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{
"from": "human",
"value": "Source: Patient: I have Fibromyalgia and also a budgling disc in the L5-SI area. Lately I have been having problems with sciatica from my hip down to my foot. Mainly, it is in the foot alone now. My doctor has me on Tramadol, Amrix, Premaysen and Lyrica. I am also on Celexa, Valium, ProAir and Advair for wheezing and brochotis once in a while. I also Gerd, for acid reflux I am on Prevacid. Well, with all these conditions, I want to know if Celebrex would be a good pain reliever for me? Doctor: It is an aspirin like drug. That doesn't work on everything, but it works wll in conditions in which and anti inflammatory is being used."
},
{
"from": "gpt",
"value": "Target: Is Celebrex effective for pain relief?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an abortion last year in september and my boyfriend left me to deal with it,he even avoided me after it..whenever I talk I cant knock some sense into his mind,do you think he is going through what Iam going through?Now its like he owes me,I feel like Im going to end up killing him.. Doctor: Hi dear,Abortion is a major life changes in you and that's why you anxiety features and after such event it is normal to have such features but as you have such symptoms persist since 1 year you must take treatment.consult psychiatrist for detail history and mental status examination.is there any other associated symptoms like sleep and appetite disturbance, sadness of mood, loss of interest etc..There are many medication by which you will be all right like SSRi , SNRI , benzodiazepins etc..also do meditation, yoga, exercise which also helps you to overcome anxiety.Thank you"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to over come the anxiety after abortion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor, does masturbating effect your health. I started masturbating at about age 12.5 or 13 and I also did it with pornography. Lotsa of other sites say that masturbation can cause lower back problems and kidney dysfunctions because you are losing sexual energy in the process. I am 14 now, how much is room much thnx. Doctor: Thanks for asking in healthcaremagic forum Mastubration is harmless. But should not be a habit, can be done when only excited. Losing energy by masturbation is a false belief. Back problems can be there if done in abnormal posture and it cannot pose renal problems. Do not worry you can continue doing it enjoy. All the best."
},
{
"from": "gpt",
"value": "Target: Could masturbation lead to problem is lower back and kidney?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Every since I had my son (eight years ago) I have experienced off and on Numbness on the left side of my second toe on my left foot. Could the epidural I had be the cause to this? If not, what could the cause be. It is something that comes and goes - could I have a pinched nerve somewhere? Doctor: Hello. I just read through your question.Numbness and tingling can be due to either a neurologic issue, such as a pinched nerve, or a blood circulation issue. The causes are numerous. Because the area involved is so small, it is not something to be overly concerned about. However, it is important to discuss this with your doctor to make sure you do not have a problem that may spread to their parts of your body."
},
{
"from": "gpt",
"value": "Target: What causes recurring numbness in toe of a 8 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I habe a pet dog which is vacinnated every year for Rabies. Recently when we brought our baby from Hospital, it licked my Baby's toes. There are no visible sign of a cut or a wound. Is there a chance my baby will be infected by Rabies? Krish - Kolkata Doctor: Hello,Welcome to HCM,Licking on the intact skin will not transmit the rabies virus, if there is any breach in the skin the virus can gain entry into the body and catch hold the nerve and ascends towards the brain.As there is no breach in the skin and the skin is intact chance of transmitting the virus will not be there.As you are owning a pet it is safe to take and give your child Pre-Exposure prophylaxis with antirabies vaccine. The schedule for the Pre-Exposure prophylaxis is 0,7 and 21. The injection should be taken to deltoid.Thank you."
},
{
"from": "gpt",
"value": "Target: Can licking of vaccinated dog cause rabies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Lexapro, lamatical, wellbutrion, I have been taking medication for over 20 years. Added every so often, Xanax. Unable to speak clearly, can not think clearly. I have been diagnosed bipolar, depression, manic, sleep, ambient as needed. I would like someone evaluate my brain. SO this effect does not became worst. Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Well you are already on plenty of drugs. The only reason I see, why you are not improving is:1) Lexapro is an SSRI and will cause switch in a case of depression. This is undesirable in a case of bipolar mood disorder.2) There is only one mood stabilizer. That can be augmented with valproate. Valproate is one of the first line mood stabilizer and would be effective in your case. 3) Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.MRI scan and other investigations of your brain will not reveal much if its a psychiatric illness. They will definitely not be very useful. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy "
},
{
"from": "gpt",
"value": "Target: What can be done for bipolar,mania,depression and sleep disorder so that they don t worsen further?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i recently had my molar taken out and ever since that day ive had bad breath. i have no idea why i brush my teeth and rinse with mouthwash twice a day. i inspected my mouth and i see what seems to be a black scap on the removed area and in that black area i see green bacteria. can you help me? Doctor: hiwelcome to HCMDont worry, sometime due to non proper healing, food accumulate in open wound and bacteria attacks there which leads to bacterial growth.and this is causing you bad breath (halitosis).do warm saline gargles 3-4 times a day. visit your dentist to get proper cleaning by betadine and ointment placement.hope it will help youthank you"
},
{
"from": "gpt",
"value": "Target: How to treat molar tooth removal mediated bad breath with black scap and green bacterial growth on the removed area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 years daughter is suffering from stomach pain. we have taken her ultrasound test.The impression of the test was she have Mesentery lymphadenopathy. We went to the doctor, she priscribed her Ofloxacin & Metronidazole Suspension. Is the Medicine right one for my child???? Doctor: empirically it may help if mesenteric adenitis is due to any infection but in >50% of cases no cause is found for mesenteric adenitis."
},
{
"from": "gpt",
"value": "Target: Does ofloxacin and metronidazole help to treat mesenteric lymphadenitis in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm 27 years old and had surgery 2 days ago to remove my submandable gland, Since getting home yesterday I have has really bad pain in stomach area ( I feel like I have someone sat on my chest!) I have to keep taking deep breaths! Is this just my body getting back to normal after pain killers etc? should I go see the doctor tomorrow? Doctor: Hi! Good morning. I am Dr Shareef answering your query. If I were your doctor, I would not consider the pain abdomen to be related in any way to your sub-mandibular gland removal surgery. I would definitely refer you to the ER of the hospital for a clinical examination and related investigations to rule out any intra-abdominal pathology requiring early attention.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: Is abdominal pain normal after submandable gland removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year old son is having asthma from one year. Every winter he suffferes from asthma, he gets cold, cough and wheezing. I cannot see my little one struggle like this. Is ther an thing to cure for this. I heard some homeopathic treatment will help to cure this. Is ther any medications to cure asthma, i donot mind spending money for this. Can any one let me know about this Doctor: My child is also asthamatic, she is on treatment she uses inhalers regularly. the name of inhaler Asthalin. we have nebulization machine also with us. whenever the condition worsen we give her nebulization, i get tears in my eyes that at an early age on she is doing lot of exercises. i cant comment any more i emotional sorry."
},
{
"from": "gpt",
"value": "Target: My 3 year old son is having asthma from one year"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: left leg from below hip to knee is numb on left side and has pain and burning sensation when I get up from a sitting position or just walking. Pain and burning sensation is getting worse and more frequent - what can I do? Have used heat and cold and Cosemidin Doctor: It is clear case of intervertebral disc problem at lumbo sacral spine. It could be mild prolapse, disc space reduction, osteophytes etc which is causing compression on nerve ( probably sciatic nerve in this case). Along the supply of nerve pain and burning sensation take place.Medicine is no solution. Lumbo-sacral spine suppot by belt, traction, physiotherapy is the only solution. For that USG or X-ray is done to ascertain the site of IVD problem. Muscle relaxants and analgesics are given temporarily.Please get it ascertained further by meeting an ortholaedician.Hope it helps you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain and burning sensation in between hip and knee"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I know somebody who has lost his hearing in his right ear all at once for no reason causing his balance to be off the doctors that he saw aren’t quite sure what has caused this . He is currently getting some testing also taking part of physical therapy once a week to rectify his gate does anybody have any thoughts on the cause of this hearing loss you want to hear it also has symptoms that the doctor said were vertigo and tinnitus Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to my knowledge it may result from two reasons: (1) there is a nerve naming vestibulocochlear that does the function of hearing and balancing of body, (2) these may be due to some part of brain that does these functions. You need to properly get that checked by some doctor and get some tests done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uroosa Najam"
},
{
"from": "gpt",
"value": "Target: What causes hearing loss in the right ear and difficulty in balancing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started out with a bad cough 10 days back...my doc prescribed Cof Q...was not much relief...but i thought that cough takes it time...then 3 days back i sat down in the park ...cold breeze blowing...that night my cough worsened...my head would pain when i would cough...following morning had fever 101.with pain in hands and feet...doc suggested malaria test ...in the meanwhile started me off on Azee 500....but did not give any paracetamol...test negative.....ran slight fever yesterday around 4pm...not much weakness...but 4.30 morning had shivers with slight fever ....no bodyache at all ...but cud not tolerate even the fan....tonight i am travelling on my first trip abroad....what do i do... i am a female... 32...wt.66...ht.5'3.... Doctor: Hi Dear !! Thanks for your query to HCM .Read and reviewed your query and health concerns. IN the given situation of Yours, seem to suffer from-Frontal Sinusitis with post-nasal drip with recurrent fever.Other causes need to be ruled out for chronic cough-like TB/Allergic bronchitis/GERD-with IBS due to acid reflux/Loeffler's Syndrome(Tropical Eosinophilia)Remedy-Plenty of fluids,Antibiotics / antiprotozoals-for anearobic organisms/ Singulair/Loratidine x 5-7 days/NAIDS-like Advil-Motrin-400 mg 2-3 times a day.Proper drainage of sinuses and control of post-nasal drip.Consult Physician and get sputum AFB/Chest X-ray /IGRA blood test for-TB/Stool-Ova/Cyst l-to rule out worms. and discuss drug interactions-if needed.Physician would check physically and would plan needful meds and treatment for you.This plan would reduce your dilemma about chronic cough with recurrent fever.Hope this would help you to plan further of this complex illness of yours.If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.If you want to update more details and ask more update queries ,You are most Welcome herewith !!Good Day!!Wishing Good Healthy Life in time to come!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for chronic cough and recurrent fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, My father is 83 years old, and is having S. Creatinine as 3.71. He has been having kidney problem since 1983 and during that time, it was told that his kidney is working 50%..... Now for last few days he has not been having appetitie, we have consulted doctors, few of them suggest dialisys, when many others say do not disturb him at this age. We are confused, as if we start dialysis , this doctor says, it will have to be continued twice a week and will be life long.... The report also says his sodium level is just below normal, and we can give a normal salt diet . Till these many days, he was under salt controlled diet. Can you please help Doctor: Welcome to HealthcareMagicForum Hi..Carnatic.., Continue with the low salt diet.., since the creatinine is high, and only 50% of the kidney is functioning.. do not increase the salt amount.. dialysis is the treatment for renal failure, once stated cannot be stopped, need to continue for life time.. Take care.."
