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[ { "from": "human", "value": "Source: Patient: Hi I m wondering if you can help me I m experiencing slight numbness around middle of the right side of my kinda feels like there was numbing spray sprayed on it like a cold sensation would be the best way to describe how it feels. Is it any thing I should worry about? It has only started to happen in the last 2weeks. Thanks Doctor: Hello, The symptoms you have described suggest the possibility of neurological conditions like peripheral neuropathy. Detailed evaluation is needed to find out the cause for this condition. As of now you can check your blood sugar level as uncontrolled diabetes can cause this symptoms. As of now you can take vitamin B12 supplements for symptomatic relief. If symptoms persist, better to consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest treatment for numbness and cold sensation" } ]
[ { "from": "human", "value": "Source: Patient: I got my right thumb mashed really bad on Saturday. Monday it started swelling and throbbing and today it is swollen and throbbing really bad. I have been putting a ice pack and taking ibphrophen. Is there anything I can do different. I have a metal splint on it and I figure that is all the doctor would do. Doctor: hihope this msg finds u in good health. u seem to have fractured some bone of ur thumb.1st thing u should do is get an immediate xray done n treat it accordingly.. either plaster or splint.Xray is mustnothing to worry about thanks Take care god bless" }, { "from": "gpt", "value": "Target: Suggest treatment for pain and swelling in thumb" } ]
[ { "from": "human", "value": "Source: Patient: Occasionally, while I'm eating, I experience a mild swelling between the outer right side of my gums where it meets my cheek. There is no pain but feels a bit inflamed and has a num feeling (very much like when one receives novacaine). I've had this off and on for a few months. I'm fairly concerned. Any ideas? Doctor: thanks for your query, i have gone through your query. the swelling between the gums extending into the cheek could be because of the tooth infection or gum infection. consult your oral physician and get yourself examined and take radiograph of that tooth to rule out the infection. if i am your treating doctor i would have suggested you to take a course of antibiotics and analgesics and after that treat the tooth with RCT or gum with oral prophylaxis. i hope my answer will help you take care." }, { "from": "gpt", "value": "Target: What causes swelling and numbness of gums after eating?" } ]
[ { "from": "human", "value": "Source: Patient: My daughter has been sick with the flu for over a week and now has Strep throat and pneumonia. She s saw her doctor, ran some tests and her white blood cell count keeps dropping. They just sent her to the ER. What would cause her wbc to drop? I know there s probably a few reasons, but given this recent background of her health?? Thank you. Very worried mom Doctor: Hello,Any infection if severe can suppress bone marrow. And this is responsible for low WBC (white blood cells) count. So better to start injectable antibiotics for control of infection. She may need leucovorin injection to stimulate bone marrow for producing WBCs. Once her infection is controlled, she will have a normal WBC count. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar" }, { "from": "gpt", "value": "Target: What causes a decrease in the WBC count while treating flu and pneumonia?" } ]
[ { "from": "human", "value": "Source: Patient: Diagnosed with Pyelonephritis and a Kidney Stone 4 days ago. I was prescribed Levaquin, Hydrocodone and Flomax. After 4 days I am not in as much pain or burning sensation during urination but am still very weak and dizzy. Unable to work, is this normal? Doctor: It can. It depends if the bacteria is sensitive to the levaquin. If you are still having fever or pain by 7 days then you may need a new scan or a new antibiotic. Please rate 5 stars! I strive to provide you with the best answer possible!" }, { "from": "gpt", "value": "Target: Will taking levaquin and hydrocodone cure Pyelonephritis and Kidney Stone?" } ]
[ { "from": "human", "value": "Source: Patient: I had a hysterectomy 3 years ago but often have visible movement in my stomach that feels like a baby moving with no known cause. I am 35 with 2 children ages 10 and 17. Just prior to this starting several years ago I had abdominal surgery and was cut hip to hip. I've noticed over the past week it is getting more frequent and starting to be irritating. It does not hurt and usually is on the left side of my abdomen. I'm pretty certain that I do not have any worms or parasites. What could be causing this? Doctor: HIThank for asking to HCMI can understand your problem and this is nothing to worry, this could be peristalsis wave, this wave are generating inside the intestine for propagating the contains ahead, and this more visible in hunger state, eat something whenever you see something like this, no need to take any medicine this is more physiological phenomenon, take care and have nice day." }, { "from": "gpt", "value": "Target: What's causing painless movement in the left abdomen after abdominal surgery and hysterectomy?" } ]
[ { "from": "human", "value": "Source: Patient: doctor i am 27 year boy, past 10 year my penis was becoming hard daily while sleeping upto morning wakeup, before 6 months i had taken a tablet byandhiyanath vita x gold 1 tablet, after that my penis become week is there any problem will come for future 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.No, this ayurvedik medication never cause eraction problem.I suspect that this problem has arise from the your thinking problem and not because of the medication.You can make thinking in your mind that this is not the reason for the impotence. You can achieve good eraction, such a thinking can cure your problem.If you can't solve your problem with this home remedy than you can go for sildenafile citrate tablet. This tablet can give you good eraction. Please take it under your doctors guidance as overdose can harm your penile tissue.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: Penis has become weak and hard after having byandhiyanath vita gold. How to rectify?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, my father has an enlarged prostate and is affecting his health. His urologist suggested that he should undergo an operation, but first, they must check if his heart is capable of such. So his cardio would like him to undergo angiogram. Is it advisable for him to undergo such process knowing that he is already 76 years old and is diabetic? and What is the difference between 2-D Echo and Angiogram? please enlighten me. thank you. Doctor: HelloThanks for query .Enlarged Prostate is a disease that affects man after the age of 60 years when most of the men have cardiac problems and diabetes .However there is no risk in operating after proper evaluation as far as cardiac status and diabetes is controlled .It is not mandatory to do angiogram to assess the cardiac status .The 2D Echo Cardiogram is an ultrasound study of heart and is an invasive procedure and routinely carried out before any surgery in elderly patients to assess the cardiac function and ejection factor where as angiogram is invasive procedure where radio opaque dye is injected in to femoral vein and mainly done to study the status of coronary arteries (blood vessels supplying blood to heart itself) .It is not done if one has to undergo endoscopic surgery for Prostate removal(TURP) .Dr.Patil." }, { "from": "gpt", "value": "Target: What treatment is suggested for enlarged prostate?" } ]
[ { "from": "human", "value": "Source: Patient: I have a lump behind my left ear, my results show i am fighting an infection but antibiotics have done nothing. my face and neck have itchy bumps under the skin andits driving me crazy. i have had the lump for about 3 months now and am startin to get worried. I am very tired and feel run down.I have been asked to take another blood test in 2 weeks beore i can be refered to a specialist but i just feel so ill Doctor: Hi,Thanks for the query to HCM.-I studied your query in depth and understood your concerns.-Cause and Treatment-of the bump in left ear--In your case the cause mostly is - lymphadenitis with Scalp infection with ? TB lymphadenitis-for last 3 mths.-Anxiety and infection on the face and scalp has made you weak and depressed.Advise--I would advise IGRA for latent TB infection causing all this problem/ ESR/CBC.-Consult a physician who would treat it with proper drugs,as the antibiotics havent worked in your case.This would help you to plan treatment with your doctor.Don't worry and things will settleHope this would resolve your query.Welcome further for any query in this regard.Wishing you a fast recovery.Don't forget to Write a good and strong review ASAP for the benefit of other patients.Have a Good Day." }, { "from": "gpt", "value": "Target: How to get rid of lump in left ear?" } ]
[ { "from": "human", "value": "Source: Patient: I think I had the flu with fever chills headache and achy now when I think I m getting better the last two days I ve had the feeling of a lump in my throat that seems to burn. Not sure if reflux, don t generally suffer from it or should I b concerned about a heart attack? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have granular pharyngitis. This upper respiratory tract infection can leads fever and chills. You should go for complete blood count and test for malaria parasite. You should go for urine routine and microscopic examination. You have some infection. Don't worry about heart attack. Just complete a course of antibiotics 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: What causes burning lump on the throat?" } ]
[ { "from": "human", "value": "Source: Patient: Hi Dr, my name is mrs.mulla, i had an ectopic pregnancy in my left Fallopian tube last year 29th june 2011 and had got very bad pains and i was hospitalized for 2 days the day i was admitted my BETA HCG LEVELS were 1157.20 mIU/ml , i was suggested for immediate surgery but my gynac waited for next day morning for surgery and frequent blood test were going on and next day morning my B-HCG LEVELS were 457.68 mIU/ml, and there was no surgery conducted as i live in UAE that day itself i took discharge i flew back to india and on 5th july 2011 i got my periods normally there also they checked b-hcg had fallen totally down, now i am planning to conceive again i had been to my gynec she had ovary scan and told we can go further and come when i am pregnant but no medicians nothing is given on 1th July 2012 i had my periods and there after we are trying and had intercourse but now from past 3-4 days i am getting pain again on my left side abdominal, i have this pain from since my last ectopic pregnancy i told this thing to my gynec but she told its ok and you can conceive, but now from 3-4 days my pain has increased, i am feeling i am pregnant, please suggest me what should i do to get normal pregnancy. i am worried alot. Doctor: Hi Mrs. Mulla. Thank you for putting up your problem to Healcare Magic! The incidence of recurrent ectopic is more in those who had it earlier. And you need to be very cautious because a ruptured ectopic can be lethal. Please get your beta hCG levels and ultrasound abdomen as soon as possible to rule out any complications. You need to start the treatment after consulting your gynecologist. I hope this information would be both informative and helpful for you" }, { "from": "gpt", "value": "Target: Planning for conception. History of ectopic pregnancy in the fallopian tube. Having abdominal pain. What all precautions to be taken?" } ]
[ { "from": "human", "value": "Source: Patient: I have severe pain in my left testical, I went into the ER lastnight and the took a urine sample and a ultrasound. Dr said I had a bacteria infection and gave me some antibiotics. I feel like the pain has been getting worst and cant sleep. I m taking ibprofun 800mg and it hasnt helped me much. What do you think the pain is and should I be on another pain reliever? Thanks, Mike Anderson Doctor: Hi,As antibiotic is started it takes some time to start its effect on infection.Wait for 1-2 days and you will start getting relief.Continue with Ibuprofen 2-3 times a day.Ok and take care." }, { "from": "gpt", "value": "Target: What is the reason for pain in testicle and suggest treatments?" } ]
