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{
"from": "human",
"value": "Source: Patient: i take lisinopril for high bp, 10mg.. and digoxin .25mg for my heart rate.. as of now and most of the day my heart rate has mee up to 120 and my bp so far hit as high as 170 can i take the lisinorril again? and does xanax work for bringing down the heart rate and bp? Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain you and give my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHgA person might have high frequency and blood pressure value during emotional and physical strees so its mandatory to judge on mean values. So, if you have mean value that exceeds 140 / 90 mmHg than it is posible to rise the dosage of lisinopril up to 20 mg.xanax is an antidepressant drug.It might help to lower your frequency or blood pressure if you are an emotional type,meaning that your values are strongly related to emotions, stress. In this cases xanax might help.If not, you can add to your therapy another medication that lower your frequency but you have to discuss this with your doctor according to your heart function.Hope I was helpfull. Best regards,Dr.Ervina."
},
{
"from": "gpt",
"value": "Target: Will xanax helping in reducing heart rate and BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i have a severe burning pain behind my shoulder blade and running up the back of my head and cannot lift my right arm up without the pain hurting, feels like my head is to heavy and i have to hold my chin up , my dad suffer with ostio arthuritus in the neck and spine Doctor: Hi, As this symptoms are indicative of the cervical spine disc Degenerative changes. Taking an MRI is advised. As it may reveal the soft tissue much better. Due to nerve entrapment there will be spasm of the muscles of the neck and the Trapezius as well. Leading to change in sensation and pain as well. Using cervical collar for stabilizing the cervical spine is advised. Hot water fermentation to the neck and upper back. Gentle kneeding massage for the Trapezius and shoulder blade region. Static neck strengthening exercises and inter-scapular muscle strengthening exercises is advised. Shoulder stabilization can also be considered. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes severe burning pain behind shoulder blade and heaviness in head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi.. my son is two years old.. In April this year, he was diagnosed with nephrotic syndrome and was given prednisolone 20 mg for 6 weeks and then 10 mg for the next 6 weeks.. his urine and blood tests were normal since june this year.. however, his latest urine report shows a (+) for protein.. a spot test shows protein 85 mg% and creatinine 25 mg % and the protein creatine ratio is 3.4.. we consulted a homeopathy doctor today and have started treatment.. i want to know how serious his condition is and whether there is any danger to his kidneys.. finally, will homeopathy benefit him?? Doctor: Hi dear, I understand your concern A urine protein creatinine ratio above 2 indicates relapse(recurrence) of nephrotic syndrome, but we have to confirm this by measuring with early morning sample for 2 more consecutive days. If confirmed, this need to be treated with prednisolone(for shorter duration than first episode). Kindly take him back to his pediatrician, as in my opinion, homeopathy will not help and make the condition worse by delaying treatment.Nephrotic syndrome once diagnosed, will be recurring 1-2 times in >50% of patients, and nothing to be worried if we are able to control it.Hope I have answered your queryLet me know if I can assist you furtherDr Muhammed Aslam, Paediatrician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for protein in the uurine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recently diagnosed with strep- white blisters on tonsils, fever, chills. Started amoxicilin 2 days ago. Also have noticed red blisters on the bottom of my feet. Not itching, somewhat painful, and appear to be slowly getting worse. Is this something I need to be concerned with, considering I am already on an antibiotic? Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should change to other antibiotics. As fron the symptoms this antibiotics is not responding to the bacteria.I suggest you to start with vancomycin antibiotics under your doctors guidance.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist."
},
{
"from": "gpt",
"value": "Target: What causes red blisters under the foot while suffering from streptococcal infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Squirmy 3 month old My 3 mo is very squirmy in his sleep. This has been going on for the past few weeks, every morning. I swaddle him but he still squirms and manages today bust out of the swaddle. He has not been sleeping through the night. Could it's be gas? Doctor: Hi, If I were your treating Doctor for this case of severe pain under the left rib cage, I would come up with three possibilities, these include: 1.The first possibility is of dysbiosis with gases and colics. Try having Colicaid 10 drops 4 times daily.2.The second possibility is of nervous disorder-high intracranial pressure. For this purpose you need to get an ultrasound -neurosonography and consulting at neurologist.3.Lack of milk at night, when child is hungry he can wake up often.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your child and you good health."
},
{
"from": "gpt",
"value": "Target: What causes a squirmy baby during night?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is six years old and her front tooth just fell out and there is a little red looking fleshy part still there after the tooth came out is that normal ?what should be done ?and how long would it take for it to go away Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From your explanation the red fleshy thing can be hematoma that can be due to removal of tooth leading to accumulation of blood in that area.Make your child do warm saline gargles.The red thing can gradually disappear.In case if it does not go away you can once consult an Oral Physician and get checked.However it does not seems to be anything serious.You can also send pictures of the red fleshy thing to me so that I can advise you better what exactly it is and how it has to be treated.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora.."
},
{
"from": "gpt",
"value": "Target: Is a red fleshy part around a tooth extraction site normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. About two years ago i fell very ill with a bad case of pneumonia. Prior to the pneumonia, it took a lot to actually make me sweat (i.e very hot conditions and intense cardio workouts), though throughout the pneumonia i was experiencing terrible sweats. After i had recovered from the pneumonia, i became very worried, as i was still sweating a lot more than i was prior to the pneumonia. My face, hands, feet, back, and armpitts are these areas of increased sweating, so pretty much everywehere. This worries me a lot, as i know that naturally i barely sweat at all. I am wondering could my nervous system be permanently damaged from the pneumonia? What is most likely the cause of the sweats? Is surgery the only cure? Will my body eventually realize that it is sweating far more than necessary? Thanks, Brenton Doctor: Thanks for posting you query to health care magic. pneumonia is a infection of lung usually caused by bacteria or virus it dosnt harm your nervous system and sweating is not a complication of pneumonia . sweating could be due to some other associated disease or hormonal disturbance which will be cured by medication only will not require surgery . you need to do only thing is consult to a endocrinologist for evaluation of you probelem and he will cure you.Hope you would be satisfied with my answer . Feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist"
},
{
"from": "gpt",
"value": "Target: What causes severe sweating after recovery from pneumonia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor..my son is 2 yrs old and he was detected with increase in the rate of polymorphs in blood. He was hospitalized on 11 april 2014 and he was discharged on 16 april 2014 where we have given tazocef 500 ml and levofloxacin .but frm yesterday he is again getting fever along with a redness in the eye.we consulted the doctor yesterday and he given the cephalexin antibiotic along with moxifloxacin ear drops..Does is means that he is again suffering from blood infection. Doctor: Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Yes, high polymorphs means acute infection.2. Possible bacterial infection. Continue with antibiotics.3. At present not blood infection, only localized infection. Continue treatment.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: Does polymorphs in blood indicate blood infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have very bad acne prob I'm 30year old I have tried to do every thing to clean my face plz help I am 30 year old f , I have acne prob every week new spots coming again and again on my face and it s very pain full as well plz tel me what to do when spots coming it s all on red color and then after one day turn to White I have to pop them up because it s won t looks nice on face plz help me how to treat them Doctor: hi, In Ayurvedic medicinal texts this disease is mentioned as Tarunya Pitika. The etiopathology of the disease is considered due to vitiated Blood (Rakta Dushti) along with vitiated Kapha and Vata. Vitiated Kapha blocks the normal excretory function of skin and get the waste material stagnated inside, producing symptoms like itching, pustules and nodules formation. Vitiated Rakta that also get stagnated and produces multiple irruptions, redness, raised local temperature, thick bloody discharge from the boils and abscess formation. Then irritation, blackish discoloration and ugly scar formation is worked out by Vitiated Vata. Raktamokshan (Blood letting) is a well-accepted treatment for Vitiated Rakta Dosha. Much better results can be obtained with supplementation of internal medicine and local application of Lepa (Face pack). Face pack made up of Lodhra(Symlocos racemosus), Vacha(Acorus Calamus), Dhanyak(Coriandrum Sativum), Chandan(Santalum album) and Ushir(Vettiveria Zizanioides) is very beneficial. Smooth paste of Jatiphala(Myristica Fragrance) will help to remove black spots of remnants of acne. Blood purifiers like Sariva(Hemidesmus Indicus), Anantmula(Tylophora Asthmatica), Guduchi(Tinospora Cordifolia) and Manjishtha(Rubia Cordifolia) are used for internal medication. for more information you can call me on my mob.no.9424883137 Good Luck"
},
{
"from": "gpt",
"value": "Target: I am 30year old & have bad acne & new spots coming again and again on my face. How to get rid of it ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Lately I have noticed a small buldge on the right wrist for my 3 year old son. Please can you tell me the cause and affect. Do we need to undergo an operation. weight : 13 kgs. Doctor: Hi,The information you provided is not adequate to comment on anything. If I were your pediatrician, I would like to know how big is the bulge? where exactly its located on the wrist? How long has it been there and is there any increase or decrease in size? Is the bulge mobile, painful ??A bulge in such a location Can be a nonspecific bony deformity or fat accumulation also which needs no treatment. So better its seen by a doctor to make a confirm assessment. You might need to get an xray as a part of evaluation. Hope this advice helped. Take care."
},
{
"from": "gpt",
"value": "Target: What causes bulge on wrist on 3 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir i am 31 year old man suffering suffocation, gastic &constipation after to many test doctor said u have fatty liver and joundic(obstructive type)and suggest me normaxin rt and sostovac.i am taking it from last 10 days but still having same problem.plz suggest me can i continue this medicine or change the doctor. is it cureable. Doctor: hi.noted history of fatty liver and obstructive jaundice. diet modification to low fat is very essential. the more concerning thing about your condition right now is your obstructive jaundice as it is causing your current condition which may further progress. it can be caused by an obstructing gallstone or a lesion somewhere along your hepaticopancreaticobiliary tree. it is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for complete physical examination and clinical evaluation. diagnostics (such as ERCP, ct-scan, ultrasoud, liver function testing, blirubins, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fatty liver"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was kneeling, lost my balance, fell back onto my feet with my butt, and heard three loud pops in my knee (I \"over-bent\" my knee.... I immediately stetched my leg out to try and reduce the pain, it did not go away. Now I have a bump about the size of cherry at the base of my quad/right above my knee. Now I have pain in my calf, my knee hurts, and there is a bruide around the area. I can walk, and stand on it, but my knee does not feel stable (feels like i bends backwards more than normal). Doctor: Hi. You could have torn a muscle(quadriceps) or the quadriceps tendon - hence the bump which is probably a haematoma(bleeding). With the unstable knee bending backwards, you could have torn one of the cruciate ligaments inside the knee, most likely the Posterior Cruciate ligament, which is responsible for stabilising backward movement of the knee. You need an MRI to assess the ligaments."
