conversations
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[
{
"from": "human",
"value": "Source: Patient: Doctor . My wife is currently 30 and is on phenobarb for treatment of epilepsy. She has been taking the drug for past 27 years recently we have decided to get a baby and hence approached a doctor who suggested us to take keppra to avoid birth defects. We currently stopped phenobarb and are on keppra for the last 1 week. Please advice if we can proceed to get a baby in 6 months by reducing the drug. Doctor: Hi, as the drug phenobarbital has been stopped, you can try from now onwards. There is no risk in conceiving. You can try every 2 to 3 days after periods stop. 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: Will there be any effect of taking Keppra while conceiving?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi I have been in pain for the last 3 days and don't know what to do. I had my wisdom tooth out 2 years ago but the tooth right next to it is giving me a little bit of pain and the pain is going down the right side of my neck, sometimes there is a lot of but and sometimes only a little bit but the pain doesn't go away. please help me Doctor: Hello,The toothache next to wisdom tooth may be due to -periodontal infection,deep caries,inflammed flap of wisdom tooth.A detailed clinical as well as radiological evaluation is required to find out the cause of toothache.Meanwhile,get deep scaling done.Decayed teeth has to be restored or root canal treated.Gargle frequently with lukewarm saline or betadine.Rinse your mouth after every meals.Take complete course of medicines as per your dentist's prescription.Hope this helps."
},
{
"from": "gpt",
"value": "Target: Pain in the tooth right next to the wisdom tooth, going down right side of neck. What to do ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have all crowns. After 13 years I have swelling on my gum behind my two front teeth. It does not seem to want to go away. My lower teeth are hitting the skin. I don't know why this is suddenly happening. It there a solution. I am having problems eating because I constantly irritate the spot. I am baffled because everything has been perfect until now. Doctor: IT CAN B INFLAMMATIONN OF GUMS/GINGIVITIS.AFTER FEW YRS OF CROWN TREATMENT/SCALLING/THERE IS GRADUAL LITTLE BIT DEPOSIT OF FOOD PARTICLES...CAUSING SLOWLY INFLAMMATION/INFECTION.ONE HAS TO MAINTAIN GOOD ORAL HEALTH LIFE LONG.UR SYMPTOMS WILL B RELIVED BY ANTIBIOTICS.,B-FOLCIN/B-COMPLEX TAB FOR 3-5 DAYS.THAN CONSULT YR DENTIST FOR FURTHER ADVISE."
},
{
"from": "gpt",
"value": "Target: Having swelling and crowns in gums. Hurts while eating. Medical cure for this"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I just had an abortion 2 weeks ago and I feel really guilty and want to get pregnant again. I heard that the few weeks after an abortion is a high risk of getting pregnant again. So I wanted to know if I m still taking my prenatal vitamins and is having sex now is there a higher chance of m me getting pregnant with pre come? Doctor: Hi, Normal ovulation can set in sooner after an abortion than a delivery. It can occur as early as 3 weeks after abortion and conception is possible within the first month after an abortion. You can continue taking your prenatal vitamins as they are good for conception. You may need to wait for at least one month before you can see the result. Continue with your normal sexual life and wait. Please get further suggestions from your doctor. Good luck."
},
{
"from": "gpt",
"value": "Target: Had abortion 2 weeks ago, on prenatal vitamins, having sex. Can I concieve now?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi. i had surgery roughly about 10 years ago on a broken jaw. Five or six months later one of the screws came out but there was no pain or discomfort only a small sore, i did not seek medical advice on that occasion. Now ten years later another screw has come out and i can feel another head of a screw sticking through my gum, should i be worried? Doctor: Hello, I read your problem,you did not mention that do you have any sort of pain or discomfort,if not nothing to get worried. that time screws were fitted for the stability of broken jaw,and now the healing has been completed,so nothing to get worried.if you have any kind of pain or discomfort,i will suggest you visit your dentist as soon as possible.otherwise nothing to get worried. take care Dr.Gunjan Gupta"
},
{
"from": "gpt",
"value": "Target: Surgery done for broken jaw, screws came loose, sticking into gums. Cause of worry?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i was hit by orchitis afler mumps puberity and now i m of 27 year would i be able to produce child Doctor: Hi, Welcome to healthcaremagic.com Males past puberty who develop mumps have a 30 percent risk of orchitis.The condition rarely can lead to infertility.The chances of infertility is about 30 percent if condition is bilateral. You can take mild analgesics if u have associated pain. Typically two separate semen analyses will be required to know about your spermatogenesis. A specialist in male infertility will be able to guide you and give a valuable information. Thanks for the service. Wish u a good health. Regards, Dr."
