conversations
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[
{
"from": "human",
"value": "Source: Patient: Hi, I was curious about any relationship between a carcinoid tumor of the liver and Lichen Planus? Also, if labs are completely normal with no s/s and the tumor has no other origin but the liver (2.5 cm in diameter), could they take it out using cryotherapy or some sort of laparoscopic technique to prevent hemorrhage? Doctor: Hi, dearI have gone through your question. I can understand your concern. There is no any relation between carcinoid tumour and lichen planus. Treatment of carcinoid tumour is surgical excision. But technique depends on location of tumour. If it is possible to remove by laproscopy then you can go for laproscopic surgery. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Is there any relation between a carcinoid tumor of liver and lichen planus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a painless muscle twitching in the heal of my right foot. It has been occurring off and on (maybe the past month or so?). I exercise regularly. Drink water (rarely any soda; no coffee) Level of stress on the job has increased dramatically. Should I be concerned? Doctor: hithank you for providing the brief history of you.A thorough musculoskeletal assessment is advised.as you have no pain and other symptoms except twitching of the muscles in the foot, it could be related to muscle weakness in the foot region. Performing exercises for the foot muscles should regain the strength and avoid twitching later on.The twitching occurs due to imbalance in the muscular system and with simple exercises it can be balanced. Exercises includes are - picking the marbles from floor, picking small bits of paper and walking bare feet on grass.This will provide stimulation to the muscles of the feet and make a Neuromuscular correction in the imbalance in the muscles.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What causes painless muscle twitching in foot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my daughter got bit last week by a small dog and it drew blood she went to hosiptal and they gave her some pills but she has been sick the last 3 days her two legs are numb and had diarea ann has sleep for 3 days on and off, today she said her one arm is numb now she is on her way to riverview hosiptal in wisconsin rapids. it was a winnerdog no shots it has as we no right animal control was here this morning to see where this dog is we got the infor, and called back animal control have heard noting back yet Doctor: Welcome to hcm Thank you for your query about dog bite.first you have to clean the biten area with water and then with cold water Then you have to immediately rush to the hospital. There they will another time examine the biten area and will clean it.You must not cover the wound with tight plasters and keep it open.They may apply some anti rabis vaccine in the biten area and will start you with anti rabis vaccine schedule.All the vaccinatens are given intramuscularly. No vaccination is given around the umblicus . hope this explainsRegardsDr.Amarnath."
},
{
"from": "gpt",
"value": "Target: What should be done after a dog bite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been in Hospital for took Chest Xray, I had been twice chest Xray because in my skin test is positive result but, my X- ray negative, I'm not sick I can't feel any symtoms on my body..What should I do? Do I need take medicines? Best Regards Janice Doctor: Hi welcome to HCM...You have positive tuberculin test but chest x ray negative ....So you are confused whether to start AKT or not ....Let me know you mere skin test positive doesn't always mean you have TB ...False positive result can be from if you have prior vaccination history or having infection with atypical mycobacteria other than TB bacilli.....Clinincal correlation necessary in your case ...You are also asymptomatic ...So as such just now no need for starting AKT ....Regular follow up done ...Take care .....Hope your concern solved. .Consult pulmonologist for examination .."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for positive TB skin test with negative chest x-ray"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I suffering knee pain of both legs since last two week,age-32 ,wt-86 hig-164 cm. I married and have a son,9years old.I meet Dr.,take ex-ray and he told arthritis, prescribed tablet . signoFlam-before food,Digerab,Newbona plus-after food,Grandix (15 days). what do you suggest Doctor: Hello, Continue the medicine till week. post which starts exercise for knee muscles. like static hamstring and static quadriceps. post which resistance training should give excellent results. Most cases I see in my clinical experience of 12 years at your age have early signs of osteoarthritis of the knee. With exercise, they are better. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What can cause knee pain in both legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been seeing a chiraprator for a sore neck that makes grinding noises when I turn my head. He has been realigning my body. I have been seeing him for 2-3 weeks, 3x a week. I have also been having some decompression things done on my neck in the office. Two days ago I started having severe, stabbing pain in my left calf. It hit me about 3 times and then went away. Last night it came back, waking me up in severe pain. I was able to stretch my foot and it helped. I had my potassium checked a couple of weeks ago because I have Addisons. It was ok. My chiraprator is out of town and I am concerned. I also exercise daily. I ride the recumbent bike for 30 minutes a day plus do a little weight lifting. Noting too strenuous. I am 63 and do not smoke. I have not had any more pain since last night. Doctor: Hi, This type of pain is suggestive of cramps,that usually occurs secondary to loss of electrolytes during sweating. All you need to do is to drink ORS like drinks while you are exercising to replenish your electrolytes. In case the cramps persists, you need to add carnitine rich foods in your diet. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes severe stabbing pain on the left calf?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: diagnosed with diffused bulge of the disc measuring up to 6 millimeters there is left para median inferiority extruded disc extending at least 14 millimeters below superior in place of f1 exerting math upon the descending left So nerve root which is displaced posteriorly. my question is the doctor suggested surgery. but I am NOT currently having that much pain surgery is scheduled for 2 weeks from today should I have it? any help would be great by the way the bulges at l5-s1 thank you Doctor: Hi,Thanks for your query.It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation &spinal canal stenosis.The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.You can get the appropriate drugs prescribed from your Orthopedician after examination.Meanwhile you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for diffused bulge of disc"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son was only four years old when diagnosed with Encephalitis in Edmonton Alberta. Yet the cause states Herpes........not so in this case. We were advised a side effect of mumps as a cause. Son did have mumps short months prior. Answer?? Not likely will pay for this .........there are other free sources. Doctor: Hi thanks for asking question.I can understand your concern.Get your CSF examined it might be helpful in differentiating bacterial and viral infection by total and differential count along with cytological examination.For bacterial infection antibiotic needed.For viral symptomatic management done.Take rest.Drink fluid more and maintains hydration.if needed intravenous fluid may given.To reduce swelling in brain and to reduce pressure antiinflammatory drug useful Luke steroid.To prevent or treating convulsion secondary to it, anticonvulsant drug can be given.If viral infection by herpes confirmed antiviral drug can be given like acyclovir.If still condition worsening then ct scan and surgical intervention needed.After treatment physiotherapy , speech therapy may be needed.I hope you will satisfy with my answer.Dr.parth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for encephalitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My son is 1 and a half. He had a bump with pus in it about 3 weeks ago that looked similar to an ant bite. but then it festered up more. I took him to the hospital and they said it was an abscess. Now he has another one closer to the top of his head that loo way worse. I m taking him to his pediatrician in the morning but I m curious as to whether its something more considering this is the second one in a month. Doctor: Hi...recurrent abscesses definitely needs evaluation as you are feeling. If I were your treating pediatrician I would definitely evaluate him for immunodeficiency disorder and follow up further even if everything turns out to be normal. My considerations would be Hyper IE syndrome or Common variable immunodeficiency.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes recurrent abscesses in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 59 years old and had CT Scan recently,and found out that I have a benign cyst of my liver .Had gone for Cholecystectomy 2 yrs. ago. Most of the time I have a discomfort bec. of the pain but they told me that there is no treatment with this problem. I want to know what are the foods I can take? Thanks a lot. Doctor: any kind of food u can take,but not to spicy.benign cyst in the liver is not harmful but they need to be evaluated in a proper way,kindly tell cyst size,if associated with fever or not"
},
{
"from": "gpt",
"value": "Target: Discomfort and pain, CT scan showed benign cyst in liver. What diet is recommended?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My stomache been hurting for a few days and the pain stops and comes back time to time..I tried using the bathroom and it helps a little but the pain comes back, i cant vomit and i dont know what else to do. Doctor: trying using the hot water fomentation, this will help in reducing the pain, also drink lot of water. it will reduce te discomfort"
},
{
"from": "gpt",
"value": "Target: Stomach Pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the bathroom the other day and went to get up and my lower back was killing me. It got better with hear and ice. This morning, while getting out of bed, that same sharp pain came back. It is all across the lower back and radiates to the front. I have no bowel problems or anything and it gets better if I stay still or lay down. Actually it disappears, unless I try to stand straight up. I was in a car accident many years ago and compressed fracture my T11. T12. L1, L2 and as a result I have developed stenosis in my spine. Doctor: hithese symptoms suggest nerve root compression in the lower back.get an mri of back done.Physiotherapy,lumbar traction,exercises should help.consult an orthopedistThanks"
},
{
"from": "gpt",
"value": "Target: What does severe pain in the lower back indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 30 year old woman and had a tetanus shot administered last Thursday (five days ago). On Sunday evening I noticed a slight itching and then tenderness near my left collarbone. I felt around and have found a small (the size of a marble, but not quite as round) lump on the top side of my collarbone. The lump is hard, but I can move it back and forth. It is tender to touch. I have also been battling a cold (now more of a cough, stuffy nose, sinus stuffiness/ache) for about 16 days. I did take Azythromycin which initially helped my sinus issues, but didn t take away the cough. My throat is sore and my glands seem swollen currently. I have not had a fever or chills. I have had night sweats on and off for the last 7 years and have not experienced an increase with this cold. I have an appointment with a general practitioner on Friday, but am full of anxiety about a possible serious condition. Doctor: Hi,the small lump on the collarbone that moves could well be a lymphnode, the best advice is to get its biopsy done so that you become clear on the status of this lump. Let me assure you that majority of the times its infection, but in a few cases it may be a type of malignancy indicator.do not waste time on this and get yourself examined."