},
{
"from": "gpt",
"value": "Target: Why my knee has a bump on it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 8. He s feeling nauseous, feeling of throwing up some headache had fever last week on Friday with bad headache for a few hrs. He then had fever Friday at 3 am with symptoms of nauseous he threw up 2 times. Headache on the top. He still feels like that till today. Not a lot of headache. No fever. Can t eat without feeling nauseous. Doctor: Hi Dear ,Welcome to HCM.Understanding your concern. As per your query your child have symptoms of nausea, headache and fever which is because of viral infection to your body and impaired immunity of your body. It could be mono but symptoms are more of viral infection. I would suggest you to start with course of antibiotics and anti-inflammatory drugs. You should take combination of amoxiclav along with levocetirizine. Avoid giving cold beverages. Keep him sipping lukewarm water whole day. If symptoms keeps on persisting visit ENT specialist once and get it examined and start proper course of antibiotics. Steam inhalation is another treatment option for resolving it. Do warm saline gargles 3-4 times a day with lukewarm water. Take diet rich in fruits rich in vitamin C as it will boost his immunity.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for nausea, headache and fever in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My grandfather is 76 and he has had a mitral valve replacment 2 years ago then about 6 months ago is started having chest congestion and it is still happening it sometimes makes it to were he can breath very well what can we do? we have tried just about everything Doctor: Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. My opinion-In the given situation-You seem to suffer from-Mitral Valve Regurgitation with Right side failure,causing this chest congestion.Consults with Cardiac Surgeon who would treat it with medications.This could be due to many factors which would be investigated from Cardiac surgeon and would be treated accordingly.Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment.Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chest congestion after having mitral valve replacment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my boyfriend bent over helping his dad work out side and got a bad headache this was 3 almost 4 weeks ago and he came home and went strait to bed and that s where he stayed for a week running mild fever . Then he felt better but by that night he was back in bead for another week with head ache back ache neck ache hips hurting and fuzzy vision and sensitive to light and sound. Then felt better and got up and out the house yet to be back in bed for going on 6 days with neck pain and head ache so bad he can t even move his neck he has sore throat and butt hurts??? I can t barely get him to eat but a couple bites every couple days. So to day he gets up and is very confused??? Just staring off in to space and can not move hardly and saying things that make no seance and I am very scared for him. He knows my name and stuff but is convinced we live in a 3 story house when we live in a trailer???? Things like he told me he enjoyed watching a basket ball game with me yesterday but we didn t. He thinks we ride a school bus! I don t know what to do Doctor: HiThank you for your question.The symptoms of headache, fuzzy vision and disorientation may be indicative of infection like meningitis. Low appetite, fever and back pain are other associated symptoms. A detailed clinical evaluation by a neurologist can diagnose this. To find out the causative organism of infection a lumbar puncture is done and sample is sent for cultures and staining. Appropriate antibiotics are needed to treat the infection. He needs to see a doctor as soon as possible.Wishing him the best recovery."
},
{
"from": "gpt",
"value": "Target: Headache, fever, pain in back, neck and hips. Fuzzy vision, low appetite, confused"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: feeling anxious , cant sleep , not eating right , thinking about dying all the time but I dont want to die , nervous ness that comes off and on all day today whats wrong with me Ive been worried about my boyfriend being out of town and I do go out alot with friends to drink so I dont know if its the alcohol what should I do Doctor: Hi.I had gone through your query. It may symptoms of depression anxiety. Low mood with nervousness with sleep problem can be due to depression. It can be treated with a SSRI and benzodiazapine. In SSRI sertraline / escitalopram will be useful. But consult psychiatrist for proper evaluation and choice of this medicin is depend upon you clinical details and history. Exercise and meditation can be useful. Proper sleep and diet can help. Do stress free activities yoga, relaxation. Do your hobies and music.Keep your self busy and never let yourself alone. Consult psychiatrist and get help. Still if you have a query then feel free to ask. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for anxiety, lack of sleep/appetite and nervousness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Came down with the hives and have had them approx. 2 weeks. Seem to get a few new ones daily. Seem to be upper body area, chest, neck and face. can t pinpoint anything new that Ive been using. Any suggestions on what to take. Tried Benadryl which allows me to sleep. Thanks... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can can use Cetirizine once daily,calamine lotion for local relief. Since you have more than two weeks with this problem, I suggest you to consider Prednisolone , injections for some days. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can allergic rashes on the upper body and face be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello dr... i am 8 weeks pregnant... now i am suffering from severe sore throat, fever, malaise, dysphagia. consulted ENT surgeon - he said it is an attack of acute tonsilitis... he asked me to take augmentin, combiflam (paracetamol + ibuprofen)... is it safe in pregnancy... my pain is very severe... Doctor: Hallow Dear,If you are having acute tonsillitis, you have to take antibiotics to control the infection. You have been prescribed Augmentin. Augmentin contains a combination of amoxicillin and clavulanate potassium. Amoxicillin is an antibiotic in a group of drugs called penicillins. Amoxicillin fights bacteria in the body. Clavulanate potassium is a form of clavulanic acid, which is similar to penicillin. Clavulanate potassium fights bacteria that is often resistant to penicillins and other antibiotics. Hence it is safe to take in pregnancy. For pain and fever, I would advise you to take plain Paracetomol. Some researches have found that any NSAID like Ibuprofen may lead to miscarriage of pregnancy. I hope this helps you. Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: Is Augmentin and Combiflam safe during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife went to urgent care to see a doctor she has pain in the middle of her back. The Dr. Said she had a lump and need to see her regular doctor for more test. Also she was having problems breathing last night. But he still sent her home so we worry? Doctor: Dear patient What kind of lump she has and at what location? If it's of long duration There is possibility of underlying vertebral collapse. It needs to be investigated with 1. Xray of involved spine region anteroposterior and lateral views 2. MRI of involved region. Both investigation are must and need to visit radiology center nearby you for this. They give detail information about bony and soft tissue abnormalities. Visit expert spine surgeon with the report."
},
{
"from": "gpt",
"value": "Target: What causes back lump with pain and breathing difficulties?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: On My Penis There Is Bumps That Look Like Herpes On The Tip Of It. It Doesn't Look Sever But Hurts Out Of No Where And Itches Every Once In A While. Theres Only 6 or 7 on it. there small ones.. what should i do and how can i protect my self from others if it is?? Doctor: HiThanks for using healthcare magicI think, you should consult a dermatologist for proper evaluation. Treatment in your case would depend upon the diagnosis. It would be better to you consult a dermatologist as soon as possible to avoid further spread to other part or to another one. In case, you need any help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: What causes bumps that looks like herpes at the tip?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have rash between my balls and legs for a long time it doesn't hearts but sometimes it is itchy and uncomfortable that area looks red and really dry , so what should i do ? , (i am shy to consult a doctor ). My height is 181 cm ,weight 78 kg , 20 years old Doctor: Hi,I can understand your concern for red rashes and dryness between balls and legs. There can be multiple possibilities of the red rashes and dryness between balls and legs and it requires a close physical examination to diagnose the exact entity of the problem.In my view correlating with the facts you have provided it appears to be fungal infection of the area.I suggest you to meet a dermatologist to for proper therapy. In between you should wash the area properly. If I were your dermatologist then presumptively would have preferred to apply an antifungal cream such as clotrimazole or miconazole. You can take an antihistamine such as loratadine for once a day if itching is present.Do not try to pinch, pop or squeeze the area as it may cause secondary infection of the area.All the best"
},
{
"from": "gpt",
"value": "Target: How to reduce red rashes and dryness between balls and legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been using Telekast L,one tab in the evening since two years for my allergic asthma.I feel better when I am in Medicine.The moment I stop the use,I feel allergic ,very cold sneezing,itching red eyes,etc.Can I use the medicine till my death.I am now 66 years of old. Doctor: HI, thanks for using healthcare magicYou can continue the medication for as long as you need to use it.You may also want to consider allergy testing. Testing can determine what is causing your allergic reaction so that your exposure can be reduced or eliminated.This would help reduce the allergic symptoms that you are experiencing.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Should allergic medications consumed throughout?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have rheumatoid arthritis, and I am working out 4-5 days a week. I want to know if it is okay for me to take bcaas during my workout to help repair my muscles quicker? And I also wanted to know if it is okay for me to follow my workout with a protein shake? I will not stop working out, I use light weights. I want results and stronger muscles to help protect my joints. I am taking xeljanz 11mg tablets once daily. I am only 23. Doctor: Hi, You can do simple stretching and cardio exercises. Avoid strenuous exercise as it can worsen the joints and may cause a flare-up of the disease. 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: Is excessive exercise advisable when diagnosed with rheumatoid arthritis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have experienced flutters in my chest and bottom of throat for a few years now. It now seems to be stronger, kind of taking my breath away. A few months ago I had a feeling of almost blacking out. This happened for four days in a row and was very scary. Now I occasionally feel it slightly but not to the extent I did a few months ago. When I was 16 I had a lump removed from my thyroid which was benign, and at that time my thyroid was neither overactive nor underactive. I have eustachian tube dysfunction that never clears. Could either of these things be related to heart flutters and dizzy/blackout spells? Doctor: Hello Sirit's a very nice question to answer. indeed this problem has got a lot associated with your thyroid status.but a real thorough examination needs to be done before you start up on your medications"
},
{
"from": "gpt",
"value": "Target: What causes flutters in heart and throat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I don t know how long these have been here, but I have 4 dark spots in my mouth on the inside of my cheeks I can t tell if there dark red or brown but they look like freckles inside my mouth but I ve been in and out of the hospital lately for my stomach I ve had horrible stomach aches for 6 months now does that have anything to do with my sotmach? Doctor: Oral pigmentation can occur due to variety of reasons. Local irritants such as smoking may cause melanosis. These oral pigmented lesions result from cellular hyperplasia that can range from benign nevi to fatal oral melanoma. It may also be drug induced. Pigmentation occurs due to chronic irritation and post trauma too."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for dark brown spots on my mouth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A coworker mentioned her concern of jaundice in my 9 month old. No history of health problems in baby. His dad has one remaining kidney following Posterior urethral Valves as a child. Normal appetite and wet diapers, no change of stools . No sign of dehydration . Could there be a liver or kidney issue I should be concerned about? He doesn t look jaundiced to me. Thanks Cl Doctor: Dear Friend.Welcome to HCM. I am Dr Anshul Varshney.I have read your query in detail. I understand your concern.There is no point in getting confused.Simply go to a doctor, if your doctor can see clinically any sign of jaundice, he/she would get you investigated.Things would be clear.This is my best advice for you with the available details, if you have any further query, please ask us.Stay Healthy"
},
{
"from": "gpt",
"value": "Target: Child may have jaundice. Father has one kidney remaining after posterior urethral valves"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell friday afternoon, landed on my elbow, it turned dark green was swollen and sore. But I could move it fine. Its a lil less green today but still swollen and very sore, I can t touch it, because of the pain. Should I get it xray d for give it a few more day s? Doctor: Hello, As per your history, it may be due to blunt trauma. For pain you can take tablet acetaminophen. Apply diclofenac gel or ointment locally. Heating pads will also help. For further assessment you may require X Ray of that affected elbow after orthopedician consultation. In case of fracture you may require surgical intervention after consultation. Restrict your movements Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to treat swollen and sore elbow?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I took my 15 year old daughter to the hospital for extreme abdominal pain she endored after her first time working out at a gym. the docter on call gave her 5mg of Percocet for what he feels was muscle related from her workout. I was wondering if the medicine was too strong for a 15 year old? Doctor: NO, NO ,it is depend from pain, she is like as adult. After 12 years we can give the medicines like as for adult. I understand it is narcotic analgesic, prescribed for moderate to severe pain. Acetaminophen and Oxycodone (Percocet) can prescribe together for relief her severe pain."
