones by sending shock waves through the soft tissue of the body."
},
{
"from": "gpt",
"value": "Target: Suggest non surgical treatment for gall stones"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have this pain in my knee, my knee almost feels stiff and when I try to sleep at night I become very restless. I used to play volleyball and rugby about 2 years ago. im a very healthy 20 year old female. im thinking it might be bone cancer. my mom had cancer in the past but in her ovaries. Doctor: Dear patient Stiffness in knee and pain on single side is Monoartitular arthritis. Most common cause in developing countries is tuberculosis. But it can be also Monoartitular rheumatoid arthritis. Chances of this problem due to cancer is very rare. This needs to be investigated with 1. Xray of involved knee anteroposterior and lateral views 2. MRI of involved knee to confirm diagnosis. Visit radiology center nearby you and get it done. Meanwhile start tab diclofenac 50mg twice a day for pain relief and start knee range of motion exercises to reduce stiffness. You need to consult expert orthopaedic surgeon with report. All the best."
},
{
"from": "gpt",
"value": "Target: Is stiffness in knee and pain a sign of bone cancer ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey! Im on the elleste duet 1mg for the last 13 days and now I feel as if I will have a period, that is, swallow belly and tireness. This is exactly howe I felt every time I hd my period. By the way I did not have a period for the last 4 months. I also feel very hangry the way I was feeling also when I was supposed to have a period. My GP told me, before i took them, that i will face some side effects but I should not worry because my body will get used to it after a month.. I did all the blood examinations before I took it and they were all normal. do you think I will have a period again? My concern is also whether I will gain weight because I feel hangry all the time..Thank you! Doctor: Hi, Possible side effects of Elleste duet include gut disturbances like nausea and vomiting, abdominal pain, bloating, flatulence, indigestion, weight gain, body edema and skin reactions such as rash and itching, acne, vaginal thrush, breast enlargement and menstrual bleeding or spotting. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ajeet Singh, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of Elleste Duet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i m married age 28 i have three year old daughter and now then i had irregular periods now diagnosed with polistic ovaries right now i m having glucophage three times a day and gng to start diane 35 4 months course and after tht my gyno told me she is gng to give me medicines to concieve i m lil over weight and trying to loose weight will this help me to have child i m worried Doctor: Hi, thanks for using healthcare magic Polycystic ovarian syndrome is associated with infertility, irregular periods, polycystic ovaries, insulin resistance, high levels of testosterone. It is normally treated with metformin/glucophage and weight loss for most persons. If the person does not wish to conceive then an oral contraceptive pill which can normalise the period is used, if the woman wishes to conceive then additional medication to assist ovulation (release of a normal ovum or egg) can be used. You should continue with the glucophage and if possible consider losing any excess weight, a loss of 7 to 10 % will help. If this by itself is not successful in helping you concieve, additional therapies would be used I hope this helps"
},
{
"from": "gpt",
"value": "Target: Irregular periods, polycystic ovaries. Taking Glucophage. Will losing weight help me conceive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello! I am a 25 year old woman with asthma and a few allergies (house dust and some types of pollen), but otherwise in good order. However, about two years ago I have started to feel a sharp, oscillating pain that lasts for 15-20 minutes and comes on after a few sips of alcohol. It happens under no other circumstances, but it doesn't happen every time I have a drink. The temperature or type of drink seems to have no effect. I thought it might have something to do with my liver, but I recently had my liver tested during a general check-up, and it was fine. I don't binge drink, nor do I get drunk. However, I have a very high tolerance of alcohol so when I do go out drinking (which is perhaps twice or three times a month) I may drink on average more than others. What should I look into? Doctor: Hi.The probable cause of oscillating pain in abdomen after consuming alcohol is suggestive of few things:This can be due to Gastritis, which is increased after an instigating dose of an alcohol. In some cases IBS - Irritable Bowel Syndrome can get instigated due to the toxins the alcohol contains and you get an oscillating pain. I would advise you to undergo upper GI endoscopy to get a diagnosis . IF required you can opt for further investigations as suggested by your Surgeon on clinical examination."
},
{
"from": "gpt",
"value": "Target: What to do if having oscillating abdominal pain after consuming alcohol?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctorAm 22years old guyPlz tell me the benefits of sunath surgery and how long it I I'll take to cure How many day's needed for bed rest and after tat can I got to office regularly or need a lot of restAnd can I mange my slef alone Without anyone's help Doctor: DearWe understand your concernsI went through your details. Sunnath surgery is called circumcision. Circumcision is the surgical removal of the foreskin, the tissue covering the head(glans) of the penis. There are some potential medical benefits of circumcision in terms of a slightly lower risk of urinary tract infections (UTIs) in little boys, certain sexually transmitted infections in men, and penile cancer. From the day of surgery, within two days you can do your normal day to day functions. Within 15 days everything will be perfect. You will not be having anybody else's help and you will be able to manage alone.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What are the benefits of sunnath surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have brothers, her coughing since 1 years and he just passed it coldly. The doctor said it was tuberculosis with a cavity .. and he recumended we go to the center for drug free. he take medication for six monthsevry second month of his treatmenttake her test .. sputom the responses were negativebut the question is ...sometime not such a breath is not normal to as with preventing his breathingand always have clogged her nose but do not turn it coldhence the reason he could not sleep and its not always good feeling.?What do we do? Doctor: Respected user , hithanks for using Healthcaremagic.comI have evaluated your query thoroughly .* TB treatment completion healed that component . There seems other problem leading to difficulty in breathing which may be lower lung immunity , other infection etc .* General well being alteration relates to many issues as low hemoglobin , deficiency of proteins , vitamins , trace elements etc .* Suggestions - Regular follow up with the physician . - High protein , iron containing diet . - Avoid smoking , alcohol , stress . - Further laboratory tests , Pulmonary function test according to the concern of the treating physician .Hope this clears your query .Always welcome for further questions .Regards dear ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for breathing difficulty caused after treatment of TB"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been having pale yellow discharge. I went to the doctor recently and I had a yeast infection. I took medicine for it and three weeks later I'm seeing some pale yellow discharge mixed with clear discharge. Is this normal or should I go to the doctor again? Doctor: Hi, I have read your query & understand your concern. The yeast infection recurs again due to- - insufficient medication in first course. Slightest of yeast hidden in vaginal folds can flourish back & cause symptoms.That';s why usually repeated courses are advised for complete irradiation of infection. - Mostly both sex partners need treatment. If not, after cure with medication, the infection is again transferred from infected sex partner.* both sex partners should go to the doctor again, get rechecked & take treatment advised . Thanks."
},
{
"from": "gpt",
"value": "Target: What causes yellow discharge from the genitals?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm 48 and have been running for years-33min in 10km and 15min in 21km when I was in my thirties and now over the last two years I find it difficult to breathe after two or three km, running at 3.30 345 etc and believe me my training is pretty good but there's something in competing which I can't fathom. Doctor: Hi thanks for contacting HCM...Here your physical examination necessary including auscultation also. ...First investigate with your CBC to rule out anemia ....If hemoglobin level is low ....In anemia tissue can't get enough oxygen when exertion done ....So correct it if present with tablet or injections....Second measure your blood pressure and rule out cardiac causes by ECG or ECHo .If needed treadmil test also done. ..If heart failure or any other cardiac disease present treated accordingly ......If still cause not clear chest x ray done ..Consult pulmonologist and discuss all these ....Take care...."
},
{
"from": "gpt",
"value": "Target: What causes difficulty in breathing after running a few miles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: DR,MY SON 15 YEARS OLD. NO FAMILY HISTORY OF WHEEZING. LAST ONE YEAR HE IS HAVING THIS ISSUE.ON TAKING ROMILAST B10 HALF TABLET TWICE A DAY HE IS COMFORTABLE. CAN IT BE CONTINUED WILL THERE BE ANY SIDE EFFECTS, OR WHAT IS THE ALTERNATE FOR THIS PLS Doctor: Dear FriendWelcome to HCM.I feel taking Romilast should not be the first concern..First concern should be that is he having a Bronchial Asthma, Allergic rhinitis or bronchitis. If yes appropriate treatment would be decided. And if not no point in giving the medicine now.I suggest a clinical examination and if required Chest Xray and Pulmonary functions test.Be sure , get treated correctly.Discuss with us when you get the reports. Good luck."
},
{
"from": "gpt",
"value": "Target: Can i continue taking Romilast B10 tablet for wheezing? Will there be any side effects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey, I have a problem with my right leg and also my traps. So since november or december i was working out doing squats and leg press and i felt a shock in my left leg, i didnt think of much untill it went a bit numb. After that i told my wrestling coach and he sent me to see an osteo and they said it is a nerve pinch and said it is fine. I continued the rest of my wrestling season and didnt feel any shocks cause i didnt workout in the gym during the season that much. But now the season has finished and im back in the gym, when i squated today i felt a shock in my right leg and also i felt a little shock in my trap. The leg didnt really go numb but my trap sorta did.So now im super scared and wondering if this is something you guys have seen or know anything about. Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you are suffering from PIVD which simply means that, you have disc problem impinging on your cord, please do not repeat it again and again , as repeated episodes, will cause you to keep the disc herniated and would prevent its going back to space, Take some rest and than under guidance of a good physio start spinal muscle building exercises, so that this does not reoccur. Avoid lifting heavy wights, and stop your gym at present and only resule after your doctors advise.I hope that answers your query. If you want any more clarification, contact me back."
