conversations
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[
{
"from": "human",
"value": "Source: Patient: On the past 2 days I’ve been suffering hives. I’m blaming the incident of bathing my cat when he started to be an outdoor cat for months. However, it’s also hot in our place so it could be that but it’s unlikely because the hives developed hours after I bathed the cat. The next day (which is yesterday) the hives spreaded to my limbs. I wasn’t able to sleep that night, and then today, I now have it on my face and it looks awfully swollen. I noticed that my first appearing hives enlarged enough to become less noticable today, yet still itchy. I have read articles and said that this last for 6 weeks! I only have 3 weeks till our school days and I can’t have this thing in those days. Will it last that long? Doctor: Hi, This definitely sounds like a severe allergic reaction. You need to start taking an oral anti-histaminic: Tab. Bepozic. Along with that start applying a topical calamine lotion to soothe the rash. If the rash gets worse in spite of the medications, you need to visit a doctor who would give you some anti-allergic injections. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Smruti Pevekar, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Do itchy rashes take six weeks to get cured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a male @ 80 years and I have neuropathy in my feet. My right foot is especially painful in that the ball burns and there is an occasional sharp pain radiating from the right side of my ball into the little toe. Throughout the day. I m on Lyrica. Doctor: Hello, Thanks for writing to us, I have read your query and I would advise the following Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetables Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take Inj methylcobalamine 1500 mcg alternate day. [6 doses]You need to consult your treating doctor to check your parameters like BP, ECG changes and detailed heart auscultation.Some useful suggestionApply a warm or cold compress to reduce burning or tinglingRemedies such as breathing exercises and meditation may also help reduce stress-related symptoms such as numbness and tingling.I hope that I have answered your query. Let me know if I can help you further.Take care"
},
{
"from": "gpt",
"value": "Target: How to treat persistent right-sided foot pain while having neuropathy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. My mom age 85 is in the hospital due to a fall. Thank God nothing is broken however she doesn t recognize most of us and talks to our deceased loved ones. She actually gets upset when we don t acknowledge that they are there. She has been off of all pain meds for three days so that was ruled out. This afternoon her heart rate jumped from 150 down to 50. She is now in the cardiac care unit of the hospital that she was taken to. She seems to be failing. She is a diabetic, controlled b/p and basically a healthy person. She suffers from depression since my dad passed 10 yrs ago. Do you think there is a chance of her getting her memory back? Thank you. Doctor: These hallucinations are likely to be precipitated by acute stressful situation. Mostly this happens due to underlying age related brain degeneration, although this can also be unmasking of subclinical dementia. Its is possible she recovers her memory back , if she is not having dementia , this will get clear only with passing time, meanwhile we need to make sure that her general health improves and she recovers from other treatable medical problems. Dr Kapil Agarwal Consultant neurologist GURGAON"
},
{
"from": "gpt",
"value": "Target: Old age, had a fall, hallucinating, in cardiac care, had depression. Get memory back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What is the deciding factor to alert you that your eosinophils are high. My son in law had blood work taken and he also had blood in his urine but the hospital felt it was nothing to be concerned about. He received a copy of his blood work and the levels were 6.0 on one and 7.5 on another. Doctor: Hello,the absolute number of eosinophils is the most important bit of information. More than 500 per microliter is higher than usual and should be investigated. Much higher numbers would be more worrisome though.The rest of the complete blood count information has to be evaluated in parallel with the eoshinophil count. If everything is normal then a slight deviation from normal eosinophil count is likely insignificant.The numbers you've provided cannot be evaluated because I don't know if it's a percentage (and of what total white blood cell count?) or an absolute number (what units?).If you'd like a more detailed answer, please ask again providing all the data from the complete blood count.I'll be glad to help!Kind Regards!"
},
{
"from": "gpt",
"value": "Target: What is the deciding factor to know eosinophils are high?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I haven't refilled my Tri-sprintec so I've been off the pill for a month maybe two. During intercourse with my boyfriend last night the condom came off...well embarrassingly, inside me. As soon as I got home I took two grey pills (I had two packs where I missed a couple days) then today I took a Gray one this morning, and 2 light blue ones roughly 12hrs later. What are the chances of me getting pregnant? and do I just need to go get the Plan B pill? Doctor: Hi, it appears that the time for taking plan B , is crossed i think, any how you can try it. Don't get anxiety, in that case you may get false pregnancy symptoms. If the date is crossed you can get the home pregnancy test done, to exclude pregnancy. Thank you."
},
{
"from": "gpt",
"value": "Target: Off the tri-sprintec pill. Had unprotected sex followed by intake of two grey pills, light blue pills later. Chances of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have hematomas under my eye, along my nose, and over my eye. About 6 weeks ago I had a serious injury from a fall on the right side of my face. Everything has healed except these areas of hard, pooled blood. The doctors just suggest alternating ice and heat, which I do. Do you have any other suggestions of what can heal these areas of hematomas? This is what the doctors can it, I m not diagnosing myself. Doctor: Hi, I have gone through your medical history carefully and am sorry for the situation you are in. The treatment of alternating ice and heat is a good alternative for treating the areas of hematomas. The place where hematomas are located (over the eyes) is very delicate and would take some time to get healed. I advise to discuss with your doctor to start treatment with heparin cream to heal the hematoma. Wish fast recovery!Dr.Albana"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hematomas under eye and nose post injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I am 40 year old guy. My MRI scan shows that my whole spine has almost degenerated( almost black vertebrae in the scan), I also have cericle spondilosis C7 bulge and lumber spondylosis L4-L5 and L5-L6. Dr Also said that the scan shows that its osteoporatic ( after explaning to me about the shape and size of the vertebrae). What can I do to keep my spine in good condition? Thanks in advance for your help. Doctor: Hi, thanks for writing to HCM.Your description suggests that you have DEGENERATIVE DISC DISEASE.The initial management of your problem will be as follows -* Quit smoking, as this will have a detrimental effect on disc degeneration* avoid lifting heavy weights * avoid forward bending activities * Use a lumbosacral back support * Intermittent pelvic traction * Maintain optimum body weight,if you are obese* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.* Judicious use of analgesics and muscle relaxants.* Daily intake of calcium supplements to keep your vertebrae strongIf you do not find any relief , then consult an orthopedic surgeon and follow his advice.Hope this information is helpful. Good day"
},
{
"from": "gpt",
"value": "Target: MRI shows degeneration of whole spine, cervical and lumbar spondylosis, osteoporosis. Treatment and care?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello and I had fallen out of a high pick up truck, May 16 th. just amonth ago. Yes saw my primary dr. Then a Foot Specialist Dr. Trying to get an MRI for both feet. It s been very painful, hard to walk. Have been wearing my slippers since happened. Why is it taking so long to heal? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Can be due to a sprain or a ligament tear. Improper rest delays the healing. I hope this information has been helpful for you. Regards, Dr. Praveen Tayal"
},
{
"from": "gpt",
"value": "Target: What causes difficulty in walking after a fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: good morning doctor, my son six years suffering from stomach pain and loose-motions, i have medicine syrup at home of this but im in confuse please advice me, medicine content( ofloxacin & ornidazole Suspension) if this is correct advice me the dosage if not give me the home remedy thankyou wating for your reply, its very urgent Doctor: Thanks for asking I gone through your question, and understand your concern . The most common cause of loose motion and stomach pain is viral infection of digestive system. This is self limiting and take about 3-5 days. You should give Oral rehydration solution to prevent dehydration. For stomach pain your many give antacid solution ( Eg Digine). There NO role of antibiotics ( As you asked for ofloxacin and ornidazole). We should antibiotic very cautiously. Give Banana, will help . hope i answer your query"
},
{
"from": "gpt",
"value": "Target: Suggest some home remedy for loose motion and stomach pain in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just undergone an Ivf cycle and am 14 days after the egg collection, and had a day five (blastocyst) transfer. I have just had my pregnancy test result and the hcg level is at 21, the nurse asked me to come back in a week for another test. I want to know if this could be a viable pregnancy please? Thanks Lynsey Doctor: Unlikely at this HCG level.. U recheck after 2 weeks. We can then come to a conclusion. Don't worry as of now"
},
{
"from": "gpt",
"value": "Target: Does HCG level of 21 after IVF procedure indicate a viable pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi DOCTOR, i feel like i have got a lump in my throat and have a terrible headache - feel like my forehead is falling off and feverish as well - i went to see my doctor last week for the same problem but still feel like i have never been to the doctor if you know what i mean Doctor: Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns. Treatment for lump in throat and headache-In your case the cause of the headache and fever is -Acute Tonsillitis.which may be bacterial/viral.Needs supportive treatment -with plenty of fluids,antibiotics to prevent complication of secondary infection,B-plex syrup,liquid and bland diet , painkiller and anti-pyretics.This advise is based on the facts from the history you give and needs further clinical check.This treatment would need ER Ent-Surgeon under whose care it needs to be taken for better results.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump in throat and headache"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I seem to have developed a pea sized lump in my perineum. I noticed it about a week ago. I think this may have happened before; and ultimately it went away on its own. It s hard, defined and not painful. It s not red. It below the skin. No drainage. I feel fine. I did have my prostate removed via RRP due to cancer 7 months ago; I m concerned it s related. Doctor: Hi,It seems there might be having enlarged lymph nodes or some lesion, might be in connection with your past illness.Consult surgeon and get examined.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Are lumps in perineum, related with previous prostate cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband is on steroids for about 14 months because of brain edema after brain irradiation due to brain tumor . he was hospitalized due to pulmonary embolism and was taking dexamethazone 8 mg for 6 weeks then moved to prednisolone 40 mg for about 3 weeks ,started to decrease prednisolone by 5 mg every other day,he is tachycardic hypotensive ,skin peeled from feet ,and temporal area above eye brawos . does he need to increase steroid dose again thank u very much Doctor: Hi,Steroids are generally not advisable for pulmonary embolism as a primary drug but if it's for your brain tumour then you have to take it looking in to risk benefit ratio. Tachycardia and hypotension seems to be caused by pulmonary embolism that to is massive. Get your CT chest done along with pulmonary CT ANGIO to check for infarct size &thrombus burden. You need to thrombolyse. I would suggest you go for the test if they are normal then only you should increase the steroid dose.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Deepesh Agarwal"
},
{
"from": "gpt",
"value": "Target: Could taking dexamethazone 8mg be safe for pulmonary embolism?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! My 4 yr ols son seem 2 have a blocked nose. Especially when he s sleeping, seems like he has difficulty breathing resulting in him snoring and trying 2 breathe through the mouth... and then as he sleeps facing up, a foam-like saliva come out. I think its becuase he breathes through the mouth. Please help, what do you think could be theproblem? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.There is a possibility that your son has obstructive sleep apnea (OSA). In addition to snoring, other signs of OSA include restless sleeping (tossing and turning in bed), being fatigued when he wakes up in the morning as well as during the day, and enlarged tonsils and adenoids. Obesity and elevated blood pressure are also associated with OSA.It is best to have him evaluated by a paediatrician (if possible), ENT specialist sooner rather than later. We want him wide awake and ready to learn when he starts school.I hope this has been helpful. Please return should you have further concerns.I hope I have answered your query. Let me know if you have any further questions. Regards,Dr.Arnold Zedd"
