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{
"from": "human",
"value": "Source: Patient: today while i was doing number 2 i noticed that i dribbled about a spoonful of what seemed like ejaculate. I did strain to empty my bowels and felt like it was taking more stress than usual to completely feel emptied. I do take adderall almost daily 10mg. Im concerned and any and all help will be appreciated. thanks. Doctor: DearWe understand your concernsI went through your details. Dribbling of semen during evacuation procedure is quite normal process and there is nothing to worry about it. Your ADD problem is not to be linked with this dribbling.Your body produces semen whenever it is sexually excited. The produced semen is then stored within your body. The stored semen is a waste product. Your body will try to throw the waste product when it becomes excess. If you do not masturbate or engage in sexual intercourse, the body tries to throw the stored semen through other means. The frequently used other means are through nocturnal ejaculation or throw bowel movement. Over and above this process is automatic and you do not have any control over it. So please do not worry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: What causes semen like fluid leakage during bowel movement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, A friend was diagnosed with sarcoidosis about 2 years ago. He is a 38yo Caucasian male, exercises and takes good care of himself. A recent blood test returned a GGT of 131 and GPT of 68 BUN 22. Could this be due to liver involvement and if so, what are the implications? Thanks. Doctor: Hi, liver involvement in sarcoidosis is very common. Elevated liver enzymes in a non alcoholic sarcoid patient is mostly a consequence of liver involvement. This should not be an immediate concern to him as the progression of liver damage is rare. However, I suggest ruling out other causes like hepatitis B and C before anything. Hope this answer has helped. All the best."
},
{
"from": "gpt",
"value": "Target: Are abnormal GGT and GPT levels due to liver involvement in sarcoidosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 30 years old and having periods every 40 days.I also had a mis-carriage during the first 1.5 years. From there, we were trying and not succesful. So decided to go for treatment. Going for treatment for the past 1yr. Initial tests shows that insulin is not normal. doctor advised to take diabetin/glucophage 500mg.After these tablets, insulin become normal. Still continuing the tablets. Also, taking Diane 35/Progyluton for past 8 months, now i get periods in every 30 days. Doctor planned to do IUI initially and started the ultra sound scanning and found that no eggs formed on the follicle.follicle keeps growing and doctor confirmed that no egg found and it could be Follicular ovarian cyst . Also taking serophene 50 mg (2 day to 6th day) and doctor planned to increase it to 100mg later on. Also if it doesn t work she planned to do injection. Q: 1. Wanted to understand the criticality of the problem? 2.Can you suggest good gyna in chennai? Doctor: hi welcome to healthcare magic your complaints are resembling with PCOD, in which scanty menses and abnormal ovulation is seen here the whole pituitory-thyro-overian axis is defected, in short the mess in hormonal status to know better, you need to discuss thouroughly and go for systematic treatment and lastly, if possible,prefer ayurvedic treatment for hormonal correction,to avoid future complications take care dr.rajesh [email protected]"
},
{
"from": "gpt",
"value": "Target: Abnormal insulin without any eggs in follicle, could i be pregnant ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i just want to ask that i masterbate every 4th day or some times after a month , does this effect in fertility , as am losing my hair for this , in my family there is no baldness symbol , doctor gace me , a medicine for hair , but sites say that this will effect my sex harmone ,,,,,, plz guide regarding masterbation and hair Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. 1. Take good nutritious diet full of green leafy vegetables and milk. 2. Frequent masturbation doesn't cause hairfall. 3. Take an iron supplement and vitamin B12 supplement once daily for 3 months. 4. Other treatment options are topical minoxidil and mesotherapy done by a dermato-surgeon. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Will frequent masturbation cause hair fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir my uncles esr levels has increased upto 60 his age is around 65 and he is fit.his knees have some severe pain for that he takes some pain killers.his cholesterol is also around 300 what precautions he should take and what ayurvedic medicines he can take plz ans Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should take the treatment for joint pain, as ESR increases because of the inflammation of the joints.ESR is erythrocyte sedimentation rate. It is a non specific marker of inflammation. It can raise in any inflamattory condition. All your father has to do is he has to control the cholesterol and joint pain.I advice you to take anti inflammatory medication like diclofenac under your doctors guidance. It relieves pain and inflammation.Please eat high fiber diet like vegetables. Avoid eating high fat diet. High protein diet will be preferable. I advice your father to do small exercise like walking. Because it helps in both reducing cholesterol and joint pain.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to control high ESR levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i touched a patient who is suffering with psoriasis vulgaris. Next day, i got mild itching and exfoliation of skin on my fingers. i want to whether psoriasis is communicable. My dermatologist has said to me that i am suffering from contact dermatitis and he prescribed me initially propyzole cream and levocetrizine . i have no relief with symptoms. once again, i consulted him and he changed the drug to HH Salic 6 ointment and oral flucanozole and levocetrizine. i am suffering from diabetes for the past 6 years and i am in good control with oral medications. Doctor: Hello Psoriasis is not communicable. Doctor is treating you for a fungal infection as well as for contact dermatitis. That's the rain he had given fluconazole and propyzole cream. I would recommend that you continue with HH Salic 6 ointment. If the diagnosis is contact dermatitis that will be helpful."
},
{
"from": "gpt",
"value": "Target: Mild itching, exfoliation of skin on fingers after touching one with psoriasis vulgaris. Is it communicable?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have had an itchy skin rash that seems to come and go appearing in different parts i.e., back, legs, tops of hands, neck. Nighttime and morning seems to be the worst. I am still breastfeeding my 2yo and i am 41 yo. This rash has been going on for a year now. I asked my DR. and she didn t have any answers other that maybe Im allergic to something. Apple cider vinegar as well as aloe vera seems to bring much relief but I want to know what is happening. Please help. Doctor: give details about the type of rashes,burning sensation or appear in winter?etcfor confirm diagnosis and treatment"
},
{
"from": "gpt",
"value": "Target: What causes a skin rash on the back, legs, hands and neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 23 year old female and have been experienceing a high pulse ranging from 88-112 and by BP will be as low as 96/65. I have been going through some possible bouts of anxiety I am going to see my doctor tomorrow what should I ask her? I am very worried. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. From the given symptoms, it is very difficult to diagnose your problem. Low BP with high pulse rate is supposed to be anxiety and stress. You also mention that you faced panic attacks. Your decision to consult physician is wise. Work with him for a diagnosis and cure. Exercise, work hard, be creative and engage in hobbies.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: How to get rid of anxiety?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've tried ashwaganda brahmi combo and the first week I felt so much better,had more energy ...etc,then when I got my period had very intense anxiety simptoms.Do you think this might be do to those supplements.I started those to help with stress!Thank you Doctor: hithanks for using healthcare magicAshwagandha brahmi combo is a herbal product and it hardly cause any anxiety symptom. in ur case anxiety may be due to premenstrual syndrome which happens due to hormonal imbalance. if u again have such problem next time then u should consult a psychiatrist for further treatment.thanks"
},
{
"from": "gpt",
"value": "Target: Does taking ashwagandha brahmi combo cause intense anxiety symptoms during periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...Dear Doctors, I am trying to conceive since last 1 year first six months i used to take novelon pills . My husband sperm count was initially 8 ml whcih was done in dec 2009 later in feb so we consulted Surgeon he has prescribed him paternia tablets twice daily and his last sperm count was 21 ml in feb month . We also visted gyneac she suggested for IUI but my husband could not masburate on his own as a result we could not give the semen required for IUI and they do not allow the semen collection from home. Would be really very thankfull if you could suggest the best advise which is affordable as i amd from a middle class family and could not afford high price medical treatments like IVF Awaiting for reply at the earliest . Thanks Regards, esteban Doctor: Hello,You along with your husband go and try to stimulate your husband for IUI sample in the hospital in a semen collection room or else you keep relationship with husband around ovulation.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
},
{
"from": "gpt",
"value": "Target: How to get pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a lump under my knee which is very painfull and begining to look blue! went to walk in centre last night and sais could be a abscess, so he put on something on to bring to a head, but has not done a thing, i take warafrin amongst other drugs as i have had embolisms, also i have oulmonery hypertension, the pain is just getting worse! help Doctor: HI,Dear,Thanks for the inquisitive query to HCM.1-I studied your query in depth.2-In my opinion , this painful lump below your knee,blue in colour,is mostly a hematoma-post-unknown-trauma,as you are on warfarin.3-I would advise you not to handle surgically as it would complicate your general health, which is already bad, being with pulmonary embo with pulmonary-hypertension. 3-a-I would advise you to consult your doctor Urgtly,as it indicates that warfarin dosage needs to b reduced after the Test for Bleeding time and prothrombine time.4-Hope this would solve your query .5-Wellcome for more queries to me On HCM.6-Thnks once again for your inquisitive query.Have a Good Day..!!"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump under knee"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi .. I m 5 feet tall with 110 LB weight. I had a blood chem and my blood was dark brown and viscous. My hb was 14.2 and hct of 42. I m female and not much of a water drinker.. I seldom drink. Fibs is 110, total cholesterol is 190, hdl 93, LDL 96 triglyceride 145, bun 20, creatinine is 1.2, sgpt 39.1 and sgpt of 36. Any advise to lower creatinine, shot/sgpt? And what of the dark blood? Doctor: Drink plenty of water. This may bring down your creatinine level gradually. Your hdl level is good enough. Continue life style modifications to keep all things normal."
},
{
"from": "gpt",
"value": "Target: What do my creatinine level, HDL, LDL level and triglycerides show?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a disc bulge l4 l5 and s1 .i have sprained my back a few times .and underwent prolotehrpay physiotherapy .i statred dance exercises now and im in pain.its been more than 1 year since i have been in pain.its on and off.wat would be a great method to do at home.some exercises for strengthening hurt my back.please help me. thank you so much YYYY@YYYY Doctor: Hi, You should start doing some back strengthening exercises like lying on tour stomach, pull up your upper body with support of your arms and hold for 10 seconds. Repeat it 8-10 times. Second stand on your toes and stretch like trying to reach up to the ceiling, third sit in a kneeling posture bend over and stretch. These should be good to start with."