[ { "from": "human", "value": "Source: Patient: I am 47 y/o. I take potassium 2 times a day, and never any cramps or swelling. 15 minutes ago, I was sitting at my desk and my abdomen, back, along with my calf and thigh muscles cramped so bad, I became nauseated. I have never had such intense cramping or pain before, and now I am a little scared. It has subsided as of 3-4 minutes ago. Doctor: Hi, You may have too much potassium, and taking potassium and/or magnesium will make your cramps worse (magnesium increases the retention of potassium). Sometimes, people on these medications have normal potassium, but still are getting unexplained cramps, even after supplementing with magnesium. In my experience of talking to hundreds of customers, these above medications are highly connected to cramps. It's not clear how, but I suspect they are able to cause cramps. Also check for other possibilities like iron deficiency or panic attack or restless leg syndrome etc. Use muscle relaxant, check for serum potassium levels. If symptoms not improved please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes muscle cramps in the abdomen and thighs?" } ]
[ { "from": "human", "value": "Source: Patient: I have been diagnosed with anterolisthesis grade 1 at l4 - l5 is this mean that I need to correct this problem with surgery and what tipe of surgery do I need or what consequences there are if I don t get surgery I mean can you live with this condition without getting any worst . Thank you Doctor: Hello, It depends on the severity of the symptoms and in the fact that if the listhesis is stable or unstable in the upright dynamic x-rays. Mild symptoms and little to no displacement may be treated conservatively and followed up. In case that surgery is indicated, posterior decompression and stabilization is a common procedure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical" }, { "from": "gpt", "value": "Target: Is surgery advisable for grade 1 anterolisthesis of l4 and l5?" } ]
[ { "from": "human", "value": "Source: Patient: i get pain on right side .i am 21 weeks pregnant .it is a dull pain ,i get it when i breathe or when i change from this side to that while sleeping or when i press while standing. why is that like that Doctor: Welcome to Healthcare MagicIf the pain is in the side of the lower chest, you could be having a muscular pain due to bad posture during sleep or work. Nothing to worry. You can apply pain killing balm or gel on that area to relieve the pain. Adopt proper posture, no sideways turning of head and upper body during sleep. Get a urine test if kidney stone is suspected. If you develop fever, back pain and burning sensation on passing urine you would need medical help to take care of a possible urinary infection which should not be neglected. Drink plenty of water. Eat plenty of fresh fruits and vegetables to prevent constipation as well." }, { "from": "gpt", "value": "Target: Why am i prescribed with drotin tablets ?" } ]
[ { "from": "human", "value": "Source: Patient: About once every month or so, I'll notice fresh blood puddled on the floor of my shower. It usually comes from a spot thats top, front center of my scrotum, near the base of my penis. It usually stops fairly quickly. Yesterday, for the first time, it happened while I was on my exercise bike.This has been going on for probably 11/2 - 2 years. Is it anything to be concerned with. I'm 67 and in generally good health outside the usual high blood pressure which is controlled wk / meds.Thanks, WRM Doctor: Hello,It may be due to urinary tract infection. For that you may require complete hemogram, urine analysis, ultrasound abdomen after urologist consultation. Further treatment mainly depends upon the underlying condition. You may require antibiotics after consultation. Keep your self hydrated. You can take syp cital.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician" }, { "from": "gpt", "value": "Target: What causes blood spots from penis?" } ]
[ { "from": "human", "value": "Source: Patient: Hi Doc, Im a 22 yr old female, and im turning 23 in 2 days, I gotta ask, coz im suffering from a chronic hari loss now. well, it all started when I was 14, I lost about 100 hair strands a day, but it gets better after I cut it short. about 2 months ago I was hospitalized for liver infection, typhus, and dengue fever, for about 2 weeks.It was a really bad fever my body's temperature was up to 40 celcius and my immune system was just so low. And my hair was starting to fall out massively, it got up to 200+ strands a day, and 300 strands if i was them and its been going that way for the past 2 months. And i can see a bald patch on the top of my head, im worried coz the patch starts to go wider and more visible every day. I've tried consulting with a hair expert and they gave me a full set of Kerastase thinning hair products, and I cut my hair really short already. I comb my hair slowly and gently. I also take a daily dose of hair supplement, along with a healthy meal thats filled with protein, fibers, and vitamins. BUT this time, still no difference! hundreds of hairs are all over my bedroom floor and clogging my bathroom drain. Please tell me what to do. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your hair loss is related to your illness 2 months ago. It will take another 4-6 months to settle. I would recommend you to apply Minoxidil 2 percent lotion on the affected areas of the scalp. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Suggest remedy for severe hair loss" } ]
[ { "from": "human", "value": "Source: Patient: My 58 year old husband has been having something we refer to as an \"episode\". It is very hard to for him to describe it. He says it feels like a wave coming over him...not painful, not short of breath, not rapid heart...but it is a very uncomfortable feeling. It usually occurs when he is laying down or resting in his easy chair...however, it did occur the other day while he was walking in the yard. Any suggestions? Doctor: Hi,Thank you for posting your query.I have noted your husband's complaints.Neurological diseases where symptoms occur in \"episodes\" (that is, the patient is normal in between the episodes) are TIA and seizures.In TIA-transient ischemic attack, the blood supply to a part of brain is reduced for a while. In seizures, there are abnormal electrical discharges arising from a part of brain.The diagnosis can be confirmed by history, MRI brain and EEG. Please show him to a neurologist.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information.     Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/" }, { "from": "gpt", "value": "Target: What could on and off uncomfortable episode like feeling while lying down mean?" } ]
[ { "from": "human", "value": "Source: Patient: I had an ACL Reconstruction to my left knee last summer and recentley tore another ligament in my leg but havent started recievening treatment yet and I am supposed to go to lourdes with my school at the end of the month ... my knee is pretty swollen and there is fluid in it what should i do ?? Doctor: Hello, First of all, if you feel you have damaged the ligament how did you diagnose it? Any physician mentioned or any MRI taken. If neither of it then MRI is suggested. We need to check the grade of injury first of all. If it's fully torn then stabilization of the knee in crepe bandage or knee brace is advised. Icing to reduce the swelling is advised too. Since it's a total torn so we need to ask you to not put any weight on the injured limb. In case it's partially torn then need to check out the grade 1/2 of injury. The procedure is same as above. Only in this, you can do simple knee range of motion exercises, static Quadriceps, static hamstring, straight leg raise, ankle toe movements, core stability, hip muscle strengthening etc. Since you must be aware of the post ACL reconstruction rehabilitation program which you can follow. Please note, if fully torn then no weight application. If only partial torn then the weight bearing should go from 25-100% over a period of 4 weeks. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist" }, { "from": "gpt", "value": "Target: Suggest an home remedy for swollen knee due to ligament injury" } ]
[ { "from": "human", "value": "Source: Patient: my husband continously hit his chest with his hands,when he is undergoing mental tension..and now he says that he is very tired these days...is this because of this he is tired....can u suggest wat will happen to himm..also suggest a way to overcome this Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are concerned about your husband's psychological problems. From the description of her symptoms, it appears that he has a problem managing stress. It is possible that he could be going through a depression which he is finding it difficult to cope with.In such a case, a detailed evaluation and psychological assessment is necessary to arrive at a definitive diagnosis and to start treatment. Effective treatment is available in the form of medication and psychological therapy. So, I would advise you take him to a psychiatrist for a detailed evaluation and further help.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist" }, { "from": "gpt", "value": "Target: How to treat fatigue and anxiety?" } ]
[ { "from": "human", "value": "Source: Patient: I contracted the herpes virus from smoking off a weed pipe not knowing she had it I was always using meth her too didn t find out till 6 weeks later when I asked her why I had so many whiteheads. she said that s not acne its the herpes cold sore virus wash ur hands often & don t touch anywhere else. too late been there done that. I have genital, mouth, face, chin,eye,ear arms, legs. help does meth affect herpes? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Meth doesn't cause herpes per se, but if you are infected, you might have more frequent outbreaks because of the stress the meth puts on your body. But, whiteheads are not the same as herpes cold sores.Those are groups of blisters on a red base that occurs in a localized area, usually in the same place each time. People who use meth regularly can get other problems with lesions on their face, and often pick at them and this can cause all sorts of damage.I think what you have, sounds more like acne and is related to the meth. Meth can also cause severe damage to your teeth where you could end up having to have dentures in a few years.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Karen Steinberg" }, { "from": "gpt", "value": "Target: Does meth cause herpes?" } ]
[ { "from": "human", "value": "Source: Patient: Hello Doctor. I m a 34 years old male, suffering from hypertension. I m taking Telma 40 (morning) and Atenolol 25 (Evening) every day, for a month. Over the past few days, I feel a little dizzy, lightheaded. Is this one of the side effects of the medication I am taking? Thank you for your help. Doctor: Hello, So Atenolol has a property to reduce heart rate and if it goes below 60 then it can cause dizziness. Please visit your doctor for a clinical examination. Dose of atenolol may require reduction. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Loveleen Sharma, General & Family Physician" }, { "from": "gpt", "value": "Target: Is there any side effects for hypertension medicines?" } ]
[ { "from": "human", "value": "Source: Patient: wondering about my chronic cough , along with spitting up clear mucas, and gasping for air while sleeping. I am a smoker for 35 years now, along with sleep apnea, my father passed because of copd also he breathed bad stuff at ford motor company but also take pain medication Doctor: If u have had past bad experiences of copd, then I think u should now stop smoking. Anyways what u have right now is a chronic bronchitis, an early stage of COPD and if u don't quit now it will be late. Do a spirometry to see the effect on your lungs and see a cheat physician for u need an inhaler with bronchodilator and steroids" }, { "from": "gpt", "value": "Target: Suggest medication for cough and congestion" } ]
[ { "from": "human", "value": "Source: Patient: I have swelling on my left foot, where the big toe meets the foot. It started this morning, and is extremely painful, and difficulty walking on it. The pain has gotten worse since this morning, and I didn t do anything to injure it. Should I go in to a doctor? What could have caused this? Doctor: Hello, As mentioned in history that there was no injury and the swelling has come up all of a sudden, I would like to ask you a few questions. Are you diabetic? are you having any signs of high blood pressure? I would advise you to check up your uric acid levels once. as this could be sometimes the cause for the swelling and pain. Meantime you can use hot water fermentation and do ankle toe movements inside the hot water. Post this take the foot out and put over the pillow and perform ankle toe movements while lying position. I think you should be fine with this. I will still make a request to check up your uric acid levels once. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist" }, { "from": "gpt", "value": "Target: What caused swelling on my foot where the big toe meets?" } ]