},
{
"from": "gpt",
"value": "Target: How to treat blocked nose in a 4 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve got several problems. Rib pain (back, right) -had my gallbladder removed 6 months ago, so it s not that. My legs are throbbing, my neck is stiff, my ribs and back kill- it feels like everything hurts- I feel like these things may correlate with my period (it s currently 14 days late and neg. preg. tests) Doctor: Hello, It could be costochondritis. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. If symptoms persist you can consult a general surgeon and evaluated. 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 causes rib pain,stiff neck and back ache after gallbladder removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mum has diabetes and her doctor prescribed galvus met 50/100mg. She is worried of the side effects related to this medecine. Does it cause any kind of cancers? She is taking other medecines for diabetes, but heard a lot about galvus met...Any highlights about it? Thanks in advance. Doctor: Hello, Galvusmet is a combination drug of Metformin and Vildagliptin, it is safe and side effects are very minimal. Nothing much to worry and she can continue glavusmet without any concerns. You can assure her that cancer and related serious complications are very very unlikely. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does galvus met 50/100mg cause cancer in diabetic?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is 83 yrs. old. He has this condition where he wakes up soaking wet and yet he s freezing. We have to get up, change his clothes and sometimes even the bed linens. We are puzzled by this as no one can seem to diagnose his problem. We have seen an infectious disease doctor and he just plainly told us he didn t know what was causing this. Do you have any suggestions as to what we should do? He has just awakened from an afternoon nap and everything is soaked down to the mattress. Thank you for any advice. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.There are two clinical condition that can be suspected in your husband.He is either having a hyperthyroidism or he is having hyperhydrosis.Both condition can cause the problem.In my advice you should visit the endocrine specialist doctor. They will diagnose properly with detail history and clinical examination.You should take other precautionary measures like put him in a good AC room, wearing a cotton only cloth, using telcum powder, loose clothing etc. This simple measure can help him better life.Hyper thyroidism can be treated with antithyroid drugs, and hyperhydrosis is the clinical condition that requires only a simple home measure.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for excess sweating and freezing body temperature"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After treatment I have got fitted bridge/cap on my 2 teeth. While eating I feel pain. Dentist says wait and try for 8-10 days. As per him all procedure done is fine. To avoid pain while eating I take one oxalgin and when I feelNo pain I eat from that side. One tablet is sufficient for 24 hours. On eating now I don't feel pain. Is this method right for 8-10 days to check after 8-10 days whether all procedure done is ok? Doctor: Usually after a crown/bridge work this should not happen . Slight sensitivity does occur on a vital tooth prior to crown fitting. You should have an x ray of the concerned tooth but after getting your crown/bridge removed.( it should have been done by your dentist prior to crown fitting if anticipated).having medicines is okay .go and see a nearby dental surgeon if problem persists.best of luck."
},
{
"from": "gpt",
"value": "Target: What causes pain while eating after fitted with bridge/cap?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife is wanting to give my 9 year old son Melatonin (3mg) to help him sleep. All I have read about melatonin is that it should not be given to children under 18. It says it can cause nightmares, seizures, and other side effects. I feel a different method needs to be approached and not use melatonin because of these side effects. Is it safe for my son to take this? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If you give proper dosage for short period then side effects will not appear. Every remedy has negative effects. If I were your treating Doctor for this case of sleeplessness, I would come up with usual possibilities.- Hot milk with honey before sleep- Don't sit before computer- Don't watch TV 1 to 2 hour before sleep- Walking outside for 2 hours in the evening- Fresh cool room- Aurvedic remedy - Ashwagandha 1 capsule in the evening for 1 monthStart on these changes and get back to me in 2 to 3 months.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Svetlana Shrivastva"
},
{
"from": "gpt",
"value": "Target: Is melatonin safe to give for good sleep?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had pain on the inside of my heel which my podiatrist called bursitis. He gove me a shot of cortisone which made it worse because now I can barely walk I have so much pain all way up the back of my leg to my knee. I am 85 years old and don t know what to do about this pain. I have had 7 treatments with laser but am discouraged at this point. Can you give me some indication of what is causing this? Doctor: hi You have taken a cortisone injection for bursitis in your heel and now the pain has increased and gone up to calf. In my opinion you had calcaneal bursitis where the tendo achilles ( Calf muscle tendon) is attached. It has probably ruptured and is causing your symptoms. I suggest you take pain killers , Crepe bandage on the leg and wait for some time so that acute swelling subsides. You will have difficulty in walking but pain will go away slowly. Other option is operative repair."
},
{
"from": "gpt",
"value": "Target: What causes heel bursitis? How to treat it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, two days i had red dots on my penis, now they disappeared but glans start to be itchy ... is red now ... I m taking penicilline (amoxyclav) and I read this can be a side-effect of the antibiotics? what can i do to stop the itchyness, i cant move the foreskin anymore. Doctor: Hi,Yes, amoxyclav can cause allergic rash. As per the history you seem to have developed fungal infection of head of the penis and the foreskin. I advise you to use over the counter antifungal creams such as clotrimazole or miconazole over the affected area once daily for at least 7 to 10 days. Maintain good hygiene, wash the penis with warm running water and dry it carefully, and wear loose fitting cotton undergarments to keep the genital area dry and cool to stop the itching.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does amoxyclav cause red spots on penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 62 female with enlarged 16cm spleen with also type 2 diabetes, arthritis, asthma. I currently take 16 tablets daily and would like a positive outlook for me in how my life will turn out. I get tired very quickly and have difficulty walking due to hip and knee problems Doctor: Hi,You have multiple problems including knee and hip arthritis which cause difficulty in walking. I suggest:1. Take pain killers when pain is severe.2. Start hip and knee muscle strengthening exercises.3. Use a cane while walking.4. Hot fomentation and local analgesic cream as and when required. 5. X ray of the hip and knee joints to assess the severity.Go for Dexa bone scan to assess osteoporosis which is common in Diabetes. Let me know the results for follow up.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Gopal Goel"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for knee pain due to arthritis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I discovered I have two stress fractures in my lower back. Today I had a MRI to confirm this. I am 78 and my doctor suggested medical cement. I have already had two lower back surgeries. I have lost about two inches in height. I am wondering if the cement will help with my height. I have been in severe pain. It hurts so bad getting out of bed. I have to hold on to the bed and walls to get downstairs. Will the cement help relieve the pain? I am unable to work around the house since this happened. Doctor: Hello,At which level you have got stress fractures in your back? Is at dorsal spine or lumbar spine? Medical cement you asked about is, we refer to as Vertebroplasty.This is effective measure to relieve pain and to maintain height of vertebra. You also had two back surgeries for which purpose?Please share details of surgeries and MRI report so I will be able to guide you through definitive treatment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jayesh Vaza"
},
{
"from": "gpt",
"value": "Target: How can severe pain in the lower back be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got bit by a dog a week ago and got my lip stitched up. I got 2 on the inside of the wound which are dissolvable. My other ones were taken out yesterday, but I still see the end of one sticking out. Could they have missed this one or is it a dissolvable one? Doctor: Hi i do care for your concern. It is advisable to take full course of post exposure prophylaxis for rabies. now regarding the suture. the external sutures have been removed, the internal one is said to be absorbable. It will take some where 3weeks to 3months for the substance to get completely dissolved. If it is bothersome then consult your physician and get removed the small protruding part. Hope i have answered your question, if you have more feel free to ask. Thank you."
},
{
"from": "gpt",
"value": "Target: How can a dog bite wound be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an injection in my upper gum to fill a cavity. I developed oral neuropathy temporarily, but now am pain free; however, where the shot was given, a lump grew and is still there. Is thes cancerous or some type of calcium deposit? It is hard, painless. Doctor: thanks for your query, i have gone through your query. the hard structure at the site of injection could be fibrosed site of injection. nothing to worry it is not cancerous lesion. the site of injection will be tender for some time it may vary from weeks to a month. do saline gargling. you can take an analgesic if you have pain. i hope my answer will help you. take care."
},
{
"from": "gpt",
"value": "Target: What causes lump in upper gum after an injection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my stomach hurts a lot more frequently, i have had acid reflex since I was a baby. Sometimes days it bad others not so much. I have a family history of stomach problems that runs in my family. Never been diagnosed. I frequently use the bathroom and often have wet farts and discharge when I use the restroom. It also seems like I have to pass gas a lot more. Doctor: Hello dear... The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Medical management consist of taking Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) Metoclopramide can also be used but it has some side effects on long term usage. Surgical treatment includes Fundoplication, in which the upper part of the stomach is wrapped around the lower esophageal sphincter to strengthen the sphincter and prevent acid reflux Also avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. Try to sleep on the left side, or with your upper body raised. If symptoms still persist, it will be better to consult a Gastroenterologist. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Thanks & Take care"
},
{
"from": "gpt",
"value": "Target: Pain in the stomach. History of acid reflux. Need further investigation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my husband has just had a spell in hospital he is 43 and had a heart attack, a week ago he had a triple heart bypass, he has come out of hospital with a itchy red rash on is lower back and buttocks, he has used Cream prescribed by the hospital which hasn t moved it please could you help. Doctor: Hi, I have gone through your complaints and would recommend you to apply topical steroid like cortisone cream on the affected areas twice daily. Also, take antihistamines like tablet Cetrizine once daily at bedtime for few days. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for itchy red rash on my husbands buttocks"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been planning for a child since four years ; all tests are fine, this cycle doctor gave me Ovigyn D . igot my follicular maturation test done till 17th day , still ovalution hasnt occured. will i ovulute this cycle .. the folical cycle size is 10.2*10.1... am i on to correct medicine. last three cycles i took fertomid/ siphene and had one/ two follicles 20mm*19mm on day 11 Doctor: HelloThanks for your query.On day 17, obviously the follicle size is not adequate.If your cycles are regular, then on day 14, the follicle should be around 18 - 20 mm, as has occurred in previous cycles with siphene.This cycle you seem to be anovulatory.there could be various reasons for this, commonest being PCOD ( polycystic ovarian disease )If you do not conceive in response to oral medication for ovulation induction, injectable gonadotropins can be used in combination with IUI ( intra uterine insemination ) for best results.This is best done after assessment of the fallopian tubes to check their patency.take care."