},
{
"from": "gpt",
"value": "Target: What causes shock in my left leg while doing squats and leg press?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 51 yo female and have a slow heart rate, usually 50 60 beats per minute. This began a few years ago when I began having preventricular beats. Over 12000 a day. I found out I was reacting to eggs, discontinued them, irregular beats stopped, but my heart rate remains slow. Is there anything I can do? Doctor: Hello Mam I understand your concern about your health and i would like to tell you that some people do have a physiologically slower heart rate and that's not a heart problem until unless you starts feeling dizzy or any blackout happen or you feel fatigued all the time. The recommended heart rate range is between 60 to 100 beats per min and your is around 60 so you need not worry for that.Just get an EKG done to make sure the heart rhythm is A SINUS RHYTHM. If it is then just relax and if not then you need to consult a Cardiologist personally.I wish you good health"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for slow heart rate"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hey.. im a 20 year old boy .. for the past 3 months i have been suffering from cough which come as fit either at night or wen i wake up in the morning . Mostly at nite . So i consulted a docctor and he gave me montek lc which i ate for a month. BUt it dint help much. SO he changed it 2 montek 10.. which i ate for another month and it dint help either. they wud supress my cough but then the sypmtoms would reappear. i went 4 a blood test and chest x ray they are fine just my eusophill is 10 % higher than normal. then i changed my doctor and he has given me ketasma saying i m8 have allergic bronchitis. my symptoms are coughing fits charactersd by ithchyness in my chest and slimy -sting like mucus . !! Doctor: Hi thanks for asking question.Here your eisiophils are high.So it could most probably allergic lung condition like allergic bronchitis or asthma.Take drug prescribed by doctor.Avoid allergen like dust, pollen , cold itmes or any foods to which you are allergic.For diagnosis of cough variant asthma pulmonary function test done for it.Second although chances are less high eosinophil could be by parasitic infection like by filaria or round worms.So PS for filaria at night and stool examination done for rule out it.Take care.Wish you good health.Dr.Parth Goswami"
},
{
"from": "gpt",
"value": "Target: What causes coughing fits, itchiness in the chest and slimy-sting like mucus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been getting chills only on my left arm.. temperature can be hot or super cold..lately its been 100 or higher in degrees. but these chills are only on my left arm. I have not been eating so well and have been feeling weak, what can it be ? what can I do ? Doctor: Hi,you mean to say that you have unilateral symptoms of chill(cold)in right arm.Did I get you correct?The reason behind such disorders are usually vascular in origin, and so could be your case.The cause for this vascular affection can be many, and only a proper examination can help us. moreover getting a CT angio done may be recommended by your physician once he see you.Thanks"
},
{
"from": "gpt",
"value": "Target: What is the treatment for chills on the arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my CXR done the result was haziness in paracardiac region, thereafter on advice did a CT which reported subtle fibrosis is apical region. i don't have an history of TB or Pnemonia, but is undergoing treatment for CML, taking imatinib 400 since last 5 years, presently on cml remission. Pls advice Doctor: HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that the finding of fibrosis in the lung is insignificant because the word it self indicate that this is not the exact appearance of the fibrosis so the word used subtle means very less likely hope this information helps you, have a nice day."
},
{
"from": "gpt",
"value": "Target: What does subtle fibrosis in apical region indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was in a car accident yesterday, someone hit us from behind, I think I have whiplash as my shoulders and neck are sore, but what s worrying me is directly after the accident I started coughing and I still am...it has gotten so bad, I ve vomited and my throat is now raw. Is this a result of the accident or just a coincidence? Doctor: Hi thanks for your query.the features in you are strongly suggestive of some signigicant neck and or spine injury....there could be prevertebral or retrovertebral injuries....all i suggest you is stabilise your spine with a soft cervical collar.....then get an MRI CERVICAL SPINE...mri has got advantages of picking up even soft tissue injuries of the neck like bruises or contusions.meanwhile take tab pantoprazole 40mg,diclofenaac sodium 100mg SR..twice a day.check your breathing,bowel and bladder pattern.if you find difficulty with these functions.report immediately to your doctor,as whiplash injuries can be quite nototious.take care.thank you"
},
{
"from": "gpt",
"value": "Target: Could coughing, vomiting and dry throat be an aftermath of accident?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: An adult feels unable to survive on her own and depends too much on other adults for protection and help for practical things (still hasn't fully grown up although way past adolescence) . But she has confidence in her own intelligence and has no trouble forming opinions on issues and values, nor making personal decisions, nor disagreeing with others' views. Can she sti;ll have Dependent Personality Disorder?. Doctor: Hi, you know she is confident about her intelegence, can form openions on issues, and values, can make personal desicions, can disagree with others views. Means she is doing all these things by her own, and you have observed. It seems she is quite normal, and might be going for advise for self confidence, some times. On line i may not be in a position to judge, if so it might be a obsesive compulsive neurosis. She want to hear her openion from some one who is besides. In this case if you observe the same position several times, you can consult a psychologist for diagnosis and treatment. Thank you."
},
{
"from": "gpt",
"value": "Target: Depending too much on others, able to take personal decisions. Dependent personality disorder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m 44 and on birth control. I finished my menstrual cycle last week and started my birth control this past Saturday. As of today I started having break through bleeding, then expelling bloody clots. First one 8 hours ago and had to come home from work and change my undies and jeans. then twice expelled clots within the next 4 hours after that and the one around 3 hours ago again had to change the pants. Now in the last 2 hours expelled 5 blood clots and the last three within the last half an hour. Is this normal? Doctor: Hello ma'am and welcome.The blood clots are a side effect of the birth control, but this is not a side effect your doctor would be happy with. So I would advise you to schedule an appointment with your doctor and get evaluated. He/she may choose to change the birth control or make alterations to the prescription in other ways.Hope this helps.Best wishes."
},
{
"from": "gpt",
"value": "Target: Is it normal to pass frequent large blood clots while on birth control?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a herniated disc that is bulging a person on my nerve in my lower back. Everytime I walk walk or any kind of movement movementmy back and my leg feels like it wants to lock in place or tighten up on me it makes it very hard to walkI have alot of pain lower back and legs is this coming from the pinched nerve Doctor: Hi,Thanks for your query.You might be having disc prolapse with nerve root compression.The general recommendations for Lumbar spine issues are as follows -- Usually 1-2 days of bed rest will calm severe back pain. Do not stay off your feet for longer- Take rest breaks throughout the day, but avoid sitting for long periods of time.- Avoid lifting heavy weights as it imparts more strain on your back- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen your back pain- Use a lumbosacral back support to stabilize & strengthen the back musculature- Use analgesics like advil or aleve and muscle relaxants to relieve pain and muscle spasm, as needed. 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 herniated disc"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wisdom tooth began emerging through the gum a couple of weeks ago and it bothered me when I would chew. That pain pretty much completely subsided,after it pushed through the gum. But now I have this pain that feels like it goes down to my jaw. It hurts if I flex my jaw or drink or chew on that side. Doctor: thanks for your query, i have gone through your query. the pain could be because of the infection of the gum around the erupting third molar. the gum gets infected by the trauma caused by the opposing tooth, consult a oral physician and get a radiograph done to rule out whether sufficient space is there for the tooth to erupt or not. if there is no space then you have to get the tooth removed since it is a non functional tooth. you can take a course of antibiotics and analgesics. do saline gargling. i hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes pain due to wisdom tooth growth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello. I am 38 years old, 6ft tall and weigh 97kg. Around 2 years ago, I was diagnosed with osteoarthritis and was recommended to do some knee exercise and take ibuprofen if I feel lot of pain. Also, I have been avoiding stairs and squatting. The exercise seems to help because I feel reduced pain when I climb stairs. 2 months ago, I was diagnosed with mild high BP and was placed on Amlodipine 5mg. I have just taken the drug for a month. For a week now, I feel intense pain in my knees even when I am not climbing stairs. It relieves a bit when I take ibuprofen 200mg X 2. Observing the knee, I noticed that its swollen, bit lumpy and feels warm. I robbed with Ben-gay but the swell/lump is not going down but looks like it has increased in size. Also, I started noticing some unexplainable tiny scratches on my arms and latest on my thigh though it heals after a day or two. I was weighing 105kg before I found out the high BP and I have lost weight now due to walk exercise (around 5km a day). My BP has also return to normal as at last one week ago. Is it possible that the BP drug is causing the swollen knee and unexplainable scratches on my body. What can I do to help with the knee. I intend to ask my Dr to stop the drug and I will continue on exercise and other natural means. Please advise. Doctor: Hello There After going through your medical query I understand your concern and I would like to tell you that amlodipin can cause pedal edema or ankle swelling in some patients but knee swelling isn’t be registered with amlodipin, even then it is recommended for you to consult a physician personally for proper physical and diagnostic evaluation and treatment.Hopefully this information will guide you properly Kind Regards Dr Bhanu Partap"
},
{
"from": "gpt",
"value": "Target: What causes fluctuation in the blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My son is 30 months, and he got bitten by a mosquito 3 days ago next to his left eye and the next day his left eye was swallen shut.. I put some ice packa and started to give him Benedryl. now the swell is almost gone, but his eye is discharging white stuff Doctor: Many thanks. It is common in baby to have lacrimal duct block.which needs message to open the duct.If problem persist then check with eye physician Eye dischagre needs fucithalmic eye ointment 12hrs for 5 days. For mosquito bite needs test for malaria if he gets fever and unwell. Advice. if you rae from malaria are needds full gear to protect from it. prophlactic for malaria is also recommanded."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for white eye discharge in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a bump arouund my belly button piercing. I have been cleaning daily with sea salt soaks and now use tea tree oil. I have only had it pierced for 2 months and have had the bump for 1 month. Tea tree oil has made it go down in size by half..what else should i do? I dont want to remove the piercing Doctor: Good day and thanks for your question. You probably developed an hypertrophic scar around the piercing. Do you have any bump around any other piercing in any part of your body? If its not itchy, small and not disturbing you cosmetically you can leave it. And if application of tea tree oil is reducing the size of the bump you can go ahead and continue applying. Hope it helps. Thank you."
},
{
"from": "gpt",
"value": "Target: How can bumps around belly button be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am planning to have a second baby after 7 years. Now that we are trying for last 1 year and there are no luck so far. I am 31years and my husband is 36years. Got all my health checkup and everything is normal including TSH. Now my doctor has suggested Ubiphene 50 for first 5 days and then followed by fertibex daily morning. Could you please suggest if this is the right treatment Doctor: Hi, Thanks for your query. I have read your query & I understand your concerns. Following is my reply: 1) hese drugs are to improve size of follicle. They are given normally. 2) Please get follicular scan done to check growth of follicles. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist."
},
{
"from": "gpt",
"value": "Target: Suggested Ubiphene and Fertibex in order to conceive. Would you regard it as correct treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thx , I am a women age 44 recently got married , the last time I had sex with my husband was on 24 December and my period came on January 3rd and lasted on January nine , after that no sex bcz me and my husband live far away . Here is my question I haven't seen my period yest , is there any chance that I can be pregnant now bcz as I said my period come after my husband left , I appreciate for your answer . Lina Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to your history, as you got periods after unprotected intercourse the possibility of pregnancy is less. But sometimes during implantation bleeding can be seen and some women may have bleeding during expected date of periods even being pregnant also as total uterine endometrium is not covered by gestational sac. So, to rule out these possibilities better to go for urine pregnancy test once. If test gives negative result, and if you do not get periods even after 2 weeks of expected date, you can consult your gynecologist, get evaluated and take tablets for withdrawal bleeding.I will be happy to help in any further questions. Take care."