[ { "from": "human", "value": "Source: Patient: one day i felt a pressure on the left upper chest right around my heart. The deeper i breathed the more pressure was felt. I decided to breathe as deep as i could to test the parameters and felt a POP around my rips. The next day that region was slightly sore but i was intoxicated (under the influence of alcohol) so the effects might have been dulled. Today which is a day later, every breathe i take all day, around the same region i experience pain with. Even with slightly shallow breathes I experience slight pain and can feel the constatn yet mild pressure whenever I do not breathe. Stretching in the \"chest going forward sholders moving backward\" motion causes alot of pain in the same area.I am a smokerI had a dental infection for nearly over a month while on a tripI am 24 years oldWork from a computer and until recently have had very little exercise But recently have been pushing my body 3 times a week with weighted trainingDiet has been poor recently past two month have seen an excess of fast foodI am 6'1 165lbsAnd i have been taking lyrica for rls for about 3 weeksWhat could this be, a rib or muscle injury or could it be a heart condition. My concern is it could be something poking my heart. Please get back to me.-David Doctor: Hello! Welcome to HealthcareMagic! What is cause of chest is followings: 1. GERD or gastritis. 2. Chest infections from dental sources. 3. Recent bronchitis from smoking. 4. Esophagitis. Hope this clarifies your concerns.Thank you for the query. Take care varanasichestclinic.com" }, { "from": "gpt", "value": "Target: What causes pain while deep breathing?" } ]
[ { "from": "human", "value": "Source: Patient: I am 46 years old female and i have been career minded and now feel the time is right for me to have a baby. However i am concerned i have left it too late. My partner is nearly 47 years old and we are young at heart and physically fit for our age. My partner only has one testicle due to his other one being strangulated a few years ago. I have regular periods and have used a test to see if i am ovulating..which i am. Is it possible for me to get pregnant at my age? How can we improve our chances? Would we have any choices in relation to having IVF , due to our age? How can i tell if my eggs are still healthy? I would prefer to use my own eggs..is this possible? Thank you for your help. Doctor: Hello At 46, you are obviously aware that conception will be difficult, if not impossible. IVF is the only way ahead for you. Your partner's semen analysis is essential due to the testicular injury. Also, you can assess your egg forming capacity by testing your ovarian reserve. This is done by estimating AFC ( antral follicular count ) on ultrasound, measuring hormones like AMH ( anti mullerian hormone ) and FSH and LH on day 2. This would tell you if your own eggs can be used for IVF Your endometrial status needs to assessed for IVF also. Please consult a reputed Infertility Specialist and go for detailed testing and evaluation at the earliest, kindly do not waste more time. Take care." }, { "from": "gpt", "value": "Target: Possible to get pregnant at 46 yrs? How to improve chances? IVF needed?" } ]
[ { "from": "human", "value": "Source: Patient: hi, I am married for 2 yrs and trying baby for 3 months,i have been diagnosed endometrial tb and I will be on medication for 6 months.1.,when I can plan again,will it can be natural and are my fallobian tubes effected . Note test taken are mantoux ,tb gold,eb pcrand histopathology Doctor: HiI have gone through your complaints.sorry to hear about your problem.as you have completed treatment plan for hysterosalphyngogram.it wil define uterine cavity whether any adhesions present or tubal patency.if these are good nothing to worry.no problem for your conception.if adhesions are there it is required to go for adhesinolysis depending up on severity.consult the Dr for the evaluation of your pelvic organs.Thank youRegardsVasundhara" }, { "from": "gpt", "value": "Target: What are the chances of getting pregnant at this time?" } ]
[ { "from": "human", "value": "Source: Patient: I just found out I have a liver hemangioma 12mm after having a CT scan . So they told me I need to get an ultrasound. Is it a problem? I have had some bleeding during my bowel movements. Could that be a reason? Doctor: Welcome to Healthcare Magic Yes. It is quite possible hemangioma can lead to bleeding. Hemangioma can be easily removed by surgery. Not to worry." }, { "from": "gpt", "value": "Target: i have 12mm Liver Hemangioma, what does it mean ?" } ]
[ { "from": "human", "value": "Source: Patient: Hi. I am 26 years old and recently, not constantly, but often break out in the sweats. I have ran a low grade fever for a few days and of course my mind automatically goes to cancer with those symptoms. However, I do have allergies and a possible sinus infection right now And a lot of stress/ anxiety as I am starting a new job and just moved. Thoughts? Doctor: Welcome to Healthcaremagic You have been diagnosed with Sinusitis (inflammation of the sinuses). All of these symptoms can be easy attributed to sinusitis. Sinusitis at times can be difficult to treat at times. Although your worry is genuine in the sense that a malignancy can have the symptoms of low grade fever and sweating however it should also have other symptoms such as weight loss, decrease in appetite and excessive fatigue etc. Still one should not go to that extent since there has been a diagnosis that is easily explaining your symptoms. If on the other hand there was no obvious cause for these symptoms only then one should think of investigating your symptoms on the lines for a malignancy. So it would be best at present to stay calm and follow your treating doctor's advice and ultimately get better. Getting anxious at this place in time would only disturb your life (both professional and social) and that of others (your loved ones) and would also not serve any purpose. Hope This was Helpful Best wishes Dr Ali" }, { "from": "gpt", "value": "Target: Breaking out into sweats, fever, sinus infection, anxiety. Thoughts?" } ]
[ { "from": "human", "value": "Source: Patient: My ankles, feet, legs fingers etc. are swollen. Yesterday it also felt like my heart was gonna pop right out of my chest. A really weird feeling. That part is gone today but the swelling is still there. It actually hurts to bend my foot. I havn t had a drink in over two weeks, and we ve had no sun for 2 - 3 days.? What do you think? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.Your symptoms seems to be anxiety and heart related. You can get examination by cardiologist and general physician. Anxiolytics such alprazolam0.25 mg is useful in relieving symptoms. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care." }, { "from": "gpt", "value": "Target: What causes swollen ankles and legs with pain?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, my 10 month old baby threw up once on Friday. It looked as if she threw up her formula milk. Yesterday, she didn t throw up but she did have gas and her stool was a bit like an avocado green with some white patches that looked like when milk is spoiled. We took her to urgent care on Friday night and the doctors said to give her Pedilalyte and don t give her a bottle until the following evening. we tried that but by baby doesn t seem to like the Pedialyte and drinks very little water, so we had no choice but to give her a bottle. Any suggestions? Thank You...By the way, no fever. Doctor: Hello,It seems your kid is having viral diarrhea. 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. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea.I suggest you use zinc supplements (Z&D drops 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 pediatrician). Regarding diet - You can use cerelac any flavor will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sumanth Amperayani" }, { "from": "gpt", "value": "Target: What causes green colored stools with white patches in an infant?" } ]
[ { "from": "human", "value": "Source: Patient: hello docor,actually my husband is suffering from gallstone and yesterday while examing liver function test sgpt level 208 and sgot level 114 shown higher.he is now only 24yr and habbit of smoking but left drinking 8month ago.so,what to do to reduce the level of sgpt and sgot level?i will be thankfull if you answer me Doctor: Start him on hepatoprotective medications.Start on medication like Hepamerz /lornit twice a day along with udiliv twice day will help in reducing the enzyme level and also cholestasis." }, { "from": "gpt", "value": "Target: Suffering from gallstone. How to reduce high SGPT and SGOT levels?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, around my 6 month old babies anus it is red and continues to be along the crack area leading to her back.I noticed it was red 2 days ago and used perfume free wipes and sudorem. But today I noticed little raised spots/blisters around the anus part one of which began to bleed when I wiped her down. Is this just a sign of teething or something more? Doctor: Hi...by what you quote I feel that it might be a diaper rash. 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 red color and cracks on anus in an infant?" } ]
[ { "from": "human", "value": "Source: Patient: my daughter is on 15 months old . She is on teething these days. She got allergy also. She is passing white stool from yesterday. We consulted Dr yesterday as per her she got allergy because of pollen in air. She prescribed levocitrizine and Econorm sachet. Are we on right treatment Doctor: Hello.Thank you for asking at HCM.I went through your daughter's history.I guess, apart from white stool, she might be having nose symptoms or skin symptoms because pollen allergy causing white stool is not likely.However, as long as treatment is concerned, I agree with your doctor's treatment. In addition to that, I would suggest her plenty of oral fluids including ORS (Oral Rehydration Salt) solution, which are commercially available.Hope above answer will be helpful to you.Wish your daughter a fast recovery and the best of the health.Should you have any other query, please feel free to ask at HCM.Thank you & Regards." }, { "from": "gpt", "value": "Target: Suggest treatment for pollen allergy causing white stools" } ]
[ { "from": "human", "value": "Source: Patient: i just moved to a new house and its kinda old and dusty and im getting allergies and they wont stop its been about a month now and i still have allegies i been drinkin pills but they dont work. also i sneeze alot but now its starting to hurt my lungs when i sneeze what should i do? plz help Doctor: HI, thanks for using healthcare magicDust is one of the more common allergens and is likely contributing to your allergic symptoms.The only way to relieve the symptoms would be to decrease your exposure to dust.This would involve thoroughly cleaning any carpets, rugs, bedding, couches etc that may harbour dust.Thorough cleaning of any other areas may also be needed.The use of mattress and pillow allergy casing may also be helpful.I hope this helps" }, { "from": "gpt", "value": "Target: How to treat dust allergies?" } ]
[ { "from": "human", "value": "Source: Patient: hello doc, I have recently gone through 2 iuisand have no success through them.I have a girl of 7 yrs and are planning for her sibling from past 1 yr but all in vein. Please suggest if we should go for an IVF right now or should take some fertility supplements for improving fertility? Doctor: Hello,try fertility supplements for 3 months and then take another cycle IUI once.In case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain" }, { "from": "gpt", "value": "Target: Is IVF or fertility supplements recommended for improving fertility?" } ]
[ { "from": "human", "value": "Source: Patient: one of my tooth is getting decayed. I have consulted a dentist, he said we need to remove the decayed part by grinding and we can fill it off or root can. treatment need to be done if necessary. along with ceramic cap it will take around 5k. am i getting cheated anywhere? please suggest Doctor: Thanks for your query, I have gone through your query.The decayed tooth can be filled with a normal tooth color restoration(composite), if the decay is not involving the third layer that is pulp where the blood vessels and nerves are present. If the decay is involving pulp then the tooth has to be treated with RCT.Ya, the cost of the RCT with crown varies from 5000 t0 8000rs depending upon the material used (either metal crown or ceramic crown).I hope my answer will help you, take care." }, { "from": "gpt", "value": "Target: How to treat a decayed tooth?" } ]