},
{
"from": "gpt",
"value": "Target: Planning for a child. Have follicular issues. Given ovigyn D, fertomid, siphene. When do we expect ovulation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 27 weeks pregnant, and had a history of UTI during my first trimester, and now, the problem i have is when after i urinate,a drop of blood comes next. I thought i was having some vaginal bleeding , but when my OB doctor checked on me, the blood was not from my cervix . I did KUB ultrasound and they found out that i am having a mild dilatation of pelvocalyceal system in my right kidney. but not demonstrable stone was seen. There is also a fullness of the right ureter . they found out also that there is urinary bladder sediments. and urinary retention of 21%. what does this means. thank you! Doctor: hi there, blood in urine indicates injury or infection any where along the urinary tract starting from the kidney to the urethra. As your pelvicalycial system is dilated along with right ureter fullness it indicates obstruction at the level of ureter most probably due to stone or stricture.Some amount of urinary retention is acceptable in the 2nd trimester as the uterus is pressing on the bladder and hinders in complete evacuation. The dilatation of the ureter and the pelvicalyx should be taken care of . As you are 27 weeks pregnant, you may take the advise of a urologist whether it can be taken care of now or you need to wait. Usually 2nd trimester is a good time for any surgical intervention if requried but at your stage the attending urologist will be the best judge along with your obstretician. Take care."
},
{
"from": "gpt",
"value": "Target: Pregnant, drop of blood comes out after urinating. Ultrasound shows mild dilatation of pelvocalyceal system in right kidney. Meaning ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, my son was bitten by our dog on his right ear 9 days ago. it was a single abrasion. i rushed him to the hospital on the day that he was bitten. he received 2 anti-rabies shots already. The dog is still active and can't be seen any signs that it has rabies. my question is, my son was scheduled last saturday for the 3rd shot but i was not able to bring him back to the doctor. is it still ok if he will receive the shot several days after the scheduled date ? thank you. Doctor: Hello, Welcome to HCM.I understand your concern.Yes, you should take him to the doctor to get the remaining shot of vaccine as early as you can, but do finish the full schedule of anti rabies vaccine even if the dog is not showing any sign of rabies.Although chance of contracting rabies is less if the dog is not showing the signs, but many a time there is non-apparent infection in dogs & they can be harboring the virus and as you might be already knowing, rabies is almost always fatal. So take no chance. Hope this will be helpful.Take care."
},
{
"from": "gpt",
"value": "Target: How to treat dog bite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, im 24 years old female sexually active with my partner 7 yrs i have not been on birth control over 2 and a half years i use withdrawl method as contraception (not ttc but would be happy if so). I have a regular 28/30 day cycle, back in august i did not get my period on due date there was a 50 day gap in btween July & august of course i thought i was pregnant!! But then my period showed 2 & a half weeks later started light really heavy & didn't last long as usual, i started to monitor my cycles closely since this happend. Sept period came on so that ment it was a 32 day cycle, oct again 32 day cycle nov again 32 day cycle, also i ovualted on 14/16 during these cycles, Now since nov ended 3 days later i started getting light brown discharge up until my ovulation then clear mucos with brown tinge to it this lasted 3days then following that the brown \"spotting\" is getting heavier & darker this is day 23 of my cycle.. I was intimate on days 7-8-12 of nov cycle. I know what's going on but it has me very worried i am more tired over d past week mood swings an have slight cramping like my period is going to come but im not due 4 atleast another 8 days.. Any info please thanks you Doctor: Hello,Withdrawal method has high failure rate (15 to 27%) and it depends on ovulation time or fertile days.In this context, you must undergo one home pregnancy test and TVS scan to rule out the exact pathology including conception. Kindly, consult with your local doctor after test result.Use regular contraception for highest protection. Good luck."
},
{
"from": "gpt",
"value": "Target: Mucus like brown discharge and tiredness with period like cramps. Will withdrawal during sex suffice instead of contraception?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have gastric problems like chest burning burping and bulging my doc had given me this tablet vanproz-rd after taking it I am better no chest burns only burping is their now but I went online to find out about this tablet their is no information can u please tell me what is this tablet for thank u Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Burning sensation in chest with burping is mostly due to GERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause burning sensation in esophagus and burping. Along with drugs, you need to follow these lifestyle modifications for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food, avoid large meals and take frequent small meals. 3. Prokinetic drugs are useful in burping. So discuss about it with your doctor. 4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 5. Avoid smoking and alcohol, if you are having these habits. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes burning sensation in chest and burping?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 19 years old and have been having unprotected sex with my two year boyfriend. We have been using the \"pulling out method\" I am not on birthcontrol. My period was suppose to arrive on the 7th & today is the 11th & I have still not had my period. I felt all my pms symptoms such as irritability and what not. My nipples have been sore & I have a sour stomach with heartburn. I have currently moved in with my boyfriend so I have been feeling stress from my family members & my diet is completely changed. I took a home pregnancy test & it came out negative. Any ideas of what could be wrong?? Doctor: hello, pregnancy kits may give negative test now. better reoeat the test after 2 weeks. if you pregnant then consult a gynecologist for further action."
},
{
"from": "gpt",
"value": "Target: Missed period"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had an immediate onset of joint pain and weakness, worst is my right wrist, but overall I just feel awful, weak, somewhat nauseous, and had diarrhea yesterday. The pain began after that. No new meds, I m very active and have never had this happen before. Doctor: Hello, Acute arthritis may be due to viral fever. Use tablet Paracetamol thrice a day for five days. Use cold and warm compression. Drink plenty of liquids, take rest. If symptoms not improved please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Regards, Dr. Penchila Prasad Kandikattu , Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes joints pain and weakness in the right wrist?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had strep throat too many times to count but about 5 years ago I had the worst strep infection yet (throat so swollen that I was having difficulty breathing and took 3 types of antibiotics to get rid of...) after that infection I was referred to a specialist to follow the infections to see if my tonsils should be removed (b/c of repetitive infections) however they just said if I had one more infection they would remove but since then I have not had any. It is so weird b/c since I was young I had 2-5 strep ouinfections a year but since that last crazy infection - NONE! Also about a month or so after the last infection I noticed somewhat of a whitish/grey spot (about a 1/2 inch in size) on my right tonsil, not concerned I just thought it was maybe scar tissue or something. Recently, I noticed the whitish area has turned a purplish/black color. Any thoughts? I have a history of smoking - should I be worried or no. There is no pain surrounding the area, just an abnormal color. Doctor: Hi I did review your concernI would advice you to consult a ENT doctor and get the lesion evaluated. the purple lesion which is localized can be anything from a blood vessel problem to that of melanocytes. common lesions that can present like this include smokers melanosis (since you have smoking habit) and also hemangioma(blood vessel prolferation) or nevus.The doctor will examine it clinically and if required will take a tiny biopsy to rule out anything worrisome.I would meanwhile recommend you to quite smoking as best as you can.I hope this helpsWish you all the best.Thank you for using healthcare magic."
},
{
"from": "gpt",
"value": "Target: What does black patch in tongue during strep infection suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have been suffering with back pain for a as long as I can remember. I miscarried in Novemember and since then the pain has become increasing worse. I have been seeing a chiropractor independently as my doctors answer was swallow some pain killers and come back in a few weeks. The chiropractor helps alot but has not managed to fix the problem and he has also mentioned to me that a possible cause or affecting factor of my miscarriage could have been my back problem which from what I can remember occurs at around L3-4 I think. Another linking problem that concerns me is my weakened bladder control, if I've got to go I have got to go and I cannot hold it in like I used to. I'm ashamed to say that at the age of 26,this was not an issue I expected to encounter for many years to come. I am a Personal Trainer and like to keep active but I haven't been to the gym for months as I always end up in pain, I have had to give up ice skating and dancing and feel like I permanently have a hot water bottle attached to me. My partner and I want to try again very soon but I'm scared!! I asked my doctor for a CAT scan before I fell pregnant, do you think I should go back and ask again! Doctor: Hello,I understand your worries and concern.First let me start by telling you, your back pain was not responsible for your miscarriage. If you and your partner want to try for another baby, please go ahead. I would advice you to consult your doctor for a preconception counseling and inform about your previous miscarriage so that all precautionary measures can be taken.Back pain is a common ailment. Pain killers provide faster relief, you can also use topical analgesic ointments. There are several physiotherapy procedures which will benefit you such as TENS, Ultrasound treatment, exercises.As you are a personal trainer I will advise you to start with light exercises and concentrate on developing your back muscles. Plan a regime to improve your muscle mass.Talk you your doctor and ask for CT/ MRI spine to rule out disc prolapse. Also consult obstetrician for planning next pregnancy. You can talk to your gynecologist about loss of bladder control. It may be due to reason as simple as urinary tract infection, or due to neurogenic causes. Hence needs to be properly investigated.Hope I have answered your query. If you have any further questions I will be happy to help.Thank you,Dr. Narasimha G L"
},
{
"from": "gpt",
"value": "Target: How to treat back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Painkiller advice? I have serious tooth and jaw pain. I'm scheduled for a root canal (or possibly an extraction) in 2 weeks. Understandably, painkillers (opiates) are very regulated in my state; I have been to the ER twice crying uncontrollably for pain, and they can only give me prescription aleve and a sedative. Thinking about getting drunk and just pulling the tooth out. I've had a tooth pulled before (in a dentist, years ago) and the pain stopped immediately; pain from the wound was much more bearable. I understand it's unwise to do on your own because of infection risk, also getting drunk is risky. Is there an option I have not considered? I live in a rural area with just one dentist and one ER semi-nearby. Doctor: Hello,I have viewed your query and here is my advice:- If you are scheduled for Root canal treatment then it is clear that you have a deep decay in tooth leading to severe pain. - If Aleve is not relieving the pain you can consult your Dentist or Emergency room and ask aboutKetorolac and narcotic painkillers like Tramadol.You can also request your dentist to start root canal treatment early. If nothing materializes then you can opt for extraction of the tooth but no need to get drunk, you can get extraction under local anesthesia. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: Suggest painkiller medication for severe tooth ache and jaw pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is suffering with cough almost since 15 days, I thought its normal cough which comes and goes with season changes but surprisingly the cough is being continued more than 2 weeks which made me to take her to hospital. However doctor asked the symtoms and confirmed that she is suffering with allergic bronchitis. Could you please let me know whether this is curable completely or she needs to suffer with this for ever ? Doctor: Hello. Thanks for asking Healthcare Magic. Allergic bronchitis is caused by a specific allergen. This particular condition is triggered by an overly active immune system that attacks harmless foreign substances that enters the body. The immune system identifies the foreign substance as dangerous and releases antibodies to fight the substance. Allergic bronchitis can effectively be treated by having the right information about the disease and also being informed on what kind of allergen is causing the irritation. You can go for a series of test of the particular allergens that causes the irritation. Normally, prevention of allergic bronchitis will include staying away from the allergens that causes the condition. You have to consider that allergic bronchitis may worsen during the summer months as there will be a lot of allergens available.By carefully managing allergic bronchitis, your daughter will be able to live a normal and productive life. Hope this helps. Thanks and Regards."
