conversations
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{
"from": "human",
"value": "Source: Patient: i have no child. my wife's condtion is normal. but me conditon is poor. semen analysis shows the Mortality 56%, Total count 50 milion and volume 1.5 million. i am taking speman tab., semto, sivalingi beej power and putrajiva beej power with milk daily since 6 month. but there is no success to conceive. what should i do for get child? Doctor: Hi, Thanks for your query. I have read your query & I understand your concerns. Following is my reply: 1) If your count is 50 million and motility is 56 %, your semen analysis is absolutely normal amd you dont need any medicines. 2) Stop all medicines and get tubal patency test ( HSG) for your wife and see if there is need to undergo IUI or IVF. 3) Check ovulation pattern of your wife by getting follicular growth scan. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist."
},
{
"from": "gpt",
"value": "Target: Having infertility problem. Been through semen analysis. Prescribed speman, semto, sivalingi beej power and putrajiva beej power. Still not conceived. Solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc,I used minoxidil for 3-4 months for my temple area (I should not have used it in first place as my pattern baldness was not extreme only on temple area. I stopped using minoxidil (3 months back) but after that I lost lots of hair and got diffused hair loss all over scalp. Also, I got a chronic TE due to high stress (lot of thing happened during this period like relationship breakup, job loss, sudden weight loss and then this hair loss stress due to stopping minoxidil). The stress is still there. I am not sure should I wait for few months to see if I get my hairs back in the same condition before using minoxidil or should I again start using minoxidil to gain hairs lost due to TE (as I had only visible hair loss on temples 7 months back before using minoxidil). I feel my condition and situation is very complex because of my stupidity of using minoxidil and then stopping it and I really need some guidance here. Doctor: Hi!Welcome to Healthcaremagic. com.I have read your query in detail and do understand your concern.Minoxidil is quite safe to use, and has to be used continuously for resumed benefit. The contraindications for minoxidil use are:1. If you start having irritant reaction due to minoxidil in the future, you may have to stop using it.2. Sometimes it may cause hirsutism (unwanted hair growth) on face, etc so you may have to stop it. Other than that, you may continue its usage for at least 6 months to tide over tenogen effluvium.. Take a nutritious and protein rich diet(pulses, milk products, eggs). Use of hair supplements containing biotin will be of help . Avoid routine application of gels or frequent blow drying of your hair. Use a sulfate free shampoo for your hair twice a week.Hope this helps!Good luck!"
},
{
"from": "gpt",
"value": "Target: Should I start taking Minoxidil again?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was trying to crack my back while standing up, but all of a sudden i felt this sharp pain in my back, no problem, but now i feel pain in my chest, every time i eat i can feel the food going down with pain, i can not lay down with out being in pain in my chest, i lose breath some time just walking, this has been happening for about 3 days. whats up with that? Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This is possible due to variety of reasons as - underlying stress , anxiety - muscle stretch involving lower chest wall - other problems with lower esophagus or GE junction .Hope this will help you for sure .Wishing you fine recovery .Welcome for any further guidance .Regards .Dr. Bhagyesh ( MS , FMAS - consultant surgeon )"
},
{
"from": "gpt",
"value": "Target: What causes chest pain while swallowing food and laying down?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello! sir,I am fardin saiyyed and i am mentally disorder with sadness and lonelyness. I just consult doctor and he gives me clonotril-0.5 and Flumin-50 to recover from my problem and he observed that i am having following problemsDEPRESSED MOOD.FEARFULNESSANXIETY, RESTLESSNESS, PALPITATIONS.DISTURBED SLEEP(DFA 7 EMA), APPETITEDIMINISHED ABILITY TO CONCENTRATEINDECISIVENESSCRYING SPELLSIRRITABILITYEASY FATIGABILITY, EXCESSIVE IRRITABILITYEXCESSIVE RUMINATION ABOUT PASTSUICIDAL IDEATION, NO PLANSMULTIPLE SOMATIC COMPLAINTS LIKE HEAVINESS OF HEAD, BODY ACHESPSYCHOSOCIAL STRESSOR, (PARENTS EXPIRED)O/ECONSCIOUS, COOPERATIVE MOOD: DEPRESSED AFFECT: APPROPRIATENO PERCEPTUAL ANOMALYTHOUGHT: COHERENT, EXCESSIVE RUMINATION, -VE COGNITIONSINSIGHT: PARTIAL JUDGEMENT: PRESENTIMP: DYSTHYMIA Doctor: Hello, welcome to Healthcare Magic. Your symptoms are related to anxiety and depression. Your treatment also appear to good and in right direction. But keep regular follow up with your doctor as medicine may need alteration in number and doses according to treatment response and side effects. Same time do some relaxation exercise like daily brisk walk and breathing exercise, which will help you in fast recovery. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com"
},
{
"from": "gpt",
"value": "Target: Mental disorder. Restless, fear, anxiety, tired, stress, suicidal idea, irritability, depressed, palpitations. On clonotril, flumin. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain in my leg, ache-y and now just below my knee. About 2 weeks ago I had an ultrasound to eliminate blood clots/vein thrombosis-test was negative. When sitting or not walking, the pain subsides. This issue is ongoing -- I have trouble walking. what type of doctor should I see? Doctor: Hi, Consult an orthopedician and get evaluated. An MRI scan to look for musculoskeletal causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What type of specialist doctor should be consulted for pain in the lower leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir my dad had gas trouble and got some pain near the chest i just want to know whether gastric trouble leads to heart attack.and he checked his condition near a doctor that to a cardiologist and the doctor had tested him i.e. ecg blood test and sugar test everthing is negative Doctor: Hello if your father is diabetic?? What is age ?? Smoker?? Obesity?? Gastric symptoms many times present as heart attack. ...these are not classical symptoms.. But if have these symptoms.. And risk factor I mentioned earlier.... Don't neglect... Just do ecg... Which rightly done by you...u can go ahead with TMT and echo....once sure...these are not related with heart then can treat separately gastric symptoms... Need not to panic every time ...take care"
},
{
"from": "gpt",
"value": "Target: Does gastric trouble lead to heart attack?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have fatty liver grade 1 i am not heavy drinker but use alcohal three to four day in week and 250ml at at time when i drink alcohal i feel pain in my upper right side of abdomen now these day i feel this pain every time my age is 41 Doctor: Welcome to HCM!I have gone through your query carefully and it reflects that you take alcohol, have developed fatty liver grade I and now you have pain in upper right quadrant of abdomen .As you also know, the pain is due to fatty liver / liver problem, which in turn is mainly because of alcohol.Had I been at your place, I would just stop taking alcohol, what ever little Im taking, to help myself. It does not matter what amount of alcohol one takes, what matters it the individuals bodily capacity to tolerate it. In your case, even with four times a week of 250ml alcohol, is leading to significant problem, so, it will be wise to completely stop it or atleast cut it down. If it is difficult to do, please see a doctor for detoxification treatment.One thing is good that fatty liver is only of grade I, so, after stopping alcohol, most likely it will return to normal status in few weeks time.Had I been treating you, I would again go for ultrasound abdomen, as you have developed constant pain, and liver function test, lipid profile, sugar levels, blood pressure checkup, to see other systems. this pain may also be due to gastritis, which can be helped by taking some antacid till you see a doctor.Take healthy diet, good multivitamin, avoid oily and spicy food items,and you should start getting relief with first week of treatment it self.Hope the reply is helpful for youget well soon!Dr. Manisha Gopal."
},
{
"from": "gpt",
"value": "Target: Problem of fatty liver"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I passed a Kidney stone about 3 weeks ago, 5 days later got a uti form Strepcoccus. Dr here in Japan put me on 10 day antibiotics treatment. after 9 days of antibiotics I still have pain at the end of passing urine follow by small blood clot this morning. Going back on Monday to ask if I need more antibiotics, should I ask for some other test ? YYYY@YYYY Doctor: good day!I would recommend doing a urine culture and sensitivity testing to identify the bacteria and determine what antibiotic are appropriate. I would also recommend doing an Ultrasound of the kidneys to determine if there are other stones in your kidneys. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes."
},
{
"from": "gpt",
"value": "Target: Have UTI from strepcoccus. On antibiotics. Pain and bleeding after passing urine. Need further tests? Have kidney stones"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have this rash on my shoulder and back (left side) right around my armpit ive had it for 4-6 weeks and in the past 2 weeks my piss has started to burn at first it was just when i woke up but then it started to become everyday and everytime i pissed Doctor: hello friend,Welcome to healthcare magic.I have read your query and understood your concern.Rash on shoulders, back, around armpit can be due to number of reasons.I need to know the color of the lesions?Are they itchy or asymptomatic?Are the lesions permanent or temporary?What is the size of lesions?Burning sensation urine may be associated or may not be associated with the rash.I will advice you to get your urine test done including routine and microscopy of urine. Preferably take early morning midstream sample.In the mean time, take plenty of water.Kindly reply to my questions and attach the report of the test so that i can advice you further.Thanx."