},
{
"from": "gpt",
"value": "Target: Disc bulge, have intense back pain, recurring sprains. Which exercises for strengthening the back can be done at home?<br>"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a 4yr old, that had a bit of a stomach flu for a week, wasn t eating much and didn t have a bowel movement and within this last week has been eating more but still hasn t had a bowel movement...he has been struggling all day today and nothing has happend. I have been giving him plenty of fluids, apple juice, blueberry juice water and nothing...don t know what to do?? Doctor: HHello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice. I will suggest using laxatives tablets just for this case or Microklist to ease bowel movements. After that, give healthy foods, such as soup, fiber, kiwi, apple/orange juice, fig jam and an abdominal massage would help his bowel movement. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Elona Dashi"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a stomach infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am on implanon, it's been 4 yrs without my period. Yesterday something felt no right down there, irritated.. But not yeast infection, sex last night was very painful and never is. Today I woke up with heavy bleeding, cramping that feels like contractions and causes me to breathe heavy and pain in my back and legs. Is this just a period or am I having a miscarriage? Doctor: Hello,thanks for using health care magicImplanon is a progestin based hormonal contraceptives. The most common side effects are changes in menstrual patterns including absence of menses which is the case with you. Other possible side effects is the formation of clots that produce that produce severe pains in the location affected. The calf muscle and lungs are frequently being affected by clots and clot formation could be potentially dangerous and lethal. The risk of clot formation is even more in women with other risk factors such as obesity, cigarette smoking etc.Generally, it protects for a period of three years. After which the effectiveness is no longer guaranteed. Haven been on the implanon for over four years, the bleeding you experience could be due to a miscarriage or an abnormal bleeding related to implanon decrease.However, it is necessary to do a home pregnancy test to rule out pregnancy and to see a doctor to rule out a deep venous thrombosis ( clot).Best regards and hope this helps you.Dr Achuo"
},
{
"from": "gpt",
"value": "Target: On implanon. Missing periods, painful sex, cramping, pain in the back and legs. Miscarriage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir,i am suffering with mental depression.There is no excitement left in my life. i dont wish to do anything.i am taking \"quel sr 100\" tablet but to no use, i am feeling more and more sleepy which i have told to my psychaitrist in pune. can u advise some remedy to me which will bring liveliness in me.regardsashish Doctor: HiI had gone through your query.quel contain qutipine and it is used in only bipolar depression.Dear If you are diagnosed with unipolar depression then it wont help much.For unipolar depression medicines like SSRI is the choice.For bipolar depression medicines like lithium/lamotrigine/combination of fluoxetine and olanzapine etc can be useful.But before that you need proper consultation and proper diagnosis for better outcome.so consult psychiatrist and get help.I hope i have answered your query.Wish you a good health.thank you."
},
{
"from": "gpt",
"value": "Target: How to overcome depression?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had sever problems with myback ( L3, 4, 5 ansS1) for over 20 years I m wondering if this could be causing my upper back ( bra line) to be hurting. I have been seeing specilists after specialist but keep forgetting to ask. Thanks so much for your time. Tracy Doctor: Hi, I had gone through your question and understand your concerns. The answer to your question is yes, having problems with lumbar column for a long time can cause pain above in thoracic column because of the continuous incorect posture of your body caused by pain, and I asume there might be a degenerative disease affecting your vertebral column. Next time you see your Doctor, you can discus the possibility to do plain radiographs of your thoracal-lumbar column, as a start examination to check for scoliosis or kyphosys of your column. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions."
},
{
"from": "gpt",
"value": "Target: What causes pain on the upper back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had small red bumps on my penis right under the head for about a week. there was no discomfort, itching or burning. They went away on there own and there are no scabs or crust, just a small red spot where it was bumpy. It was also mainly on the left side of the penis and occured after I had a tiny cut from friction during intercourse. now that it is completely healed up (seemingly) i have a slight pressure or tingling sensation in the penis that is barely even noticable. I also have a somewhat sore throat and cough ( I have been chain smoking because of the stress, possibly the cause?) I am uncircumsized and have recently changed body wash and used a new lube. Doctor: Hello,Your sore throat might be due to smoking as it acts as an irritant to the throat and lungs and may provoke infection as well. Red bumps over penis has number of reasons ranging from irritation, infections and certain skin conditions like eczema and psoriasis. If these bumps are recovering itself with just good lubrication its fine, if not go and see your doctor you might have encountered some sort of infection.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Could red bumps on penis and sore throat be due to smoking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have sore nipples lower back pains lower abdominal pain cramps hungry all threw out the night nauseous after I eat certain food and vulva tender could I be pregnant . I haven t had sex in three weeks with out birth control and condoms I used the pull out method could I really be pregnant ? Doctor: Hi, if you have delayed the periods, then you may be pregnant. You can do a urine pregnancy test at home to confirm. These symptoms can be premenstrual also. So, after pregnancy test, you can clear your doubt. Hope I have answered your question. If you have any other query, I will be happy to help. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Could i be pregnant as i have abdominal cramps and sore nipples?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 11 yr old son has had chronic constipation since birth and has been on numerous medications senna lactulose picosulphate movical and enemas to no avail im at my wits end his diet has improved and he is eating well im fed up of being told he will grow out of it please help Doctor: Hello,Family history is significant in this case otherwise, give a high fiber diet and increase oral intake. Give glycerine suppository if needed. If nothing is working then go for an endoscopy.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Hina Javed"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for child suffering from chronic constipation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi.i want to concive from 6 month.but unfortunataly i m not successd. my periods ae regular and its repeat about 24 days befor the last one. after sex to two or three days later i feel teander breast and bloting and crampes and same ituation bfore my periods. but still not pregnent.my hb is 12. uti are normal .i have no type of infaction. hcg are 0.200 just. now my dr pescribe premarine 0.625 on the first day of periods and use 10 days. 2:tab cerophene 50 mg on the third day of eriods and use 5 days. 3:tab g-folic regularly twice a day. what its help me out to concive? plz help me bcoz i really want to concive . Doctor: Hi, You did not mention your age. As you are trying since 6 months only let me clarify you that chances of being pregnant in each cycle if everything is normal is hardly 10-15 %. As your cycles are pretty regular so mostly you dont have any issue with ovulation. Cerophene basically is an ovulation induction agent that will help to those not ovulating and premarin will cause endometrial lining growth if your lining is not upto appropriate. The symptoms you have told may be a part of PMS & it can never predict pregnancy. I think further plan is basically depends on your age. If You are more than 30 You need to consult your doctor along with your partner to get a baseline evaluation done. If you are younger you can safely try for a couple of months more before taking any medications.."
},
{
"from": "gpt",
"value": "Target: Can Premarin and Serophene help in getting pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am 25 year old man with weight 68kg and height 5.11 . I have cough problem from last 5 month. In a week I have cough regularly for one time for 1 and half hour. This happen only one in a week and other 6 day I am fit 100% fit. Why this happen? Doctor: you have allergic cough, so when you get exposure to allergans you got coughing. if coughing persistant than you consult your doctor and take treatment for that. if recurrent , than go for allergic tests and immunotherapy."
},
{
"from": "gpt",
"value": "Target: What is the reason for me to cough continuously for an hour once in a week ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...My son is 7 years old and every time he plays real hard and gets hot he gets a severe headache, vomiting. He has done this for several years and has learned when he feels a headache coming on to stop and cool off, before it gets to a severe point, do you know what the cause of this would be and how to prevent them? Doctor: Hi, But in this case we need to consider sympathetic overactivity and also childhood migraine if there is a positive family history. Please discuss these possibilities with your pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes headache and vomiting in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doc... My 13 month old is having a bad cough accompanied with high fever and wheeze. He has been given nebulization with beudecort twice today ,and once with levolin.How soon can I repeat levolin , as he seems still very uncomfortable . Thank you. Worried mom... Doctor: your child seems to have either bronchiolitis or a viral pneumonia, the hint here is the wheeze, if your child have bronchiolitis then the bronchodialator like levloin and inhaled steroids like budesonide will not add much but sometimes it's helpful .if the child is not hypoxemic and he doesn't have shortness of breath and sever tachypnea ( high respiratory rate ) then you can manage him at home with these nebulizers otherwise he should be admitted .the salbutamol or levolin can be repeated every 3 hours unless the child experience a rapid heart beat . if your child is not assessed by his pediatrician I recommend you take him before any further treatment for better assessment .I hope this helps"
},
{
"from": "gpt",
"value": "Target: What is the treatment for cough , high fever and wheezing in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the ER yesterday because I became dizzy, nauseated, off-balanced when I walked and I had blurred vision and saw black dots. I often feel this way and have been able to get over it, but I was unable to on yesterday. The ER MD told me that my iron level was at 7, which is very low. One other symptom that they noticed was swelling in my ankles that went up my legs. What does my iron have to do with these symptoms and what can I do to overcome the iron deficiency? Doctor: Hello, Your symptoms are due to anemia. your hemoglobin level is low .Get your iron profile ,Vit b12 and folic acid level done to rule out cause of anemia. Your physician will correlate blood test reports clinically and if reqd further test may be advised .You have swelling in legs it may be due to low protein in blood .So the swelling may be due to anemia ,Kidney problem,Thyroid problem or any cardiac problem . For iron defeciency you may be given injectable iron along with oral iron tablets .You should take care of your diet also .Take fruits and vegetables rich in iron"
},
{
"from": "gpt",
"value": "Target: Had nausea, dizziness, blurred vision, swollen legs, increased intensity this time, told low iron. Overcome iron deficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my daughter is 4 years and 11 months old. She s complaining about stomach ache. Took her to a doctor and got colimix syrup which I give 5ml every 6 hours to her. But she s having diarrhea and vomiting. It is very severe. She doesn t eat anything now. Please help. Doctor: HiThanks for writing to health care magic.Diarrhea is usually viral and may last for 5 days.Give ors and zinc.Ensure minimum 6 times urine output in a day.try cyclopam for stomach painWishing your child good healthRegardsDr Arun"
},
{
"from": "gpt",
"value": "Target: How can stomach ache with diarrhea and vomiting be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad was diagnosed with myelofibrosis. I don t know what stage. He tells me the doctor said he has no bone marrow. He is being treated with blood transfusion every month and prednisone. He has dropped a lot of weight but his mobility is good. When we ask how far along is he in this disease and what else can be done we aren t getting any answers. He is 77 and he is being seen by a hematology onocology specialist. What else can we do? Doctor: Hello! Welcome to HealthcareMagic! In this case one option is remaining i.e. allogeneic stem cell transplantation — stem cell transplantation from a suitable donor — is the only treatment that has the potential to cure myelofibrosis. But it also has a high risk of life-threatening side effects.Many people with myelofibrosis, because of age, stability of the disease or other health problems, don't qualify for this treatment.Prior to a stem cell transplant, also called a bone marrow transplant, you receive very high doses of chemotherapy or radiation therapy to destroy your diseased bone marrow. Then you receive infusions of stem cells from a compatible donor.After the procedure, there's a risk that the new stem cells will react against your body's healthy tissues, causing potentially fatal damage (graft-versus-host disease). Other risks include organ or blood vessel damage, cataracts, and the development of a different cancer later on.so palliative care is done for on going symptoms. Take care Regards, Dr. Akhilesh Kumar, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for myelofibrosis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is anoymous. my kidney transplant was done 8 months back. i recently missed my dilzem sr 90 dose for 2 days continously. as i didnt get the medicine in my locality. pls tell me that would there be any problem. i would get that medicine by tommorow. pls reply. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dilzem is a brand name of Diltiazem. Missing Dilzem for two days won't cause any problem in transplanted kidney and nothing much to worry about it. You can continue the tablets for the next day on wards. Wishing you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Will missing dilzem sr tablets after kidney transplant cause any problems?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir i am 41 years old male .when i was 17 years of age in the morning i felt biurring in vision sound was not normal headche and in right hand was felt light. this is happened about 10 times till now .later i came to know that it happens due to hypertension . some say it is because of hypoglycemia.now i am taking bp tab. as well as my trip 10mg daily. suggest me the actual cause for it and best treatment. Doctor: If u r having persistent headache and visual complains, I would advise u to get an MRI brain. Of it is normal, it might be due to.migraine. need to examine and get more detailed history."