},
{
"from": "gpt",
"value": "Target: When will cough in a child be cured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I have serious problem. ..I don t know where to look how to start.. I recently was appoved for medical ..and I can put that to use..on an emberrasing problem I have.. I ve been searching up alot .. it looks like I have a severe phimosis .. pinhole.. I don t have primary doctor.. no allergies none that I know of.. where do i start or who would I have to see for this emberrasing problem..could never pull my foreskin back ever since I was a child i am now age 24 .. I shouldve got it looking at ...but just financial problem and emotion got the best of me thank you Doctor: HelloI think you should consult your nearest general surgeon. This must be surgically treated.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe phimosis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good Morning Dr. My name is prabha, My son (age 6 yer) having cold only in the night time, morning after bath he is perfect, i had consulted with a pediatrician and he has given him the below mentioned medicines. Syp clamp forte (457) -5ml, Syp Rinifol, Syp Abphylline, Syp Recofast, Syp Bricarex A and Neb -Duolin & Budecoit. pls to inform you that still we have not yet started the medicine, could you please be kind enough to give me your adivce, thanking you with regards, Prabha Doctor: Hi...I feel he is having mild intermittent allergic rhinitis. This is not infection to get better with antibiotics (Clamp Forte). He might get benefitted with oral Levocetrizine and Monteleukast for 4-6 weeks daily in the evening. Both these are prescription drugs and you need consult your doctor for them. For stuffy nose you can use saline nasal drops.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What is the reason for cold in child only during night?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am hurtin for two days now, took one diflucan and have two more to go. I have not had a yeast infection in 20 yrs. But with the pain and soreness I applied some neosporin to help with the pain. I have not been able to sleep. i am probably going to the doc tomorrow, but will the neosporin make it worse because I feel better already after five minutes Doctor: Hello and thank you for using HCM. Neosporin will not make it worse, but I am not sure that it will really help that much. However if you are raw and irritated the Neosporin could be soothing. You may have something other than yeast infection so please see your doctor tomorrow for exam and testing to make sure you get the correct diagnosis and treatment. Good health to you."
},
{
"from": "gpt",
"value": "Target: Suggest cure for yeast infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, I am suffering from cold, sneezing, itching of nose and eyes from the last 16 years. I have undergone nose surgery for septum deviation 15 years back. I have at present using Nasal sprays(carticosteroids). Can i continue sprays, is there any harm for long time use? Is there any other alternative remedy for me.? K.Krishnarjuna rao Rajahmundry A.P.India Doctor: Welcome to HCM. I think you have nasal allergic problem.long time use of any drug may cause some side effects.you can start good anti allergic drugs.try to avoid dusty,smoky air pollution. Aroma therapy for nasal problem is available as alternative therapy.yoga and regular habit of pranayam is also helpful.Thanks."
},
{
"from": "gpt",
"value": "Target: Is it safe to use nasal sprays for long term use ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 30 years old and had TB 10 years back. I feel tired and breathless at times, especially when I have to bend, sit on the floor and get up and also after taking a bath. Can this be connected to reduced capacity of the lungs that would have occurred due to TB? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, previous tb infection can cause reduced lung functions. Actually tb infection heals by fibrosis or calcification. You had tuberculosis 10 years back. Tb heals with fibrosis or calcification in lungs. So you must be having fibro calcified lesions in your lungs. These lesions are non functioning. So they can not take part in oxygenation. So over all functional lung volume is reduced. So some degree of breathing difficulty on exertion is normal after tb infection. You can do chest physiotherapy and deep breathing exercises to improve function of remaining lung. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Can the air capacity of lungs be compromised after having TB?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, i am experiencing a sudden increase in fatigue, appetite, and joint pain. Interestingly enough this all started after my scheduled week off from weight lifting. I struggle a lot with depression and im not sure if this could be related to that or perhaps my active lifestyle? I take a week off from the gym every 8 weeks or so to avoid over training and im confused about why i feel more fatigued than ever. Thoughts? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The symptoms you have can be related to low levels of calcium or vitamin D3. This can be related to depression also. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes fatigue and joint pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was taken to the emergency room by ambulance because I suffered severe abdominal pain, which the doctor diagnosed to be acute pancreatitis. A lot of x Rays, ultra sounds, echo tests, blood and urinal samples were taken. Would any of those tests signify if I may possibly have diabetes? Doctor: Hi, Thanks for your question. After acute pancreatitis there is less possibility of development of Diabetes (Pancreatic Diabetes) For confirmation of diabetes test called OGTT (Oral Glucose Tolerance Test) is recommended which is ddone on blood sample taken after fasting and again 2 hours after giving Glucose. Hope this helps you, if so do vote helpful."
},
{
"from": "gpt",
"value": "Target: Would any of those tests signify if I may possibly have diabetes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had a tooth bleaching about a year ago but after sometime i ev started having gum problems,it started from my front down teeth and feeling is moving a little bit and now feeling burning on my upper gum and feeling gap between my teeth,worried what do i do.. cheers maryam Doctor: Hi,Thanks for posting the query, I would suggest you to get an examination done by a Dentist, you might be getting gingival recession as you have mentioned you have done with bleaching a year ago this could not be related to that, a thorough examination required to know the cause, also get an x-ray done of the region.Take care!"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for gum problem and gaps in the gums after tooth bleaching"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor. I am 29 years old, male. Now this is my blood report Renal profile:(mmol/l) 1.Plasma urea 3.3 2.Plasma Sodium 133 3.Plasma Potassium 3.3 4.Plasma Chloride 98 5.Plasma Creatinine 122 Liver Function Test:(g/l) Plasma total protein 67 Plasma Albumin 35 Globulin 32.0 A/G ratio 1.1 Plasma Alkaline Phosphatase 959(U/l) PLasma Alanine Transaminase 97(U/l) Plasma Total Bilirubin 46 (umol/l) what should i do to reduce the ALT level. Currently i didnt take any medication. Doctor: Hi, dear. I have gone through your question. I can understand your concern. Your ALT level is high. It is a liver enzyme. Its level increase in liver damage. It may be due to some viral infection, alcoholism, drugs or toxins. You should go for ultrasound abdomen. You should take low fat diet & high protein diet. Liv 52 tablet is also helpful. Consult your doctor, search for the cause first and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to reduce the ALT level"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am 67 and in recent ultrasound scan the radiologist noticed cyst right kidney up pole with 3.3 cms and lower pole of left kidney 3.3×2.4 cms. Srm criatinine is .9. The nefralagist said it is quiet common and nothing to worry about it. Kindly let me know the position. Doctor: welcome to hcm...yes as the serum creatinine is normal and i suppose your Hb level is also normal and cyst is near 3 cm and is simple cyst there is nothing to worry ..but please preserve this report ..for your safe side you may repeat scan after 2 years ...i have seen in my patients that even after repeat scan after 2 years size is same ...donot worry .."
},
{
"from": "gpt",
"value": "Target: Is a cyst in the right kidney nothing to worry about?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello my name is christine just wanted to ask you a question in related to blood pressure,going back 6 years ago i was carrind a lot of weight , so of cause my blood pressure was up .My doctor put me on medication ,then twelve months down the line i had lapband surgery so of cause blood pressure dropped .Have been of medication a period of 5 years. over the period i kept and eye on blood pressure it seem to be going well . Just before Christmas had a lot of stress i can not begin to tell you, fortnight ago ended up with bad flue,went to the doctors my blood pressure was 186/96 up untill today have still had flue coughing ect so went back this morning to the doctors she did another reading this time it was 170/95 ,.Just wondering could it be related to my flue coughing ect and of cause still have a lot of stress please could you advise me thank you . Doctor: Hello any form of extra strain on the heart whether it's infection or stress is going to increase hormones like adrenaline and cortisol in the body which will elevate the blood pressure in natural process. This blood pressure rise to settle down as soon as the infection is treated . About the stress I request you that any reason for stress I'd not good enough as it's only going to harm you and we have to deal with it in a more mature way . Some general things you should follow to control his blood pressure are. 1) try maintaining blood pressure upper under 135 and lower under 85mm hg with lifestyle and medication 2) if overweight, losing weight should be a priority, try achieving bmi less than 25.3) 40-45 mins of aerobic exercise daily 4) be regular with your medication, don't skip doses or stop abruptly. 5) in diet -low salt. Max 3 gms a day. - avoid preserved food as all preservatives have salt. - no pickles, papads, chips, farsan as all have high salt and. - atleast 2 serving of fresh fruits in a day. - 1 serving 35-40 gms of nuts like walnuts, almond to be included - if you take fish 2 serving of fatty fish per will like salmon. -avoid red meat, egg yellow, fried and spicy oily food - may shift to better oils like olive in cooking 6) may consider supplements, like cod fish oil capsules, flax seeds, chia seeds, krill oil as they have good content of omega 3 fatty Hoping I could help. Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: What causes high blood pressure and how to manage it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son (16 days old, 7 lbs 4 ounces) has peeling testicles that have become raw. he screams at the start of every diaper change but screams harder when we wipe his bum and testicles. we use pampers sensitive wipes and huggies little snugglers diapers. can you help us with a solution? thank you. Doctor: Hi...by what you say I feel that your baby might be having an eczema. The trick of the management is keeping the skin moist and never allowing it to be dry. For this oil massage and lotions like Oilatum will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months.But...Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What causes peeling of testicles in a baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am female age 47. I just had umbilical ventral hernia surgery 30degrees days ago. For two days now my right leg from my knee to my toes are swollen my big toe looks to be turning black. In middle of right calf when I walk feels like a charlie horse. Cannot sense the feeling to urinate not able to feel to push to urinate. Hernia is located at end of stomach muscle towards belly button on right side. What and why is my leg swollen. Doctor: Hi there.There could be possible swelling due to the surgery or lymphatic or venous obstruction. It can also be a clot. I suggest you consult your surgeon as soon as possible regarding this as it can be dangerous if not treated early."