},
{
"from": "gpt",
"value": "Target: Chronic kidney problem, high creatinine, low sodium value, low appetite, mixed opinion of doing dialysis. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was just recently prescribed Adderal (25mg) for adhd, and I want to know a few things. 1. Is it okay to take adderal before giving blood. I take them before school and I signed up to donate blood at 11:45 tomorrow. 2. I want to go to an amusement park today at around 7:00 After giving blood and with adderal in my system am I at any risk? 3. I know marijuana is illegal, and I know the facts about it. I also know it increases your heart rate, as does adderal, as does amusement park rides, added to the fact that I donated blood. Is there any lethal risk involved? Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Yes, there is no such contraindication. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy "
},
{
"from": "gpt",
"value": "Target: Is it safe to take adderal for ADHD before blood donation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir 20 male,i hve been suffering from involuntary semen coming without any arousal 24 hrs in regular intervals from last 5 days,i do 2-3 times masturbation daily,is this the reason for leakage,i? i hve becomeweak physically and mentally,give me a remedy pls Doctor: DearWe understand your concernsI went through your details. You do not have to worry about it. Semen will be produced whenever you are sexually aroused. Such produced semen is stored inside your body. It will be ejaculated when you masturbate. Residual semen will be removed through the process of leakage through your penis. You can stop it only if you stop sexual arousal but sexual arousal is involuntary. I mean, you cannot stop the given process. I also assure you, such leakage is not at all unhealthy. I also suggest you to reduce the masturbation frequency to once in a day.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Does excess masturbation cause involuntary sperm discharge?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i have an accedient since 27/10/2013 broken tib and fib i have a surgery on 27/10/2013 and IM rod placed inside tibia till now i have a lot of pain in broken area doc said that it takes a time for tibia to heal plus there are a gap in bone , some doctors said that we can cut a peace of fib round 2 cm and do bone marrow for tib , another one want to do bone grafting others say that we just need more time so what i have to choose Doctor: Here you need to know if its a normal fracture with just a cut in bone it takes 1 month to heal, if there is cut with segmental fracture where the fracture piece is not in touch with bone above and bone below then it takes 2-3 months time to heal. But if there is segmental fracture along with crushed bone pieces then it takes 4-6 month time to heal.Now here you need to see which kind of fracture you are having along with this age as well your diet and calcium with vitamin D tablets also matter a lot for healing.Here you have inform some of the doctors have suggested for bone grafting and some of the doctors have suggested to wait. I suggest if your fracture is healing and is better then what it was before after few months on x ray then Dont worry it will be all right. It may take some time. You need to have good enough of calcium with vitamin D in diet as well as suppliment. But if there is no healing sign even after 3-4 month and it is still as it is means you can try with calcium and vitamin D suppliment for 2 month and see later on x ray. Or else you can go ahead for surgery that is bone grafting. If its paining too much then make sure there is no infection as well no displacement of implant. And you can keep using hot and cold pack for some more relief.I have give you here general guideline but I am sure this will be useful for you.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for broken tib and fib"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain in my right side of lower chest which subsidesfor some time after urination. I am 45 years old male with a weight of 72 Kgs my hight is 5 feet 4 inches . I underwent a hernia surgery 4 years back it was on the right abdomen. Now I feel for hernia on my left abdoman also. Doctor: Hi welcome to health care magic... You can have abdominal cause that can lead referred chest pain on right side like kidney problem , gall stone, colitis, recurrence of hernia etc.... For that I will suggest to investigate with USG abdomen with full bladder.... Second it might be bronchitis like condition of lung... For which chest x ray taken for further work up.... According to report and examination, cause confirmed and than treated accordingly.... For left side hernia you are suspecting examination done ....You have to cough and look for bulge in that left side for rule out hernia... If no above causes found than there might be muscular pain... For which brufen needed Take care Advise : physician consultation for further examination..."
},
{
"from": "gpt",
"value": "Target: What causes pain in right side of lower chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good day I have this numnes burning sensation on my right side of my face, ears and arm and hand.The feeling in my hand goes from warmth to cold and back to warmth and sometimes it feels like pins and needles. Other times I have a hot flash over my whole body - this past 2 weeks its almost every day that I get it what can the problem be? I am 27 years old Thanks D Doctor: dear here, you need to visit a physician first and get ur self checked. it might be due to any of the factor from musculoskeletal disorders, Neurological disorder or may be even due to psychological factors.. only by meeting a specialist like neurologist will put a great insight to ur problem and they will help you get ease of it. certain tests if they advice u please do not neglect. I recommend to follow all guidelines given by a neurologist as in person attention and interest is of importance"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for numbness and burning sensation on right side of face,ears and arm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been put on atenolol 25mg ten days ago for atrial fibulation now I don t feel right in my self and when I run I don t feel as fit as I did before ( I run 2-4 miles a day) I don t feel that its worth feeling bad in my self and may be I can learn to live with te fibulation as it is not life threating so I m thinking of stopping taking the tablet. Doctor: Hello There After going through your medical query I understand your concern and I would like to tell you that atenolol is not a treatment for atrial fibrillation and is advisable for you to consult a cardiologist personally for proper physical and diagnostic evaluation and treatment.Hopefully this information will guide you properly Kind Regards Dr Bhanu Partap"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for atrial fibrillation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Seven months ago I was cutting the grass with a pair of barber shears. I did this several times each time it took me alittle more than an hour. After the third time my forearm started to pop and I could hear the pop and it hurts like hell when I turn my wrist. I think I may have torn a muscle in my forearm. I tried immobilizing it with a wrist brace but the popping still happens. Doctor: Hello,The symptoms seem to be related to a turned muscle. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. I recommend ti maintain a brace to prevent further damage.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for muscle popping in forearm after injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been taking vicodin for over10 years as a pain medication while under doctors care. I had to change doctors because of insurance problems. my new doctor does not approve of this medicine and is reducing the strength to half what I have been taking. My strength was 5/500. What s is your opinion . Doctor: Vicodin contains hydrocodone. Though it is a good pain reliever, it is a habit forming drug. Further on prolonged use the effect of the drug will be reduced and it can depress the respiratory system. Hence it is preferable to reduce the dose of the drug gradually and then stop and then substitute with safer pain relieving medicines such as high dose paracetamol or anti inflammatory drugs such as aceclofenac. Of course if the pain is not reduced with the these medicines, then you have to take the risk and continue tablet vicodin only."
},
{
"from": "gpt",
"value": "Target: What is the medication for body pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having right side abdominal pain all day that been getting worse. it seems to be the worst when I push to the left of my hip bone (my left looking down) and up a little bit it also is in my back in the same area. Now what concerning me most is when i sit down the pain gets worse. Doctor: Hi! Good evening. I am Dr Shareef answering your query. Even though it needs a clinical examination of your abdomen to arrive at a tentative diagnosis, from the history alone of your symptoms, this seems to be a inflammatory condition of any of the the intra abdominal organs and if it is on the right side, appendix and gall bladder top the list. If I were your doctor, I would advise you for a complete blood count,a stool test for ova and cyst, a urine routine and microscopic test, and an ultrasound of the abdomen to rule out such and other related conditions so that appropriate treatment could be planned. Till then, you could go for an anti spasmodic along with a proton pump inhibitor drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What causes right abdominal pain when sitting or pushed on left side?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor my father is having acoustic neuroma and is under going treatment and last few days he is having certain problem like blurred vision , legs waving and evrything around him seems to be wavy....so he has consulted one of the neurologist he has prescribed him vibrania capsule so i would like to know what is its use what is the problem... reply soon thanks Doctor: hello, welcome to healthcaremagic, from the description of the symptoms, it might be the tumor is spreading to the eye causing the blurred vision, acoustic neuroma itself can cause the waving of the legs and feeling dizzy, the treatment being prescribed to him could also be causing the effect. would suggest visit his specialist to rule out the spread of the tumor. vibrania capsules have been given to replenish the vitamins he might be losing due to the treatment hoe tp have answered your query wish your father a quick recovery."
},
{
"from": "gpt",
"value": "Target: Getting blurred vision and wavy feeling in legs after acoustic neuroma treatment. Prescribed vibrania. Worrisome"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: well my bf is a virgin and while we were hooking up he said he wanted to lose it then and there he unbuttoned my pants and all he did ( i was standing against a wall and he tried to stick it in , he ended up near my clit. and it was for about 2 or 3 min . then i backed away , he said he was barely hard. is there anyway i can get pregnant. ? Doctor: Hi, I think without penetration and ejaculation, pregnancy is not possible. Don't worry about it. hope I have answered your question."
