conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: My 9 year old daughter had fun and fitness day at school today. She was outside in the 80 degree weather until about 2 p.m. About an hour ago (6:39) she started to complain of a headache which became so bad she was crying and then vomited about 30 minutes ago. Could she be suffering from heat exhaustion? Doctor: HI...it could be heat exhaustion or it could be an initiating event of migraine at the early stages.Please take her to the nearest emergency room, check her blood pressure and hydrate her well.Get her examined by a physician as there is vomiting associated with head ache.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes headache and vomiting after sun exposure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: well my father had a major brain hammorage surgery last month and he has been going under observation and in between he had a severe lungs infection but it has somehow been recovered so how fortunate is he from recovery. now he is being given meropeneme inj and has been more then 23 nos of it Doctor: HelloAs you explain the history meropenem is ok for his situation .He should continue it for at least one week and than to be followed up.Dr.Jolanda"
},
{
"from": "gpt",
"value": "Target: What is the treatment for severe lung infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 29, unmarried female.I have never had sex. I have experienced a lump like structure right at bottom of vulva opening (pls note i mean to say it is right in front and at bottom base). It doesnt hurt nor itches. The only concern is it grows in size during periods and then shrinks back. Lately i have also noticed more white discharge which at times is slight lime in color.i get my periods regularly, rarely get cramps. I have got my USG done for lower abdomen and reports are normal.I am physically active and exercise with ease. I am very worried. Pls advise Doctor: Hi.This is definitely a cyst or a mass which has a control by hormonal changes. IT is better be excised in toto and get a histopathology reporting done to see what it is. TH white discharge may be due to vulvovaginitis and can be easily cured by appropriate antibiotics and metronidazole."
},
{
"from": "gpt",
"value": "Target: What does a lump at the vulva opening indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How worried should I be if I've had a sinus infection for over 2 weeks and the roof of my mouth has been numb from pressure for 3 days? I've been taking mucinex, motrin and night time alkaseltzer for weeks but i'm still sick. what can the doctor prescri Doctor: Hello,Welcome to HCM,As you are having these sinus problems for last two weeks, sometimes it may take few more days to control the symptoms.If the symptoms are not improving in spite of the treatment you may need Lab investigations like CBC and X ray PNS. This will help to identify the problem and to treat the condition.For the present condition I would suggest you to follow1.Steam inhalation with Vapocaps2.Oral antibiotics like Tab Bactoclav, 625 mg, twice daily for five days.3.Oral Antihistamines.Thank you."
},
{
"from": "gpt",
"value": "Target: How worried should i be if i have a sinus infection for two weeks?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi im 24 years old and i been having an on going cough for about over a year now. it comes and goes and sometimes its worse than others. i dont feel sick its just a cough that dont leave. sometimes i feel congested and sometimes i cough up blood tinted mucus. and now its been here for 2 weeks but not all day long just in the morning and sometimes at night. what can i do? Doctor: HelloYou need to see a doctor for an exam and a chest x-ray to rule out pneumonia or lung cancer. Otherwise, this could be caused by gastric acid reflux and I would put you on either Zantac or Nexium for that"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough with blood stains"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m wondering me and my partner have bin together for a year now and I recently tested positive for chlamidia. We had a baby in may and I was tested through out my pregnancy and was negative. I am now pregnant again and I was wondering if doing anal can cause chlamidia because he claims he did not cheat. Doctor: Hello dear, thank you for using HCM. I read your query and understand your concern. arly-stage Chlamydia trachomatis infections often cause few or no signs and symptoms. When signs or symptoms occur, they usually start one to two weeks after exposure to chlamydia. Chlamydia trachomatis is caused by Chlamydia trachomatis bacterium and is most commonly spread through vaginal, oral and anal sex. It's also possible for a mother to spread chlamydia to her child during delivery, causing pneumonia or a serious eye infection in her newborn.Factors that increase your risk of chlamydia trachomatis include:Being sexually active before age 25Multiple sex partners within the past yearNot using a condom consistentlyHistory of prior sexually transmitted infectionHope it was helpful. best regards."
},
{
"from": "gpt",
"value": "Target: What causes chlamydia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just got a call that my 84 year old Mother is in the hospital and they discoered an subdural hematoma. She lives out of state with my sister and my sister said the doctor didn t seem overly concerned other than the fact of her getting surgery at her age . My question is how bad is this, They said it was a small one but they have to relieve the pressure . She has been losig her balance a lot over the last few months and falling. Other than that her health is very good. She had surgery a few month ago to clear blockage in her carotid artery. She is a former smoker but relatively good health. Doctor: Well the surgical procedure is a fairly easy one and since they say it's a small bleed chances are it has not caused severe permanent damage to the brain. Of course they mention her age as the main issue because old people carry a higher complication risk for any type of surgery especially with general anesthesia, respiratory complications, infections, thrombosis etc. Hopefully that won't be her case, but doctors have to inform you of any possible scenario."
},
{
"from": "gpt",
"value": "Target: Treatment for subdural hematoma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a nuclear stress test was diagnosed with small sized mild intensity myocardial perfusion defect in the anterior wall which is midly reversible consistent with ischemia - dr. prescribed beta blocker said bp was too high 138/90 - I have had a few felt like angina attacks but goes away pressure in my upper quadrant should I be concerned? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If your stress was positive for ischemia and you are feeling chest discomfort with Angina, then you should get further cardiac evaluation done. Kindly consult your treating Cardiologist and get an Angiography done so that coronary artery disease can be taken care of. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Are recurrent angina and pressure in the upper quadrant a matter of concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: well when i was in childhood i used to watch porn movies at the of 10 to till now 30 but when i reached my 21 i was totally diseased by my habbit of fucking a pillow layin on it and with watching porn. As i was so shy and a stutterer i don't even dare to talk to girls, this habbit started because i was so shy and stammberer and tried watching porn movies and the with nightfall now a days i dont see dreams but nightfall happens without any dreams i had spent lot of money for this but there is no real treatment that i have received till yet which can fully secure my comming future Doctor: Hi greetings You are absolutely normal.There is no harm in night emissions or masterbation. It is a sign of virility and proves that you are perfect.One important factor is about any infections in your genital organs like STD .If any history of STD then you need to treat that completely. After that it could be the secretions from your Penis making you feel as semen.Even if semen nothing to worry.Now anything in excess is bad so you should be restricting watching porn .limit to 5 to 10 min only.Masterbation can be done weekly twice or thrice so that you can enjoy better.You can start some sort of exercises daily to improve your physique and try to learn meditation. You can also concentrate on your studies or professional to divert your mind.hope my answer helps you. Regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for nightfall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi My daughter is 10months old and she is only 7.3kgs. her birthweight was 3.5kg. she was on nan-1 till 6months. She was 6.5kgs at that time. when we introduced the local packet milk, she passed stool 4times a day..we assumed that its due to her first tooth. that month she gained only 200gms. Later she is on Isomil. Since her weight gain was so poor, we took all sort of tests , all reports were normal and she is diagnosed with failure to thrive. Pls advise on how to improve her weight..she is also on rice/ragi..no wheat.. Doctor: Hi...Thank you for consulting in Health Care magic.I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents we need to be more patient and feed than less quantity but more aliquots per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause drowsiness.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What diet should be given to a 10 month old to increase the weight?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have chemo induced neuropathy in my hands and feet which at times is nearly debilitating, especialy in the mornings and until I ve had m noon dose of 600 mg of hydrocodone and 900 mg of gabupentin. I m also taking venlaxiphine and amitriptoline to help manage the pain. What are some non-addictive drugs equal in pain aleaviation or at least alternative options that will not destroy other organs in my body? Doctor: pretty much anything that is a nerve pill MIGHT work.You have, however, tried most of them gabapentin/amitriptiline there's also pregabalin, lidocain patch, cathepsin . Worth perhaps a try would be circulation modifiers if the hands change color due to circulation. These are ALL very safe.hydrocodone at sixty times the usual 10 mg maximal dose is not so safe but I suspect you are not actually taking an entire bottle at noon."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful neuropathy in hands and feet"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 1. would rubbing alcohol be an effective way to get pinworm eggs off phones, keyboards etc? (all household members took albenza & have laundered & vacuumed, now just wondering if we need to sterilize our electronics) 2. could pinworm eggs survive for over 2 months in home-made raspberry jam, which was not cooked very long Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that vaccum will evacuate all the eggs out from electronics, there is no need to take alcohol action. It will survive in the jam and should not be used.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic."
},
{
"from": "gpt",
"value": "Target: Would rubbing alcohol be an effective way to get pinworm eggs off electronics??"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor, Our kid fell down from 3 feet 3 days back. His head is directly hit the floor. There is no wound, but the surface of the forehead has gone little inside. It seems somewhat like how skin goes inside to a sugar patient. Because there was little swelling in the last 2 days, we could not recognise that. Now there was no swelling, but we are able to see the forehead which has slightly gone inside at the cornor about half inch in length. Will there be any problem to the skull or brain? What are the symptoms for the same? Doctor: Hi, It is indentation of skull. Yes, it is a problem. Sometimes internal hemorrhage can be there. Child needs elevation of forehead surgery and CAT scan for bleeds. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prasanna Lakshmi, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Can forehead indentation cause any problems to the skull or brain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a player that constantly gleans and thrives on attention from supposedly being injured practically every game and miraculously recovers to play in the next game. Recently, he landed awkward on his lower back, claiming he could not move his legs, pain in his Lower back and both legs. After running tests at the hospital last night, he is still in the hospital and the report we are receiving is that he had sciatic nerve damage. How can we tell if he is faking or not? Doctor: Hi, Sciatic nerve damage leads to foot drop. You cannot walk properly if your sciatic nerve is damaged. There will be pain and pricking sensation in your whole lower limb along with pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What are the signs and symptoms of sciatic nerve damage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sai Ram Sir, My friend Sri Ajay Khatua is suffered from both leg souling since October, 2010 and now he is under treatment. As he is not sound in monetary and for better treatment, he wants to treatment at Sri Sri Satya Sai Hospital. age 45, male. mail address of satya sai hospital for sending my report, please mention. Doctor: welcome to healthcare magic, dear ajay, if your kidneys are failing and leg swelling is due to renal failure, you need to show a nephrologist. nephrologist services ( dialysis etc. ) are not available at Sri Sathya Sai hospital. please confirm this and then decide to go to that place."