},
{
"from": "gpt",
"value": "Target: Having rashes on shoulder, back and around arm pit along with burning sensation while urinating"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 27 years old male and working for a MNC in Mumbai. My SGPT level is 95 and SGOT - 38, cholesterol is border line high, USG reports suggest beginning of fatty infiltration of lever and I am overweight by 6 kgs. Kindly suggest me measures to bring my SGPT/OT and Cholesterol to normal and protect my lever. Thanks. Doctor: Hello Your findings indicate fatty liver and it is due to deposition of fat within the liver cells.Increased echotexture suggests fatty liver. Most commonly it is due to obesity and sedentary life.It may also be related to alcohol intake etc.SGPT is increased due to fatty liver.Fatty liver is a reversible condition and it can be reversed by diet and life style changes.You should avoid fried and fatty food.You should avoid red meat and high fat milk products.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It will correct SGPT level.With these findings,initially I don't suggest medicines for borderline high cholesterol.I only suggest diet and life style changes to my patients. Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Suggest medication to reduce SGOT and SGPT levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sr my daughter 9 years weight 37 kg yesterday start fever and throat infection my family doctor say tab azitromycin 250 mg BD and paracetamol tds but yesterday night she was high fever lam paracetamol given this time fever high so we can use meftal p 250? Doctor: Hi, Yes, you can give Meftal in a high-grade fever. When fever is not coming down with Paracetamol, cold sponging can be done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sreekanthababu Polthi, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Can Meftal P be given to bring down high fever in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had some extreme back pain & had to take pain and muscle relaxant meds. I m off them now but have a lot of shortness of breath-almost anytime I move. I know I was not breathing right because of the pain and not moving much. This was for 2-3weeks. Do I need to be really concerned yet? Thanks Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Can EB due to muscle spasm. Muscle relaxants will help. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can severe backache and shortness of breath be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About 6 weeks ago while sitting at work, my pulse started racing, about 120 beats per minute with mild chest pressure. I had the same experience again later that night. I went to the doctor the next morning. She did an EKG, gave me nitro and baby asprin, shoved an IV in my arm and sent me to the ER by ambulance. No heart attack. The symtoms continued and I ended up in the ER again a few days later. I saw a cardiologist - EKG showed an abnormal T-wave. Two weeks later I did a stress test - All good, no heart problems, EKG back to normal. I wore an event monitor for two weeks and recorded several events. From the monitor the cardiologist saw my pulse raise from 110 to 120, resting. She said that since the heart rythum was normal, she was not worried and discharged me from her care. I had a doctor order me Xanex to rule out panic attact. By the way, my chest x-rays were clear, all blood work normal - nothing out of normal other than high cholesterol. At my last visit with the cardiologist, my blood pressure was high 150/99. Now, the racing heart has subsided, but the chest pressure is almost constant. Per doctor s orders, I am checking my blood pressure two times a day - morning and night. It has been high (130+/95+) in the morning and (150+/100+) at night. My primary care gave me something for heartburn - after a week, no change, not better. I haven t felt good for 6 weeks. I know my body is telling me something is wrong. I just don t know where to go from here. Doctor: You are in a common predicament. Many problems cause chest discomfort. There are only a few causes that pose an urgent threat to life. You have had testing that looks for those causes. Having found nothing, you can be reassured on no emergency but that doesnt help the sensation go away. The blood pressure is not too disconcerting. Other considerations include musculoskeletal problems (sometimes hard to find), the esophagus (there's more to it than heartburn) and irritation of the lining outside of the heart. The best thing is to return to your primary doctor if symptoms persisted. She can help pursue these other possibilities."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for high bp and heart ailments"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: From about when I was 5, I masturbated in a funny waym I would lie and face down then press ma penis on a hard surface and start imagining I was sexing somebody, am 18 now and I have suceeded in stoping it. Am still a virgin and anytime I wanna have real sex my dick size holds me back cause its very small. Was it caused by what I was doing and what can I do to get a better size? Doctor: Thanks for asking in healthcaremagic forum It is not possible to increase its size/girth by any medications/oil. Do not visit any one who says they can increase your penis size. Masturbation is not harmful. Consult doctor for further suggestions. All the best."
},
{
"from": "gpt",
"value": "Target: How to increase the size of penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, I am a employer, 22 years old, live in Jakarta. I have a problem about my right abdomen.Her sense as rigid, in the front of the abdomen and sometimes to the back.And other effects, when I sit down, sometimes on the right thigh feels like a stiff. Please guide the doctors, about what I experienced disease. Thank you very much. Doctor: Hi.Thanks for your query.Your history is very classical ::Pain in right side of the abdomen with back and increase in pain with sitting-up position.This usually occurs in cases of a typical condition where the muscle called ilio-psoas gets affected and has an abscess in it. YThe best way to get a diagnosis is a classical physical sign that a Surgeon can elicit easily. Get the diagnosis confirmed by CT scan of the whole abdomen and the lumbo-thoracic spine to see if there is an original problem inthe spine which has given rise to this sort of a problem. The treatment will necessarily depend upon the findings.If the psoas abscess is present , you will need an operation to clear the pus , get this subjected to examination.Tuberculosis is one of the commonest reason."
},
{
"from": "gpt",
"value": "Target: What causes hard & stiff abdomen & thigh?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, So whenever I stand up after laying down (also sometimes when I am sitting up) I become dizzy and I can't see for a few seconds and normally have to hold onto a wall to stabilize myself. Then afterwards I get a headache. What could be wrong?Thanks Doctor: Hello!Welcome on HCM!Your symptoms seem to be related to orthostatic hypotension. I recommend you to closely monitor your blood pressure in sitting and then after 3 minutes of standing up position. If there is a decrease more than 20 mmHg of your systolic blood pressure and more than 10mm Hg in the diastolic blood pressure this would indicate orthostatic hypotension. In such case a Head Up tilt test would be necessary to confirm the diagnosis. Other lab tests would help exclude other possible causes that may trigger this situation: - complete blood count for anemia- blood electrolytes for possible imbalance. You should discuss with your doctor on the above issues. Hope you will find this answer helpful!Kind regards, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: Feeling dizzy suddenly while standing up"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, id like to ask something about nordette, since i was reading some reviews and blogs about it. well, my case was that, i took nordette as a emergency contraceptive . me and my boyfirend had an unprotective sex 1 day before i took the first 4 pills as indicated in the blogs and it was 5pm and the second 4 pills, i took it 5:05.. is it still effective? because according to what i read, i should take it exactly 12 hours after the first 4 pills. or should i take another set of 4 pills? its actually 11 hours after i took the 2nd dosage.please answer me right away, im getting paranoid. thanks Doctor: Hello thanks for the query. 4 pills of nordette should be taken within 120 hours, and then 4 more within 12 hours of that. You have already done the needful. Moreover, it should not be taken without speaking to your healthcare provider. Do that right away. All the best."
},
{
"from": "gpt",
"value": "Target: Taken Nordette after having unprotective sex. Is it still effective?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My name is Bridget Ambrose, I m 17 and not in very good physical shape. Recently I ve began to become active to prepare myself physically for military enlistment. When I was younger I was diagnosed with asthma but as I got older it seemed to be almost gone. Now though however, when I was running with my squad today the lower regions of my back on the left and right side began to hurt, now the pain isn t just there, its in the upper sides of my back when I breath,could this be due to my asthma from the past or the fact I m out of shape? Doctor: it may not be due to asthma but you need to do warming up exercises before you begin more vigrous activity.You may have been out of practice.Do some light massage, hot fomentation also before warming exercises and gradually learn to increase activity slowly"
},
{
"from": "gpt",
"value": "Target: What causes lower back pain while running?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 10 months post op of spinal fusion surgery. In February of this year I was facing severe pain in my back, so i visited my surgeon only to find out that the 3 bumps bulging from my back were screws rubbing against my skin. He told me he was going to wait until October to go back and do another surgery to make sure that my back is healed. For the next 4 to 5 months I was taking strong pain medication to reduce my pain. In June I stopped taking them and i was doing good for 3 months. But now that i'm back to school and playing volleyball the pain came back but it was worse. I have about 2 episodes of stabbing and burning pain just above the screw every hour. I was wondering if it was maybe a broken screw? Doctor: HiThank you for your question to HCM.Causes of back pain after spinal surgery are several and may be hardware related or pathology in the back itself.Some of the common causes are infection, nonunion of the bones one of the strong predisposing factors for which is infection and prominent hardware. Screw heads may become prominent in thin individuals and cause problems. Infection is a major concern if there is increasing pain and MRI scan and blood tests can help with diagnosis. Diagnosis of nonunion requires a CT scan.An Xray will reveal a broken screw in most of the cases. CT scan images the spine in three dimensions and is confirmatory. For your condition I would recommend a CT scan and MRI of the spine with and without contrast. A prominent or broken screw is uncommon to be the cause of pain by itself. It is the nonunion which is indirectly indicated by a broken screw that is the cause of pain.Hope this is helpful. I would be happy to answer any questions you may have. Wish you the best."
},
{
"from": "gpt",
"value": "Target: Severe pain in back after spinal fusion surgery, bumps from back where screws rub. Broken ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, The patient is suffering from Neuro Cystocercosis (NCC). Please find attached the copy of MRI Report dated 03-05-2012 and MRI report dated 25-09-2012. The copy of CT Scan report is also attached. The patient is having continous Vertigo and headache and is unable to get up since last 20-25 days. The patient also gets senseless by interlocking of teeth about 3 -4 times a day.Pleasently the following medicines are given: 1. Levipil 750 - 1 tab twice daily 2. Vertin 16 mg - 1 tab twice daily 3. Lonazep 0.5 - 1 tab thrice daily 4. Pexep CR 25 - - 1 tab once daily 5. Pantop 40 - 1 tab once daily So, please suggest if it will be benefecial for me to go or some other place and to which doctor should I consult and what to do. Doctor: Hello, Thanks for writing in. Complaints, investigations and treatment details have been noted. CT scan report not available to me. This is a case of recurrent epilepsy due to neurocysasticercosis. I sugggest you keep a log of seizures and note down details like frequency, duration and movements during seizures. At the same time please continue your medication. Fro your information, it is not clear about numbar of lesions, location and stage of neurocysticercosis. As EEG may be useful keeping in mind the seizures. A neurologist or psychiatrist is best equipped to handle any emergency situation. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Suffering with Neuro cystocercosis, on medicines, has continuous vertigo, headache, gets senseless by interlocking. Treatment advise?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi there i have been having some lower left discomfort in my abdomen since september 2012 just below my rib my local dr thought it was trapped gas..after a few visits i started getting sharp pains in my chest and burning in my lower chest bone with feeling of a lump and throught dryness with a metallic taste in my mouth my dr and the hospital nurses thought it was funny and said it was probally anxiety which i do not think it is as i have been having it since september and i do not have anytging to worry or be stressed about..just hopeing someone can shed some light and help me out thanks in advance, lee. Doctor: Pain in the Upper abdomen just below the ribs on left side is not a serious condition.If the same pain is on Right side,you should exclude Liver ,Gall bladder disorders.But,If your pain is till persisting ,Go for an Ultrasound Abdomen to rule out Kidney stones.If you are feeling a lump in the Ribs,Go for X ray chest - AP view and PA view.If you are a Smoker and Alchoholic,Please stop them and see the results.You can review with the reports."
},
{
"from": "gpt",
"value": "Target: Abdominal discomfort, chest pain, lump in chest, metallic taste in mouth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doc, I am writing about a problem with my throat. It is said that I had a wisdom tooth, however after it went away it came back-or something did, not sure. I have had my tonsils out but had bad tonsil tags as a kid. I also have bad allergies, take shots now. Can you give me any advice on whats going on? My pain tolerance is high but of course I can just take so much. Thanks, William Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, you have mentioned that you have problem in your throat , it can be due to wisdom tooth also , it may be impacted or it can be infected tooth which causes pain , I willsuggest you that you go to ENT sugeon for check up first if he said that you had pproblem with your tooth then go to dentist for proper treatment , , mean while you can do warm saline gargle two - three times a day . Hope this will help you"
},
{
"from": "gpt",
"value": "Target: What causes allergies and bad tonsil tags?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am fourteen weeks pregnant and I was prescribed Duphaston tablets since the beginning of my pregnancy, mainly in view of a previous miscarriage. However I have never been tested for progesterone levels. Now I read on the internet that duphaston can cause abnormalities in the foetus. Is this true? If yes, how high is the risk of abnormalities? Doctor: Hello dear,i understand your concern.In my opinion duphaston is safe to be taken during pregnancy.It is indicated in case of previous history of miscarriage ,any spotting during the present pregnancy etc.So dont worry.It does not cause any harm to fetus or pregnancy .So relax.Avoid physical stress.Take healthy nutritional diet.Beat regards...."