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible without having ejaculated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my doctor prescribed me with 500mg of Flucloxacillin Capsules for a rash I have on my body he thinks its to do with the pores . I have been going to the toilet these last to days and my pee smells like sewage water to me and im also on tramadol ..Thanks Doctor: Hello,Thanks for the query,yes this combination can be takenLet me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818Wishing__;!!Mih3wA!SBzm6_kI6hCZ58EPH6N_05MFfiPbxWXT0a2TJCdFQObRWm5mV5ur7hUOMa8clQ$ you a good health.Thank you"
},
{
"from": "gpt",
"value": "Target: Can I take tramadol along with flucloxacillin Capsules to treat rashes on body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to my doctor toay and found out from my blod counts my red blood count is low 3.79, my Hemoglobin is low 10.6, my hematocrit is low 32.6 % myplately count is 113 K/cmm, my Lymphocytes are low 10.9, my lymphocytes are low 0.6 K/cmm What could this mean? He is setting up a colonoscopy and upper GI. What are some of health possibilities Doctor: Hi, Welcome to Health Care Magic. I have read your concerns and let me assure you not to worry. Other parameters are not that low except hemoglobin and hematocrit. There are many causes for it depending on age. in elderly the most common cause is upper GI or Lower GI bleed which causes iron deficiency Upper GI bleed is mostly caused by gastritis or esophagitis, pain killer abuse or chronic liver disease Lower Gi bleed is caused mostly by ileitis, chron's disease etcIn children the most common disorder for anemia is malabsoption, iron, vit B12 folate deficiency, and other familial disorders I am guessing you of age above 30-35. I am glad you have an appointment for colonoscopy and endoscopy. Do repeat your blood tests. check your B12, folate and iron levels. please do bilirubin levels with both direct and indirect. Do an abdominal ultrasound. and consult your local physician and discuss the results pleaseHope I have answered your query. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health."
},
{
"from": "gpt",
"value": "Target: What causes blood counts, hemoglobin and hematocrit levels to be low?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Sir, yesterday I had follicular scan on my 11th day. results are RTO-3.2/1.9mm and LTO is 2.7/1.3mm.. in RTO, one follicle of size 22/14mm and No free fluig in POD. Please let me know is ovulution possible and when will I get ovulute? I m planning for Kids.. thanks in advance for ur reply.. Doctor: Hello Thanks for your query. let the follicle to increase to above 18X18 mm ,and get a shoot for its rupture as per advice of gynec. follicle develops around 13 -15th day .It is developing ,so there is nothing to worry.Do regular daily sex during peri-rupture phase.Hoping for early conception. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery”"
},
{
"from": "gpt",
"value": "Target: When will I ovulate ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I am 38 year old female with a family history of pancreatic cancer. I have been diagnois with Pancreatitis and had a sever pancreatic attack throughout the months since 2007 and with everyday consist pain and constantly hospitalized. Can pancreatic pain be associated with mid right back pain? Doctor: HelloAbdominal pain radiating to back may be due to chronic pancreatitis in your case.You need clinical correlation and investigations like routine hemogram,random blood sugar and ultrasound of abdomen.However,Contrast CT scan is best to detect pancreatic abnormality.You may also need blood tests serum amylase and lipase(specific for pancreatic pathology).Proper treatment depend upon findings.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What treatment is suggested for pancreatitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am taking a pill for cancer pill has a Vl on it for anastrozole 1mg tab. just renewed my refill and the tablet on it was AHl and it made me soo sick i just compared the pills and they are soo different. I haven t taken anymore but was wanting to know what this pill was. I think the partmacy got me the wrong perschiption Doctor: Hi,Thanks for writing in.Anastrozole is a pill taken for some types of cancer. Pill with AHI imprint is manufactured by Accord Healthcare. This is asastrozole 1 mg and belongs to the drug classes aromatase inhibitors, hormones/antineoplastics.It is possible that you have developed an allergy to the binding substance and not the medicine. Binding substances are used to keep the medicine in its shape and usually made of an inert substance which is not harmful. Please discuss with your pharmacy and request for alternatives. The pharmacy has not made any mistake. Please do not worry."
},
{
"from": "gpt",
"value": "Target: Is the cancer pill with VI for Anastrozole same as AH1 written on it ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My name is Emelia and I have an 18months old baby.recently we visited the hospital due to a fever nd he was examined.the pediatric doctor had concern with his head.she said is was long and offered we do a scan.the result came out saying the coronal,lambdoid and sagittal sutures are visualized and the metopic suture is not seen.please that does this mean? Doctor: hello, thanks for your query,might be your doctor searching for cranial abnormalities.as such metopic( frontal suture) starts closes 3 to 9 months. metopic suture not seen means, I assume closed. it's not only factor to decide cranial abnormality. discuss with your doctor.hope I have answered your query. all the best. take care."
},
{
"from": "gpt",
"value": "Target: What does this scan report of a newborn skull indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lump on my upper arm just underneath my shoulder that is about 2 or 3 inches big. It reappears every couple of days or weeks and sometimes it is really tender and other times I barely notice it apart from when I feel it is there. What could it be? Doctor: HiWelcome to hcmThis can be lymph node. You should see a surgeon for confirmation and mostly it will require biopsy.Regards"
},
{
"from": "gpt",
"value": "Target: What are the frequently appearing tender lumps on the upper arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Our 15 year old daughter had a sore throat, which started on September 12. It turned into a cold, however, a week ago Sunday (today) she woke up to her jaw involuntarily moving up and down, like a tremor. It went away late that morning but then in the middle of the night, Monday, she woke up with the tremors again (she woke up to get water and noticed the tremor was back). It has been constant since that time. We were first told TMJ. All of the blood tests that have been run by a family doctor and neurologist have been normal except her Vitamin D was low (20). She s periodically nauseas throughout the day, doesn t eat much and takes small cat naps, which she hasn t done for years, even when she s been up late with friends. The tremor of her jaw is constant unless she clamps her teeth together and it is less if she opens her mouth really wide. Doctor: Hello!Welcome on Healthcaremagic!I read carefully your question and understand your concern. Vitamin D deficiency may trigger this clinical situation. Anyway, I recommend performing a brain MRI and an EEG to exclude possible seizures (although her tremor continues through the day). Blood electrolytes (including copper, magnesium and manganese). As all started after a sore throat, I would also advice performing antistreptolysin O antibodies, to exclude possible Chorea Minor. If all these tests result normal, I would recommend consulting with a psychologist or a psychiatrist. Hope you will find this answer helpful!Best wishes, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: What causes jaw tremors?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 64 y/o female. last week i had 1 or 2 days where if i looked at the thermostat on the wall. it was moving sideways and vertically. didn't happen with any other stationary objects on the wall, like outlets etc. symptoms left. was this a visual disturbance or a hallucination. i'm not psycotic. did have a mild tbi several years ago,, which did affect my vision. meds are adderal 30 mg daily, xanax 1 mg prn for insomnia and paxil 40 mg daily.and synthroid .5 daily. b/p is borderline high. i do smoke and enjoy a glass or two of red wine while watching tv. and l. mastectomy 6 years ago.i mfeel fine now. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Such hallucinations do occur in everybody's life. They are just hallucinations and nothing real at all. You can ask anyone. This happens when we are worried, when our eyes are watery, when we are in deep thinking, anxious, suddenly move head and come back to previous position etc.There is nothing to understand about it. Just forget the incident and that is it. For such hallucinations you need not be a psychotic of neurotic.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Could the movement of stationary objects be due to visual disturbances?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a golf cart tip and land on my leg over a week ago...hurt terribly. Couldnt walk on it very good for couple days...calf muscle felt very bruised n tender n tight! Never did bruise...till now a week later my ankle is swollen and bruised..just wondering why it's getting worse more now then when it happened...and why it my ankle when the worst pain came from my calf? Doctor: Sometimes the muscle tear or acute spasm leads to collection of blood under or inbetween the muscle belly. It first hardens & then again becomes liquid if the amount is more over a few days. This fluid tends to collect and irritates the musclescausing pain"
},
{
"from": "gpt",
"value": "Target: Can pain travel from calf muscles to ankle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my windpipe has been hurting for 24hours. its worse when i take a deep breath but hurts also when i move! py shoulders have experienced some pain too? its not a bad pain, it`s just there and concerns me a little. i cant get appointment with my gp for some days and don`t really think i should go to a and e? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for this pain or go to ER (emergency room). By your history and description, possibility of musculoskeletal pain is more because you are having chest pain on movements. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 5 days. If not improving then consult doctor and get done ecg to rule out heart diseases. 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 pain in windpipe and shoulders?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I bring out small amount of yellow sputum only after my half an hour afternoon nap. Thereafter there is no such problem any time of the day or night. I do not have cold or cough. Why do the yellow sputum come out only in after the afternoon nap. Do I need any treatment for this small problem. Doctor: Yes you need to take some antibiotics by your family Physician...During afternoon nap the sputum might be getting collected because of lying down which is then removed out..No major concern.."
},
{
"from": "gpt",
"value": "Target: What causes yellow sputum only after afternoon nap?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got a filling in my front upper tooth last night (with novacaine). My entire upper lip & nose was numb for a good 3 hours. When I woke up this morning, the inside of my nostrils hurt/burned. I thought this would gradually subside as the day wore on, but it has not. The pain feels similar to the pins & kneedles feeling you get when novacaine is wearing off. Do you have any idea what s causing this & how long it might last? Doctor: Hello,Usually the numbness after LA Administration lasts for 24 hours.Chances of administration of LA Solution in overdose is very high in your case.Apply frequent ice packs over nose and lips.Avoid excessive stress or anxiety.Gargle frequently with lukewarm saline.Take adequate rest.Complete course of antibiotics-analgesics has to be administered.Take care."