},
{
"from": "gpt",
"value": "Target: What causes blurred vision and head ache"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had right upper back pain for 8 days. I went to the ER on monday. Did.chest xray and VQ scan, all negative. Im still on pain and red blotches on my back where the pain sight is. No Itching, burning. No hx of blood clots, no sob, no chest pain . Just constant back pain and red blotches. ER said after 6.5 hrs i just have back pain. I have tried heating oad, ice, tramadol, flexeril ,motrin , lortab Doctor: get complete blood count done.skin specialist for red blotches evaluation.Back strenghthening execises from a physioththerapist."
},
{
"from": "gpt",
"value": "Target: Back pain, red blotches on back. Negative chest x-ray and VQ scan. Tried tramadol and heating pad"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m having really bad stomach pains right after eating. The pain subsides after an hour or so, and I feel hungry again, but after I eat, I feel the same pain. I m usually a very healthy person, and I m not sure what s wrong! I recently have been sick with a fever and nausea and bloating never seem to subside. Can you please help me get this sorted out? Thank you so much! Doctor: Hi.Thanks for your query.Noted your history oh pain in abdomen on eating, which subsides after one hour. This is indicative of gastritis.This may be related to the problems you are having of fever, nausea and bloting or caused by the medicines.The cause can be entric fever or so.I would advise you to go for clinical evaluation by a Doctor, investigations as suggested and proper treatment.Till then get started with Omeprazole, dompridone, antacid gel and symptomatic treatment."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for abdominal pain after eating"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The veins on my left arm and chest, up to my neck are all very visible. Some of them on my forearm are swollen and I have a weird bumpy rash there too. I have a very faint pain in my chest as well - I have a doctor's appointment in a couple of hours, is it okay to wait? Doctor: yes you can wait for consult as examination is very important in your case.Just make sure you have accompanying person with you."
},
{
"from": "gpt",
"value": "Target: What is the cause of chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have a swollen Uvula and have been taking penicillin since monday, there has been some reduction in size of the swelling but i am not getting chest pain ocassionally when taking a deep breath. Also, cant seem to catch my breath when exerting myself. Is this normal? I have a half marathon on Sunday and am a bit worried about not being able to catch my breath Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.You have probably landed up with an upper respiratory tract infection. Its going to stay for some time and penicillin is going to take some time. You may also start warm saline gargles and take some voice rest. There is nothing to worry as of now. Also you may take some ant acids like ranitidine for the burning chest pain that you are having.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy"
},
{
"from": "gpt",
"value": "Target: Have swollen Uvula. Been taking penicillin. Why chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have recently started to get chest pains and went to my doctors about it and they have put it down to scar tissue from where i had open heart surgery when i was 4. I just wondered if this is caused by scar tissue or if there is something else wrong? Doctor: Thanks for your question on HCM.in my opinion you should get done chest x ray and ultrasound examination of local part.As pain in suture site suggest infection, inflammation or pus formation.So we need to rule out these first. So get done ultrasound examination and rule out all these.We also need to get done chest x ray to rule out lung infection as cause of pain.If everything above is normal than no need to worry much.It is just a pain due to scar. Take painkiller for relief."
},
{
"from": "gpt",
"value": "Target: Could the chest pain be due to the scar tissue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i just recently have been having a problem. i constantly have to rub my big toe and the one next to it together. its on both feet. last night i couldnt sleep for 2 hours because i couldnt stop rubbing my toes together. i needed to put sneakers on just to fall asleep Doctor: Your problem can be a symptom of obsessive compulsive disorder. If this is irresistible urge and you get anxious if you dont respond to this urge, you might have OCD."
},
{
"from": "gpt",
"value": "Target: What causes an urge to rub the toes together?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I took a test to see what my oxygen levels were during the night. The test showed that I woke up as many as 18 times and my oxygen level dropped into the eighties and sometime as low as 74. I don't feel any of the effects of this. Is this something I should worry about/ Emerson Doctor: Hello dear Emerson Thanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with shallow breathing most probably in association with underlying stress , anxiety issue .* Not to worry but require physician consultation for anxiety management .* Deep breathing exercises , walking in fresh air , YOGA will help you tremendously . - Avoid stress , anxiety , smoking , alcohol .Hope this will help you for sure .Welcome for any further doubts .Regards dear ."
},
{
"from": "gpt",
"value": "Target: What causes low oxygen levels in blood?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an oral thrush. Had them for about 2 weeks now. Realized my threshold towards spicy food significantly reduced. It burns every time I have curry or even when in contact with pepper. It s that sensitive. However, most of the white spots( candida ) bacteria is gone. My mouth looks totally normal, yet these symptoms still persist. I have taken Betadine mouth gargle for a week and haven t tried anything else. Doctor: Hello, I am Dr.Neha Gupta (dentist) and am glad to address to your query here. Thrush is a yeast infection of the mucus membranes in the mouth and on the tongue. Thrush causes white patches in the mouth and on the tongue. Thrush is also common in the elderly because of weakened immune systems. Some people get thrush when they take certain medications like antibiotics or inhaled corticosteroids. Some conditions make thrush more common such as diabetes and HIV. Thrush is not serious and can be treated with antifungal medications. Usually a liquid or lozenge is prescribed first and then a pill if these do not work. Doctors generally can diagnose thrush by just looking in your mouth. Take care and please keep me informed of your progress at healthcaremagic through my profile directly. Regards"
},
{
"from": "gpt",
"value": "Target: Have an oral thrush, burns every time. How to get cured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mood is horrible in the evenings from about 6pm on. I don't feel tired I exercise eat right and have an all around well balanced life. The problem is every night I want to explode, so i hide. I don't drink ,although maybe a glass of wine would calm the nerves?? helppppp. Doctor: HiThanks for using healthcare magicLow mood in evening is towards mask depression. In that case, you can take antidepressant that would keep you away from such mood swings. You can also do some relaxation exercise if you do not want to take antidepressant. Better to consult a psychiatrist for proper mental status examination and plan the treatment. In case, you need any help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: What is the reason of mood swing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello. mu name is saima and i am fro pakistan. i have a hen years old son and no kids since then. i consulted with a doctor ans and was indicated primary infertility . i was advised liproscopy die test pmb. results were as follows. Utrus: normal sized, mobile, no adhesion , both ovaries normal in size, negative follicular activity and corpus leutum. left ovary involved in filmy adhesion. fallopian tubes involved in filmy adhesions. Prognosis . poor for child baring. i was advised IVF . i want to make sure if there is any way i can get pregnent with any kind of medication. male factor is ruled out. Doctor: Hi, You have not mentioned your age & whether tubes are patent or not. If tubes are open & your age is Wish you good health."