},
{
"from": "gpt",
"value": "Target: Can taking Duphaston cause abnormalities in the fetus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, I've taken Levonelle one step as emergency contraception due to condom failure three days ago. But unfortunately the same problem happened last night. I've heard that levonelle cannot be taken twice in one cycle. What is the next best option for emergency contraception? Doctor: Hello user.Sex during fertile period only can cause pregnancy.So better to know weather you had sex during fertile or infertile period.Because no need to take any contraceptive if you had sex on infertile period.and emergency contraceptive should be used in emergency not as routine contraceptive.For next cycle start ocpills after consulting your gynecologist.wait for your period or you can take emergency contraceptive after consulting your gynecologist.Thanks."
},
{
"from": "gpt",
"value": "Target: Is it safe to take Levonelle twice during one cycle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi!... My sister has myelofybrosis and she is anemic!... A friend of hers mentioned something called \"agras\" that is like a fruit or something like that, that is supposed to increased her hemoglobin levels naturally!... Do you know anything about it?... Thanks!.... Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Myelofibrosis is a bone marrow disorder.2. Agras, even though is nutritious would not be much helpful. Do not discontinue other supplements provided.3. You can take agras along with other supplements. Specific bone marrow therapy is necessary including stem cell transplantation.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: How can i increase hemoglobin level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a surgery 3-1-13 to remove cancer in my esophogus and upper stomach - which my stomach is now where me esophogus was - ther was only a few inches os esophogus not removed. I've had hod and cold sweats ever since. Some days and night are better and some are non stopping. I wear multilayered clothing but do you have any suggetstions? Doctor: Hi and welcome to HCM. I am not sure this is related to your surgery. cause can be any infection. Most common are respiratory and urogenital. SO do kindey ultrasounds and urine analysis. This is common cause of cold sweats and chills. Also you should change your dietary.AFter esophageal procedures your meals should be smaller, and more liquid. Eat 6-7 times per day but smaller meals and drink lot of water and natural teas. Avoid alcohol, fats and coffee. I am sure you ll feel better after this. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Have cough, cold sweats after esophagus, stomach cancer removed. Wear warm clothes. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i m 26 year old male..i weight 87 kilos and height 5.10..i m into body building.recently i read that the testostrone levels in the body reduces due to masterbation..so i.stopped it for 5 weeks.buh at the ending day of the 5 the week i experinced.nightfall.does nightfall reduce teststrone and muscle mass and yes by how much? what methods are present to increase teststrone? Doctor: HelloThanks for query.Neither masturbation nor night emission reduce testosterone levels in body.One does not need to increase Testosterone levels in blood by artificial means unless it is shown to be low on blood test.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Does nightfall reduce testosterone levels and muscle mass?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 18 years old and have been showing up to the emergency room with chest pain but they said it was panic attacks. And the thing that scares me the most is having a heart attack , they did EKG s on me and chest xray and they said my heart is perfect. but my question is if with a chest xray can you see if there is plaque buildup in your arteries or not? Doctor: Hi, Eleuterio, Thanks for query. As your EKG is normal ,nothing to worry. it seems that you are having cardio neurosis i.e. false fear of having heart attack. There is no question of having plaque in your arteries. To clear your doubt go for S.cholesterol and lipid profile. Ok and bye."
},
{
"from": "gpt",
"value": "Target: Chest pain, due to panic attacks, x-ray, ECG normal. Does X-ray show blockage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Mom has MDS. Currently only affecting her red blood cells. She receives 1 unit of blood every two weeks. The day before her transfsion, her RBC is usually around 84-85. She would like to take one last vacation to the Carribbean for one week. I would travel with her. Question: would it be safe(r) for her to fly if she has a transfusion the day before she boards the plane and returns a week later? Doctor: Hi, dearI have gone through your question. I can understand your concern.She has myelodysplastic syndrome. She is taking blood transfusion. If her other parameters are normal then there is no harm in air travel. She can go for it.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Is air travel safe in a person treating for myelodysplastic syndromes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother is heart Patient is a known case of uncontrolled diabetes and diabetic nephropathy hence her urea and creatinine levels are above the reference range at the time of joining it was 109 on 27.01.10 then it came down to 55 on 16.02.10 and at present it is 83 on 02.03.10 hence Chelation is contra indicated at present because of her elevated renal profile. So the patient has been referred to specialist dialectologist and nephrologists for their expert opinion and management Doctor: Hi and welcome to HCM.As an Urologist,i can understand your anxiety.You should write her age.Your mother has Diabetic nephropathy,CKD and CAD.In CKD treatment,she needs follow-up,with a nephrologist and tests like :1. urine routine,culture and ACR.2. blood routine,creatinine,FBS,PP2BS,HbA1c,LFT,platelets and electrolytes.3. ultrasound-KUB,with residual urine.According to the reports,the kidney functions will improve after treatment.The cardiologist treatment needs,ECG,echoscan and B.P.check.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Suggest medication for diabetic nephropathy with elevated renal profile"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was flossing my teeth, and I noticed a reddish blackish spot on the inside of my cheek. This is probably the third time I have saw one. The first two times it was very small. This time it is about the size of a match head. Do you know what it could be? Doctor: Hello and welcome.Thanks for sharing your concern.The reddish black spot could be an abscess developed from a sub clinical chronic infection.Please get it examined once.Do you have any associated symptoms like pain,pus,or swelling related to any teeth?does your gums bleed upon brushing?If yes then please visit your dentist once.Get a x ray done and rule out any kind of infection.Meanwhile maintain good oral hygiene.Thanks.Take care."
},
{
"from": "gpt",
"value": "Target: What is the reddish, blackish spot on inside of cheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 10 days post op tonsillectomy. I can see a good sized blood clot where my tonsil use to be. I bleed a lot yesterday went to my surgeon and she pulled out a blood clot and the bleeding stopped. This blood clot is new. I'm scared to fall asleep because I just notice this blood clot. what should I do? Doctor: hello,Mild bleeding after a surgery is common. The bleeding is usually stopped by formation of a soft clot (platelet plug) initially followed by a hard clot (clotting factors). As it is a wet area and your oral cavity is constantly mobile, healing takes a longer time considered to other places. Clot formation is natural and it will dissolve by itself. You must be already on antibiotic cover, so secondary bacterial infection chances are low.Blot clot are usual and it is nothing to worry. It is just like a superficial skin wound, where clot formation occurs, which becomes brown, then black and the crusts fall off. It might be taking a bit longer to heal as i explained above.I do not know your age. If you are middle aged, Diabetes if present could slow healing.Hope i answered your query. If you still have any queries, will be happy to help again."
},
{
"from": "gpt",
"value": "Target: What is the cause of blood clot in my tonsil after tonsillectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctors or doctor i had my em i dont know to say this like its the 3rd tooth in my lower jaw to the right side i got it extracted cause it was making me pain,and it was damaged and after i extracted it 3 days now after the extraction site hurts i dont know why i also extracted 3 tooths in past 4-5 years and it didnt hurt at all,but this one hurts and i have Dental Phobia,i am afraid of tooth pain a lot,thank you. .) Doctor: Hello, Thanks for consulting HCM, Read your query, as you have undergone extraction of third molar tooth dont worry extraction of third molar is slightly painful or if it is traumatic extraction pain is there for one week , or pain can be due to formation of dry socket also ,I will advice you to take proper course of medication prescribed by your doctor , follow all post operative procedures , take proper sleep dont take stress , if pain persist for more one to two days after extraction then consult your dentist again and go for oral examination and go for irrigation of extraction socket .Hope this will help you. Wishing you good health.Regards Dr. Priyanka tiwari"
},
{
"from": "gpt",
"value": "Target: What causes severe pain after dental extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a male, 68 yoa, no heart conditions, quit smoking. I have hypertension for which i take meds for. I have Type II diabetes for which I take glipizide 10 mg tabs 2 x daily and Metformin 500 mg twice a day. For the first time since I quit smoking (July 1, 2015) I have noticed my blood pressure drops significantly between meals. Just within the last half-hour I was feeling a bit dizzy and my lips and tongue was feeling numb. My blood sugar was 57. I have not experienced this YYYY@YYYY Doctor: Evidently you have to many medical conditions you have not adored me if you have COPD this can cause respiratory insufficiency and hence your symptoms you may have neuropathy due to diabetes which may cause low blood pressure but it could also be to deep blood pressure medications that you are taking you make consult your regular physician to adjusted the dose of your medications if your blood sugar control is not a very good then this level of blood sugar can also cause numbness and dizziness that you're complaining are you should check regularly with your physician once a month and go over to your medications"
},
{
"from": "gpt",
"value": "Target: What causes low blood pressure along with dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I wonder if you could please help me. My friend has Ovarian Cancer and said she is having a 'Chemo Pod' inserted so it will release chemo every day and shrink the tumour before she has a hysterectomy. Can you tell me pls if this is a common practice as another person I know had a different type of treatment. Thank you in advance for all your help, Best Wishes Karen B Doctor: Dear Ma'am,Sorry to hear about your friend's problem. Chemoports/ chemo pods are relatively common but are not mandatory for all patients. Chemotherapy given through IV lines is equally effective.Hoping for the best."