},
{
"from": "gpt",
"value": "Target: Numb feeling in lip and nose after filling upper tooth. What is the cause and how long will this last?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Tooth extracted yesterday morning. novacane or similar deadener used.Trouble swallowing through afternoon evening yesterday. Swallowing issue resolved itself by mid night.Itching over entire body since noon yesterday. Now itching is localized to head, face and arms. Quite annoying, Solution for itching?D Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Your symptoms of severe itching and difficulty in swallowing are all due to allergic reaction. It can be a late reaction to the local anaesthesia while it can also be due to allergic reaction to any medicine that you are probably given post extraction like antibiotic and painkiller.So, my suggestion is to once consult an Emergency room and get checked so that the exact cause can be detected.For now, if you are taking any medicine, please avoid it and take anti allergics like Benadryl to relieve the symptoms.Also if the swelling of tongue recurs, it can be fatal as it can cause choking so it is better to take care and consult a Emergency room soon.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: What causes body itching after tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m having panic attacks. I ve been trying to deal with it on my own for 3years now. I constanlty feel like if I m in a no out situation I will lose it, it started with a new job, highly stressful position. I feel like I m not myself anymore. Like I ve lost me and turned into this other person. I feel like I m starting to be a shut in. I don t want to leave or go anywhere because I m afraid I ll pass out. Or get sick. Even though I really haven t pasted out before from it, I ve been sick a number of times though. Usually if I go through the symptoms. Jittery, nervous, anxious. I get the sweats and feel way to hot. What can I do to control this. I ve gone the holistic way, and it hasn t help what so ever. Doctor: From the description, in my opinion, you have a panic disorder and agoraphobia. This is treatable condition. In my practice, when I get a patient with complaints like you, I may order a few blood tests to rule out any medical cause (such as hyperthyroidism).I would evaluate the patient about any other condition such as Depression. Then I would educate the patient about his condition and suggest medicines. The combination of medicines and psychotherapy gives best results. Behavioral and cognitive modifications work well.Therefore, I suggest that you seek a psychiatric consultation.I hope this answer helps you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to overcome panic attacks"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes I've been having problems with restless leg syndrom mostly in my feet at night when I get home and try to relax. I end up having to go to bed because it's so uncomfortable then I am up all night because my knees and my right hip aches so bad. This has been going on for a couple years and I have tried seeing a Reumatologist, several meds. yoga, sports therapy, vitamins and no relieve. Please help!!!! Doctor: consult a qualified homoeopath in your area or u can try zincum met 200 c weekly one day 3 times for 6/8 weeks and kali phos 3 x daily 3 times 4 tabs"
},
{
"from": "gpt",
"value": "Target: Suggest medication for restless leg syndrome"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend is with me she is 26 and has smoked meth a couple hours later she felt like her throat had a lump in in and tounge swelling. Than she felt like she was breathing through straw. She drink binadryl and felt better for a few hours. It has been two days seance than and she still complains of a sore full feeling in lower throat and mild tongue swelling were you can see were it presses on her teeth Doctor: Hi Dear ,Welcome to HCM.Understanding your concern. As per your query you have lump on throat which could be due to granular pharyngitis, sore throat, enlargement of cervical lymphnode and due to other systemic conditions such as reactive hyperpleasia, lymphoid hyperplasia , any malignant pathology. I would suggest you to visit ENT specialist once and go for examination and ultrasound study to find out extent of lesion. You should go for fine needle aspiration cytology or biopsy of that lump to find out the nature of lesion. You can start treatment after proper diagnosis. Maintain proper oral hygiene. Do warm saline gargles . Avoid excessive cold carbonated drinks. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a lump in the throat"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Abiout 6 weeks ago i got a rash on my body and within about 6 hrs it went all over my body i end up in ED and they told me i had an allergy but i cant find anything that it might be..now it comes and goes...the welts come on my tum and my back sometimes i get an itch also..i also can get an itch without welts...have you any ideas what it might be.thanks ..Monica Doctor: Hi, MonicaIt seems that you may be having urticaria..acute urticaria.There are may causes.Irritation, allergy,insects,heat,cold,infection,drugs, food , stress and so on...It may be without cause..idiopathic.A short course of steroids in tappering dose and anti histaminics like fexofenadinewould be helpful.Apply calamin lotion to soothe the skin.Avoid soap bath.You might be alright.You may undergo for array of investgations , if no response.You consult dermatologist.I hope you got my answer.Thanks.Dr. Ilyas patel MD"
},
{
"from": "gpt",
"value": "Target: Rash on body, reappearing, sometimes itching, welts. What could be this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My period is a week late. I have a doctor s appointment on monday. I am a little apprehensive. My partner and I had unprotected intercourse on Day 28 (I did experience some cramps that day) of my cycle expecting it to be safe. But now my period is late and I am also nauseous and have some white watery discharge. In case I am pregnant, can it be confirmed at this period? Is an MTP kit with mifepristone and misoprostol safe to use? will it do the job completely? Doctor: there is little chance of pregnancy on day 28th of the menstrual cycle. Get the pregnancy test done , then decide what to do.depending on the result. if you sure you want to terminate this pregnancy , consider consulting and visiting a gynecologist"
},
{
"from": "gpt",
"value": "Target: Can an intercourse at 28 days of menses lead to pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello: I am in the Allied Health field at a community college and for extra credit I am trying to find out what happens to the adrenal glands in a kidney transplant case. Do they go with the kidney? Do they work? I have Addison's Disease and my brother is a kidney and pancreas transplant patient and nobody can answer this question I have. Frustrated... Doctor: in kidney transplant patient ..the adrenals are left as such ..they are not removed in a patient whose kidney is removed .."
},
{
"from": "gpt",
"value": "Target: What happens to the adrenal glands in a kidney transplant case?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is ten and last week he got kicked in the shin at football he has a bruse down the shin bone which he cant touch as the pain is very soar he is weight baring but limping and said it has been causing him lots of pain tonight when he went to football training it got very soar and his ankle started hurting Doctor: Hello, It is just contusion which is nothing but a collection of blood underneath the skin following a blunt trauma. Nothing much to worry and it will get absorbed by itself. You can apply ice packs for faster recovery. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes painful bruise down the shin bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir , I am almost 18 and half years old , i was 6 years old when I start mastabutation every week but the cum liquid doesn t come out, when I was 12 years I start Mastabutation everday till become 16 years old , from 2 last to years I mean from I mastabuted 1once a week, now I ve stopped completely, All I got a problem is my body is weak I guess so and my penis is a little bit lose, I want to ask How Can I Conform That I Am Not Impotent and fit for sexual activity s? please help me Doctor: Thanks for asking in healthcaremagic forum Masturbation is not harmful unless you do not make it a habit, doing even without excitation. If you have normal morning erection(after deep sleep) then you are not impotent. See a doctor for further help . All the best."
},
{
"from": "gpt",
"value": "Target: How to confirm being non impotent?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a partial hysterectomy in September of 2014. I have only 1 ovary on my right side. I ad adhesions so severe that my bladder was knicked in the process of a vaginal assisted with laparoscopic and ended up being cut on my csection inscion. In the last couple months I have pain during sex that lasts for days after. This entire week I have had increasing abdominal pain that becomes worse when I eat and wraps around my back but it s on my left side! I m also passing mucus if I bear down to go to bathroom. The pain is severe sometimes and let s up sometimes. It feels better if I put pressure on it and lean forward but as soon as I move it comes back. My son is currently in the hospital for a round of chemo so I am wondering if it is something I can let go for awhile or if I need to try to find time for an appt and if so who do I call? My general physican or OB/Gyn? Thanks! Brooke Doctor: Hi! Good evening. I am Dr Shareef answering your query. From your history, it seems that you might be developing a subacute intestinal obstruction resulting in pain after ingestion of food. Even though it might not be an emergent situation, I would advise you to find time and get it clinically assessed by your operating surgeon to have a proper diagnosis and appropriate treatment. Till then, you might go for some anti spasmodic along with a proton pump inhibitor drug for a symptomatic relief along with a liquid diet.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain after partial hysterectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I stopped taking iron (injectable) 15 months ago, but I have the same large bruise/staining ever since and the top of my buttocks always feel like someone has beaten me with a board across the top of my buttocks, which hampers my comfort zone while sitting and laying down. I was also diagnosed with fibromyalgia with chronic fatigue about 20 months ago. Why do I have this constant bruised feeling? Doctor: Hi I did review your concern my friend. Your bruising can be due to multiple reasons. You need to do compelete blood count for hemoglobin and platelets and also PT, PTTK for coagulation profile. DO you experience bleeding from anywhere else. You can send your complete details to me and I can analyse your problem better.I hope this helpsWIsh you all the best for your health."
},
{
"from": "gpt",
"value": "Target: What causes bruising on the buttocks after stopping injectable iron?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi during the past months i have been noticing that every while i suffer from these types of attacks, where i swet alot, anxiety, heart beating faster and breath control . But from around a month ago these attacks have been happening more often for example i had one on sunday were i even lost conusiness for a few seconds and one this morning. what do you think it might be? Doctor: Hello, Your symptoms could be related to a panic disorder. Anyway, I would recommend performing some tests before coming to this conclusion: - An ambulatory 24-48 hours ECG monitoring in order to exclude cardiac arrhythmia - Blood electrolytes for possible imbalance - Thyroid hormone levels for thyroid gland dysfunction - Complete blood count for anemia. If all the above tests result normal, you should consider anxiety as the main cause of your complaints. Hope you will find this answer helpful. Let me know if I can assist you further. Regards, Dr. Ilir Sharka Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes excessive sweating, anxiety & rapid heartbeat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have had what i believe are enlarged papillae on the sides of my tongue for about a month now, they come and go and switch sides often. it feels like i have a popcorn kernel stuck to that particular place each time it happens. ive looked inside my mouth several times and found nothing but a slightly swollen papillae (always on the sides, never in the center of my tongue). i am a 25 year old female and i do smoke , but the bumps did not start appearing until i began to try to quit smoking about a month ago. i also have hypertension and take metoprolol tartrate 50mg 2x daily to control my blood pressure which has been good. i try to stay hydrated but i also drink a lot of sodas. any ideas? i have had the current bump for 5 days, it isn t painful, just bothersome. Doctor: Hello, You are most probably suffering from geographic tongue. Geographic tongue is more commonly found in people who are affected by environmental sensitivity, such as allergies, eczema, asthma. It may be linked to stress or diets high in sugar or processed foods. Females are affected three times more than males. Causes vary, but may include zinc or vitamin B deficiencies, allergies, and hormonal changes. Geographic tongue is said to occur more often in women, especially during high hormonal times, such as during ovulation or pregnancy, and while taking birth control. There is no known cure or commonly prescribed treatment for geographic tongue, there are several ways to suppress the condition, including avoiding foods that exacerbate the problem. Some get relief chewing mint leaves or sucking on a mint candy or gum during a flareup. Zinc supplements has resulted in a dramatic reduction in the incidence of the condition in many cases. Vitamin B supplements with antioxidants need to be taken by you. Soda might be a causative factor as overdose or may be metoprolol. Hope this helps. Get well soon. With Regards, Dr Himanshu Govil Gurgaon"
},
{
"from": "gpt",
"value": "Target: What is the cause of enlarged papillae on the sides of the tongue ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor,I think i have fungul infection between my legs(private part) i am using Quadriderm ointment.but when i stop using this my sking becomes dry and some times splits and cause pain and when i come back from office i feel some creasy type of thing.the situation gets worse when i use soap ans wash those parts Doctor: Hello, Welcome to HCM,The symptoms are suggestive of fungal infection. The area which you a mentioned is prone for fungal infection. Because the fungus can survey for long period of time in wet and moist area. As you are having severe form of fungal infection it should be managed properly byTopical antifungal creamOral antifungal mefication like flucanOral antihistaminesKeep the affected area clean and dry.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest medication for fungal infection in the genitals"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 15 week (approx. 11 lb baby) has a cold. runny nose, cough... last night she had a fever of 101.0, i gave her some baby tylenol today at 430pm and within an hour her rectal temperature dropped to 98.4. She is sleeping and eating well and has wet diapers. tonight i again used the rectal thermometer and though i may have not had it in perfectly as she was squirming, the temp. was 96.2. Is this something to be concerned about? She seems to be acting fairly normal. Doctor: Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever, cough and running nose"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a little red dot on my upper lip but its rather not noticable. I put toothpaste on it and it burned. The first time I noticed it was when I went to the dentist to get my teeth whitened and when they put the flouride it burned. I took a look at it in the mirror and you have to lift my lip up a little to see it. I'm scared it might be a cold sore. What could it be? Doctor: It could well be an ulcer. It is called apthous ulcer it comes during stressful situations and also when there is essential vitamin deficiency in the body."