},
{
"from": "gpt",
"value": "Target: Leg swelling due to kidney problem. Hospital details required"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 31 years ,married 6 months back Follicle Study report on 13th day was LO 1.87CM and RO 2.1CM Endometrium 1cm .Had HCG injection had sex that day and next .on 15 th day doctor said follical ruptured but could not have sex on that day but had next day .So what are the chances of pregnancy .Worried as i couldnot have on 15th day. Doctor: Hi, the sperms remain viable for 72 hours to fertilise the egg and after ovulation egg remains available for fertilisation for 24 hours. After the injection rupture occurs in 34 to 36 hours. So even if you have contact on day of injection, sperms will be there to fertilise the egg. So, don't worry about it. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: What are the chances of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 2 1/2 year old was up for almost 2 hours last night crying on and off from a bad dream bees were getting her . This morning she has tiny red spots on her face under and around both eyes. Is this from crying and rubbing her eyes? Is there anything to worry about. She said they do not bother her and said it must be the bees obviously she is not worried about it. :) Doctor: hi, thanks for the question. it might be due to the bees bites and not due to crying. you can use local antihistaminic lotions like caladryl. you should take her to a doctor if those rashes increase in number and appear on other parts of body, she develops difficulty in breathing. until then you need not worry."
},
{
"from": "gpt",
"value": "Target: What causes tiny red spots around both eyes of child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have low abdomen discomfort and a burning pain , off and on, high on my left side. I have also had a problem going to the bathroom for two or three weeks. Urination seems to be fine. When sitting still it feels like a slight quiver in my abdomen area. Doctor: HI.This can be due to intestinal infection and tit would be highly advisable if you consult a Doctor and take prescription based antibiotics, Metronidazole and supportive medicines. Complete the course of 5 days. This will most probably solve your problem."
},
{
"from": "gpt",
"value": "Target: Need medicines for discomfort and burning pain in the abdomen"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was at the docs last Tuesday and was told I had a viral infection that would clear up in a day or two. But I'm still feeling unwell with a constant pounding headache and occasionally having hot flushes & cold sweats, bright lights are hurting my eyes and I have occasional stiffness in my neck/back Doctor: HelloWelcome to HCMI had gone through your query.Viral infection usually takes 1 week to 10 days for complete cure.This is the time required by the body to develop immunity against infected virus.So no need to worry.The symptoms you are having are suggesting that you have still ongoing viral infection in your body.So,continue the medications that your doctor has prescribed.Along with this,take adequate rest.Have plenty of fluids.Hope you are happy with the answer.Thank you"
},
{
"from": "gpt",
"value": "Target: How long can a viral infection and its related symptoms last?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i'm 30 yrs old male, very healthy and active. i only hav one girlfriend, and we always have protected sex. However, in the last month, i masturbated 2-3 times, and i have noticed that my sperm has changed color. Now its brown/rusty; at first I thought it was blood, becuase it looked that sort of colour. Any advice would be very much appreciated. Many thanks! Doctor: Hello, It is because of blood that is present in the urinary tract. I suggest you visit your doctor to rule out the possibilities of infection, stones or any abrasion caused due to any insult to the urinary tract. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SAMEEN BIN NAEEM, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What is the treatment for brown color semen discharge?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi am 30 years old, my penis is very small and not react in proper time, if i see any porn its standing for sometime but very quickly its come in a normal size, i don t know what s my problem, i checked with doctor, he suggested me that some how blood is not moving in my erection time. plz suggest.......... Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Sex is a divine act and meditation. We foreget ourself through out the sexual act and that makes it proper meditation. Sex should not be performed when you or your partner is tired, stressed. Sex should not be performed during unworldly timing and you should not hurry while doing sex. Erection is happening when blood is pumped into the penis and kept there in a certain pressure. The pressure is not sustained due to the above mentioned reasons. Anxiety about is sex is also another factor. Dont come to a pretext. Yesterday happened never means it will happen tomorrow. Concentrate on career and not on sex. Keep it divine and do meditate, don't hurry and get stressed.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: How to cure penis problem as blood is not moving in erection time?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My toe next to my big toe is red and irritated. It felt this way 6 months ago and then my toe nail went completely black and has not gotten normal. While I was walking today this pain started again. It maybe that it is raw from my 6 mile walk. I thought the black nail was from me excercising in sneakers with too long a toe nail and it bruised my toe bed. BUT That Does NOT Seem so. Doctor: hi,thank you for providing the brief history of you.A thorough clinical musculoskeletal examination is advised.I will advice you to check your Blood glucose levels. Also, such discoloration of the skin occurs due to venous insufficiency and can be corrected by thorough examination.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for black discolouration, irritation and redness in toe"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, for about a couple of month i have been experiencing numbness from the left side of my chest and the muscle my left side is getting bigger and now it feels like numb getting far from the left side of my neck.. may i know what kind of symptoms is this? and what doctor to consult about my problem?.. thanks Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Possibility of musculoskeletal pain due to cervical spine pathology is more. But better to get done ecg first, to rule of cardiac diseases because left sided chest pain is common with heart diseases. If ecg is normal than no need to worry for heart diseases. Than Consult orthopedic doctor and get done x ray and MRI of cervical spine to rule out compression of nerve root. If this is also normal than get done vitamin b 12 level. If deficiency then you need supplements. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes numbness in chest and the increasing size of muscle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my name is Brianna, I had transverse myelitis may of 2016. I have fully recovered except a few sensation issues as far as telling hot or cold in one leg. I recently found out I was pregnant and am seeing a midwife but was asked to see a high risk doctor. What kind of information can you give me on my situation? Doctor: Thanks for your question Transverse myelitis may be recurrent so you should have MRI of lumbosacral region"
},
{
"from": "gpt",
"value": "Target: Suggest ways to rule out transverse myelitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is taking sprintec birth control. She has been spotting off and on and is now rather heavy and still on her birth control. The doctor gave her a generess fe sample pack to stop her cycle. I have forgotten how she needs to take it. This has happened once before, but never used it cause her period simply stopped. How does she take it with her birth control to stop her cycle? She has been on it for 2 wks now. Doctor: since she taking ocp pills there may hormonal imbalance leading to her spoting there is no probelm in taking the iron supplements"
},
{
"from": "gpt",
"value": "Target: What is the dosage for Generess Fe when taken with Sprintec (Birth control pill) to stop periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I m 26 weeks pregnant, and this morning after sex with my boyfriend, I went to the bathroom and noticed a tiny bit of bright red blood on the toilet paper. I wiped again but there was no more. I just went to the bathroom again, and experienced the same thing. Should I be concerned? Doctor: Hi there, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. Please do not panic. It could be due to erosion of cervix or cervical polyp. Also possibility of placental site bleeding needs to be investigated. Please get USG done, to look for placental bleeding. And get gynec check up done to rule out cervical problems. I will suggest you to use Tab Pause 500 mg 3 times a day and Tab Celin 500 mg twice a day for 5 days. Take rest. Avoid deep penetrative sex in future. Use of condom is advisable. I hope this answer helps you. Thanks Dr Purushottam Neurgaonkar"
},
{
"from": "gpt",
"value": "Target: What does bleeding during pregnancy signify?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im having chest pain, neck pain and congestion. my left side hurts sometimes. sometimes i am having out of this world moments where i dont feel like myself. and this has been happening for five weeks but it may be panic attacks but i dont know. but it all started on my left side with these sharp pains and sometimes my hands and legs hurt too and sometimes my arms and feet and sometimes the very top of my chest and very bottom of my neck feel like it is tightning but everyday my symptoms change which is kinda wierd Doctor: Hi thanks for contacting HCM...Here first rule out respiratory causes as you are mentioning congestion with chest pain....Chest x ray done....It will help in rule out bronchitis or other respiratory restrictive disease if present ...If needed spirometry done for pulmonary function test....According to cause treatment done...If no significant respi causes found then yes stress is causative factor....Avoid anxiety as it can lead panicity and pain...Yoga helpful.Consult psychiatrist for counselling ....If needed anxiolytic drug given....Finally if chest pain increasing then ECG done for cardiac screening.Take care....Dr.Parth"
},
{
"from": "gpt",
"value": "Target: What causes chest pain, neck pain and congestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a nut allergie that is Annaphlacyic, I heard there is a cure for nut allergy that makes you take shots that builds up your immune system to nuts.is this true?how long does it take?will I be able to eat all nuts freely? My nut allergy is not severe unless I ingest them. Doctor: HI, thanks for using healthcare magicImmunotherapy is an option to treat allergies. It is normally used for life threatening allergies due to wasp or bee knees, severe hay fever.At present it is not available for treatment of allergies due to foods, this would include nuts.It is not an option for you are this time.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Can nut allergy be cured with injections?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is in late stages of progressive supranuclear palsy . She stays in bed most of the time, bp stays at 90/70 when it used to be 120 s/80 s, can t support her own weight, doesn t feel pain sensation, doesn t eat much, and doesn t talk much. Docs recently added clonazapam and seroquel for agitation and depression and she is a lot calmer. Could those meds be causing her to decline more or is it just the disease? Doctor: Since she had progressive supranuclear palsy ,Docs recently added clonazapam and seroquel (quetiapine)for agitation ,to some extent clonazapam can make her drowsy but this will not aggrevate thesupranuclear palsy."