},
{
"from": "gpt",
"value": "Target: Is 5 mg Percocet too strong for child s abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,My grandfather is a diabetic for the last 32 years. He has 72 years now. He has undergone a bypass surgery in the year 2000. Recently he has been diagnosed of having kidney disorder.latest tests have revealed the following:Albumin 495 in urine Kreatine 1.5 Can you please suggest the steps that we should be taking?Can health supplements like vitamin B1 help? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As of now do frequent monitoring of the kidney function will be required. Make sure that his blood sugar level is well controlled as uncontrolled diabetes can worsen kidney status. Consult a nephrologist and he might require drugs like Diuretics to make his kidney functionally good. Vitamin supplements like vitamin B1 doesn't has got any role in the treatment of kidney disease. However nothing wrong in taking health supplements and he can safely take vitamin B supplements. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: Are vitamin B1 supplements, helpful in kidney disorder patients?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm worried i have hnpcc. grandmother: colon cancer age 66 (survived, died of heart disease age 76), father: adenomatous polyp(s) age 46, now age 64 but had a few more polyps on later colonoscopies, grandmother's brother stomach cancer age 75 (survived, i think died of alzheimer's age 86). great-grandmother died of stomach cancer age 45-50, was not histologically confirmed. grandmother's other 4 brothers no cancer, one died of kidney failure in his 60s the other 3 are in their 70s, no cancer. i am a med student. i know cancer (stomach and colon) tends to set in in the 60s-70s in general population, but i'm worried b/c there is a clustering of GI cancers (and great grandmother died in her 40s) Doctor: Hi, dearI have gone through your question. I can understand your concern. You have family history of cancer. You also have increased chance of gastrointestinal cancer. Many genetic factors are responsible for this cancer development. No need to worry. Just be relaxed. You should go for annual health check up and regular colonoscopy. So if you have cancer then you can detect at vry early stage and we can treat it better. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband , 30 yes is consuming winolap 5 for last 7 yrs for persisting allergy. Allergy becomes so bad that it causes stringed itches and itches all over body including nostrils ear throat fingers etc . When he eats winolap 5 he gets relieved from allergies..but for a day. Everyday he consumes 1 dose of winolap 5. Pls educate me how bad is winolap 5 if taken consistently.. also what is this symptoms leading to? Doctor: this is anti allergic if your medicines are giving you control it is ok no side effects for long but if you can get diagnosed the cause of allergy by consulting allergy specialist you can be treated well"
},
{
"from": "gpt",
"value": "Target: Itchiness in body due to allergy, relief with winolap. Any effect if taken continuously?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am suffering from manopause .i have swelling of my uterus.i have daugter of 5 year.now want to get one more baby but not possible. Doctor: If your menses have stopped completely then your ovarian reserve should be drastically reduced.In such a case conception may be tried by IVF using donor eggs/sperm."
},
{
"from": "gpt",
"value": "Target: Can one conceive after menopause ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had a tooth infecton. The pain was also in my ear and neck. I have been to dentist and have taken antibiotics. My tooth is feeling better (waiting for apt to have removed) however my neck is aching (light painful ache) and my ears are still hurting. Is this normal? Doctor: Thanks for your query, I have gone through your query.The pain in the neck and the ear could be a radiating pain from the tooth infection. Nothing to be panic. Since you have already started with antibiotics you can take a analgesic with muscle relaxant like tablet Flexon MR(If you are not sensitive to this drug). The pain will come down in 4-5days. Once the tooth is removed the pain will come down permanently.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Is neck and ear pain due to tooth infection normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had typhoid in sept...nd since last 1 mnth i m sufferin from severe hair loss..i m loosin hair frm roots..whole hair breaks...i hve lost half of my hair growth...so wat should i do fr stoppin hair loss?? and when wil i get my growth back?? till hw many months?? Doctor: Hello dear! Any severe illness, causes severe stress, the main cause for hair loss. As your online doctor, I advice you:First, to truly believe that all the hair will come back, and get fine, which means to stop worrying Second, to take a food supplement, the one which is full of vitamines and has the highest dose of biotinThird, to take pure virgin coconut oil, one teaspoon per day orally, and half teaspoon spread it on your scalp and leave it as long as possible, after that wash your hair with a baby shampoo - three times per weekForth, be patient, it will take 3-6 months for your hair to completely recoverthink positive, you will be fine!"
},
{
"from": "gpt",
"value": "Target: Can typhoid cause hair fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc,I have pricking pain on my left lower abdominal and it come and goes.Its been 3 days i m having this pain which pains more while i move.No pain when i sit..Simultaneously i have same pricking pain on my left back under shoulder.Both of them never happens at the same time neither do they are continuous.They keeps going and coming back.Please Help !! Doctor: Hi, Thanks for using HCM.Occassional pricking pain at lower abdomen and in back may be due to renal calculi, ureteric calculi, muscle spasm or due to gastritis. Since it is acute and no other symptoms of inflammation or space occuping lesions, it may be due to any of these. Get done one USG abdomen and pelvis and urine routine, drink plenty of fluids and can take antiinflammatory drug like Aceclofenac. This may help you. Consult your doctor for examination and management.Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care.RegardsDr. Lohit"
},
{
"from": "gpt",
"value": "Target: Pricking abdominal pain, back and shoulder pain. Why do they happen together?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last night I had a wet dream. to my surpise, there was blood in my underwear this morning. I urinated immediately and noticed no blood or pain. Tonight, in fresh underwear, i noticed about 3 small blood spots in my underwear again. I just turned 50 and weigh 245 Doctor: Hi, It can be due to increased erotic stimulus mentally or physically or visually without sex or masturbation. It can also be due to prostate infection and urinary tract infection.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: What causes nocturnal emission along with blood discharge?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello DR,I have a long going problem with excruciating left side pain and for the last three years I have had many exams to look for non existant or not detectable kidney stone(s). My question is : Can stones in the spleen change aspect of urine as in blood, protien, calcium AND sodium crystals. Thanks in advance Mr Gethen James. Doctor: hi there, left sided pain ,one of the cause could be a kidney stone.As you have already investigatied for the same and not found any,either they a re very tiny and pass out in urine so are not found on ultrasound or x-ray or the cause is something else and you might need a more thorough investigation for the same.Stone in the spleen is not heard of and no even if that was a possiblity it would not cause an alteratrion in your urine report. But if the stone was in the kidney then it may definitely show in urine with probably blood or protein or sodium crystals as you have suggested. Take care."