[ { "from": "human", "value": "Source: Patient: Yesterday I used a lot of clorox while cleaning my sink. I later watched a movie in an area near my kitchen. I had my windows closed and the AC on until it got cooler last night and I opened the windows. Today its like my lungs hurt especially when I inhale. It seems to be getting worse as the day progresses. Doctor: Thanks for your question on HCM. In my opinion you are having chemical fume induced bronchitis. Your symptoms like chest pain on inhalation is typically seen in bronchitis. And since you have enough exposure to clorox cleaning solution (chemical) fumes, possibility of chemical bronchitis is more.So take fresh air.Avoid that cleaning solution. Start antihistamine and anti inflammatory drugs. If not improving in 5 days than consult doctor and get done chest x ray to rule out infection." }, { "from": "gpt", "value": "Target: What causes chest pain while taking breath?" } ]
[ { "from": "human", "value": "Source: Patient: A couple of days ago I got a weird sickness/pain in my lower stomach and went to the bathroom and thought it was better and thought nothing of it, well today about mid morning I started having pain in my lower right back almost under my ribs and thought it was a pinched nerve well its moved into the front right side of my stomach and I cannot find a position that doesnt cause pain. What could be the problem? Doctor: Hello and thanks for the query I have read your query with diligence. Your pain is most likely to be a Renal stone pain you need to be investigated for that. Get your urine routine examination done with sonography of abdomen. X-ray KUB also helps in detecting the stone is done empty stomach. Consult your doctor and get your investigation done as per the advise. Meanwhile take plenty of water. Urinary alkalizer if burning maturation is present. Take anti-spasmodic drugs to reduce the pain. Other disease which can cause pain are muscular spasm. Gall blabber stone. But these are associated with nausea and vomiting. So consult your doctor and get to a diagnosis. Hope this will help you out. Best Wishes" }, { "from": "gpt", "value": "Target: Lower back pain, earlier lower stomach pain. What could be the problem?" } ]
[ { "from": "human", "value": "Source: Patient: I am a 52 year old female. I have GERD and that throws off every Doctor I have been too.... I have severe pain in my neck below the adams apple in the front of the neck, and my teeth hurt very bad. first the neck starts hurting and then the sharp pain starts in my teeth. I have dealt with the neck pain for about a couple of years, but here recently the teeth pain has joined....If I stack up my pillows (3 of them) and lay on my left side the pain will ease up and go away...I dread going to bed because that is when it starts. it has hurt a few times while sitting, but always happens when I lay down. My neck feels like it is being squeezed....Not a pain like a disc problem, I do not have a goiter...I have Hashimotos Thyroiditis , and I take a blood pressure pill for mitrael valve prolapse... so my heart skips beats pretty often.... Please find something that will help me Doctor: Hi,Thanks for asking the query,Toothpain indicates infection in the tooth such type of infected tooth needs to be treated with root canal treatment.I would suggest you to visit to an Dentist and get the checkup done, take an x-ray and course of antibiotics and analgesics.Mention the medical conditions which you are having.Take care!" }, { "from": "gpt", "value": "Target: What is the treatment for GERD, hashimotos thyroiditis and neck pain and, tooth pain?" } ]
[ { "from": "human", "value": "Source: Patient: Hi,My mother is suffereing from acute fever, chills and body ache. Also she had vomitting twice today. We consulted a local doctor and he recommended some tests which included test for malaria. The test is negative. He r haemoglobin count is 12gms/dl. WBC count is 10,400/cumm. Platelet count is 2,99,000. I am afraid if she is suffering from Swine flu or not . Please help me if i need to get her test done or can you say by above mentioned blood figures that she is not suffering from it.Thanks and Regards,Yogesh Sharma Doctor: Hello,Welcome to HCM,Swine flu or H1N1 is a disease caused by the influenza virus having strain H1N1 and it is transmitted by the droplet infection and droplet nuclie of the patient suffering from swine flu.The symptoms are similar to any flu like fever, malaise, generalized body ache and chills but it should be confirmed only by lab investigations like throat swab. The investigations which you have undergone is showing normal values.The swine flu is diagnosed by clinical symptoms and the lab investigations and it is very difficult to tell by these investigations. I would suggest you to take your mother for throat swab culture to confirm swine flu.Thank you." }, { "from": "gpt", "value": "Target: What causes fever,chills and body ache?" } ]
[ { "from": "human", "value": "Source: Patient: Dear.. Can you please help me to do this.. i'm a men 24yrs.. i have tried 6 months ago to get my wife pregnant.. but still not preg..and also i feel this is a problem of me.. because my sperm comes out so fast..so please tell me what's actual my problem.. Thank you Doctor: HelloDon't blame yourself for this Conception depends on number of factors like Sex near the time of ovulationpatency of fallopian tubes and release of ovumI have seen number of patients in my clinic and I would advise them for battery of tests like semen analysis for you and ovulation study as well as HSG for your wife.As far premature ejaculation is concerned you can very easily overcome this.problem with behavioural therapy and medicines are also available for it.Please write back to me with a the relevant information and complete medical history so that I will be able to guide you more accuratelyBest wishes" }, { "from": "gpt", "value": "Target: Suggest remedy for premature ejaculation" } ]
[ { "from": "human", "value": "Source: Patient: hi my boyfriend has complained today of having a headache, ear pain, cough, and burning throat. he's worried he may have throat cancer, i think it could be strep or something related. he is worried because he uses the juul and has had a cough with it, he said the cough started when he started chewing Doctor: Hello, It seems like a viral infection and you should not worry, but if the symptoms get worse consult your doctor. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Esmeralda Sera, Oncologist" }, { "from": "gpt", "value": "Target: Do symptoms such as headache, ear pain, cough and burning throat indicate throat cancer?" } ]
[ { "from": "human", "value": "Source: Patient: Greetings. I am experiencing pain in my upper back. Specifically the shoulder blade near my spine. I also have a numbness or tingly sensation in my left pinky and left ring finger. I was diagnosed with scoliosis when I was 14. I am now 48. Is the scoliosis causing this pain and numbness? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Scoliosis can cause spinal problems like disc prolapse osteochondrosis etcetera. If you send an X-ray of the spine and a picture of your back then I can comment more about the problem.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nishad BN" }, { "from": "gpt", "value": "Target: What does pain in the upper back indicate?" } ]
[ { "from": "human", "value": "Source: Patient: Dear Dr.I have a unique problem from past few months i started crying suddenly and then my body start shievering after half an hour its got normal and i got asleep other times i am normal my age is 26 and i am a female please help my height is 5'2'' wt-55 kg Doctor: Hi,From what you have mentioned, it seems that you are under stress and your symptoms of crying with shivering might very well be due to underlying depression.I would have liked to know about other symptoms like sleep and appetite, irritability, loss of interest in doing anything. You should seek a psychiatric consultation for detailed evaluation of your condition. Treatment with anti-depressants like sertraline would be effective in treating underlying depression and take care of symptoms. Hope this information was helpful. Best wishes." }, { "from": "gpt", "value": "Target: What causes sudden crying episodes with shivering?" } ]
[ { "from": "human", "value": "Source: Patient: about 5 years ago I accidently dug a trenching shovel into my knee and ever since its occasionally given out and given a shock of pain when I run, go up stairs or put pressure on it but recently its been getting more frequent and is sometimes painful for longer periods of time for seemingly no reason. is this something I should be concerned about and if yes what should I do Doctor: Hello, The symptoms seem to be related to the injury. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also recommend using anti-inflammatory cream for local application such as Voltaren cream. Ice compresses can also be helpful in reducing pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician" }, { "from": "gpt", "value": "Target: How can I reduce pain from accidentally injuring my knee with a trenching shovel?" } ]
[ { "from": "human", "value": "Source: Patient: I have currently survived breast cancer and possibly have skin cancer on my right earlobe...so now I think everything is cancer. A really large egg shaped lump came up on my right butt cheek. It seem like an abcess to me. Could it be possible cancer? Doctor: Thanks for your question on HCM.I can understand your fear. But every skin lump is not always malignancy in your case. Yes, chances are high but skin lump can be due to other causes like infection or allergy.In your case at present I think you should first get done clinical examination of your lump. Than ultrasound examination and biopsy from the lump.Biopsy is needex in any lump for confirmation of diagnosis. In my opinion it seems abscess mostly." }, { "from": "gpt", "value": "Target: Is lump on buttocks after treated breast cancer sign of cancer?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I fell about 3 months ago and tore a ligament in my ankle. I landed on my right hip and bruised my side. Since then I have had constant hip pain like the bones are grinding together and sometimes a shooting pain down my leg. Is it that my back could be out of place? Doctor: Hi, You should undergo x-ray hip joint and leg. If everything turns out to be negative, then get MRI done to rule out any muscle, ligament injury. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Varinder Joshi, General & Family Physician" }, { "from": "gpt", "value": "Target: What does constant hip pain and shooting pain in leg after fall mean?" } ]
[ { "from": "human", "value": "Source: Patient: My sister who is in her sixties living in Malaysia has been prescribed properazine to combat her giddy spells. But I m unsure on this medication as I think it is used for vomiting, nausea and mental health. Can you pls shed some light into this. Mary Jo Doctor: Hi Ms Mary Jo,I have noted the symptoms your sister has as well as the medication prescribed to her.I agree that properazine may not be the best medicine for her, even though it may reduce her dizziness a bit.The best medications for her would be betahistine or cinnarizine tablets. I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information.     Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/" }, { "from": "gpt", "value": "Target: Is Properazine suitable for combating giddy spells ?" } ]
[ { "from": "human", "value": "Source: Patient: I have a 5 yr old daughter with tonic clonic seizures.Her teacher has been very explosive, screaming in her face, etc.Can this stress cause a seizure and where can these facts be cited? thank you.I need proof to have her removed from the classroom. Doctor: Hi, yes stress are provocative factors for seizures. Either the teacher should be counselled or your daughter should be removed from classroom.Thanks" }, { "from": "gpt", "value": "Target: Suggest treatment for tonic clonic seizures" } ]
[ { "from": "human", "value": "Source: Patient: Hi I smoke meth everyday my wisdom tooth was busy coming out and the past few days the side cheek started swelling now I have a swollen lump on the inside upper left side of my cheek close to my back mowler opening my mouth is pain! Hoe can I cure this Doctor: Hello ,Thanks for consulting HCMRead your query painful lump like swelling on left cheek this can be due to partially erupted wisdom teeth due to depostion of food debris and infection due to presence of pericoronal flap condition known as Pericoronitis .For this I will you to do warm saline rinses 2 - 3 times a day and consult oral surgeon for examination of teetg and curretage .Hope this will help you." }, { "from": "gpt", "value": "Target: Does smoking meth cause painful mouth with lump in the place of wisdom tooth?" } ]