},
{
"from": "gpt",
"value": "Target: Will clonazapam and seroquel help during last stages of progressive supranuclear palsy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small pea sized bump on my forehead. I noticed this about 10 years ago. At that time I had it checked by my doctor and a specialist who both said it was nothing and not to worry about it. Over the years I ve noticed it get bigger..not so much in size ..just more out of my head. I had x-rays done on it and they told me it was a bone. Again not treating it as anything life threatening. I done understand how a bone could grow out like a bump. Could this be something other than my bone? It causes me no pain.I m just worried it s something else and the doctors are wrong. Doctor: kindly show me X rays & photograph of the bump on your forehead before I can give any opinion.It could be anything ranging from a subacious cyst to a osteoma."
},
{
"from": "gpt",
"value": "Target: Can an extended bone cause swelling on forehead?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 year old has hit the edge of timber table and pushed her gum right up, leaving a semi circular 20c size shaped cut on her gum just above her teeth. The gum has come down and I have been giving her ice to help with the healing process. I was advised this afternoon when it happened that the mouth will heal this problem and not to worry taking her to get it stictched. The bleeding stopped and she was fine all afternoon, although when she smiled at me I could see a slightly brown cut line, and at the bottom of the gash it was a bit swollen. I am concerned that it may not heal properly and will distroy her gorgeous little smile for the period of her life, or perhaps she might have nerve damage and her teeth might die......... I need some advice, please, what should I do? should I take her to the jospital, should this be stitched, or have I left thie wound to long already? Thankyou.... Linda Doctor: Hi Linda,I can understand your concern. As far as the bleeding is stopped, there is no need of stitches. Slight rash and swelling will heal in a week by itself without any treatment. Smile will also not be distorted. I would advise ice application over the wound to reduce the swelling and have relief in pain. Regarding injury to the tooth, it is possible that the tooth might have hurt and it may die internally. For that, I would recommend that you visit a dentist after about a month and go for electric pulp vitality test for that tooth which will ascertain if the tooth is dead or living. If the tooth changes its color to brownish or black, then the tooth is definitely dead and you should go for pulpectomy treatment for that tooth. You do not need to rush to the hospital and the wound is also not left for too long already. If she is in pain, youcan give her 100 mg Acetaminophen or 162.5 mg of Ibuprofen.I hope this information solves your concern. Thank you for choosing HealthcareMagic. I wish the wound heals soon.Best,Dr. Viraj Shah"
},
{
"from": "gpt",
"value": "Target: Is it to be concerned about the cut in the child s gum due to a fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have factor five leiden and am on lifetime warfarin. I have been scheduled to have a tooth extracted. My recent inr was 2.7. Do I need to reduce or discontinue my warfarin prior to the extraction? The dentist office said that my inr should be 1.7 or lower. Doctor: HIThanks for posting your query to HCM . Yes your Dentist is right . Your INR needs to be less than 1.7 else it may cause bleeding after extraction . You have not mentioned what dose of warfarin you are on ? I advise you to take half the dose and repeat INR after 4 days . IF it's less that 1.7 get your tooth extracted , but if its still more than that you can repeat the test after 8 days . Kindly re start the previous dose 1 day after extraction ."
},
{
"from": "gpt",
"value": "Target: Do i need to reduce the medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I have a lump deep under the skin on my labia majora. It is about nickel sized. I just noticed it this morning and it didn t hurt until I felt it. It is hard and movable and sore. It was colorless and now is slightly red because I was touching it to inspect what it was. It seems to be getting a bit more swollen. I do not have unprotected sex and I am extremely clean. However, I recently shaved that area and am extremely prone to razor burn. There are no other signs of typical razor burn in that area though. Not sure what to do. It s outside of my vagina. Only on the right lip of the labia majora. Please help! Doctor: Hi,It seems that you might be having ingrown hair follicle infection due to shaving.Another possibility of having Bartholin gland cyst.Consult Gynaec and get examined.If infection is there, with one course of antibiotic medicine for 3-5 days will cure your problem.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump on vagina"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My grandfather is on home hemo dialysis and is having some confusion was running a fever this morning and was having tremors. He said he was cold and it is 82 degrees in the home and outside. He is at his lowest weight and refuses to go to the hospital. Doctor: Hello and welcome to HCM.Your concern is understandable.As an Urologist, i'm sure you are aware, he's on dialysis treatment for chronic kidney failure. Fever with chills, develops with infection.Confusion may be a symptom of salt imbalance.(electrolytes).You must convince him somehow, and take him to your nephrologist, at the earliest. If you've any other doubts, you may contact me by name.Wishing him a speedy recovery."
},
{
"from": "gpt",
"value": "Target: What causes fever with tremors while on home hemodialysis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I have some bumps on my arms and legs that get very itchy and when scratched open ooze clear fluid. This seems to only occur during the summertime, as it happened last summer but not over the winter. What are they and what can I do to heal these up? Doctor: Hi,Dear Good Evening,I went through your query and understood your concern.I my opinion--Cause and Treatment- on the data given from you is as follows-a-That lump of your arms and legs in summertime are of-ACNE-infected boils of the hairfollicle./ folliculitis.Treatment-a-Tb anti-inflammatory for x 5 days.b-Antibiotics if no response and infection progresses.c-Dress and keep the area by dettol sponging.Hope this would resolve the lump issue of arm and of the legs.This would help you to plan treatment with your doctor who would treat it accordingly.Hope this resolves your query.Wish you fast recovery.Wellcome for more further queries in this regard."
},
{
"from": "gpt",
"value": "Target: How can itchy arms and legs lumps with oozing be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My grand daughter is 4 yrs old. Today she said her tooth was loose. It s the upper front tooth and there is a purplish discoloration on the gum directly above the tooth. She s not in any pain. I m assuming it s because the tooth is loose. No trauma to the area to cause this . Is it normal? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your grand daughter have symptoms of purple discolouration on gum which can be a bruise caused by some injury to the gums and toothbrush bristles or it can be due to some hard food like chips that can cause injury to the gums and rupture of small blood vessels can cause blood accumulation below the soft tissues leading to formations of red to purple bruises. Need not to worry much if it is painless as it will resolve on its own and in case if it spreads or there is pain in the area you should consult a dentist to get ruled out for infection in the gums or teeth. Maintain complete oral hygiene by brushing and flossing. Avoid intake of sticky substances.Hope your concern has been resolved.Get Well Soon.Best wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes purple discolouration on gum in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with a large cyst in my quad groin muscle, as seen on MRI. I am worried that this may be a tapeworm cyst as the symptoms started a couple of months after I was ill on a visit to Pakistan. Where should I go to get a diagnosis of the cyst origin? Doctor: Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data,you need to get to treat it by antihelminthic drugs from ER Physician and if no relief then-Surgical Excision of the tapeworm Cyst is advised.So I would advise you to consult a ER Surgeon ,who would treat it accordingly.Hope this would resolve your issues.Act fast.So keep cool and Consult your ER Surgeon, if need be , who would treat it accordingly.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good reviews and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cyst in quad groin area"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother is 61 years old. she has severe pain and stiffness in abdomen (precisely the area below breasts and above the belly button). At same time, the blood pressure is around 230/120. even after taking blood pressure pills, the pressure isn't coming down. Bu her major discomfort is the pain in abdomen! what could be causing it? Doctor: Hello!Welcome on HCM!I understand your concern and would recommend brining your mother to the nearest ER service for some tests: -a resting ECG and cardiac enzymes-an abdominal ultrasound- complete blood count- liver and kidney function tests- lipase and amylase for pancreatitis- a chest X ray study. Her blood pressure values are really high, but they could be a reaction to extreme pain. Hope you will find this answer helpful!Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes pain and stiffness in abdomen with high blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have completed a full cycle of the birth control pill Apri 28. I started my period on April 1st and ended Friday April the 5th. I took the placebo pills until sunday night when I took the first pill of my cycle. Last night (9th day of my cycle) I had unprotected sex and being two days into the birth control pills I was wondering if I was safe from pregnancy? Doctor: HelloThanks for your query.For the first one or two months of birth control, a back up method like condoms is advisable, because the hormonal effect takes some time to kick in.However, as you have consistently used the pill for a month earlier, chances of pregnancy are quite low, although you are never altogether safe.Take care."
},
{
"from": "gpt",
"value": "Target: Taken birth control pills. Had unprotected sex. Safe from pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: There is a yellow patch of skin in her mouth on the left side of her cheek. It is slightly swollen, somewhat shiny and the skin is has wrinkled lines in it. She says it doesn t hurt but feels weird. She is 12 years old, 100lbs, and has a history of kidney stones. Doctor: Thanks for your query, i have gone through your query. the yellow patch on your left cheek could be a prominent fordyces granules or spots. it is nothing but ectopic eruption of sebaceous glands. it is a benign lesion nothing to worry. if it is troubling your functions then get it removed surgically. or it can be a lipoma also, even this is also benign lesion. i hope my answer will help you take care."