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible despite getting periods after intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter is around 2yrs.sometimes i can feel a loud heartbeat but at that time all her activities are normal she doesnt have any other kind of problems or any other complications.Otherwise also she is absolutely fyn and runs around the whole day. Doctor: hello ,I have gone through your query.Thanks for using HCM.Normally when baby is active ,crying and playing there will be increase in heart rate.In thin chest wall it is felt as loud beats which is normal most of time.as you mentioned that baby has no other problem ,it is less likely to be serious.however when you go to paediatrician for vaccine or routine check simpe examinaiton with stethoscope your doctor will rule out any problem with heart.My best wishesDr.rajesh Teli,MD"
},
{
"from": "gpt",
"value": "Target: What causes loud heartbeats?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I suffer from extremely serious gerd . I was not following the correct diet & drinking entirely too much when I went to Vegas . The night before we left, I had extreme difficulty breathing, dizzy and couldn t stop belching . I was also taking a very strong antibiotic for a cold, and the walk in clinic that gave me the prescription said I could drink. The next morning I was In such bad shape my daughter took me to a clinic in clinic Vegas . Dr told me to stop antibiotic...way too strong, gave me a special cocktail for gerd , and did blood work which showed liver enzymes toohigh. I have since gone to my m.d. who sent me to hospital to have ultrasound on liver,gall bladder & pancreas also ct scan on lungs...all normal. I am still eating soft foods and now am strictly following gerd diet, but no one can seem to explain why I am still having shortness of breathe and dizziness. I have no energy , which is not me...just don t feel right since goneVegas episode. Please what should I do next? Thank you Doctor: Hello,1) You have GERD which was aggravated due to excessive alcohol drinking as excessive alcohol cause gastritis2) Also some group of antibiotics cause gastritis to develop3) High liver enzyme was due to alcohol intake, which might come to normal after 2-3 weeks once you stop drinking alcohol4) Shortness of breath is due to reflux of content and stomach juice into esophagus from stomach (due to loose junction of esophagus and stomach). This reflux cause irritation on esophagus and develop esophagitis. Thus you might have alcohol induced gastritis and reflux induced esophagitis.5) Hiatus hernia is most common cause for such reflux and best test to assess esophagitis, gastritis, hiatus hernia is upper GI endoscopy and I suggest you to do same."
},
{
"from": "gpt",
"value": "Target: What causes shortness of breath , dizziness and elevated liver enzymes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my uncle's pet dog bited me in my left leg. But i didnt get any blood[just very little strains on clothes] but small scratchs (as line) is there and it got swell at that time and i went to hospital took TT with in 30 mins and rabiVax first dose. just tell me it will be rabies and wat i should do further.there is any food restriction like should not eat non veg..............please tell me the details whether it is dangerous to me..../ 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.No, there is no danger to you now.You are safe with the rabies now as you have taken the vaccine.Diet has no interaction with the vaccine so you are free to eat everything.Please maintain good hygiene at local bite site. Please avoid injury over the site. It will be infected and create problem.You can do tegular dressing and cleanliness at the bite site.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: Suggest diet after a rabies vaccination"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am concerned about my girlfriend. We had sex and I did use a condom with spermicide. And the condom didnt break or anything or fall off, after i came i kept going for another like 30 seconds for her. but i didnt ee anything leak. I have been looking at symptoms and most match her, but shes had them before. We also found out she has a brain tumor on her frontal lobe. So she has hedaches and stuff. SHe is also naturaly low on tired. ANd from what I read the tumor casues mood swings and stuff too. She also took 3 pregnancy tests at home all 3 were positive, and they were all within 3 hours after she said she missed her period for 2 weeks. After those she told me she takes a pill with the pregnancy hormone in it. She has been stressed a lot lately and she doesnt want to go to the doctors. i dont know what to do Doctor: Hi, I think she should get a ultrasound done to confirm the pregnancy. It will clear your doubt. If ultrasound shows pregnancy , it is confirmed, otherwise she is not pregnant."
},
{
"from": "gpt",
"value": "Target: Can i get pregnant if suffering from brain tumor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor,because of traumatic past - bad parenting and a love failure,my husband developed an imaginary character of a girl and now believes he has seen her in reality. In reality the girl whom he thinks is his dream girl,is of a good character.he is working.but when his thoughts are not good,he is asking me to go away.he is not betraying me but needs help.he is a perfectionist and still plays some sports.but that girl is fully occupied in his mind.he told me that he is unable to think about me. What could be his problem? His mind change are clearly visible in his face.please advise. Doctor: HiThanks for using healthcare magicI think, he has psychosis. May be he has visual or auditory hallucination. In that case, he needs proper treatment with antipsychotics. You can consult a psychiatrist and get him properly evaluated. Without mental status examination, it is difficult to tell exact problem. In case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: What causes someone to develop imagination of a girl?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my IUD removed on April 17 had a 28 day cycle from April 27 to May 25. I had protected and unprotected sex on June 8 and took the Next choice duo within hours (2) of having sex. I am having hot flashes, lower abdominal pain, breast tenderness, but no nausea, or increased uriniation are these just side effects? Doctor: Hello,I read carefully your query and understand your concern. Your symptoms are related to side effects of Next choice due pills.The symptoms will relieve gradually. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of Next Choice Duo pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother- in- law, who is 72 has been recently diagnozed with beta-thalassemia. He is also diabetic and has thyroid problem. Presently, his haemoglobin level is at 8. He feels weak and his appetite is poor. He is in Mumbai. His family doctor advised him to visit CMC Vellore, but that is quite far. For him it may be difficult to undertake such a trip. What should be the next step? Is there any good specialist in Mumbai whom he can consult? As we were made to understand, he will need blood transfusions? When he will need it? And which is the best place to undrgo the procedure? (In Mumbai) Doctor: Hi.at the age of 72 it must be beta thalassemia minor. generaly they have normal life except few blood transfusion. There is no exact limit for that. When symptoms of anemia get worson and not treated oraly at that time blood transfusion is required. Its not a big deal at all. You can consult physician for that. Go to any physician its easily tretable minor problem. no need to big worry.thanks for using health care magic."
},
{
"from": "gpt",
"value": "Target: When is blood transfusion needed for beta thalassemia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had anal intercourse about three months ago since then I have been experiencing lower abdominal pains. It s more of discomfort really I assume its constipation and gas but I ve never experienced any constipation in my whole life so I m not sure. The pains are ars sharp and goaway after bowel movement or gas release. Mostly its a very dull burning feeling that comes and goes. Laxatives seems to help temporarily but not always. When I woke this morning the discomfort and burning pains were gone. now its sore just under the skin my lower left abdomine near my hip bone. I haven t visited a doctor because the pains or so miniscule I assumed it was nothing seriouNow I m starting to worry because the the is sore when poked Doctor: Hello,The anal intercourse is always a risk factor for Proctitis. There may be inflammation and infection to the anal canal which may be causing you the problem.Taken a course on antibiotics to eradicate the infection.Take a lot of water and fiber rich diet to prevent constipation.Repeated constipation will irritate the anal canal and cause inflammation and it is prone for recurrent infection."
},
{
"from": "gpt",
"value": "Target: Soreness and lower abdominal pain, on and off dull burning feeling. Little relief from laxatives"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i have been having a lot of health issues and was told my bowels were packed I took measures to clean them out and am still having issues my BP is 138/93 plus 80 the left side of my neck is swollen and I can bend it to the right very far I have so much going on I forgot to say anything to my doctor about that. I m suppose to have back surgery but can t until we find out what is wrong with me. I had a st scan today of my abdomen and pelvic and I feel awful like nothing is right inside of me and each day it gets worse. I m not one to run to a doctor but i know something is really wrong Doctor: Hi welcome to HCM.I understand your query and concern.Swollen neck can be directly related to elevated blood pressure and right sided heart failure.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile to assess the basic cardiac reserve of your heart.Restrict the intake of salt to less than 6g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Drugs like antihypertensives ex Metolar XL 100 mg once r twice a day will help.Reduce the intake of fatty and fried food.Surgery on the back has to be postponed until the BP is brought under control.One pomegranate a day will help to keep your heart at good pace without clot formation. Consult a Cardiologist for further expert management.Post your further queries if any.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen neck and high blood pressure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i think my 2 year old son may have had some rice go down his wind pipe. As i as feeding him he went into a coughing frenzy as if he was choking. Eventually he stopped and continued to eat and drink. The next day he is refusing to eat or drink anything even his own saliva and he is drooling everywhere. Other than that he doesnt seem to have any breathing difficulties and is speaking to us normally and doesnt seem to be in any discomfort. Should i be worried?? Doctor: Hi...please take him to the nearest emergency room. This looks like a foreign in the airway. He might require evaluation by a pediatrician and a Chest X-ray and a flexible fibreoptic bronchoscopy.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: How to remove rice stock in the windpipe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir,i am ram (male/28 yrs) i have taken immunization today.INJ TT 0.5ml IM & INJ TAB 0.5ml IM AFTER ONE HOUR I HAVE GIVEN BLOOD FOR PLATELET COUNT. MY HB IS 15.6MY PLATELET COUNT IS 1.4 LAC. THESE INJECTIONS WILL REDUCE THE PLATELETS IN BLOOD FOR SOME TIME IS IT TRUE .CAN U PLEASE CONFIRM THIS.THANKING U SIR Doctor: Hi, dear. I have gone through your question. I can understand your concern. But tetanus injection is not responsible for your low platelet count. It doesn't reduce platelets. Moreover your platelets are of low normal so no need to worry about that. 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 injection can reduce platelets in blood for some time ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I start to get dizzy and then start sweating and my heart starts to pound pretty hard, not faster or slower just harder, or so it feels, and all that only happens for about 30 seconds. I only get it now and then but it seems to be happening more often every day, and it happens randomly at different times. what could this be? Doctor: Hello, This can be a cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holter monitoring. So visit nearby cardiologist for these investigation.Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard.Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases."