},
{
"from": "gpt",
"value": "Target: What causes swelling in leg and numbness while urinating after hernia surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my daughter has an infected pinkie finger under her nail. She has been on 3 antibiotics and it clears up a bit but comes back as soon as she stops the antibiotic. She also keeps soaking it in Epsom salts and that helps. However, we are concerned the infection will become systemic. What would you suggest? One friend said she should go to a dermatologist. Another one said did we consider it to be a fungus...Thanks in advance- Grace Doctor: HiThanks for your query at HCM.I understand your concern and situation.I would like to tell you not to worry. You must visit a physician and get any discharge or skin scrapping testing done for gram staining, microscopy for fungal elements and culture sensitivity for aerobic and anaerobic bacteria. Take treatment based on antibiotics sensitivity results. It seems to be drug resistance or chronic infection. Get treatment done and problem will resolve.Dr Sheetal Verma"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for infection under the nail of little finger"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had pain across the belt line and middle portion of my stomach for several months now. Gall bladder, liver, etc have checked out fine via ultra sound and HIDA scan. But the pain persists. It s not a sharp pain, it s a dull pain and feels as though I ve just done about 1,000 sit ups. Doctor: HiThank you for asking HCMI have gone through your query.Gastritis and peptic ulcer also can give same symptoms.Such cases i advise proton pump inhibitors like rabeperazole and sucralfate syrup for 2 to 4 weeks.I also recommend them to avoid spicy and oily foods alcohol and vigorous exertion.If all these not helping then i advise to do a fibrogastroduodenoscopy to find any ulcers or other pathology present.Hope this may help you.Let me know if you have any further query."
},
{
"from": "gpt",
"value": "Target: What causes pain across the belt line and middle portion of stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had an open surgery last sept 07 due to a staghorn calculus in his left kidney.He is also diagnosed as having a very small stone in his right kidney but we're not sure if it is still there.Can he safely take MX3 herbal capsule and tea to prevent the recurrence of stones? Doctor: **1. To be sure of recurrence of stone, apart from management one should have a check on common points which can/may lead to stone formation, like:. monitoring of blood and urine calcium levels [including calcium/vitamin D rich diet/ hyperparathyroidism]. use of calcium based antacids, being overweight.. under hydration [lack of water]. serum uric acid level, use of diuretics, any bowel disorder.2. although MX3 [mangosteen xanthone] capsule has anti oxidant and anti inflammatory properties, but since there are no APPROVED THERAPEUTIC CLAIMS, it will be best to consult with your Doctor prior to start the same, also since tea contains oxalate and 80% of kidney stones are made of calcium oxalate, thus you should limit tea consumption, but drinking 1-2 cups of herbal/green [not black tea] is safe since they contain only a small amount of oxalate.3. Drinking enough fluids [hydration] each day is the best way to help prevent most types of kidney stones. A study found that a daily glass of orange juice can help prevent the recurrence of kidney stones better than other citrus fruit juices.Diet: Avoid : brinjal, tomato, turnip,sedentary lifestyle,alcohol,potato,onion,raisins, citrus fruits,cashew nutTake: old brown rice,horse gram, green gram,ginger,leafy vegetables,boiled water, oil massage.you may ask for prescription medicines like: chandra prabha vati, gokshuradi guggulu, shweta parpati,yav kshar, tablet calcury, tablet/syrup neeri.. drink 1 cup of radish leaves for 14 days.. chew sugarcane pieces and keep swallowing the juice"
},
{
"from": "gpt",
"value": "Target: Can MX3 herbal capsule and tea prevent recurrence of kidney Staghorn calculus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my brother is 40 years old, blind, mentally retarded. in the last 6 months has been a major behavioral change wants to eat in bed, gets suddenly aggressive,angry, does not want to shower, lost weight, does not want to be around people . he can not communicate , he lives in Israel. how can we find out what is wrong with him Doctor: DearWe understand your concernsI went through your details. I can understand. Mentally retarded and blind. I am sure that he is under treatment. The best way to understand his present status and diagnosis, is to consult the same doctor who treats him. Online diagnosis of the case with given description is quite difficult. Take care.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for anger disorder and mental disorder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have multipul little white soars along the lower part of the inside of my mouth, and I have tiny soare bumps all along the side and underneith of my tongue. It stings to eat most anything, brushing and using mouthwash. They are not bleeding, but they are very soar. I recently had my tongue pierced and a friend who also had hers done, said the soares on my tongue were similar to the ones she got durring the healing process of her piercing, but the white soars inside my cheeks and under my tongue were not. Any advice? Doctor: Thanks for your query, I have gone through your query.The white sores or patches over the oral mucosa can be secondary to the tongue piercing. This cause a an allergic reaction kind of condition called lichenoid reaction. This is due to the metal used as a ring or ornament in the tongue. This will produce white spots over the mucosa with burning sensation.Nothing to be panic, consult a oral physician and get it evaluated. You need to stop using that ornament over the tongue, other wise it will not heal.Mean while i would suggest you to use, topical anesthetic and analgesics like 2%lignocaine and choline salicylate gel (anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetonide 0.1% 4-5times daily after food.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes soreness inside my mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi im 31, my leg goes numb when i lie down .its allways been like that but,3 days ago the top of my leg is numb all day.around a small mole i have just in the one area around the mole and it feels like a theres a sharp pin sticking in my mole,and itchy,why is this happening Doctor: Hello, The numbness in the leg can be due to a mild nerve root compression or irritation. MRI scan of the lower back will help in ruling this out. The itchy mole needs investigations to find the cause. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes numbness in leg and itchy mole?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 30 weeks she had an ultrasound and the doctor said the baby moved to the breech position. Which he said at this point is not a concern. However he just acted strange when he was giving the ultrasound and asked her you don t smoke do you. She told him no and he just said ok I didn t think so just wanted to make sure. I just cant help but feel as if he seen a cause for concern.l may just be nervous but the baby always seems tangled in the cord in the ultrasound. Doctor: Hello,I want to reassure you that breech presentation at 30 weeks is really not a concern. Only 3% of breech presentation at 30 weeks will continue till the end. Many babies get turned and become a normal head presentation. So as of now, there is really no need to worry about. Any which way breech presentation of the baby can be managed very safely. As your daughter is not smoking so the effects of smoking on the baby shouldn't be worried about.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Tejashree Bhor"
},
{
"from": "gpt",
"value": "Target: Is a breech presentation of a baby during pregnancy a concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I just had a medical procedure done. Lipo of my flanks as well as a profractional laser resurfacing on my face. I am 2 days post op and I just noticed I have a small hard nodule just below my upper jawline. Not quite below my ear (I ve have that before) but closer to my jaw. If that makes any sense. I am going for my post op appointment tomorrow and will most certainly ask my surgeon.... but I m feeling a little panicked about this. Could this mean there is an infection from my facial procedure or Could this be a sign for something more serious. I am on antibiotics. Thank you! . Doctor: Hi Dear,Welcome to HCM.Understanding your concern.As per your query you have nodule under the jaw line . Well there can be many reasons for such kind of nodule it could be a cyst , a mucocele or infection from the procedure . There is nothing to panic . Your saliva moves from a salivary gland through tiny tubes into your mouth. One of these ducts can become damaged or blocked. When this tube get blocked by some foreign particle or blocked after minor injury , gland get swelled and form a lump . You mention that you have appointment tomorrow . I would suggest you to discuss this with your doctor . Doctor may order test like CT scan or MRI to confirm the diagnosis and rule out infection due to procedure or cyst . Doctor may extent the course of antibiotics or drain it with minor cut . For now drink plenty of water , apply warm compresses to it and , suck on sugar free lemon candy and take proper rest . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes small hard nodule near jaw?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was standing there, urinating and felt the urge to use the number 2, so I quickly sat down(during mid-flow of urinating) and i felt a sharp pain a couple inches below the tip of my penis.. I continued using the bathroom but noticed it burned a little bit when i peed. I didnt think anything of it, but i masturbated about a half an hour later and ejaculated blood. Are these two things directly related and if so, what do I need to do about them? Doctor: Hello, Possible causes like urethral stones or infective causes like urethritis must be ruled out. An ultrasound abdomen and pelvis along with urine routine examination is required to make a diagnosis. Most cases respond well to antibiotics. As of now drink plenty of water to keep yourself hydrated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain, General & Family physician"
},
{
"from": "gpt",
"value": "Target: What causes blood in semen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i am male 38 history of panick attacks i take clonazepam and asthmatic i take seretide and ventolin only sometimes last weeks i felt some low sugar sintoms in the gym and left hand sleepy after hard workout in the gym ( weights) my family doctor sent me to do an EKG what was NORMAL and ecocardiogram the ecocardiogram shows all normal parameters everuthing is NORMAL only in the part of mitral valce is written: mitral valve trivial insufficience and the values ( seems normal ) that i write below my concern is if this trivial things means something...cos i need to go baclk to my gym as soon as psible and my costor appointment again is in one week LVEDDd 4.8 (3.5 - 5.7)cm LVEDDs 2.6 (2.2 - 3.9)cm IVSTd 1.1 (0.6 - 1.1)cm PWTd 0.9 (0.6 - 1.1)cm L A(A-P)s 3.0 (1.9 - 4)cm LVEFest 60 (55-75)% Doctor: Hello,It is a valvular lesion of the heart. This is present in more than 5% of the general population.From now on take the advice of the doctor before carrying out heavy exercises.Palpitation may be commonly present.Some of your asthmatic drugs can also induce palpitation.Consult your doctor for more information."