},
{
"from": "gpt",
"value": "Target: Inserted chemo pod to release chemo and shrink the tumor for ovarian cancer. Common practice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I am 19 years old, i m 5 3, and weight 110. I used to be addicted to painkillers like Vicodin and Percocet . After I stopped taking them, which was very hard I might add, I found out I have liver damage. I was wondering if either liver damage or pain pills can mess with vaginal health. While I was taking the pills I had vaginal dryness , loss of period, and I was getting BV ALOT. Will these problems be gone if I continue taking extremely good care of my liver? Doctor: Dear FriendPain killers like vicodin taken chronically for ill health or for recreational purposes always harm you , as in your case affected your liver.Good thing is you stopped.There is no well known relationship between pain killers and vaginal dryness.About your liver , I can comment the best only if you share withh me your liver function tests and ultrasound abdomen.Don't consume then again and say no to alcohol.Good Luck"
},
{
"from": "gpt",
"value": "Target: Vaginal dryness, loss of period, liver damage. Addicted to painkillers like Vicodin, Percocet. Reasons ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello - I have had low back pain for about a week, steadily becoming more severe. I cannot bend to put socks on - it hurts in every position. It spreads across my entire lower back equally. I ve been taking muscle relaxers & pain killers, with some relief. What KIND of doctor should I see, so I do not waste time & money? Doctor: hi kindly consult a orthopedic surgeon or spine surgeon"
},
{
"from": "gpt",
"value": "Target: Lower back pain, unable to bend back. Taking muscle relaxers. Which specialist should I consult?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, I am black in colour and my penis too. But when I pulled back my penis foreskin, inside it is a pink pale colour which is never matching to my body or penis colour. It seems and looks very ugly! Kindly suggest me a medicine or ointment to reduce this colour. By birth its colour is like this only. And I sat earlier some time in sunlight so that the colour to be reduced. Just after some time there came black dots which made it more uglier than earlier. Please help me Doctor: HelloThanks for query.In every individual the inner layer of foreskin is always pale and not of the same colour like outer layer due to the fact that the melanin pigment is not deposited in inner layer making it to look pale .The colour of the foreskin has no significance .There is no medicine that can help to change the colour of the foreskin.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: How to reduce the pink color on the underside of the foreskin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, I am currently experience chronic, uncomfortable itchyness around my genital area. It first started with that I thought was thrush, so I got an over-the counter medicine for that. But I found the creams releaved my itchyness only periodically and stung a little when applied. As this has kept going, I have developed a rash around my pubic mound - looks like a lot of pimples / ingrown hairs which have become more and more itchy as it grows. I also have noticed that the skin becomes flaky and peels off. I have a little more discharge than usual, but havent noticed an abnormal smell. Doctor: Hi there, i think things are not very clear and ofcourse its not possble for you to tell each and everything in detail. Now there are two things in mind as i gathered according to your condition, 1:IT could have been a Yeast infection and the cream that you have bought over the counter may contain steroids and after the application there is a steroid induced acne,which you have reffered as \"lots of pimples\". so if that is the case then you need to stop the cream. 2:You might have developed a condition called Lichen Simplex Chronicus in which the skin becomes thickend,dry and roughened due to constant rubbing and itching. At this point i think you need to see a doctor so that he can have a good look at the rash and ssoaciated factors and proceed further. The only advise i would like to give you is to apply White Petroleum Jelly at the sites regularly and take Tablet Zyrtec 10mg once a day before going to bed. thanks very much, and all the bset."
},
{
"from": "gpt",
"value": "Target: Chronic, uncomfortable itchiness around genital area, rash around pubic mound with smell. Reasons ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have never sufferd from seasonal allergies before, but this year since the pollen count is high I have major allergy symptoms. My nose and eyes are itching like crazy, and I noticed that the right side of my face is swollen now. What should I do? (I ve tried nearly every over-the-counter allergy pill that the US offers) Doctor: it might be sinusitisseasonal allergy complicates to sinusitis which also effects the eyesinusitis is complication of seasonal allergy and eye and swollen face is complication of sinusitisthere can be many causes of allergieslike drugs taken for other problems like paracetamol disprin calcium vitamins iron multivitamins and diet supplimentssoaps shampoo oils for application and other body application materialssome foods like milk egg rice nuts and others you get related with thisand if possible go for allergy testsfor this time you can take fexofenadine 120 mg bd (available otc in all countriestab montelucast 10 mg hsliquid antacid bdapply nemycin h eye ointment in nose bdsea water 2 drops at night each noselao of warm water i empty stomach morningadd metronidazole 200 mg bd for 5 days if infection occursanti allergic eye drops and antiallergic ointment can be applied on face these can be contd for long or whenever you need"
},
{
"from": "gpt",
"value": "Target: Having allergic problems. Itching in nose and eyes, swollen face. What to do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 years old daughter has has one dead teeth in front (Upper Jaw), which has now become black, should we consult any pediatric dentist or it will automatically replaced with new teeth. Please also let me know any specialist for child dental care, i stay in sector - 56, Gurgaon. Regards Gaurav Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of dead tooth which seems to be due to decreased blood supply which leads to dead tooth which occurs mainly due to fall or tooth injury. Need not to worry. You should visit nearby dentist/ pedodonist once and get complete examination done and get that tooth extracted and maintain space with space maintainer so as there will be space for eruption of permanent tooth and it will not cause any crowding. Maintain complete oral hygiene of child by brushing and flossing.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Should I extract the dead tooth of my daughter?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had my past two monthly periods and they only lasted 3 to 4 days. but now i m having nausea, heart burn, lower back pain, and high blood pressure. i did do 4 home pregnancy test and they all came back negative. i m on the heavy side, could i have a low hCH count or could it be something else? Doctor: Hello dear,I understand your concern.In my opinion the low HCG levels cause atleast weak positive urine pregnancy test.As the test is negative there is no chance of pregnancy .The nausea,heartburn can be due to gastritis.Avoid spicy and oily diet.Usually urine pregnancy test gives accurate results a week after missed period.If done early I suggest you to repeat the test.Avoid stress as it might also cause similar complaints.Best regards..."
},
{
"from": "gpt",
"value": "Target: What causes inconsistencies in periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir.pls interpret my husband semen testthis were the result: pearly white highly viscid.volume is 3cc.sperm count is 1.3 x 10 9/L..motile is .20 non motile is .80.morphology=normal is .30 abnormal is .70 roundhead,pinhead,bighead,double tail,swollen neck...pls help.thnkz...my husband is 33 years old 55 kilos and 5'7 in height Doctor: the percentage of motile sperms and the percentage of normal morphology sperms is also within normal range.. am not sure that you have written the count right, it should be measured per ml and is accepted and considered normal from 15 million / ml"
},
{
"from": "gpt",
"value": "Target: What does the semen test regarding sperm count indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 21 m my skin is so dark nw i m usng tanovate gn and brite day cream on my nw face became more whitng. If i used thz creams regular wht l happen my skin any side effect or nt i want knw if side effect recommed another creams whch make me again whiter Doctor: Hello,Welcome to healthcare magic,Tenovate G is a very potent topical steroid and should never be applied on the face for whitening purpose. It is not an over the counter preparation. It should be prescribed by a dermatologist who knows which condition to start it for and when to stop.Long term use can cause steroid induced Rosacea, Acne, Thinning of skin, Redness and increased sensitivity to sunlight. Brite day cream contains hydroquinone. It does not contain steroid, but again should be applied only for pigmentary disorders under supervision of dermatologist.Use a sunscreen with spf 30 or more every 2-3 hrs during the day even if you are indoors. Avoid sun exposure as much as possible. Apply non steroidal lightening cream containing kojic acid at night like kojivit gel or Cosglo gel or Kojiglo gel.Hope this helped,Take care."
},
{
"from": "gpt",
"value": "Target: Do skin whitening creams have any side effects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Greetings doctor, I have been biting my fingernails (Including the skin surrounding it) for more than 15 years and I am unable to stop it...What concern me the most is that there is a HIV positive housemate and I accidentally touch his feaces with my exposed fingers while cleaning the toilet bowl just 5 minutes after he left the toilet.....5 days later, I suffered some flu like symptoms, sorethroat and some muscle aching and a small swollen lymph node.....Is there a possibility I am infected? Doctor: Hello,Human immunodeficiency viruses (HIV) transmission occurs by sexual, injections, or my mother to child root. Contaminated body fluid in contact with blood can transmit HIV. Fecooral route is not a mood of transmission of HIV. You have touched his feces, but the risk of transmission is very rare. Flu-like symptoms can be due to the psychological stress of getting infected. Still, have any doubts get your P14 essay done for HIV after about four weeks. The test is earliest to detect infection.Regarding compulsive nail-biting, the disorder some times represent underlying anxiety. Onychophagia or nail-biting can result in several complications. Consult a psychiatrist for its treatment. Medicines like fluoxetine are very useful. Behavioral methods help to decrease undesirable behavior.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Seikhoo Bishnoi"
},
{
"from": "gpt",
"value": "Target: How to stop biting fingernails?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. Im am 16 years of age and yesterday I Noticed a Somewhat medium sized( about the size or a quarter or Slightly bigger) bump on my head Close to my ear. It Is Hard and the area around it is Painful.Im Not Not sure What it is. Can someone help? Could it be A tumor? Doctor: Hi,Thanks for writing in.A bump on your head for a while, that is hard and firm might be a cyst arising from your scalp. It may or may not be arising from the skull. If it has been present for a long time and is slowly growing, then it must be a benign lesion. In benign firm lesion, they can be osteoma, epidermoid cyst or dermoid cyst.I would suggest you to consult a neurosurgeon and get a CT scan done if necessary. Most likely it is not a brain tumor and CT scan will tell if it needs to be removed.Hope this helps."
},
{
"from": "gpt",
"value": "Target: I have a bump on my head and it is painful. Is it brain tumor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 57 year old female. My left knee has been giving me some difficulty for about two months now. I believe it happened when I was going up and down two flights of stairs in an attempt at exercising. My symtoms are mild pain with an occasional ache but its not in the joint and its on the inside part of the knee. It feels fine when I rest or elevate it but when I am walking it hurts a little and especially when I try to bend the knee such as taking the stairs. I pretty much keep my leg stiff. Can you help identify it and hopefully give me some advice please? Doctor: These could be the early symptoms of osteoarthritis.Fomantation with towel soaked in warm water should help. Aceta aminophen 250mg 2-3 times a day alongwith Multivitmin 1 tab daily should give relief.Contact me again. if no relief in 1 wk."
},
{
"from": "gpt",
"value": "Target: Suggest treatments for stiffness and mild pain in my knee"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend has neck issues with herniated disk. I notice that , when she climbs stairs or walks too much , she has great pain on the back of her head and the base of her skull. She also has Lupus and osteoporosis. What could help her? I m thinking ....is it possible...she has poor circulation to the brain when exertion cause head pain ? Doctor: Hello, The pain is due to herniated disc and not due to the poor blood supply. He can consult a neurosurgeon and get evaluated. As of now analgesics like Acetaminophen or tramadol can be tried. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does poor blood circulation in the brain cause pain at the base of the skull?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Mosquito repellant swallowed by child, released through urine. What could the side effects be?my child just chewed the stem of the mosquito liquid repellent bottle. It was dry at that time but has the smell i give him loto of water and washed his mouth thoroughly. Doctor: HelloMosquito repellent contains pyrethrin compound.When consumed in toxic dose it can cause mild to severe toxicity depending on the dose and body metabolism.The symptoms may be mild nausea,vomiting,abnormal movement of body,increased salivation,respiratory distress and even respiratory failure and coma.As your child has not consumed the liquid and just chewed the stem,chances of toxicity are less.But as i said it depends on body metabolism and metabolism of every child is different,be careful for the symptoms I mentioned above.Once there is toxic symptoms only washing of mouth and giving plenty of fluids is not sufficient.One should consult emergency room for proper assessment and management if needed like gastric lavage,inj atropin,IV fluids etc.I would suggest you to be careful for any abnormal symptoms and if there is any consult emergency medical room immediately.Regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for consumption of mosquito repellent"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an appendectomy four weeks ago. I have a hard lump below my belly button. It doesn't seem like it has gotten any bigger but it is tender to touch. I do not have staples and I do have a tiny bit of stitch coming out. But it is not where the lump is. The skin is not discolored and there is no pus. Should I worry about this? Doctor: Hello,The lump is not growing in size, it is not tender to touch, You have no fever and there is no collection of pus.It may be a lipoma that you may be noticing of the surgery.It may be a omental fold. Omentum is the first line of defence in the peritoneal cavity and in engulfs the area of inflammation.To make a definitive diagnosis ultrasound of the abdomen will help."