},
{
"from": "gpt",
"value": "Target: Laproscopy done. Advised IVF. Any chances of getting pregnant with medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had nerve damage surgery on my left foot on Oct. 31st,2011. Then shortly after I got my stitches out my inscitions opened up. I had a 2nd surgery on Dec. 10th 2011 & am now wearing what they call a wound vac machine. I have been taking 2 antibioctics. Last Friday after taking a culture of my wounds told me that I have a bacterial strep infection in my foot! What is it? & Is there anything that can be done about it? What are the symptoms of strep foot? You would think my foot would heal by now! Doctor: Strep is a common type of bacteria that often causes skin and wound infections. There are different strains of strep, one type of which causes strep throat. You could have that strain or a different strain. Skin and wound infections with strep may cause redness, swelling, pus, pain and heat in the area. There could be a lot of drainage of pus. Antibiotics are used to treat strep. When a culture is done, they usually test how sensitive the strep is to different antibiotics. They can then identify the correct antibiotic to use and switch you to it. I am not sure about the dates you give. If the surgery indeed was back in 2011, it is indeed way too long. (It is awfully long if it was just 2013.) If the infection has gotten into the bone, this could be the reason. These type of infections are difficult to cure and require extended treatment with antibiotics. Hope this answers your query. If you have more questions, I would be happy to answer them."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a bacterial infection in foot after a surgery"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: gd mrng sir... hre is a problem that i m not able to make any decision..pls help me.. sir..i met an accident on 26 dec 2013.at that time x-ray was normal.then i ws undergone under surgery specialist for my wound treatment on my left midfoot.. bt after the wound being ok..swelling was not gone & it becomes more after walking. again i went to doctor for treatment for swelling on 3 feb 2014. he suggested for a xray & found fracture in 2nd,3rd & 4th metatarsals of left midfoot.. thn doctor advised to not to worry..it ll become ok itself by 6-7 months. bt today on 13 march 2014 swelling is not going. sir..pls suggest ur own views thank you!! Doctor: don't worry about the swelling,get a repeat x-ray done to confirm the healing of the fracture.if the fracture is healed icing and compression bandaging will help on reducing swelling.check your muscle strength,you need to do exercises like cycling,running(if possible on treadmill)hope you find this useful,in case you want any further help feel free to contact me"
},
{
"from": "gpt",
"value": "Target: Why hasn t swelling in foot subsided after undergoing surgery to treat wound from an accident?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 30 year old male,190lbs and had mono ten months ago that is experiencing a number of symptoms for a few months now and do not have access to a doctor. To make this quick I will list them.Slight pain in right testical.Small pimple like bumps on pelvis and shaft of penis.General fatigue and random hot flashes.Difficulty maintaining erections.Pain while urinating.I did have access to a testing facility recently and tested negative for all stds. The only thing that showed up was that I had white blood cells in my urine. Not sure if this matters but I have also been severly depressed over the past year due to some horrible turms in my life.Any ideas? Doctor: Hello, It may be due to epididymitis. For further assessment, you may require ultrasound scrotum after physician consultation. For pain, you can take tablet acetaminophen. You may require antibiotics cefixime after consultation. Use scrotum support. Avoid strenuous activity. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shyam Kale, Family and general physician"
},
{
"from": "gpt",
"value": "Target: What causes pain in testicles with bumps on pelvis and penis shaft?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: for the last four days i have been having chest pains. the type of pain that just feels like a bad bruise on the inside and eventually makes my upper back hurt. i feel weak and shakier than usual. my nose started bleeding monday night and then again tuesday morning. i have been throwing up after i eat since saturday night. and my stomach feels fine until then. i went to the er and they took chest xrays and did a pregnancy test which as negative. the xrays showed no concern so i really dont know whats going on. Doctor: Hello there, Thanks for posting on HCM, From your description you are having a chest pain that is probably due to peptic ulcer diseases (PUD) or gastrooesophageal reflux diseases (GERD) or acute gastritis or acute oesophagitis. If you would have precised the exact location of the pain or where it pains most ( like the pain is retrosternal) it will orient us better into determining the origin of the pain. If the pain is more on the ribs, then it might be acute costochondritis or angina pectoris. Normally before performing an X-ray, doctor had to examine you physically and locate the area where the pain is most intense either by properly interviewing you and/or examining you before requesting for X-rays or laboratory tests, as this would have oriented the exams asked. I suggest you still get back to the hospital and get examined properly. As if any of the above mentioned conditions are responsible appropriate treatment will be required. If acute PUD or GERD or Gastritis then proton pump inhibitors such as omeprazole or h2 inhibitors such as ranidine and/or associated to antacids to treat the affection will be required. Running a test to determine the presence of H. pylori will also be important to determine infectious cause of the gastritis. Hope this helps"
},
{
"from": "gpt",
"value": "Target: Suffering from chest pain, feel like bruise with back hurt. X-ray normal and UPT negative. Suggestion?<br><br>"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My wife was doing some working activies in the lounging room and suddenly she accidentally hits the sofa pole. Her knee is now swollen and it is getting a bit bigger day by day. 3 days have passed. What is your recommendation please? Eventually we are thinking about doing an X ray. Thanks for a kind answer Doctor: Hello dear,The symptoms as mentioned in your post can be attributed to accumulation of fluid in the knee joint, secondary to the musculo-skeletal injury .X ray of the knee joint will be helpful to rule out any fracture or other pathological causes.Symptomatic relief can be obtained by heat therapy, application of analgesic & muscle relaxant gel, intake of analgesics like Diclofenac+ Serratiopeptidase (to be taken after food) and Pantoprazole (to be taken 30 minutes before meals).Supplements of Calcium & Vitamin D can be included in diet which will help in strengthening of bones.Physiotherapy exercise will also be helpful.If symptoms still persist, kindly consult an Orthopedician for proper clinical examination.Also she should maintain adequate hydration & nutrition status, take proper rest and avoid stress.Wishing her a Good Health.Take care."
},
{
"from": "gpt",
"value": "Target: How to treat a swollen knee that is rather increasing in size daily?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is being diagnosed still, but he appears to have BradyCardia. However, his blood pressure is normal. His heart rate was 33 bpm with the EKG. What are the reasons his blood pressure is fine but not heart rate? also he has always played sports what is the prognosis of him being cleared to play sports. Doctor: welcome to hcm ...please see that bradycardia may be due to sport activity athletic activitiesplease get ascessed by echocardiography and thyroid status and if it is normal and your bp is normal and you are not having symptoms then just relax if you have any further query then you cancome backto hcm i will definitely helpyou and guide you appropriatelywith regards dr varinder joshi"
},
{
"from": "gpt",
"value": "Target: What causes fluctuations in the heart rate while having normal BP level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello dr. i am 30 years old male married from 3 month ago , i've done semen analysis it is as following sperm count 135million/ml semen volume 6ml PH =8 liquification time = 15minabnormal forms 20% motility : 60% active after 3 hours but there is pus cells present (12-15) i did a culture of semen it shows no growth what do you think about the results ? is it good or it is needed to take an antibiotic ? Doctor: elloYour semen analysis findings may indicate semen infection.Infection is indicated due to presence of excess pus cells in semen.Normally semen shouldn't contain any pus cells.No growth of organisms may be due to many reasons,you may go for repeat culture and sensitivity.You may need investigations like routine hemogram,random blood sugar,semen culture and sensitivity,ultrasound of scrotum.You may need to take antibiotics based on culture and sensitivity report.Motility is normal.Normally it should be at least 55 %.Your findings suggests over all 60% motility,so it is normal.Sperm count is also normal.It should be at least 20 millions/ml.Other factors like semen amount,pH,morphology etc are normal.Fertility is expected to increase with control of infection.If infertility persists then you may need assisted fertilization techniques.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What does my semen analysis report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir, iam roy ,presently working in kuwait, on my forehead there is one small limb size a grape, and also have cough and cold since last three months.Imet one ent doctor here in kuwait and took the priscribed medicine.But there is no any change.My all teeth also have little paine sometime.I check the blood also. The result showing faty liver.So can you send the repley.--ROY. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Well and there are two main types of fatty liver disease: Alcoholic liver disease and Nonalcoholic fatty liver disease. You can get alcoholic liver disease from drinking lots of alcohol. It can even show up after a short period of heavy drinking, other causes are obesity and hepatitis B and C.If you have alcoholic liver disease and you are a heavy drinker, quitting is the most important thing you can do. Talk to your doctor about how to get help. If you don't stop you could get complications like alcoholic hepatitis or cirrhosis. Even if you have nonalcoholic fatty liver disease, it can help to avoid drinking. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week.Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on drinks with lots of sugar like sports drinks and juice.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health."
},
{
"from": "gpt",
"value": "Target: Can fatty liver be related to cough, cold and lump on forehead?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an mri and they found a \"intense white matter in my frontal lobe\" but said that everything else was good and no \"acute abnormalties, normal flow\" and so on... just that one thing which was described to me as a vessel thats messed up or something.. also said it wasnt infected. I have a dr appt in a cpl weeks but should i stop smoking weed or will that not matter? Doctor: Hi, Thank you for posting your query. The hyperintense area in the frontal lobe is most likely due to an ischemic lesion (lack of blood flow in the brain). Various underlying causes may be responsible such as high sugar, BP, cholestrol, etc. However, it may be a good idea to stop smoking weed. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected]"
},
{
"from": "gpt",
"value": "Target: Had MRI, found intense white matter in frontal lobe. Should stop smoking weed till visit doctor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have too much wrinkles under my eyes and fine lines allover my face and i am only 21 what should i do? Doctor: Hi It is difficult to just say wat can be done by description given, i have emphasized again and again to many patients that diagnosis and management of most of skin condition requires examination by inspection which is possible when you see a patient personaly or the photograph. I feel majority of doctors over here would not be able to advise you except for many vague remedies unless they see it themself. I request you to either use the paid section of this website to consult a good dermatologist or visit a dermatologist. Take Care Many Doctors may still differ from what i said Criticism are most welcome"
},
{
"from": "gpt",
"value": "Target: How can one get over wrinkles under the eye and fine lines on the face ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i AM A KNOWN CASE OF DEDIFFERTIATED CARCINOMA OF THYRIOD WITH METASTAS TO LUNGS . i HAVE SEVERE BREATHING PROBLEM AND FEEL OF SUFFOCATION . i HAVE IN PARELLEL SEVERE RHUMATIOD ARTHRITES MANAGED BY PAIN RELIEVERS SUCH AS TREMEDOL +CROCIN +FANTYNYL 25 MICRON PATCH . I AM TAKING RAMIPRIL 2.5 MG BDTO MANAGE MILD HT AND HUMAN MIXTRAD INSULING TO MANAGE DM. I AM ON 24 HOURS A DAY NOIN STOP OXYGEN 4LITRE/MIN . PL ADVISE IF I TAKE BLUKOF OR ANY OTHER MEDICINE TO RELEIVE THE CONGESTION FROM THE CHEST AND THROAT PASSAGE , THE FEEL IS ALWAYS GASPING FOR BREATH AND SOFFOCATION . ( I AM USING BIPAP IN THE NIGHT AND DAY TIME ON SOS BASIS ) Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* As you are on highest doses of pain killers possible , still I would suggest for your case - preference of semi reclining position - intravenous or oral bronchodilators , corticosteroids - deep breathing exercises , meditations - positive thoughts - no smoking if doing Hope this clears your query .Welcome for further questions .Regards ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for breathing problems & suffocation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am diabetic and taking insulin in following doses.Humologus 50:50 --- 20 / 20 / 14 units per day + Lanctus 8 units at bed time + Glycomet GP - 2 ( 1 --- 1) but my sugar is still high ( FBS - 198 & PP 394), HbA1c is 8.6. Please recommend medicine to control my sugar level.email : YYYY@YYYY Doctor: hai,yes your sugar levels are very high, your taking medication but along with that your diet should be in control'you please avoid rice and take jawar are wheat ...please completely avoid sugar sweets .not more than 1fruit in one day. take frequent small meals with light food.still sugar not control meat doctor they will add acarbose combination"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to control blood sugar level"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. My sister is 23 years old and is suffering from very low HB that is 3.5. Two years back she had severe bleeding due to fibroids and after that she s on medication. Her bleeding has become better but her HB has fallen down a lot. I am really worried what to do. Should we go for a blood transfusion. Doctor: Dear patient.Greetings from health care magic!!! I am Dr Thakker and shall be answering your question.I can understand your reservations about blood transfusion and when it should be done. I will try my best to answer your question and guide you through the problem.Your sister has a HB of 3.5gm/dl. The normal HB for her is 12gm/dl. Her anemia can be multifactorial, blood loss due to fibroids, nutritional, menstrual loss. HB of 3.5gm/dl is a very low haemoglobin. The body goes into a state of high output cardiac failure and blood is not able to deliver enough oxygen to the tissues. Oxygen is a basic requirement of the cells. Hypoxia leads to accumulation of acids in the blood and the patient feels tired and breathless. Hence I would recommend your sister be transfused with a total of 3 to 4 packed cells to get the HB till 7gm/dl. She can then be treated for the cause. she can then be given hematinics, intravenous iron and treated for fibroids if any.Current day transfusions are safe and the risk of acquiring diseases is minimal. Hence you shouldn't worry about that,.I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.Yours sincerely,Dr Thakker."