},
{
"from": "gpt",
"value": "Target: Will I be able to conceive after having mumps during puberty which developed into orchitis ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi sir,my foreskin is not able to pull back.. i read some posts and stretched few times, it got expanded little bit. now i am able to insert one finger inside.. i don't want to go for circumcision, please help me in that.. do i need any cream to stretch. thanks,hh Doctor: HelloI share your concernThis could be due to Phimosis in which condition foreskin fails to retractI would like further information to help you better likeYour age and any history of unprotected sex?Is it since birth or recently developed?You can apply lignocaine ointment and you should try to retract it very slowlyplease don't leave it retractedyou once you attempt to manipulate it by rolling over the glans, in the end please leave it over and in front of the glans.If you don't succeed than you may require circumcision.Hope this answers your questionBest wishes"
},
{
"from": "gpt",
"value": "Target: Any suggestion for unable to pull back foreskin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: followed with 102 degree temperature.we went to hospital and he prescribed be antibiotic for 3 days.After that also the body temperature showd between 100 and 101.The did alla the checkups and all are negative.They already started for pantiac 40 mg and formic 1.5 injections for 2 days.after that i was discharged and changed the antibiotic to ciplox 500 mg for 5 days.I never knew that a dental abcess without any pain may cause fever.But yesterday when i wnt through tha net,i found that it is followed by fever.I m very much feared to go to a dentist ..Please help me sir. Doctor: hi and welcome, Bacterial decay or carious process to the tooth leads to infection and formation of abscess . Tooth abscess can be a periapical abscess or lateral periodontal abscess that drains in the surrounding periodontal tissue. Periodontal abscess leads to severe pain in the jaws which often radiate to the adjacent structures like ear , head and neck. It shows symptoms of fever , nausea and vomiting due to the bacterial infection . i would suggest you to visit a dentist and get the clinical examination and X RAYS done accordingly the abscess is drained and the tooth is treated by root canal procedure. meantime you can start with Augmentin 625mg with analgesics with paracetamol which helps in subsiding pain , swelling and fever. i hope this helps, take care."
},
{
"from": "gpt",
"value": "Target: Suffering from fever, given Cipolox and Panitiac. does Dental abscess without pain cause fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi dr I have acne last 5 year but I take dematologist treatment andl acne problem solve but in between sometime this problem occure and leaves a scars on skin and now a day again same acne again prevent on face and its a red spots that are inner side the skin hard type and also pain after few day its made white pimple then leave it spot on skin I m so worried about it bcoz already have scars on skin Doctor: Hi there, It seems like you are having Nodulo cystic acne. This type of acne is usually resistant to the conventional medications and treatment. So I would say you are a candidate for Isotretenoin therapy,this is Vit A derivative and proven to be very helpful,but you need to go to your dermatologist because this medication is not suitable for all people and you have to be reviewed before staring the therapy. Regarding the scars,I can understand your concerns,here again I would say there are many options but you need to see a dermatologist to give you an option which best suits your skin and can have the maximum results, I hope you can understand my point. All the best."
},
{
"from": "gpt",
"value": "Target: Having scars due to recurring acne. Took medicines, no relief. Solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was recently diagnosed (via nasal swab) with Citrobacter diversus. I just finished a 7 day treatment of ciprofloxacin 500mg 2/day. Is this type of infection contageous as in person to person and is it OK for me to be around people as in public etc? Thank You Doctor: Oh dear Relax!As there is nothing to worry. Citrobacter diversus infection is not contageous. It can only cause problem in immunocompromized individuals(HIV, Renal transplant, etc), After successful treatment as you have taken there is no threat. Take care."
},
{
"from": "gpt",
"value": "Target: Is citrobacter diversus contagious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband went to urgent care today for a cold and a cough that he has had for a couple of weeks. They also noticed he had a ear infection and his blood pressure was very high. 164/92 and was taken again 142/90. They gave him cough medication , agar 80 MCG oral inhaler and Amoxicillin and Clavulanate potassium tablets 875 mg/25mg. My question is can he take this medication and can he wait to see his doctor on Monday for his High Blood Pressure or should he go to the ER. Madeliene Carmona.My husband is 58 years old, 201 pounds Doctor: Hello CarmonaI have gone through the medical details provided by you of your husband and i totally understand your concern. I want to assure you that dont worry he can take these medications safely even in high BP. These are just ANTIBIOTICS and will help treat infection. And your husband's Blood pressure is not that high, its just slightly raised (142/90 mmhg) and probably it will settle down by itself once infection is cured.I wish him Good Health"
},
{
"from": "gpt",
"value": "Target: Is Amoxicillin and Clavulanate safe to be taken while having high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im going to be to honest i smoke strong cannabis occasionally and i think i may have had a few seizures, i get very dizzy,shaky, tensing jaw,arms and hands my vision goes incredibly blured and i cannot help collapsing, but its not only when im smoking cannabis it has happened while being in the bath i am very worried that these may be fit or even epilepsy Doctor: Hello,These symptoms are not typical for epilepsy, yet, this possibility should be excluded. For this purpose, you should see a Neurologist and discuss with him these issues. Further examinations (EEG, brain MRI) may be necessary.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for seizures"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have just recieved the results of my fertility test, it appears i have slightly low sperm forward progression (40%, with 25% being rapid), what concerns me more though, is the density of morphologically normal and motile sperm, it reads 4%. i've read that below 15% can cause problems with conception, how much of a problem is this? Doctor: Hi welcome to healthcaremagic.I have gone through your question.Sperms should have atleast 30% of normal morphology , below this cause problem in conception. And motility less than 40-50% is mattern of concern.I would advise to do ultrasound color doppler to rule you varicocele, to see testes vasularity.Then consult a urologist. Hope i answered your question.Would be happy to help you further.Take care."