},
{
"from": "gpt",
"value": "Target: Severe pain in the left side. Chances of stones in spleen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter is 4 & 1/2 mnth old she has seizures problem from last 2 months she has taken medication :-gardinal biotin levipil ebitoin . but still seizures coming after 45 minutes for 2-3 minutes every day & also 30-40 jerks every day due to this problem her physical growth is stop like headholding Doctor: Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryAt that high rate, I would, as a doctor admit her and treat her again till her seizures are well controlledIf there is no response to the medications, it can mean one of the following things1.The antiepileptic medicines have to be adjusted till the appropriate dose is reached for the patient. till then the seizures can continue.2. The type seizure may have been wrongly identified. Till the right type of seizure is identified, the wrong medicine will be given, and hence seizure will continue.3. there may be some triggering event causing the seizure. Till that is removed, seizure may continue.4. The diagnosis may be wrong entirely, patient may have pseudoseizure (unlikely in your child)You really need to contact your neurologist and get her admitted and scanned. EEG and MRI need to be done. A correct diagnosis of the type of seizure need to be made and the appropriate medicine and its dose need to be achieved.I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.Dr Mittal.MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)Consultant Physician and DiabetologistJS HospitalEx Apollo Hospital, DelhiEx Kailash Hospital, Noida"
},
{
"from": "gpt",
"value": "Target: How to treat seizures ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Periodically my wife gets somewhat nauseated and has the feeling that she is hot, especially her face. The fever thermometer says normal--blood pressure is variable and too high. She is 83 years old, 5'4\", 160 lbs. Had a stroke January 2005. Nearly fully recoverred. Doctor: Hello!Thank you for asking on HCM!Regarding your concern, I would explain that her symptoms could be related to high blood pressure. I recommend consulting with her attending physician for a physical exam and some lab blood tests (complete blood count, thyroid hormone levels, kidney and liver function tests, fasting glucose, blood electrolytes), in order to exclude possible secondary causes of high blood pressure. You should discuss with her doctor on the possibility of optimizing her antihypertensive therapy in order to have a better control of her blood pressure. I would also recommend some lifestyle modifications: - reduce salt and caffeine intake- perform a lot of physical activity (walking, aerobics)- try to lose some weight if she is overweight. Hope to have been helpful!Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high blood pressure,nausea and hot flushes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What causes pain on lower right belly that radiates to my bottom as if I need to make a bowel movement but can t? I can t sit or move because it hurts. Afterward it feels like I have a uti and my lower belly is very sore. Now I feel like I have air in my belly. Doctor: HelloPain in the right side abdomen ( lower part ) which radiating to the back may be due to these possibilities , these include:1 Renal calculus , as this is a most common cause of such pain . Diagnosis can be confirmed by ultrasound of abdomen ( both kidneys and whole of the urinary tract system).2 Amoebic colitis , as this is also a common cause of such pain , diagnosis can be confirmed by stool examination as well as physical examination by a physician because in amoebic colitis usually colon is palpable.3 Urinary tract infection is another cause ,as you mentioned in the query . So get in urine culture for confirmation.However, there are so many other causes of such pain on this side as epididmo-orchitis ( if you are male ) , while if you are female then fallopian tube infection may be the one such cause ( salpingitis ).So in my opinion consult a physician and get his opinion as physical examination as well clinical and history of illness is important.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes pain in lower abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have had lots of reactions to chemicals in last few years. i went to a dentist and he ordered opalescence a teeth whitening kit. i used it was less than a minute and notices a very high allergic reaction towards it. i think it has hydrogen peroxide . i am also allergic to novacane and carbacane at the dentist office. i never had these reactions before. i was exposed to sulphuric acid in the past. i am wondering if the exposure to that chemical has made me sensitive to almost all chemicals .the reaction is serious where i end up in the emergency room. Doctor: Hi, If by allergic reaction you mean skin rashes, breathlessness-you need a oral or injectable antiallergic with an expert's care. If the chemicals in opalescence whitner hasonly irritated the mucus membrane of mouthwhich is red & inflammed &sensitive- -Please stop using it immediately. - you can apply a soothing agent like Boroglycerine (or other brand suggested by the treating Dr.)Do maintain your oral hygine - Avoid irritating/spicy food - take anti histaminic pillalong with antibiotic/anti inflammatary tabs as adviced by consultant. - hensforward be careful & inform any treating Dr. about your allergic tendency. Pl. be careful to be carefree. Thanks.membrane"
},
{
"from": "gpt",
"value": "Target: Allergic reaction after using Opalescence teeth whitening kit. Is this serious ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 5 year dadughte r has a reaccurring fever, she feels reaaly hot to touch, not clammy, when we take temp, it reads 38.5 approx. SHe is also complaining or headaches, is sleepy and tired all the time, and is complaining that all food doesnt taste right? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of recurring fever and headache which could be due to impaired immunity of your body and due to viral infection of body. Need not to worry. I would suggest you to boost your immunity by taking multivitamins and diet rich in vitamin A. Visit general pediatrician once and get it examined. Go for blood tests as well. Start treatment after proper diagnosis. Avoid taking any sharp and oily food substances. You should take soft and bland food. You should take fresh juices in diet. You should take NSAID medication along with antiviral medications such as Acyclovir. You should take plenty of fluids. Try to divide your meals in small fractions rather than having bulk at a time. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes recurring fever and headache in a 5 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What are the adverse reactions/side effects of the application of metronidazole gel on the gums by a dentist ? I experienced already metallic taste and mild headaches. Had alcohol the day after the application of metronidazole gel. Am age 64, 180 cm and 82 kg. So far was in good health and am taking no medication. Doctor: Thanks for your query, I have gone through your query.The adverse effects of the metronidazole includes metallic taste, white patches, altered taste. if you take metronidazole along with alcohol, it can cause nausea, vomitting, and stomach pain. so better avoid both together. if you have developped allergic reaction then better stop using the gel. consult your oral physician and get it replaced with other drugs like tetracycline. i hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest side effects of metronidazole gel on gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My female friend is suffering from muscular dystrophy. She is 23 yrs old. She has symptoms such as: 1. Can t walk now (she could till 1 month b4). 2. Sleeps 19 hours a day. 3. Has droopy eyelids. 4. Has breathing problem during the sleep. She is depressed. She thinks she will die. I am upset. Doctor: Hello, As you must have known much about the muscular dystrophy I will not stretch more on it. The symptoms indicate that she needs to undergo physiotherapy guided exercises to improve the overall well being. The exercise will include strengthening exercises, breathing exercises, gait training, etc. Once the physiotherapist assist the muscles which needs attention he/she will guide towards the best possible rehabilitation training program which will help your friend to over come this muscle weakness. As of now we don't have any medicine to possibly stop the progression of the muscular dystrophy. We need to work behind improving the quality of life and make them independent as much as we can. In my clinical practice of over 12 years most muscular dystrophy cases have responded well to physiotherapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What is the treatment for muscular dystrophy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what does reticulating artery mean I have CAD a triple bypass 6 stints and a MI 3 weeks ago and a stint cleaned out that was 85% blocked The last ekg I had was monday and thats what it said reticulating artery I couldnt read the last 2 words I dont have Any Money Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Looking at your history , your doctor seems to have cleared all the blocks . you seem to be apparently asymptomatic . ECG does not give any mention of reticulating artery ,. ECG is a graphical representation of your Heart electrical activity. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What does reticulating artery mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lump on the inside of my butt cheek about a quarter big or a half dollar size what is this? is it cancer? I noticed I have constipation lately & this is new also. I take take tri-fiber complex pills every day about 4 in the morning to help hard stools along. Please let me know what is going on. thank you, Fran Doctor: Hi there ~I understand your concerns. While constipation is easily treated with medications, like laxative or fibre diets, it is curious to know what the lump on your butt cheek is. If you are using tri-fiber complex you might need to take large quantities of water to help with the constipation. I hope this helps with that condition, however you will need to consult a local doctor that can examine your lesion and give you a proper diagnosis and treatment. If it is benign, having it excised and sent for pathological biopsy is appropriate. I hope this helps.Take care and have a lovely day!"
},
{
"from": "gpt",
"value": "Target: Lump on butt cheek. Taking Tri-fibre complex pills. Cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got my first meds for migraine today from a new doc. I don t have insurance to pay for testing. The pharmacy s warning sheet that came with the med says Imitrex should not be used if you have high cholesterol but I have no idea if I do or not. Also, it can cause the side effect of permanent blindness. Seriously? I m too scared to take it. Was also given prescribed Fioricet for general pain and didn t see any side effect quite as scary. I was told I could take both pills on the same day. Just wondering if I wasted my money buying Imitrex as I m incredulous anyone would take such a risk. Doctor: Hello, First I want to tell you that if you will go by side effects only, you will not be able to take any medicine. Every medicine has it's side effects and a doctor prescribes any medicine only after weighing the advantages against the risks. So as with any other medicine, Imitrex which contain sumatriptan also has side effects but it is being prescribed to so many patients suffering from migraine. Let me also make it clear that Imitrex does not cause complete blindness. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Prabhash Verma, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is it safe to consume the drug Imitrex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son 3 yrs 3 months old is suffering from continuous cough n cold for 2 days i have give him ambrolite s syrub 5ml but no sign of improvement previously when he suffered from the same problem my pedriatic suggested omnacotil syrub if the condition goes severe can i continue t same prescribtion now .... Doctor: HI...Omnacortil is a steroid. i do not recommend you giving it again without the proper prescription of a pediatrician who will assess the kid's health status and then decide whether to give it or not. By what you quote the cough you are quoting might be wheezing and Omnacortil might still be the right choice and you may be right. But as it is a steroid I recommend you to get your kid examined by a pediatrician and then use ti on his / her recommendation.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Can I give omnacotil syrup to my child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor, my father is having the problem of dry skin and itching for the past 7 months. is it advisable to use evion capsules and tablets? he has been taking fexofenadine tablets for this problem after which it is under control.he has been given oilatum solution which he mixes in water while bathing.this itching becomes more in the evening.please advise Doctor: Hi Ramya, Firstly the cause for itching and dryness should be ruled out. Sometimes old age too renders the skin dry and may lead to itching. In such cases, the following suggestions might help Use a mild soap like cetaphil or hidrate or dove Apart from using oilatum solution, he should immediately apply a moisturiser just after bathing like venusia or elovera lotion etc He may continue with fexofenadine If the problem still persists despite these measures, he may apply steroid lotion in the concerned areas. Hope that helps. Take care"
},
{
"from": "gpt",
"value": "Target: Suffering from dry kin and itching,taking Fexofenadine tab, itching more in evening. Cause for itching?<br><br>"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have not been feeling well for about 2 weeks going on 3. startd with back pain and side pain. i have frequent urination, i have had some incontinence, burns when i have the urge and after. pain has since progressed to my sides back and abdomen and lower abdomen. my temp is low around 96. i am female. no uterus or left ovary or gall bladder. im diabetc and kidney stones and disease runs in the family. Doctor: Hello. Thanks for writing to us. The symptoms that you have described are likely to be related to a urinary tract infection. An ultrasound scan and a routine urine analysis will help in detecting the exact cause. Renal calculi also need to be ruled out. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Back pain, side pain, frequent urination, low temperature. Uterus, gall bladder removed. Any ideas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctors I am 30 year old got married on april 2012 and i am trying to make wife pregnant since 6 months i know her ovluation period it 12th o 18th day from menstrual period. I have arthritis since 10 years and i m taking 25 mg diclofenac sodium t.i.d. .. Even while having sex you put pillow below the buttocks and have correct in ovulation period. and My Semen analysis report is Vol : 1.5 ; Appearance : Turbid ; Reaction : Alkline ; Fructose Test: Positive ; Sperm count : 32 ml; Liquefaction time 30 mins Motility Actively Motile : 30% Sluggishly Motile 20% non motile 50 % Morphology 45 % and my Semen impression says : Normal Sperm count with decreased Motility and abnormal forms. Request to help RJ Doctor: Hi, You have been trying just since last 6 months. Even when everything is absolutely fine, chance of conception in 6 months is 70%. Also it appears that your wife's tubes have not been checked. You can just check that in consultation with doctor (by HSG/SSG) & if tubes are OK, you can safely try for another 4-6 months without worry. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Done semen analysis. Trying to have a baby. Help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a real sharp pain under my ribcage, ive had it for about 4 days now. I have taken ranitide and paracetamol but nothing stops it. today it has eased off but ive just eaten and the pain has come back. it hurts to breathe in and if i push under my ribs its really tender Doctor: Hello, As due to acidity there might be a compression over the primary muscle of respiration the diaphragm. Which may lead to increase the intrathoracic pressure and the pain in the ribs due to muscle spasm. As you taking ranitidine I will advise to consume more water in a day and also use hot water fermentation over the upper abdomen and lower abdomen along with the hot water fermentation over the rib cage. This will help create a warming effect and ease the pain. Do deep breathing exercise to help improve the strength of the primary muscle of respiration the diaphragm. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes severe pain under rib cage and breathing difficulty?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had worked many hours in several days, by the last day my toes had become very painfully, like i was walking the skin off of them. Then got home to a look and they were swollen, bulbous, and red and shiny. Soaked my feet, even though burning ...little feeling to touch. Doctor: Hello. Thanks for writing at HCM.I read your questions and understand your problem.I try my best to solve it.As your symptom i think there is stiffness in joints. Also it may be Vitamin B12 Deficiency or may be gout.You have to do some test to rule out this possibilities like Serum Uric acid , Vitamin B12 Level.I give you suggestion that move your body every hourly , strech your body. I hope my advice will help you. Thanks and Regards.Dr Vijay"