},
{
"from": "gpt",
"value": "Target: Is blood transfusion necessary for low HB?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My doctor has given Zanocin 100 syrup and meftlal syrup to my 7 year old child. It cured 12 days old fever. After gap of 7 days fever is repeated and we have also repeated same treatment. It seems curing. temp not crossing 100 F. Should we continue zanocin for 3-4 more days. Doctor: Hi...Thank you for consulting in Health Care magic.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.MEFTAL-P CONTAINS MEFENAMIC ACID WHICH IS A NSAID. IT CARRIES THE RISK OF GASTRITIS AND RENAL PROBLEMS IN THE LONG RUN. PLEASE DO NOT USE MEFTAL-P. 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: Should we continue zanocin for recurring fever of a 7 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hai Doctor, I am 31 year old unmarried man. I have been using psychiatric drugs for 9 years.At the beggining the medicines were Olaweb , thiozine and Cap neuro web.6 months later I started feeling discomfort and began a feeling that I can'tn't stop my thoughts.Then the doctor started Qutace and venjoy by removing thyrox and olaweb gradually.Then instead of Qutace Quser XL 300 had been started and Venlaway XR 75 instead of Venjoy and also started Olace 10 and Dipro OD 500. Now I am using Dipro OD 500, Venlaway XR 75, Q web 200 all at 2 times Besides I use Envas 2.5 mg at morning for BP and Human Mixtard insuline 12 ml morning and 8 ml Evening and Thyrox 50 and Supradyn tablet daily. Will all this medicines affect my body negatively? For what problems I am using the psychiatric medicines? Can I stop all medicines by curing my problems ? Can I marry and lead a happy life with my partner? Now I am feeling that all these health problems are caused because I was trapped by my neighbour. Because I was hospitalized because of fever and didn't cured. Then my neighbour forced me to go with him to a private hospital where he knows a doctor and I was admitted there and there when the medicine was injecting to my body it affected a great pain flows from hand to my head and after a weak I lost all my controll and that neighbour took me to a psychiatrist and told him about my little jokes as madness and then I began to treated as a mentel patient. But now I am feeling so good and within this period I went to study and occupied a Govt. job and occupied Driving Licence and is using my own vehicle.But now only that neighbour is not talking to me. As earlier now also I wish to live long with good health. But I am so tired now. sir please give me a solution to save my life if there are any possibilities. I request you to keep my personal details including name to be secret. Thanking you, X Doctor: HIThanks for using healthcare magicYou have mentioned about the treatment history, but did not mention about the symptoms you have for last 9 years. I think, i can say, that you may have bipolar disorder that why you are not valproate, quetiapine etc. May be due become diabetic due to metabolic side effects of olnazapine or valproate. You can be drug free and live a normal life, but better to take these drugs for few more years. In case, you need help, connect me.Thanks"
},
{
"from": "gpt",
"value": "Target: Does psychiatric drug possess any negative impact on health?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son is 3 years old and has been ill with a virus i.e hot tempreture, cough, the shacks some times and has also developed red sports around his mouth and a few on his cheak, so i have given hid calpol over the last few days and he seem to be making a recovery so he went back to nursery today, and when collecting my son htey told me that during the day my son had come up in red bloches on his arms and legs both of them, but then had soon gone away, so when bring him home he didnt want any dinner and soon feel asleep, so we put him to bed and after a few hours he seem to b unsettled and starting to cry and when checking on him, the red bloches had come back up and was on both arms and legs, and they are still there, would b greatful for you advice... Doctor: Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: How to treat raised body temperature,cough and red blotches on arms and legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter had her tonsils and adnoids takes out a week ago she tripped and fell hit her nose and it was bleeding it stopped coming out her nose but it fresh bright blood in the back of her throat. I don t want to be a paranoid parent should I take her to hospital Doctor: Hi,Thank you for asking question on health care magic.Slight bleeding from the operation site is common for 1-2 weeks.If the bleeding is profuse you need to take her to hospital.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: Does blood in the throat because of a fall after tonsil removal need medical attention?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey, this is really embarassing. This morning when I woke up I noticed I had a big bump on like the middle of my butt crack.... It s like dark red and its risen up on my skin. When i press on it, it kind of feels like a blister; like if you burn yourself and it bubbles up and you can kind of move it? If that makes sense. That s kind of what it feels like but its really big and is irritating me. It doesnt hurt to bad unless I put pressure on it. I havent tried popping it yet. Im just really concerned. Please message back and let me know what you think it might be. Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some abscess or soft tissue mass. You should go for examination. If its like abscess then you go for incision and drainage. If it is sime other pathology then go for excision biopsy and histopathological examination. 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: What causes red bump on the middle of butt crack?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last night When I was sleeping I suspect a spider bit me in the testicles.They were really itchiy.Then throughout the day today My scrotum has been getting increasingly bigger and filled with fluid,now it is the size of a grapefruit.also seems to have a hard streak on the underside. Doctor: Hi,It seems that there might having allergic reaction due to some insect bite giving edema on the part and severe itching.Apply ice pack on the affected part.Take antihistamine like Cetrizine or benadryl for a day or two.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes the bulging of scrotum with itchy testicles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi...Had a partial hyst/bladder lift on March 1st. Brutal surgery lasting 6 hours. Lots of endometriosis mess. Post-op, at week three I began gushing liquid out every time I stood up. They discovered a bladder fistula. Had to go on a catheter for 4 weeks to see if it would heal on its own. I'm at week three now with it in, facing a cystoscopy in one week to see if it's healed or further surgery is needed to fix it. Yesterday, I developed unbelievably sharp pains near entrance to catheter. Doctor says it's bladder spasms. Just took first prescription pill for it and hour ago with no change. So discouraged. Pain is sharp and intense, coming in waves. Is there anything more I can do to make it subside? Also, what are the chances this 4 week catheter adventure has cured the fistula without more surgery? Doctor: Hello,thanks for using health care magicThe bladder epithelium heals very fast and with only mild injuries, healing can occur within a few days. However, in your case with already an established fistula chances of spontaneous healing are reduce compared to if the catheter was placed immediately after the surgery in which case the borders of the fistulas are still fresh.For the pain, it would be necessary to complain to your doctor who could add the dosage of the pain killer or consider to change the catheter. Best regardsDr Achuo"
},
{
"from": "gpt",
"value": "Target: Had a partial hyst/bladder lift. Discovered bladder fistula. Suspected as bladder spasms. Is there anything more I can do to make it subside? Worried?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter recently broke up with a boy and she is constantly calling him, unhappy and crying excessively. She states she doesnt know why she does it, but she can t help herself. she also feels that if she calls him, he might get back with her. He s told her he may take legal action if she keeps calling him. She is 19. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The treatment of obsessive compulsivebehavior and depression is often accomplished with use of medications and psychotherapy. As you might be aware no two patients are similar and often complete assessment is required before starting the treatment. However I feel that she suffers with acute stress reaction after the break up with her ex boy friend. Time is the one factor which can help in acute stress reaction but having supportive attitude toward her can help her early in compare to normal healing process after emotional pain. In case she remains anxious visiting a counsellor is recommended. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can severe depression and obsessive behaviour be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor. My husband's has been feeling really weak and his body temperature increases rapidly and then reduces after half hr or so. He does not have any other symptoms of fever like runny nose or watery eyes. We saw a doctor and he put him on an antibiotic for 3 days assuming that it is fever but the problem still appears. Can there be other reasons for increase in body temperature? Doctor: Hello, Fever with weakness omif not resolved by antibiotic course than you can rule out hyperthyroid by serum TSH estimation for primary work up. It's advisable to investigate with CRP estimation, Elisa test for hiv and hepatitis profile, widal test etc for further work up. 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: What causes body temperature increase with weakness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have mild vericocele in my sperm analysis the immotale rate is showing as 70%. sperm count is perfect what should i do to have better sperm motality. i have fathered one child and we are trying for the second baby. iam a regular smooker and i use to smoke 5 cigarrets in a day, wil my motality increase if i stop smooking Doctor: Good Day and thank you for being with Healthcare Magic! Yes your motility and sperm quality would very much increase after cessation of smoking. This would take a while around 3-6 months before you see improvement since the life cycle of one sperm is 70-90 days. Antioxidants will also help like vitamin c, vitamin e and zinc supplements. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes."
},
{
"from": "gpt",
"value": "Target: Suggest methods to improve sperm motility"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: infected toe..already finished amoxicillin, 20 tablets-still infected..If I take any more I will get yeast inf. went to Dr B Saffron..is he really a medical doctor and podiatrist?- YYYY@YYYY )mrs carroll boutte. I have problems getting to a doctor. I have to use a walker Doctor: thanks for posting your query to hcm.Infection in toe could be because of bacterial or fungal . amoxicillin is a antibacterial agent ,will not treat yeast infection . further I would like to suggest you that you should first undergone culture and sensitivity examination of your infected site and than start antibiotic s per the sensitivity report. Injudicious use of antibiotic may leads to drug resistance . I suggest you to consult a general surgeon and take treatment under his guidence .hope it will help you ."