},
{
"from": "gpt",
"value": "Target: Appendectomy done weeks ago. Hard lump bellow belly button. Stitch coming out. No infection. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , I am 30 years old female. I had hair loss on Right side , near to fore head. A dermatologist diagnosed it as alopecia areata and gave me TRCORT 10mg/ml vial , Topgraf 0.1% , Flutivate cream and Follihair capsules. Please suggest me if it is fine to use these and confirm if it helps in Regrowth of hair lost. Doctor: Hi.As per your case-history you have alopecia areata.My treatment advice-1. Eat good balanced healthy diet.2. Be stress free3. It is associated with diabetes and thyroid dysfunction. So if your family history has these disorders get it checked.4. Treatment given to you is proper. Just add tab.levamisole 50mg three days a week for 6 weeks .It takes 8-12 weeks for complete regrowth.Thanks.Dr.Harshit BhachechM.B.B.S, D.D.V.L"
},
{
"from": "gpt",
"value": "Target: Will follihair capsules,flutivate cream, help in regrowth of lost hair?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having severe upper back pain that is radiating to my chest and causing discomfort to breath. I have had severe back pain since I was a teenager but only during the last year or so has the pain sometimes radiated to my chest. Is there any cause for concern? Doctor: hi after going through your query my advice is to get blood test for HLAB-27,if not done earlier.may i know -how is the pain like burning,tingling sensation and any rash around it?any investigation done?what treatment you had till now? meanwhile you can have pregablin 75 mg at bed time for 5 days. diet rich in calcium and vitamin D.if pain free do the back strengthening excercises.please do reply.take care"
},
{
"from": "gpt",
"value": "Target: What is the remedy for severe back pain that is radiating towards the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter had a straddle injury and now she is bleeding. She racked herself on a monkey bar and it was a pretty hard fall. She has some swelling where she hit but the bleeding has me very concerned. How much is to be expected? Can she have damaged anything? Doctor: Hello,Bleeding should stop in a couple of minutes. If this does not happen, I would recommend going to the ER for a physical exam and some tests. Prolonged bleeding can cause anemia and low blood pressure (also called hypovolemic shock).Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes bleeding and swelling after straddle injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I am a 35 year old female, been suffering from sneezing & nose producing too much mucus for the past 6 months, had to blow my nose every half an hour. went to the doctor & told me its sinus infection & he gave me antibiotics but didnt help, but i am suspecting post nasal drip, because of the sympoms I read about online. Then went to the pharmacy & the lady said she is suspecting it could be allergy & gave me allergex tablets, I started taking them 2 days & my mucus has turned yellow, is it normal? can you help, what do I have to take? I have tried so many thing, sinucon, sinutab, sinastats, sinus max, sinu end, nasal sprays, I even sniffed ginger powder to that extend. Doctor: Take tab Azithromycin 500mg once daily for 6 daystab Cetzene+Montelukast once dailytake vapour with carvol plus.avoid getting cold."
},
{
"from": "gpt",
"value": "Target: Sneezing and running nose. Doctor told its sinus infection and gave antibiotics which did not help. Advice"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9 month old baby girl has been looking very pale lately. She never took to iron fortified foods so at about 7 months I started giving her a multivitamin w iron. I had only been giving her a half dose bc she threw it up. She appears cold intolerant as well. I think she has iron def anemia Doctor: Well, it seems that you have already reached a diagnosis! Why not confirm it with a full blood count, (and do the following two tests optionally:) serum iron levels and total iron binding capacity tests? If these results confirm the deficiency, you will HAVE to treat her with iron salts.Dr. Taher"
},
{
"from": "gpt",
"value": "Target: Why does my 9 months old daughter look very pale?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 69 yrs old. My haemoglobin content is 10.4%. It has increased from 9 to 10 After taking normal iron tablets with folic acid and vit B supplements for 3 months. Are there any effective syrups or iron preparations that can enhance haemoglobin conten in my blood? I had recently undergone whole body check up. Rest every thing is fine except for this. Can you suggest any iron supplement, please. Doctor: Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that Continue with your tablet of iron. Syrup is somewhat costly as compared to tablets and gives the same results as tablets. If you have to change the oral treatment than other option is you can take the injectables but they to are costly and obviously a painful. But seeing your hemoglobin level it is adviced you to take the oral not the injectables. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank"
},
{
"from": "gpt",
"value": "Target: How can hemoglobin levels be increased?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi there , i have had a small lump that i can feel from the outside of my vagina , i can also feel it during intercourse ,but when passed no pain, i had a D&C roughly 4months ago ago and wonder if it could have anything to do with that , i have also been taken dizzy spells ,the dizzy feeling feels like im standing up too fast even when sitting down ? Doctor: Hi , how are u now? I think it can be a small gland infection on the vaginal wall , U need to see a gynaecologist."
},
{
"from": "gpt",
"value": "Target: Small lump in vagina, pain on pressing, dizziness. Due to D&C procedure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my son has just turned 4 he is complaining of saw hips and at night he is having difficulty sleeping of late as he is in pain groin and hip area. Last night I found him sleeping with his head on the pillow one leg in the air and the other foot on the mattress like he is standing Doctor: HiHe needs to see a doctor to have this evaluatedHe needs blood work and x-rays to see what's going on since he may be suffering from juvenile rheumatoid arthritis"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for saw hips and difficulty in sleeping"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a 53 female. Had a left pneumonectomy at 11 hers old. I know Ive got the shift in which other organs have moved. I have a bend in my thorax and my heart is way over under my left arm/chest. I do fine but sometimes am short of breath. I, also, sometimes experience fast or skipping beats. Back in 2005 I think I may have had a mini heart attack. I did contract Lyme Disease the previous year and know that does affect the heart and I had been ill from it during that time. I'm just wondering due to the shift inside, do I have more of a chance of having heart issues?Thank you! Doctor: Hi Lyme disease will have flu like symptoms in most of them relieve day taking antibiotic if any one associated with other complications and symptoms not releving had opinion of ur doctor"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for Lyme disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In general, a change in a single allele of an oncogene can result in tumor growth or cancer, while it takes two changes in both alleles of tumor suppressor genes. How do you explain this difference? What do these genes code for normally? In a healthy person, what role are the oncogenes and tumor suppressor genes playing, and how do they do it? Doctor: Hello and welcome to HCM,I will explain to you briefly the difference between tumor suppressor genes and oncogenes.Oncogenes are coded by proteins called proto-oncogenes.Proto-oncogenes are encoded by two alleles.Mutation of any one of the alleles converts proto-oncogene to oncogene.Oncogene is responsible for particular malignancy.The role of proto-oncogene in health is to keep a check on uncontrolled growth of cells.Tumor suppressor genes are encoded by two alleles.Mutation of both these alleles is required for development of malignancy.Tumor suppressor genes in health also prevent development of malignancy.Mutation of these genes may be genetic or is caused by chemicals, physical damage like radiations, etc.Thanks and take careDr Shailja p Wahal"
},
{
"from": "gpt",
"value": "Target: In a healthy person, what role are the oncogenes and tumor suppressor genes playing, and what is their difference?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a localized pain on my upper left side, outside the ribs about 5 below my armpit. It has been there for 3-4 weeks, not lessening in pain. It does not seem to be muscle-related, nor does my side show a bruise; although it feels very bruised. Tight clothing and laying on my left side hurts. Thoughts? Doctor: Hi, It might be a pleural pain. A clinical examination would be required. Get done an X-ray chest PA view since it is for 3-4 weeks. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes pain below the armpit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 15 year old granddaughter is a Medicaid recipient. She is tall and thin and having back pain. She has been to the community clinic and another doctor in Joplin and was told she needed ex-rays before she is treated, however, we are having trouble finding a provider that will ex-ray her before treatment since she has only Medicaid. She has a large protruding knot next to her spine that has been there for some time. These health care providers seem to be overlooking this malady. I am concerned. So far, we have been unable to obtain a referral to the ortho clinic. Doctor: Hello, I have studied your case. According to your history there is possibility of benign swelling around your spine.As swelling is not reducing I will advise you to further investigate for the cause of swelling.I will advise you to do MRI and Ultrasound of the swelling.If its collection or benign mass it can be excised.Till time you can take anti-inflammatory and antibiotic if infection is suspected.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: How to treat the back pain and protruding knot next to the spine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Here is what is happening or happened: - Blood pressure keeps spiking to 167/90 throughout the day - The past week my BP has been going from 146/80 to 167/90 - Woke up around 3:00 am with huge pressure in head and I can feel that BP was up, when measured it was 167/90. - During the day it spikes , I do not measure but can feel it especially in head. - After waking from sleep with BP raised my arms feel as if I was sleeping on them. - Ringing in ears. - Very real dreams every now and then. - Sex drive normal. - Difficulty sleeping because of the above symptoms. - Sometimes will wake up from a very real dream and feel the pressure etc but when measured has been around 138/86, today was the first time I woke up from sleep with pressure in head and elevated BP. I am taking 25Mg Metoprolol twice daily early morning and early evening. I am also taking Lisinopril 40Mg once a day. I have not started the diarectic as not sure what is going on and feel it may make things worst. Doctor: Hello, I would explain that considering your situation, it is important performing some tests in order to investigate for a possible metabolic disorder: - complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid gland dysfunction- kidney and liver function tests- blood electrolytes. Increasing the dose of metoprolol or adding a calcium channel blocker (amlodipine, lercanidipine) to your therapy may be needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes fluctuation in the BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had palpitations for just over a year now but have gotten worse lately accompanied by a prussure pulse in my head .. also dead like pains in left hand arm etc ... I was supposed to go to my gp last year but I dont actually have one .. any ideas what it could be ? Doctor: HiPalpitations can be due to various reasons.Related to cardiac problems, anxiety,anaemia,thyroid variations, stress,drugs,excess caffiene and many more.Kindly get evaluated for all these factors.All the best.Take care"
},
{
"from": "gpt",
"value": "Target: What do palpitations with pressure pulse in head indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I tripped and hit my forehead on the curb. I had a huge knot on my eyebrow with a scrape on it and a black eye appeared the next day. I immediately iced the lump after I fell. My question is: 4 days later should there still be a knot and what can I do about it? Doctor: Hi,It seems that there might be having hematoma formation following injury.Now blood from hematoma gravitated down in the eye giving black eye.Now there might be having small blood collection in hematoma forming lump or knot.nothing to worry this will be absorbed gradually.Apply ice pack for few days.Apply thrombophob cream locally.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for persisting knot after hitting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am experiencing weakness and tremors in all limbs , rubber band legs and seizures I am having a severe attack of what ever is going on. This has happened before just never this severe. I started 4 days ago fainting every time I tried to walk more than 10 feet or so. I wasnt loosing complete consciousness but I would go into these horrible seizures attacks that would violently thrust me to the ground and then fling me forwards and backwards. Then I started having extreme weakness in my hands (primarily left) that made it hard to carry anything knowing at any time I could drop it, because with no warning I would loose my grip and I had 0 strength to pick it up. Then it moved to my legs where they felt like rubber bands and could barely withstand my weight. They start wobbling and I have no control over them. It is even hard to move them from my bed to the floor without having to physicaly pick them up and place them on the floor. I am completely freaked out. I dont know if this is something serious or not. Hopefully you can help me navigate this a little. Thank you Doctor: Hi Jerina, This can be thyroid or cardiac related problem, you need to get a thorough check up by an apt physician along with some blood investigations. Take care Regards Dr. Naveen Kumar"
},
{
"from": "gpt",
"value": "Target: I am suffering from weakness and tremors in all limbs, and seizures"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have pain beginning at right buttock radiating down right leg. Aching sensation most of the time. very painful to lift leg. cannot laying on either side. must lay flat on my back. occasionally my right leg gives out and cannot support my weight. must walk with a cane full time now. Doctor: These are symptoms of spine pathology. Get MRI of LS Spine. It will show the site of pathology. There will be disc compressing nerve roots. Treatment will depend upon MRI findings. Till then you can try home treatment. Complete bed rest for 7 days. Firm bed. Don't lift weight or do not bend forward. Use hot fomantation twice daily."