},
{
"from": "gpt",
"value": "Target: What causes painful and swollen toes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: can a tremor be present with bfs? I have a tremor in my right calf and also many pin prick sensations,electrical sensations, have been tested for everything, even spinal tap, all negative. I am worried about Parkinsons, but this has been going on for 5 years with no progression. Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that Parkinson disease doesn't seem to be related to your symptoms.Parkinson disease usually starts with symptomatology in the upper limbs and in such a long time it would certainly have an obvious progression. Your symptoms seem to be related to a pinched nerve or a damaged nerve. I would like to know what kind of tests have you performed besides the spinal tap. I recommend performing a nerve conduction study and electromyography of the lower limbs. Further blood lab tests may be needed, depending on the above test results. Hope to have been helpful!Best wishes, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: What causes tremor in calf with electrical sensations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i had a minor car acccident this morning at 8 am i must of banged my knee on dashboard,i was walking around fine for a couple of hours with a little pain but it has now started to slowly swell up over the last 5 hours,it is now hard to bend my knee,any ideas if this is just badly swollen Doctor: Hello,I read carefully your query and understand your concern. The symptoms seem to be related to the injur. I suggest using anti inflammatory medications such as Acetaminophen to relieve the inflammation. I also suggest using cold compresses for local application and rest.If the symptoms continue ,you should do an xray of the knee for further evaluation. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for swollen knee"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yesterday, while playing basketball, a player lowered his shoulder directly into my pectoral area and at first I thought it would be just a sore. It occured last night around 10pm and last night I had pain when taking deep breaths or when breathing facing the ground. Woke this morning an pain is still very presebt when taking deep breaths and certain angles hurt a lot during regular breathing. Is it something to be worried about? Doctor: Hello! Thank you for the query. It is possible that such trauma has caused rib fractures and pneumothorax (air accumulation in the chest). Generally broken ribs does not need any treatment however pneumothorax in some cases needs medical attention as it can be life threatening. That is why you should visit your doctor and have ribs X-ray and chest X-ray. Hope this will help. Regards."
},
{
"from": "gpt",
"value": "Target: Injury in pectoral area, pain when taking deep breaths. Need for worry?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been told that I have multiple indentations on my Thecal sac also ModicType 2 end plate changes around L5/S1 disc also Multi-Level Disc hydration and height loss L5/L1 multi-level OA changes in the cervical spine and in the lower lumbar spine. There are multiple small indentations on the Thecal Sac by disc osteophyte complexes. what does it all mean Doctor: Hello, These changes are usually seen as part of aging. The indentation on thecal sac can later progress and cause compression over the nerves in the back which will cause pain and other problems. Many joints in the body which are mobile are prone to wear and tear. This process is only partially reversible as one ages and so the changes accumulate. This changes present with joint pain and restriction of mobility referred to as osteoarthitis. Physical therapy and lifestyle changes will be most beneficial for you at this stage."
},
{
"from": "gpt",
"value": "Target: Multiple indentations on the thecal sac, multilevel disc hydration. Multilevel disc hydration and height loss. Changes in the cervical spine. What does it mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had pain in the outside of my right knee which goes away with ice packs, rest and elevation... At the moment I am pain free.. I also take ibuprofen to help if I m having a bad day... Should I continue to ice my knee even tho it s feeling ok right now? I m afraid it will return. Thank you. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. First of all you need to mention your age and duration of your symptoms. Age is important factor in diagnosing knee pathology. On and off knee pain can be attributed to inflammation within your knee. Have you sustained any recent trauma? If yes X-ray of right knee anteroposterior and lateral views is needed to rule out bony abnormalities. Meanwhile start tab ultracet twice a day for pain relief. You need to consult orthopaedic surgeon nearby your area for detailed clinical Examination. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can pain in the knees be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, I'm 16 years old and i have been having pain in my stomache left side, i also have a feeling to go toilet , afterwards going toilet i feel uncomfortable, i also feel weak and dizzy at times. i have been to my GP he has given my antibiotics but they don't see to work, i need help asap. thank you Doctor: Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.You have not given enough information for me to give my opinion.If your symptoms are of recent onset, then infectious colitis is a possibility. A stool test may be done to confirm it.If it has been there for more than 6 months time, then irritable bowel syndrome is a possibility. Antispasmodics and antidepressants would help for this condition.I hope that answers your question.Regards,Dr.R.K"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 31 years old and when I checked my pulse I feel a skiped beat after count each 4 beats,I am so worried about it.I am not a smoker or any other drug abuser but i am a victim of permenent nasal allergy,please give me the instruction that how i can do for my skiped or miissed beats please. Doctor: Hi, You are having ectopic beats most likely supraventricular ectopics. Take 12 lead ECG with a rhythm strip for 1 minute which will confirm the nature of arrhythmia. Since you are having a nasal allergy it is quite possible, you might be using nasal drops containing pseudoephedrine, sympathomimetic amine or alpha-adrenergic agonist like Xylometazoline which helps in reducing nasal congestion but can cause arrhythmias. Avoid too frequent use of nasal drop containing pseudoephedrine (e.g. Sudafed) or Xylometazoline (e.g. Otrivin). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for skipped heart beat in 31 year old man"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: when i was 5 years old my mri report was suggesting of non specific granulomatous calcified lesion in left temporal lobe and i suffered from epileptic fits and i took course of antiepileptic drugs and now i am 23 years old and i m diagnosed with hippocampal atrophy with prominent right temporal horn suggestive of mesial temporal sclerosis Doctor: Hi, Thanks for writing in. You have a classic picture of what is known as temporal lobe epilepsy. In this syndrome, patients usually have fits which involve a certain part of their body. Additionally, they also lose consciousness during these seizures. Treatment of this condition usually involves giving anti epileptic drugs like phenytoin, carbamazepine and valproate. If the seizures do not get controlled by this, a surgery called medial temporal lobectomy ( which means the part of the temporal lobe towards the centre is removed) There are a couple of things that you need to keep in mind: a. If you are currently seizure free, then there is nothing to worry about. b. If you are receiving anti-epileptic drugs, please take them regularly under the guidance of your physician. Never discontinue the drug on your own. c. Further, most women with this condition have normal children. If you are wishing to conceive, please see your neurologist and gynaecologist well in advance so that appropriate steps can be taken Hope this helps."
},
{
"from": "gpt",
"value": "Target: Had epileptic fits, taken antiepileptic drugs, having mesial temporal sclerosis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had a bad shin bruise last weekend that seemed to be better the first of the week until I flew home Wednesday and by the end of Thursday after sitting most of the day the bottom of my foot is all bruised and it appears the bruise has gotten bigger and definately more tender around the spot. From my shine to the bottom of my foot you can see bruising under the skin. Doctor: Hello, Regarding your concern, I would explain that your symptoms seem to be suggestive of an infection that is spreading in all the foot. For this reason, I recommend consulting with your attending physician as soon as possible for a physical exam. Starting a local antibiotic may be needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for bruising and tenderness in shin and bottom of the foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Sir I am 26 yrs old.trying to conceive.Failure. Mine is a 33 day to 34 day cycle. Did follicular study on cd 10, left ovary 12mm and right ovary follicle size 13mm. on cd - 13, right ovary - 13*13 mm and left ovary - 8*8 mm with endometrim - 7mm. on cd 17 - right ovary - 13mm*13mm and left ovary - 10 mm*mm with endometrim - 8 mm. Is it case of anavulation??I am really worries with this report?? Doctor: Hi, I think your follicles are not growing normally. So, you can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: What does this follicular study report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Baby girl is 17 months, teething, and was determined to have hand, foot, and mouth 7 days ago. Three days of fever, before we went to ped. 6 days ago she tripped on carpeted floor and landed with pacifier in mouth. Mouth bled. Top gums are still very swollen, are completely covering up her 4 top front teeth, and have some pus. Is there an infection or is this just the hand, foot, and mouth / teething? Doctor: Thanks for your query, I have gone through your query.The bleeding with swollen gums and pus discharge can be because of the break in gums secondary to trauma superadded with infection of gums or tooth (dento alveolar abscess). Nothing to be panic, consult a pediatric dental surgeon and get aradiograph done to rule out a fractured tooth. Mean while you can take a course of antibiotics like amoxicillin(if you are not allergic).I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes mouth bleeding with gums swelling and pus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am cuurently and permanently on warfarin, and in one week s time I am to undergo surgery to have tor tendons repaired in my right shoulder. I have been directed to change temperarily from warfarin to glexane for six days prior to my surgery. I have been on warfarin for three years since a mechanical aortic valve was implanted during open heart surgery.What side effects should I expect? Thankyou Doctor: Hello, Clexane is a medicinal product used to prevent the formation of coagules like Warfarin, therefore the adverse effects are hematomas, tend to bleed, hematoma in the site of injections. In adequate dose should not have major problems, there are adverse effects seen in blood test only, but in addition to that it is a pretty safe medicinal product. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jose Mero Santana, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of changing the medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 80 yrs COAD patient having urea 102 cr createnine 2.0 tlc 12000 and today I m under treatment with complained of pneumonia used medicines with nebulizer of asthalin , tab telecast plus, nefrosave, nef rolive, cloptas today seezaling in my body its why Doctor: Thanks for your question on HCM. I can understand your situation and problem. COAD (chronic obstructive airway disease) is progressive disease of lung. And lung infection (pneumonia) is very common complication of COAD due to poor lung defense. The best treatment for pneumonia is identification of causative organism and appropriate antibiotic based on culture and sensitivity report. So better to consult pulmonologist and get done sputum culture to isolate the causative organism and sensitivity report for guidance of antibiotic treatment. Control of pneumonia is must for control of COAD."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for COAD and pneumonia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had severe abdominal pain for several months. Last week I woke up in immense pain, I could barely walk ,sit or lay down I sat in the chair in the living room and felt a very sharp stabbing pain in my stomach and then the sensation of liquid seeping inside my stomach and down through my legs.after a few minutes the pain was gone, what could this be? I m starting to have the same symptoms of pain and bloating in my stomach again. Doctor: Hi.It is not normal to have a pain in stomach for such a long time and still you have not got investigations done.The cause of pain in the abdomen for several months can be due to:Intestinal obstruction, tuberculosis, Irritable bowel syndrome, vascular problems and so on.The cause of the severe sudden pain making you unable to walk must have been due to sudden obstruction or volvulus and the release of the obstruction giving you the feeling of liquid seeping inside stomach and down through your legs, this being a referred pain. I would advise you the following:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen,*Colonoscopy *Enteroclysis Once the diagnosis has been made, complete the medical or the surgical treatment as may be advised by a Gastroenterologist."