},
{
"from": "gpt",
"value": "Target: What causes slightly swollen yellow patch on left side of mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm 18, healthy and have a normal medical history. For the past few months I have been having left chest pain radiating into my arm and upper back. I went to the ER and my ecg, bloods, blood pressure and chest xray were all fine, but I am still getting the pain and am concerned. Doctor: Hi In my opinion you should have a cervical MRI done to check for cervical disk lesion or spondylitis Good Luck"
},
{
"from": "gpt",
"value": "Target: What causes pain in the chest radiating towards the arm and upper back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good day! My daughter s name is Carmela, 13 years old, 4 11 tall and weighs 48kgs. Last July 4, she had experienced shortness of breath while in school. she was brought to the hospital and admitted for a day to undergo 2D echo and doppler. The doctor said she has rheumatic fever and has a trivial Mitral Valve Prolapse. She has varicose-like veins on the back of her legs and on her shoulders, colored red. As per results of doppler results. 2D echo conclusion is: Echodense Anterior Mitral Valve leaflet with trivial regurgitation probably rheumatic in etiology while the Doppler Impression is: Deep venous insufficiency common femoral vein to posterior tibial vein bilateral; Superficial venous insufficiency bilateral; no evidence of venous thrombosis bilateral. She was given Phenoxymethylpenicillin (sumapen) 500mg, 1cap TID for 10days; while she was advised to wear compression stockings. But why is my daughter has a daily attacks of shortness of breath for about 2 weeks then after that, she had experienced pain and numbmess in her knee joints and right shoulder then just this week she experience backpains. Your answers regarding my querries will be very much appreciated. Thank you very much. Llane Doctor: HelloRegarding shortness of breathing the lungs should be evaluated too with chest x ray and a spirometry test.RegardsDr.Jolanda"
},
{
"from": "gpt",
"value": "Target: What causes shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I have pain in my left abdominal. It s started 3 days before. It s mild pain and will become intense when i go for urinal. But when urine starts to flow, the pain is not there. Also sometimes i bent down, i feel same intense pain. Could you please tell me what problem i have? i had taken medicine dolokind, but condition remains same Doctor: Hi.Thanks for your query. Read your history and understood your problem.The most probable reason for such of pain in left side of abdomen which gets intensified while passing urine and relieved by urine flow can be :Diverticulum of the urinary bladder.Reflux of the urine from the bladder to the left lower ureter.Stone in the left ureter.This can be easily diagnosed by:Routine blood and urine work-up.Ultrasonography of the abdomen and cysto-urethroscopy helps for the diagnosis. Muctirating cystourethrogram under Fluoroscope again can be of a help to see for the dynamics of urination and any anatomical defect. The treatment will depend upon the findings on investigations , which may be a surgical intervention.Wishing you all the best for early diagnosis and proper treatment ."
},
{
"from": "gpt",
"value": "Target: What causes pain in left abdominal area which worsens during urination?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my daughter has been getting dizzy and tired,we took her for a blood test and they rang me the day after saying she was anemic and low on b12,why has this happened as she eats all the right food which has plenty of iron,i cant get to see her doctor untill nxt week as theres no appts left till then,just worried incase they give her the b12 shots,i myself have suffered with this for many years just surprised my daughter is the same,di Doctor: Hi. Vitamin B12 is a very important vitamin which is available only in non-vegetarian sources and is essential for red blood cell production and maturation. Deficiency of this vitamin is common in vegans and would lead to anemia and less commonly nervous system abnormalities. Iron is also important as is folic acid, and these three together are quint essential to prevent anemia. Anemia can result due to deficiency of any of these three substances, and any type of anemia is associated with fatigue/dizziness as the oxygen carrying capacity of blood reduces due to deficient hemoglobin. Other causes of Vitamin B12 deficiency include worms, absorption defects and pernicious anemia. So do not hesitate in treating her with Vit.B12 if it is the cause based on the tests. THank you."
},
{
"from": "gpt",
"value": "Target: Does being anemic, low on B12 cause dizziness, fatigue ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m 23 years old i have a married life of 1 yera..recently i found i have chacolate cyst in my right ovary..i did laproscopy also..do i need any medication to get pregnent..recently i consult the doctor she scaned me again and told that one chacolate cyst of 3cm is came again.so what i do now to get prgenent Doctor: Hello,Welcome to HCM,Chocolate cyst is also called an endometrioma, it is one of several types of cysts on ovaries that affect women.It grows on the ovary that contains fluid and sometimes semi-solid material too.It is possible for a you to still get pregnant even without removing the endometrioma. Being fertile are very good if there is only one cyst and it is small in size. As you have not mentioned the size and the number it is very important to know the chance of pregnancy.Drugs will help in relieving symptoms temporarily but do not treat the cyst. Danzol and GnRH are two such drugs commonly used. Surgery is often recommended but has its own problems as well. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chocolate cyst"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have severe pain in my lower right leg. It feels like needles being injected into my leg. I did carry very heavy boxes, many, to the basement after Christmas and since then my right side has been having issues. At first it felt like it was going to be my right knee, but the pain has moved to to leg. Doctor: Dear patient you are describing a classical condition known as Sciatica which could be due to prolapsed intervertebral disc.Yes you must definitely show it to a doctor and get a cat scan done for your lumbar vertebrae.Also a general physical examination of your back and legs done by an orthopedic can help point to the diagnosis.The other rare possibility is that you have stretched the sciatic nerve but given your symptoms it seems unlikely"
},
{
"from": "gpt",
"value": "Target: Should i be concerned about severe pain in my lower right leg inspite of carrying heavy weights?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My grandmother is in her late 60s and has been diagnosed with alzheimers in the past year. She s been experiencing these spells lately she explains as a heat sentation that goes from her feet to her chest. She says her actual skin Gets hot also she puts a cold cloth on her legs it s so bad. She feels weak and tired after and confused. It was happening alot, then stopped for a couple weeks then suddenly they are back and she s had afew in the past two days. They come in numbers. She goes to a small town hospital and I don t think they are doing much to look into this. They keep telling her she is fine because they did a heart monitor for 24 hours and it came back fine. I m just looking for an actual professional opinion because I can t seem to find anything this even relates to.. we re all at a loss.. and worried. Please help Doctor: Hi, Burning sensation from foot to the chest may be due to deficiency of the vitamin, or sometimes it may be associated with diabetics. So I would like to go for sugar test and nutritional supplement. Sometimes in Alzheimer's disease, it may be psychological also. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Adish V. Doshi, Psychiatrist"
},
{
"from": "gpt",
"value": "Target: What can cause hot sensation from the feet to the chest while suffering from Alzheimer s disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my self muhammed fuzail i am suffering from trembling and shaky hands from last 10 years what would be the cause of my suffering? i had also suffered from chorea even i am aslo suffereing from from some sexual weakness can u suggest me some natural remedies to these problems Doctor: **1. since you have history of chorea, thus as compulsory routine examination, heart for any valvular lesion, eye examination for exophthalmos, and signs of hepato cellular failure should be looked out for with suitable examination & Investigations2. since Age is not mentioned and the suffering is from last 10 years, thus could be Senile Chorea [following old age], although requires examination/ opinion from Neurologist regarding any brain Pathology [vascular lesion, neurotransmitter problem [Parkinson/Alzheimer]PS. In Ayurveda 'Vata' is concerned with 'Tremors' thus treatment will be given on the basis of vatahar 7 rasayan chikitsa, you may take 'Medhya' drugs to reduce stress and magnesium to relax the muscles.3. since sexual weakness requires detailed/meticulous history, thus you need to see a fertility specialist, [regarding premature ejaculation, erectile insufficiency, loss of sexual drive, abnormal fatigue after sexual act] if weakness is not associated with nervous problem."
},
{
"from": "gpt",
"value": "Target: What treatment to take for chorea and sexual weakness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a swelling on the inside of my lower lip it looks like a bubble and you can see it unless I fold my lip into my mouth.. never had one before it looks like a blister, as if it had liquid in it it is more uncomfortable than painful, v little pain.. Doctor: Hello, It could be an aphthous ulcer with pus collection. Consult a general surgeon and get evaluated. If there is pus collection, it must be drained. You can apply oral steroid paste-like triamcinolone also. Include more fruits and vegetables to your diet to prevent recurrent aphthous ulcers. 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: What causes painful swelling on the lip?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: OK so I think that im pregnant. I missed one month of my period (may) i had sex in may(25) but the following month I got my period. I have heard that pregnant women have vaginal bleeding when pregnant and could be mistaken for a period. I have no symptoms but cramps. I took a pregnancy test and it was negative. Im also on BC. Help... Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Yes, sometimes bleeding is possible in the early weeks of pregnancy due to hormonal deficiency but you are already on birth control and your pregnancy test was negative after 1 month of amenorrhea. Also, progesterone the only contraceptive is known to cause menstrual irregularity which might be the cause of your delayed menses. So you are not likely to be pregnant.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vasudha Jayant Athavale"
},
{
"from": "gpt",
"value": "Target: Can vaginal bleeding occur during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have a question regarding my three year old daughter. At approximately 9 months old, she was diagnosed with bilateral kidney reflux, grade 3 and 4. At age one, she successfully went through a STING procedure to correct the reflux. We have had no problems since. However, I have noticed over the past couple of weeks, there is a strong smell from her urine. There are no temperatures or other sign of infection. Would a strong smell indicate an infection? Thank you for your help. Doctor: welcome to healthcaremagic, get your child's urine routine examination done and that shall answer all the questions. If urine examination shows pus cells then she needs further evaluation."