},
{
"from": "gpt",
"value": "Target: What causes itching sensation and tenderness near collarbone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 14 month old choking last night vomited bits of food then slept . Breastfeed at five this morning was very noisy breathing . Checked at doctors today 2pm heard some wheezing said nothing to worry . In bed now, woken , choked up liquid, asleep now heavy, wheezing breathing. Was putting hand to his neck when awake Doctor: Hi...by what you quote I feel that the kid might have aspirated some of the food contents. I suggest you get him back to the nearest emergency to get a chest X-ray done. It might show if there was really an aspiration to cause wheezing and lung involvement.Wheezing after choking could also be due to a retained foreign body in the lungs.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for vomiting and wheezing in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has had a rash all over his body for almost 2 weeks now and it is getting worse, he said that he could hardly walk earlier today, he is running a fever and all his joints and muscles hurt almost like a Charlie horse. I had him at the quick clinic yesterday and they drew blood but they had no idea what this is. Doctor: hi,thank you for providing the brief history of your husband. As he is Having fever and multiple joint pains I feel this could be viral fever leading to pain and aches in the muscles and joints. As you have given blood for the culture it will help us alot to understand further and with simple medication he should be all fine.Regards Jay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What could pain in muscles with rashes on body suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a type 2 diabetic well controlled and no longer on insulin.I have been taking valsartin and since that is no longer available, my blood pressure is higher from 120/60 to 157/70. My dr. says losartin is \"good medicine\" but with the increased blood pressure, I doubt it very much. What is a good alternate? Doctor: Hi, I passed carefully through your question and would explain that Losartan is similar to Valsartan for controlling blood pressure values. They belong to the same class of drugs (ARB). Anyway, Valsartan is more effective compared to losartan for high blood pressure. If you have chronic kidney disease, I would suggest switching from Valsartan to a calcium channel blocker (Amlodipine or Lercanidipine). You should discuss with your doctor on the above options. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Is there any alternative to Losartan for treating high blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About once a week while I'm laying down in my bed relaxing, my heart starts beating very fast as if I had just ran the mile. I get a shortness of breathe and it only stops when I cough. it's been happening for about a little less than a year now. what's going on? Do I need to go to a doctor about this? Doctor: Hello. Thank you for your question and welcome to HCM. I read your concern. There are a certain amount of rate and conduction disturbances that can happen in this scenario. The fact that cough stops it, is another important clue. I would recommend you to see a doctor, have an EKG and a 24-hour Holter rhythm monitor. Better yet, I would recommend an episode rhythm monitor, a machine that you can turn on and off when this happens again. Even if it is a harmless arrhythmia or premature beats, my opinion is that you should go through and diagnose it as soon as possible, so the right measures for treating or not treating it, might be undertaken. If there is a problem, feel free to contact me again.I hope I was helpful. Take care."
},
{
"from": "gpt",
"value": "Target: What could cause elevated heart rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: at 4th day of my mensturation i have sexintercourse with ma patner .but due to unwanted of pregnancy i have taken tab. unwanted 72 on the next day day so now after 5 days i have bleedg ang slight abdomen pain....i feel fear and anxiety please help me out.my age -26yrs,height-154cm,weight-47kg,medical history-oesophagitis,migraine and sinusitis<br Doctor: Hallow Dear,Please shirk off all the anxiety off your mind. On fourth day of the menstrual cycle, egg is not present to get fertilized. Egg is released 14 days prior to the next menses. Therefore sex on 4th day of the menses is absolutely safe as far as the possibility of pregnancy is concerned. There was no necessity of Unwanted 72 to protect this intercourse. Unwanted 72 contains Levonorgestrel which is a Progestational medicine. Hence few days after these pills, some amount of bleeding is known. You need not be concerned about it. Slight abdominal pain also can be safely ignored as related to menses. It will subside within a day or so. If it persists or becomes intolerable, you may report to your Gynaecologist. If you wish, you can take some Paracetamol product to get relief from the pain. Moreover, your next menses also may be delayed due to Unwanted 72 pills. Please be patient. I hope this de-stresses you.Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: What causes bleeding and abdominal pain after taking unwanted 72?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my baby girl is 21 months old and sometimes she doesn t want me to wipe her vagina or touch it while giving her a bath. I checked her vagina and its not red and there is no discharge. She is urinating as usual with no pain. Yesterday it looked a bit swollen but then a few hours later it was normal and she had no problem with me touching it. This morning It looked normal and she also had no problem with me touching it. This is the third time this has happened. Is this anything to worry about? Doctor: Hi...by what you quote I feel that the kid might be having a local fungal infection. She might require a topical antifungal medication along with a mild steroid. I suggest you consult your pediatrician or dermatologist regarding this.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes swollen vagina in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had some tooth pain in my lower left jaw here for a few weeks and all the sudden i woke up in the middle of the night and i cant fall back asleep. Its labor day and all dental offices are closed so i go to the er. The give me penacilin and Tylenol with codine. Later i get my perscription and go to work. Then i take one of each and in about 6 and a half hours later i have a huge knot in my jaw of puss. Almost as big as my fist. I cant see a dentis for another 12 hours and im afraid if i fall asleep it could burst and being asleep i dont realize it. It went from a little annoying infection to full blown in less than a day. What do i do? Even with psin killers i can still somewhat feel the pain Doctor: Hi Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern. Following things can be done in case of pain & infection in jaw1. Mix one teaspoon of salt into an eight-ounce glass of warm water. Use this rinse after every meal and before bed to help reduce inflammation and prevent infection.2.Use pain relievers. Over-the-counter medications like acetaminophen and ibuprofen can be taken to reduce inflammation and manage pain. Take only the recommended dosage, as taking too much of a pain reliever may cause liver damage and other health problems.3.Use a cold compress- If you have swelling one side of face, Apply a cold compress to the affected side of your face for 20 minutes, to manage the pain and inflammation in the jaw and mouth. Do not use a hot compress with an abscessed tooth, as heat may allow the infection to spread. Visit your dentist, as early as possibleHope your query is solvedGet well soon"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain and infection in lower jaw"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a car accident 4 days ago. I went to ER and ct of abdomen showed nothing except minor contusions on abdomen, no internal injuries. I ate a regular meal for the first time last night since the wreck and in the middle of the night my stomach hurt and I'm nauseated. I have no appetite due to the discomfort. Could their be injuries that the ER didn't catch? Doctor: Hi welcome to Health care magic forum. Thanks for choosing H.C.M.Forum. You had an accident 4 days back ,and had vomiting yesterday midnight after having food at usual time for the first time after accident. Nothing is detected in ct scan of abdomen. There is possibility of getting vomiting after starvation for 48 hours. most important possibility is the minor head injury. I advise you to consult a general surgeon for diagnosis and treatment. You may need to have M.R.I.of head besides other routine tests, for confirmation. Wishing for a quick and complete recovery. Best regards."
},
{
"from": "gpt",
"value": "Target: Stomach pain and nausea. Histroy of car accident. CT of abdomen normal. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello my son is 8.5 years old, we only have Emeset 2 Mg (per 5ML) at home and its night time in India, he is vomitting since last 2 horus, my younger daughter has vomitting yesterday and she was prescribed Emeset 2 ML syrup, can i give the syrup to my 9 year old son? if so what is the suggested dosage? please advise Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As per recommendation you can give 2 mg of Emeset syrup, which is 5ml SOS.If vomiting is persistent, visit a Pediatrician for clinical evaluation.I hope I have answered your query. Let me know if you have any further questions. Regards,Dr. Amit Modi"
},
{
"from": "gpt",
"value": "Target: What is the dosage of Emeset syrup for a 8 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a sexual encounter for the first time two years ago with a gay person and they was no penetration involved,we rubbed our genitals together and two day later i woke up with a tingling and itchy sensation on my penis shaft and scrotum i have been going for hiv tests they have been negative took antibiotics for other stis but the itch still persists,i have no rash discharge,pain or sores what could it be Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.You are not infected with any STDs including HIV. Please allay fear for the same.As you have not penetrated there is no question of HIV infection.Secondly rubbing genitals can cause STDs but only itching and tingling can't be STDs. STDs usually present with some other sign and symptoms apart from tingling and numbness. Usually it is present with discharge, swelling, redness etc.As you have taken the antibiotics there is no question left for any STDs. Your problem may be wanes of in some times.Please maintain good hygiene by cleanliness over the penile area. Avoid sexual inter course during this period or you can use condom instead.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM"
},
{
"from": "gpt",
"value": "Target: What causes tingling and itching on penis shaft?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter was diagnosed with POTS about three years ago. In addition she has been suffering from temporary paralysis in her arm/arms/leg/legs. the duration of these episodes verify from a 15 minutes to several hours. the day before yesterday both her legs were paralyzed for about 13 hours. since then her legs hurt, and are blue colored on and off. my question is, are the paralysis episodes part of POTS, and should we be worried that her legs still hurt, and turn blue? Doctor: Hi,Paralysis is not a part of pots, however bluish discoloration can occur. Also, for her paralysis, possibilities might be hypokalemic or hyperkalemic periodic paralysis. So you should get her potassium levels done during the episode. You should visit the nearby neurologist for the same, paralysis is not a feature of pots and she will need evaluation.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode"
},
{
"from": "gpt",
"value": "Target: Are the paralytic episodes due to POTS?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i am 32 yrs old and diagnosed with tb lymphadenitis through biopsy in my right neck. I am in my 3 months medication when i felt swelling, little pain and numbness in my right neck and shoulder. Is this a reaction of the antibiotics? Do I need to worry? Thanks. Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that treatment of tuberculosis never causes a pain to you. There are some chance of altered sensation but it is even less. Take treatment completely. Do not withdraw it. I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic."
},
{
"from": "gpt",
"value": "Target: Does antibiotics for treatment of lymphadenitis cause pain and swelling in the neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother in law has pancreatic cancer. Prior to treatment he said everything tasted like sawdust? The doctor said it was a fungal infection but nothing has helped. I think it is because of the high bilirubin levels? Your thoughts and treatment please Doctor: High bilirubin levels will not influence taste. Fungal infections of the tongue may do so. However the more serious situation is the pancreatic cancer which has high rate of mortality and poor prognosis."