},
{
"from": "gpt",
"value": "Target: What causes severe pain in abdomen, bloating and liquidy sensation in stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'M AN ASIAN WOMAN FROM THE PHILIPPINES,OF 57 YEARS OLD,OF GOOD HEALTH,MY CONCERN IS THAT EVERY COMING OF THE SUMMER TIME MY SKIN IN THE FOREARMS(BOTH)ITCHES AND RED BLOCHES APPEARS,LIKE ECZEMA,IT HAS LITTLE PIGMENTATION LIKE A RINGWORM,I WASH IT EVERYTIME AND PUT SOME SKIN OINTMENT,HYDROCORTISONE 1% FOR ITCH,THEN WASH IT WITH MY SELSUN BLUE SHAMPOO WHEN ITS SO ITCHY,WHEN THE HOT SEASON IS DONE,MY ITCHY THING IS GONE TOO,I CANT EAT ANYTHING LIKE CHEESE,SEA FOOD,PORK FOR IT BECOME ITCHY,PLEASE HELP, Doctor: THESE ARE ALLERGIES IT START WITH THIS LIKE IN HOT WHEATHER AND IF YOU NEGLECT YOU CAN LAND INTO TROUBLE OF GETTING IN ALL SEASONSYOU SHOULD GO IN FOR ALLERGY TESTS TO FIND OUT CAUSE SO THAT YOU CA CURE ACCORDING TO CAUSEMEDICINES YOU ARE WRITTN ARE GOOD TO RELIEVE YOU TEMPORARILYYOU CAN USE TILL THET FAIL TO GIVE RESULTDONT TAKE PCM BUFEN ANALGESICS DIET SUPPLIMENTS VITAMINSUSE NON TOXIC SOAP SHAMPOO AND BODY APPLICATIONSBEWARE OF DYES AND HENNA"
},
{
"from": "gpt",
"value": "Target: Reddish blotches on the forearms in summer. Have itching. Allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Well my name is Randi. I'm 19. All my life I have been lashing out on people. They say the smallest things and I get so angry that I shake, curse, & sometimes cry. It's like one minute I'm completely happy & the next I'm either depressed or angry. I need help. I cant take it anymore. Doctor: HiI had gone through your query.Mood variability or sudden change in mood may suggest depression or borderline personality trait.Idealization or devaluation is part of borderline personality trait(BPD)uncontrollable anger with regret is also indicate BPD.It has younger onset.But still need detail evaluation.It can be treated with medicines like SSRI and psychotherapy.Dialectical behavior therapy is very helpful to control impusivity and anger outburst.consult best psychiatrist near by and get further assistance.I hope i have answered your query.feel free to ask.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stress and depression"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, This is regarding my daughter who is 2 years and 7 months. Since yesterday she is suffering from dry cough and the intensity has increased now, In the past, she was prescribed Alerid 5ml, 2 mm twice daily for 4 days. We are under the dilemma whethet to administer the same dosage since we are unable to contact her paediatrician. Looking forward to your valuable input. Doctor: Hi, Alerid Syrup is used mainly for allergic cough. Since, now there is occuring a climate change so i don't think that it will be allergic cough. I suggest you to give Syrup Chericof 5 ml three times a day for 3 days. If fever or throat pain is also present than the child will require antibiotics. Hope I have answered your question, if you have any further questions i will be happy to help. Wishing your child good health."
},
{
"from": "gpt",
"value": "Target: Does alerid help to treat dry cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: uery: s is nazir ahmed shaikh from pakistan . Last 6 months i am very ill. facing left basal gabglia bleed HTN DM CRF GONT first of all i am 45 year old (o+) blood group.stroke patients \"paralysis left arms legs memory is good speaking same like before. \"this is my some details which i faced . 1\" from last 6 months i am facing brain hem reg through high blood pressure (tablets using \"Epival 500\" mg two times morning and night) now a days i am fine my memory is good same like before. now i am not using Epival 500 gm tables. its closed . and my consultant doctor is saying now ur fine from my side your fit. 2: blood pressure is now under control (using tablets NORVASC 10gm from last 6 months still continue morning and half night ) 3: sugar : facing from 12 years also under control using insoline humulin R 3 times daily morning evening night depend on units if sugar is from 150 -200 using 2 units. 4\" kidney problems: facing from last 9 months using tables laxics . urine output is very bed. my urea was 173 and creatinen was 9.2 . one day i got 3 times dialysis my creatinen 4.3 and urea was 90. and hemoglobin last from and was 9.8 after discharge from hospital i was good using (tablets ketosteril morning evening night) i was good urine output was very good. but blood was lost from 9.2.-8.3. in this peroid was feeling very nice phesothraphy was continue 50% was improving. 5:stroke : paralysis left arms legs only 50% is improving . still continue one hours daily. 6 eye side is weak left and right last 8 months i got operation both side lenses now my left eyes is weak not seeing clearly . injection was avastin every months 4 months courses . i got 2 and 2 is reaming . Dr. yes i am facing DM HTN CRF . now a days i am in dialysis two times is a every week. todays i goes labortry of my test result of blood is HEMOGLOBIN 10.7 (using injection very week that name is ESPOGEN PREFILLED 4000IU ) this injection using last month march still continue for increase my blood .because in dialysis i lost my blood that why ia m using other history is during my 1st dialysis is used one blood beg . few months passed again i used two time blood . R B C 3.9 MORPHOLOGY OF ERYTHROCYTES (-) HYPOCHROMIA (+) ANISOCYTOSIS (+) NEUTROPHLS 62 LYMPHOCYTES 33 MONOCYTES 02 PCV (H.CL) 32 M C V 78 M C H 26 M C H C 30.6 UREA 132 CREATININE 6.1 this is current my reports of blood test 4th april 2011. Dr. i am feeling waek after dialysis my treatment is going on iam send u one file of my current treatment please see it . Dr one thing more my left arm and leg is paralysis but now 50% is improvement i can move my self but feeling weak getting support . this is my history 8 months ago is my left eyes is more week some time i am not seeing clearly doctor suggest me that u need lean sis in both eyes left and right after lean sis. few days passed i got full week my eyes i can't see clearly . again doctor suggest me that u r facing black water in eyes so now i will do u operation for removing ur black water dust from ur eyes then u can see clear.this operation was depend on 4 injection that is Avastin injection i got 2 injection two are reaming. now i want to move in india for kidney problem i want to remove my dialysis what is better for me . please tell me and take a good decision for save my life . hurry as soon as possible . hello sir Doctor: hi zaibsheikh, welcome to health care magic,you have multiple problem ,diabetes mallitus, hypertension ,chronic renal failure (on dialysis).as far as your muscle weakness in left arm and leg are concerned you have some recovery. you have not explained in detail about your plans after coming india.You should not stop your dialysis without consulting your nephrologist. consult a nephrologist and if he advises you to go for renal transplant than go accordingly. maintain your sugar levels and follow advise of your treating doctors."
},
{
"from": "gpt",
"value": "Target: Which hospital in India is best for kidney problem ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My wife has a painful Bakers cyst behind here right knee. she has a history of osteoarthritist in both knees and fingers. She has responded quite well to bee venom therapy for the osteoarthritist when she would target the stings according to accupuncture tables or charts. She insist she does it where it hurts. Bee venom therapy has been very effective at releeving the pain and gaining back almost complete full motion after a couple treatments. The bakers cyst has only recently become painful over the course of less than a week. Last week the doctor told her it was a Bakers cyst and at the time it was not painful so nothing was done. The pain has now become unbearable and alieve does not seem to be providing any relief. She wants to try the bee venom therapy and wants to know the administration site that would correspond to accupuncture therapy. Is the administration site different for the Bursa? or is it recommended to correspond with the osteoarthritis site which is just below the inside of the knee but about two inches below the patella? any suggestion would be appreciated. As a side note I can not get her to rest the knee. she is just too active and will out work ten other normal people even thouh she is a very spry 68 years young. Where should she sting herself? Doctor: **1. Bee Venom Acupuncture [BVA] is a kind of herbal acupuncture but most claims have not been proved to the scientific standards of evidence-based medicine and are anecdotal in nature, thus prior to opting for this therapy you must seek opinion of Orthopedic Surgeon.PS. Due to paucity and methodological flaws in the existing clinical studies, it is premature to draw any firm conclusions at this time. However, the effectiveness of BVA for arthritis is likely to be a promising area of future research"
},
{
"from": "gpt",
"value": "Target: For Baker s cyst which spot on the knee should be subjected to acupuncture?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My parents were watching my 16 month old today and I just got home a half hour ago and was putting him bed when I noticed a dark bruise on his side just below his chest. When I felt the area compared to the other side I do feel a small hard bump. I'm not sure if this is something I should go to the emergency room to get checked out or if it's ok to just keep an eye on it. They said he fell off a short bench at a restaurant this morning, but he didn't even cry. He just got up started running and playing and he played and seemed normal all day. No one had any idea until we went to change him into his pajamas. Doctor: Hello. I just read through your question.These bumps and bruises are very common in this age group, even when we can't identify a specific cause. As long as he is not in pain, it is ok to observe it for a few days. With each day, you should notice a little improvement. If several days go by and you notice no change, I recommend consulting with your doctor."