},
{
"from": "gpt",
"value": "Target: I think I have a Cold Sore"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a tooth that should have been pulled a few years ago - the bottom right eyetooth or is it the stomach?? It is very loose and the gum is very swollen and I can't chew on it. What can I do naturally because I have no insurance or money right now? I HAVE NO MONEY Doctor: Hello,I am sorry to hear that you are experiencing discomfort. You are describing an infection. A spreading infection is serious and needs attention. This can be detrimental to your overall health. You can take anti-inflammatory medication and rinse the area with wram saltwater. If you apply light pressure and have a pocket of pus release that can reduce pressure. Rinse the area well. Do not try to chew in the area.You may have a dental clinic in your area or a dental school that would provide care. Your next consideration is to visit an emergency room in a hospital. Antibiotics given by prescription will help control the spread of infection. You will still be referred to a dentist or oral surgeon for an extraction. Please seek attention soon."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for loose tooth with swelling in gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: for the last few days i have been getting my heart stops then for the first beat after it pounds. i have always suffered this but only once in a while. ne=ow this is lasting days. i had full heart tests about 6 months a go and was told everything was o.k. What is it and what could i do?? AL Faella Doctor: This could be a number of things; as there are an array of both rhythm and rate disorders and or abnormalities which cause the symptoms you describe. When you say your heart stops, be more specific? And when you say always suffered this, can you think of any things done before each episode, any activities you are engaging in at the time? Have you ever seen a cardiologist and been prescribed? If not; what do you do to improve the situation, and does anything work? Though I cannot provide to you diagnosis, I will say that there are a number of factors which can cause a fast heart rate. Caffeine, Amphetamines, Stress, a variety of medications; and then ultimately there are some inherent heart disorders where nothing is particularly causing it, and these must be ruled out. I would contact the physicians who ruled out your heart disorder and give them a call; explaining any changes in symptoms. If you ever start to feel chest pain, sweating, shortness of breath, and or lightheartedness with cardiac symptoms, call 911 and be taken to the Emergency Room."
},
{
"from": "gpt",
"value": "Target: What causes faster and skipping of heart beat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi dear dr my husband spermogram test results are:volume:4 ph:7.5 WBC Conc: =1 Sperm Conc:172.3M/ml motility:45.1% Rapid Prog Motility:21.8% Normal Morph:34.4% all sperm:689.2 M/Ejac motile sperm:310.8 M/Ejac functional sperm:146.4 I want to ask you that if this immotility 54.9% important in this high amount of sperms?please help me.thanks. Doctor: Hi, Thanks for your query. I read your query and I understand your concerns. Your count is very good and motility is also not very bad. I suggest you repeat the sample in a good lab after 2 months. I think your motility will be fine. The present report is enough to get your wife pregnant. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist."
},
{
"from": "gpt",
"value": "Target: Done spermogram. Is immotility important in high amount of sperms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My son is 6 months old and we have taken him to a chlorinated swimming pool twice. Both times his whole face and eyes have puffed up. This is not immediate but happens overnight. Could this be an allergic reaction. He has a cows milk allergy and therefore I am aware this may make him prone to other allergies? Doctor: HI, thanks for using healthcare magicIt is likely a reaction to the chlorine.When he is older you can consider allergy testing to confirm this. This can be done via a blood test.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for swelling es and in eyes and face after swimming in chlorinated pool"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 60 year old fairly fit male. now all 4 of my heart valves are leaking severely, my heart is enlarged now to push more blood. my heart is performing at a 20% capacity. all this seem to come on suddenly when I started to struggle for oxzgen. what are the normal procedures medicaly that probably will take place Doctor: Simultaneously leaking all four valve and that too severe, is very unlikely, mostly you had dilated cardiomyopathy leading to separation of valve leaflets which are normal and sever leak. So medication should help. However if still in compensated because you are fit surgical replacement is the treatment of choice, mostly they would replace mitral and aortic. Also as I said your understanding of your heart condition is not adequate. You may send me the 2 d echo report and I would be able to guide you better, you may send a direct query to me @Dr Priyank Mody, Cardiologist through the app. Hoping I could help, regards"
},
{
"from": "gpt",
"value": "Target: What are the medical procedures for leakage of heart valve?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: good morning had unprotected sex, and my boyfriend injaculated inside me. we had sex about 8pm sunday night and i took the first dose at 12:27 pm wednesday. i fell asleep and forgot to take the second dose. when i woke up it was 3:43 am on thursday morning when i took the second. i want to know if i will still become pregnant Doctor: Hello,Since you have missed the 72-hour protective window, you may not be protected by the pills. If you happen to be during your fertile period when the intercourse happened, you have very good chance of conception. You may have some amount of withdrawal bleeding consequent to pill usage which often subsides in a couple of days. Please wait for your next natural period and get expert help in person if you do not see it even after ten days after it is due. Hope you find this information useful. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Is there a chance of pregnancy after delayed consumption of pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a raised mole (about 7mm wide) at the bottom of my clevage and have noticed that the area around it is numb. I have recently been pregnant and now am breastfeeding my 6-wk old boy. Is this anything to be concerned about or is it quite normal due to the pregnancy hormones? Doctor: it should interfere with the breast feeding. But it will be better if you will consult a dermatologist for sure to determine the diagnosis of the mole , what is the nature of this."
},
{
"from": "gpt",
"value": "Target: Does the mole near my breast affect breastfeeding?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had a liver enzyme test come back at 62. my doctor says she thinks its related to a viral infection that i had. i was concerned that the testocerone patch (andro-derm) caused it? i'm also on 7.5 mg of prednisone for autoimmune and take prevacid and pepcid for reflux. thoughts? Doctor: Hi thanks for contacting healthcare magic...According to your history you have elevated liver enzymes with using some drugs also...Short term use not lead to enzymes elevation....If you have right hypochondrium pain , vomiting like features then viral hepatitis ruled out by viral marker study...Infectious mononucleosis , cytomegalovirus and some other viral infection also can lead enzyme elevation...USG helpful to rule out fatty liver which also can lead enzymes elevation.If you have gall stone then also it can occur....Take low fatty diet...Avoid alcohol.....Regular follow up needed with repeat viral marker after few days....If you have history of celiac disease or heart problem then also enzymes elevation can occur....Hope your concern solved....Take care.............Dr.Parth.."
},
{
"from": "gpt",
"value": "Target: What caused liver enzyme at 62?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter has intermittent abd pain around the umbilicus radiating to the right below the rib cage. no distention noted bowel sounds in all quads. complains of a cramping nausea diarrhea, no vomiting as yet. bright yellow stools times 6 since 12 noon central time Doctor: hello,this could be a case of infective diarrhoea..hope there is no blood in the stools,you can use any anti-spasmodic drug like spasmoproxyvon, and combination of ofloxacin and ornidazole which comes in combination,any ways do show to a doctor and then take the medication as things vary from person to person and what you may say may not be the exact thing what might have happened"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal pain and diarrhea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, My age 26. I have heavy anxious mind. one day I saw car accident and many death of man. I was suffering huge anxiety . after that day i am feeling overhead headache and my ear is closed. If i take antidepressant medication such as Clonazepam 0.5 mg, I am feeling good. after taking one month when i leave this medication. after i am feeling same overhead headache and ear close. I have no hyper or hypotension . Can you please help this. Doctor: hi, welcome to healthcare magic Probably you are suffering from 'post traumatic disorder'. In this disorder patients have severe anxiety after exposure to a stressful event, and anxiety may manifest in the form of somatic symptoms like headache and ear close. It is treated by use of antidepressants (clonazepam is not an antidepressant) like sertraline, escitalopram, fluoxetine; along with psychotherapy. Treatment should be continued for atleast 6 months. So you should consult with a psychiatrist for a proper treatment as longer duration use of sedatives like clonazepam will make you dependent on it. best of luck"
},
{
"from": "gpt",
"value": "Target: Suffering from overhead headache and ear close after a trauma. Taken Clonazepam 0.5 mg. How to cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello from Alaska! I have this ache on/in my left upper chest. It comes and goes primarily in the mornings and evenings when I m laying down in bed. It seems to wrap around my back below my shoulder blade sometimes and I breathe deeper it hurts a little more? Doctor: thanks for your questionchest pain have variety of causes like costochondritis pleural effusionlung relatedcardiacgastritisin my patients i usually go for some investigations like chest xray , ecg , an endoscopy of neededyou need to consult a pulmonologist and disscuss these modalitiesi usually start my patients on proton pump inhibitors feel free to ask more questionsdont panicmay god bless you with good health"
},
{
"from": "gpt",
"value": "Target: What causes upper chest pain while taking deep breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MY 3 YEAR OLD SON COMPLAINS OF HEADACHES EVERY 2-3 WEEKS. WITHIN 2 HOURS OF COMPLAINING OF HIS HEADACHE, HE VOMITS AND THEN APPEARS TO BE COMPLETELY FINE. tHIS HAS BEEN GOING ON FOR THE LAST SIX MONTHS. SHOULD HE BE GEETTING A REFERRAL FOR A CAT SCAN OR AN MRI? Doctor: Hi...Thank you for consulting in Health Care magic.Headache in kids need to be considered serious only when the below symptoms are there -1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behaviour.Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing.I have a few questions for you -1. How long has the headache been there?2. Does it occur always on forehead or keeps changing?3. Is it associated with blurring of eyes or double vision or giddiness?4. Is there any family history of migraine or single side headache?5. Is he very angry when he gets headache and does the ache get better after a good sleep?6. Does he vomit when there is headache?Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15mg/kg/dose(max ceiling dose 500mg) every 4-6th hourly.You can approach me at the following link. Please find the link below -www.yyyyyyyyyyyyy.com/doctors/dr-yyyyyyyyyyy-yyyyyy/00000Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What causes headache and vomiting in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: UNDER RIBS ON RIGHT SIDE IS HURTING WHEN i BREATH COUGH OR EVEN CLEAR MY THROAT.. i GOT CHOKED ON SOME MEAT WED NIGHT AND THIS RIGHT SIDE HAS HURT SINCE BUT WORSE TODAY HAD TO LEAVE WORK AT 9 AM THIS MORN. don t know it is the spleen or I ve cracked a rib when I was coughing so bad when i was choking Doctor: I dont think it should be a big issue. still if you feel discomfort always prefer to meet a specialist. Try doing Costal and deep breathing exercises by placing hand over the painful area. once the muscle recoveres and gains strength i hope you should be fine."