},
{
"from": "gpt",
"value": "Target: What causes a toe infection despite taking Amoxicillin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have yet to be diagnosed after several tests over the last 3 months. I have high blood pressure every day and my face gets red and splotchy and blood pressure medicine does not work. my neck stays red as well. I have pain on my lower right side and sometimes stomach pain. I have a dull headache every day and feel fatigued quite often. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Regarding your concern, I would explain that your symptoms could be related to a metabolic disorder (thyroid gland dysfunction, pheochromocytoma, adrenal gland hyperplasy, etc. ). Coming to this point, I would recommend performing further tests to investigate for the possible causes: - thyroid gland dysfunction - cortisol and aldosterone plasma levels - urine metanepherines. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can high blood pressure cause flushed face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For the past few weeks I have been having abdominal pains and been having yellow feces that burn. For days I have been having a fluctuating fever, my normal temp. is usually 97.9 but for the past few weeks it has been switching from normal to 99.8. In the past I have been to the ER multiple times on account of severe stomach pains/aches, twice a doctor told me that I could ve died if I had not gotten to the ER because my stomach was about to explode. Doctor: Hi.Your symptoms are suggestive of an intestinal infection or may be typhoid or other specific infections. I would advise such a patient to take a complete course of an antibiotic most suitable to treat infection of intestines like ofloxacine or cefixime and metronidazole as per your Doctors directions.See the results , May be within 5 days the burning and motion will become normal and fever will be subsided.Many times a subclinical infection can cause such troubles.I would also advise you to go for tests of stool and blood including that for typhoid.Please let me know the followup."
},
{
"from": "gpt",
"value": "Target: What could be the reason for having abdominal pain and yellow feces?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a Colonoscopy in the 90's and felt everything it was very painful. The Nurse;s told me that I had so many abdominal surgeries that is why. My colon was like cement. Can I be assured that I will not feel anything if I have another one I am now 55 and have not had one since because I am scared. Doctor: Hi and welcome to HCM. Thanks for the query. Well it is more painful if you had colorectal surgeries in past but so many years after surgery there shouldnt be some significant pain. Also,it can be dine under general anasthesia so consult your doctor about it.Wish you good health. Regrads"
},
{
"from": "gpt",
"value": "Target: How safe is having Colonoscopy done twice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Salam O Alecum Doctor, My name is Qasim, Dear Sir actually i was suffered in bad things during my old days my age is 29 and now i am going marriage but there is no timing is remaining, even when i think about this topic or i touch to my penis i ejaculate very fast less than 1 minute........... i want to marriage now but iam afraid that in even atfer touching i will ejaculate. please suggest me the soltion . i am from Pakistan. only 6 months remaining Doctor: HelloThanks for query .What you assume is not a Premature Ejaculation but is early ejaculation due to excessive sexual stimulation .Premature ejaculation is term defined as ejaculation that occurs within one minute after penetration of vagina while having sex with female partner. The ejaculation the you get immediately on touching your genitals is due to arousal and sexual stimulation is due to anxiety .You need to consult qualified Psychiatrist for counselling and further treatment .Do not worry this will get resolved with appropriate treatment by a qualified Psychiatrist .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for premature ejaculation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had sleep apnea for approximately 8 years now. I also have polycythemia vera which started around the same time. I was constantly having to get plebotomies every six months when I wasn't wearing my cpap all of the time. But for the last few years now, I've been real diligent about wearing it and I haven't had to get any phlebotomies. I'm now thinking that my polycythemia vera was because I was not getting enough oxygen? Am I on the right track? I would appreciate any help you could offer. Thanks. Doctor: Hello,Thank you for contacting HCMI understand your concern, I am Dr Arun Tank, Infectious Disease Specialist answering your query.Yes you are on right track.This can happen with you for low oxygen tension. As apnea occurs during sleep time there is adaptation by mean of increase RBC which leads you towards the poly cythemia.I advice you to use the cpap during sleep other wise the polycythemia will increase.I advice you to take the phlebotomies done and once the hemoglobin level is under control you can start using he cpap.You can ask for further queries here on bit.ly/DrArun.Thank you,Dr Arun TankInfectious Disease specialistWe wish you a best health at health care magic."
},
{
"from": "gpt",
"value": "Target: Can Sleep Apnea cause Polycythemia vera due to reduced oxygen intake?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My two year old has a cough, runny nose, fever. He has also complained about his stomach hurting, his eyes and his teeth. He complains more about his teeth right now more then anything. The fever began after he started complaining about his teeth. Should I be concerned or are these symptoms of the cold/flu? Doctor: Hi...I feel that this is a simple viral illness with cough and cold. Nothing to worry about it.for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes toothache along with fever for a 2 years old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i started taking apple cider vinegar capsules and have been experiencing leg cramps. I also take hydrochlorathiazide and simvasttin is it a combination of these that could be contributing to my leg cramps. I have also been eating a banana a day. It may sound crazy as it has only been six days but I am loosing some weight and don t want to stop but obviously do not want any health threats either Doctor: Hello, I have studied your case. simvastatin will contribute to cramp, consult your doctor to hold the tablet.Muscle cramps can be reduced byMassaging the cramped muscle with your hands or oilDrinking plenty of fluids to avoid dehydrationStretching your leg muscles or riding a stationary cycle.Taking diet rich in calcium and potassium or oral supplements of the sameCheck your vit B12 and Vit D 3 levels.Till time, avoid lifting weights, You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: What causes leg cramps in an obese person?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother is 72 and is in pretty good health. She doesn't smoke or drink. She does take medicine for her blood pressure which she started a few years ago. She has been dizzy off and on for a few days. She checked her blood pressure which was 140 over 74. Should she see the doctor? Doctor: Hello!Welcome and thank you for asking on HCM!Her blood pressure values are within the normal ranges. Coming to this point, her complaints could be related to an inner ear disorder, chronic degenerations of the cervical spine or low blood flow to the brain, probably caused by narrowed cervical arteries. Another possible cause to consider would be orthostatic hypotension. In such case her symptoms would be triggered by standing up. Does this happen to her?For this reason, I would recommend consulting with an ENT specialist and performing labyrinthine tests to exclude an inner ear disorder first. Other tests to consider if an inner ear disorder is excluded are: - a Doppler ultrasound of the neck vessels to examine the blood flow in them- complete blood count for anemia- blood electrolytes for possible imbalance- fasting glucose- a Head Up Tilt Test for possible orthostatic hypotension. You should discuss with her doctor on the above issues. Hope you will find this answer helpful!Wishing good health, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What could dizziness with high bp suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi ...I was having sex with girl on top..she may not be wet enough and i injured my frenulum...there was a lot of blood and it stopped after that..there was no blood again..my penis stings a little ... will it heal itself ? do i need to see a doc ? please advise ... Doctor: helloThanks for query.You have sustained injury to frenulum during intercourse and has had bleeding ..You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily. Ensure to wash your genitals with warm water twice daily .Ensure to avoid sexual encounters till it heals up completely. It will heal within a week.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Does frenulum injury heal itself?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9 year old autistic daughter has developed a thick layer of dark crusty patches under her arm pits, under her breasts, and around her neck. Do you know what this is called and how can it be treated? When she was born, she went to the NICU at 6 hours old with blood sugar of 15. She was there for two weeks then D/C home only after she was forced fed every hour to keep blood sugar above 60. She outgrew this problem at 4 months, and was D/C from Endocrinologist care. Could these darken areas be associated with blood sugar issues? Also just to let you know she has no controll to stop eating and her current weight is at 150 lbs and she is very active. Doctor: This could be acanthosis nigricans which is often a skin symptom of diabetes or a warning sign that diabetes is developing. I would recommend addressing this concern with her primary care physician to obtain bloodwork to test for diabetes."
},
{
"from": "gpt",
"value": "Target: What causes patches of skin in arm pits in autistic kids?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was shot through the right ankle area from inside to outside with 22 magnum bullet on Nov22 2014. It missed the artery, the bones, and most of the tendons. The doctor removed the parts of the bullet that was at the skin on the outside of the leg and left the small bits of shrapnel inside the leg. The wound has healed quickly and cleanly. The bullet seems to have hit or at least damaged the tibial plantar nerve. I am experiencing an interesting assortment of sensations in my foot. The area forward of the instep on the bottom of the foot has no feeling to touch but fizzes, bubbles, burns, tingles, stabs, and electric shocks causing me no shortage of miserable hours. It is generally worse evenings and unbearable at bedtime. My big toe and the one next to it are bending to the right and bend downward if I lift my toes toward my shins. My first question is: If the nerve is severed why am I having all these sensations in my foot? If it s not severed is it likely to heal and give me the feeling back in my foot? Can nerve damage cause my toes to bend and twist or does it sound like some other hidden damage. Even though I have no feeling in the foot, I m walking, with some difficulty, since I do have to earn a living. Will walking on it benefit circulation or is it detrimental? Thanks for allowing me to pile on the questions. M Doctor: Hello. Thanks for asking from HCM.I can understand your concern. As bullet injury occurred from inside out, it might have caused medial plantar nerve injury or tibial nerve injury just before bifurcation. It can only be confirmed by examination of your foot. Medial plantar nerve damage cause sensory loss or tingling/burning sensation on medial plantar area between big toe and adjacent toe. There will be weakness of big toe and adjacent toe plantar flexion. In your case, most symptoms are resembling medial plantar nerve damage. Now coming to your queries. 1. Severance or disconnection of nerve can be complete or partial. Partial disconnection can cause abnormal connection between nerve ends (neuroma).This can cause irritative symptoms like burning/tingling/insect crawling like sensations. Complete disconnection leads to loss of all sensations in affected region. Confirmation of it can be made by NCV/EMG studies.2. It is right that partial injury has more chances of healing than complete injury. Presence of some sensation is considered a good sign. Nerve regeneration and healing in such cases can occur unto 18 months, but maximum healing occurs in first 12 months. Even surgical repair of nerve shows some good results in first 12 months.But there is one problem. If irritative symptoms are severe and not decreasing even after medication, sometimes nerve is severed by doctor to relieve discomfort. 3. Walking or physical activity has nothing to do with healing of nerve. But it helps in stretching of muscles and acts like physiotherapy, which is good for muscles supplied by the nerve. You can passively stretch your toes up and down. It also prevents permanent spasm or contracture of joints and thus deformity. Do not overdo it. It can damage muscle.Some tips-Do not take any medications for healing of nerves as after 1 year of injury, drugs do not enhance healing. -Your are having small sized peripheral nerve injury. Repair of such type nerve is very difficult and results are not very promising.-You can take help of physiotherapist to learn about toe exercise.Thanks. Hope it will help you. Take care"
},
{
"from": "gpt",
"value": "Target: Can nerve damage cause toes to bend and twist?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 3 years old she began vomiting this morning she is complaining of being cold so I took her temp...its only 95 degrees. She is pale and her lips are almost a light tint of blue/grey. She is falling asleep in the middle of talking to me? what should I make of this? Doctor: Hi,From history it seems that she might be having dehydration causing all these symptoms.If vomiting does not stop then consult pediatrician and get her examined.Give frequent water, electrolytes and ORS liquid and keep her well hydrated.Give her light food.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes vomiting with low body temperature?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi iam usually fit i underwent a routine blood test for the purpose of immigration my eosinophil count is 0.9H red cell count 6.25 H,mean cell haemoglobn 25.9 pg L iam 27 yrs old male no other problems kindly advise me what i can do to correct these? Doctor: Hi, dearI have gone through your question. I can understand your concern. You have eosinophil count of 0.9 which is normal. No need to worry about that. Your rbc count is slightly high. You should go for repeat blood test after 15 days. High rbc count may be due to some dehydration. Repeat test with proper hydration clear the doubt. If you still have high rbc count then further investigations are needed. Right now no need to worry. No any treatment is required. 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 remedies for eosinophil count 0.9H and RBC 6.25"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is diagnosed with hfmd two day bk and my piediatrition suggested calosoft lotion for local application ..by application her rashes have settled and hve vanished . My question is can i send her to school ??how many days should i keep her in isolation? Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that HFMD is contagious, you have to atleast isolate her to 15 days. I advice you to keep watch in this period because there are chances of encephalitis in it. If you find any symptoms related to it, immediately send patient to the ER. I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic."