[ { "from": "human", "value": "Source: Patient: hi, i think i might have adult ADHD after reading all the symptoms for it. I have always had a problem but have only looked in to it because i am almost certain my son suffers from ADHD. I always knew there was a problem with me but i have always been given anti-depressants and diagnosed with depression/anxiety but they dont work very well and i struggle from day to day. I want to go to my doctor but everytime i go there and mention my son having ADHD, they are not very helpful and dismiss it so i dont know what to do. Doctor: Hello and thanks for your query.I understand that you are concerned about your symptoms which you think are due to adult ADHD.Now, adult ADHD is a difficult diagnosis to make. One of the prerequisites for diagnosing ADHD iin an adult is that the person should have had the onset of symptoms from childhood. The other prerequisite is that the attention deficit and hyperactivity / impulsivity symptoms should be obvious in more than one domain, such at work, social like and personal life.If you strongly feel that you may have ADHD, then you need to have a detailed psychological assessment. Often, you may need to be rated on clinical scales for a definitve diagnosis.So, please consult a psychiatrist for a detailed evaluation and further treatment.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist" }, { "from": "gpt", "value": "Target: Suggest treatment for symptoms of ADHD" } ]
[ { "from": "human", "value": "Source: Patient: My fathter is 67 yrs, first time when he got blood in the stools we thought its due to some dysentry, as he also had loose stools at that time. now with out loose stools also he gets blood not more amount only few drops with stools, can it be a alarming symtom for cancer ? Doctor: Does he have piles??small amount of blood like this will come due to piles also. Get a checkup done for him ." }, { "from": "gpt", "value": "Target: Blood in the stools, can it be a alarming symtom for cancer ?" } ]
[ { "from": "human", "value": "Source: Patient: i have a false tooth and underneath where the tooth and gum is there is a purply black sore spot that hurts ..looks like my gum is getting pushed away from.the tooth...veryy small area ans the only area like that...is this bad??? what can i do to make it better? Doctor: thanks for your query, i have gone through you question the purply black sore spot on the gums could be because of the melanin pigmentation or calculus (black in color) below the gums which s making the gums to appear like that...or the margin of the crown where the metal gets exposed below the gums can also appear like this...consult a oral physician and get examined completely....if required you need to get your teeth cleaned...or if the problem is with the crown you might have to replace the crown.. i hope my answer will help you...." }, { "from": "gpt", "value": "Target: What can i do to make my gum better?" } ]
[ { "from": "human", "value": "Source: Patient: My son is 2 years and 4 months and he has a fever. I can estimate about 102 and it started on monday. He has severe feeding issues so taking medici e is hard so i try to put it in his bottle. He has figured out the taste and now refuses to drink it. I have done baths but that is temporary. I cant get an accurate temperature because he runs away. We even held him down and gave medicine through syringe and he threw it up from getting worked up. What should i do? Doctor: Hi, I have gone through the medical history of your son and am sorry for the situation he is in. From what you are describing, he is going through viral infection and that your son is not collaborative in taking the medicines. So, to my opinion, it is time to send him to the pediatrician and discuss about giving the medicines intravenously. Wish fast recovery!Dr.Albana" }, { "from": "gpt", "value": "Target: How to give medicine to an infant?" } ]
[ { "from": "human", "value": "Source: Patient: I have had a rash all over my body,itching,swelling of legs and feet and hands,steriods make symtons go away but as soon as I,m finished with meds the rash and swelling come back ,the bottom of my feet are really scaly now I have been to skin specialist they can,t find reason for this nothing shows up on skin test Doctor: Hello,Thanks for the query,you might have developed acute urticaria.It is an allergic condition.Anything including food, cloth, change in climate, pollens etc can cause urticaria.You need to find out the cause.Treatment can be with oral anti histamines.Steroids like prednisolone are also helpful but cannot be used for long.Please meet a dermatologist for exact diagnosis.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818Wishing__;!!Mih3wA!SBzm6_kI6hCZ58EPH6N_05MFfiPbxWXT0a2TJCdFQObRWm5mV5ur7hUOMa8clQ$ you a good health.Thank you" }, { "from": "gpt", "value": "Target: What is the cure for rashes all over body, itching and swelling of legs and hands?" } ]
[ { "from": "human", "value": "Source: Patient: I am always tired, achy, sleepy, itchy and sad. I am taking maintenance for hypertension, high cholesterol and taking whole omega and multi vitamins. If I am into depression, how do I snap out of it. I forced myself to exercise but it does not help much. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You are not into clinical depression yet. But definitely you are into virtual depression, which happens to everyone when they are dissatisfied with the life events which happen without their knowledge and are negative. Forcing exercise may not work here.It is attitude. Attitude towards life. May be you are worried and dissatisfied because of your physical problems. You need to understand that these are nothing. Above 45 each and everyone comes across these problems. Here you should life. Life is such. Full of unfortunate events. We all adjust to unfortunate events. No one know what happens next. Still Everyone lives in this world with hope about tomorrow. That hope drives us. Drive to do something drives us forward. You should understand the way of life thoroughly. Then we know that there is no use worrying and sitting idle. Then we start doing things which keeps us busy. We come back to life. Mark my words, it shall take around a month or so, if you do it right.If you require more of my help in this aspect,Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck." }, { "from": "gpt", "value": "Target: What causes always feeling sleepy itchy and sad?" } ]
[ { "from": "human", "value": "Source: Patient: My two year old is covered from head to toe with little tiny bumps. There are a little red and don t seem to bother him. I think they they are heat bumps but he has them everywhere. HJe is a heavy sweater for a two year old so I think its a heat rash. Could he have it all over his body like that? Doctor: Hi...Thank you for consulting in Health Care magic. It could be any viral exanthematous illness. But as you quote them as tiny red bumps - the possibilities are Hand Foot Mouth disease/ Chicken pox/ any other trivial viral exanthem. I suggest you use calamine lotion as its giving results along with oral antiallergic like Hydroxyziine or Cetrizine. 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 are the tiny bumps on my 2 years old son s body?" } ]
[ { "from": "human", "value": "Source: Patient: I am 16 years old, have been sexually active with the same partener for almost 2 years and never had troubles till tonight when i went to pee and had bad pain and burning sensations throughout my urethra, it has never happened before and did not just slowly come on, it was sudden. Please help me, it hurts and i cant stop peeing but it is just a tiny bit everytime, about every 5 minutes and the urine is clear. Please help me, it is very very uncomfortablr and hurts Doctor: Hi there.Thanks for writing in.You might be having a urinary tract infection... as evident by your symptoms like burning urination and increased frequency of urination.Any other suggestive symptoms like fever, nausea, vomiting,backache, or lower abdominal pain.For confirmation of the diagnosis as well as the choice of antibiotics, you will have to get a urine routine and culture and sensitivity done...So please visit your doctor regarding that.In the meantime, drink plenty of water to flush out the toxins.Periodic regular emptying of bladder is a must...even when you get better.. do pee every 3-4 hours, to ensure clean bladder.Avoid intercourse for 1 or 2 weeks.A glass or 2 of cranberry juice might help.You most probably do need to take a course of antibiotics ...do consult your physician.Take care.Regards,Dr. Divya Kuttikrishnan" }, { "from": "gpt", "value": "Target: What can cause burning pain/ sensation in the urethra at the time of urination?" } ]
[ { "from": "human", "value": "Source: Patient: I have a small pea size hard rubberish lump behind my right ear (only one side). Around the location of mastoid process. It s neither painful nor movable. google said it s might be a common infection of lymph node due to a cold or flu infection. But I didn t have any cold or flu for the past month. I didn t experience any cold sweat, appetite loss, sudden weight loss (though it would be nice if that happen). No headache, vision or loss of balance either. I do feel very tired for no reason lately though. So is this just a common infection that will subside eventually or beginning stage of some kind of tumor/cyst? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some tumour or cyst more likely. You should go for biopsy or fine needle aspiration cytology of that lump. Then you should go for surgery 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: Cause and cure for fixed lump behind ear" } ]
[ { "from": "human", "value": "Source: Patient: Hi Doctor, I have a nephew who is 2 years old now. After 6 months of his birth he was very week and frequently getting fever. So we consulted a nearby doctor. After all the diagnostic tests he was diagnosed as Coomb's Negative sutoimmune hemolytic anemia. He was transfused blood 4 times after the diagnosis. After that predisone has been started. He is on the same treatment even now. But he is prone to infections now. Is there any permanent solution for this condition? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have autoimmune hemolytic anemia. So your rbcs are destroyed by your own antibodies. To suppress this steroid is the drug of choice. You can go for splenectomy. It will improve your condition. Consult your doctor and plan out for surgery. 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: Can Coombs negative autoimmune hemolytic anemia be cured?" } ]
[ { "from": "human", "value": "Source: Patient: I have ringing in my ears, the sound of the wind in the trees or over the water, a pounding which seems to be the same as my heart beat. Laterly I have a tight almost numb feeling in my head. Are all these related to tinnitus? I have had breast cancer and scared that it may be a brain tumour. I have had a CT scan several months back but that only showed degeneration in my kneck. Doctor: HIThank for asking to HCMNo this is not the sign of any brain problem but it could be hallucination phenomenon you have to control your thoughts, and keep your self away from the stress, anxiety, this is nothing to worry, stop paying attention, it will go away soon, have nice day." }, { "from": "gpt", "value": "Target: Are ringing ears, tight and numb feeling in head with history of cancer and degeneration of neck indication of brain tumour?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, my name is Marie, I have been having these symptoms for quite a while and no one seems to know the answer. I will get the erge to have a bowel movement and then once in the bathroom the erge turns into severe abdomnal cramps, my heart starts to pound, I feel lightheaded, break out in a cold sweat and become very weak. When all starts to disapate I`ve had a large loose movement and I am so weak and lightheaded that I can hardly walk the 10 feet to my bed only to colapse and sleep for about an hour or so. For several days after my sbdomanal muscles are sore and I am very weak. I am 65.7 yrs. old. Thank You for any help or advise tyou can give. Doctor: HI Marie Madam.The urge- ramps- weakness, sweats and associated symptoms- large loose motion - very weak- all are suggestive of the following. Severe form of Entero-colitis. In this the symptoms are classical as you have. I would advise :::To get admittedComplete investigations including that for diabetes , kidney function tests.Stool tests Ultrasonography of abdomen Intravenous fluids and antibiotics.Colonoscopy, biopsy.CT scan abdomen if required. You have to get treated and investigated simultaneously so that you are cured." }, { "from": "gpt", "value": "Target: What causes stomach cramps with a feeling to have bowel movement?" } ]
[ { "from": "human", "value": "Source: Patient: I Went To The ER With Chest Pain Shortness Of Breath N Pounding Heart Beat Had An EKG And Chest X-ray N All They Said Was Inflammation Of The Tissues Around The Sternum And A Panic Attack The Prescribed Me Motrin 600 And Xanax The Symptoms Went Away For A Feew Days Then Are Now Back Full Force I Just Want To Know Am I Going Crazy Or Is There Something More Serious Going On Ive Also Looked Up MVP As A Possibility Please Help I NEED SOMEONES OPINION!!! Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. First of all no need to worry for MVP (mitral valve prolapse) or other heart diseases.Possibility of anxiety and panic disorder is more likely. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Counselling along with anxiolytic drugs will definitely help you in relieving symptoms. So don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: Suggest remedy for inflammation of tissues around sternum with panic attack" } ]