},
{
"from": "gpt",
"value": "Target: What causes saw dust like taste when suffering from pancreatic cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: It started about six months ago when I would continually wake up during the night coughing up bile. I thought at the time it was phlegm. Eventually that stopped 9 I can only sleep now with my head up) and suddenly at the same time......every time I try to eat and most times now even drinking I have a hard time swallowing and am forced to eat very very slow. 9 times out of ten I know throw up within 5 to ten minutes of eating and what comes up is bile again and food particles that haven t digested. I have lost thirty pounds (needed to anyway-lol) but not this way. am getting very scared of choking now because at times its hard for me to catch my breath after trying to swallow. Doctor: Thank you for posting your query.further evaluation needed for your dysphagia (difficulty swallowing) and nausea.try to visit a gastroenterologist and fix an appointment to undergo upper GI endoscopy to visualize your alimentary canal from mouth to first part of duodenum (small intestine). any further questions, please let me know.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: How to treat bile problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have a yeast infection and was wondering the best way to get rid of it at home. i had it a few months ago and got rid of it with a 7-day medicine from the store. but i dont have any money now and i read putting garlic in the vagina will cure it quickly, i put a clove in tied with floss last night and it s not irritating or anything. so would it be okay to do it again? what should i do? Doctor: Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that the do not go with the home remedy you have suggested this things is not accepted in allopathic medicine. If you have consulted some Ayurveda doctor than you will go with it.But I suggested you to take antifungal agent. You can think for clotrimazole vaginal pessary. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank"
},
{
"from": "gpt",
"value": "Target: How to get rid of yeast infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter's eosinophil count is 8. she is pregnant. can she take hetrazan. Doctor: Hi... It is not recommended to use hetrazen during pregnancy.. It is not safe.. You have to wait till the delivery of the child to start using the medication...."
},
{
"from": "gpt",
"value": "Target: hetrazan in pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am Monika and 23 years old. I am taking Zeptol 200 & 300mg and Clobakem daily from 1 and half year. I came to know that I am pregnant just few days back. What is the side effect of these medicine to the baby. Is it ok to stop consuming both medicine. Doctor: Hi there,,Zeptol (Carbamazepine) and Clobakem (Benzodiazepine) are given for epilepsy control. And the fact that you are taking two drugs would mean that it is not under very good control. Could you tell me more about when was your last epileptic seizure ? And when did you last visit a neurologist.Epilepsy itself poses a risk to pregnancy and discontinuation of the medications is not advisable as it can cause the seizures to recur and this could harm both you and your baby.I would strongly recommend you to take Folic acid 5 mg from today itself. Also get your obstetrician to see you immediately and get an ultrasound done to see if the exact weeks of pregnancy.You will need to follow up with your neurologist to taper the dose of the medications depending on how well your epilepsy is controlled.Epilepsy and medications used to treat it both are known to defects in the unborn baby. The risk would depend on a lot of factors, but is usually less than 5 %.Taking folic acid before getting pregnant and during pregnancy can decrease the risk to a certain extent.Regular ultrasound and first trimester screening will be required to see for the proper development of the baby.Hope this helps.Regards."
},
{
"from": "gpt",
"value": "Target: Will Zeptol cause side effects to the baby if taken during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I woke last night feeling slightly itchy. Went back to sleep, Woke this morning to a full blown bright red itchy rash covering my whole torso, front, sides and back. Its not terribly itchy, more picky feeling. I ve had pityriasis in the past, doesn t look much like that. I look almost sunburned. The only thing different yesterday was watching my neighbour home brew beer, got to smell and touch some of the grains, and the mash that was left over. ?? Doctor: YES THESEMAY BE FOOD RELATED AS THE FOOD YOU STATED CAN BE ANY THING CAN REACT WITH BODY PROTEINS AT ANY TIME AT ANY GE TO GIVE REACTIONS YOU MY TREAT IT BY TAKING ANTI ALLERGIC TABS LOCAL ANTI ALLERGIC OINTMENT IN AFFECTED PARTS BUT SOME OTHER THINGS CAN ALSO START RECTING LIKE MED OIL SHAMPOO CREAMS SOAPS AND CLOTHES GET BLOOD ERUM TESTS FOR SPECIFIC ANTIBODIES FOR ALLERGENS TO FIND THE CAUSE AND AVOID TO BE FREE FROM FURTHER RECURENCES"
},
{
"from": "gpt",
"value": "Target: Red itchy rash covering whole torso. Took brew beer, history of pityriasis. Any ideas ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a really painful bump on my butt that looks like a huge mosquito bite. Doctor: Hi,welcome to HCM. I understand your query. It looks like there might be infection of root of the hair follicle (furuncle/boil) but it need a local examination followed by an antibiotic & anti inflammatory. So better consult a doctor for further diagnosis & treatment.Good luck. Thanks"
},
{
"from": "gpt",
"value": "Target: What causes painful bump on butt?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What does the presence of bacteria of the degree in microscopic exam. I am a male 75 years old.under tratment for prostatitis with urimax D.The microscopic exam. of urine shows presence of bacteris of degree++ .and presence of Ammonium urate crystals. Do they have any clinical significance? Doctor: hi,thanks for query.Presence of bacteria means there is some infection or sample contamination.please talk to your doctor,you may need further help and antibiotics after examination.Please also discuss with your doctor about blood sugar check up. wishing you good health."
},
{
"from": "gpt",
"value": "Target: What does my urine test indicate ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have sciatica, fibromyalgia, bulging disc @ L4-5, degenerative disc disease, severe nerve damage. Question is .. constant diarrhea, I have to wear an adult diaper because of 'leakage', but also I seem to keep getting kidney infections, burning when I urinate, severe lower back pain, nausea. Any ideas on what all this could be? please... I probably misspelled some of this. I apologize Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This could be conus medullaris syndrome. That is compression of nerves by bulgng disc. So your bowel and urinary bladder are not under proper nerve control. So they keep leaking. Meet a spine surgeon. Get an ultrasound scan of kub. Urine retention in the bladder causes repeated infections. you need to get intermittent bladder self catheterisation to empty the bladder. Consult your doctor to get trained for self catheterisation of bladder. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes constant diarrhea, frequent kidney infections and back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had of orthovisc injections in both knees and after the third shot i have been experiencing swelling, pain and weakness in my right knee. This was the better of my two knees. I have arthritis in both knees and these injections have helped in the past. Something went radically wrong in this knee after the third shot. I have seem two orthopedist in the same practice that administered the shot. They have done both xrays and an mRI and so far the best they have offered me is there is a chance that this will improve in time. It has been over a month and I am at a loss where to turn for help as it seems to be worsening. Doctor: Hello, Pain and swelling in joining after injection may be due to infection like septic arthritis or allergic reaction to orthovisc injection. Use cold and warm compression, use tablet. Naproxen twice a day for five days. If symptoms not improved, please consult your doctor, he will examine and treat you accordingly. Hope I have answered your query. Regards, Dr. Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes pain and swelling in the knee?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am confused i use to have regularly to gas pain, more in shoulders and lower back. is this due to gas pain or acidity. are they both same or diffrent. i am taking pantocid tablets for gas pain. but he medical shop fellow said its for gastritis. but my friend said its due to acidity. please help me in this. Doctor: when u say its acidity and when i, as a doctor, say its gastritis. thats a life-style problem, u will be relieved till u r not de-stressed, relaxed, exercise, take proper diet at proper time, take good early sleep, walk after food both times, u will stay well without drugs. acidity is a symptom , not a disease , the disease is abnormal life-style. i dont know about ur daily routine but i m sure that the above things i suggested might be missing from ur schedule. take a break , change , try to live a drug free life. for this problem take drugs a last resort because u r not treating the root(disease) but just a symptom that is going ot recur."
},
{
"from": "gpt",
"value": "Target: Is gas pain due to acidity or gastritis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been in back & leg pain since Dec 2913, with having one MRI in Florida where I live 6 months out of the year and Canada the other 6 mos. I travel up to Canada in May, and try to deal with my back pain, which the MRI determined 2 herniated disks, they gave me one shot in my back on the right side and sent me to therapy for 2 weeks, which did help some, but now the pain is so bad from my back right side, down the front of my right leg and some numbing at night it feels like water running down from my leg the the ankle? I try ice therapy and now trying heat therapy? What can this leg issue be? Do I have nerve damage? Could it be a blood clot? I am frightened to death. Please give me some advice. Thank you. Doctor: Hi,Thanks for your query.You are having degenerative disease with multiple disc prolapse . If you are having tingling and numbness or weakness of legs, then you may need to get the offending prolapsed discs should be operated. This prolapsed disc causing pressure over your nerves.Along with that conservative measures are a must:Avoid forward bending, lifting weights. You can take pain killer and muscle relaxant combination prescribed by your doctor for pain relief like Tablet Diclofenac and Thicolchicoside twice a day. You can put hot water bottle to the painful areas for relief from muscle spasm.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: What causes pain in the back and leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MY mother has ultrasound which says Endometrium is wide and echogenic thickness of endometrium is 1.9 cm. Fiinding are No mass, cyst or collection see in pelvis. But found small 2X3 cm polyp. Doctors plans TAH Conslusion: Wide & Echogenic endometrium Diognosis D/C to exclude growth. She also conduct the PAP SMEAR test Uterus LS TR AP = 8.4 X 5.6 X 5.12 Normal size. What do you suggest do there is a chance of canceric growth? Kindly advice us what to do? Doctor: Thanks for your question on Health Care Magic. I can understand your mother's situation and problem. Endometrial thickness of 1.9 cm can be seen in malignancy. But chances of malignancy are less because she is not having an mass lesion or enlarged inguinal lymphnodes. So possibility of post menopausal thickness is more. But better to rule out cancer and hence dilatation and curetteg (D&C) is advised in her case. If D&C is negative for malignancy than no need to worry for cancer. Also get done hormone levels to rule out hormonal imbalance as this is the common cause for endometrial thickening. Hope I have solved your query. Wishing good health to your mother. Thanks."
},
{
"from": "gpt",
"value": "Target: Do test results wide and echogenic endometrium indicate cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my sister s one year old grandson was rushed to the E.R, for a fever of 104, and a bump on his head, they don t know where the bump came from, his blood count is 4000, with bands, his temp is down to 101 now, grandma is worried, they are keeping him at the hospital over night, what could this be? Doctor: Band cells are slightly immature neutrophils which are supposed to fight an infection. Had you mentioned the differential count and platelet count, it would have been easier to comment on the possible cause. Since the total leucocyte count is low, there is more likelihood for a viral infection. In such a case however band cell count is generally not high. The C-reactive protein level in blood would have given a better idea about possible infection. Let me mention that viral fevers are quite common in children and are associated with high temperature. Talk to your doctor and he would be able to guide you better.It is hard to comment about the possible cause of bump on head without examining. If the platelet count is normal, there is less likelihood of it being due to bleeding. The history of trauma is also important."