},
{
"from": "gpt",
"value": "Target: How long is isolation necessary after having hfmd?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am masterbating since i was 12 years old. now i am 26 years old. do it affect my penis health any how. my penis is long thick black foreskin now. also glans dont have irritating sensation which i used to have years back. how can i keep my sexual desires and penis healty for long term. Doctor: HelloMasturbation is not expected to influence sexual life but you should try to avoid excessive masturbation.You should avoid provocative literature and videos.You should try to be calm and try to engage yourself in your job.You may also need psychological counselling if needed.You should take healthy and nutritious diet.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Will masturbation effect my sexual life?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had his Apendix out One year ago. everytime he gets a bug bit or a (what looks like a pimple) it gets infected and a big puss core the size of a pea pops out. His leg was so infected the weekend they gave him 3 days of intervenus antibiotic. his leg is still hot to the touch. What should we do? Doctor: HI, thanks for using healthcare magicThe fact that the limb is still warm implies that the infection is still present. He needs to continue the course of antibiotics given.If he notices that the symptoms do not show continued gradual improvement over the next 24 to 36 hours, or worsen then he should consider contacting his doctor for a reassessment.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes a big infected puss core on the legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i hate a hard bump along my back molars. it starts by the back molar and goes up to the third molar. it has been getting bigger for months now, to the point i can t wear my retainer because it gets in the way. HELP! I m 21, could this be cancer? Doctor: Hi, it is very difficult to comment on the diagnosis without examining the bump. I advise you not to panic. Please consult a dentist for complete oral examination. It may be an abscess or a bony swelling. You must go for a biopsy to know the exact diagnosis. Please do not delay and go for examination and investigations as soon as possible. Wish you all the best!"
},
{
"from": "gpt",
"value": "Target: How can i get relief from bump along back molar ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 61 year old male.When i bend over , or sometimes when I eat, I begin to have my heart seems to pause be tween beats. What is really strange is that I can go sit in my recliner for a while and this stops. Could this be caused by some type of hiatal hernia? Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* Pause of heart beat can be associated with hiatus hernia through vagus nerve irritation mechanism .* But not necessarily every hiatus hernia will cause that .Hope this clears your query .Welcome for further doubts .Regards dear ."
},
{
"from": "gpt",
"value": "Target: Is hiatal hernia associated with pause of heart beats?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My daughter is 7 years old she is suffering from nephrotic syndrome from last 4 years.Can you provide me the permanent solution for this disease. her eyes are swelling. what should I do to remove the swelling??? Also please suggest me the diet for the same Doctor: Thanks for referral. Since nephrotic syndrome is an immunological disease it can be treated with drugs like Prednisolone. In diet avoid salty foods."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for nephrotic syndrome"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi iv got gul stones but tonight iv got a pain that come and gose on my left side at the top of my chest and under my arm pit any idea what it could be I am well in my self but when the pain come it mack me stop and take a min then I am fine thanks jen Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). Pain on the left side of the chest may be due to origin from lungs, heart or muscular. So I will suggest you to visit a doctor for physical examination and evaluation accordingly.I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon."
},
{
"from": "gpt",
"value": "Target: Could pain in chest and armpits be related to gallstones?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello my name is XXXX and I m a 21 years old female, By body been feeling weird lately and I m also on my menstruation cycle witch is awesome. from my neck to my back is killing me, my body feels weak, I have had bad pain in my head that spreads to my left eye, my throat been feeling funny, I m always hot, and I m have sharp pain in my leg when I walk, I m vomiting yellow, and if I don t eat in the morning I real fantic, I m constantly dehydrated I m kinduv foaming outthe mouth, and last but not least my breath is shorting it s hard to talk with out loosing my breath Doctor: Hi, As the MC is on, there will be a loss of blood volume leading to weakness alot and full body fatigue. Regarding the yellow coloured vomiting is due to excessive gastric juice being produced due to non eating on time and it's a common thing. Having electrolytes drink is good to subside the weakness and also the acidity. Pain which are radiating in nature taking to the leg and all are due to muscle spasm in MC (menstrual cycle). Using hot water fermentation for the neck and back will be helpful. Just a matter of the cycle to get over. You should be fine. Once the cycle is done you can do blood routine and urine routine. As Hb is found to be on lower side for most females and having good diet is advised or iron medicines. Urine routine will help us understand if you are having any kind of infection in body. Rest assured you should be fine once the MC gets over. 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 treatment for upper body pain, body weakness, leg pain while walking and headache"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Doctor I am using hydroquinone+tretinoin+mometasone furoate skinlite cream since 2months.cream is giving me better reasults on my face but some people are asking me stop the use becouse initialy they may be good but later they may darken the skin and damage the cells.....i am realy confused pls get me answer Doctor: Hello. Thank you for writing to usThis cream is a prescription product and it should never be used without supervision of a dermatologist. Therefore I too will suggest you to discontinue this cream.This cream can cause irritation because tretinoin and hydroquinone are known irritants.Regular use of this combination cream can cause side effects like Acne, Skin thinning and Photosensitivity, Hirsutism in females because of the steroid content of this cream.The best advice for you would be to visit a dermatologist in your region.Your dermatologist will be able to assess your skin problem and advice you accordingly.Since you have been using this combination already for 2 months, therefore you skin would be sensitive to sun.You may use a broad spectrum sunscreen, throughout the day. Reapply every 2-3 hours.Regards"
},
{
"from": "gpt",
"value": "Target: Suggest ways to obtain a flawless skin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: psoriasis vulgaris female patient from 6 months.took treatment in many special psoriasis hospitals.they flushed my body with full antibiotics & body hydration etc also using Propysalic NF6 ointment,momate cream,clop-G ointment,topisalic lotion for scalp ,Levocetirezine tablets etc etc ..but still psoriasis is not gone & troubling me like a hell..I ve not left any hope from life now & also my money is end now.. if u can help me plz tell some thing I beg Doctor: Hello,Welcome to healthcare magic.I understand that you are suffering from psoriasis and are extremely worried about it.Treatment of psoriasis depends on the extent of the disease. Creams and lotions are the 1 st line of treatment for limited disease. If they do not seem to be working, other options include phototherapy ( Narrow band UV-B and PUVA therapy). This involves exposing the involved sites to light of a particular wavelength in specialised chambers. The other options include oral methotrexate. This is a toxic drug but highly efficacious in the treatment of psoriasis. This is also cheap. However, you have to be monitored regularly for side effects.Other options include oral retinoids, cyclosporine and biologicals. These are relatively expensive and have to be monitored for side effects. Please discuss with your treating doctor about these options.Hope this helps you.Take care."