},
{
"from": "gpt",
"value": "Target: What causes sudden dizziness,sweating and palpitations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what are the chances of myself getting abdominal cancer if my mother and grandmother died of cancer in the abdomen. They were both 65. I am 5 ft. 123lbs.I exercise3-4 times a week. Dietary wise,I eat much healthier than either of them. I fortunately quit smoking after about 13 years on and off. I smoked anywhere from 3 cigarettes to 10 on averqage. Doctor: Hi,Thanks for writing in.Abdominal cancer is a non specific entity or diagnosis. It is important to know the exact cancer or group of cancer that have occurred in your family members. Since you have changes over to adapting a healthy lifestyle including food habits and exercises as described, your general health condition appears to be good. Also you have quit smoking and that is a positive development in reducing the chance of throat and lung cancer.Cancers can happen due to particular activation of cancer genes, some cancers might start after infection of viruses like HPV virus causing carcinoma cervix and hepatitis B causing liver cancer. There are patients who also get cancer due to exposure to harmful substances in the environment.In your case, it will help to know the exact type of cancer your mother and grandmother had and then get tested for the gene marker of that cancer. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What are chances of getting abdominal cancer with family history of abdominal cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In hospital with cellulitis. After several types of antibiotics in hospital. Podiatrist and wound doctor’s waited to give me anymore. Podiatrist final gives me a 10 day supply of Cephalexin. After X-ray report today taking 500mg Cephalexin. Previous report showed only swelling in the second toe from cut on and no obvious focal osteolysis or periostitis is seen. Loc NRS Moderate Regional soft tissue is also visualize vascula regional soft tissue is also visualize vascular calcificstions are noted. IMPRESSION Focal soft tissue promise you sing along the second toe mouth changes are currently appreciate it involving the distal phalanx of 2nd toe, suggesting acute osteomyelitis. Why is my toe getting worst? Doctor: Hello,Thanks for the query.Osteomyelitis is nothing but infection of your toes.It is a serious condition and require proper treatment to avoid unwanted complications.Consult an orthopedician and get evaluated. You have to start on IV antibiotics.Wishing you good health.Thanks"
},
{
"from": "gpt",
"value": "Target: What causes swelling and acute osteomyelitis in the toe while suffering from cellulitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having chest pain and tightness shortness of breath dizziness loss of apatite sleeplessness bad taste in my mouth feeling of zaps throughout my body mainly in my chest and left arm tingling and numbness in my left forearm and fingers for almost a year. I have had several ekg s a scan of my heart with dye contrast an echo an endoscopy several x-rays and blood tests all of which have been normal. I have been told I have acid reflux which was told to take 2 nexium twice a day and was given a few different anxiety meds that I no longer take because of the side effects. I have a hard time believing anxiety can cause all these symptoms every day. The chest tightness is always in one spot and I m dizzy everyday. Do you believe this could all be anxiety? Doctor: Anxiety can have variety of symptoms and it can mimic any serious disease including heart attack!in your case it is quite likely that you have anxiety neurosis with panic attack.you may have additional acid reflux.In my clinic i often advise my patients Tab.Alprazolam 0.25 mg thrice a day for atleast 4 weeks.you may use mouth dissolving Clonezepam 0.5mg duirng acute spell of symptoms for quick relief.Nexium along with domperidone will help you to get relief in acid reflux.But have patience give some time to medicine.And remain cheerful,involve yourself in activity of your choice.Yoga and meditation will also help you.my best wishes."
},
{
"from": "gpt",
"value": "Target: What causes chest pain, shortness of breath, dizziness and loss of appetite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I accidentally cut my middle finger with a little sharp knife, it look identical to a paper cut. The cut was was thin but probably cut through a couple skin layers. I put peroxide and rubbing alcohol to disinfect the wound, then I placed a bandaid over it. After letting the bandaid stay on over night, I woke up and took it off and my nail hurts really bad from this little cut. Is my fingernail infected by this cut? Do I need to see a doctor?. Doctor: HiWelcome to Health care magicSince the injury has occurred with a sharp knife it will be laceration injury. You need to take injection tetanus toxoid as a prophylactic measure.If the wound is deep it needs suturing. If the wound is superficial it will heal on its own and it requires treatment by the use of antibiotic ointment for local application.Use of analgesic drugs is required for pain relief.Since it is a lacerating injury it is better to consult your doctor for examination and treatment accordingly.Thank you for writing to us"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for finger injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just had a wisdom tooth extracted. I suffer from oral thrush from my asthma inhaler and have had a flare up today. Can the thrush get into the open extraction wound and cause some sort of fungal infection? I have nystatin but it takes a while to clear the thrush up. Thank you. Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain yes, if you have an aggressive form of thrush and if you get a tooth extracted, the yeast will get favourable environment to grow and can infect the extraction area also leading to delayed healing..Also the antibiotics given post extraction can cause flaring up of thrush and increase the severity of infection..You should therefore consult your treating dentist and take a script of antifungal medications to be taken orally like Fluconazole along with Nystatin mouthwashes and clotrimazole lozenges..Take more of probiotics like Yoghurt in diet..Take antibiotics as less as possible as your dentist will advise you low doses to prevent flaring of thrushHope this helps..Regards."
},
{
"from": "gpt",
"value": "Target: Can an oral thrush affect an extracted tooth and cause fungal infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently had chest pain that presented with the classic dyphoris, elephant on the sternum and radiating pain to the left arm pulse rate of 101 and BP 184/103 on arrival at the ER. After a complete cardiac work up there was no definative explinations for the chest pain and I was released from the hospital 36 hours after admission to the cardiac unit. Post admission pulse rate bradicardic at 55-59 BP 100's/70'sMy Cardiologist has no ordered a 21 day cardiac event monitoring, Should I remove the monitor while involved in sexual incounters with my wife.53 yo male, 5'8\" 162lbs. Hx of SVT x 10 years with 3 prior hospitalizations. Smokes cigerrets 1 pk qd x 15 years. Currently stating on chantex. Current Prescribed Medications Atenonol 50mg qd x 3 years, 81mg ASA Doctor: Hello. No, you shouldn't ever remove the monitor since it's there to capture any random bouts of an arrhythmia like premature ventricular contractions or a suproventricular tachycardia and, if that happens when the monitor has been removed, it'll be missed"
},
{
"from": "gpt",
"value": "Target: Can cardiac monitor be removed during sexual intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 82 year old male had inguinal hernia surgery and was unable to urinate after surgery. He was sent home 5 hrs after surgery with a catheter. (Initial catheter was removed and then put a larger catheter) Later that night, hemorraging from penis and pain in the groin area. Almost 5 weeks later,he is still in the hospital with an extremely swollen stomach, and they are constantly flushing his system because of blood clots that clog the catheter and produce extreme pain. (He has had numerous catheters inserted and re-inserted up to around size 24) He is in a lot of discomfort, still bleeding(had to have 1 unit of blood), still gets blood clots in the catheter, no appetite because of his situation, and his stomach is so large it looks like he is pregnant. What test do doctors use to determine where all the blood is coming from? Could his uretha or bladder been punctured to be causing all the blood loss? Doctor: Hello, Consult a general surgeon and evaluated. We have to rule out possible causes like vascular injury. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes hemorrhaging from penis and pain in the groin after a surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I quit smoking 3 mos ago. haven t bee well since the. i m coming out with high blood [pressure. my heart beats realy hard at times,I out of breath most of the time and I feel very tired, what bothers me the most is my heart rhythms. and my tiredness. i m 52 yrs old and smoked for 20 yrs. (cold turkey) Doctor: Hello,I have gone through your question.Thanks for using HCM.As such high blood pressure after age of 40 is essential and has no single causative factor.But there are many risk factors.Hereditary factor is most important.In your case smoking has contributed a lot.its really good that you have stopped it.currently some of your complaints are due to withdrwal of smoking.But have patience they will gradually subside.you must start antihypertensive medicine depending upon your BP level.Also get yourself evaluated for any possible complication of long standing silent hypertension.so go for ECG,renal function tests and other necessary tests.and of course follow healthy life style.My best wishesDr.Teli,MD"
},
{
"from": "gpt",
"value": "Target: What could cause high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My left cheek looks like a chipmunk again. I have had this many times and was told it is a blocked salivary gland. I take Lysinopril daily and 2 antihistamines that tend to dry me out.I am asthmatic. I chew biotin gum to compensate. Is there anything else I can do to bring down the swelling? it goes up to the eye area? I am responding to an ad that said this was free; no fee. Is that so? Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have mentioned that you have swollen cheek due to blockage of Salivary gland , you should go to dentist go for first Sialography for diagnosis of proper blockage of which Salivary gland duct, For this blockage treatment is sialendoscopy for removal of salivary stones, this procedure is performed under General anaesthesia or under Local Anaesthesia , For Swelling you can do Massage on that area, Apply warm moist cloth on that affected area. Hope this will help you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to reduce recurring swollen cheeks due to blocked salivary gland"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my grand father recently took an MRS and has been diagnosed with slip disc. I do not understand much about the levels of his spine that are affected but the doctor says they are multiple. The doctor has given two options, surgery or a back brace . My family has decided to take the back brace option because my grand father is 87 years and they fear a surgery may be risky. Please what do you think is best in this situation? Thanks. Doctor: Hi, . From what I understand your grandfather was diagnosed to have multiple slip disc based on Magnetic Resonance Imaging (MRI) scans. Yes, both conservative and surgical treatments are available to treat slip discs. Surgical treatment is restricted only to those cases where there are neurological deficits secondary to nerve root compression and where conservative treatment have failed to relieve the symptoms. That being said, spine surgeries are definitely associated with risks. There is a small possibility of worsening of the condition. Besides surgical and anesthesia risk are plenty in elderly patients. Weighing the benefits and risks, I feel there are plenty of risks involved in operating an 87 year old gentlemen. And the choice to manage him conservatively is right one. Continue with braces. If the pain is severe a brief course of anti-inflammatory agents / steroid injections can be used. Discuss with his treating surgeons. Hope this helps. Regards"
},
{
"from": "gpt",
"value": "Target: 87 years old, diagnosed with slip disc. MRI done, multiple levels of spinal damage. Surgery or back brace?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: if a patient is c(with the bar over it) a Hx of N+V , abdominal pain and profuse , watery diarrhea in the absence of a fever . they report that the symptoms began 5 days ago and resolved after 1 day they all have been symptom free for 3 days but now the sympyoms have returned there is also a new on set of jaundice and bloody diarrhea .lab results indicate elevates Lfts . the patient reports eating a hamburger several hours before the intial on set of symptoms what i is the likely diagnosis Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Jaundice is usually a sign of certain liver disease and high bilirubin value and in your case there are also systemic signs of inflammation so this is more suggestive of infectious hepatitis.Causes of jaundice vary from non-serious to potentially fatal. Levels of bilirubin in blood are normally below 1.0 mg/dL (17 µmol/L) and levels over 2 to 3 mg/dL (34 to 51 µmol/L) typically results in jaundice.High bilirubin may be due to the liver diseases such as cirrhosis or hepatitis, infections, medications, or blockage of the bile duct which may occur due to gallstones, cancer, or pancreatitis. Medical imaging such as ultrasound is useful for detecting bile duct blockage.Treatment of jaundice is typically determined by the underlying cause. If a bile duct blockage is present surgery is typically required, otherwise management is medical.Medical management may involve treating infectious causes and stopping medication that could be contributing.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ivan R. Rommstein"