},
{
"from": "gpt",
"value": "Target: What causes fever with a head lump and a low blood count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I woke up yesterday morning with red dots all over my thighs, they were flat, didnt itch , and everyone of them had a white ring around them. Throughout the day i noticed they were slowing spreading down my legs, some of them looked to have become swollen, some began to become raised and others stayed the same. Last night a couple of them began to itch but not all of them. I woke up this morning with more red spots, more that had become larger and swollen as well as more that started to itch. They have now made it down to my feet . It seems as if they are spreading possibly to my arms. I have about a handful on my arms. Other than the white ring around them they look very similar to a mosquito bite just without the annoying itch all day long. Do you have any idea what these may be?? I showed the doctors i work for today and they had no idea. Doctor: Hi, Welcome to HCM. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. Based on the symptoms it appears to be contact dermatitis. Treatment includes washing with lots of water to remove any traces of the irritant that may remain on the skin. You should avoid further exposure to known irritants or allergens. In some cases, the best treatment is to do nothing to the area. Emollients or moisturizers help keep the skin moist, and also help skin repair itself. They protect the skin from becoming inflamed again. They are a key part of preventing and treating contact dermatitis. Corticosteroid skin creams or ointments may reduce inflammation. Carefully follow the instructions when using these creams. Overuse, even of low-strength over-the-counter products, may cause a skin condition. I advice you to follow the conservative approach as mentioned and if symptom persists i advice you to see dermatologist for exact diagnosis. Hope I have provided the information you needed. Wish you good health. Take care."
},
{
"from": "gpt",
"value": "Target: Red dots all over the thigh, spreading to the legs, feet and arms, itching. What could this be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my scrotum became red and after some days it become paper like so i went to a octor who pescribed me fluconazole and lobate gm a anti fungal cream the infection has healed but the shin joined with the penis head is still red can u suggest me some remedies Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Penile head infection or eczema, etc. Until examination is done it is difficult to say what it is. Avoid application irritants that may cause problem. Avoid smoking and caffeine drinks. Apply Candid-B gel locally. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for red scrotum & penis infections"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: please i need help badly. i am a 19 year old boy , and i am facing some pain under the right ribcage while breathing maybe in the diaphram. occurs while i am walking aswell. Yes i am a smoker i smoke at maximum 6 cigarettes per day. please if you know the solution then help me because i am afraid to tell my parents as they will get to know about my smoking habits if i go to a doctor Doctor: Hello and welcome in HCM.I can understand your concern.According to the history better to do some tests to exclude lung problems as follows:Blood countCRPChest X RayAbdominal UltrasoundALT,AST,Bilirubinemia,HbsAgAfter having the results if they come positive than you should see a GP for the next step and the treatment if it will be needed.Until then you can use some painkillers as paracetamol and to see if it works or not.In my opinion you have to stop smoking.Best regards.Dr.JolandaPulmonologist"
},
{
"from": "gpt",
"value": "Target: What causes pain in ribcage while breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My son is 1.4 yrs old, weighing 12.5 Kgs. Today, he is suffering again from chest congestion and cough, today morning when we measured his temperature it was 99.7 F, so a little fever too. History ======= In the last week (8-Aug to 17-Aug 14) he was having high fever 101-102 F (8-13 Aug) with cold and cough. One of the Pediatrician to whom we consult gave following medicine to him, after which by 14-Aug he was recovering well, in-fact there was no fever after 14-Aug, and he was all good by 18-Aug. Medicine: ========== 1. Clamp KID from Dr. Reddy s (3.5 ml twice a day for 5 days) 2. Relent + (4ml twice a day) for 3-5 days 3. Ambrodil S (6ml twice a day) for 3-5 days Now, that he is AGAIN have cold and cough with a little fever too, wondering what should be done next. Thanks, Paresh Doctor: Hi...I think that your kid is getting recurrent viral illness and doesn't need antibiotic at all. I will clarify certain issues regarding viral illness and if these are suiting your kid, that means, he was having only viral illness and nothing to worry as such.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.While recovering from viral illness, it is quite common to have cough and cold and that is how the phlegm comes out while vomiting or in motion.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough & chest congestion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I just want ask I've been having lower chest pains not all the time but at least twice a day.I have already went to my doctor and I had a EKG done and that look good so I was told that i might have a sliding hiatus hernia so I've been taking pills for that.I had some relief but I'm still having pain.I just want to know when should I be worried .So if I can get any advice I would really appreciate it . Doctor: Hiatus hernia causes the lower esophageal sphincter to be pushed into the thorax thereby causing frequent symptoms of regurgitation of food and chest burn or gastritis.. the treatment would be to take a combination medication Tab Pantodac DSR at night and avoid taking food two hours before sleeping. . An upright position with two pillows below the head would also be beneficial."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower chest pain in patients with hiatus hernia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is arvind i am from mumbai my mama is suffering from tuberclosis she is under treatment from 6 month bt still she is not able to recover water is removed from stomach and chest twice. . i have done all the test which ever is require bt i am nt understand ing wats the problm is??? Doctor: Hello Aravind, thanks for using Health care magic. by looking at the provided data i suppose patient was suffering from pleural tuberculosis( removing fluid from chest) but removed water from stomach does that mean Ascites? details are not clearly mentioned as ascites occurs in abdominal tuberculosis and pleural tuberculosis is a different entity. if both occur in a same patient it is disseminated tuberculosis which commonly occurs in immuno compromised host.kindly provide us with more details of diagnostic that were performed and what treatment she was taking so that we can help you with what to be done next.normally for pleural or abdominal tuberculosis we start on 4 drug regimen and give it for 2 months and depending on response we may continue for 1 more month or change to 2 drug regimen for 4 months. kindly provide us with more details... hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest an effective treatment for tuberculosis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: All my blood test result came normal . My AMH level is 3.2 .Even doctor is happy with report .Now my doctor recommend me to go for laproscopy. I never had surgery since my birth . I am having fear of surgery. Can i go for surgery will you please tell me doctor. Can i get pregnant without surgery Doctor: Hi, I think it is not necessary to go for laparoscopy right away. You can go for a tubal patency test first. If you are less than 30 yrs old, and is trying for pregnancy for less than 3 years, HSG (Tubal patent test) will be sufficient. Get your partner semen analysis done. You can try ovulation induction and natural timed intercourse for 3 to 6 months if everything is normal. If HSG is not normal or you have already tried for 6 months with medicines or if you are more than 30 years or trying for more than 3 years, go for laparoscopy. It is not a major operation. It's just to see inside with a hole. It is a diagnostic procedure.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya"
},
{
"from": "gpt",
"value": "Target: What are the chances of conceiving without going for laproscopy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, Am having diabeties, due to that i did whole body check-up, in that result my kidney proteins result is ++, for that am using medicine name nefrosave , i even went to eye doctor for kidney, eyes are normal, in this situation does it cause any problem if i do masturbation daily twice Doctor: Hello,As per your concern I would like to tell you that you can easily masturbate as many times as you want unless and until your facing any penile related complication like early discharge or any pain during the process, as far as your proteinuria is there it has no relation with the sexual activity for that purpose you should be just taking care of your kidney by taking your medicine regularly.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Medhavi Agarwal"
},
{
"from": "gpt",
"value": "Target: Is masturbation safe while suffering from diabetes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 12 years old, affected by seizures 2 times within 4 years He is continuously taking valparin chrono 300 & fresium 5mg, how long to take medicine and another one doctor advised stopping fresium 5 mg, past 1 week. No side effects till now. Now only take valparin chrono 300 twice a day after meals. EEG took 6 months intervals, the report is normal. Dr.pl. advice how long to take the medicine. Doctor: Hi, Continue the medicine for two to three years until the seizure is controlled and then taper the dose gradually with the advice of your pediatrician or neurologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sreekanthababu Polthi, Pediatrician"
},
{
"from": "gpt",
"value": "Target: How long should Valparin Chrono be taken by a 12-year-old to avoid seizures?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have twin girls of 3 months completed of weight 5 kg each. They only breast feed. I try so many time to give them expressed milk from bottle but they dont take from bottle. Will my milk be enough for them? Or i can give them cerelac or anything else. One more thing to mention that they dont like formula milk as well.. It causes constipation to them so i dont give.. Please suggest me some good tips regarding feeding. Doctor: it is best to give breasts milk since it not only contains carbs n all but also immuno protective agents that increase ur childs immunity. u can store ur breasts milk in the fridge and use it for 24 hrs. warm it a little before giving it to the baby. if ur able to feed both ur babies and ur getting sufficient milk then store ur expressed milk and give that only. formula feeds shud be used when ur milk is inadequate. u can use farex or lactogen stage 1 . usually they dont cause constipation. no solid foods yet please. its better to start them when ur twins turn 6 months"
},
{
"from": "gpt",
"value": "Target: Is formula milk advisable for a 3 month old twins?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have discomfort in my right foot in the arch area that stops me from aerobic exercise (bouncing). I have had planters faciitis in the past but it does not feel the same now. I have gone to two doctors and one gave me a cortisone shot that really hurt and the other took an xray and said nothing was wrong. It is very frustrating as it limits my ability to work out. Every day since I sit at a desk every day it does not seem to bother me. On weekends when I am on my feet all day it throbs at the end of the day. Doctor: Dear patient if pain is at the arch of feet and occurs on increased walking reason may be flat foot. In this condition there is loss of normal arch of medial side of feet. It may be mobile or rigid. Diagnosis can be confirmed by clinical Examination and weight bearing lateral xray of the feet. treatment is shoes with medial arch support. You can take tab diclofenac sodium 50 mg twice a day for pain relief. If xray is abnormal please consult foot specialist around you."