},
{
"from": "gpt",
"value": "Target: What causes pain under ribcage while breathing or coughing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I get an intense pain in my head, it is not like a headache, more like a stabbing pain, that will not last more than five minutes but will return. Also feel sick alot: faint, weak, nauseous. I also have been having mood swing, I feel angry for no reason, also feel sad. I have shut out the few friends I have, I love them deerly but I feel paraniod that they talk about me. I also have become very annoyed, very easily. I don't know what I'm going through? I am twenty, female, I have been through alot of tramatic experiences in my life. Do you think there is something wrong or is it in my head? Doctor: HIThanks for using healthcare magicI think, you are in depression. Low mood, mood swings, paronoia, sleep disturbance, tiredness all are symptoms of depression and in that case, you need proper treatment with antidepressant. Better to consult a psychiatrist for proper management and in case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: What do stabbing pain in head, mood swings and depression suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am due to have nuclear stress test and i have anxiety disorder. i have put the test off three times, yet i know i really need to have it done.. is it safe for me to take xanax prior to test? my disorder is chronic and i heart problem due to the stress put on my heart from the anxiety disorder over the years. Doctor: Hi, Xanax (Alprazolam) is a short-acting benzodiazepine and is often prescribed before many procedures to allay anxiety/for conscious sedation in some individual who appears apprehensive. Many investigative/ therapeutic procedures are performed, ideally after light sedation if the patient is conscious. Nuclear stress test is undertaken under presence & guidance of Physician. Hence you need not worry. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Can Xanax be taken before nuclear stress test?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor Since last month, I am getting red itchy bumps over my body [legd, stomach ,back and neck]. It is more over the night. It is very itchy and turns more red, bumps gets bigger if I scratch . No bed bugs at home. I feel i am getting this itching when I eat chicken or seafood.But all over my life I have been having non veg food I didn face this in the past. I wonder how suddenly I got this allergy for non veg. Pls help me. Tell me some remedies to tackle this itching Doctor: Hello, This is NOT an allergy to seafood but a condition called urticaria. This comes up in red lumps , itchy areas that appear randomly at various parts of the body. Individual hives may disappear in a few hours to within a day but new ones appear. Chicken ,seafood, chocolate can appear to cause an itch as these foods are high in histamine, the exact chemical that causes these urticarial lesions to appear. The condition may start with an infection, but proceeds well after the infection has cleared up. Long-acting non-sedating antihistamines like fexofenadine taken once daily along with cetirizine or atarax (very sedative) over 4-6 weeks help. If it recurs, you need tests like CBC, iron levels, thyroid functions to exclude an underlying cause. Thanks."
},
{
"from": "gpt",
"value": "Target: Red itchy bumps on legs, stomach. Itching occurs on eating chicken, seafood. Food allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i fractured the radial head on my right arm 4 days ago now. i have had a few issues with temp casts until i can get into the fracture clinic (not for another 10days). i am now out of a cast in a sling strapped to my body and have a sock type thing supporting my arm also. i am a little worried about this tingly numb feeling im getting in my arm but mostly my hand. my fingers and palm still feel numb and have noticed my thumb and index finger are going slightly yellow too. this is making me little anxious but have mentioned the numbness already and nothing was really said about it. i have been have anxiety attacks over the past 2 days which ive never had before but im finding it all a bit overwhelming :( i just want to know if its anything you advise i got back to the hospital for. i just have not experienced this before so dont know what to expect...thank you so much for your time - im grateful Doctor: hi,as you mentioned you have fractured your radial bone. and you are not into the cast as well. usually there will be a little of nerve irritation which is giving you a feeling of numbness, tingling, pain, etc symptoms. now depending on which side of the hand you are getting this sensation is important to note. You can go back to hospital and meet the physician and discuss about it. Usually if the nerve is irritated we need to actually wait for the nerve to respond. Now the type of fracture you haven't mention here. so if it's a compound fracture it might be something to look into for and if it's a simple fracture then need to take a CT or MRI scan to find out the extend of injury it has happened and if any nerve is irritated.I hope you will visit the physician and discuss about the same.with the grace of God i wish you a speedy recovery"
},
{
"from": "gpt",
"value": "Target: What causes numbness in the arms after treated fracture?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been having pain in my right upper abdomen for the last 6 or so hours (night). It's aching, and stings when I breathe in. I can sometimes alleviate the pain by laying on my right side, but usually I can still feel it. Some help would be spectacular. I'm a 19 y.o. male, by the way. Doctor: Hello there,I'm doctor Abel.I would like to know about other symptoms. Did you have vomiting or fever associated with pain. Have you been passing stools ? Is your pain radiating to shoulder or to back? Do you have difficulty in passing urine?Abdominal pain in general alone can be due to numerous causes.Given you have a right sided pain which is stinging on inspiration, can be two things.1. A inflammation in galbladder. But that is uncommon without fever .2. Could be a muscular pain due to cramps.Or 3. Least possibility of appendicitis.But without fever and associated symptoms, this just can only be a cranky muscular pain which is less worrying and will settle with rest.Hope you get better."
},
{
"from": "gpt",
"value": "Target: What causes right abdomen pain with aching and stinging?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi sir my name is kishore my phone no is 0000 .my father is sugar patient since 5years my father is taking ecosprin av 75 since 2 years, today father went to check up doctor suggested to stop ecosprin why?taking ecosprin is dangerous what is danger if take dtablet Doctor: Hello, Ecospirin is a safe and widely prescribed drug. It prevent blood clotting and prevents conditions like angina and stroke. 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: Is Ecosprin intake harmful to health?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a fall in January and a Mild Concussion. Since my fall I have had speech stutering and sluring of words. My CT scans have been clear. My MRI shows I have Maxillary Sinutitus can that be caused from the concussion and be causing the dizziness and numbness in face? Doctor: Sinusitis is commonly diagnosed on MRI scans in ALL FOLKS and has no relation to the concussion. Numbness of the face can have several causes. If this numbness in the face did not begin until very recently then, there is no relationship to the concussion. If it happened at the time of or very shortly after the brain injury then, POSSIBLY there could be a relationship if it can be shown that the brainstem itself was sufficiently jarred to cause the symptom. The problem is there aren't any other symptoms in accompaniment that you've mentioned that would be consistent with a brainstem exaggerated force which then, should've caused other cranial nerves to malfunction, not just the one controlling sensation to the face. In all, I would say the concussion is an unlikely causative factor for numbness of the face. I can certainly make an argument for the stuttering problem being related to the fall as well as the dizziness component of your symptoms (again if they are time locked or synchronized to having appeared at the time of or shortly after the incident). I think a good thorough check up by a doctor is in order.Would you do me the great favor of a STAR RATING for this answer if it at all helped you answer questions you were looking to resolve? Be well."