},
{
"from": "gpt",
"value": "Target: Abdominal pain, bloody, watery diarrhoea, jaundice, elevated LFT levels. What is the diagnosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Child age of 27 days. Physically he is fit normally. He takes his mothers milk usually. my child is male. At the time of delivery some problem on his head as like soft and soft on the back side on his head. at once we are taking advice and Homeo medicine, the problem has solved. Now we are seeing that my child s navel is soft (like Khaca) but not out pouse. at this fact what can I? Recently, His mother is weak physically. in spite of take some Vitamins, lime calvo-, D Bextram, Zip-CI according to SP. Doctors. But she does not feel well. Now what Can I? what is your advice. As she is feeling unwell, So we are taking a lactogen can any problem? Pl advice about my child and his mother. Doctor: Thanks for putting up your query at HealthCareMagic. Congratulations on having a baby. You have not mentioned how your baby was born i.e. whether by normal delivery or by caesarean section. If he was delivered by normal delivery, may be that during the delivery some amount of blood was collected under the scalp, what we call scalp haematoma. It goes away on its own and is not a cause for worry. I do not know whether the homeopathic medicines have given any additional relief. The umbilical cord generally falls off in 7-15 days and initially may remain soft. Some antibiotic ointment like Neosporin may be used there. If the umbilicus or navel is indrawn, it is also normal and not a cause for worry.Coming to the case of your wife, she had to bear a lot of hardships during pregnancy as well as labour and delivery. It is natural for her to feel weak unless she gets adequate nutrition. She needs a healthy diet to help her body to recover. And she needs to eat for two people, not one. Through her milk, her baby gets what she eats. Vitamins are not going to do much good as they are required in very small amounts and the things she needs more are things like carbohydrates, proteins, iron and calcium.Breast milk is the healthiest food for a baby. If that can be procured, I would not suggest you to go for formula feeds like lactogen. Breast milk has advantages for the mother too.I hope that helps. Feel free to revert back with further queries if any."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for soft navel and can lactogen in babies cause any problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, My 8 year old son had a very high fever on Tuesday night and had to be taken to the hospital the doctor at the er diagnosis was possible appendicitis and also said he had a lot of poop backd up and to give him miralax. Yesterday I have him miralax twice and he still can t poop and his pee is very bubbly and has had several accidents were he pees on him self he said he can t control it. What can this be he no longer has a fever and has minimal lower abdominal pain what can it be? Doctor: Dear Flores, it is not so usual but is possible to have the appendicitis at this age. Many diagnoses such as mesenterial adenitis, invagination or ileus can be considered, but I doubt because he has a mild clinical presentation. Fever is a sign of any infection in the body,and tummy can hurt related to pharyngitis or viral infection, respiratory or urinary infection... Did they check his urine? If he doesnt have symptoms now and no fever then you should just observe him and look for signs such as blood in the stool and urine, weight loss, or sharp abdominal pain with fever. It it happens go to hospital immediately. Wish you good health, Dr. Ivan Romic (Rominho)"
},
{
"from": "gpt",
"value": "Target: Abdominal pain, fever, constipation. Possible appendicitis. Uncontrolled urination. Right diagnosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am an engineering student.my age is 22 yrs.i am having problems with my health. Like frequently i gets cramps in my hands not only hands but also in legs.Actually my whole body get twisting structure for few seconds just like fits,but it lasts for only few seconds and then automatically my body recoveres.I have consulted many physicians. They prescribed me calcium tab and some vitamins but it didnt stopped.Also when my mind becomes totally nervous whenever giving any presentation because of fear of these cramps.At the age of 1 yr i got fits twice but after that everything was alright.but i am having these problem since 5 yrs.what kind o disorder is this? is it dystonia?plz give me some sugessions Doctor: Hello, Your symptoms are not suggestive of dystonia. Anyway, I would recommend checking vitamin B12, vitamin D plasma levels for possible deficiency. Other tests to consider would be: - muscular enzymes - ANA and ANCA titer antibodies - blood electrolytes - ASO titer antibodies. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes cramps in legs and hands which are like fits?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 yr old daughter has been complaining of pain around her anus for quite a while, describes an itching sensation. Pain has become more frequent and does not occur merely at times she is passing a stool (always soft and ususally goes at least twice a day) Now she says she has blood on the toilet tissue when she wipes herself. How can I help her? Doctor: Hi...by what you say I feel that your kid maybe having hemorrhoids. I suggest you consult a paediatric surgeon regarding this.As hemorrhoids are very unusual in such a young age group we need to work up for portal hypertension also.Regards - Dr. Sumanth Amperayani"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for anal pain and bleeding"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Why do I cough after eating? Once in a while I cough so hard that I cough up what I ve just eaten. I don t cough a lot, and I don t cough while I m eating, it s just mostly after eating. Also I notice I cannot eat something and lay down as I ll belch and some of it comes up in the back of my throat.... Doctor: Thanks for your question on HCM.I can understand your Situation and problem.In my opinion you are having GERD (gastroesophageal reflux disease).Cough is also seen in GERD, especially during eating. 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 of belching and food coming in throat.So try to follow these steps for better symptomatic relief in GERD.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Avoid large meals, instead take frequent small meals.4. Take proton pump inhibitor.5. Go for walk after meals.6. Keep 2-3 pillows under head in bed to prevent acid reflux.7. Loose weight if you are obese.8. Quit smoking and alcohol if you have these habits."
},
{
"from": "gpt",
"value": "Target: What causes cought after eating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I started taking Oxy Elite Pro on the Feb 25. I took it for five days and then I had to go to the emergency room because it felt like i was having a heart attack mind you i am only 27 year old female. Every since then I quit taking the product,but I am still feel it in my body, and it is causing me to have panic attacks how can i flush it out my system how long does it take and should i be worried. Doctor: Hello, After going through your medical query I understand your concern and I would like to tell you that most likely Oxylite pro ingredients caused you Severe gastritis which was the cause of chest pain. So stop taking Oxylite and take antacids like Pantocid-DSR twice a day for around 10 days. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhanu Partap, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest methods to prevent effects of oxyelite pro"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife has just been confirmed with throat cancer. While she has got it a very early stage and her specialists proposed surgery rather than kemo etc. He scans are \"clean\" but her P16 test results was negaive. Which I belive it not good. But I don't understand what that mean for her on a longer term basis. Can you please explain? Thanks John C Doctor: Hi, dearI have gone through your question. I can understand your concern. Sha has throat cancer. But please specify the site whether cancer is of larynx, pharynx, eesophagus or some other area in throat. If it is early stage then treatment is surgery followed by radiotherapy and chemotherapy according to need and type of cancer. In late stage surgery is not possible. Prognosis depends on type, site and spread of cancer. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What is the treatment for throat cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 29 year old i have abit pain at back followed by left foot numbness on MRI it revels diffuse disc bulge with lefty paracentral -foraminal protusion at L5-S1 level indenting the thecal sac with narrowing of bilaterl neural foramina and effacing the lefty existing nerve root . diffuse disc bnulge at L4-5 level indenting the thecal sac with narrowing of bilaterl neural foramina Doctor: Hi, This means that Intervertebral disc has prolapsed at L4-5 & L5-S1 levels. The disc is bulged in the left side thus compressing the left side of thecal sac and nerve root.Thus you wil have predominantly Left sided symptoms(i.e. backache radiating to left lower limb and foot) with numbness probably in L5 & S1 dermatome ( since L5 & S1 root is compressed.)"
},
{
"from": "gpt",
"value": "Target: What does \"diffuse disc bulge with lefty paracentral\" mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my 1 year old son is urinating a lot he went through 4 diapers within a hour radius the doctor i took him too is running a test for a uti and sugar in his blood but im worried because he is so younge and i dont know if i should wait or take him to the er to see if they can ultra sound his kidneys Doctor: Hi, I think the possibilities which need to be considered here are - 1. Pollakiuria. 2. Renal tubular acidosis. 3. Diabetes insipidus. I suggest you discuss these possibilities with the kid's pediatrician please. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for frequent urination"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband has a small lump on the right side of his chest by breast bone.. its very painful even with a slight touch.. he has trouble breathing and feels like he cant get enough air.. has trouble swallowing liquids and whole foods.. weak and get very tired fast.. lost some wieght.. Doctor: Hi thanks for contacting HCM...Noted right side lump present ...over breast region....It might lead mentioned symptom by compression of underlying structures....First nature of mass has to be decided by USG of local part it will also help in revealing extension of mass..Then FNAC done....It will reveal whether mass is neoplastic or inflammatory or infective....If needed for confirmation biopsy taken...According to cause treatment guided.If malignant mass then modified radical mastectomy needed...For abcess antibiotic or incision and drainage done...Take care.Dr.Parth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump on the chest with difficulty in breathing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9 year old daughter has fever that comes and goes. It is high enough to make her sweat. Then it goes away for hours. She has no energy, eyes are red and she looks terrible. Says she feels fine when the fever is gone. She has complained of headache and tummy ache a couple of times, but mostly complains that her eyes hurt and her energy is gone Doctor: Hi,From history it seems that she might be having some infection, viral or bacterial.She requires some investigations like routine urine check up and some blood work to find out the cause of fever.Urinary tract infection is common.After report go for proper treatment accordingly.Meanwhile give her paracetamol for fever as and when required.Ok and take care.Give her light food and plenty of water."
},
{
"from": "gpt",
"value": "Target: What causes chronic fevers with headaches and stomach aches?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i had a penile insertion on the foreskin part of my penis. i did it for myself. i am taking up amoxicillin and there is no sign of infections except the wound doesn't heal. i am now taking metrodoxazole today together with amocixillin. please help me on this!!!! it's been 8 days. Doctor: Hello, Nothing much to worry as the wound is already healed. Antibiotics may be stopped now. You can wash the area with soap and water. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for wound after penile insertion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 29 y/o female- average weight. I was in the ER yesterday for the 5th time in 6 months with kidney stone issues. This impression shows a 7 mm nonobstructing calculus in the mid portion of the right kidney. No hydronephrosis. This has been an ongoing problem for the past 6 months - never had previous problems. I was recently in the hospital for the same thing and had to have a stint inserted which I was instructed to pull out on my own 3 days after being released. I have no idea what is causing this and what I can do to prevent them. This has been a nightmare and cannot seem to get any answers Doctor: Hi, many thanks for the query!For prevention of recurrent stones, you need to do- Metabolic workup of your 24 hrs urine sample, also do Sr. PTH, Sr. Uric acid & Sr. Calcium.According to reports, appropriate diet instructions can be given, some drugs can be started for prevention of recurrence.Drink plenty of water so that at least 2 litres of urine is voided in 24 hrs.Take antispasmodics, pain killers, diuretics with your doctor's opinion.Wish you a good health.Take care.Regards."