[ { "from": "human", "value": "Source: Patient: Hi ....I had blood work done by my rheumatologist, and my C reactive protein showed it was 77.9. My dr ordered a sodium fluoride bone scan and my SI joints lit up like a Christmas tree. How can a dr tell whether the lit up sections are inflammation or infection. I had a discogram about a month before the bone scan Doctor: well infection will cause fever autoimmune inflamation will cause just hot flushestry a simple 5 min walk in your place while leaning forward (like a stepper) at first pain will be high then it should gradually decrease which will confirm simple inflammationGood Luck" }, { "from": "gpt", "value": "Target: Why do the SI joints lit up?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, i missed my oral contraceptive, althea pills last night and left the meds at work. I come back to to work tonight, same time of my next schedule for a pill. So basically i missed a day's dose, i remembered if i can still drink the pill at an earlier time and follow the original schedule, its still ok, but i cant drink it earlier since im at home . Whats my next option? Doctor: Hello Studies say that if you miss ONLY a single dose, you have to take two pills a the next scheduled time. But missing the dose more than once compromises the efficacy of the pills. I would advise you to take two pills today at the scheduled time. But if you have missed the pills more than once, i would you to use some other method of contraception like condoms for this month while continuing the pills. Take care" }, { "from": "gpt", "value": "Target: Missed taking oral contraceptive pill. Can I take it next day?" } ]
[ { "from": "human", "value": "Source: Patient: I had 4 wisdom teeth removed 7 days ago, I have 2 very hard larger lumps on my lower jaw line, and the pain is still frequent, I'm assuming from the swelling from the lumps. I'm beginning to get concerned as the pain is not subsiding. I continue to rinse as directed, as well as apply ice and heat, nothing seems to help. Any advice would be helpful. Thank you. Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have mentioned that you undergone wisdom tooth extraction 1 week ago now you had hard swelling dont worry it can be bone also which do warm saline gargle two - three times a day and go to dentist for check up and if there therenis bone in socket go for alveoloplasty. Hope this will help you." }, { "from": "gpt", "value": "Target: How to cure pain due to lump in mouth?" } ]
[ { "from": "human", "value": "Source: Patient: 44 year old male 5 ft 7 210 lbs, just noticed a few weeks ago a numbness in right foot below ankle. Has been intermitant this is the first time I ve noticed lasting for 24 hours+, no health issues, good blood pressure, non diabetic, I sit at a computer all day. Could I be compressing some nerve or blood vessel? Doctor: Hi, Numbness localized to foot area is either a result of nerve root compression which is usually unilateral or peripheral neuropathy which is usually bilateral. As you have a prolonged sitting job chances are more towards the root compression. All you need to do is to improve your posture,along with some physiotherapy, if it improves in a week or two that's good, if not then you need to have a thorough clinical evaluation before proceeding further. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon" }, { "from": "gpt", "value": "Target: What causes numbness below ankle?" } ]
[ { "from": "human", "value": "Source: Patient: i had egg of a particular fish and developed an allergy ...consulted doctor...had megamox 625,also atarax ...there were red rashes on my neck,hands and thighs...later doctore said it may be viral allergy and i had megamox 1gm with atarax..i was on antibiotics for 2 weeks..the rashes are redspots..and its itchy toooo....after 2 weeks of antibiotics....i developed worm issue and wen itchy my body starts itching..now i am having zentel...culd you let me know wat is it....during the period of antibiotis my cpr was 12.. Doctor: Hello,Your C reactive protein is high.This may be due to the inflammation produced by food allergy or infection(Worms).As the inflammation reduces the rashes will subside.Antibiotics can be stopped." }, { "from": "gpt", "value": "Target: Allergy after sea food, egg of a fish. There were red rashes on body. Why did I develop worms?" } ]
[ { "from": "human", "value": "Source: Patient: Hello doctor, My wife and I are thinking of installing some infrared radiation heating panels in our house... However,we have a few concerns regarding the possibility of them causing cancer or other health problems to us in the long run........What is your opinion???? Thank you!!! Doctor: Dear, You can do so. There will be no harmful radiations from infra red equipments. But avoid long unnecessary exposures under it as in the long run some deleterious effects other than radiations can occur. Dr. J. Ticku" }, { "from": "gpt", "value": "Target: Wanting to install infra-red radiation heating panels in the house. Will these cause cancer?" } ]
[ { "from": "human", "value": "Source: Patient: i started having pain on lower side of right buttock about 2 wks ago. It is very uncomfortable to walk, sit. It feels like when u sit on a hard surface for a long period of time.. At times it throbs/pulsates and VERY painful, then just a constant uncomfortable pain. When I try to find the area that the pain is in, all I feel is the bone. It is hard to pinpoint exactly where it is.. I just need to see if I can get some answers or possiblities of what it might be... as a footnote, last August, they found a large mass in my left ovary, It was high risk of being cancerous at that time. When they removed it, I had abnormal cells, on the border.. the biopsy showed no cancer thank goodness... I do work 5 days a wk. standing and walking.... if you can help, i would appreciate it. thank you. Lynda Doctor: Helo linda hope you are fine linda it seems to be some abscess in ur buttock but concealed since u say its too painfull...take antibiotics after consultation ..take hot fomentation try to give rest to ur body too ,,fet done your x.ray and serum calcium levels ,,,stay blessed" }, { "from": "gpt", "value": "Target: Buttocks pain, pulsating sensation, large mass in ovary, cancer causing risk. What can be done?" } ]
[ { "from": "human", "value": "Source: Patient: I was diagnosed with high risk HPV a few months ago, and now suffering from pneumonia. I ve been on 3 rounds of antibiotics, 2 rounds of steroids, plus one steroid shot, and two antibiotic shots. I have now had my period for 3 weeks. Curious as to why this could happen and how dangerous was it for the hpv to be on steroids for so long. Doctor: Hello, It could be the steroids or just the prolonged illness. Either of those may cause abnormal bleeding. Being on steroids for prolonged periods can cause a large number of problems. Please see your doctor about minimizing steroid use. You also need to see a doctor soon to make sure you are not anemic due to all the bleeding.Regards" }, { "from": "gpt", "value": "Target: Can long term steroids usage for HPV cause prolonged periods?" } ]
[ { "from": "human", "value": "Source: Patient: I have had pain in rhumboid muscle, cracking left shoulder, occasional pain around collar bone and swollen muscle near left collarbone. Soreness has been there for about 4 months. I am thinking I might have right hip out of place because right abdomen is protruding just below rib cage. Also, excess abdominal gas. Could it be hip related? Doctor: Hi.Thanks for your query and an elucidate history.The symptoms complex of pain in Rhomboid, left should crackling, pain and swelling around collar bone and now bloating of upper rith abdomen with hip problem is suggestive of some serious problem like thre can be a cancer problem with secondaries in the place you have talked about. I would advise you the following:CT scan or a PET scan of the affected parts.Blood: Alkaline phosphatase, Liver function tests and others.FNAC of the suspected area. These investigations will lead to a diagnosis and give a plan for further treatment." }, { "from": "gpt", "value": "Target: Can protruding of abdomen, be related with hip muscle pain?" } ]
[ { "from": "human", "value": "Source: Patient: sir i am a teenager of 16 years old andiam suffering pain in my abdomen sincce 4month and i dont know whats goinig with me icounsulted so many doctors .someone says that it is a gas problem and oter says it is due to sujan in liver ..plese tell me sir what is the actual reason ihave done all testes like bllood urine ultrasound and all are in normal stage iam waiting for ur answer plese reply soo......... Doctor: Hello,Thank you for the query.If the pain burning like and at epigastrium mostly the cause is gastric pain.And also mention about irritable bowel syndrome which is not diagnosed by investigations but by ruing out other diseases then we come to the conclusion.I suggest you to drink plenty of water and make yourself hydrated and use proton pump inhibitors for 1week to know the difference if it is gastric pain.If there is constipation along with pain then use some laxatives.Thank you." }, { "from": "gpt", "value": "Target: Abdominal pain. Normal blood test, urine test, and ultrasound. What is going on?" } ]
[ { "from": "human", "value": "Source: Patient: Respected Doctor, As prescribed by doctor, I started Zolfresh 5 Mg 2 years back and for the past 1 year I had to increase to 10 Mg. Now I got addicted with this. Recently, I had consulted Psychiatrist for my high stress and doctor prescribed Stalopam Plus. Doctor also advised to discontinue Zolfresh. Though I tried, I could not stop Zolfresh. For the past 1 month I am taking both tablets at night. Though I find improvement in my stress level, I am NOT getting proper sleep. Request you to please guide me Doctor. Doctor: DearWe understand your concernsI went through your details. Both the medicines are indicative for stress, anxiety and mild depression. You new doctor prrescribed stalopam because he felt it will be a better option for your problem. Your psychiatrist prescribed you with this medicine after assessing your situation thoroughly. He even asked you to discontinue the old medicine because he felt no need of it. But you did not. There are two things acts here. Your lack of trust to the new psychiatrist. Second being your mental obsession and apprehension about leaving zolofresh. You need to overcome these two problems. Trust your doctor and do as you are told by him. That will be the best option. Take care.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck." }, { "from": "gpt", "value": "Target: Is Stalopam plus the right medicine for stress?" } ]
[ { "from": "human", "value": "Source: Patient: I have what I believe to be a swollen occipital lymph node at the base of my skull on the right side. It is quite painful to lay on or touch. I am also 6 months pregnant and have no other symptoms of illness at the present time. Did have neck pain and a headache when I woke up this morning. Doctor: Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!I agree with you on the fact that it seems to be a reactive inflammatory lymph node. It could be caused by an inner ear infection or inflammation in this area. The neck pain could also be a sign of inflammation. Coming to this reason, I would recommend consulting with your doctor for a physical exam, a complete blood count and PCR for inflammation. Hope you will find this answer helpful!Best regards!" }, { "from": "gpt", "value": "Target: Suggest treatment for swollen lymph node at the base of the skull" } ]
[ { "from": "human", "value": "Source: Patient: My boyfriend had a little sperm on his penis before we put the condom on. As soon as we started having sex the condom broke, we didnt realize for about a minute. he did not ejaculate. What are the chances of me getting pregant from the little sperm that was on him? Doctor: Hello dearI understand your concernThere is a chance of the pregnancy as some sperm was on the penis.Precum can enter into the vagina before the ejaculation from the broken condom.So there is always some chance of the pregnancy.I would suggest to take emergency contraceptive pill like unwanted 72 or I pill with in 72 hour of unprotected sex to prevent the pregnancy.Use safe sex practice in future.Hope this may help youBest regardsDr. Sagar" }, { "from": "gpt", "value": "Target: Can having sex with little sperm on penis cause pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: i have a tooth or gum that has been bleeding since yesterday and dont know why it wont stop. I went to the emergency room for a foot problem and asked about that and they didnt say anything because it wasnt bleeding at the time. I need to know how to stop it until i go to the dentist and if i have to wait will it bleeding so much do something to me Doctor: Thanks for using Health Care Magic.Read your query.The bleeding could be because of the gingival inflammation or due to a tear in the gums .*I would advice you to put firm pressure on it with a sterile gauge piece.*Avoid gargling vigorously.*If you have a anesthetic ointment you can apply on it.*If still not controlled ,visit a emergency or a dentist available and get it treated there.*Visit your local dentist and rule out the cause and get the needed treatment .Thanks and regards." }, { "from": "gpt", "value": "Target: What is the remedy for bleeding gum?" } ]