},
{
"from": "gpt",
"value": "Target: Can concussion cause Maxillary Sinutitus leading to dizziness and numbness in face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: severe vertigo ( unable to stand without falling or vomitting 9 weeks this time, have had on 3 occasions in last 4 years ) muscle spasms in left leg, fatigue. numbness and tingling in feet, white matter changes in brain on MRI test what could it be??? I have thyroid problem (Synthroid), heart arithymia (PVC and PAC)(ToprolXL), Severe Insomnia (Rozeram and Muscle Relaxer), Lyme Disease years ago, 5 concussions in lifespan (41 white female,5'4 inches tall,100 pounds), History of seizures 5 yrs or so ago no longer have stopped seizure medication 4 or yrs ago Doctor: Hello,Thanks for the queryI understand your concernI have noted your medical problemYour vertigo could be related to migraine, positional vertigo. Please do not worry about the MRI changes as these changes cannot explain the clinical findings. You need a detailed neurological assessment by a local neurologist to ascertain the diagnosis.ThanksPlease get back if you need any additional information"
},
{
"from": "gpt",
"value": "Target: Severe vertigo, muscle spasms, tingling feet, white matter changes in brain. MRI done. History of health problems. Advise?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got hit with a baseball pitch in my hand. I went and got it checked out and got x-rays done and they said it was just a contusion. They allowed me to play as long as I could bare the pain, so I continued to play and just dealt with some bruising and swelling where I got hit. Now it s about a month later and I have a hard bump on my hand that feels like bone. It s right below the knuckle of my ring finger, but it doesn t hurt at all even when I press down as hard as I can on the bump. What could the bump be? Doctor: Hi,I have studied your case with diligenceGive rest to hand and wrist.You can apply crepe bandage for support.You may now need MRI of hand/wrist to rule out any minor fracture.You can consult your doctor by taking appointment, apparently it does not seems like emergency.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: How to treat a hard lump on the hand caused by injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother, 82 yrs, is sufferring from dementia, severe oteoporosis. She is taking Fluoxetine in morning and Laxotanil at night. Now she is falling frequently, numbness and tingling in fingers. Is she heading towards paralysis? what do you prescribe for her? Doctor: sory to hear about your mothersince she has dementia you need to take more care ,she needs a caretaker the whole day longher increased frequency of falls are signs of aging,need to make your home and surrounding easy for her to walk I.e. avoiding furniture and stuff on her way,a walking aid can help her in thisalso balance and gait training by a physio can help her .again due to ageing factor you need to keep a track on her blood pressure and heart rate(doing regular full body checkups)hope you find this helpful"
},
{
"from": "gpt",
"value": "Target: What causes numbness and tingling in fingers having Dementia and severe Osteoporosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: granddaughter had a stem cell transplant a year ago. She got a flu shot in mid Sept. She has been having bruising and we had her cbc checked. Her platelets was low, they are considering a bone marrow aspriation if her cbc shows still low. Could the flu shot in mid sept cause her low platelets? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. No, flu shot would not cause low platelet count normally.2. However, a live attenuated vaccine or recent viral infection could cause immune thrombocytopenic purpura.3. Bone marrow biopsy is necessary for confirmation or to evaluate other causes.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: What causes low platelet count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my brother has elevated liver enzymes--between 5-12 times upper limits of normal. diagnosed today in EC with hepatitis, serology results back later in the week. if he does not receive treatment and continues his lifestyle, what would be an approximation of time that he has left? Doctor: Hi thanks for contacting HCM...Noted he has diagnosed with acute hepatitis ....So some lifestyle measures has to be taken..If not then complication can occur sometime fulminent liver failure can occur....Take low fat diet...Strickly avoidence of alcohol...Green leafy veg more...Fried food and non veg taken very much less....Rest is done.One tsp licorice with honey useful...Fruits , green leafy veg , apple juice , papaiya , avocados good for liver.Early in morning take carrot juice....If cause for acute hepatitis unknown with full history and investigation then biopsy might needed.So rather then thinking about his life expectancy consult gastroenterologist for examination...Take care.Dr..Parth"
},
{
"from": "gpt",
"value": "Target: What is the life expectancy in hepatitis and elevated liver enzymes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello my name is Otis im a blk male age 49 6ft 1 inches weight 240 I have not had any problems passing stools in the past. Last year I had a herniated disc in my lower back L5-S1 that hit my nerve. I lost all bowl movement including being able to urinate. I had to have a caphiter put in for about a week or so then it was removed because I was able to urinate on my on. I had no bowl control ie.. could not stop bowl movement . I now have gained all control back but it is very hard for me to have a normal stool. I do have them but I have to push real hard to get it going. I have no pain while having a bowl movement but just a burning sensation in my legs. The Doc says the the pressure from my stool pressing on the nerve. Is this a serious problem or is it going to get better with time? Doctor: Hi,Thank you for posting your query.I have noted your symptoms and MRI report findings.Constipation is not a serious issue, however, it should be well managed.You can use stool softeners to ease up the bowel movements. Sometimes, digital evacuation may be needed.Physiotherapy with back extension exercises would be helpful.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: Is difficulty in passing stools due to herniated disc a serious problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wonderful husband (of 46 yrs) has been treated for 20 yrs due to high blood pressure- lisinoprel 40 mgs 2x a day. Over the approx. 6mos his pressure will swing widely. i.e. 189/98 to 98/56. We live in small town and are waiting for appt. in large city- but not avbl until next 2/4/14. most of the time it is well controlled but the periods of \"normal\" are growing farther apart. What causes this? Doctor: It's odd that if the same drug which was effective for so many years is suddenly causing so many fluctuations. 1) It is more persistent on higher side adding another drug is best. 2)substitute lisinopril with a longer acting one like perindopril 4mg twice a day or 8 mg once, this has a far longer half life so will eliminate the fluctuations, and because it's exactly like lisinopril in other characteristics we don't need to worry for same 3) check his other parameters, like his salt intake, his kidney status, any other Co existing problem like diabetic, which may cause fluctuations Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: What causes spike in BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I've had a cough and a blocked chest for 3 ish months now and whenever I swallow I feel something thicker than saliva going for. I've been put on an antibiotic but it did not clear up (that was around a month ago) I am not too worried about it but it's getting extremely annoying because I can't stop it.I take 20mg of fluoxetine and 10mg of phernegan I get bad hayfever and it is currently summer where I live. Hope someone can help ! Doctor: You seem to be suffering from allergy and that`s why your cold and cough is prolonged for so long. You may try taking montair lc and an inhaler like aerocort for some time. Avoid dust and smoke and cold climate."
},
{
"from": "gpt",
"value": "Target: What is the treatment for cough and blocked chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what is the best anti depressant for a woman who has dysthimia age 47- menopausal symptoms, lethargy, binge eating, mild anxiety and mild depression. just moved to a place due to husbands job, that I hate having to raise my kids here !!! 5 children, happily married, non smoker non drinker non drug user . since the loss of Mother and move in the last year leaving my house and life behind, increasingly depressed. used to like excersise- but not enough energy to go (in the past year). just got cleared on all blood work, mammograms pelvic exams and I take care of myself. . 22 years married . never been on anti depressants, but my Mom did well on Prozac ! thanks Doctor: HiThanks for using healthcare magicI would suggest you either escitalopram or paroxetine. You can choose either of them. Just consult your psychiatrist about these antidepressant and start taking one from basic minimum dose. That would help to control depressive and anxiety symptoms.Thanks"
},
{
"from": "gpt",
"value": "Target: Which is the best anti depressant for a woman who has dysthimia, anxiety and depression?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: is there any way to drain inferior cervical glands. Mine is swollen a d painful. I have had sinsus and allergy problems for the last several weeks. I went to the doctor for this condition yester and given an antiobiotic and nasal spray to treat. This morning I noticed this swollen area across the right front base of my neck which is swollen and painful. Doctor: YOUR POST NASAL DRIP OF SINUSES IS CAUSING THE PROBLEM THE CERVICAL NODES WILL BE REDUCED WHEN YOU R ALLERGIES ARE CONTROLLED AND THERE IS NO PND FOR LONG TAKE METROGYL 200 MG BD TAB FEXOFENADINE 120 MG BD SYO TOSSEX 1/2 TSF NIGHT SYP GELUSIL 2 TSF TDS Apply neosporin h eye ointment in nose bd sea waTER IN NOSE 2 DROPS BD FOR 3 WK YOUR SINUSES WILL CLEAR AND NODES WILL COME BACK TO ORIGIONAL POSITION AFTER THAT CONSULT ALLERGEOLOGIST FOR FURTHER MANAGEMENT OF ALLERGIES"
},
{
"from": "gpt",
"value": "Target: Have swollen, painful inferior cervical glands, had sinus, allergy problems, given antibiotic, nasal spray. Drainage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have a mild, dull ache on the inside of my left calf in one spot. About eight days ago, I was about to stretch out on my sofa and as I lifted my left leg, I felt this horrific pain in my knee that radiated into my leg. My calf has been mildly sore ever since. Could this be a blood clot? Doctor: Hello, It's not clot so you can sit back and relax. This is a muscle pull. Which happens once in a while to some people. With hot water fermentation and doing ankle toe movement that tender area will be gone. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes pain inside of left calf?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i was on depo shot but i got off if as i was putting a lot of weight on my periods are all werid and sometimes i never get them i am worried about getting pregnant or if i even am??? i need to protect myself without gaining weight as this is a huge issue any suggestions? Doctor: Hi dear and thanks for your query.If you do not want hormonal methods of contraception you have another methods such as:Cooper IUD tubal ligation They have no side effect like weight gain,headache ect.All the best"
},
{
"from": "gpt",
"value": "Target: What are the ways of birth control for a woman without any side effects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 20 years old. In the early hours of Saturday morning, she complained of getting hot and cold fever. She was itchy and had a severe neck and back ache. She was taken to a 24 hour casualty hospital. The GP took blood to test for German measles. This was found to be negative. Her white blood count was low, signifying a viral infection. She has been taking Purbac, an antibiotic for her skin. In hospital they put up a drip of Cortizone, Buscopan. Perfalgan, Rayson and Zofran. She was released from hospital a couple of hours later. I filled the perscription for tenston, xefo, celestamine and Robaxin and administered this to her. At 10.30pm on Saturday night, she woke us up complaining of extreme itchiness. I took her back to hospital. another drip was put up with Aterax, Maxolon and Phenergan as she was also complaining of stomach ache. Again she was released, only to be readmitted later that night. The GP did urine tests. She tested negatively for Malaria as she had been in a Malaria area the previous week. She was released with the GP saying that she could have been admitted originally with flu type symtoms (sore back, neck) and then the medicine after could have caused an allergic reaction. After a bad nights rest, she woke up with raised red welts on her face, but nothing on her torso. Could this be an allergic reaction to all the medicine or/and the high dose of sulpher in the Purbac or is this Urticaria? Your advice would be appreciated. Doctor: Yes this is an allergic reaction. Antihistamines and steroids is what she needs which your gp never gave. Start 8 mg methylprednisolone daily and taper after a week"
},
{
"from": "gpt",
"value": "Target: What is causing allergic reaction to my daughter?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a painful lump on my leg, that appears to have a bite in the center. It s rock hard in a lg circle the size of a quarter. It is also slightly itchy. I ve only treated it with bacitracin and bandaid after washing it. Walking I can feel it cuz it s on my calf. Any suggestions on a better way to treat it? It s red, but not a target inside another circle. I vaguely remember something sticking me in the middle of the night. Doctor: It may be sebaceous cyst which is getting infected on and off. If you don't have infection as of now then go ahead with excision surgically. And send for hpe examination. If infected, better to undergo drainage."