},
{
"from": "gpt",
"value": "Target: Non-obstructing calculus in the mid portion of kidney. Stent placed. Need a permanent solution"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi dis s kowsi(female)..my dad imagine too much he is always talking abt past and getting tension and shouting others.dis makes eye problem too..he s not hearing others advise too.i want to take care of my dad.wat a solution to make him norm Doctor: Hi Kowsi, Your dad seems to be having thinking and behaviours which is affecting him (\"getting tension\") and to others (you seem to be concerned about him, shouting at others etc). The behaviours and thinking patterns could be because of many reasons. He needs a thorough assessment to see if there is a problem and it can be helped or not. A reality check though.....these kind of long standing patterns of behaviours and thinking (I am guessing that they are long standing) will take a long time to \"change\" as they are originally formed because of their early expereiences. So please do not any miracles to happen in a ziffy...it will take a long time and the rate of change will be slow. Also, the change, if at all it happens, will happen only with the co-operation of your dad. It would mean that he would need to believe that there is a need for him to change. If that realisation is there, half the battle is already won and if not, then there is a very hard task ahead for him as well as for his carers who want him to change i.e family like you. Both medicines and talking therapies may help, if there is a specific problem found after assessment but the actual treatment would depend on your and your dad's choice, availability of particular treatment in your area etc etc. Hope this helps. Good luck to both of you"
},
{
"from": "gpt",
"value": "Target: How to overcome obsessive thoughts ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I regulaly train with weights, and add 20 minutes of cardio a day, usually just jogging at 4mph. Yesterday I tried aprinting at 7mph, at around 1 minute in my heart actually felt like it was going to pop out of my chest with each beat. Was the heartrate too high or is that an Angina attack? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Yes it can be angina very possibly. At the peak of exercise the demand of your body for blood was very high and cardiac muscle too need more blood supply but as it could not be full filled hence there is ischemia in cardiac muscles causing pain. i would advise you some base line test of cardiology to ruler out ischemia:- 2d echo - tread mill test- lipid profile If they are normal you are clear from cardio side.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rini"
},
{
"from": "gpt",
"value": "Target: What causes rapid heart rate while jogging?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My name is Omar, Iam a 26 years male - 180 cm - 115 kg. Iam married from 9 months, the first 2 months my wife was taking pills to delay pregnancy, Then we used condoms and safe period for extra 3 months, after that we tried to have a baby from about 4 months but we couldnt, so she went to her doctor but he told her that everything is ok with her, so i went from 2 days to make a semen analysis and here are the values; Colour: Greyish White Opalescent Volume: 2.0 ml Method of Production: Masturbation Reaction: 8 Consistency: Viscous Count: 3,200,000/ml Total Count: 6,400,000/ml Liquified after: 30 mins Sperm Vitality: . Motility after 30 mins: 60% Motility after 1 Hour: 55% Motility after 2 hours: 50% Motiity after 3 Hours: 35% Rapid Linear Progressive: 30% Sluggish Linear Progressive: 20% Non Progressive Motility: 10% Immotile Sperms: 40% Abnormal Forms: 25% Abnormal Head Forms: 10% Mid-Portion abnormalities: 10% Tail abnormalities: 5% Spermatogenic Cells: 0-1/ml Red Blood Cells: 0-1/H.P.F. Pus Cells: 2-4/ml Thanks,, Doctor: Hi welcome to healthcaremagic.I have gone through your question.As far as your semen analysis is concern, has normal color, normal consistency, normal ph.Has normal count ( 20million/ml should be atleast). Normal motility and normal morphology.Normal liquefaction time.So all parameters are normal of your semen analysis.Hope i answered your question.Would be happy to hello you further.Take care."
},
{
"from": "gpt",
"value": "Target: Is this semen analysis report normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir my gf had taken primolut-n on 10th. 11th was her period starting day.We had unprotected intercourse at 9 p.m 10th, but before ejaculation I had pulled my penis out.Now m worried of she is pregnant.Its 12th morning nw should I give her unwanted-72 Is there any chance of pregnancy Doctor: Hello,Unprotected sex just prior to onset of period is extremely SAFE and she is on her period now as per information.In this case, she has NO chance of pregnancy and NO need to take unwanted 72 pill, which may cause irregular cycle if taking without proper indication.Practice safe sex. Good luck."
},
{
"from": "gpt",
"value": "Target: Is there any chances of getting pregnant after unprotected intercourse? Before ejaculation I had pulled my penis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 24 and have a 6months baby boy ever since i gave birth my period cycle has been changing from 21 to 25 days recently i have been feeling moody,sore n dark breasts,frequent urination and a missed period i tested for pregnancy after 12 days of unproctected sexual intercourse but the test was negative for contraception i use withdrawal method what could be delaying my period? Doctor: Hello dear delay in period os quite common after delivery,,,,i hope you are feeding your little one,,,,actualy the hormanal levels get variation with the ampunt of milk the baby is taking ,,,and hormones control your cycle,,,,,secondly sometimed because of stress you also get delay period,,,,withdrawl method is safe to the time uptill your partner ejaculate outside,,,,why not try physical barroer method thats perfectly safe,,,,take care"
},
{
"from": "gpt",
"value": "Target: Delayed periods. No contraceptives, only withdrawal method used. Does this delay periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I noticed yesterday that I had a spot in my head that was bleeding for no reason I didn't hit it or anythingMy head is now sore and I noticed another spot in my head that has blood coming out. When I say blood it is not a lot about as much comes out as a small pimple Doctor: You should have an examination on the head because these lesions need to be identified to be able to tell whether they are being caused by scratching, by the presence of small abscesses or pimples, or by some other pathological process that needs to be treated whether by medical or surgical means. In the mean time and until you get examined please keep the head ordinarily clean and shampooed and you should be fine until you see your doctor. Please rate this a 5 STAR ENCOUNTER and feel free to write more questions to me at: XXXX"
},
{
"from": "gpt",
"value": "Target: What causes a spot on the head which is bleeding?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 6years old and today I noticed he has a swollen left nipple which can only be described as budding, it is not painful at all, when I gently squeeze the surrounding area it returns to normal and I can feel a small lump but within a minute or 2 it s swollen again, why is this Doctor: Hi ! Good afternoon. I am Dr shareef answering your query.Many children specially adolescence boys do get this kind of swelling in one or both the peri aereolar tissues below the nipple due to hormonal imbalance which gets ok in due course. In your son's case this has occurred a little earlier. Please do not get worried, and you can also explain gently if needed to your son that it is a nomal physiology which will be ok very soon.Just to inform you and not to frighten you, this condition (known as gynaecomazia) may persist in some boys into their adulthood, and in that case some kind of plastic surgery for cosmetic reasons only might be indicated. I hope this information would help you in discussing with your family physician/treating doctor in further management of this problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What causes swollen lump on left nipple of a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 18years old female. i have chickenpox hole on my face and they are dark . please suggest if there are any easy remedies to get rid of them.. i have tried a lot for that dark sports..i have uskes nomarks cream, sandel wood,...but of no use.. plz suggest me Doctor: **1. It is advisable to show to a skin specialist, since there are several creams/gels available, but which one is best suited for you can't be told without examination and evaluation.2. Since holes/scars are there, thus initially consult with a dermatologist regarding removal from cosmetic point of view or if they are causing psychological tension/worry.3. most importantly use a good sunscreen for sun protection which will prevent the uneven tone of the scars [according to skin color].4. stay hydrated and eat a healthy diet [fresh fruits and vegetables], avoid oily/deep fried food,Sugar (in any form), caffeine,cheese, oily-spicy-dry-fried food, chocolates,cakes,iodized salt, soft drinks.5. It is best to consult your dermatologist before deciding on which soap or face wash to use because he or she can guide you better.PS. . In the mean time just wash your face with Besan and Luke warm water (best natural bleaching agent),removing excess sebum and dead skin cells, likewise Neem,acts as a deep cleanser.. take a proper guidance and follow up with a good dermatologist, get your vitamin B12 level checked, as its deficiency can also cause darkening of skin. . to get proper result, you are suggested to use any cream for 3 to 4 months"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for dark spots in skin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello .. I m yolesa denolan 21 years old I just got my result about AFB Stain and it come up Few Pus Cells, Moderate Epithelial Cells No Acid Fast Bacilli Seen, National Standards Scale 0.. And im confusing what does that mean.. Hope to hear from you sir Doctor: Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that you doctor has suspecting tuberculosis infection for you and advised a test to detect a tuberculosis infection. It is a good news to you that the test result came negative. AFB is a tubercle bacilli that detected in ZN staining. It shows few pus cells, moderate epithelial cells and on a national scale it is O rating. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank"
},
{
"from": "gpt",
"value": "Target: What does no acid fast bacilli seen on AFB stain suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had eardrum removed and ever sense have loud sometimes excruciating noises in my head causing nausea. I m 85 and told I have to learn to live with it. Believe it is from possible nerve damage done when eardrum removed. Had top surgeon, and definitely would not operate again because of age, but getting no relief or actual reason for the problem. Is there a test to determine nerve damage in my head? If so, is there any form of relief thru medication, therapy exercises, something other than you just have to learn to live with it. Never know when time of day it will happen or how long it will last (hour, entire day, different times of day, week, etc). Can t determine any common factor, or anything that alleviates the noise. Doctor: Hi,Thank you for posting your query.I have noted your symptoms and it is unfortunate that you have had complications possibly related to ear drum surgery.Ear drum surgery is unlikely to damage any nerve in the brain, as these nerves are located far away from the ear drum.However, there is a possibility of damage of balance/hearing nerve, also known as vestibulo-cochlear nerve due to ear drum surgery.No scan can confirm that, we need to correlate with your symptoms.Betahistine tablets can help you a bit.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/"
},
{
"from": "gpt",
"value": "Target: Is there a test to determine nerve damage in head after eardrum removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell a about a week ago on my knee. It is still swollen, hard to walk on, with burning pain and sharp pains constantly. Pain meds not working. I ve tried a knee stabilizer brace with rest & ice, no help. Pain shoots up and down leg from knee as well. Doctor: Hi, thanks for writing in to HCM.kindly take stronger pain medications like combination of paracetamol 500mg and aceclofenac 100mg twice daily for three days.Along with that you can apply diclofenac gel locally on the affected area.Also kindly visit an orthopaedician and get an X Ray done.Apply hot compresses for relief.Regards,Dr.Riyanka"
},
{
"from": "gpt",
"value": "Target: What is the treatment for paining and swollen knee?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have woke up today feeling really sick, I have been sick multiple times and I keep getting really tired, also I have been suffering from bad head aches aswell all day and my skin feels sore and my back is in excrutiating pain, what could this be? Doctor: Hello, Thanks for your query. After going through your query I think you are having muscle generalized pain all over the body. In my opinion these pains are likely to be due to vitamins and trace element deficiency specially that of vitamin D. Second important cause of this can be hypothyroidism. I also consider diabetes and anemia in differential diagnosis. I will suggest you to got following test to see cause (if these are not done earlier).1.Serum Vitamin D2.Serum Vitamin B12 3.T3,T4,TSH(Thyroid profile) 4.Blood sugar fasting and PP 5.Hb Furthermore Empirically treat my such patients by:-1.EVION LC 2.VITAMINE D3(if it is low) 3.VITAMIN B COMPLEX AND VITAMIN C 4.CALCIUM 5.Mecobalamine 6.ANALGESICS such as diclofenac for pain relief. 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. Wishing you good health. Take care."