},
{
"from": "gpt",
"value": "Target: How to treat psoriasis vulgaris?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I son 1yr 7month old was having mild fever for 2-3 days. We gave him Crocin on SOS basis. Earlier he was not showing any signs of cough or cold. Now there is no fever since 2 days but he seems to be a bit dull and though he is not coughing when he sleeps he seems to be snoring. Soon after waking up his voice also seems to be bit heavy. When he cries nose starts running. What is the probable reason? Which medicine can be provided to him e.g. T-minic or Relent plus Doctor: Hi,Thank you for asking question on health care magic.Your son is suffering from cold.Timinic 5 ml 3 times daily will give relief from cold.Avoid cool drinks and keep the baby warm.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: How to treat fever and occasional cold in a toddler?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My boyfriend and I had sex like 5 days ago. we had sex 2 days after i got my period. when we were having sex he had to come he pulled it out but he was still hard when he put it back inside and a couple seconds later he got soft and made a noise.he said he think he came in me. 2 days later i spotted light pink blood when i used the restroom and my period isn t due for another 12 days. Later on that day I experienced headaches and nausea. Could this be early signs of me being pregnant? Oh and when i pee it kinda burnss welll it does alott Doctor: Hallow dear,The first symptom of pregnancy is missing a period. All other symptoms appear a week or two later which are nausea & vomiting with pica, frequent urination and breast changes (dark pigmentation of areola & nipple with increase in areolar size, engorgement with tenderness and secretions). Since he has ejaculated inside your vagina, the possibility of pregnancy does exist. Please get your urine tested for pregnancy if you miss your period to confirm the diagnosis of pregnancy. Hope this helps you,Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: Are pink spotting, nausea, headache and burning during urination signs of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, My name is laurie, im 56 healthy x-forces, given body quite a hard time over the years. so close to emmigrating to New Zealand, past both medicals, company and immigration stipulated doctor. my medical has been pulled by an assessor wanting more information of 3 old injurys but mainly a further liver blood test. My own GP and the immigration doctor are both astounded as they have both passed and signed off my levels. My GP has tested my liver in 08 and 09 and although raised, he is happy. The immigration lab test showed aspartate transferase at 43 and alanine tranferase at 65 also gamma gt was 71. I am a drinker, drinking every night, about 50-60 units a week, especially this past 12 months due to job and life stresses. My question, I have stopped drinking imidiently and will not touch alcohol untill this is resolved, i do have that disiplin. i have to have blood tests again. how can i improve my chances of dropping the high figures in the next 7-10 days? i do have up to 3 weeks, but that is too close to call in keeping the job available as if i fail, i have to have a report from a specialist by the 31st of jan. thanks very much laurie Doctor: hi.thanks for posting query at HCMUsually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal ( in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further.Alcohol ingestion and obesity are common causes of fatty liver disease.advice:- abstinence from \"Alcohol\" - LOW fat diet should be followed, AVOID junk food and beverages- decreased oil consumption (oily food)- NO red meat- green vegetables should be ingested daily- use lemon juice (lemonade) once in a day- reduce weight if overweight/obese-\"recheck liver enzymes after 6 to 8 weeks\" and/or ultrasound.any further questions are welcomed.hope to answer your concern.wish you good health.regards,Dr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: What are the merits of quitting alcoholic drinks?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife and I both started antibiotic treatments in the past month for sinus infections. Both of us now have severe itching around beltline, buttocks and thighs. She itches under bra strap. At night my itching worsens. No visible rash, only a couple of small welts. What could be the cause? Doctor: HI, thanks for using healthcare magicThe itching may be due to fungal infection especially since it is the areas that are moist and may have friction.The two of you can consider the use of a topical antifungal creams and topical steroid creams.The topical steroid cream would help to reduce the inflammatory response.Examples of topical anti fungal are nizoral, econazole, miconazoleA topical steroid cream such as hydrocortisone can be used.These medication may be obtained over the counter.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes itching around buttocks/thighs while on treatment for sinus infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: am 24 years old female,i got mums at 8 years. nw am suffering with mums my fear about complication like inflamation of ovaries,hearing loss like dat .i studied mums once oocur means that immunity will be there upto lifelong very rare only will got this again like that now my question is why i got again?and fear about the complication. Doctor: Hello,Welcome to health care magic,First thing i would like to know is who diagnosed it as mumps? Because it is rare for a person to get mumps at this age , since it is common in children.It might have occurred due to some infection of unknown source but it is not the bothersome thing.I would like to know your symptoms and if there is swelling or not and if it is so then on one side or both? If it is mumps , then you don't have to worry and you should take medications like antibiotics (augmentin duo),pain killers,anti-inflammatory and antihistamines and it will take generally 7-10 days for the swelling to subside. Also,do not worry about its complications as it can be cured with appropriate medications.You can take a normal diet with lots of fluids but just to avoid sour food like lemon etc. You can also use a hexidine mouth wash , to help maintain oral hygiene.Consult your family physician or ENT specialist for complete treatment.Thanks and regards,"
},
{
"from": "gpt",
"value": "Target: Suggest permanent treatment for mumps disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have some kind of whole or gap in my gums located in my left side near the back behind where my wisdom teeth were taken out. recently there has been food getting stuck back there and i dont notice it until i develop a nasty taste in my mouth and my throat will start to feel a little sore. Can you help me with this , do i need to see an ent speacilist Doctor: Hello,Once a tooth has been extracted, there is a long period of healing. Depending on the bone lost, there may be a concavity that catches food as it continues to heal. Sometimes tjere is extra tissue which can easily be refuced if there is a flap that catches food. If your socket is infected, you may have a bad taste and drainage from this location. A piece if tooth or bone may be present and needs to be removed. Rinse the area vigorously and clean well. Plan a return visit to your dentist or oral surgeon to evaluate the extraction site if symptoms persist.Thank you for your inquiry."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of dental infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Very swollen ankles and legs with huge amounts of fluids sacks around ankles and painful legs three times there size. Looks like I have Miss piggy toes. Been this way for about 10 days. Any suggestions Just had full check ups with all my spealists and this starts Help? Doctor: HiThanks for consulting us.I need more information to help you out. are joints affected or whole legs?Are there any skin changes?Do you have swelling elsewhere? what is Your gender? Do you have any heart ,liver,kidney disease.A detailed report and analysis by your physician would be great for me.Hope it is useful for you.Feel free to contact"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen and painful ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recently when walk down steps I have a popping sound in my left knee that I had a Meniscas tear and repaired 8 years ago. No pain but the popping noise concerns me. I work out on an elliptical machine about three days a week and do other leg exercises like lunges and squats since I’m an avid snow skier. Season around corner so I would like some advise. Doctor: Greetings As basic as it may sound, there is no simple answer to that question. Popping in the knee joint can range from basic laxity of ligaments to the early signs of osteoarthritis. Considering your case, since you had a meniscal tear there is a minor chance you might progress to early osteoarthritis. The simplest way for figure that out is to get an xray of the knee joint. If that is normal, most likely it is some other cause, most of which are not very Harmful in the long run.Hope this helpsDr Vikas Jain"
},
{
"from": "gpt",
"value": "Target: What causes cracking noise in the left knee long after a meniscus tear repair?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor: I m Ferdous from Bangladesh, age - 48 years, Weight - 90kgs. Last week, I did USG of my upper abdomen upon suggestion of my family doctor. The report says that I ve Hepatomegaly with Fatty change (Grade II). My AST & ALT are both very high. My anti-HCV, HBsAg, Anti--HBc (total) are Non-reactive. All reports are enclosed for your review please. Kindly advise! Yours Sincerely, Ferdous Habib Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You may need to take ursodeoxychlic acid tablet.You may also need to change life style and food habit. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: The USG report says hepatomegaly with fatty change (Grade II). What kind of treatment would be advised for this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, my 7 year old daughter suffers from constant red eyes due to allergies. She has Eczema , and suffers from other allergies. I noticed after a couple of weeks of red eyes that she started to have a brown spot on the white part of her eyes, I took her to the doctor and they would not give me any antibiotics . They advised me to purchase Refresh eye drops. Should I be concerned or is this part of having red eyes? Thank you for any guidance you may offer. Doctor: this is all alrgies they involve the different organs as the time of diseae increases you shoud go in for allergy tests which will cure all allergies for time being you can use tab allegra 30 mgm twice a day chromal forte eye drops tds apply mometasone locallyt on skin and neosporin eye oniutment in the nose twice a day"
},
{
"from": "gpt",
"value": "Target: Red eyes, eczema, brown spot on white part of eyes, allergies. Will refresh eye drops help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have really bad teeth ive smoked for about 12 years never really had a problem but the last 8 9 months ive been run down depressed stopped eating and replaced food with cigarettes for a while. I lost nearly 4 stone in a couple of months and have now noticed my gums have got littler an have black over the bottom of my teeth next to my gum. Ive only just managed to pick myself up after a year from hell now I cant smile at all is there anything I can do? Doctor: Hello,Thanks for consulting HCMRead your query , as you have infection and blackish gum this is due to smoking causing melanosis in gums and smoking cause infection in gums, red and white lesion in oral cavity and poor oral hygiene . For infection in gum I will advise you to quit your smoking habit and maintain proper oral hygiene . Brushing your teeth twice daily , use chlorhexidine mouthwash , do warm saline rinses , and consult dentist for oral prophylaxis .Hope this will help you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for infection in the gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Both of my feet hurt. When I get up in the morning I can bearly stand up and walk, the pain does get bearable after I walk around the house. I am taking ibeprofrin every 4 to 6 hours. The pain is in my heels and the arch of my foot is VERY VERY painful. Doctor: hi,thank-you for providing the brief history of you.a thorough musculoskeletal assessment is advised.As you have pain in feet this can be due to one of the possible reasons and needs a thorough assessment.1. increased uric acid levels2. Calcaneal spur3. plantar fasciitis4. disc degenerative changes.After a thorough assessment we can come closer to the cause and the treatment will be guided according.With simple medication and physical therapy most cases recover and get maximum functional ability.In my clinical experience we get patients with such feet pain and post thorough assessment treatment is planned and majority responds well to physical therapy.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Suggest cure for severe pain in feet"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had surgery to remove a lipoma on my back 4 years ago. When the path reports came back I was told I had a liposarcoma and had cancer. I had an mri done and was told I didn t have cancer. now I have another tumor in the same area. it was soft as first, like the first one I had, but turned hard about 1 year ago. After it became hard it has been beyond painful. I m scared. What do you think? Doctor: Hi,Thanks for writing in.There is a little bit of confusion in your statement. It is not clear if the path reports consistently said it was a liposarcoma. MRI is a good investigation tool for tumors and shows the size, location, infiltration and any associated structural involvement. The path reports are confirmatory and always have to be matched with the MRI results. If path reports say it was malignant then there is no other way to tell that it isnt one.In view of what is written above and considering that the path reports were altered subsequently, the appearance of a new tumor in the area requires CT or MRI scan and an image guided biopsy from the active region of the tumor. This is essential to know if there is a locally aggressive process going on and if it should be treated. The pain can be due to nerve entrapment by the tumor and that must also be looked in to. A biopsy is the final confirmation in your case. There is no need to get scared as it can also be a focus of chronic infection in the operated area. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What causes tumor on the back with a history of lipoma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have been on nexplanon since July this year. It has been great really, I haven t had a period since I had it put in. In the past few days, however, I ve been having lower left abdominal and pelvic discomfort. Sometimes it feels like period cramps but I don t ever get a period. I m just wondering if this is something i should be worried about and what it could be? Also, i haven t taken a pregnancy test yet but I don t think I m pregnant because i don t have any other symptoms. I m not nausous, no breast tenderness, no change in smell, ect. Doctor: Hi Hope this message finds u in good health.I have gone through ur msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body,though there may be other reasons as wellNothing to worry about, You should eventually get back to normal.Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsenGet back to me for any FOLLOW UP QUERIES anytime.Regards,Dr Mahaveer Patil...(MBBS,MS,Mch)"
},
{
"from": "gpt",
"value": "Target: Taking Nexplanon. Have abdominal and pelvic discomfort. Something to worry about?"
}
]
|
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