},
{
"from": "gpt",
"value": "Target: How to treat buttock aches and pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: when an mri report is done and the result shows L3-4 disc desiccation ,ritht foraminal annular tear and mild diffuse disc bulge. No central canal or foraminal stenosis . 2. L4-5 left foraminal protrusion with mild impingement of the exiting leff L-4 nerve roots. what are the effects on my body. and i have tried just about every medication for the pain that i have been feeling before doing this mri report. what can be done to help my situtation Doctor: Hi, Thank you for posting your query. Your MRI of the lumbar spine (lower back) shows bulging of discs (soft tissue located between the bones) at two levels and mild compression of the nerves that exit from there. This can lead to low back pain and pain in the legs, along with tingling and numbness of the legs. Specific medications that may help you are pregabalin or gabapentin capsules. In addition, physiotherapy would also be useful. If you do not show adequate response to these, epidural injections may be given. Please discuss these with your doctor. Wishing you good health, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: MRI shows L3-4 disc desiccation, right foraminal annular tear and mild diffuse disc bulge. Effects on body ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a 50 year old male, 6 , 225 lbs with no history of medical problems. I recently returned home (Texas) from a trip to EG, Africa. During the trip I was prescribed Malarone. I took my final dose last night. I was on malarone for 23 days. I have experienced heart palpitations (side effect for malarone) for the last 3 day. Its possibly the palpitations are more frequent today but maybe I m just more aware and paying closer attention. Should I be concerned or will they go away now that I m finished with the Malarone? Doctor: Hello!Welcome and thank you for asking on HCM!I agree with you on the fact that your palpitations could be related to malarone adverse effects. But, I would recommend going to the ER for a careful physical exam and some tests to investigate for other possible causes of cardiac arrhythmia: - a resting ECG- a chest X ray study- complete blood count for anemia- thyroid hormone levels for thyroid dysfunction- blood electrolytes for possible imbalance. Hope you will find this answer helpful!Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for heart palpitations"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: we are ttc. we have had sex just about every single day starting 3 days after my cycle. is this the right timing. I still have about 9 days until my cycle is due. my nipples have been tender for a few days what are the chance that we could be pregnant Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You did sex from the 3rd day onward to whole cycle. During this time you can become pregnant as you did sex also in the fertile phase of the period, that is 10th to 20th day of period is highly fertile and you have to concentrate in those day. During this time ovum is released, so there is more chance of the fertilization. But it is very early to tell about the pregnancy. Tender nipple could be due to hormonal imbalance. Just from this symptom, it is difficult to tell about the pregnancy. I would suggest to wait for the period. If period is delayed by more than 2 weeks then go for urine pregnancy test and or blood HCG test to confirm the pregnancy. Avoid stress, take healthy diet, drink plenty of water, do regular exercise.You can also take folic acid tablet as you are trying to conceive.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar"
},
{
"from": "gpt",
"value": "Target: What are the chances of getting pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: yes i went to a lab today on infertility issue. the report is as detailed below please read thru: SPERM ANALYSIS/ MICROSCOPY ,CULTURE AND SENSITIVITY time produced 9.13am time examined 9.18 appearance : straw volume 3ml viscosity : high MOTILITY: Active ............... NIL Slugish .............NIL Dead ................. NIL MORPHOLOGICAL ABNORMALITY: Abnomal swollen head : Nil Tail defect ............... NIL Normal cell ................. NIL TOTAL COUNT : NIL PUS CELL : 2-4HPF CULTURE: yielded mixed growth STAPHYLOCOCUSS AUREUS and YEAST at 24 hours of incubation at 37 c sensitivity: sensitive antibiotics drovid (++) tarivid (++) augumentin (++) resistance antibiotics streptomycin cephalexin ampicilin please kindly assist to analys the report. can i still make a child can d infection transfered can it be corrected pls help Doctor: Hello, welcome to HCm, I am Dr. Das The report indicates that the sperm count is nill. That means, there was no sperm. Look, here is a bad news. You are not able to give birth to a child. Yes, the infection may transfer. It is better to use condom. It can be corrected by treating with the sensitive drugs. Besides using sensitive antibiotics, you should be investigated for presence of any maturation arrest in testis. So, a testicular biopsy should be carried out to document any abnormality. Regards."
},
{
"from": "gpt",
"value": "Target: Sperm analysis done for infertility issue. Kindly suggest treatment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello , on the shaft of my penis i had a bead like lump under my skin but not on the hard part of the penis. recently, it has swollen up for a couple of days .It is very painful and then it eventually discharged through the skin. It was a creamy yellow orangish color. the bumb has reduced in size halfway. what do you think this is and what should I do. Also I have been taken amoxacillin because I was scared of infection. I also have very bad jock itch for over a year, my primary physician has given me fluconazole first the cream which made it somewhat bearable but no where near curing it. She then gave me a 7 day systemic fluconazole, but it didn t help at all. I then tried tree oil diluted in oil as well as garlic supplements which helped the most but still no cure. I am currently using sepia 10x shower gel but also no help. Please help I have no insurance and I cannot afford to go to a dermatoligist. Thanks Doctor: Hi.Thanks for your query.Read and understood your history and concerns. The history says you had a lump in the skin of the penis, you took antibiotics for fear of infection and the lump ultimately opened up giving creamy, yellowish orangish fluid.So this was a infected sebaceous cyst and may get completely resolved. Your another concern is the Jock's itch for which you have tried so many things but not amenable. Actually the problem lies with the temperature in which you stay, work, sleep. If you can stay from the hot and humid temperature, use really loose clothes, keep the area ventilated, work in AV environment, clean the area with plain water and keep dry with hair dryer can alone heal it up. This is the only solution."
},
{
"from": "gpt",
"value": "Target: What causes painful lump under skin on penis shaft?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have diagonized with bronchities changes with anemia last week by my doctor. I am 31 yrs of age & single. My doctor explained me that due to improper & un heathy diet as a reason & he had suggested some medicenes & he said tis is curable, but need to take medicene for a long period say 1 yr or above. I jus wanted to clear some doubts. Will tis cause a heart attack ( severe or mild) wll tis curable will tis lead to TB Suggest me with some home remedies. B'cos i will be getting married by next june. Can i lead a healty & family life ay I answer your health queries right now ? Please type your query here... Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Bronchitis and anemia are 100% curable. So no need to worry much.No need to worry for heart attack with these drugs. Best treatment of bronchitis is inhaled bronchodilators (formoterol or salmeterol).So consult pulmonologist and start formoterol or salmeterol inhaler. For anemia, iron supplements (tablets) are needed. Along with medications for iron, food like bit roots, spinach, dates, carrots, apple are rich sources of iron.So take your inhaler and medicines timely along with healthy food. Don't worry, you will be alright and will be able to live healthy lifestyle. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What is the treatment for bronchitis and anemia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother affected spinal card cancer(the name of medical term - anjio circomo). 1 year before surgery done and remove the tumour . But till now every 3 months once he taken spinal CT Scan only. He s age is only 36years. Further what treatment doing next, tell me ur opinion. Do u suggested pet scan How much cost of pet scan, which institution take the pet scan. Doctor: PET scan is a sensitive investigation for many tumors. Angiosarcomas can also be picked up by PET scan. However, a PET scan (about Rs 20000) is relatively expensive compared to a CT scan (5000 - 10000) or MRI (~10000). If the sequential CT scans are normal and if your brother does not have any complaints on regular follow up then he might not require a PET scan. If on the other habd there is some abnormality on the CT which is difficult to make out then you can go for a PET scan especially to see if there is active tumor or fibrosis. Lot of places now offer PET scan. An idea of your location would help give a specific answer."
},
{
"from": "gpt",
"value": "Target: What purpose cancer patients take PET scan ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had lithotripsy on Friday at 7:30am! I rested and did OK until I got up at 2am Saturday! Every muscle in my body was sore to where it s painful to move. I assume my muscles were beat up by the shock waves. What should I take to ease the pain? Can I get in my hot tub? Doctor: Take ice pack.take rest.do some stretching exercise. If problem do not resolved do consult to your physician."