},
{
"from": "gpt",
"value": "Target: Does a foul smell in urine indicate urine infection in my child ? Could this smell be due to kidney reflux ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hay doc, i have been experiencing the pain in my front left side and back side.sometimes i feel like im getting ran out of breath for some minutes and my through t feel like i have something blocking it.when i sleep i get black out like my heart stop beating for seconds...pleas doctor i really need help on this... Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of either bronchitis or heart block is more. You are having cyanosis (bluish blackening of skin) and absence of beats for some time. These are symptoms of heart block. So better to consult cardiologist and get done ecg and 2d echo. If both are normal than we need to rule out bronchitis. Because your symptoms like chest pain and breathing difficulty are seen in bronchitis. So get done PFT (Pulmonary Function Test). You may need inhaled bronchodilators and inhaled corticosteroid (ICS). 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 is the cause of shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had a splenectomy and a colectomy in 2006. He has had a chronic productive cough since that time. He was hospitalized in jone 2011 with pneumonia and has had recurrent pneumonia since then. He has had fifteen courses of different antibiotics as well as two rounds of prednisone. A bronchoscopy done recently showed the right middle and lower bronchus full of mucus and the left upper bronchus almost totally occluded. He was cleaned out and cultures done. As with all other sputum cultures done over the past year the results were negative. He is now having productive cough, sweats, fatigue, pronounced hoarseness and generally feeling unwell. His doctors are stumped and do not know how to treat him. We are desperate for answers and treatment. Any suggestions? He is 48 years old, 5ft 10, 185 lbs Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.After splenectomy there are more chances of Staphylococcal infection, maybe that causes recurrent pneumonia, and still, that is there. After bronchoscopy, you have to send broncho fluid for culture, sensitivity, fungal staining, and gram staining.There must be a source of infection like something in the job, cloth, car, or in-house you have to search. Another option is spirometry for rule out lung disease if it is there, then you have to change medications accordingly.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for productive cough,sweats and hoarseness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In the beginning of May I had 13 root tips pulled. Two of them were absest. Immediatly after extractions, I had dentures put in, top and bottom. About an hour later I developed a red ring around my lips and have tried everything to get ride if it. It has not cleared up. What is wrong? Doctor: Thanks for your query, I have gone through your query.The red ring could be because of the traumatic ulcer or it can be a aphthous ulcer. Nothing to worry, Consult a oral physician and get it ruled out. If it is traumatic ulcer or herpetic ulcer, you can take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food.If it is aphthous ulcer you can take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food and topical steroid like triamcinolone acetonide 0.1% 4-5times daily after food.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What is the red ring on lips after root tip extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I recently had oral surgery (impacted wisdom teeth) in which they extract all 4 wisdom teeth that have not yet erupted. It has been two weeks since the surgery and pain has stopped for the most part exept for major heads, aching jaw, aching ears, and i have a large bump on the roof of my mouth where on tooth was extracted. It is not longer painful but I am concerned because it is pretty big. I have a couple other bumps but they are A LOT smaller. I am 17 years old, 140 lbs, 5'3, and no major health problems. Doctor: Hi,Thanks for posting the query, I would suggest you to get an x-ray done of the region the bump should not last for too long , there could a chance of infection present or any left over tooth particle, a course of tab almoxiclav TDS for 3-5 days is required, at home take lukewarm saline and antiseptic mouthwash garles two to three times a day.Take care!"
},
{
"from": "gpt",
"value": "Target: What causes bump in the mouth after wisdom tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my name is gagan and my age is 25.my hairs are falling regurly from one year.i have not so much hair left. i have itching problem and sometimes my hair roots pain when i touch them. i have dandruf like oily dandruf. plz suggest me ayurvedic medicine . Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of hair loss and itching with dandruff which seems to be due to nutritional deficiencies, systemic conditions, compromised immunity of body, genetic factor , fungal infection and hormonal changes.Need not to worry. I would suggest you to maintain complete hygiene and take biotin supplements. Take Indian gooseberry powder with water once a day and use olive for massage. You should consult dermatologist for proper examination. Doctor may order skin patch test , blood test and physical examination. Keep your scalp dry. Doctor may prescribe you drug like finpecia at least for 3-4 months.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for hair loss and itching with dandruff"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi had a fbc test done a couple of weeks ago and was 21 went back and checked my urine but no infection. also had another blood test done today should i be concered as a couple of years ago i had high wbc for over a year and ended up at the hospital where it was diagnosed i had had glandular fever which was a reason for the tiredness. Could this be back Doctor: Hello and welcome to HCM,A high blood counts should be investigated.You need to get differential blood count to know the component of white blood cells which is increased.An increase in neutrophils is usually due to bacterial infection.An increase in lymphocytes is usually due to viral infection, chronic infection etc.You need to consult your primary healthcare provider for clinical assessment, investigations and thus management.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: Is high WBC counts sign of recurrence of glandular fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old son has hurt his wrist, last night he had a X-ray that showed no fracture. Late last night he woke in agony and this morning it is swollen, bruised and with a lump on top of his wrist where his wrist bends...... Should I go back or is it just ligament damage? Doctor: Hi.You should go back to the doctor.Just a ligament injury is bad than the real fracture. It is difficult to diagnose and treat. He needs a temporary slab so that the movements are restricted. This is needed for a proper healing. Keep the limb in elevated position in lying position to reduce the edema and pain."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump on the wrist"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi sir iam 23 years old and i have a habit of Masturbation since 5 years is it effects to me in future nd also causes any weakness of erection or semen ejaculation Doctor: Hello kiran ; welcome to HealthcareMagic Mastrubation does not cause any sort of health problems or effect on future sex life.If done in excess it may cause loss of concentration in studies and daily work so avoid doing as a habit although you can do whenever you want.There will be no weakness in sex;erection or ejaculation due to mastrubation. Thanks"
},
{
"from": "gpt",
"value": "Target: Weakness of erection due to masturbation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Sir, I have had a kidney stone (4.6mm) since September 6, 2014. The pain has stopped and just light headedness and a bit of nausea. The urologist called and said he can perform a surgery. What are the pros and cons of doing such a thing and what are your thoughts? Doctor: Hellostones of size less than 10 mm can be treated usually by medicines only and dont require surgery...."
},
{
"from": "gpt",
"value": "Target: Is surgery required for kidney stone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I had an my last period started 11/26/12 And I has an Hsg 12/7/12 to check if my tubes were clear. My menses have always been like clockwork 30 day cycle. I have still not received my menses or ovulated. I had a blood test for both. I was seeking fertility treatment due to male factor infertility not because of any problem I had myself. The Hsg was just a just in case procedure. Is it common to miss a period and not ovulate after this kind of test? My doctor has offered provera to start my period but I am considering waiting it out and letting my body take its natural course. Also am I correct in assuming that the provera might make me bleed but not ovulate? Any help would be appreciated. Thank you Doctor: Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: Sometimes there is variation in women's cycles. If you wish to wait for another month it should be fine. If you are in hurry, please take the medicines prescribed by your doctor. HSG is not associated with this. I hope I answered your query. I will be available for any follow up queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist."
},
{
"from": "gpt",
"value": "Target: Taking fertility treatment, missed period, not ovulated. Normal while taking treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am 14 weeks pregnant and have this discomfort/ pain under my right breast (right side of ribs). While I was getting ready for bed last night, the pain would go to the middle of my back. What could this mean? I am also short of breath when I am busy teaching my students. Doctor: Hello dear,I understand your concern.In my opinion the sudden onset of pain might be due to gastritis or muscular pain.Take antacids.Avoid spicy and oily diet.Take panadol for pain.Dont worry.Some types of non specific pains appear in pregnancy which subside spontaneously.Relax.Best regards..."
},
{
"from": "gpt",
"value": "Target: What causes pain under the breast when you are pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor , I m Claudio, I m italian.. this is my semen analysys: count 8.000.000; fast forward 50%; slow forward 35%; sluggish motion 10%; immotile 5%; I would like to know if these values you can find a natural pregnancy , so if it is a potentially fertile sperm , I m afraid that the sperm count is too low .. Thank you in advance. sincerely Doctor: hello welcome to healthcare magic ,the count which really matters is the percentage of active sperms which should be more than 50% ,and it is ,so your wife can become pepregnant surely if she is well ,get her teted too.Take Care"
},
{
"from": "gpt",
"value": "Target: Does my semen analysis show a low sperm count ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my age is 49 and am 5'10\"...my weight is 78kg...my haemoglobing count is 16.4 g/dl..please let me know the reason for the increase in my haemoglobin over the standard reference level(12-16)..and also please do let me know how to reduce this haemoglobin and if this is harmful for me Doctor: HiYour Hemoglobin levels are in the upper limit of normal, so there is nothing to worry about it as long as you are asymptomatic. Regards"
},
{
"from": "gpt",
"value": "Target: What causes rise in hemoglobin ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MU HUSBAND HAS JUST HAD HEART CATH. EF 15% BUT NO BLOCKAGE. 20 YR OLD STENTS GOOD. DOPPLERED LEGS AND FLOW WAS GREAT. HE IS OVER WEIGHT AND SITS FOR 12/14 HOURS PER DAY AT HIS JOB. MY QUESTION IS IF HE DOES CARDIAC REHAB AND LOSES WEIGHT, TAKES THE MEDS GIVEN BY MD AFTER HEART CATH ( TOPOROL XL, ALDACTONE, ASA 81MG) CAN HIS EF GET BETTER? Doctor: hello, EF generally will not improve much after these medicine but it will halt the further fall of ejection fraction. So he should have these if blood pressure is not very low. Otherwise healthy lifestyle and fluid restriction is important."