},
{
"from": "gpt",
"value": "Target: Concerned with hard bump with dark bruise on child's chest after a fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. My husband has very high platelet count - 1,400 now. before taking siddha medicine it was only 800. This reading increased within 2 mths of taking siddha medicine. He had to be hospitalized bcos difficulty in breathing. He has black spots all over his palms and sole which burns. Now he has stopped traditional treatment and continue with earlier medication. Plse advice Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Platelet count is too high, which can increase risk of thrombosis2. For immediate reduction, platelet apheresis would be beneficial. It can bring the platelet count to within manageable range within 1-2 days.3. Medication necessary for further suppression of platelet production and also to avoid thrombosis risk. Continue with other medication and discuss with your doctor regarding apheresis.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: What is the treatment for high platelet count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My doctor prescribed me sulfamethox for sebaceous cyst on my chest. The cyst is very sore, red, & irritated. It also has terrible odor from the area, but there isn t any discharge from it. I really want it surgically removed. Will the sulfamethox help with the cyst? Doctor: Thanks for your question on HCM.In my opinion you should start combination of amoxycillin and clavulanic acid. As it is having excellent effect on skin infection.And along with this you need to take painkiller and anti inflammatory drugs. As redness suggest inflammation. Anti histamine if you are having itch.Surgery is needed only if you are not getting response by oral drugs.So start the above mentioned treatment. Keep that part dry. If not improved in 5 days than you can think of surgery."
},
{
"from": "gpt",
"value": "Target: Will sulfamethox help with the cyst on chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dr,iam suffering lot of problem from depression .ihave consulting two doctors for this.one suggest d-axid tablet..and another doctor suggest nexito plus and lonazep m.d .which medicine is better for my problem.This medicine is continuosly used for a long time for my disesse is completely curable..please suggest a suitable remedy. Doctor: Hello To start with you have mentioned the diagnosis and not the symptoms, so I m not certain about the diagnosis as I don't know who made it. Secondly the treatment which you have been given by two doctor is different. Tab nexito is for depression but tab d anxit is predominantly for anxiety . So to advice you it's important to know your symptoms along with a examination by a psychiatrist. It's best you consult a psychiatrist in this regard and get your self evaluated in detail. For good response to treatment a right diagnosis is a must. As far as your query about complete cure, I would say all treatment modality makes depression a treatable condition not curable. Means, by medicine we can treat it but can not ensure cure . So even after treatment there are always chances of recurrence. I hope I have answered all your query. For any further assistance you can ask again Thanks"
},
{
"from": "gpt",
"value": "Target: Suffering from depression. Is nexito or d-axid a better medication? Need a permanent cure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I shaved my pubic areas couple of weeks ago and when the hair staired growing back there was a couple or infected follicles. One is located on the inside of my leg got very big and red. This morning it busted letting out a smelly puss. Do I need to go to the Dr or can this be treated over the counter? Doctor: Thanks for contacting HCMI am sorry to hear that you are having infected hair follicles after shaving. This is a common occurrence. Depending on the size of the infected hair just the act of draining the infected hair may allow it to heal naturally. Keep the area clean with soap and water. You can clean out the boil with peroxide too. If the area does not heal and keeps red and painful then an oral antibiotic maybe need to completely resolve the infection. Hope this answers your question. Please contact us again with your questions."
},
{
"from": "gpt",
"value": "Target: Can an infected hair follicle be treated OTC?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 22 year old female, 5'4 120 lbs. Last April I was told that I had a ruptured cyst on my left ovary and a new one on my right. I was also told i have a fibroid just below my belly button. Normally I have heavy painful periods, but the last 2 months they have been short light and painful. After this month, i stayed bloated when it ended and i have to urinate frequently. I have like a heartbeat feeling by my belly button and my lower abdomen feels crampy. I have also been burping alot and i feel full all the time. Is it just the cysts and fibroid or should i be worried? Doctor: Hi welcome to Health care magic forum. Thanks for choosing H.C.M.F. You are burping alot, and feels full of stomach all the time. It is a gastric problem and it should be treated first, so i advise you to consult a gastro enterologist for diagnosis and treatment. It may be due to harmonal imbalance or to drugs you are using for gynic problems. Poly cystic ovarian disease can be treated by medicines , and your fibroid appears to be out side of myometrium, it is to be removed by fibroidectomy operation. With these two steps you will be relieved of your problems. Wishing for a quick recovery. Best regards."
},
{
"from": "gpt",
"value": "Target: Ruptured cyst on ovary, fibroid below belly button, bloated, light period, lower abdominal pain. Worry?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I fell down metal steps in work landing on the corner of the step with my thigh, I ve got no bruising but a lump on my leg the pain is bad I can t sit for more than a few minutes I have to keep trying to walk about which isn t great either. I m in a lot of pain. Doctor: Hello, It might be a simple contusion or hematoma. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. You can also apply ice packs for symptomatic relief. If symptoms persist better to consult an orthopaedic and get evaluated. 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 a painful lump in the leg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has a lump on back of scalp towards the neck area.. its very painful to touch. I assumed maybe a cyst? I dont believe cyst are very painful to touch.. Today my daughter noticed it.. should I be concern? There are no other concerns or symptoms beside the lump and the pain. Should I take her to the dr? Thanks Doctor: Hello, Your daughter has a painful lump recently noticed. It is most likely to be an infected lymph node or some other form of infection. You should take her to the doctor as she may require antibiotics for the local infection. Hope that helps. Wishing you good luck.Regards,Preeti"
},
{
"from": "gpt",
"value": "Target: What causes lump between scalp and neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... i am having fungal infection for the last 7 years and had been taking zocon 150 once in a week but with no improvement kindly suggest if lobate along with some other medicine Doctor: For fungal infection you can take some antibiotics preferably cefadroxyl or doxycycline after an expert advice along with cetrizine or avil if itching is present. You can take fluconazole 150 mg every alternate day for at-least one month. You can use candid-b powder or betnovate-c cream for local application. Maintain the hygiene of local part that is affected."
},
{
"from": "gpt",
"value": "Target: Suggest medication for fungal infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hiam 28years and i have been having lower back pain on my spine for the last 6years i have attended physio but there is no improvement and sometimes the part that i feel pain swells and thepain goes up to my shoulder which swells to .What is wrong with my back? Doctor: HIWell come to HCMMost of the backache happens because of the degenerative disease of the spine, and some time this may long last and medical therapy would be option to get rid of pain, if you have not done the MRI study then it is necessary to get done the MRI test, keep continue the physiotherapy.Medication:- Tab Ibuprofen 400 mg three times in day, Tab Acetaminophen 500 mg three times in day, hope this information helps."
},
{
"from": "gpt",
"value": "Target: What causes back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am looking for a doctor who is good in iui in life line hospital.could you please suggest me one. any doctor i am 33years not able to conceive trying from 2years my wt is 63 ht 5.6 doctor say my husband sperm count is less and i am normal. what to do? Doctor: Hi, When you are normal and your husband's semen count is low, the only option is IUI. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. B. Radhakrishnan. Nair, OBGYN"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to normalise sperm count"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , for a few years now I constantly now and then have a weird tightning sensation which seems to be feeling like its on my heart as if someone was squeezing and tighning it , It does feel like it's more to the left side of my chest and I understand the heart is directly in the middle of your chest , but I can honestly say it feels as if it is the heart , I am getting worried as it seems to be getting worse , I try to go to my gp but all I ever get told is it cannot be my heart etc ..... What do you think this sensation could be ? Doctor: thanks for asking your queryI completely understand your problemthis tightening sensation can be due to a variety of cause in which gastritis/peptic ulcer is common cause in young age and that can be dealt by taking some proton pum inhibitors like pantoprazole ,if u are worrying too much u can have a echo cardiography (ecg) done and consult a cardiologist which would be the best option and that will end your worries.thanks may god bless you with good healthif you have more questions feel free to ask"
},
{
"from": "gpt",
"value": "Target: What causes tingling sensation in the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my names Teddy. I have anxiety and panic attacks. I went to my family doctor and was prescribed paxil. I tried it for awhile but it didn t help and I still had no help with anxiety and panic attacks. I tried buspar and also hydroxyzine also were of no help to me. Buspar actually had an awful reaction with me. I have been living with anxiety and panic attacks for so long with no help because I just got insurance. My Dr. told me he doesn t believe in treating with benzodiazepines and offered a referral to a psychiatrist whom wasn t in my network but recommended I seek out a psychiatrist. So I did but also have researched benzodiazepines. The only thing I can find about this is Doctors unwilling to prescribe those medications and how hard it is to get this treatment mixed with therapy, yet people are still on them. A lot swear by them and a lot don t. So I wanted to try this treatment, recommended by my doctor and insurance representative and clinical nurse representative. My question is how do I go about asking for this treatment, benzodiazepines and cognitive behavioral therapy? Is it possible and plausible? Thanks. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.Depending on your present condition the treatment length may be from one year to may be life long. If the diagnosis / treatment is right, cure is fast. My advise is - Do not worry about these things. Find a right psychiatrist and work with him. You will be cured.If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Recommend treatment for cognitive behavioral therapy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 7 year old daughter had blood tests due to extremely heavy nose bleeds and unexplained bruising. I received a letter today from a consultant haematologist. It says that her Von Willebrand Activity test RiCoF was in normal range at 74%. However it is disproportional to the antigen level. Can you please tell me what this means. Doctor: Hello,Decrease only in von Willebrand factor RiCof (vWF:RCo) levels and normal von Willebrand antigen (vWF:Ag) levels (vWF:RCo to vWF:Ag ratio Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad"
},
{
"from": "gpt",
"value": "Target: What does RiCof in normal range but disproportional to antigen level mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 50 year old male. My SGPT count is 30 and SGOT count is 26. However, the total bilirubin count is 1.1 (conjugated 0.2 and unconjugated 0.9). Will you please suggest me whether these counts are indicative of abnormalities in my liver functioning? I consume alcohol occasionally. Shall i have to stop alcohol? Doctor: Hi, dearI have gone through your question. I can understand your concern. Your SGOT and SGPT level is normal. Your bilirubin level is at high normal range. Nothing to worry about that. No significant abnormality is there. Nothing to worry about that. Just be relaxed. Avoid alcohol because it will cause liver damage. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Is there any abnormalities in my liver according to this report?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I am working from home and about 30min ago i started to feel a dull throbbing pain in the center of my chest right in middle. I am sitting on a chair all day so have not been really exerting myself. It has been kind of painful, im not sure how to describe it, like it hurts a bit kind of annoying at some point enough to make me grimace but at others that i doubt it is still even there but then it comes back. What should i do? I don t have any other pains anywhere else, just seems localized to my chest. Doctor: Hello dear, thanks for your question on HCM. I can understand your situation and problem. In my opinion, we should first rule of cardiac cause for your chest pain. So consult cardiologist and get done 1. Ecg2. 2d echo to rule out cardiac cause. If both of the above tests are normal then no need to worry much for cardiac cause. Gastritis can also cause similat central chest pain.So avoid stress and tension. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. And start Proton pump inhibitors. Don't worry, you will be alright."