},
{
"from": "gpt",
"value": "Target: How to cure pain and soreness of muscle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A few days ago I started having this mild pain in the center of my chest. When I burp or hiccup it is a sharp pain. I am a smoker and have smoked for over 10 years and am 28 years old. I have also had a lingering cough for about a month now and will cough up mucus every morning. Doctor: Hi thanks for contacting HCM...Here according to your history ......Your provisional diagnosis : Bronchitis Here you should investigate with chest x ray and spirometry ...Spirometry is to assess severity of disease and management accordingly...You migh prescribed bronchodilator if bronchoconstriction preset ...(auscultation will show rhonchi in that case )Suitable amoxycillin like antibiotic also given ...Steam inhalation done two times daily ...Turmeric powder with hot milk taken daily ...Avoid smoking ....If bronchitis not there than other causes will also be cleared from x ray and spirometry...As having chronic smoking history pulmonary fibrosis can be there for which steroid needs to be given ...Take care ..Advise : consult pulmonologist for examination"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in centre of chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, I have been having problems with my stomach for the past few weeks! I feel bloated and vomit after food but I don't throw anything up. I have also felt some lumps on my upper stomach right under my chest bones mainly my right side. The lumps are getting more and when I touch they hurt! Can you please give me some advice. Doctor: Hi and welcome to HCm. Bloating and vomiting are nonspecific symptoms,but these lumos you re feeling are definitely something that must be evaluated! You should do at least ultrasound to rule some serious diagnosis out. Usually such symptoms are caused by gastritis,gErd or hiatus hernia so gastroscopy should be performed too. There is no specific cure. If you have only gastritis this is treated by changing dietary habbits. You should avoid alcohol,coffee,smoking,fats and fast food, carbonated drinks and eat more milk and milk products, fruit and vegetables,boiled food and natural beverages and teas. 1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. But as I said, i really suggest to di some imaging tests do investigate these lumps. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Have lumps on stomach which hurts. What is the remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir I have Khansi problem with chest pain from last two months. i used all syrup for khansi but i did not get any relief please sir suggest me good medicine for that . second is continuously sneezing 5 to 6 times with allergy my eyes also got allergic i take medicine two times from government hospital when i eat this i got relief if i leave it same problem remaining. please sir suggest to me good medicine for that Doctor: Thanks for your questions.I feel your inconvenience for these continuous cough and allergy.If I were your treating physician,I would look for details history like>Cough : Productive or not?>Smoking habit, > Allergy : dust,cold or any other particular allergens,> History of fever,>Breathlessness etc.Then I would perform some physical examinations specially your chest.Since you have been suffering from cough despite of having syrup for 2 months,I may advice few laboratory investigations.After confirming diagnosis I would suggest medications.> For your second query: You may try to find out the cause of your allergy yourself like dust,certain food,occupational environment etc.Then try to avoid those conditions first.Use anti allergic medications if required as per your physician's advice.So my opinion is : Consult with a respiratory medicine specialist.Take care and get well soon :)"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough and sneezing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sudden knee joint pain last week with swelling and redness. Went to hospital. Lyme disease, deep joint infection and cellulitis were the ideas they had. IV antibiotics were given and antibiotics to go home with. one week later knee very sore, good when i wake up, through the day swelling continues. Some redness by the end of the day and a stinging achy feeling on the inside side of my knee constantly. Doctor: Your age & sex please?suddden onset of pain & swelling definitely point to Lyme disease. Other conditions to bekept in mind are 1. monoarticuler rheumatoid arthritis.2. Septic arthritis.3. Tubercular arthritis.4. Un noticed trauma etc.kindly inorm me of the final diagnosis."
},
{
"from": "gpt",
"value": "Target: What causes knee pain and swelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i was lifting something heavy and i heard a popping sound in my back or i felt it at least and i was in slightly severe pain for about 10 to 15 minutes and its been 2 days and it is still moderate pain and when i move it gets worse whats wrong with me doc? Doctor: HiThank you for asking HCMI have gone through your query.Your problem is most likely a damage to intervertebral disc or a muscle strain of back.A physical examination with an orthopedician followed by a X ray and a MRI if needed will rule out that.In both case initially is managed by conservatively.Usually i prescribe muscle relaxants like thiocolchicoside and NSAIDs like aceclofenac for short duration and rest for 5 days followed by physiotherapy and exercises.In case of damage to disc physiotherapy should done for long term.Lumbar supporting belts also will be helpful in such case.Hope this may help you.Let me know if you have any further queries."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI I am Anup Sarovar, suffering from piercing lower back pain since two years. MRI Study of LS Spine reports1) dehydrative change of L3-4 and L5-s1 discs observed2) diffuse L3-4 disc bulgewith central protrusionindenting the thecal sac. no root compression3)Central protrusion of L4-5 disc bulge imdenting the sac. no root compression.4) Diffuse L5-s1 disc bulge with central and left paracentral extrusion and caudal migration is seen causing left lateral recess narrowing and compressing of the left s1 nerve root.What do these mean?? and what are the treatment options Doctor: Hi Mr.Anoop, thanks for writing to HCM. Your MRI findings depict that you have degenerative disc disease. Simple disc bulges without root compression is not a matter of concern as they will result only in backache. But, you have L5-S1 disc extrusion with migration and compression of nerve root which is significant. If you dont have any radicular symptoms (pain from back going down upto toes), then only conservative management is advisable as follows : - Rest with analgesics / muscle relaxants - Methylcobalamine preparations - avoiding bending & jerky movements ( riding a two wheeler ) - avoid lifting heavy weights - intermittant pelvic traction - using lumbar back support during prolonged sitting. If all the measures fail to provide relief and you have severe radicular symtoms, then surgical intervention may be needed. Hope this helps"
},
{
"from": "gpt",
"value": "Target: Lower back pain.Did MRI Study, dehydrative change of L3-4 and L5-s1. Explanations and treatment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm 51 years old and for the past couple of days I've been experiencing some kind of movement in my left breast, under the nipple. This \"vibration\" sensation happens every 10 minutes or so. It feels like an actual mass that's moving. No pain, and no discharge. Slight swelling of left breast- but it's not really visible. Doctor: your age and gender are risk factors and swelling and vibratory symptoms need one breast Examination to make sure everything is under control.There could be some vascular (increased blood circulation to the breast tissue) changes going on due to inflammation or other changes occurring inside that is making you feel the gush.get one Mammogram appointment and get breast examines."
},
{
"from": "gpt",
"value": "Target: What is the treatment for vibration in the left breast?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 29 and am trying to concieve since 2yrs,due to my irregularity of periods i cannot concieve,my doctor as told me i have pcod and hence have suggested me to have bigomet sr500, its been two months i am having the medicine, do i have higher chances now to concieve. Doctor: Hi there,Bigomet 500 mg twice a day has been prescribed to you to help stabilize the hormonal imbalance caused by the PCOD. It will help you regularize your period, but it takes time to work, using it for atleast 3 months is neccessary.Simultaneously life style changes of diet and exercise should also be considered.Apart from this you also need folic acid 5mg daily.Also since you have benen trying for 2 years now you need to be evaluated along with your partner for all causes of infertility.Getting a detailed check including an examination by a gynaecologist, Semen analysis, hormonal studies, dye test should be considered.You can also consider ovulation inducing drugs like clomiphenen if all the above tests come back normal, to help you conceive.Hope this helsp.Regards."
},
{
"from": "gpt",
"value": "Target: Will taking bigomet sr500 increase chance of getting pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Tired, nauseous, headaches, dizzy, stomache aches, loss of apetite because smells most food specially greasy food make me feel nauseous, moody(cry for no reason), heartburn,In december my period was late three weeks and when i did get my period it onlylasted 2 days 1 day heavy and one day light and it was not as dark as usual it was light could i be pregnant? Doctor: Hi, I think you should do a urine pregnancy test first. That will clear your doubt. These symptoms can be of pregnancy also and bleeding can occur sometimes in early pregnancy. If test is positive consult with a doctor.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya"
},
{
"from": "gpt",
"value": "Target: Is nausea,heartburn and stomach ache symptoms of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Around 3:00 am yesterday morning I started feeling a dull pain, mid-abdomen, L side, worsens when I inhale. Then this morning, in addition to the above symptom, which has persisted, I am having numbness, tingling down my left arm to my left hand along the left edge, with coldness in this hand compared to the other one. Not even sure these two symptoms are at all related, other than laterality. I m not sure what may come next and I do not want to wait to find out. Your thoughts? Doctor: helloI think you need both orthopeic and heart check up with EKG,chest xray to rue out causes due to heart and lungs, also physical checkup to locate any specific tenderness in upper abdomen due to abdominal organs.In any case, it should be urgently checked in ER.certain blood tests like Treponin T and treponin-I, CBC may also be requiredso Visit an ERget your BP and pulse checked and avoid all physical exertion and heavy meals for a whie till ER visitbest wishes"
},
{
"from": "gpt",
"value": "Target: What causes mild abdominal pain while having tingling sensation in arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband fell from d bike before a week. He came home n told me that he had fell down n showed me the wound on his knees. The next day morning he claims that he dint fall at all. He doesn t remember that he had fell the previous night. Neither does he remember few other things that had happened in d course of 2-3 months.. he remembers his official data, tasks n all important passwords but he says he doesn t remember most of the things that had happened in between us. We got married just before 4 months. He hardly remember most of the things in between us but he remembers incidents related to his family n his native visit. I had taken him to manipal hospital at Bangalore n got all the scans n tests done. The Neurologist suggested that he may have had a black out n nothing is serious with him and that there wasn t even any necessity for even medications. But i recently have started doubting if this can be possible because he remembers almost 98% of the things well n Whatever he claims to have forgotten are merely only regarding me n things between us. SOMEBODY PLS HELP ME TO OVERCOME THIS. I BEING JUST MARRIED N EXPERIENCING THESE KIND OF PROBLEMS, FEEL VERY DEPRESSED. SUGGEST ME SOME WAYS TO TRACE HIM OUT IF IN CASE HE IS LYING.. Doctor: hiii dearhead injury may produce amnesiaamnesia has many types most common amnesia is anterograde amnesiameans inability to recall recent eventsome of them have inability to recall the events than occurred in few wk or some few monthspast memory means remote memory and executive function remain intactsome times no medicines are requiredit will gradually recover by selfjust try to make him aware regarding all things that he forgotrest and supportive management is necessaryso be relax and have a faiththis is only way that gradually he will recover and you help him to make all this possible thank you take care"
},
{
"from": "gpt",
"value": "Target: What is the reason for sudden memory loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter 14 sleeps a lot and has very cold feet when she gets sick. She has missed 15 days of school so far this year alone and has sinus headaches, congestion and allergies a lot. She has had allergy testing and is only mildly allergic to mold. The doctors say she is depressed but she does not show any symptoms of being depressed at home. She is not on drugs!! What do I do to get her healthy and back to school. Doctor: it can also be foor protein related as some food proteins start suddenly with body proteins get clinical immunologist advise to get blood serm tests for specific antibodies for milk wheat potato and other food withdraw those to get results"
},
{
"from": "gpt",