},
{
"from": "gpt",
"value": "Target: Is Toprol-XL and Aldactone safe to be taken to treat low ejection fraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had sludge and gravel in my bile duct . I had to have it cleaned out three times in a short period of time. I do not have a gall bladder . Now I have pancreatitis and cysts on my pancreas could this be the cause? I also have an excessive amount of bile that goes into my stomach since I had my gall bladder out in 1980 and suffered from bile reflux. I am seeing a doctor for all this at this time but I have been researching my symptoms and am curious after reading about the sludge and gravel. Doctor: Hi, Thanks for writing in. The procedure which you need to undergo would be a endoscopic sphincterotomy of the sphincter of Oddi which would help in proper and adequate drainage of the bile duct. This will also prevent the chance of precipitating an attack of pancreatitis. Regards"
},
{
"from": "gpt",
"value": "Target: Gall bladder removed due to gravel and sludge in the bile duct. Suffer from pancreatitis. What is causing this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am aged 38, trying to get pregnent. My Gynec says that I have low Follicle stimulating hormone(FSH) and she recommended Ovacare tablet twice a day. Could you suggest if Ovacare will assist me in the hormone production or you recommend any other tablet? Doctor: Hello, and I hope I can help you today.A low FSH is actually a good thing and means that you likely ovulate have normal estrogen levels. If you menstruate regularly, it also means that you likely ovulate.Ovacare has nothing to do with helping you get pregnant, or hormone production- it is just a vitamin supplement recommended for women to take while trying to conceive to provide adequate levels at conception.So 80 percent of couples will conceive by one year if they have regular unprotected intercourse at least 3 days a week. If you do not conceive by 9 months or so, it would be reasonable to see a fertility specialist for evaluation, which would also include your partner, since 50 percent of the time it can be a male factor.I hope I was able to answer your question today and that my advice was helpful.Bets wishes, and good luck conceiving, Dr. Brown"
},
{
"from": "gpt",
"value": "Target: Is ovacare advisable for stimulate FSH production?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have recently had a dull ache and almost a tugging sensation on my left testicle. It feels permenantly uncomfortable like it s been re-positioned and sitting right and I am constantly having to re-adjust. Further to this I have noticed a lot of extra skin around my scrotum. What could this be? Doctor: Hello Pain in testis may be due to infection,hydrocele,torsion etc.This need clinical correlation and investigations.Besides clinical examination,you need investigations like routine hemogram,random blood sugar,urine RE/ME and ultrasound of abdomen.Proper treatment depend upon findings. Loosening of scrotal skin is not serious.It may be age related. Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What causes pain in testicles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have recently had a cold and my asthma is active, I have been using an Albuterol inhaler frequently for the last few days and now I have white strips and white splotches on my tongue. Is it thrush? Related to the inhaler use. I also use Flunisolide daily. This occurred after the inhaler use began, I started using the Ventolin Inhaler Tuesday evening and have been using it frequently now with this cold. I only use the albuterol when I get a bad cold that causes me to wheeze and cough. Doctor: inhaler can cause white patches.so,after the use, 15 min later , gargle with water every time now candid paint can be used"
},
{
"from": "gpt",
"value": "Target: What causes white splotches on the tongue while treating asthma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife has had 2 sist removed from both overys on may 3rd. the first time we had sex after the keyhole surgery was on 29th may and now she has found she is pregnant. But when she has peed on the stick it says she is 3 weeks pregnant. how can this be. her last period was when she was at the hospital which was on the 3rd may.Is the test kit wrong? Doctor: Hallow Dear,Usually, home urine pregnancy tests are fairly reliable, though false negative results are known if the test is performed too early. False positive results are very rare. You have got two options:1. Repeat the test on the overnight first morning urine sample.2. Go for Beta hCG test. This test is highly specific and sensitive and can detect the pregnancy even before the periods are missed. If the Beta hCG test is positive, she is pregnant. The calculations of pregnancy duration may be wrong. With the help of ultrasonography, you can decide the duration of pregnancy. This will confirm the pregnancy also.Hope this helps you. Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: Suggest tests to confirm pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my nephew 3+, has cut himself with a rusted knife, just scratch and little bleeding, given savlon, he has been given DPT earlier and his next dpt dose is when he will be four year. He has not been given any tt now but doctor recommended antibiotic flucloxacillin, his mother is confused. Need your suggestion . Doctor: Hi, welcome to HCM. Since your child immunization is complete for age and though the knife was rusted, the scratch and bleeding was little, there is no need of giving tetanus injection. Whenever a wound occurs, there are increased chances of staphylococcal infection so child should be given cover of antibiotics like cloxacillin. So, you should continue the antibiotic for atleast 3 days. I hope this has helped you. Take care. Regards - Dr Deepak Patel, MD Pediatrics"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for injury with rusted knife"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am sleep deprived and fatigued. I have been taking Ropinirole 2mg for about five years for RLS. I have had numbness in my hands when I wake up in the am and during the night. I have had severe numbness and pain in my hands along with the numbness for about one week. Same symptoms but more intense all of a sudden. Doctor: Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. well i would also be pleased to know the age and occupation...Regarding pain and numbness in hands kindly get an Digital X-ray cervical spine to find out the cause which is causing these syptoms.Prolapsed inter-vertebral disc in cervical region suggests your symptoms.. So don't get late to visit a neurosurgeon along with x-ray so that you can be properly treated and rule out the neurosurgical cause of your symptoms...If they say nothing to worry from their side then just relax and get your sleep habits sound and reduce worl overload...i hope you will feel good once you visit neurosurgein along with X-ray cervical spine AP and Lateral view.Hope this may help you. Let me know if anything not clear. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for numbness and pain in hands"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son has been sick on and off for 6 weeks, with stomach pain, loose stool, low energy and very pale. No fever, but looks weak and pale. In the last two weeks he woke up screaming with stomach pain and we took him to the emergency twice. They thought he had a viral infection first time and sent us on our way. Didn't even see us the second time. The pain is acute and only lasts at that intensity for few hours at the most, so he presents fine at emergency, eating, drinking, no fever etc. Walk in clinic ordered an ultrasound (came back normal, thought he might have intestinal swelling) and blood work. Blood work came back with high hemoglobin, hematocrit, red blood cell count and platelet count. Most others were close to being high too. What could this mean? Doctor: This is the classical case of polycythemia vera. it is a abnormal increase in RBC, Platelets, granulocytes. This increase leads to abrnormal high hematocrit. many a time it will cause blockade in the small blood vessels like Gastro Intestinal Tract in your case. and leads to ischemia and resulting in pain. consult hematologist near you and start the treatment accordingly. thnx"
},
{
"from": "gpt",
"value": "Target: What causes high hemoglobin,red blood cell count and platelet count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir my mother had psoriasis problem before, she was prescribed neotrexate and sysfol which relieved the problem but now she is having cough problem which is not lasting. So i want to know can that be due to side effect of the prescribed medicines ?? I would appreciate your reply.... Doctor: Higenerally neotrexate and sysfol do not cause cough . In rare situation neotrexate can cause hypersensitivity pneumonitis bu that is a serious condition with lot of breathlessnes and needs emergency treatment> Your mother seems to be havung a mild chronic cough only which appears to be due to unrelated causeThanks Dr Vijay gandhiMBBS, MD"
},
{
"from": "gpt",
"value": "Target: Can neotrexate and sysfol cause cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i normally have periods for 4-5 days, it was my 4th day on 22nd feb ,me and my boyfriend were just playing around,he touched his penis on my vaginal external parts FOR AROUND 15-20 SECONDS, HE DIDNT HAD AN ERECTION ,he didn t penetrated,i am jus 18+ and from a reserved family, can it leadto pregnancy please help me ...... Doctor: Hello dear,i understand your concern.In my opinion there is chance of pregnancy when semen is ejaculated inside or around the vagina during the fertile or unsafe period.The 4 th day comes under safe period so there is no chance of pregnancy even with ejaculation.Just touching the private parts without ejaculation does not result in pregnancy even in unsafe period.So relax.Avoid stress.Practice safe sex with condom.Hope this helps.Best regards..."