[ { "from": "human", "value": "Source: Patient: Hi I have a knot under my bruise . The bruise is on my belt line next to my hip and I have no idea where it came from. My chiropractor says its a lymph node but I need a doctors opinion. It s the size of a pea and it didn t really hurt until maybe a day ago. Is it a lymph node or something else? What should I do? Thanks! Doctor: hello you should consult a doctor so that he can tell you the exact nature of swelling. It is better to get your doubt cleared by checkup and also painless swellings should not be taken lightly because they can be more serious as compared to painful swellings" }, { "from": "gpt", "value": "Target: Knot under bruise next to hip, not hurting. Is it a lymph node? What should I do?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I had laproscopic gallbladder surgery 2 weeks ago and I ve noticed recent spotting even though my period is coming next week. The weird thing is prior to my surgery my period was regulated because of the pill. Im still taking the pill and am having spotting. Is there any correlation between gb surgery and the menstrual cycle? Katie Doctor: Hello, I would be happy to help you with your question.I will propose to you that the stress of surgery can certainly lead to hormonal changes that might precipitate some uterine breakthrough bleeding. Also, if there was any variation in use of the pill (missed pill or different time of day) then this would cause some irregular bleeding. First, I would check a pregnancy test just to rule this out. Next, I would keep taking the pill as you previously had been doing. Expect a period at the end of the pill pack. If the bleeding is not completely normal, then repeat the pregnancy test.I hope that this helps and good luck!" }, { "from": "gpt", "value": "Target: Is there any corelation between gallbladder surgery and menstrual cycle?" } ]
[ { "from": "human", "value": "Source: Patient: I had a fall on my bike Sat. 9/3. I'm 60 years old. I hit my pelvis and groin on the bar. I'm severely bruised,have a lump on my pelvis. I'm not having any issues with urine or bowel movements (no blood in either). I'm very sore,but not in severe pain. I,m mainly concerned about the bruising and what to be concerned about. Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have history of fall. So there is high chance of bony or soft tissue injury. You should go for imagine technique like x ray and mri. Then you should 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 treatment for bruise and lump on pelvis after falling from bike" } ]
[ { "from": "human", "value": "Source: Patient: Hi Doc I am 21 year old man...and I recently saw this itching spots they appear whitish below and arund my penis I thought I t was something normal so I really didint pay attention to it but Doc its been only a couple of Weeks and they have spred widely and I think its getting serious...I need help Doctor: Thank you for query.It may be due to fungal infection.Please take following precautions.Use loose cotton clothes.Keep area dry.clean area with warm water twice daily.Apply antifungals like clotrimazole cream.Take oral antifungal like flucanazole 150 mg weekly once for 4 weeks.Check for diabetes if any and have a good control to prevent recurrence.Treat the partner also with antifungals.consult doctor if does not subside.You can get back to me for any clarifications with the photos.Dr Bharatesh D Basti Dermatologist and Venereologist" }, { "from": "gpt", "value": "Target: What could itchy, white, spreading spots around penis indicate?" } ]
[ { "from": "human", "value": "Source: Patient: Hi im experiencing dry itchy swollen skin in my inner thighs warm or hot water when bathing make it itch worse I do have a case of eczma does this sound the same I always us hydrocortizone cream but when I stop the use of it the redness itcy and swelling worsens can u help me Doctor: Hi,It seems that probably you suffer from fungal infection on upper inner thigh, called tinea cruris. It is caused by fungus called dermatophyte. It may be precipitated or exacerbated by certain factors like perspiration,excessive water contact,soap,DM,immune deficiencies,nutritional deficiencies..etc. never apply steroid cream as you applied, as it might increse the condition. You may take antifungal like tab ketoconazole or cap itraconazole for few weeks. Antihistaminics like levocetirizine may be taken till itch is relieved. Apply clotrimazole cream. You may feel better. You have eczema also. Take treatment under observation of dermatologist. I hope you got my answer.Thanks.Dr. Ilyas Patel MD" }, { "from": "gpt", "value": "Target: What is causing dry, itchy swollen skin in inner thighs?" } ]
[ { "from": "human", "value": "Source: Patient: Dear Doctor My Name is Reddy from India. Three months back i got some viral fever with abdomen pain with Vamtings.that time doctors told that it is a viral Fever.Later after one week the fever was cured and also vomtings.Now I am in belgium and after i came here I had some abdomen pain like acidity. Docotors make blood test and confirmed the Past Hepatitis A affect.Doctor gave some Immuno Globin Injection. Earlier i Did not maintain proper diet.But after these confirmation I am maitainig Proper Diet. My Question is how about the danger it is and still how many days it take to cure.The doctors also did Abdoman scanning and it says Liver is in Normal Situation.Please help it Doctor: Thank you for posting your query at HCM>you have been diagnosed with previous HepA viral infection which most probably have been possible by detecting antibodies against this virus in your blood.No need to worry.HepA infection(usually a \"self limited\" common cause of hepatitis)liver enzymes take 6 to 8 weeks to completely return to normal values.Advice - abstinence from \"Alcohol and drugs\" (even after enzymes are normal)(below advice until liver enzymes are nomral):- LOW or fat free diet should be followed- eat small meals (fat and red meat free) at regular intervals.- Moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day- recheck liver enzymes after 4 to 6 weeks.- viboliv drug maybe usedwish you good health.further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik" }, { "from": "gpt", "value": "Target: How long does hepatitis A take to get cured?" } ]
[ { "from": "human", "value": "Source: Patient: I am 40+ and have pigmentation on my chin since a couple of years. one of my friends who was a victim of pigmentation for a long time and got relief from it applying Melacare, has advised me to apply Melacare. Can I do it without prior advice of any dermatologist? Doctor: HIThank for asking to HCMI really appreciate your concern, looking to the history given here I could say that, this could be comedo (Blackheads) and this need to be ruled out and for that you need to see the dermatologist because if this is comedo then sometime this is to be removed, again for this you need to discus this with the skin specialist, using any local application is not advisable, have a nice day." }, { "from": "gpt", "value": "Target: Can i use melacare for pigmentation without prior advice of any dermatologist?" } ]
[ { "from": "human", "value": "Source: Patient: Hello, I have been diagnosed with TB and started the course today only. The Doctor prescribed me 2 Forecox tablet before break-fast and 1 Benedon tablet anytime a day. But after taking the medicines severe itching started all over my body and i noticed some rashes also. Kindly suggest me something to reduce this itching. Please also suggest me food that i can include in my diet to get rid of this allergic reaction... Thanks female,23 Doctor: HelloThanks for asking us.I am Dr Aamir and i will be answering your query.See TB treatment is of 6 months if you in category one which means you took tb treatment before and also the medicine is freely available in government hospitals.You should go to a government hospital and start your treatment there under DOTS.In my opinion you are having allergic reaction to the drugs your doctor prescribed you .As you already got itching and rashes all over your body.Did you get fever also?Consult a TB specialist for your treatment ans drugs.Stay healthy" }, { "from": "gpt", "value": "Target: How to treat TB?" } ]
[ { "from": "human", "value": "Source: Patient: hi sir my mother kidney has failed.but my blood not match.i am very sad.but a man want to donate kidney.but doctor has demand paper.i am very sad.if my mother will not well then i will also die.doctor are god for patient.wat do me.please sir save my life. Doctor: Hello and welcome to HCM.As an Urologist and transplant surgeon,i can understand your anxiety.What you should realize is,that a doctor is not God. He's a man like you.Only God decides our future. Everyday,thousands of children are dying.But their parents and family,face it with courage,not taking own lives.If the blood groups don't match,transplanted kidney will be rejected. Kidney failure is treated by a dialysis or a kidney transplant.But latter's best.All clearances for doing transplant,must be cleared by a board,to be safe.If you've any doubts,you may send all reports to me, as a direct question.Dr.Matthew J. Mangat." }, { "from": "gpt", "value": "Target: Suggest safe treatments to transplant kidney" } ]
[ { "from": "human", "value": "Source: Patient: Hello. For the past 2 years or so, I've had a lot of irritation and uncomfortable feeling between my anus and my testicles. in the area i have small spots and when i rube it with hand its get red and some time bloody, the irritates get more I walk or sit down. The uncomfort is even worse when I am acting physical. i need for help Doctor: Hello,You are having intertrigo problem according to provided history. I suggest you use topical steroid cream to be applied over that rash. If you are having itching than anti fungal cream also should be used. If no improvement than consult nearby dermatologist for detailed evaluation Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician" }, { "from": "gpt", "value": "Target: Suggest remedy for irritation between anus and testicles" } ]
[ { "from": "human", "value": "Source: Patient: Hello, tonight my son was pitching in a baseball game and took a hard hit ball up the middle off the shin. He developed a pretty good sized goose egg. He has had Motrin and is icing it and keeping the leg elevated. Is this something that can wait until the morning rather than wasting our time tonight in the ER Doctor: Hi there,I completely agree that I think you would be wasting your time in the ER (as well as overpaying). I would keep your son's leg elevated, ice him with 15 minutes of ice on, 15 minutes off, and have him rest the leg. Motrin is fine for pain and it may also help with swelling. It would be reasonable to continue to see how he does - if his pain isn't improving, you can take him to his regular doctor or an urgent care that has x-ray cabaplities in the morning, or even wait a couple days if he's improving.I hope this helps!" }, { "from": "gpt", "value": "Target: How can a painful lump on the shin be treated?" } ]
[ { "from": "human", "value": "Source: Patient: Hello Am 35yr old married for last 4yrs trying for a baby for almost two years h Hello Am 35yr old married for last 4yrs. trying for a baby for almost two years h/ever unable to conceive. There are many reasons a) my fallopian tubes are block, got lapo-hystro but not useful. Doctors were unable to remove the blockage b)i don t produce egg and even if i do it is very less in nos. took medicine, not very helpful C) Last month we got IVF done, could produce only 2 eggs which didn t fertilise. We want to know if there is any solution in aurveda , pls help. thanks for your help . wbr SS Jadhav Doctor: Hello Mrs Jadhav Welcome to health care magic. I understand your concern. But as you know structural malformations cannot be corrected by any alternative mediicinal systems like Ayurveda/Naturopathy/Homeopathy etc. However the ovulation can be improved to a greater extent also the quality of eggs. I would suggest you to visit a Panchakarma ayurveda center to avil the benefits. Also practice yogasanas regularly to improve the circulation to ovaries. Dr.Sneha Sama wellness clinic Disclaimer" }, { "from": "gpt", "value": "Target: Is there any treatment in Ayurveda for cure of blocked fallopian tubes and increasing the production of eggs ?" } ]