},
{
"from": "gpt",
"value": "Target: What causes a painful lump resembling a bite on the leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My uncle is having various health problems that are being diagnosed. He just had a knot pop up on his shoulder and has one on his stomach as well. Doctor's are checking him for possible liver cancer (spot seen after a scan with contrast and xrays). He's also in pain with pinched nerve, hernia, and possible ulcers. I had heard that various cancers can cause knots under the skin. Any ideas? Doctor: Hello dear,thanks for your question on HCM.Yes, you are right about cancers giving knot under skin. It is known as spread of cancer in the skin. And many cancers cause this. The common ones are liver,lung,kidney and breast cancer.So possibility of cancer spread in skin in your uncle's case is high as He is having liver cancer.So better to get done biopsy of the skin lesion and get done histopathological examination to diagnose its cause.If it is malignant than your uncle is having stage 4 liver cancer. And it is having poor outcome."
},
{
"from": "gpt",
"value": "Target: Can cancer be the cause for knots under the skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, i have a severe backpain near my shoulder bone on the back area. The pain shifts from left to right and some times goes lower. My xray of back has no problem my doc had told for blood report which was normal but vitamin D was very less so i am taking injections of vitamin D for 1 month but the pain is not becoming less......pl tell me what could be the reason for the pain and what to do.... Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.As your vitamin D is low.It may be cause of your pain. You should take this vitamin in full therapeutic dose as you have deficiency. It is given as vitamin D3 60000. IU weekly for 10 weeks. For pain relief you can take analgesic such as ibuprofen. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes severe back pain near the shoulders?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi zaysh here , from past 8 to 9 days my sgpt is hoping between 70 to 110 , due to this i tested for hepatitis a ,b and c but all were normal and non reactive kindly tell me what is possible reason for high alt levels , and worth mentioning is that i have almost quit fats and proteins diet since than only on boiled vegetables. Doctor: Dont worry if you dont have symptoms of hepatitis,continue on normal diet,take some liver vitamins like ESsiantiale L and a multivitamin."
},
{
"from": "gpt",
"value": "Target: Hepatitis a, b and c reports normal, high SGPT levels. Quit fat and proteins diet, on boiled vegetables"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi I have a mild brain injury, which leaves me very forgetful and delirious at times. I have had multiple head and facial reconstructive surgeries over a 6 year period due to a car accident in 2009. I Suffered psuedomunus in my frontal skull wall, bone and obliterated frontal sinus as a result, then filled with hydropoxy bone cement to fill holes in the frontal skull. been 4 years since last surgery, still suffer migraines regularly, I eat healthy and keep active and fit with my home gym as much as i can. But the last 6 months I having moments of dizziness, almost like i have consumed a lot of alcohol. i get confused and delirious a lot more, have episodes of tightning of the skull and everything goes black for 20-30 seconds and upto a minute, where i just have to sit wherever i am until it passes. I have been unusualy tired, bruising a great deal, and horrendous frontal skull pain some days, still chronic migraines, terrible upper back and neck pain, lack of apetite, dehydrated, although drink litres of lemon water and home made fruit juices with wheatgrass ect... I feel hot flustered and sick a lot, pretty much a blocked nasal passage most days, but no flu..the pain is unbearable at times, but ive always had pain and just deal with it in the ways i learnt in pain management rehabilitation...I went to local doctors, had blood tests and iron levels ect.. fine....is it a result of the Bone cement?? A reaction?? Shelley Doctor: HIThank for asking to HCMI can understand your concern looking to your surgical history, if your brain is intact (Hypothalamus, cortex ) then there wont be question of memory loss, you have gone through the multiple repairs and but natural that it must have pushed you into the shock and you have to come out of this, you seems to have some functional disorders too, and that might be causing such symptoms you just take it easy and have nice day"
},
{
"from": "gpt",
"value": "Target: Can brain injury be the cause for memory loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 24 weeks pregnet with my 4th child Yesterday morning i woke up with Lower back pain I stayed off my feet to see if that would help Last night I could not get any sleep becuase no matter which way I laid the pain would not go away i stil have the pain this morning I thought that it was just the baby growing is it something I should worry about? Doctor: HI, I have read your query & understand y6our concern. Pregnancy hormones cause loosening of pelvic ligaments. As a result the pelvis is stretched due to growth of fetus .. this leads to pain in back in pregnancy. Also as the baby grows, the abdominal weight increases. So there is much more load in front of body.. making imbalance due to shifting of line of gravity.. the back muscles stretch the line of gravity back to normal by contracting & pulling the body back. This creates lot of stress to back muscles & so the pain. * this can be managed by doing pregnancy yoga exercises to strengthen the back muscles. * back pain also follows calcium & vitamin D deficiency. Replacement of these controls the pain. - some times vaginal/ pelvic infection or inflammation can cause the back ache. This needs a gynecologist's advise / investigatios & specific treatment. ** you should consult your gynecologist for proper guidance after checking you up. thanks."
},
{
"from": "gpt",
"value": "Target: What causes lower back pain during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have had a low grade fever for the last 11 days. When i went in the have the fever checked, doc said, after checking my blood - that my body is fighting an infection. while checking my blood he found the my iron levels are really low. i have taken an iron panel, but have not got the results yet. what can i do in the mean time. Doctor: Hi,Welcome to health care magic,Fever since 11 days with suspecting infection,you might have viral fever or bacterial fever but the important thing is to know what are the other symptoms do you have?You may need to undergo routine blood count(which might you did earlier) with ESR,urinalysis,chest x-ray if respiratory symptoms,blood culture.You must get diagnosed first in order to have the correct treatment.Consult physician and get properly diagnosed and then start the treatment.Thanks and Regards,"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for constant fever and low iron levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 11month old baby got a fever last night. I gave her tylenol for the fever and bathe her to bring the fever down. This morning she has chills. She was recently taken to the doctor last week for cough no fever. She was prescribed cough medicine and amoxicillin. Doctor: Giving an infant a bath to reduce the temperature rarely has a lasting effect. It might be a better idea to sponge the child continuously with luke-warm water, till the core temperature comes back to normal, or at least subsides to a safe level. To check if the core temp. has decreased, just check the warmth inside the child's mouth. The chills are probably related to the underlying cause of the fever. You need to show her to the pediatrician as soon as possible.Dr Taher"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever and chills in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear sir, I am having some married life related problems and need concelling from you. My wife is basically very intrivert and many time times does not share things easily or say, does not vent out her emotions so easily. This results into many different problems. I request your help on this. Doctor: HiI understand your concern.But without interviewing her how can i suggest you what to do.Introvert nature is kind of nature that she can not able to expose everything that you want.Nature can not be changed but level of understanding will change.Proper assessment of her and your nature will give some conclusion.Sometimes mutual understanding will solve the problem.For that you have to consult relationship expert or psychiatrist who is doing relationship concealing.Active participation of both of you is must.It is not possible if you only take participation.So consult and get further assistance.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for not sharing emotions"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have 5 teaspoons of sugars in my cup of tea, now I only have 4-5 cups a day and i don't eat any chocolate, crisps or sweets i also cant / don't drink juice or frizzy drinks . I am 4ft10 and weight 7stone5 so not anyway over weight but my mum says I'm going to get disabilities from having all that sugar in my tea. Is this correct? Do I need to cut down? Doctor: Hello and welcome to ask a doctor service. I reviewed your query and here is my answer.It looks like you are adding alot of sugar to your single cup of tea. If you are slim and not overweight and no history of family diabetes, then it may pose a little problem like having a risk of diabetes in future. So you need to lower intake of sugar in your diet and start eating other things more instead of sugar or take sugar less in amount. Else i have seen many patients who do take sugar even more than you with no problems, but one should be careful and cautious about health. So decreasing intake is in your own good.Hope i answered your question. Feel free to ask if you need further assistance. Thanks."
},
{
"from": "gpt",
"value": "Target: What is the recommended daily intake of sugar?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor i was married 6 month only.last month my wife say i have tired, vomit and lot of hungry.so i have checked my doctor ,but doctor say no perganant,my wife menstruation stop 10days after only i checked.Afterthat i continue with my sexual activites .The next day she say menstruation started again. when i sex with my wife the next day menstruation started again my wife.it had irregularly came menstruation .pls advice thanks Doctor: Hello. Thanks for writing to us. It seems that your wife is having irregular periods. This happens most commonly due to a hormonal disturbance. A complete hormonal profile needs to be evaluated after proper blood tests to find out the cause. Please do not worry and consult a gynecologist for proper treatment. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal Regards, Dr. RakhiTayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Had tiredness, vomiting, hunger, negative pregnancy test. Have irregular periods after intercourse"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My sister has some psychiatric problem, she is under treatment from last six months but she stopped taking medication, also despite we book appointment she refuses to meet the doctor and gives silly excuses.. she is very much concerned about her own life and scared of death, don t bath for days, busy in mobile phone watching videos, once start talking about all the problems in her life don t stop easily... washes hands very roughly to clean it very well, cleans togue so much that it could peel tongue skin.. my whole family is going to be destroyed because of her... Doctor: hiyour sister needs to be back on medication ASAP.Hospitalization for sometime would help. I suggest you sedate her and take her to a psychiatrist if she refuses to comply."
},
{
"from": "gpt",
"value": "Target: How can severe OCD be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have chronic toothache from a tooth that has a filling already, i have tried to use a temporary filler to try to solve the problem but it is still persisiting and the only solution i have found so far seems to be a mouthful of cold water every 30 seconds or so any suggestions on what my problem could be and maybe any temporary solutions to get me through the night until i can get to the dentist? Many thanks. Doctor: Hi As per your complaint about your tooth, you have secondary caries and Pulpitis. There may be decay beneath the filling of your tooth that may be deep to reach pulp which caused infection and inflammation of the pulp. The best thing to do is to visit your dentist, get an x-ray investigation to rule out the diagnosis. If the infection reached the pulp,your tooth should undergo Root Canal Treatment early to avoid its removal.You can use painkillers but only temporarily. Please reply on hcm if you have any further questions."
},
{
"from": "gpt",
"value": "Target: How can toothache be treated?"
}
]
|
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