},
{
"from": "gpt",
"value": "Target: Are there pregnancy chances with non penetrative sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I hit right under knee around the patellar tendon on the corner of a metal bench and it hurts under the knee cap when I bend and straighten it a little. There was never any swelling and now 24 hours later it is a little tender to touch under the knee and it hurts when I squat down and when I am sitting and get up. I am a 14 yr old boy and I can walk fine please tell me what you think it could be Doctor: Hi . You have hurt tour knee below patella and it hurts when you bend your knee.In 14 yrs old boy it possibly a small injury to patellar tendon causing internal swelling and pain on bending. Apply some ice and take painkillers for a few days it should go away."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain under knee cap when bending and straightening, tender to touch knee after a hit under knee?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 22 and still a virgin . i had decided to have my first time sex with my boyfriend (whom is also a virgin) soon. However, we wanted to avoid having a baby at this moment. Will using a condom and withdrawal method at the same time and having sex on the 4th or 5th day after ovulation be helpful to avoid the risk of getting pregnant? thank you for your time Doctor: Welcome to health care magic! I have gone through your question and from that I found that your concern is that you want to avoid pregnancy. You have planned to go for condoms and withdrawal method to keep you from getting preganant.From my clinical experience I can say that condom is a good option to prevent pregnancy as well as protect your self from other sexually transmitted diseases. The other method which you want to use is withdrawal method, which is not very effective and safe. It is not only difficult to perform, but it's success chances are not very good. It can be done but when one has to practice it several times before you become accustomed. However, You are planning to go with the combination of condom and withdrawal technique which looks fine .The days you have chosen have lesser possibility of getting preganant, provided you have a normal and regular me natural cycle ( about which you have not mentioned anything). However, no method is 100% safe, all methods have some failure rate. These measures are fine for doing sex sometimes, but of you shift to go for regular sexual relationship, I would advice you to consult a gynaecologist for better and safer options.Hope this answer helps you.Feel free to ask more questions regarding your health.Dr. Manisha Gopal"
},
{
"from": "gpt",
"value": "Target: Will using a condom and withdrawal method at the same time and having sex after ovulation help avoid the risk of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Name: Saba Ashraf Date of birth: April 1981 Status: Marieid (3 children) Note: Asthma problem, use the foster spray normally when very serious attack of asthma take I take neoclav 625mg tablets when humidity is high, I have to face asthma problem After the second baby birth i am facing this problem ( second bay is 5 years old) Please advise me what is better for me, what i should now, I will be thankful to you Saba Ashraf E-mail: YYYY@YYYY Doctor: Hi, If you have been diagnosed with asthma and are getting repeated attacks the you need to take a maintenance inhaler regularly on a daily basis and not as and when required. Also please do not neoclav tablets by yourself in any situation.It is advisable that you visit a Pulmonologist and get yourself fully evaluated and get a pulmonary function test done so that your treatment is optimised on inhalers and oral medications. Once your treatment is optimised as per you evaluation parameters then you won't have to tackle these frequent asthma attacks. Regards Dr. Gyanshankar Mishra MBBS MD DNB Consultant Pulmonologist"
},
{
"from": "gpt",
"value": "Target: Taking Neoclav for asthma. Worsens when humidity is high. What should I do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: heya......having vitilogo...searching for best treatment ..... Doctor: Hi!chetna_todi, Welcome To HelathcareMagic forum, Chetna,treatment of vitiligo depends upon various factors ,like your age,area of involvement, extent of lesion, lesion is active (spreading) or stable(static) ,any associated illness etc.So kindly let me know about these things so that I can guide you further . Various options of treatment are: oral medicines and topical creams (photosensitive medicines),topical steroids ,photo therapy (PUVA/NBUVB) ,surgery etc. Kindly also let us know what previous treatment you have taken and what was the response. regards, Dr.Chawda"
},
{
"from": "gpt",
"value": "Target: Best treatment for vitilogo"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having lower back pain on both my left and right side - very uncomfortable to sit at this point - and have had frequent urination - no burning sensations - this morning. I am a 57-year old female. Could this just be some kind of kidney infection? Doctor: Hello, I have studied your case. back pain can be due to muscle strain or gall bladder disease or renal calculi.You may need x ray and Ultrasonography.And also check your vit B12 and vit D3 level.Medication like methylcobalamine and analgesic will reduce pain.You can do yoga exercises and focus on spine extension exercises.You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case.If required you may need MRI spine.Hope this helps. Wish you a speedy recovery. Take care"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For two days now I get up and feel jittery all over and stomach a bit unsettled, almost throw up feeling. It goes away later on in the day. Some kind of nervenous. I m on zoloff 100mg and clonazapan 1mg. Hands are tingling and feel like they are going to start tingling..65 yrs old Doctor: DearWe understand your concernsI went through your desciption. I suggest you not to worry too much. Panic disorders are usually associated with underlying anxiety disorder. Anxiey is fear of a future event which may or may not happen. Stress and depression may also cause panic disorder. Proper assessment is required to have proper diagnosis and treatment. Please consult a psychologist for psychometric assessment and advise on further treatment methodology. If you need more of my help in this regard, please post a direct query on this portal. I am happy to help you.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes panic attack and nausea on waking up?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I took the emergency contraceptive pill a week ago saturday and suffered no symptoms until yesterday. I have been very gassy and have weird pains in my stomach maybe light cramps and a little bit a back ache now and again. Also yesterday I started bleeding as if my period has started. I am really worried as I don t know if this is normal!? Doctor: Hallow Dear,Emergency contraceptive pills contain some Progestational preparations. They are known to cause nausea, vomiting, acidity like gastro-intestinal disturbances. They are causing gases, pain in abdomen, etc.. Some proton pump inhibitor antacid like will help you control these symptoms. You may try Pantoprazole daily for about a week or so. Being Progestational medicine, few days after consuming the pills, some amount of bleeding is known. It usually lasts for about a day or so and then stops by itself. It is not an issue of concern. I hope this helps you. Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: What causes excess gas,stomach cramps and back after taking contraceptive pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 20 years old. I have had shocking shooting pain in my rib cage since I was about 6. Lately it feels more of an issue. If i am haveing this pain, my breathing has to be short, no long deap breaths expanding my chest. they can go on for days just slightly or minutes extremely painful. I have done an x-ray twice-nothing. However my left breast around it I have hard small lumps that hurt all the way around my breast. Oddly in high school, playing in the marching band, the vibration set the pain off, or i could feel the sounds resonate in me and it hurt as well. doctor thought dislocated rib. xray showed my ribs are just fine. I am so confused and constantly worried. any ideas? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of costochondritis is more. So follow these steps for better symptomatic relief. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take combination of painkiller and muscle relaxant drugs. 5. Apply warm water pad on affected areas. 6. Wear rib belt or chest belt to prevent minimal mobilization of affected segments. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes rib pain while breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doc, My name is vera, I’m 28years old. I got married last July 2017, I have had regular coitus for the past 4 month with no pregnancy. I took some contraceptive medicine last February 2015 for three months. My gynecologist has put me on duphaston and femara drugs. Would like to know if the reason I’m not getting pregnant is as a result of the contraceptive I took years back? Thank you Doctor: Taking contraceptive pills 2yrs back will not affect ur pregnancy now. ur doc has given u induction drugs take those drugs and hope for best this time"
},
{
"from": "gpt",
"value": "Target: How can infertility be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning. my 4-month old broke out in a full body rash after his second ever bottle of enfamil formula. we went for allergy testing and passed for milk, soy, and a couple common proteins . Gave him similac... full body rash and threw up. passed allergy tests again. gave him soy formula, was fine for over 4 bottles in 2 days. woke up this morning with full body rash again. no other environmental changes come to mind. advice? Doctor: For 4 month old baby no need to add any other milk Only mother milk is required for baby for 2 years and after that no milk Baby has no immunity till 2 years which is given by mothers milk till 2 years after that the internal immunity of baby starts and he does not need support of mother milk after 2 years you can add other things This age also you can other substances instead of milk Dont add any milk till 2 years Camelmilk has the same structure like human milk i you still want you can add but no need for rashes you can apply calamine lotion abd fluticasone ointment"
},
{
"from": "gpt",
"value": "Target: Infant with rashes all over body, after using Enfamil formula. Cause for rashes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My boyfriend who is 57 has had a cough for 7 months, the last two days he is coughing very badly and getting short of breath, he cannot walk very far without stopping, when he gets this bad his face looks blue and then when he sits down and uses his ventolin, in a couple of minutes he is fine, I counted his breathing and it was about 32 breaths last night Doctor: Hello.It is possible that h suffers from chronic obstructive pulmonary disease(COPD).Besides Salbutamo, it would also recommend using other inhaled drugs.He must be seen by a Lung specialist to confirm the diagnosis by additional tests (spirometry...)I wish you good health.(if the answer has helped you,please indicate this)."
},
{
"from": "gpt",
"value": "Target: Why my boyfriend is coughing very badly and getting short of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, Im currently 26 years of age. I got adicted to mastrubation. Every day i do once some days twice. Please suggest me a way to come out of this problem. Will this create any problem to my future. im still im not married. My foreskin is very tight, will it create any problem after my marriage. If so please suggest solutions. Iam very upset bcos of this 2 reasons, even afraid to get married. Please reply with ur suggestion Doctor: Hello Thanks for writing to usYou are suffering from a surgical condition called as phimosis.You need surgical removal of skin over glans penis (called as circumcision).Phimosis is necessary because forceful retraction of skin may lead to a condition called as paraphimosis. Paraphimosis is an emergency because it compromises blood supply of glans penis.You should try to get rid of excessive masturbation.You should avoid provocative literature and videos and try to keep busy yourself in your job.Masturbation will not lead to any problem in future.You should go for marriage.Get well soon. Take Care Dr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for tight foreskin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a skin allergy that looks like a rash at the beginning and then flares up like eczema within few hours with an unbeleivable itchiness. It's been going on for a year now, tried all kind of moisturizers, antihistamines, my gp prescribed hydrocortisone, it works but the flareup shows up again after few days! Been to my new gp yesterday, and she said it could be fungal, so she gave me Daktacort cream, i've used it 3 times now, and whenever i use it my face goes red and burn straight away and then i see tiny splits of the skin in the corner of my lips and eyes. It's on my face, on my hairline and also a patch of it on my back. My skin is very dry that it looks wrinkly, every moisturiser would sting even water or olive oil would sting. It feels like i'm wearing a mask of a second skin that feels leathery, red, and very itchy. I don't know what to do, please help me.Thank you ever so much! Doctor: Hi! I think the rashes are due to some Allergy. I can suggest ask your GP to prescribe some Deworming medicine and then try the Antihistamines along with probably a Glycerine based soap and try to use more of cotton clothes. You can use Aloe vera based Moisturizers and try to apply Sandal wood paste to the raw surfaces if any. Let me know after a weeks time how you feel. Thanks."
},
{
"from": "gpt",
"value": "Target: Skin rash, eczema, itchiness. Tried several ointments. Problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 16 year old daughter just started to take zonisamide for uncontrolled Epileptic seizures. She took 25mg for one week and now started taking 50mg, two days ago. She is complaining of severe back pain, and just said that she was dizzy and felt that she was going to pass out. She is in bed resting. Any advise? Doctor: Make sure she is drinking 6-8 glasses of water everyday. U need to take her to the hospital and have a blood work done to rule out metabolic acidosis. make sure she does not have a fever. The dizziness could be due to zonisamide overdose and you should get in touch with the prescribing doctor immediately"
},
{
"from": "gpt",
"value": "Target: How can back pain and dizziness, post Zonisamide 50mg intake, be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my wife 1 miscarriage in aug2012 after current nov 2012 done torch 10 test in that we get rubella igg 133 and igm normal and cmv igg 8 and igm normal my doctor told that this because of past infection i.e. after miscarriage ,so i can get pregnant again doctor give me torchil tablet, folic set,D3 myo,and cophene Doctor: Ya u can get pregnant. ..as ur Ig M is normal. .no need to worry...start taking folic acid tablets and do hb1ac as well.. do go for regular Anc check up..once u concieve.."