},
{
"from": "gpt",
"value": "Target: History of panic attacks. Taken clonazepam. Mitral valve trivial insufficience. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, I am facing too much problem from pimples since 6 years ago. Now I am 22 years old. Due to this problem i had visited to doctor 2 year ago. He first gave me medicine to put on my face. I used this medicine on my face for one month. It didn t work so he gave me isotretinoin to eat one tablet per day. I ate this isotretinoin for 1 month. But my pimples were enlarged and i was suffered a lot from this medicine. So i stopped eating isotretinoin medicine and then i did not meet that doctor again. Now, I am not consulting anyone. There are many pimples and scars on my face. How can i get out from pimple and their associated scars? Doctor: Hi, You should have consulted the same dermatologist again. Sometimes the acne, especially the inflammatory type, get worse with isotretinoin but ultimately improve on continuation of therapy. As you told that the acne have scarring tendency, you must consult a dermatologist and initiate the treatment again, because it is easy to treat acne rather than treating the consequent scars. Regards, Dr. Ajit Singh Kulhari MD - Skin & VD"
},
{
"from": "gpt",
"value": "Target: Pimples enlarged after taking isotreinoin, stopped. How to get rid of pimples and scars ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My chest is tight / heavy right under my sternum. I am finding it a little hard to breath without making an conscience effort to do so. I have taken 2 otc benadryl several hours ago. I have also used my pro air inhaler 3 times now. I just want to lay on the couch. My head feels like it is wrapped in a tight towel. I am allergic to cats and did move 5 this morning. Hence taking the benadryl. Doctor: Hi, * The issue seems to be acute allergic bronchitis. * Needs immediate evaluation with peripheral oxygen saturation, vital parameters of respiratory and cardiac regions. * Till that time period, deep breathing exercises with the preference of semi-reclining position when resting is best. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon"
},
{
"from": "gpt",
"value": "Target: How can pressure in the chest and shortness of breath be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnoses with Primary Raynauds at 12. However, ANA test - positive, nailfold capillaroscopic pattern was abnormal (level 3) and I often develop ulcers on my toes so symptoms are quite severe. I was diagnosed with erythromelalgia at the same time. I had both forms of sympathectomy carried out and symptoms improved for a few years. I'm now 26 and in the last few years have developed acid reflux, an underactive thyroid, wrist pain and dry/sore eyes. I also feel unwell in general some days. Are all these things connected? My doctor said I'm under review for possibility of developing secondary Raynauds but has said no more about possible diagnosis so I'm still considered to just have primary raynauds. Doctor: As per your past history and present history for your present illness you have no relation with past disorders.Check your CBC with differential,T3,T4 and TSH level,RA and ASO test and uric acid test.(thanks)"
},
{
"from": "gpt",
"value": "Target: Can treated erythromelalgia lead to acid reflux and sore eyes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got my two lower wisdom teeth removed a week and a day ago today. The dentist said that he had to do no cutting and both teeth were easy to remove. Two days after surgery I notice on the lower right side an opening of gum tissue going up my cheek connected to the hole. I'm scared I accidentally ripped my gum upwards. There's no significant pain but a little red around the right socket. Also, ive been really nauseous and there's a tingling in my throat that has been present for the last 4 days. Should I be worried? Doctor: Hi,Thanks for your query. Ideally an extraction site take around 10-15 days to heal depending on patients body resistance. The opening of gum tissue attached to the extraction site is hanging there because it was attached to the tooth but now is just there as the tooth has been removed. I don't think you should worry about it. Give it some time to heal. The tingling in throat after a week may not be related to the extraction. Still, I would suggest that you visit your dentist for a thorough check up.Hope this helps. Regards"
},
{
"from": "gpt",
"value": "Target: What causes opening of gum tissue/tingling in throat after wisdom teeth removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Wife has got a mini test at her Doctors clinic / blood test (no results back yet.) Urine test All clear X-ray Results all clear. She is worried about the lump on her back which did not show up on the X-ray. Also she has a cough and chest pain. also she is cold. Doctor: HI,Dear,Thanks for the query to HCM.I understood your concerns about the painful lump in your wife's back.Cough and chest pain is co-incidental illness as the lump in itself is not painful as told in your query facts.So you need 2 treatment for these 2 ailments.TReatment -a-Chest pain and cough-is due mostly to Bronchitis and could be treated by -NSAID and antibiotics with script from your family doctor.b-For the lump -it appears to be-Sebaceous Cyst from your tests findings.c-This needs Excision Biopsy to rule out any other possibility ? as Lipoma ? dermatofibroma?etc.-Hope this would help you to plan the treatment with Your family doctor.Wishing you early recovery.You are always Wellocome for further query to HCM in this regard.Have a Good Day...!!"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a lump on the back and chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi I am a married woman, My age is 29 and i have two cystic areas filled with internal echoes measuring approx 2.7 x1.9cm and2.5x2.0cm are seen in my left adnexa extended into the POD left ovary is not seen separately cystic areas without any internal echoes measuring approx 3.0x2.0cm in size is seen in right ovary. doctor please tell me can i gave birth to a baby any suergery isrequired Doctor: Hello and welcome to HCM Ovary is adyanamic organ which undergoes monthlu cycles of follicle formation and release of ovum. This continous process of follicle formation and rupture of follicle results in formation of follicles of various sizes. Besides ovaries, these cystic structures are also found in connection to the fallopian tubes. Presence of these cysts and follicles do net interfere with the ability of a woman to get pregnant. However, a condition described as polycystic ovarian disease is a condition in which follicle formation and development is present but maturation to release a mature ovum is lacking. This condition is characterised by formation of a large number of follicles but absence of ovulation. Thanks and take care Dr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: 2 cystic area seen in left adnexa filled with internal echoes. Can I get pregnant ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had the intercourse on 12th day night,13th day morning.14th day thrice time and 15th day morning please let me know i will be concieve this month HI Doctor ,I had the intercourse on 12th day night,13th day morning.14th day thrice time and 15th day morning please let me know I will be conceive this month Doctor: Welcome to Healthcare MagicDo you have regular cycles of 28 days cycles a month. If that is the case then you can do on these days. Ovulation occurs exactly 14 days prior to your next menstrual cycle. This increases chance to conceive and become pregnant."
},
{
"from": "gpt",
"value": "Target: Can I conceive if had intercourse on 4 successive days ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm very concerned about having esophageal cancer. In 2009 I didn't have trouble swallowing or food getting stuck that i can remember, but I did have that constant lump in my throat feeling for about a whole month. After an endoscopy I was diagnosed with grade B esophagitis, normal biopsy, and put on nexium 40mg once a day. Any time I try to go off of it now, that lump feeling comes back, I lose my appetite mainly because I feel like heaving, and can't really burp, or it's foam.. Doctor: Hi,Thanks for writing in.Esophagitis is a condition where there is an inflammation of the lining and there is development of an ulcer like condition. Rarely a person having esophagitis can develop a cancer and the risk for this is around two to five percent. As biopsy is normal for you therefore there is no need to worry.Please take nexium as prescribed by your doctor and avoid taking spicy and oily foods that might increase your esophagitis. The lump in throat might be due to the esophagitis or can also be a psychological thought that persists in your mind. Please be reassured that if the biopsy is normal then the chances of transformation in to a cancer is remote.You need to take a bland diet and also eat small meals every 4 hours in the daytime and avoid fasting. Avoid lying down after having a heavy meal and also try to raise the head end of your bed by 6 inches to reduce symptoms and dependence on medicine."
},
{
"from": "gpt",
"value": "Target: Is esophagitis and lump in the throat sign of esophageal cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I sprained my ankle almost 2 weeks ago. There is bruising on the top of my toes and on the side of my foot. The top of my toes are bruised worse though. I still can t walk on it without a pretty bad limp. The problem is now my toes have a burning sensation. Doctor: hihope this msg finds u in good health. i have gone through your complaints and under stand your concern. u seem to have injured ur bone or soft tissues that might be causing pain and inflammation take rest. elevation analgesics and anti inflammatory tablets. ice packs .i suggest u get an xray done to find out whats wrong. nothing to worry about. hope your question has been answered. if u have any follow up queries, feel free to consult me anytime. thanks Take care god bless"
},
{
"from": "gpt",
"value": "Target: What causes bruise on toes after spraining the ankle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi this is shakuntala from canada, i deleverd pre meture baby in june 22nd 2009, bcz of my high bp(22 weaks baby gal), doctor said due to stress i got and it was un contorlable and delevered pre mature baby, and after that again i concieve october 2009 ( i measn lmp was oct 7th), after that they did all blood tests and everything was normal, but again i got missed abortion, they said i have clot and there is bleeeding, baby groth has been stoped, i realy worried about all these things, u please tell me when can i concieve and which medicines have to fallow before concieve Doctor: Hi, Thanks for the query. I understand your concrrn. I am sorry to read your suffering. Yes.. a full term delivery can be acheived with proper gynecological advise&few lifestyle changes during pregnancy. -Before planning for a baby.. you should get a full medical check up &investigations to exclude possibility of raised blood pressure./any kidney (urine) infection .If at all mild. bloid pressure is found.. itshould be tr.eate.d &kept in normal level before getying pregnant. -A healthy lifestyle with sufficient dietary supplements with a balanced diet&vitamines &minerals in optimum amount./mild physical exercises like walking or yoga exercises/sufficient dound sleep of 8 hours .in a day/avoiding excessive physical or psychological stress./pranayama,dhyan &meditation would help for keeping positive. -Regular ptegnancy check up & strict intake of advised medicines timely. Yhus expertadvise &self csre eould get your dream come true. Thanks."