},
{
"from": "gpt",
"value": "Target: What causes back pain with sickness, tiredness and headaches?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have no idea why I have been so tired lately and I have had lots of trouble sleeping and I eat less than usual. I feel unloved and unwanted and I cry for no particular reason. Nothing bad goes on in my life but I ve been feeling very sad lately and emotional. I feel all of these things but my home life is fine and my school life is fine to. Why do I feel this way when other people have it harder than I do? I feel depressed for some reason but I don t know why. Doctor: HiI understand your concern.Mood swings/ sadness/ lethargy/ weakness/ loss of apatite/ insomnia etc are the symptoms of psychological stress.Detail evaluation may indicate or lead to diagnosis like depression or anxiety disorder.It can be treated with medicines like anti depressant and anti anxiety.Escitalopram, sertraline, mirtazapine etc can help to reduce all psychological symptoms.It will elevated your mood and decrease anxiety or stress.Anxiolytic medicines like etizolam/ clonazepam/ lorazepam can help to restore good sleep.But before that you need psychiatrist consultation for confirm diagnosis and evaluation.So consult and get help.I hope i have answered your query.Feel free to ask.Thank you."
},
{
"from": "gpt",
"value": "Target: What causes lethargy, sleeplessness, loss of appetite and mood swings?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: a friend of mine has just recently been diagnosed with myashenia gravis, and his eyelids are now sluggish. According to the research on-line there is no cure known to mankind. With some added research, I ve found some think tumeric can help; St. John s Seng supplement. What has helped your patients from a natureopathic perspective? Can you suggest anything please. Am putting together a care package to mail At the moment he has been given intensive steroid medication, and as a result the muscles in his legs have just caused a very painful achilles tendon injury. Can you help me, help him (he is elderly and does not use the internet; his dearest wife is an excellent nurse). Doctor: Hello.Corticosteroids,immunosuppressants and biological therapy (monoclonal antibodies) are treatments that have demonstrated efficacy in treating myasthenia gravis .Unfortunately, no natural remedy has proven efficacy for treating myasthenia gravis.I wish you good health.(If the answer has helped you, please indicate this)"
},
{
"from": "gpt",
"value": "Target: Suggest natural remedies for myasthenia gravis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. Grief, My four year old daughter has had a fever that has ranged from 101-104 for three days. She has also had acid reflux and stomach ache with the temperature. She has a milk protein allergy and was given casein protein on her teeth by her dentist five days ago. She has now developed a congested nose. She used to get sick this way if she came in contact with milk, but not the high temp. It does go down with medicine, but quickly returns once meds are done. Is there any way to help her process the milk protein in her body. Should I take her to her doctor tomorrow? Thank you so much, Sleepless Mama Doctor: HI, thanks for using healthcare magicHigh fever and nasal congestion may mean that she has the common cold or flu.This can be treated symptomatically with decongestants and fever medication (paracetamol or children's advil).The decongestants would be available over the counter.Rest and fluids would also be important.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Is there any way to help process the milk protein in the body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor i had a blood test for S G O T & S G P T enzymes and they are sgot=18 u/L normal is up to 12 u/L sgpt=8 u/L normal is up to 12 u/L and i had hapatitis markers test for HBs antigen and HCV antibody and the two are negative not alcholic my weight is 100 kilos and my height is 186 cm age 25 years what should i do with this light increase in sgot ?? any further tests are required ? what diet form should i get?? Doctor: nothing is required your bmi is around 29 so overweight you need to lose some weight come to 80 kegs ,you need to take high protein low calorie fibre rich diet."
},
{
"from": "gpt",
"value": "Target: Blood test shows slightly increased levels of SGOT. Diet, treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doc, my son 2.1 yrs old is having fever from last 3 days. Some time, it goes to 1.4 deg f. I consultant with good ped. She gave calpol 250 mg. and meftal. Still fever is not curing completely. She is saying it s a viral fever and will take some. What to do in this situation. Some time when fever goes high, I can t even give next dose before time. Please suggest what to do. Doctor: Hi, Fever of a 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 the duration if the kid is active. Paracetamol can be given if fever is more than 100 F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Mefenamic acid which is an NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: Suggest an alternate remedy to cure fever in a baby"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a 42 year old male, i have a numbness / tingle in my upper back very slightly to the right of my spine, this is aggravated whenever I burp and When I get heartburn, I suffer heartburn most days, this started about 6 months ago and this has been getting progressively worse more so the past 3 weeks, any advice would be great, thanks Kevin ,, Doctor: hallo dear friend i have studied your case for acidity take sucralfate, ilapro 10mg, syp diageneeating habits are imp for controlling acid peptic diseasestop tea ,coffee ,alcohol, junk food,eat fresh foodeat dinner early , and dont sleep immediatly after foodeventhough pain persist ,consult orthopaedic surgeon for clinical examinationphysio - and exersizes for muscle strenghtenfor further query contact [email protected]"
},
{
"from": "gpt",
"value": "Target: Numbness in upper back, aggravates after burping, heat burn. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 50. Past five years I am regularly doing exercise. I found my Heart BPM was 220 at the 5th stage of Tread Mill Test. But I didn't face any pain. It was about 170 BPM till 4th stage of TMT.Even two years back I tested my self and the BPM was 210 during the 5th stage.Suggest is it ok or I have to further examine. Doctor: Hi,You shouldn't worry, there is no need for further examination at this stage. But I would advise you to avoid exercises during which your heart rate goes above 180 BPM.Hope I could help youWishing you good healthIn case of further questions don't hesitate to askRegards,"
},
{
"from": "gpt",
"value": "Target: Suggestion for 220 heart bpm at 5th stage of treadmill test"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! First of all, I m swedish so i hope you don t bother some bad english. When I get warm, embarrassed or stressed it feels like my skin is burning and I m getting like red bubbles that stings alot. It almost feels like im burning my skin above a candle or getting stinged by thousands of wasps, I can t even work out because it starts then. Could I do something to solve it, do you know what it can be or should I just contact a doctor? Could it be dangerous? Thanks Doctor: Hello Dan, Welcome here on HCM . I need more information from you so need a discussion here to identify the cause underlying for this symptom you have. Till than you can have Inj Nurobion dialy Tab folvite 5mg daily All for 7 days and report here. Thanks"
},
{
"from": "gpt",
"value": "Target: HBurning skin with red stingy bubbles during moments of stress, embarrassment or warmness. How can I cure it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am in the hospital for the third day with a Bactrim reaction. I had fever, mouth sores, aches, and now jaundice. I am concerned that my biklirubin numbers are not going down. All tests (MRI, catscan, X-ray,hep ABC - all negative. Pancreatitis improving but my jaundice is not. How long might this take? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is good that your tests are getting better. It can take weeks for the jaundice to clear. First, the bilirubin must go down. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How long does jaundice take to get cured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I HAVE HAD A COUGH, ITCHY THROAT AND WATERY EYES TOGETHER WITH VOMITING PHLEGM.. FOR OVER A YEAR NOW... GONE TO MD .. GAVE ME ANTIBIOTICS TWICE AND STILL SAME. WENT TO AN EAR, NOSE, & THROAT SPECIALIST AND PRESCRIBED OMEPRAZOLE 40MG..WHAT CAN THIS BE .. NOT WELL YET Doctor: thanks for posting your query to health care magic. Cough may be caused by some allergic cause or Irritation of diagphram. diagphram may be irritated by hyperacidity in stomch .So I suggest you to take precauion for avoiding both the cause . First avoid expouser to allergen like cold,dust etc. and take medication for allergy and hyperacidity.Take your dinner 2-3 hour before going to bed .Avoid heavy meal in dinner . you can take 1.Cetrizine 10mg with monteleucast 5mg once at night .2. Pantoprazole20mg with Domperidon 10 mg two times a day for 7 days and then review me .medicine should be take under guidence of clinician .If you are allergic to any medicine take medication only under supervision of clinician. Hope you are satisfied with my answer, feel free to contact . best wishes for good health. regards, Dr.Manish Purohit Infectious disease specialist"
},
{
"from": "gpt",
"value": "Target: What causes cough, itchy throat and nausea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. Chandan, I am a 60 years, Indian ethnic, female. About 2 weeks ago, I had little pain in left loin area. The very next day, it increased severly and I had vomitting 2 episodes after which I was rushed to ER of a hospital nearby. Docotrs diagnosed as UTI, although I had no fever, no dysuria or no increased urination frequency. I was tested for total blood count which showed slightly increased WBC count and Hemoglobin was lesser 10.9. USG of abdomen and pelvis showed no significant abnormality except my post cholecystectomy status which I had done 20 years ago. Urine routine showed increased Pus cell (which I dont understand the meaning) was 2-4/HPF. I had low sodium (126mg%). I was given Tab. Ofloxacin500 mg, inj. Drotaverin and Sodium added water and discharged. They did not order any further test, however I requested myself to them for Urine culture and sensititvity. However next day after my discharge, I had intense thirst, burning sensation in whole body. The pain was not there this time. The culture report arrived in the afternoon and it showed my bug was E.coli and resistant to ofloxacin but sensitive to Ceftriaxone. I was treated subsequently. My problem now is- After thorough investigation, my Blood glucose both Fasting, Post prandil were high. HbA1c was 8.1%. I had no test of diabetes before as I had never been ill. My hemoglobin is still on lower side (11.1 gm) this time. Sodium increased to 131mg%. Urine culture shows negative for any bug, but urine routine says I have WBC 4-6/HPF this time, negative for Acetone. Doctor, please help me understand what is going inside me? I am really worried for this. Thank you so much. I.D. Jha Doctor: Well, looking at your history and investigations done, your fasting and post postprandial sugar is high with high HbA1c, I would suggest you to visit a physician / diabetologist for further work up of Diabetes. For Pus cell; 0-5 Pus cells can normally be present in urine. More than 10/hpf or presence of clumps warrants further work up."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for diabetes, HbA1c-8.1%,hemoglobin -131mg% and WBC-4-6/HPF"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: YES PLEASE... I AM 50... AND RECENTLY EXPERIECING A SOFTER ERRECTION WHEN INVOLVED WITH MY WOMAN... AND LOWER SPERM. I AM PRETTY PHYSICALLY ACTIVE FOR MY WORK. I HAVE A SERVICES BUISNESS IN FLORIDA. I EXCERCISE A COUPLE TIMES A WEEK.... I EAT PRETTY WELL... I WATCH MY SATURATED INTAKE.. DO YOU HAVE ANY IDEAS.. WHY. Doctor: Hi, dearI have gone through your question. I can understand your concern.Problem in erection and low semen volume may be due to many reasons.Any kind of illness, mental stress, or other disease can leads to problem in erection. You should consult your doctor once if problem persistent. Drugs like sildenafil is available to enhance the erection but it has many side effects and it must be taken on written prescription only.Low semen volume is not a cause of big worry. Just be relaxed.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What is causing softer erection and lower sperm count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My baby is almost 7 months old and he passes stool 6-7 times a day after feeding or eating something. I met Dr. Baldev Raj in Sonepat he gives me medicine Verlak and Meftal spas is that ok. i gave him boiled water and electrol so many times in a day. How i prevent my son from this, he is going weak like. Doctor: Hi, Thanks and welcome to healthcare magic.7 months baby passing 6-7 motions /day soon after feeds is quite Normal.It is because of brisk gastrocolick reflex present in infants.Continue feeding as usual.At best you may give Sporolac one sachet daily for 3-4 days.You need not worry about this.As the baby grows everything will set right.Hope tis reply will serve your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam."