},
{
"from": "gpt",
"value": "Target: What causes discomfort in the right foot long after treating plantar fasciitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had recent angioplasty , monday of this week, taking simvastatin once a day,ramipril once a day, metoprolol tartrate twice a day,plavix once a day, and one aspirin once a day. Blood pressure is in the mid eighties over the mid fifties. Is this normal Doctor: Hello. I consider that blood pressure as too low for your situation--I'd prefer it were nearer to the 120's/70's range. Were I your doctor, I would reduce your metoprolol to once daily"
},
{
"from": "gpt",
"value": "Target: Is it normal to fluctuation in BP after angioplasty?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had telogen effluvium 2 years ago. Now I have another balding spot and shedding a lot of hair. I have vitiligo also. Now I am having problems with my blood pressure being to high and physically have less energy. Major problems sleeping. At my last physical my blood test came back good. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Telogen effluvium is a reversible condition in which hair fall after a stressful experience. That means your in stress lead to elevated blood pressure which again lead headache. Do yoga meditation regularly , do regular exercise avoid smoking and caffeine drinks. Vitiligo also an autoimmune condition lead to melanocyte loss. Please consult your doctor he will examine and treat blood pressure with appropriate medication. Take care"
},
{
"from": "gpt",
"value": "Target: What causes elevated BP and fatigue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: helo Dr. iam krishna .in 94 i had appendicitis operation.2 months after that i am suffering from testis problem at that time dr had prescribed some medicines and solved at that time.from last january i had a problem.i had severe pain from the testis upward nerve and there is some skin below the testicle.i consulted a dr.he had done blood and urine test after that scaning in that it mentioned slightly thickened right spermatic chord.he prescribed medicine still pain so he told to consult genital urinary dr.he said nothing it will cure and prescribed but no change plz help me sir Doctor: Hi, Anti-inflammatory drugs can help initially, take tests for urinary tract infections and prostate infection. then only the respective treatment can be given.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: How to treat slightly thickened right spermatic chord causing pain in testis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey Doc, Not sure if i should be asking you this question... The other day I fell on my back in the shower, i crqacked my back of a ledge, it was my lower back, Since, ive been Nausous, and I feel kind of weak, and today, I feel like something just isnt right.. Should i be concerned? Can this be a problem with my kidneys or something? Or is it more likely its just the discomfort of the pain playing tricks on me? I dunno if i should be concerned or if im just being a hypochondriac... My backs starting to feel much better however the nausea symptoms are getting worse Doctor: Hi thanks for your question. You had a fall in the wash room yesterday and injured your back. Your improving from back injury but having nausea and strange feeling since yesterday. Please don't take it lightly ,go to E R and get youself evualvated for Head injury. Head injury is coomon cause of nausea after a trauma. You may need CTscan head to rule out any bleed inside your brain. Hope this answers yours question."
},
{
"from": "gpt",
"value": "Target: Lower back injury. Nausea, weakness. Should I be concerned?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was Rxd trika0.25 8 yrs ago. but after 5yrs I had to increase the dose to half of 0.50 tab but it is always disturbed sleep or very less sleep sayless than 2 hrs in a night. is it okay I increase the tab dose?? I am63yrs old woman and have high BP and cardiac problems and now Iam DM since 5yrs pls help Doctor: Good Evening,Thanks for given information,According to your history disease and age FACTOR,suggest you to maintain blood pressure might be helpful for both cardiac and bp Caridilol 12.5mg Thanks for consult Regards, Dr,Naeem. MD"
},
{
"from": "gpt",
"value": "Target: Suggest suitable medication for high BP and cardiac problems"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my age 34 im suffering from severe neck pain due to herniated slip disc.pain in hands is very severe now days doctor has advised me to go for some test as CBP n vitamin d .now my report shows high count of RBC in blood can u plz tell me the reason n treatment for it .THANK YOU Doctor: Hello, sorry to hear about your neck problem. Elevated RBC or Erythrocytosis could be Relative which is due to loss of volume like dehydration 2/2 vomiting and diarrhea, or Absolute Erythrocytosis which is due to increase in RBC mass. Absolute Erythrocytosis either a Primary disease or a secondary disease.Primary Erythrocytosis (Polycethemia Vera) is a Bone Marrow disorder of unknown cause. Secondary Erythrocytosis is due to chronic low Oxygen in blood 2/2 COPD, Sleep Apnea, chronic smoking, high altitude or a tumor secreting Erythropoietin.Having said that it is too hard to make a diagnosis here with this little information that you have provided, one needs to know how high is your Hematocrit, what is your WBC, PLT, Chemistry panel, knows more about your history including history of smoking,do you snore at night, are you overweight, what altitude do you live in, were you dehydrated when the blood was taken, etc.Sometimes this could be just a lab error therefore it is not a bad idea to repeat the test in 2-4 weeks, I would suggest that you check a Chemistry panel along with your CBC, send me the whole CBC panel and answer the above questions for me, then I might be able to give you a better answer. Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for high count of RBC in blood"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am 45 year old female and I have soreness/pain in my chest and my throat for the past few days. It feels light a tight heaviness. It is more noticeable when i lie on my front at night. I do not have any burning sensation or have difficulty breathing. I take Blood Pressure tablets for high blood pressure. I would appreciate any advice. Thank you. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Sore throat with chest tightness is commonly seen with viral upper respiratory tract infection (URTI). But better to rule out heart diseases (Coronary artery disease) because you are hypertensive patient. So get done ecg, 2d echo and stress test (trade mill test). If all these are normal then no need to worry for heart diseases. Do warm water gargles. Take combination of antihistamine and anti inflammatory drugs. Drink plenty of fluids orally and keep your self hydrated. Avoid oily and spicy food. Avoid junk food. Don't worry, you will be alright with all these but first 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 chest and throat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a tooth infection and was prescribed augmentin I have been taking it and started getting symptoms of a yeast infection, I took one day treatment miconazole but it didn't relieve the symptoms so I now have purchased 3 day treatment but at 4% I used it last night but when I used it it seem to make it worse the symptoms do feel a little bit better is this normal Doctor: Hi. Thanks for the query Augmentin is an antibiotic and many a times taking antibiotics can cause yeast overgrowth due to reduced resistance to infection as the antibiotics can kill the good bacteria along with the bad ones. This can cause overgrowth of opportunistic organisms like yeast. So it is better to get a prescription of anti-fungal medications after getting a proper prescription from the Physician. You should also eat more of probiotics like Yogurt and garlic. Hope this helps Regards"
},
{
"from": "gpt",
"value": "Target: How can a tooth infection be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my friend has just had an allergic reaction to sea food. She s known to have allergy to shrimp. She has swelling on her lips , her eyes are red, voice has changed, sneezing in between, and she vomited a few times. I just gave her an allergic, (antihistamine), but she vomited soon after, so I don t know if she has ingested it. She felt drowsy and is sleeping, though I don t know if that is an allergic reaction or a side effect... Need some help.. Should I take her to the hospital? Doctor: Hello,Your friend just had an anaphylaxis to sea food.The most important thing was the antihistamine that you gave, but may have been a drowsy one (ie., sedative antihistamine like atarax). A person going to sleep after a serious allergic reaction is not advised, without proper monitoring.Please try and get your friend to a hospital as soon as possible. Try waking her up and see if she says she is still unwell. Blood pressure drops in anaphylaxis, that is the cause of most deaths.Do not get her to stand or force her to use public transport if she says she is feeling unwell.Get an ambulance for oxygen, she will need steroids and more antihistamines but the emergency doctor can decide this.Best Wishes."
},
{
"from": "gpt",
"value": "Target: Had an allergic reaction to sea food, swollen lips, red eyes, changed voice, vomiting, drowsiness. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i have had pain in my pelvis for a couple of months now, which radiates down my leg and into my bum, and has just started to make me feel quite sick and exhausted. I recently had endometriosis which has been surgically removed twice and i have had my gallbladder out. I am 24 years old. I have been to a doctor who said they thought it was a pinched nerve in my leg which was causing the pain in my pelvis, although now i am seeking a second opinion because it is getting worse. Doctor: Hello,Welcome to the magical world of health care, I went through your query, and i feel what your doctor says is right, the description of symptoms, is suggestive, of compression of spinal nerves, in the back and for this an MRI is must, I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.I hope a 5 star rating if you feel guided in your treatment,Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe pelvic pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a tumor at the base of my neck..it moved to the side of my neck and is now formed a oozing pocket. When I went to the Doctor and had a hospital stay the test came back no cancer. I went to go get the oozing pocket taken care of an they told me it now may be cancer. I am getting to a cancer dr asap. if it is not cancer and the tumor is non cancerous why is it oozing Doctor: Thanks for your question on HCM. In my opinion you are having cervical abscess. Neck area (cervical collar) is full of lymphnodes. And these nodes can sometimes infected and become enlarged.If proper treatment was not started, the center of the node becomes necrotic and liquifies and produce pus like material. It is known as cervical abscess.It can be due to malignancy also.So best way to confirm is aspiration of fluid and get done cytology, routine microscopy and culture and sensitivity. If cytology shows atypical cancerous cells than you are having malignancy. But if cytology is negative and culture grows bacteria that means this is infective abscess.So better to get done aspiration of fluid and its tests."