},
{
"from": "gpt",
"value": "Target: How can full term conception with childbirth be successfully achieved?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i ride a road push bike and have a sore raised purple lump between my groin and inner thight. It is reoccuring. It looks like a blood blister or vessel is under stress And is very uncomfortable. Should i be concerned? Is there anything I can do to fix this issue, other than stop riding my bike? Thank you Doctor: Hi,I Reviewed your query.The lump on your groin is sore and on inner thigh,is worry some as its recurring.It seems mostly a furuncle / boil,as its very uncomfortable.This lump is due to the heavy cycling and the probable friction causing bruises, leading to the painful lump in the groin.You should be concerned as if it complicates to abscess stage, then it would stop your earnings from road push bike.So take the treatment from ER doctor.Hence I would advise you to consult ER Surgeon who would treat it after physical check up by anti-inflammatory and by antibiotics.Still I would advise you to have a check up from your doctor to get the worry ruled out by a direct physical check up.Hope this would relive your query satisfactorily.Write excellent review and hit thanks if this has helped to resolve your issue.Welcome again further for any query in this regard.Have a good day.Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a painful lump on the groin area"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I'm 20 6\"2 190lbs im always tired during the day I work 5-10 in the evening I sleep about 7-8 hrs every night and it's hard to get out of bed sometimes ill be up for about 5 hrs then ill start to get tired again and I unload freight trucks so its hard on me when I get there and I'm tired is it because I go to bed late I go around midnight Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. At your age, if you are not experienced unloading freight tricks, the tiredness could happen. You should also take care of your stamina and food intake. I also suggest you to consult a doctor for general check up. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand"
},
{
"from": "gpt",
"value": "Target: What causes tiredness during the day?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, On January 15, 2014 I had spinal stenosis surgery to open up space in the L3, L4 and L5 vertebrae. The surgeon found torn tissue wrapped around my spine and it was leaking fluid. I had been having headaches. I have been having muscle spasms in both legs and pain. There has been numbness in my feet and burning sensation. This has been going on for three months. The surgeon had a Nerve Conduction Study done and the results are Peripheral Neuropathy and Sural Nerve damage. He told me no physical therapy which I don t understand why not. I m going to ask him. What do you recommend? Thank you! I m hoping to make an appointment with a neurosurgeon or Neurologist. Doctor: Hello. I have been through your question and understand your concern.It is a bit unusual to report these problems after a spinal stenosis surgery. Anyway, at this point you have peripheral neuropathy which is mainly seen in diabetes and probably you had it before surgery. Another cause is intoxication generally by drugs. In this case gabapentine and amitryptilline would help a lot on nerve repair and relief from numbness. While sural nerve damage can cause burning sensation but other than that it is not very concerning because it is a sensory nerve and does not causes weakness or major problems. As for the burning sensation gabapentin and amitryptilline are recommended.Hope this helps."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for peripheral neuropathy and sural nerve damage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 7 year old granddaughter has been bothered by stomach pains and severe constipation for several years. This week she isn t very hungry at mealtime and last night had very stinky and foamy diarrhea. She s had a colonoscopy and ultra sounds. She takes Miralax daily. Doctor: Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What causes stomach pains and diarrhea in a 7 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Im Michelle... Im 32wks pregnant and I have a low cervix... Yesterday I was having these painflul cramps feeling.... and when I was going to bed I started this wetness... I got up of bed to check myself and my panties were alittle wet... I wiped myself and I saw this weird light yellow goowy thing... And it didnt smell like urine, it had a weird smell Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1]Firstly do not panic.2] Ifitis not a copious discharge, it could be vaginal discharge or secretions from cervix.3] If it has some different smell, I will suggest CLINGEN vaginal tablets -once at night for a week.4] Frequently wash private parts. USe of LACTACYD vaginal wash is advisable , 2 or 3 times a week.5] Use of Cap VIBACT DS once at night for 10 days will be of help to prevent vaginal infections.I hope my answer helps you.Thanks.Wish you great health."
},
{
"from": "gpt",
"value": "Target: What causes painful cramps during 32nd week of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am Abdul, Due to lots of personal and work pressure, i have developed hypertension-1. My Bp fluctuates between 120/80 - 135/85. it rises when i feel tensed. Currently i am taking Met Stamlo 25 mg daily in the morning. Also taking Rosuvas F10 daily in night for cholestrol. Now can you help me how can i plan to get my bp lower. I always anxiety..what will going to happen to me. Please help.ThanskAbdul Doctor: Hello Abdul! Thank you for asking on HCM! I understand your concern, and would like to explain that as long as your BP fluctuates between 120/80 - 135/85 mmHg under treatment, your current therapy is effective. To properly judge about therapy optimisation, there is a need for an overall BP values during the entire day-night interval for a couple of days.If your BP shows several bouts of abnormally high values max to hypertension grade I, and this occurs only when you feel tense, it doesn't seem to be any immediate needs for BP therapy adjustment. Just try to look after your psychological conditions, to autocontrol your anxiety and avoid increased stress.If BP fluctuates even outside periods of excessive stress, then it is necessary to modify your BP therapy; probably to increase medication doses or add another antihypertensive drug. You need to talk with your prescribing doctor about the above mentioned issues, after providing the recommended BP measurements.Hope to have been helpful! Greetings! Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: How to reduce high BP in the range of 120/80 - 135/85?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my problem is when I use hair dry I got infection on my lips swelling and hard . I have been suing Tablet Atarax 25mg 1+0+1 and Injecttion Lecocine and Injection Avil but not yet affect of these medicines since 3 days, Kindly suggest effective drug for allergy from hair dyr. Doctor: hi, even if after these drugs you are not getting releive then you should some steroid like tab prednisolone or inj. dexamethasone , apply cooling lotion of 0.5% menthol locally, inj.adrenaline in appropriate dose can be taken.even if you are not cured completely then please consult an immunologist. thanks."
},
{
"from": "gpt",
"value": "Target: Suggest effective medicine for allergy from hair dyer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm 23 years old. I am 165lbs I have GAD. How do I get rid of the sinking feeling in chest like someone just scared the mess outta me. This is the main symptom of anxiety that bothers me. I have a lot of heart test done an etc. Everything is fine. I just get scared real easily. Doctor: Hi, I understand your concern and I'll try to help you. The clinical picture you reported is consistent with generalized anxiety syndrome.This state neuropsychic causes many bodily discomforts, such as the feeling of emptiness in the chest that you reported. Moreover, usually comes accompanied by sleeplessness, tremors and sweating in the hands and feet, as well as dysesthesia, palpitations, tension-type headache ...You are very young and you have a very low probability to have serious heart disease as a cause of this chest discomfort.The treatment for this syndrome need psychotherapy, medications such as tranquilizers and antidepressants, as well as a multidisciplinary team composed psychiatrist, psychologist, psychotherapist.While you wait for the service of the team, stay calm, seek peace of mind. Try yoga sessions, try team sports such as soccer, basketball, volleyball, hockey ...Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health."
},
{
"from": "gpt",
"value": "Target: How to get rid of the sinking feeling in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have small red bumps behind both of my ears and now under my chin... they have been spreading for the past 2 days. They are not painful but are itchy and uncomfortable. I looked up pictures of shingles rashes and they look similar to the early stages of shingles but are not painful... please help Doctor: Dear, usually shingles effect only one dermatome(nerve roots), so shingles occur only in one side. & shingles causes a pricky pain. U should consult your skin specialist if it starts paining & doesnt subside."
},
{
"from": "gpt",
"value": "Target: Could small, red, spreading bumps behind ears and chin be shingles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went for a urine test there was E.coli a month ago nd I used Tiniflox,I just went for another urine test and it came back again-E.coli. It was suggested I use cephalexin.I am trying for a baby,can my husband sleep with me while on drugs? They also detected typhoid, can the drug recommended cure the two sicknesses?Will this drug cure it permanently? Doctor: Hi,You can definitely try for a pregnancy. The drug given to you can cure both. But it can't prevent the future one. I think you should drink plenty of fluids around 4 litres per day. It will help in preventing further urine infections. Boil the water which you use for drinking even when it is filtered that will minimize chances of typhoid again.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya"
},
{
"from": "gpt",
"value": "Target: Is conceiving safe while being on treatment for e coli infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with metastatic melanoma 2yrs. ago and have been having stomach troubles as of late. I lost a foot and a half of my small intestine and a golf ball size tumors and received the above diagnosis. I recenlty had blood work done and the only low number was a platelet count of 171 should i be concerned. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follow:1. Platelet count of 171 is within normal limits.2. In cancer's, if platelet count reduces, it is secondary to bone marrow infiltration by cancer cells Your platelets are normal at present.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: What causes low platelet count in case of metastatic melanoma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dr, I have a feeling that my palm and fingers of right hand going light in the night before going to bed. I feel I can not hold anything with my fore hand. but I can do everything with my hand to my surprise. I have terrible fear what is going on for me ??? Doctor: Hello, It might be due to neuropathic causes and detailed evaluation is needed to find out the cause. You can consult a neurologist and get evaluated. Detailed evaluation including nerve conduction study is required. 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 can cause numbness in the palms and fingers at night?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m trying to get answers. I had surgery 10yrs ago for trigeminal neuralgia 3 days after discharge I developed menningingitis and was back in the hospital. I don t remember much of the experience, after the lumbar pucture, I passed out in the ct scanner with a temp of 106. I did recover And went back to work. I noticed ever since the experience, loss of memory , I would give a lecture at school, and if someone asked a question, I would be unable to answer it. Even thou I have answered the question many times in the past. Through the years I has increased to the point , that I don t teach any more. I ll give lectures , but I keep them simple. When I read I have a hard time concentrating, the woorse part is my retention ability is terrable.. Prior to the surgery, I could read something once and recall anything you wanted to ask.. I have had MRI , in th epast to find something, but mostly my primary told me that I have to learn to live with this , side effect of having severe menningitis with a high temp. What can I do? Doctor: Hello,welcome to Healthcare Magic.Your current may occur due to following in given hierarchy:-Memory loss due to damage to brain/neurons-Organic anxiety/depressive disorder-Vitamin deficiency-Combination of above problemsExcept from the first possibility, you will get benefit from the treatment after evaluation by psychiatrist. For Memory loss due to damage to brain/neurons, some behavior intervention may be effective to manage routine social and occupational life.Wish you all the best.Regards,Dr Ashish Kumar Mittalwww.99doctor.com"
},
{
"from": "gpt",
"value": "Target: Had surgery for trigeminal neuralgia. Had meningitis, passed out after lumbar puncture. Memory loss since then. Solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a serious problem and i am hurting the ones around me,first it was my dad,then my mom and now my ex-girlfriend...I dont know what the problem is, im not on drugs are anything..You see ive been using their info to open accounts in there name..I have hurt the people really bad but no one hurts more than me,now i have hurt a person I really loved and now i have lost her and that trust is beyond repair.. I need help to fight this diease that i have.. Can u help please fight this diease Doctor: !I have gone through your question and from that it is evident that you are concerned about your habit of hurting people around you, people you care about and who are close to you. Why do you do so? under what circumstances? how is your mood usually? and rest of details are not mentioned. From my clinical experince I can say that it looks like there is definitely some problem with you, may be related to your personality make- up, however to pinpoint the exact nature of illness is possible only after a detailed evaluation. I would sincerely advice you to see a psychiatrist in person. Had I been seeing you I would have gone for your personality assessmant along with conflicts testing apart form intevirewing. these two test will help in your treatment.So, the first step is to meet a psychiatrist. I can assure you that you can get better, as there is an insight present in you that whatever you are doing is not right. this insight reflects a good prognosis in any case.Hope the reply helps you. Feel free to ask more questions.Dr. Manisha Gopal"
},
{
"from": "gpt",
"value": "Target: Badly hurting people around me, losing near ones. Solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 2 months ago I fell on hardwood floor - my elbow took the brunt of the fall. Had to leave immediately for trip so waited til I returned 10 days later to have it checked out. X-rays showed no fracture however dr said there was a shadow and possible blood clot. Now 2 months later the swelling/bruising have gone down but there s a lump the size of a marble that seemed to be getting bigger by the day. It is still painful. Doctor: Hi.Best to visit a surgeon and go about an ultrasound of the region which can predict whether or not that is a hematoma that may require manual drainage. The lump should not be painful anymore so it is best to address it now.Best wishes."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain and swelling in elbow after an injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 2 year old boy has a swollen belly button , theirs a red ring about 1.5 in around it , and then closer inward it looks more purple. the belly botton is swollen shut . he also had little red-purple spot looking rash on his ear and neck , gave him benadrail , which cleared the rash but didn t do anything for his belly button , and dont know what to do , brought him to the ER and they said it could be lime , made an aptm with his doctor Doctor: Hi...a swollen belly button that is showing signs of discoloration could be an obstructed umbilical hernia. I do not think this infection or Lyme's disease. He needs a surgical opinion and an ultrasound abdomen.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes the belly button to swell?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small red patch on my upper gums above my 2 front teeth. 2 small white nodules appear in the center of the red patch.1 of the nodules just popped up about a month ago. The other one has been there for at least 6 months if not longer. It use to not hurt but recently it's started developing a pressure feeling on one of my front teeth and I'm starting to worry about it now. I haven't gone to a dentist b/c of lack of insurance, but if this sounds serious to one of you I guess I'll try to go and make a payment plan with my dentist. My biggest fear is that it could be cancer. Especially since skin cancer runs in my family. Doctor: Hi and thank you so much for this query. I am so sorry to hear about these patches. The longer they stay the more concerning they get.To tell whether it is for sure cancer or not, you would need to be consulted and possible causes investigated. For cancer, you would need to get a biopsy done before concluding on that. Risk factors would also need to be assessed which include poor oral hygiene, tobacoo, smoking and long durations of dentures.I hope this addresses your query fully. Feel free to ask for clarifications and more information if need be. I wish you well. Thanks for utilizing our services, we very much appreciate it.Dr. Ditah, MD."