},
{
"from": "gpt",
"value": "Target: How to stop baby passing stool 6-7 times in a day?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have type 2 diabetes and take slow acting insulin, 50 units. My blood sugar is 123, just a few minutes ago and I have acute bronchitis, having beening eating well or at all. Do I still give myself the insulin shot? I m afraid that my sugar will drop more while sleeping! Doctor: hi , I have gone through your question. In your case you can continue insulin shot ,since it's a basal or slow acting insulin.Have frequently small amount of meals and check your blood sugars frequently when till you become normal."
},
{
"from": "gpt",
"value": "Target: Is Insulin shot advisable while having acute bronchitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a stress test on a treadmill that was borderline for ischemia. The cardiologist suggested a cardiac catheterization, but said he was doing it only for my piece of mind, because he didn't think it would show anything, so I didn't have it done. I don't know what I should be doing? Doctor: Hi,If you didn't undergo angiography, then I would recommend you 1. follow healthy lifestyle, don't eat junk food, lose weight if you are overweight, exercise regularly2. keep cholesterol levels low3. monitor your blood pressureTake care"
},
{
"from": "gpt",
"value": "Target: Any suggestion for having borderline ischemia in stress test on treadmill?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son has had between a 102 and 103 fever for three days. Now I noticed he has a very red eye. He is 8. Can this be from the fever or is the fever because of the eye, maybe an infection? His fever goes down after using Motrin but goes right back up after a couple hours. How long should I let it go before taking him to the doctor? Doctor: hi, thanks for the question. if your child has mild redness of eyes without any discharge from the eye and if that redness is only present during the fever then need not worry it is due to fever. eye infections usually present with redness and discharge and they usually do not cause fever."
},
{
"from": "gpt",
"value": "Target: What causes eye redness with fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have MS and am going thru a relapse. Are there any home treatments for Optic Neuritis? I ve already done a course of IV steroids and Oral prednisone. Is there anything homeopathic I can try? Or any changes to my diet that might help the vision come back sooner? Doctor: **1. since you are suffering from MS, thus pathology related to Eye is: ADON [acute demyelinating optic neuritis].2. since there is/are visual disturbances in this condition thus prior to starting any Alternate system of medicine, Full ophthalmological examination along with testing of visual acuity, contrast and colour vision, visual field testing is required.PS. Further management regarding the risk/progression of MS usually requires neurological opinion.3. Avoid hot environments and take cool drinks, since symptoms are reversible thus reassurance is mainstay of treatment, since the disease is autoimmune in reaction thus Rasayan [Immunomulators] Chikitsa is recommended.PS. Diet rich in Vitamin B, soy milk and barley water are believed to be beneficial in the optic neuritis prevention as well as treatment, gluten/dairy free diet, fresh fruits and vegetables."
},
{
"from": "gpt",
"value": "Target: Are there any home treatments for optic neuritis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had been in coma for 3 days and was in ventillation for 7 days due to ARDS in the last february but since then after my recovery I started having severe pain in my chest accompanied with breathing problem. Doctor has advice me to go thruogh a chest x-ray, it shows little congestion in lungs. But doctor has told me that it cant be the cause of chest pain. I am an field executive and had to work through the entire day in the field. I used to take alzolam 0.5mg every night because I have severe sleeping disorder and tremendous pressure of work. May I please know how can I get relief of the pain? Doctor: Hello, Once fully recovered from ARDS, there should not be severe chest pain interfering with the daily activities. On the reverse, minor congestion will also be not responsible for the intense pain. I recommend deep breathing exercises, inhalation therapy and assisted chest physiotherapy at present for primary relief till your expert guides you further. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon"
},
{
"from": "gpt",
"value": "Target: How to treat severe chest pain, have been taking Alzolam for stress?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad has blood clots in both lungs and on his legs. He had an IVC filter put in Sat an was on blood thinners. He has been running a fever of 101.3-103 almost daily and he was told his blood work came back ok for an illnesses. He was also told that fever with blood clots is not the norm. He was in icu but is now in ccu and he s expecting to go home tomorrow. Is this fever normal? Why other things should they be looking for? They did send his blood out for genetic testing for blood clots. I m very concerned for him as my brother died in 2007 from blood clot to the lung. Doctor: Blood clotting in the lungs is called Pulmonary thromboembolism which can be very serious. Your dad already seem to have suffered from it since he is on dlood thinner and has an IVC filter. If he has been checked for it and doctors say that he is negative for the condition, fever could be because of infection. Discuss it with his treating physician so that correct treatment can be started."
},
{
"from": "gpt",
"value": "Target: What causes blood clots in both lungs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My legs swell terribly. Doesn t this strain my heart? I take amylodypine and propaphenone. Why take this if it puts a strain on my heart? I also have no energy and would be happy to just sleep all the time. Have been taking both prescriptions about 5 years. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that leg swelling could be related to Amlodipine adverse effects. Anyway, it is also recommendable performing some tests to investigate for other possible causes of increased fluid retention (heart failure, kidney, or liver dysfunction). In this regard, I would recommend performing these tests: - A cardiac ultrasound and NT pro BNP plasma levels. - Complete blood count - Blood electrolytes - Kidney and liver function tests. If all these tests result normal, I would recommend gradually reduce the dose of Amlodipine and switch to another drug (Hydrochlorothiazide or Torasemide) to help reduce blood pressure values. Starting a diuretic like Furosemide may help reduce the leg swelling. You should discuss with your doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Does swelling in the legs strain the heart?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: April 2011 I was in hosp for 1 week with upper resp infec then again in Jan 2012 In hosp for same thing. Now mid Feb. I am having the same symptoms as before. I have asthma and thats why I end up in hosp. Why do I continue to have upper respiratory infections? What can I do to prevent this? I am 54 yrs old, diabetic, asthma, RLS, small vessel disease for which I am on daily meds for each. Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. Asthma patients are at increased risk of respiratory infections due to poor lung defense. And most common infection is viral infection. Amongst viruses, Influenza virus is more common. So for your symptoms, recurrent viral infections (mostly Influenza) is likely cause. And fir this, annual vaccination with Influenza vaccine is advisable. This will provide sufficient immunity to prevent recurrent Influenza infection. Also take your asthma drugs timely because control of asthma is also important in prevention of symptoms. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Why do I continue to have upper respiratory infections?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: am julie, last week i was diagonised with pid n i was given levofloxacin 500mg for one month, metronidazole 400mg for two weeks and clotrimazole pessaries for six days.now am on the medication but my worry is that the left lower back n abdominal pains are causing my left leg to become numb. could there be other caused of the pains? should i continue with medication n can i use over the counter pain killers for the pains?kindly advise Doctor: Hi Julie, welcome to Health care magic forum. Thanks for asking a question to H.C.M.Forum. You had P.I.D. and using levofloxacin,metronidazole, and clotrimazole pessaries. Now you are also having left lower back pain, and abdominal pain, your left leg is numb. You are getting treated for P.I.D.and it is O.K., there appears to be some orthopedic problem like sciatica,arthritis of the hip joint. I advise you to consult an orthopedic surgeon for diagnosis and treatment.You may need to have M.R.I. besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards."
},
{
"from": "gpt",
"value": "Target: Lower back pain, abdominal pain, numb left leg. Taking medication for PID. What should be done?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year old son has had a high fever all day lowest was 101. I ve been alternating with Advil and Tylenol. He also has been complaining of stomach pain on the lower right side. At one point in time during the day when i barely touched his side he moved away saying it hurt. I gave him more pain and fever medicine and now he just says his belly button hurts and his fever has hit an all time high of 104.4. Do I go to an ER or wait and call his doctor? What should I do? Doctor: Hi....he seems to be having a Viral illness. Giving more pain and fever medicine might not help if already drug levels are there in the blood. Please restrict the usage of medicine. Give only Tylenol & that too only if temperature is more than 101F. Sometimes NSAID like Ibuprofen can cause mild gastritis and pain in the tummy. If still pain is persisting after restricting to only paracetamol only, then get a consultation at the emergency room.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high fever and stomach pain in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i usually get date on 24th of every month(this varies many times), this time it was delayed and i was partially inserted with a peins with out any ejection only pre cum. then i have taken i pill on the same day , will i become pregnant . i am worried plz help Doctor: if you have taken i pill at the same day then there is no need to worry at all.MC can differ from various other factors plz specify"
},
{
"from": "gpt",
"value": "Target: Will i become pregnant after partial insertion of penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband s nipple is swollen and very tender. Around his aerola there a multiple little bumps they look almost like pimples and when he squeezes them a clear discharge comes out. He rarely complains but has been complaining of constant pain. What could be wrong? Doctor: Thanks for asking in healthcaremagic forumIn short: Discharge from nipple in males is abnormalExplanation: He might be suffering from infection over there. Or hormonal imbalance/ any drugs might have caused this. So, was he taking any drug? Please visit a doctor for getting investigated for your husbands problem."
},
{
"from": "gpt",
"value": "Target: What causes swelling and tenderness in nipples?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 5 yr old son has a rash/hive on his inner thigh that I believe to be ringworm. We went to the doctor today, before I knew about the rash, and the PA (there is no MD) said his wbc s were elevated and his ear canals were agitated and red. We were scripted a braod specrum antibiotic and sent on out way. I know that this won t help a fungal infection and I am hesitant to give it to my child and wrecking his flora and ph..Any advice will help. i have covered the rash with tea tree oil, neat. Doctor: rashes over inner thigh could be fungal or due to friction on inner thighs.can use moisturizers,anti histamines and and can give anti fungals after seeing the rashes."
},
{
"from": "gpt",
"value": "Target: What causes rash on inner thighs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had my wisdom teeth extracted 8 days ago. the pain is nearly gone, as is the swelling, but now i have a very hard lump on my lower left jaw. It is somewhat sore and is making my jaw feel heavy. i am also having a lot of earaches. i took a 7 day course of antibiotics starting the day of the surgery, the lump appeared within 2-3 days and has not changed since. what could this be? Doctor: There are two reason for the post extraction swelling either due to injury to blood vessel while injecting anaesthesia or due to post op infection you should not do hot water fomentation just give ice packs over the swelling and visit ENT specialist for any ear infection."
},
{
"from": "gpt",
"value": "Target: What causes lump in jaw after wisdom teeth extraction and earache?"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.