[ { "from": "human", "value": "Source: Patient: i am 26 year old got married 2 years back and trying hard to get pregnant i am diagnosed with bilateral polycystic ovaries an year ago.. initially after my marrage my gynocologist treated me with birth control pills for 6 months because i had irregular period problem and due to personal reasons i could not visit her again then after one year i went to other fertility specialist and she advised to do IUI and we did 2 IUI S which was failed then doctor suggested me to go for laparoscopy but i did not do that. Then 4 months back i meet my family doctor the one who gave me birth control pills and she suggested me to take glycomet 500 tablet and its been since 4 months but still no result and i am gaining weight and i have irregular periods but last month at menstrual time i did not get the enough bleeding and it was same this month also , please help me how i can improve my firtility and get pregnancy soon and how i can get free from this bilateral polycystic ovaries Doctor: Hello thanks for your query. PCOD ( polycystic ovarian disease ) is one of the most common conditions affecting women in reproductive age group. It is characterized by multiple small follicles in the ovaries, of which none ovulate, and hence, pregnancy is a problem ALongwith you may have other conditions like diabetes, insulin resistance, increased androgens in the body etc and irregular periods. Please follow an Infertility Specialist, and have your complete workup for PCOD done which includes FSH, LH, adrenal hormones, thyroid profile and blood sugars. Also, your partners semen testing is essential. What was the pattern during the previous IUI ? Did you successfully ovulate? If not you need further medication/injections to help you ovulate. Since you are 26, you have time on your side. Please go for tubal patency testing ( laparoscopy ) as advised and then for further IUI./ IVF. Please remember that weight reduction and an active, healthy lifestyle are the key factors to control PCOD. Take care" }, { "from": "gpt", "value": "Target: Trying to concieve. Diagnosed with polycystic ovaries. No help from IUI, Glycomet. Suggestions?" } ]
[ { "from": "human", "value": "Source: Patient: Dear doc, I am at age of 21 years but due to excess of masturbating iam suffering from night fall problem and also my penis is bending towards left side when errrected. Although I have stopped masturbating since 3 years but till now the problem continues. Kindly syggest the treatment and precautions so it can help me for long term and with zero side effects. Doctor: HelloSpontaneous semen ejaculation at night may be due to over excited state,inadequate emptying etc.Mild deviation of penis is a normal phenomenon during erection.You should try relaxation technique and avoid provocative literature and videos.You should try to be calm and go for yoga,mediation.You should try to engage yourself in your job.You will be fine with above mentioned measures.If findings persists then you may need psychological counselling.Masturbation is acceptable but its obsession is bad.Get well soon.Take CareDr.Indu Bhushan" }, { "from": "gpt", "value": "Target: How to overcome masturbation addiction?" } ]
[ { "from": "human", "value": "Source: Patient: My 6 year old has a history of vesicoureteral reflux and has had corrective surgery over 2 years ago. The last 7 months she has had symptoms of a UTI, fever, body aches, and urine analysis comes back with WBC elevated enough to diagnose as UTI but then the culture doesn't grow anything. 3 weeks ago she had a 107 fever, body aches, tested pos. for UTI then started diarrhea, vomiting. tested neg. for strep, neg for flu and blood and urine analysis show bacterial infection but neither cultures grew anything. What could be going on? Doctor: Hello and welcome to HCM,A history of fever, body aches along with presence of pus cells and bacteria in urine examination is suggestive of urinary tract infection (UTI).The condition has to be treated as UTI and antibiotics have to be started even if the culture is negative.Mixed infections are characterized by evidence of infection on routine urine examination and negative urine culture.Consult your primary healthcare provider for prescription of antibiotic.Thanks and take careDr Shailja Puri" }, { "from": "gpt", "value": "Target: What causes elevated WBC with diarrhea and vomiting?" } ]
[ { "from": "human", "value": "Source: Patient: Hello. I am 47 , 5'4'' AND 100 pounds. I was 130 pounds this time last year and felt pretty good. I eat 2,300 calories a day and have been having chest symptoms that are uncomfortable when under stress. Could my weight be affecting my heart? I have lost a lot of muscle and experience fatigue with an inability to handle stress. I have also had an abnormal aldosterone test many months back.Vanessa Stroud Doctor: Hey, I am Dr Sameer, Cardiologist.First with this high weight getting fatique easily can be there. But chest discomfort during periods of sttess can be a symptom of underlying cardiac disease. Their is a test called stress echo which can be done to rule out cardiac disease. Also get thyroid profile tested. Consider loosing weight gradually than all of a sudden and excersise regularly.Thanks" }, { "from": "gpt", "value": "Target: Would excess weight be the reason for excess stress and fatigue?" } ]
[ { "from": "human", "value": "Source: Patient: my wife is suffering with uncontrolled flow of urine. she has been suffering with this for last 10 years and doctors in India found nothing and said it is psychological. She recently diagnosed with Lymph-node TB in UK and is currently under medication. Doctors haven't confirmed TB as the reason for uncontrolled flow of Urine however we will have further tests after TB treatment. I just want to know from experts whether any such cases have been diagnosed with similar symptoms and wanted to take some advice. Doctor: Hi, thanks for using health care magic. i have gone through your available history. In psychological cause of urinary incontinence, it happens only during stress or occasionally. If she has persistent symptoms, it is advisable to go for urodynamic study to rule out urinary tract pathology. You can consult good urologist for the same. pelvic floor exercises like kegel, can be of some help. I dont think TB lymphnode can be a cause of urinary incontinence. thanks. i hope she will be fine soon" }, { "from": "gpt", "value": "Target: Uncontrolled urination due to psychological problems. On treatment for lymph node TB. Advice?" } ]
[ { "from": "human", "value": "Source: Patient: i work in a kitchen that the temperature exceeds 120 degrees. i sweat alot around my thighs and groin. i have noticed a rash developing for the past few weeks. i will not go away and it is not getting any better. it is painful and raw. i try to keep the area well washed and dry and use medicated powder to keep dry. what should i do??? Doctor: Hello,Thank you for posting on HCM.It seems you have got intertrigo.Intertrigo is an infection which occurs over any opposing skin surfaces , mostly seen over groin folds. Its caused due to bacterial or sometimes fungal infection.Overweight can increase the friction and thus predispose to intertrigo.I would suggest you oral antibiotics and antifungal tablets for few days along with application of antibiotic cream like fusidic acid and antifungal cream like clotrimazole twice a day for few weeks.Use dusting powder containing clotrimazole on daily basis to keep area dry and reduce friction.Try to reduce weight and maintain hygiene.Avoid tight undergarments and use cotton garments as far as possible.Hope this will help youTake careDr Hardik Pitroda" }, { "from": "gpt", "value": "Target: How to cure skin rashes?" } ]
[ { "from": "human", "value": "Source: Patient: I am experiencing vaginal swelling after intercourse when my partner is wearing a condom could I be allergic to Latex? I have also heard that this can be a sign of Cervical cancer? I did have an irregular pap smear and thin prep colposcopy several years ago with continued pap smears every year to ensure no further issues Doctor: absolutely, there is an entity called latex allergy and you have rightly suspected. you also need to see if you can get rashes on your hands if had worn a latex gloves also.surprisingly there also a content of suffering called semen allergy!!what all you need to be is, be observative next time, while contact with rubber products. and still have same complaints better to avoid them as avoidance is most safe and first step way out of allergies.and with your pap smear issue. i strongly recommend to seek a gynecological opinion at the earliest as this is an entity to be ruled out at the earliest." }, { "from": "gpt", "value": "Target: Can vaginal itching be due to latex allergy?" } ]
[ { "from": "human", "value": "Source: Patient: i have an excessive hair fall problem ..i m 21..and have almost lost half of my hair...recently i went to some local dermatologist and had few tests which reveal my testosterone level is below normal.Is this fall can be controlled..what is role of testosterone..?Does musturbation have any role to play...? Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of severe hair loss which can occur due to many reasons and in your case it seems main due to fluctuation in hormone levels.Need not to worry. I would suggest you to - Take a diet rich in supplements like Vitamin A, Omega-3 and Vitamin E. - Take a protein-rich diet and healthy food intake on a daily basis. - Avoid using shampoos that contain excessive chemicals. - Go for hormone replacement therapy if required.- Do massage of hair scalp on a daily basis. If symptoms keep on persisting visit dermatologist once and get it examined and start treatment with antifungal medication and shampoo. Mastubation as no effects as such. Hope your concern has been resolved.Best WishesDr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: Suggest treatment for severe hair loss" } ]
[ { "from": "human", "value": "Source: Patient: I am 30 year old,Hight - 5.3\" Waight -70 Kg.I want to try IUI .But i have not follical.my egg formation rate is zero.my recent usg report is - thin endometrium (3.4 nm) with small right ovary.Uterus (6.0 cm. X 3.2 cm. X 1.9 cm. & left ovary are just normal ,My SSG Report From 08-06-2011 B/L Patent Fellopian Tubes.Normal endometrial cavity..My period is no more without medicine.my recent hormonal reports are LH-1.52 ( in D3 ), FSH-3.95,PRL-10.30,Insulin (F)-12.56,Insulin (PP)-125.6,My AMH lebal in (06-05-2011) - 1.35 ng / ml. My Husband HSF Report -Quantity 2ml ,Active 35%,Sluggish 30%,Sperm Total 73 mill/ml, Doctor: HAI WELCOME TO HCM,YOUR hormonal levels were in normal range except insulin. your AMH is also good.we can try ovulation induction with hormone injections.if you dont grow egg with that you can go for invitro fertilisation where they grow your egg with injections." }, { "from": "gpt", "value": "Target: What does these follicular studies indicate?" } ]
[ { "from": "human", "value": "Source: Patient: In anger I kicked a metal filing cabinet with my right foot. I cannot walk on that foot, though I do not see any bruising or major swelling. It is exceedingly painful and hard to bend on either side. It is especially painful on the left side of my foot. Is my foot broken? Doctor: Hello, As mentioned that in anger you have hit are your foot to the hard object, you forgot to mention which foot actually it is; the right or the left? As you mentioned on the left side of the foot it still makes unclear that which left the side of which foot right or the left? But to make it simple if you are getting pain at the ankle level then there will be a ligament sprain. Which will heal in 2-3 weeks of time provided you use a foot brace which is something like a hard socks. In case if the pain is in the phalanges then also you need to take the brace as with just hitting the foot on the hard object we never develop a fracture. As the intensity of the hit from outside is actually far less because we control the movements. In case if it was a non controlled movement than we could have expected a fracture. Use hot water fermentation and use the foot brace for 2-3 weeks. Later slowly follow ankle toe moments and try walking on the toes - forward and backwards. You should perform well. On a safety note, I would advise you to take up a quick x-ray to make sure you haven't made any big injury. In case you have any other questions please feel free to contact me. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist" }, { "from": "gpt", "value": "Target: What does severe pain on foot after an injury indicate?" } ]