"value": "Target: Teenager. Cold feet when sick, sinus headache, congestion, allergy. Detected depression, no signs. Remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was having sex with my girl friend earlier, but as my foreskin got pulled back, I noticed a really sharp pain from my penis, and I was bleeding. However, when we use a condom, we don't have this problem. Can you tell me what could be wrong with me? Doctor: Hello, You are probably having Phimosis.It means difficulty in pulling back your foreskin. it needs to be taken seriously. If it persists, it can cause problem in sex, pain and infection. Further it can cause problems in passing urine and kidney damage. Therefore, I will advise, get it checked by doctor and most cases require a \"small operation\" called CIRCUMCISION, by which the foreskin is removed to cure your problems permanently. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta"
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in penis with bleeding after the retraction of foreskin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor , i am Sekhar, 25 years old and i would like to know is there any age limit for putting tooth braces and is it possible that i can have the brace without extracting my teeth, please reply. Doctor: Hello, Thanks for posting your query. Orthodontic treatment is usually effective in young individuals,eventhough braces are applied in aged persons. Depending on the periodontal status of your teeth,appliances can be put. Orthodontic appliances are placed to correct malaligment of teeth. For better result,THere should be adequate space in between your teeth. Extraction of teeth is required if there is no space In between your teeth. Please do get consultation with an orthodontist for further reference. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Is there any age limit for putting tooth braces ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have upper abdominal pain with nausea and increased salivation when pain is at its worst. Some vertigo duing a bad attack. Seems to be triggered by food - nuts, little oil, very little onion or garlic or even high fiber, sometimes. Symptoms have gotten gradually worse over 6 months or so and now are significant at times. I am a vegetarian; I eat very little (lowfat) dairy. When I eat eggs, it is only egg whites. I have been supplementing 2+ years Bs, D, C, magnesium and take anti-inflammatory Zyflemend (rosemary, tumeric, ginger, oregano, green tea). BMs are regular. I have chronic lyme disease and finished intense 9-month antibiotic/anti-viral treatment approx 10 months ago. I am not currently taking any treatment. Doctor: Hello....(1) u r suffering from APD i.e ACID PEPTIC DISEASE with GASTRIC ULCERS (2) take these medicines for 3 weeks without skipping any dose - (a) TABLET RANITIDINE 2 times a day (b) CAPSULE PANTAPRAZOLE once daily before breakfast (c) TABLET DOMPERIDONE 10mg 2 times a day (d) SYPUP DIOVOL-LA 4 teaspoons 3 times a day (e) SYRUP SUCRALFATE 2 teaspoons 3 times a day...(4) avoid spicy food/fried food/alcohol/smoking....follow this advice and it will do magic to your problem :-) take care....Dr Rahul"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal pain with nausea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am an hemophiliac type A , factor 8 , with percentage around the 5% less or more of +/-1% ... I found that Dicynone, might be helping to recover my small capilars to recover, in case i have some sensitive area with small capilars impacted by some pressure or force, that caused longtime ago some small hemorragy of the kind of ankle ... but now, no blood, just i feel sometimes some pain in those small capilars, and because of pressure of the body weight over my ankle, i feel those small capilars might pass small hemorragy, as being week ones, so that i thought of using the Dicynone, and i am not sure if this might help, and it was a fully subjective decision, after i discover this medicament with my wife, and read its data-sheet i felt it might help me (as hemophilia Factor 8) to save my small injured capillars within my ankle area... Thanks to explain to me, what might such medicament impact on my case, and i know it is not the proper way, but just some hope in my mind to avoid one day totally (the factor 8, injection, as treatement of precaution in such small doubtfull cases, where no clear hemorragy is showing). Best Regards, O. Dahan YYYY@YYYY Doctor: hiyou have the factor level around 5% and thats good. you are not having severe hemophilai thus a unprovoked bleeding is less likely. i will suggest you not to take any treatment as you are quite asymptomatic and level is not bad. you will definately need treatment [tranxenemic acid for local and small bleed and replacement of factro for accident, significant bleed or planned surgery]is limited conditions.for your ankel, its posiible to feel tingling sensation and pressure due to old injury. do good and gentle physiontherapy. it will help."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hemophilia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is Sandra Iam a 49 year old women in the past week I have had pelvic pain which then lead to lower back pain and currently pain in my left hip . I have been to my GP and currently on antibiotics I also was admitted to hospital Friday morning only to be released and informed to have an ultra sound which I have under gone results of bladder , kidneys and ovaries all showed as normal. I have never had any back problems and always been a strong women, can you help me. The pain has eased but only to return just when I feel Iam recovering. Doctor: HiThank you for asking HCM. As you have done an ultrasound of abdomen and pelvis acute abdomen or chronic kidney stones can be ruled out. Now the conditions we can suspect is problems with spine sacroiliac joints or hip joint.An examination with orthopedician can give clue for that and a X ray followed by MRI might be needed to confirm it.If it is sacroiliac joint arthritis a local corticosteroid injection will give pain relief. In case of problems with spine like osteochondrosis or disc herniation i advise muscle relaxants like cyclobenzaprine NSAIDs like aceclofenac neurotropic drugs and recommend physiotherapy along with this. Hope this may help you. Let me know if you have any further queries."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pelvic and back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hai doctor, i am 40 yrs old woman,known diabetic,under medications,now having pain in the right chest radiating from front to back,pain increases on inhaling air,and not able to lie down on rt side.now after taking some pro kinetics the pain shifted to my rt shoulder and arm.what may be the cause and what is the management? Doctor: Hellowelcome to hcmwell the pain could be due to 4 causes(1) PLEURISY(2) COSTOCHONDRITIS(3) MUSCULAR PAIN(4) GASTRITIS Kindly get a xray of chest n send a scanned copy so that i can make a precise diagnosis n prescribe u appropriate treatment for remedy of ur painregardsdr rahul"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chest and back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I believe my five month old may have a milk allergy (female, 13lbs, 28inches) She has severe reflux and the pediatrician recommended we change her formula to Enfamil AR...but still has reflux...she also has really bad eczema and I just noticed ridges in her nail beds. She had some yogurt the other night and spit it up within five minutes. Does this warrant a call to her peditrician or can we wait until next month's check up? She has been seen for a weight check and the doc is aware of these symptoms just never discussed possible allergy. Doctor: HI, thanks for using healthcare magicYou may want to take her to see her doctor sooner so that she would not have to continue the milk if she is reacting negatively to it.There are other milks that can be helpful with reflux or her doctor may recommend a normal milk with added cereal (to increase thickness) since she is 5 months old.It is important to remember when you start introducing her to other foods to introduce them one at a time. Each food should be used for 3 to 4 days before starting another.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Can eczema and severe reflux be indicative of milk allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i have a patch of rash on my left leg below the knee, it is verry itchy,i use a cream, it settles for a day or two then it flares up again and the itching is constant, sometimes on both legs and other spots other than where the rash is,what should i do? Doctor: Hello,Welcome to healthcare magic.I understand from your query that you are having itchy rashes on your knees.I would consider the possibilities of eczema and a fungal infection.You could get a confirmation done from your dermatologist/ GP.Eczema would clear by using a cream with 1% hydrocortisone twice a day for 2 weeks.For fungal infection, you could use a cream with 1 % clotrimazole twice a day for 2 weeks.Also take an antihistamine like 5 mg Levocetrizine at bedtime for 10 days.Hope this helps you.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for rashes in the knee"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have pcod , overweight doctor found 9mm follicle on12day then she gave duphaston for15days now15days past from my due date .could i be preganant we intercourse regularly. i have no periods what to do ? Doctor: Hi Welcome to HealthcareMagic. there are chances of pregnancy.I advise you to get a home pregnancy test done with early-morning urine sample to find out if you are pregnant. It could also be possible that you have menstrual irregularities due to your underlying disease. I advise you to visit your Gynecologist and get evaluated for the same. Take care"
},
{
"from": "gpt",
"value": "Target: No periods after taken duphaston. What to do ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: yes-I am suffering from mountain cedar allergy. Took one Wal-itin D 24hr non-drowsy yesterday at 2:00pm. Worked great but did not sleep most of the night. Allergy symptoms are back now (been 23 hours). I am a 62 year-old 105lb female. was this too much med for me? should I take a second tablet? Doctor: Hi,Wal-itin D(loratadine) is the drug which used to combat allergic symptoms without curing underlying cause.If you are having allergic symptoms to mountain cedar but what kind of symptoms appear that you have not mentioned.You must avoid further contact with that allergen rather than just taking antiallergic drugs.Although there are very good medicines like epinephrine,steroids, antihistamines, mast cell stabilizers are available in market to combat allergic symptoms.To diagnose allergy,you must go to dermatologist and tell all the history of exposure.If it is not due to allergy then you should consult physician to get proper diagnosis first and yes,never give any drugs on your own.Always follow your doctor's instructions."
},
{
"from": "gpt",
"value": "Target: What is the cause of mountain cedar allergy when on wal-itin D?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Past 8 days my daughter 7 years old is having a iching problem and tome rashes had come on her nose . she said it is scrating her. i showed her to the doctor and he said it is daad. and he gave me tribunal plus ( skin infection ) ointment to apply . now the boils are gone but still i there is a slightly white patch on her nose. kindly suggest me. Doctor: hi.........Thanks for the posting your Query on HCM,In your cash the boils are gone but there is a white patch. so there will be nothing to apply as so early just wait and watch the condition till next 10 or 15 days . most probably white patches will be removed itself. Becouse in Iching or any skin disorders dead cells take some time to be out.so don't worry abut this.If there will be no recovery then after 10 or 15 days consult you dermatologist for the same.thanks...."
},
{
"from": "gpt",
"value": "Target: Itching and rashes on the nose.White patches after applying tribunal plus. Any suggestions ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 26 yr male, i not allergic to dust or pollens. only exercise causes wheezing to me, that too early morning if i do exercise i will have more wheezing. if i dont do exercise then i dont have wheezing. yes exercise is related to asthma. Doctor: Yes there is. I just read in this site about 'exercise induced asthma'. I opened it to read about asthma as my husband has asthma. That gives tips to handle that too."
},
{
"from": "gpt",
"value": "Target: Is exercise related to asthma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been sick for weeks. It started with a bad sor throat and cold in my chest. I m 74 yrs old and work three days as a nurse in a residential care facilty..Everyone there has had pneumonia, brochitis or some lung problem..We have arouind 40 residents with one nurse and one cna in the evening..I m small - I weigh around 90# but, I m small boned and 5 1 ..I ve worked hard all my life but as I get older its harder to recover from illnesses..I had back surgery in 2009..(I fell on the ice) and kept working as I didn t think it was as bad as it turned out to be. The back surgery helped but, I still have to have epidurals abouit every three months to keep me going..I m on Avelox 400mg qd..And I m on predisone 40mg x2 wks then 10mg x2 wks. I have this week to go..I ve had a Ct scan of my head..(OK) I had fluid around my heart which I know isn t good..I had rheumatic fever yrs ago and I have a small murmur and a prolasp mitrial valve which was doing really good until I got sick this year. I talked to my Dr re: another Epidural and he was telling me about a lot of patients coming in with what they thought was back pain and it turned out to be Meningitis..Of couse now I m wodering if this is why I have been so sick and what should I do????? Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* Avelox containing moxifloxacin can be used for treating sore throat and cold that could lead to bronchitis ; under medical supervision .* Issue of meningitis has to be evaluated in details with clinical parameters and results of spinal tap fluid .Wishing you fine recovery .Feel free to ask any further doubts .Regards ."
},
{
"from": "gpt",
"value": "Target: Can avelox treat sore throat and cold that could lead to bronchitis?"
}
]
|
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