},
{
"from": "gpt",
"value": "Target: Feeling a throbbing pain at the center of the chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son age is 3 month 6 days, last 1 month he is doing potty every 4 days after giving him glycerine suppository, and doctor also have suggested a oral solution name-lactulose USP 3.40 gm for 3 time every day. but last 5 days he is vomiting and doing no potty, i am really ? cud u plz suggest me wht sould do now? how aften a child do potty? Doctor: Hi...please stop all the medicines which you are using for constipation. This type of not passing stools is quite common in this age group. This should not be treated as constipation.This type of symptoms can be there till 6 months too. Unless the kid has stopped feeding completely or has severe abdominal distension, you need not worry.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for vomiting and constipation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there. Iv been taking Microgynen 30 for over ten years- i was due to start my next packet 3 days ago but have run out of supply- I won t be able to get any more for at least another week- I understand my contraception is jepordised, but just in terms of restarting a packet- should i wait/skip the whole month?or just start taking them again the day I get some more... and start the packet cycle from there... Is this good for my body? or should I just have a clean break now, seen as I am missing 2 weeks worth anyway. For the record I have just turned 36- not sure if this affects anything. One day, I would like to get pregnant! Doctor: Hello,I have gone through your query and understood the concern. Since you have already missed two weeks of your medication now, there will not be any protection in this cycle should you ovulate, even if you start taking the pill the moment you get it. Thus, it is ideal to use some form of barrier protection, preferably double, during this cycle and go for the pill from the next cycle so as not to jeopardize the hormone rhythm. Further, you should use additional protection for the next couple of cycles for added benefit. Considering your age, you should think of conception in the next couple of years in order to avoid chance of infertility as hormones dwindle with advancing age. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Can Microgynon be continued 3 days after missing it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i was out shopping and felt my legs get heavy and i started sweating and lost the color in my face . i went home and my blood pressure was 140 / 80 . i have rested , the sweats are gone and now my face and ears are red and warm , my legs still ache in the thighs Doctor: Hi welcome to HCM.I understand your query and concern.Swollen legs in your case can be directly related to elevated blood pressure and right sided heart failure.I advise you to have a 2 dimensional echocardiography,ECG and lipid profile to assess the functioning of your heart.Monitor your blood pressure and heart rate regularly.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.Drugs like antihypertensives ex Metolar XL 100 mg once and diuretics will help.Reduce the intake of fatty and fried foods.Fruits like pomegranate,apple,dry fruits everyday will help. Consult a Cardiologist for further expert management.Post your further queries if any.Thank you."
},
{
"from": "gpt",
"value": "Target: What causes sudden heaviness in legs, sweating, warmth and redness in face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir, i m 35 male and having sperm anlaysies is volume 2.0ml, Reaction- Alkaline, morphology- only 0-4 dead or non motile sperms seen.However actively motile sperm seen. my wife is ok and we have a daughter 8yrs and my wife get miscarage before 4 yrs.Till that time we are trying. i m taking PATERNIA PLUS TAB and FERTISURE-M tab.from 2 days. is it ok for me and what i should eat. i don t drink and smoke. Doctor: Hai,Hai,Both the prescribed drugs can be taken.As you don't drink and smoke is appreciated.follow the below mentioned foods to be taken;take plenty of water.add protein foods like almond,pista,peanut,soybean,pumpkin seed in your daily food intake.take dates,pomegranate,fig and watermelon.add more diary product.take wheat,jaggery,dal with ghee prepared food. all the above food will facilitate to increase your healthy sperm count.Avoid stress,junk food,fried items and caffeinated drinks.thank youhope i answered your query"
},
{
"from": "gpt",
"value": "Target: Is the sperm count normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 4 and had a tick on his testicle I removed the tick and the next day/today his testicle looks bruised and there is swelling to the left of it into his groin area it is puffy and red. He says it doesn t hurt and he is not having a problem going to the bathroom. Is that type of swelling normal? Doctor: Hi, Welcome to HCM. I have read your question in detail and I know that you are very concerned about your child but don't worry. By what you quote it seems that your child probably has got tick bite. In tick bite, there is swelling and redness at the site of bite. In my opinion, you should give syrup hydroxyzine 0.25 mg/kg three times a day for 3 days. Review back after 2 days. I hope this will help you. Wishing your child good health. Take care. Regards Dr Deepak Patel MD Pediatrics"
},
{
"from": "gpt",
"value": "Target: What causes bruising and swelling after removing tick from child s testicle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had stomach infection two days back n a week before I had low grade fever varying between 98.8 to 99.1C. Doctor prescribed me Orni 500 twice a day for 5 days n pantoacid 40 once daily. I am suffering from dizziness n nausea since yesterday after taking orni 500. Can I stop taking the medicine after 3 days? Doctor: Hello,Welcome to Healthcare magic.Please consult your doctor and do some lab test like stool examinations and blood test.If amoebic infection is confirmed, then tablets given by your doctor are perfect.Also do ultrasonography of stomach to find out any other cause.Take proper rest and do some light exercise.Avoid heavy diet.Take small frequent meals.Take liquid diet more.For dizziness and nausea, consult your doctor.Take ORS powder with water as much you can drink.Hope all will be fine.Thanks for contacting us.Take care..."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stomach infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: when the Apex of the Heart is not getting enough blood/oxygen..what is it called? I have a stent in left artery, Been experiencing a lot of multiple systems of Heart Attack lately..Had Angiogram done yesterday, was told of condition regarding Apex of Heart and put on Betta Blocker. Doctor: Hi,If some part of the heart doesn't get enough oxygen, it is called ischemia.Hope I could help youWishing you good healthIn case of further questions don't hesitate to askRegards,"
},
{
"from": "gpt",
"value": "Target: What to call for not getting blood to apex of the heart?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a pain in my left side for three weeks I was treated for a kidney infection/stones for a week but when it got no better I was treated for diverticulitis, I have just finished a course of co-amoxiclav and although I feel slightly better I still have pain, no appetite, and no energy, how can I have been diagnosed with this with no blood tests or scans could it be something else. Doctor: Helloyrs you are right,kidney stones cant be diagnosed without a scan..u need to get a ULTRASOUND OF ABDOMAN N KUB REGION"
},
{
"from": "gpt",
"value": "Target: What causes pain in same area where kidney stones were treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The skin graft on left nostril of nose has not completely healed; it still shows after the surgery as a small adhesion; there was not a pathological confirmation after first removal of cancerous tissue, but was immediately grafted with skin from front of ear. Is this a symptom that cancerous cells were not completely removed? Doctor: Hi, Skin graft on left nostril has not completely healed, still showing as an adhesion. As you think it might not be the cause, there are so many factors responsible for fusion of the graft, like circulation, apposition, etc. i advise you to consult your doctor for examination. If everything is normal, a small manipulation will solve the problem. Thank you."
},
{
"from": "gpt",
"value": "Target: Skin graft on left nostril. Grafted from front of ear. Symptom of cancerous cells not completely removed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hai sir i have chest pain in left upper zone ...... i have taken chest x ray for chest ...that radiologist given a report is small inhomogeneousopacity in left lower zone likely representing pneumonic infiltrate like that /////////like that any thing to be worry sir? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Your chest pain is mostly due to pneumonia. Pneumonia causes pleurisy (inflammation of pleura). And this causes pleuritic pain. Upper lobe pneumonia can be due to either tuberculosis or bacterial infection. So better to get done sputum examination for AFB (acid fast bacilli) to rule out tuberculosis. Also get done sputum culture to isolate the causative organism for pneumonia. You may need antibiotics or anti tubercular drugs. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What to do for chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing some dizziness and clicking either in my ears or head. I was out of my HBP pills for several days, could this be the problem? Today I almost passed out when the dizziness happened. It felt like I couldn t breathe right and sort of hot. Doctor: Hello , The symptoms you describe may be due to higher blood pressure. Considering that you have not taken your medication may have resulted in a shoot up of the blood pressure causing dizziness and shortness of breath . It's wise that you get the blood pressure checked and start medicine as soon as possible. Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for dizziness and tinnitus in a hypertensive person"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctorMy age 32(Ht-5\"7 wt-68) and wife age is 28,(Ht 5\"2 wt-72)Her test progesterone and thyroids are normalMy sperm count is 25 mill/ml (I never test alcohol and smoke)I went a gynaec this month and she suggest following medicines:For me CONFIDO and FiRTISURE for wife nidigen-100Is there any side effect of those medicines? We were trying a pregnency since last one and half year, can we are able to get a baby naturally. Plz suggest. Doctor: HIThank for asking to HCMFirst let me tell you that no medicine can bring the pregnancy and no medicine can stop it I always says that the pregnancy is natural phenomenon, and for this no medicine is needed, It takes place with the natural way of conception, keep trying if every things is favourable then you are going to have baby soon, have nice day,"
},
{
"from": "gpt",
"value": "Target: Not able to conceive. Progesterone and thyroid normal and sperm count (25 mill/ml).Will 'Confido and Firtisure' for husband and nidigen-100' for wife have side effects?"
}
]
|
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