},
{
"from": "gpt",
"value": "Target: Why is tumor on the base of neck oozing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: father is hospitalised for jaundice,enzymes ofliver now dropped from 1500 to 80 now since 10 days and fibroids around liver and hepaptitis b, he is eing given interferoninjection.....what next should e the course keeping in mind jaundice has to come down gradually...please suggest Doctor: hi.noted history of jaundice. does your father experience any other symptom like abdominal pain, nausea, vomiting, weight loss? jaundice can be caused by infective or obstructive causes (stones or tumor lesions). it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. diagnostics (such as ultrasound, bilirubins, alkaline phosphatase, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. malignant causes must also be ruled-out.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for jaundice"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My dad had swelling in his legs since 3 months. Then 1 month ago, he had pnemonia & was hospitalized. At that time his creatinine level was 2.2. Then we took him to nephrologist where he gave him Lasix. His sugar level increased. He had neat alcohol 2 weeks before & since then he is not feeling well. At that time his creatine level increased to 3.2. He has no stamina & sleeps the entire day. Doctor changed the medicine & gave him Dytor, Arkemin 0.1 & amlopress 5+50. Now his sugar level & BP is fine. But his creatine level increased to 6.9 & hydration in lungs. What to do? Is it lung or kidney problem? He has no swelling in his legs now. Doctor: In my opinion your dad case if he had no other underlying disease, increased ingestion of cooked meat , excessive protein intake, lack of excercise, certain medications could cause that increases its level but it actually suggestive for a renal impairment condition. For your dad for now I would recommend your nephrologist for some investigations especially U/S to clarify the main cause of edema which is if bilateral due to a systemic disease in the renal system."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for increased creatinine levels and hydration in lungs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am an adult with ADD and have been trying to replace meds with alternative soulutions but things seems worse than ever! I feel overwhelmed frustrated and on the verge of panic. I am scared to even drive because I space out,just not focused at all! went to about the 5th therapist in the last 5 years and they want to do brain mapping? In the mean timeI am struggling to just get through the dAY. Should I see apsychiatrist Doctor: Relax,ADD does not signify lack of intelligence.You know your problems,try working around them,a psychiatric consultation will definitely help you.if we do not go by the specifics for homeopathy,needing a detailed case history, I would choose stramonium 30 tds in pills,(other medicines equally worthy,depending upon symptology)"
},
{
"from": "gpt",
"value": "Target: Suggest alternative to medicines for ADD"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with COPD - emphysema 3 years ago. I m 41 years old and a non smoker. My FEV is 79.5. Right now I m going through a very bad spell of breathing problems that is a combination of wheezing and breathlessness. Inhalers have a marginal effect on my condition since it is irreversible. Montek helps me a bit. I was wondering if I should increase my dosage? Is there any thing else that can make me feel better? This bad spell has been on since July. Doctor: Thanks for your question on HCM.Yes, you are right, COPD is irreversible disease but surely manageable and controllable through proper treatment. COPD treatment needs simultaneous application of below mentioned steps.1. Meter dose inhaler containing long acting beta 2 agonist and inhaled corticosteroids. So make sure that your inhaler is having these.2.Enroll yourself in Pulmonary Rehabilitation Center where chest physiotherapy is available. Deep breathing exercise is also helpful.3.Get done pulmonary vaccination with adult vaccines like pneumococcal and h. Influenza. This will help in prevention of future infection.Try to do all steps simultaneously for better control of COPD."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for wheezing and breathing difficulty"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I stepped on a piece of glass one week ago but was able to take the piece out as it was not lodged into my foot very deep. What was left was a small shallow cut which I then cleaned and bandaged (however within a few hours of that I went surfing in salt water where the bandage came off). The cut had not bothered me at all and was healing until today. Now I can no longer put pressure on the area where the cut used to be and the area is slightly protruding outwards, and is a white(ish) circle with a red(ish) dot in the centre. I can't put and pressure on the area as it causes a great amount of pain. What do you think it is / what should I do?Thanks Doctor: Hi,from the information you have provided there may be 2 problems here. Firstly, you may have an infection in the cut. Secondly, there may still be some glass remaining in the wound. Therefore, I suggest you go to the ED for assessment. You may need antibiotics or a minor procedure to explore for further pieces of glass. Hope this helps. Regards,Dr K A Pottinger"
},
{
"from": "gpt",
"value": "Target: Suggest remedy to relieve pain and swelling in wound caused by glass cut"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: last night i went to urinate and it didn't burn while urinating but when i wiped it burned so i went and got a mirror and looked the right side of my vagina opening was swollen and the inside of my vagina was purple i am 24 weeks pregnant i was wondering if you could tell me what this could be? Doctor: HiIts quite common complaint by most people that theyare having swelling , redness & burning sensation.most commonly due to candidiasis.if possible consult your doctor to check your blood pressure. if your BP is normal nothing to worry.just treated accordingly.Thank u With best regardsVasundhara"
},
{
"from": "gpt",
"value": "Target: What causes vaginal swelling and pain during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Masturbation.... N I got force spot... N I hv been coughing n mi nose is block..... I dnt cough but I try to remove the music thick saliva white everyday I went for x ray tey said its allergy cough but I dnt believe it as I hv been clearing up n coughing for 4 years... I hv taken hiv test n its negative as I hd nvr sex except masturbation so pls.. Is this hiv symptoms wat is this Doctor: Hello,You are thinking that it is not allergic but without being biased I would like to tell you that it may be the allergic, asthmatic or hyper-responsive condition of the lung. A good method to diagnose is:1. Spirometry2. Skin Allergy test for multiple allergens 3. Total serum IgE and chest x-rayHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar"
},
{
"from": "gpt",
"value": "Target: What causes coughing up of thick mucus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year old has been getting red itchy painful pimples on her buttocks that scar as they heal. They are now spreading to her upper thigh and back, and her 5 year old sister is getting them as well. Very random places and isolated, not groups. The pimples seem to dry up and heal within a couple of days, but then others appear in unrelated places. I,ve taken the toddler to the GP, he thought diaper related, but I don't think so now, as they seem to spread. Doctor: Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope 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 could red, itchy, painful pimples on buttocks of a child spreading to other parts of body and to others suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I just turned 25 yrs. old. Three weeks ago my left cheek started getting raw and eventually ended up with a white patch. When I brushedy teeth and hit it with my bristles it tore it off and it bled. My dentist prescribed me with a chlorhexidine rinse. After two weeks it was gone. Thank god! Now my right cheek is raw and burns when I eat or drink acidic foods. Especially when I brush my teeth with Colgate sensitive toothpaste. What could this be caused from? Thank you for listening to my problems. :) Sincerely, Ashley Doctor: Hi,Thanks for asking the query,White patch on the cheek can be due to cheek biting habit, any allergy, alcohol consumption, smoking.I would suggest you to visit to a Dentist and get the checkup done.If there is presence of any sharp cusp get it trimmed.Apply Dologel oral ointment topically over the affected area.Start with multivitamin suplements.Take lukewarm slaine and antiseptic mouthwash rinses.Avoid eating of hot and spicy food stuffs.Hope this helps out,Regards..."
},
{
"from": "gpt",
"value": "Target: White patch on cheek. Using chlorhexidine rinse. Getting burning sensation with acidic food. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, im male 37 years old and i assume i have mumps as i have two huge lumps by the jaw which started on the right side and then now the left side has grown almost the same. I had fever for a few days and today the 4th day, i check for temperature and its 36.8 normal so i was wondering if i can shower? reason im asking is i heard rumours if i shower, it will spread to the testicles and get it swollen as well. Doctor: hi sir.. first you should know that mumps is caused by viral infection and it is self limited disease ..for diagnosis of mumps we depend mainly on clinical symptoms and signs such as mild fever , pain , hedache, fatigue, loss of appetite...symptoms vary between person and another...we dont do laboratory test except when we want to exclude other causes...as i said it is self limited ..few days you will be fine and will have long last immunity....2nd part of your question about the shower i would like to tell you take shower when you want ..dont warry about that ...that rumours you heard about testicles affected by mumps not because of shower...there may be some complication of mumps cause inflammation of testis..shower will not affect that......dont warry ....take care of your health...and thank you for contacting us"
},
{
"from": "gpt",
"value": "Target: Are lumps in the jaw and fever sign of having mumps?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i try to lay down to sleep i my hearts starts paining and i stop breathing or cant take air inside i am smoker i did have heart palpations before but it seems this only when i laydown on bed i become normal once i get back up fast i also have lower back pain but i doubt its my kidneys or something seriouse since i checked recently Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Since you are active smoker, we should definitely rule out heart and lung diseases for your symptoms. So consult cardiologist and get done ecg, 2d echo and stress test (trade mill test) to rule out heart diseases.Get done chest x ray and PFT (Pulmonary Function Test) to rule out lung diseases.If all these are normal then no need to worry for major heart and lung diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relax and calm. And please quit smoking as soon as possible because it is not a good habit. 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 chest pain and difficulty in breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i seems to have pain in my upper legs, if i sit for to long and stand its very sore, at night when i lie down i cant lie on my sides cause its sore. to turn over is sore. the best position to lie at night is on my back. it feels like stiffness but it cant be stiffness. Doctor: Hi,As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist better to consult a physician and get evaluated. Conditions like peripheral neuropathy or POVD has to be ruled out. Detailed evaluation is required including nerve conduction study and vascular Doppler.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in the upper legs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a shot of lidocaine and my upper mouth around tooth number 6 to finish a root canal that was started by my dentist there was a small abscess but unfortunately time ran out to finish the job ever since I have had a lot of sinus pain on that same side of my face even going up to my forehead my eyes look very droopy puffy underneath them just wondering if this is an infection or something else he just got me on clindamyacin to help reduce anything that may be wrong with infection Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that you have infection in the sinuses leading to Sinusitis and it has been due to close proximity of the sinus floor to the roots of the upper molars and at times the roots can lie within the sinus..It can cause infection in sinuses secondary to infection in tooth..Clindamycin will help in reducing infection but you need a proper management of Sinusitis and also consult an Endodontist and get a proper Root Canal treatment done..I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like PNS view x ray or MRI scan can help in diagnosis and treatment can be done accordingly..You can be advised a course of antibiotics, anti-inflammatory painkiller like Ibuprofen, decongestants like Pseudoephadrine, do saline nasal irrigation, steam inhalation and use a humidifier in your room..You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline..Avoid spicy and chilled foods..Do warm compresses around nostrils..Hope this helps..Regards.."