},
{
"from": "gpt",
"value": "Target: Can i get pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My blood pressure is 180/111, I have shortness of breath, slight headache and feel bruised on the right side of my back. I do not take any medications currently. The soonest I can get a doctor's appointment is May 10th. I'm wondering if I should go to Urgent Care this evening. Doctor: hello,I have gone through your query.Thanks for using HCM.yes with your BP of 180/111 and shortness you must go for emergency room.It must be controlled as soon as possible.Otherwise you have risk of developing heart failure and stroke.My best wishesDr.Rajesh Teli,MD."
},
{
"from": "gpt",
"value": "Target: Does shortness of breath require urgent care?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doc, my sister is suffering from severe hair loss since dec end,earlier we thought it's something related to weather but it never ended.her hair is thinning from all over the scalp,mostly from the front area.every time whether she combs her hair or does oiling,washing whatever it keeps on falling. plz suggest. Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of severe hair loss with thinning which can occur due to many reason such as compromised immunity of body, stress, genetic factor, improper hygiene, fungal infection and hormonal changes.Need not to worry. I would suggest you to - Avoid using shampoos that contain excessive chemicals. - Take diet rich in supplements like Vitamin A ,Omega-3 and Vitamin E.- Take protein rich diet and healthy food intake on daily basis. - Do massage of hair scalp on daily basis.If symptoms keeps on persisting visit dermatologist once and get it examined and start treatment with antifungal medication and shampoo. You should use olive for massage.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: How can severe hair loss with thinning be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am searching for a reputable physician specializing in Chronic Pain Medicine. I have a healed brocken back from an injury when I was young, although now that I m sporting double nickels in age the arthritis is visiting quite frequently. I use a walker to walk my dog, as my L ankle was crushed in an Industrial Accident, which was resolved, no more Workmans Comp. nonsense. When the injury incurred in my youth didn t keep me from being active in sports, since the injury occurred, my R ankle has broken consistently about every other year. With the L ankle basically out of commission and the R ankle not able to work properly due to all of the breaks over the years it is getting much more difficult to do the simple things such as walking, which is taken for granted, since most people can walk consistently without incurring an injury. With me, that is not the case. The scar tissue in my back and ankles basically cripple me, and the pain in my legs is getting worse and worse. I don t scream as much as I did when I was younger, nor do I wake up screaming anymore from the pain. I am on Social Security Disability due to the disabling factors of the accumulated injuries. I am a former Nursing Student, I was getting ready for the clinical rotation when my L ankle was crushed, so I am very aware of how detrimental opiates are. However, I have tried shots in the back, an epidural block that lasted for three days and the physician that did that procedure refused to do another one, due to the fact that the epidural only provided me with three days of relief. I have also had two different types of shots to thwart the pain, however my legs are in agony every day and when I used to drive, I d have to stop the car and walk around before I could concentrate on driving. The pain got in the way of responsibly driving a vehicle, and I didn t want to hurt anyone. Now I am aware of the current hysteria concerning the prescribing opiates for pain, however I don t think I should have to live in agony due to the current hysteria surrounding the prescribing of opiates for chronic pain. I would like the experts to deal with the pain I have every day, and than call me a wuss when I seek relief from the pain I endure every day. I need a pain management physician who is not caught up in the growing hysteria that results when the physician prescribes something effective to deal with the pain. I live in New Castle County in Delaware, and the politics the result from a physician prescribing effective pain relief when all procedures have failed is sad. The current mood in this area prevents physicians who want to help patients due to the hysterical politics that surround this mind set. I would like to find a physician who is willing to work with a patient who has valid, chronic pain and is not going to be hampered by the current mood in the area in which I live. Doctor: Hello, There is considerable anger and frustration involved here. The bottom line is \"how to get opiates.\" There are many \"pain management\" centers that offer them--usually with other less proven modalities being more or less required. Injections for pain have not had critical evaluation. A doctor saying it didn't work and not doing it again is quite rare. On the other hand, some ostensible drug treatment programs such as Bel Air Recovery Center offers psychological counseling geared to pain mgt. along with methadone treatment. Methadone being quite effective on pain at far less than the usual doses used in opiate addiction. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest management for healed broken back and ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr, iam 35 yr s old, female with 2 kids. Recentl;y developed low back ache. use comp too much, sit in front of it for long hours. When the pain comes slowly it spreads to abdomen and gives the feeling of a FULL stomach. There is gas trouble also. When i massage the back i can feel gas releasing. The pain aggravates with sitting but goes off when i wlak or jog or involve in daily activities. Comes and goes once in a week or so. Doctor: The pain you are suffering from is I feel is due to gastritis. Try regularising your meal tyming and hav lot of plain water through out the day. If it doesn't improve than see a gastrointestinal doc before having an ortho consultation."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower back pain with gastric problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My name is Preet from Slough United Kingdom. I have a frackles problem on my face can you please suggest me any cream to remove it because it looks very bad on face and suggest me any cream to glow on skin coz my skin looks very dull. Thank you Preet. Doctor: Hello dear,welcome to HCM.I have read your query and understood your concern.I usually advice my patients to put a broad spectrum sunscreen with SPF 60 over face in the morning hours after every 2-3 hours.In night, apply depigmenting cream like combination of kojic acid and vitamin c over the freckles . Treatment need to be continued for atleast 3 months.stay healthy."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for freckles problem on the face"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Wow, cool... Um, I have a lump on the back of my lower neck (almost shoulder). No redness or swelling, just pain. No external signs (no puss, skin breakage). The skin rolls over it easily, but it feel attached to the muscle. I woke up with it suddenly yesterday, and it has not changed. It is quite hard and unmoveable. Should I be worried? Doctor: Hello, Thanks for writing to usWell, without a clinical evaluation it would be difficult to determine the cause of the lump. Possibilities that may need to be considered include lipomas, cysts, growths from underlying connective tissue etc.I would suggest getting this evaluated by your doctor for an accurate diagnosis and appropriate management. You may get the X-ray of the area affected and FNAC (fine needle aspiration cytology) of lump under his/her guidance.I do hope that you have found something helpful and I will be glad to answer any further query."
},
{
"from": "gpt",
"value": "Target: Lump in back, neck and shoulder, no redness or swelling. Need I worry?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My ESR is 44mm and HB count is about 10.1.But I never cross 10 even under pregnancy.Now have a baby of 6 months. We both repeatedly struggling with the cough,cold sometimes fever for the last 2 months.Is this due to high ESR .please suggest some remedies... Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have either some upper respiratory tract infection or tuberculosis. Your cough cough, cold, fever and high esr all are due to that. Higj esr may also be due to your mild anemia. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Could constant cough, cold and fever be due to high ESR?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What is the safest painkiller out?i am taking 2 800mg ibuprofen 3 times a day.i am tired of eating so much just to deal with life.i do not drink smoke pot take anything dangerous nor do I mix my mess.but I really want to know what is a good safe or at least safer painkiller thank u Doctor: Hello, You can consider analgesics like tramadol which is quite effective and safe for long-term use. It has got very fewer side effects. 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: Suggest an effective pain medication that has less side effects"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Back in Late Jan I had a bad experince with a waxing procedure. Long story short i ended up missing skin from the are and shortly after had terrible facial problems found out it was follicullitis. took 2000mg of cephlex daily for 14 days.... then still wasnt better so docs started me on augmenten. because at that point i had developed an ear infection and sinusitis...now again i managed to contract follicullitis again, its not gotten better at all and at my most recent doc visit i was given more antibiotics from my pcm then a diff kind from my dermatologist. My surface infection has now entered my bloodstream...cellullitis is thierdiagnosis. im scared almost 3 mths of the same symptoms now more major ones are developing and i cant even go to work...i am a nail technician so working witgh people hands and feet daily is a norm, as well as the chemicals ect.... my doctor is even now stumped and well im feeling the stress heavily,,im on my 5th shingle just this month. Doc please help lead me in the right information direction I am only 32 yr old female All of this is taking a toll on me mentally and physically as well as my child and my husband. Few symptoms that have remained even though i am taking my meds are tremors, muscle spasms, hicky looking patches under my shin skin lower leg and now on my arms, red - purple blotchy skin, severely swollen abdomen and ankles/feet, general fatigue, SEVERE light sensitivity, constant headaches, luist goes on and on and i just need some help Doctor: Welcome at HCM I have gone through your query and being your doctor I completely understand your health concerns. Have they prescribed you antibiotics according to culture reports of blood and from the pus site of cellulitis???In my opinion you should be prescribed antibiotics according to culture and sensitivity.... Are u having diabetes!?? Any other ailment??? The other symptoms which u have narrated appears to be depression related which is secondary to this problem.. Be patient and communicate your doctor regarding culture.. Get well soon Regards Dr saad sultan"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for muscle spasms with severely swollen abdomen"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had the copper coil fitted three weeks ago,was in severe pain for four days but no bleeding, I resumed normal daily living including gym and sexual intercourse but then a week later started bleeding heavily, bright red but with minimal pain. Is this normal and am I still OK to go to gym,etc Doctor: Hello. Thanks for writing to us. After the copper coil is fitted it is normal to have comparatively heavier bleeding irregular spotting and mild abdominal craps. This will subside in 2-3 weeks.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,[email protected]"
},
{
"from": "gpt",
"value": "Target: Is it normal to be bleeding with severe pain after having copper coil fitted?"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.