},
{
"from": "gpt",
"value": "Target: Could red patches on upper gums be due to oral cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i m humera after 6 month of csection i pregnanat again i m 17.4week pregnant i have bad cough and fever fever is going on 101 .i used all kinds of good medicions about cough and now i take febrol for fever. i done my chest infection test all are cleared now what should i do now? Doctor: Hi Thanks for contacting us As you are pregnant so take care yourself for upcoming family member. In this condition before taking medication must consult with your Gynecologist of Physician . Never take self medication. Take Paracetamol Tablet SOS when fever rise more than 100 Ftake steam inhalation twice or trice depend upon your condition Syrup Alex ( Dextromethorphan combination) which is safe in Pregnancy.avoid X ray during pregnancy. If it is indicated then use abdominal shield during X ray"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough and fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been suffering from oral blood blisters for the last 10 years. I have had 16 since August which tend to flare up in the evenings and are either on or around my tongue or on the roof or insides of my mouth. I have been diagnosed with Angina bullosa haemorighia. But my blood blisters are very big compared to those on line from other sufferers. They also take nearly 3 weeks to heal and are very very painful. I take a steroid wash when they occur and paracetamol for the pain. I am female and 43 yrs old. I am desperate for further help to try and reduce these eruptions or manage this problem. I am beside myself and it makes me feel very down and depressed. Pls could you advise . Many Thanks. Doctor: Hello, Thank you for consulting with HCM.Actually the cause of ulcers of Angina bullosa haemorrahagica is any trauma which might be caused by some sharp tooth or improper restorations or illfitting denture.Better that once you should consult your dentist and get the proper treatment done which will help in healing of the ulcers."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain due to angina bullosa haemorrhagica"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Myself Prabhu Nadar my age is 26yrs old, i had a query related to my heart. My heart beat in a normal condition is about 80beats/sec & in most of time i am able to feel the heart beat. is this indicate any problem. Pls reply with suggestion. Rgds, Prabhu M Nadar 0000 Doctor: Hi, The normal heartbeat of a healthy individual is between 70-110. So yours is normal. As you are saying that sometimes you hear your heartbeat, it can be normal or abnormal. You need to get an ECG done at the time when you hear your heartbeat. Also, get a 2D echo of heart to see for any underlying abnormality. I hope both come normally. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What should be an adult male s heartbeat rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went for a C.T. Scan and the findings are: left lower lobe lateral subpleural nodule measuring 8.2 by 4.5 mm posteroinferior to this there is a 5.7 mm nodule these are noncalcified and nonspecific. There is a right upper lobe medial subpleural nodule measuring 5.7 by 5.0 no further lung nodules are identified. Should I be concerned for cancer? I have been around second hand smoke for the majority of my life and had problems with work related chemicals. Doctor: HiSince you have been around second hand smoke for the majority of your life and had problems with work related chemicals and now noticing nodules in your lung in CT scan i would suggest u do a biopsy from the largest space occupying lesion present in the scan to rule out malignancy.RegardsDR De"
},
{
"from": "gpt",
"value": "Target: Does the lobe lateral subpleural nodule measured indicates cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my MRI impression are these; Midline enlarge uerus with intramural left lateral wall fibroid showing fatty degenaration with possible associated haemorrhagic component. No evidence of free pelvic fluid or abdominopelvic lymphadenopathy. Rest of the MRI abdomen and pelvis examination are unremarkable. pls tell me is it a case of melignancy/? Doctor: Hi,Thank you for posting your query.Your MRI findings are suggestive of fibroid in the uterus, which is a benign condition, and it is NOT a malignancy.Please discuss with your gynecologist regarding the treatment options.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DMApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected]"
},
{
"from": "gpt",
"value": "Target: Midline enlarge uerus with intramural left lateral wall fibroid showing fatty degenaration with possible associated haemorrhagic component. Malignant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 12 year old son fractured his ankle in his growth plate yesterday. the er doctor said it was a salter harris type 1 fracture. my son is complaining his heel is burning . Is this normal? Also, do all ankle fractures require manipulation and/or surgery? Thank you Doctor: Hi...usually ankle is deemed as a weight bearing joint and most of them will require a surgery and wiring keeping in view the future stability of the joint. Heel burning could be a stretched nerve because of the fracture. I suggest you get in touch with your paediatrician regarding this.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fracture on ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an assortment of rashes that come and go for no apparent reason. One severe rash on my left shin improved after steroid pills and lotions. The other (different) rashes cleared some with the oral steroid until dose was lowered - so dose was increased-with improvement; then decreased with increase of rash again. Right now, as this afternoon has begun, the rash on my face is starting again. Is there no solution to this sort of condition? My hands are really bad and that has been ongoing for over a year. I wear latex gloves over slathers of vasoline to keep the palms of my hands from developing deep, painful gashes. Doctor: Hi,Welcome and thanks for posting your query to Healthcare Magic.After reading your query it appears to be due to closest possibility of \"Urticaria\". This is a condition caused by bursting of allergy producing cells known as \"mast cells\". As the chemical inside them is released causes the kind of rash which you mentioned.Kindly follow the suggestions below:-Apply over the counter calamine lotion 3-4 times a day.-You can do cold water compresses to reduce the intensity of itching.-Do not scratch or rub the skin as it can lead to further aggravation.-Kindly stop taking oral steroids as self medication as it can lead to side effects. So you can take oral anti histamine like loratadine or levocetrizine under medial advise.Despite above measures if the problem is not getting better then it is better to consult a dermatologist for best guidance.Hope these informations will help.\"With good health wishes\"Dr Sanjay Kumar KanodiaMD (Dermatology & STDs)"
},
{
"from": "gpt",
"value": "Target: Reoccurring rashes. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I need Bezafibrate is it approved by FDA & is it an orphan what ever that is. I have The va doing blood & urine test to check to use it for CPT@ disorder I have had since 13 years old. I understand that there is a remedy for this deficiency. Dr. Shafer Doctor: The treatment of CPT II deficiency is variable and often patient-specific considering the wide variation in symptoms and lifestyles.try to avoid the triggers such as vigorous exercise, fasting, and extremes in temperature.High in take of water, M C T Oil (medium-chain triglycerides) or carnitine that should be established on a case by case basis under the supervision of a metabolic physician and nutritionist. Patients should not try to treat themselves without the involvement of these professionals because they may have adverse or sub optimal effects from certain treatments."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for CPT disorder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 32y old man having chest pain for last 4 months..I have an ECG that came back normal..Also got physical examinated by doctor and he ruled out any cardiac related problem...But my chest continue have pressure and pain almost daily..Can u tell me any medicine to get relief Doctor: Hello,Likely to be gastritis or anxiety-related issue. Primary relieving guidelines- Drink more liquids to maintain hydration.- Dietary preference to avoid spices, nonveg which provokes gastritis.- Regular walking, deep breathing exercises.- PPI as omeprazole with tablet paracetamol two times a day helps.- Avoid smoking, alcohol consumption if using.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Bhagyesh V. Patel"
},
{
"from": "gpt",
"value": "Target: What causes chest pain in individuals with a normal ECG?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello Dr. I m 25 . I had a c sec delivery. after that I am having back pain . its feeing like current is going towards my legs. I went for some treatment like hot patch,current treatment. I am doing some back exersice sometimes. but its is not going. what would work ? Doctor: hi; From what you say it looks to e a nerve pain .If you are not on any medicine right now you can take a painkiller twice a day along with tab-Neurokind once at night for 10 days & see. thanks"
},
{
"from": "gpt",
"value": "Target: After c sec delivery I am having back pain constantly"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: gud mrng dr....my dad is havng dry cough frm last 2-3 wks...nd diagnosed as an allergic cough...he is takng monteleukast+levocitrizine,,acebrophylline,,bambuterol..he is nt releived much ....is dere any need of chest xray or adding antibiotic?also give some more points to cure it.... Doctor: thanks for your questionquit smoking if he is a smokerin my patients i ll -consider a chest xraysputum afb smear testa spirometryconsult a pulmonologist he can request for the above mentioned investigationsmay be he needs an antibiotic for upper resp tract infectionthanks"
},
{
"from": "gpt",
"value": "Target: What causes dry cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: for the past 5 yrs both my legs start twitching at the same time and its more common when im lying down. I can actually see them moving(like worms under my skin) I asked my dr yrs ago. he didn t have a clue. its not painful just really creeps me out. im 59 yrs old, herniated disc, I walk as much as I can, I smoke. Doctor: hiif you are a heavy smoker, you may have to cut it as circulatory impairments are often reported in smokers.This can be verified on doppler ultrsound of legs. But do not worrry, consult a doctor and try vitamin b complex ,massage therapy and physical therapy as well.Avoid lifting heavy objects, do back strengthening exercises and wear a brace for backbet wishes"
},
{
"from": "gpt",
"value": "Target: What causes twitching in the legs?"
}
]
|
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