},
{
"from": "gpt",
"value": "Target: What causes sinus pain and droopy eyes after root canal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How often would you need to take a laxative/how muchfor it to show up in your colonoscopy?? Are we talking every few days randomly, over a 6 mo period, or years to show up taking daily, I m doing a paper on this but I can t find anything that gives any specifics on dates... Doctor: Till you have full evacuation of the bowel to permit a good colonoscopic examination.You can take full prescribed dose on the night of second day morning examination.Dr. J. Ticku"
},
{
"from": "gpt",
"value": "Target: How often should I take laxative to show in colonoscopy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had several compression fractures in my back - both lumbar and thoracic. I ve had kyphoplasty in 11 vertebrae but I still have pain on both sides and my back is turning black. Why would this be happening? The procedures were done more than 2 months ago. YYYY@YYYY Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After kyphoplasty probably there was oozing under the skin which is now surfacing as black skin. Normally this would change color to brown and then slowly disappear after few months. However if it does not disappear , or causes itching or increases in size then I would recommend that you consult the concerned surgeon . Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes black discoloration on the back after a kyphoplasty?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor i am nitesh. before i used to masturbate a lot. n now a days my pennis does not stand properly and even it does not stand for a long time. just a minute as such. so please tell me what should i do in this case. is this because i masturbate lot or any other physical problem. please advise me. n i am thinkin lot abt it. Doctor: Hi,You shouldn't think about this, Looking at your description it seems to be a treatable condition so you need not to worry at all. Here, I would a like further information for better assessment of the condition like your age. Do you smoke or drink? Is there history of any other disease like diabetes or high blood or thyroid/ liver disease. Excessive indulgence in to masturbation may cause weakness and fatigue, mostly it doesn't affect erection.In my opinion you should take Sildenafil or Tadanafil group of drugs for 4-5 days under medical supervision, if you are married to regain your confidence. Please write back to me with all the details I have asked for so that I will be able to tell you more precisely.Hope I have answered your query. Let me know if I can assist you further. Best wishes,Dr. B R Hudda"
},
{
"from": "gpt",
"value": "Target: What causes lack of erection after having frequent masturbation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My thirteen year old daughter was diagnosed with a msra, that appears to be healing, however she has a intermittent low grade temperature, extreme fatigue, irritability. The doctor has ran a CAT scan on her abdomen as the msra was near her tailbone, an xray on her sinuses, and is waiting results on the three day mono test. Still no real clue as to what is wrong. Her inflammation levels are normal as is her white blood cell count Doctor: Hi,Welcome to HCM.MRSA is methicillin resistant staphylococcus aureus. It is treatable by stronger antibiotics like vancomycin and linezolid. I suggest you wait for the results and then let her treating doctor decide as to whether she requires any more antibiotics. If she comes positive for mono test then she needs to be treated by antivirals and not antibiotics. I am suspecting infectious mononucleosis based on her symptoms.Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for msra infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 55 years old female. I am diabetic and have high blood pressure. Recently my creatinine level were at 2.5. I got them tested again, it came down to 2.2. can I be normal again? how badly are my kidneys affected? once the creatinine levels go up can the kidneys come to normal position again? Doctor: Hi, your creatinine level is high.but you can get back to the normal. Kidney function become normal or not is depends on the amount of permanent damage you have. If you dont have any permanent damage then you can get it normsl. Moreover diabetes and blood pressure both affect the kidney so its also a issue.just consult your nephrologist and take treatment accordingly. Thanks for using health care magic. ."
},
{
"from": "gpt",
"value": "Target: Can high blood pressure and creatinine level of 2.5 cause problem to kidney?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am a 15 year old female and weigh 145. I am 5-3 ft. and everyday i am very irratable. When someone gets me mad i lash out. I also sleep for long periods of time at night and when i wake up i dont have motivation to get out of bed. I also feel lonely becuase we moved 7 months ago and have made no.friends. I think i have some sort of depression and my parents are sick and tired of my behavior and moods. They think i have a chemical inbalance. How can i find out if its depression or a chemical imbalance? Doctor: Hello, Depression is due to chemical imbalance in brain itself, so, they are interlinked and not different. Your symptoms reflect depression as, you mentioned being sad, lethargic, irritable, increased sleep but no quality or freshness after sleeping, having reduced interaction. There are certain other features which I will mention and see if you have them then -you should seek an appointment with a psychiatrist and get well. The other main features of depressive disorder are- lack of energy, lack of interst in previously pleasurable activities (like playing, watching tV, listening music, etc.) they can differently with different people. The feeling of hopelessness, helplessness and worthlessness may also come up from time to time, with ideas of doing self harm ( which means early intervention is a must). if you have first three of these even in some proportions, then it is likely to be depression and you will benefit immensely from treatment.Please ask more questions for clarification.Dr. Manisha GopalMD neuropsychiatry"
},
{
"from": "gpt",
"value": "Target: What is the way to find depression in a person?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ag e 65 height weight about67kilos i have back pain Istand for hours Doctor: Hi Welcome to HCM. Your back pain is probably related to aging and long standing habits. Diacerine 1500 mg daily is useful is age related backache .For pain Diclofenac slow release tablets are used. Sometimes backache is due to deficient VitaminD3. If vitamin D3 level is low than its supplements are given in back pain."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: right chest pain..i eat some nuts,, mainly peanut, and now this strong pain for the last 2 hours.. now sweating, now numbness, maybe a bit dizzy but otherwise i have been moving around normal, driving etc... Please tell, I just took two low dose aspirin to see if it will help PS: I have been feeling some symptons ie allergies.. I had taken a claritin early this morning.. Doctor: Thanks for your question on HCM.In my opinion you should immediately consult emergency department and start treatment.Your symptoms are suggestive of peanut induced allergy mostly. Peanuts are protein rich food. And proteins are very notorious for causing allergy. So peanut induced allergy is commonly seen in susceptible individuals.Your symptoms like sweating, dizziness and numbness require urgent treatment.So consult emergency department and start treatment.You may need injectable antihistamines and corticosteroid."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in the right chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 9 months old. Got cold n cough for ten days. Phlegm in chest. Gave tixylix syrup 2.5 ml thrice a day for 1 week. Cough is better now but he has got loose motions n gas now, i suppose as side effect of tixylix. Can i give him mucolite syrup for chest congestion? Advise dosage pls Shud i discontinue tixylix? Doctor: hi, Tixylix is a good syrup for chest congestion but it can very well cause GI symptoms in the form of gas and loose stools. Mucolite syp again is a decongestant used for similar purpose but has the same side effect profile in form of mild GI disturbances. The dose for mucolite(Ambroxol) is 30-80mg/kg/day. Give your child 2.5 ml three times a day. Also give syp levocetrizine 2.5 ml once a day to reduce running nose and decrease secretions."
},
{
"from": "gpt",
"value": "Target: What are the side effects of Tixylix syrup for chest congestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 6 year old male with high fever, pain on urination, lower right side abdominal pain. CT scan inconclusive for appendix. Urine culture showed no growth. Augmentin given for UTI. After almost 48 hours, still running high fever and pediatrician puzzled with no growth urine culture. Appointment made with pediatric nephrologist in two weeks. We are worried. He's had no history of UTI in the past. He has had intermittent low grade fever with and without hives present over the last few weeks. No other symptoms. What could we be looking at? Doctor: Hi friend, Welcome to Health Care Magic Fever is generally due to infection. It is not always easy to pin point the cause. Augmentin is a good antibiotic - give another day or two / Some fevers settle down by fourth day only / if not, the child needs to be examined again...and the antibiotic changed.... Take care Wishing speedy recovery God bless Good luck"
},
{
"from": "gpt",
"value": "Target: Child with high fever, pain on urination, abdominal pain. What should i do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My child is 3.5 yrs old and i have been using inhalers levolin and buetcorde for her from past 7 to 8 mths. On and off she gets chest congestion.Doctors advise me to continue using these inhalers for her. i have been using without break for more than 2 mths now. i feel worried as she should not get dependent on these inhalers. pls advise.......she is a weak child tooo.....and doesnt eat much Doctor: Hi Neeta. I understand your concerns about asthma medications becoming addictive. Here are few facts about asthma that might help you. What is asthma? Asthma is a disease of airways resulting from constriction of airways leading to wheezing, coughing and breathing difficulty. Like diabetes, hypertension it is a long term disease. There is always an ongoing inflammation of airways resulting in on and off worsening of asthma attacks. why do we need long term medications? Two types of medications are available. Reliever medications like levolin which cures an attack, preventer medications like Budecort(steroids) which prevent future episodes from occurring. we take medications for diabetes, hypertension for a long period but never complaint about taking them. Since asthma is also a long term disease, preventer medications has to be taken for a long time. But good news for you is a good percentage of children may outgrow asthma as they grow older. I feel worried that my child may get dependent to inhalers ? This misconception creeps in everyones minds when they think of inhalers. For becoming addicts, medicines should reach brain. They should give a pleasurable feeling resulting in craving to have more and more. But such phenomenon doesn't happen with asthma medications. They reach only lungs, act on airways, reduce inflammation and never reach any where else. That is why inhaler medicines don't cause side effects like tremors, palpitation as oral medications do. Inhaler medications are perfectly safe and don't cause addiction. Hope your child outgrows asthma. Till then take preventer medications. Keep in touch with your doctor. They will increase or decrease medication dosages based on your child's response. hence regular follow up is needed. Regarding your child not gaining weight, I need your child's weight and what all she takes for whole day. have a good day."
},
{
"from": "gpt",
"value": "Target: Chest congestion, using inhalers levolin, buetcorde"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Gb walls thickened with enlargement with echo genic area in hartmans pouch suggestive of stone in GB at hartmans Pouch Inference ac chole cystits with cholelithiasis ( stone impacted in hr pouch Please suggest whether i can go for Gb Removal Operation if there is swelling Doctor: I would like to know first whether u have any symptoms are not? As you mentioned Gall bladder wall thickening , I want to know size of thickness. If you are having abdominal pain with GB thickness more than 4 mm suggestive of acute cholecystitis which needs surgery."
},
{
"from": "gpt",
"value": "Target: Is gall bladder surgery possible if there is swelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My question is a 2 parter. 1) For about 2 and a half years now, I have been masterbating and I want to cut down. It has been everyday to every other day. I have been in a committed relationship for 2 years now and when my girlfriend and I engage in sex, I have only been able to cum twice. Is there anyway I can make myself ejaculate more during sex? I've tried different condoms and that doesn't work at all. I'm considering trying something new which brings me to my second question. 2) I want to try anal sex to see if I can cum. I always use condoms and me and my partner are STD free. My concern is will it be safe? My main concern is cleaning my penis afterwards. Do I have to do that immediately or can I do it within the hour? Can I use a wash rag with soap and water and then shower down there within the hour? Doctor: Hello, Sex is supposed to enjoyed with love and passion. If you do sex more than once at a given time, your body gets tired and you will not be able to enjoy the actual pleasure of sex. Therefore do not have ejaculation more than once at a given time. Second sex can be performed at least after 6 hours. Anal sex is usually safe but it is never a pleasure for a female. Female may experience pain and irritation when you are enjoying. So think twice before you try anal sex. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
},
{
"from": "gpt",
"value": "Target: How to increase semen volume?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr I had grey hair ,so I applied vasmol hair oil and it showed me too much of reaction.There was watery drops like a puss formation dropping from my scalp.my face got swollen.There is itching through the body.I took allergy tablets for that and it has been reduced.And very soon even on my face I have got allergy and too much itching.I have lot of dandruff on my head.so plz can u suggest wat is the treatment for my face.Its very dry and got full allergy. Doctor: hi sir i will give you best medicine for greying of hairs and for your allergy.Use MAHA BHRINGRAJ TAIL FROM Baidnath pharmacy it will not only stop greying of your hair but also rejuvinate your hail follicle for further growth and strength.As per your itching is concerned please use Baidnath Somraji tail and apply over the affected part,you will get excellent results after using this.hope i was helpful.have a healthy day"
},
{
"from": "gpt",
"value": "Target: How can swelling on the face and body itching be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had all 4 of my wisdom teeth removed exactly a week ago and on the bottom right tooth there is a horrible smell and discharge coming out of the tooth and it s like a dark brown so I took a q-tip and pushed back there on the gum where the tooth used to be and the discharge keep coming out I m not in any pain or anything but im worried. Doctor: Hi...first you should no put any unsterile things in healing socket this may cause infection. Odour from that side is due to food lodegment which you are unable to clean .use mouth wash . take proper antibiotic.and if still painand discharge you have then consult your doctor.take care.that wound healing will take nearly one month time."
},
{
"from": "gpt",
"value": "Target: What causes horrible odor and discharge from the tooth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 3 he became very poorly temp of 39.9 an pains in head was in hosp for 3 days on drip an antibotics he had blood take that come back that his White blood cells 65 thousand an should only be 5-10 thousand there is this bad an how dangerous was this for him thanks Laura Doctor: any infection any where in the body may lead to raised total white blood cells.But such a huge rise in wbc count may also be seen in rare conditions like leukemia which can be ruled out by bone marrow biopsy. better take a referral from oncologist."
},
{
"from": "gpt",
"value": "Target: What causes high WBC count in a 3 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello Doctor, I have diagnosed with PCOD and had medicines. I have also advised to undergo USG for follicular study on my 11th day. My report is as follows. Right Ovary – 8mm, 9mm Left Ovary – 12mm Endometrium – 7mm My age is 33 seriously trying for conceive, advise may I get pregnant or need any treatment to conceive as soon as possible. Pl advise if any specialized hospitals in Banglore. Thank you for your time Regards Doctor: Hi there,After reading your question, I am of the opinion that:1) For your 11th day, the report is fine.2) However, this report is not enough. You need to do your hormonal profile as well as tubal patency test like HSG.3) Endometrial thickness as per your USG is a little less, but can be improved with treatment.4) You also need to get your husbands semem analysis done.5) If everything is normal, nothing to worry and you can conceive naturally.6) In Bangalore, for conceiving, there are many options like Gunasheela hospital, Manipal hospital, Dr. Kamini Rao, Apollo etc. Either of the options are fine.I hope this was helpful.Regards,Dr. Shikha Shah"
},
{
"from": "gpt",
"value": "Target: What are the normal follicular values to get pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got my right arm tattoed on friday night. I was fine up until last night when i wasnt able to sleep at all because i was getting a tingling sensation in my tattoo, ive had it all day, & now im having another sleepless night because of it. Should i be worried? Doctor: No there is no need to worry. Tattooing our body should be avoided as it can cause itching and allergic problems and sometimes serious infections. So it should be strictly avoided.Now for your itching take tab. Levoceterizine 5mg once or twice a day preferably at bed time after food. Take it for 3days then leave it. Dont be panic nothing will happen."
},
{
"from": "gpt",
"value": "Target: How to cure tingling sensation on hand after tattooing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Respected sir, my mother is 59 years old. since 2 months she is suffering from severe abdominal cramps . scanning reports showed bulky uterus with endometrium thickening in the ovary and fibroids noted. doctors suggested hysterectomy. is this condition any thing serious? please help me out. Doctor: HIThank for asking to HCMI really appreciate your concern and from the history given here I could say that if this lower abdominal symptoms and having per vaginal discharge then this need to be investigated further and if this is not like that then upper abdomen area need to be investigated and in my opinion here the surgery is out of question, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for abdominal cramps"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have stomach ulcers and occasional stomach bleeding. This am I woke with a thick layer of dark(almost black) blood inside my mouth. I checked both my nose and my mouth for any signs of bleeding, there were none. My stomach has been very temperamental these last few weeks. Should I be concerned? Doctor: hello thanks for consulting at hcm..it could be due to infected teeth causing bleeding..eithr ways hav a consultation with ur dentist and then with ur general physician..for the stomach ulcers..hope it helps.tc"
},
{
"from": "gpt",
"value": "Target: What is the cause of dark blood inside the mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Patient, male 4 years old, was admitted because of \"some bruise and petechiae had been found for 3 month\". The patient was quite well untill his mother found that this cruras appeared some petechiae and bruise without an inducement. About 1 week ago, the patient got a fever after \"caught a cold\" and then was found that the number of the petechiae incresed and the condition become more serious with pale facial appearance, inertial. Until the patient wwas admitted, no haematemesis and hematochezia was found. The stool and urinating was normal. Physical Examination: T:37.5 degree celsius, P:100/min R:26/min, the petechiae can be found in whole body. The lymphocytes is not palpable. The rest was normal.Blood Figure:WBC 2.2*10^9/LGr 0.123LY 0.847MO 0.030RBC 2.4*10^12/LHb 71g/LRet 0.1%Plt 25*10^9/L Can you explain why this boy have those symptoms and signs. And can you point out what is the main problem for this boy's blood hemogram? Doctor: Hi,This 4 year old child seems to have a decrease in all three blood cell types. His haemoglobin is low and so are his WBCs and platelets. This can occur due to some problems with the bone marrow. He needs urgent evaluation. He will need am examination of the blood smear and possibly a bone marrow aspiration and biopsy as well. Please ensure that these are done as early as possible."
},
{
"from": "gpt",
"value": "Target: Having bruise and petechiae, cold and pale facial appearance. Cause? Blood hemogram?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im 26 and recently got diagnosed with post partum thyroiditis and while i was in hospital with this they checked my bloods cause i was having chest pain and breathing difficulties, they came back and told me i had a very high level of triponin leaking from my heart. was wondering how serious a triponin leak is? Doctor: troponon is cardiac enzyme ..it may be raised in angina and heart attack or cardiomyopathy...your doctor should go for ecg .. echocardiography or TMT ...angiography...."
},
{
"from": "gpt",
"value": "Target: What causes high levels of troponin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Upper jaw 5th teeth from left side has broken from inside(outside portion good). RCT followed by post and core and by fixing the broken portion with ceramic or metal screwed to the remaining portion of 5th teeth with subsequent crown capping was suggested. I am 48 years female, with this procedure what will be the life of the repaired teeth? Doctor: Hello, Thanks for posting your query. The life-span of crown fixed tooth which is rc treated depends on how well you maintain and how perfectly the procedure has been done. For long-lasting use,keep the fixed tooth area clean without plaque accumulation. Get your teeth cleaned in every 6 months. Avoid biting on hard,solid foods. Take complete course of antibiotics. If re-infection occurs,the whole procedure has to be repeated. Take care."
},
{
"from": "gpt",
"value": "Target: Broken tooth fixed with ceramic screws, crown capping suggested. How long will this last?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My thirty-five year old son has panic attacks and can t walk outside. He is afraid to drive. He can t work anymore. I am afraid he has Agoraphobia. He is afraid to call for a psychiatric evaluation. This has progressed for a year or more. We live in YYYY. His insurance is Medicaid. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Panic attack and agorophobia go hand in hand. Severity of panic attack has direct link to agorophobia. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can severe panic attacks while walking and driving be a symptom of agoraphobia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor,I have a pretty annoying problem: I constantly have the urge to pee.When I drink much water I have to pee every 15 minutes, the pee is very clear. At night I tend to drink less water because I can't sleep if I have to go to the toilet every 15 minutes. When I drink less I still have the urge to pee, but the amount of pee is a lot smaller, and a bit more yellow. I can hold my pee for maximum 1 hour. When I fall a sleep I wake up every hour with a huge urge to pee, One time I was to late. At night it hurts a bit at the end while peeing, during day it doesn't hurt because of all the water.My guess on this is that it's a urinary tract infection, only my pee is a lot more clear than the normal symptoms of the infection.2 Days earlier I suffered from gastro-enteritis, and I still have some effects of it like diarrhea and cramps. Because of that I don't eat much during day, which could explain why the pee is so clear.Do you have any idea what I could do to fasten up the healing process, I have Zinnit at home and I already took 3 of them, and the effects are slightly less now. Can you perhaps also help with the 'peeing at night' problem, something that could give my bladder a rest at night, and me to :) Some additional information: age: 18sex: maleweight: 163kgposture: smallextra: -I am a regular cannabis user, I smoke a little every nights an hour before I go to sleep. This is for non medical purposes except a small headache from time to time. -I am a skinny guy and I don't eat healthy, but still don't get sick very often, mostly just a cold.I hope you could help me with my questions, I will honestly be very thankful !I know this is a pretty long text, but I wanted to give you as much details as possibly. I'm a student from Belgium, so I'm sorry for my bad english.Thanks again for reading and hopefully helping. Jasper Doctor: Hi Jasper. Nice to see a real good history , gone through and your English is perfectly normal. This is called frequency of micturition. The main cause can be a local infection in the bladder irritating, another is a stone in the urinary bladder irritating a particular part of bladder called a trigone- a very sensitive one. another causes are like diabetes mellitus / incipidious and so on. What you need is to find our th root cause by routine tests of Blood and urine , urine culture sensitivity, ultrasonography of abdomen. This will find out the original cause. Then the treatment really easy. Please do not try anything at home. t looks you have mentioned your weight too much."
},
{
"from": "gpt",
"value": "Target: What is the cause for constant urge to pee after gastro-enteritis with the effects of diarhhea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: its hard for me to swallow anything and to turn my neck to the right and the pain is a 100 I feel like cutting my neck open and relive the pain and I see that the right side of my neck is bigger than the left side and I taste a little blood what is the cause of it Doctor: Your problems can be related to growth of normal structures in the neck. What u need is a consultation with ENT surgeon."
},
{
"from": "gpt",
"value": "Target: What causes swallowing difficulty with painful neck?"
}
]
|
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