},
{
"from": "gpt",
"value": "Target: Is a low sperm density a problem for conception?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello! I am an 17 year old athlete. I have a fever for atleast 1 week. I rested for 3 days. the following day i went back in our training. Then suddenly I easily get tired and became weak easily. Isn t all the hardwork was gone? Can you please help me to get back with strength and conditioning? or do i need to rest more days to recover? I hope you ll reply to this simple question. Doctor: helloAfter a weeks fever and bed rest, another convalescence week has to be considered by your doctor and gradual work outs should be done after attaining routine activity in over a weeks time.Take plenty of fruit juices, bananas, high glucose drinks and eggs etc to rebuild stamina.You will recover back.thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fatigue after treated fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good day. I am a very concerned mother - my baby is 11 months old and seems to have recurring eye infection . her nose is ALWAYS either runny or blocked and the drainage from her eyes is yellowish and becomes very crusty. I have been prescribed one upon the other antibiotic ointment but to no avail. I regularly (every 4 to 6 hours) administer a saline nasal spray and nebulize 3x daily with a saline solution in order to keep the mucous loose. Is it possibly allergy related? and is it safe to try an antihistimane suspension such as Desselex or Allergex and in what dosages? she is approximately 13kg - yes a very big, tall girl - just like her Mommy. Thank you so much, Cindy Doctor: Hi dear, thanks for your query.your history suggest your child may have allergic rhinitis. I suggest you to once consult ant ENT specialist to examine the nose for any abnormality as nose blocked may be due to polip, or devited nasal septum. for allergic rhinitis you may use saline nasal drops with monteleucast 4 mg per day orally."
},
{
"from": "gpt",
"value": "Target: What causes recurring eye infection and nasal blockage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 5 year old was seen today and we were told he needs to have a procedure done asap but i cannot remember the name of what is wrong. the hole at the end of his penis is partially blocked and they will be opening it up his US showed that he has quite a bit of thickening on his bladder wall as well Doctor: Hello and welcome to healthcare magic.The procedure you are asking about most probably is meatel/urethral dilatation.The partial blockade can be caused by urinary tract infection,inflammation or irritation caused by rubbing of penis against nappy/diaper area.Natural chemicals inside urine can build up and accomodate as crystals in diaper can also cause inflammation leading to partial blockage.Apart from dilatation I would like to advise a visit to urologist so that underlying cause can be treated accordingly.Thank you for using health care magic.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes blockage in the penis of a toddler?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mam had stage 4 cancer to the brain she has done 42 days kemo and 30 days radiation she is starting her break for 4 weeks and then they will give her a higher dose for 5 days in a month she is 65 in age can u tell me is the hope for a couple of years for her as I have been readin people have lived between 1/2 years Doctor: Hi, dearI have gone through your question. I can understand your concern. You mother has brain tumor. It may be glioblastoma multiform or other stage 4 tumour. Treatment depends on type of tumour. Please send me reports or type of tumour so that I can help you further. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cancer in the brain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: IM 28 and have suffered with chest pain for the last 5 yearsdoctors tell me its astma.the pain is just right of my heart but feels like opening of my right lung when it started it used to feel wet and warm sensation and pain further into the lung. But now its just a dull pain i never cough due to it but can squeeze flem from the lung. It feels like i only every breathe from my left lung these days. And now ive the dull chest feeling is in the right hand side of my throat where a gland is. Which feels hard and makes it feel like my throats is closing and i struggle to get comfortable in on the sofa or in bed i can lie on my back as the feeling happens straight away leaning back in the sofa is the same any ideas surley this cant b astma Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Chest pain with breathlessness are commonly seen in asthma and heart disease. Get a chest x ray, ECG and Echo done if they are normal, no need to worry about heart disease. Also consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of asthma. It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes a dull feeling in the right side of the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My gums were swollen so i pulled my lip down to look at them & it looked like stuff was coming out of it, so i pushed on the area & whitish yellowish stuff came out.. it's a thick substance & has an odor but my boyfriend says i do not have any issues with halitosis. I do brush my teeth regularly. Doctor: Hello,Swollen gums along with thick substance discharge from the guns are clearly pointing towards gum infection that can be gingivitis or periodontitis. You should consult an oral physician and get evaluated. A panoramic x-ray should be done to see if the infection has progressed to the underlying bone or not. First of all, you should get a deep scaling or cleaning of teeth done followed by a course of antibiotics like Metronidazole and gargling with an antiseptic mouthwash. Also, massage the gums with chlorohexidine gel. Do warm saline gargles. Chew a vitamin c pellet daily. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my 18 month old son has had pale lose poo for several days now. He s also very tired and has been sleeping for around 3 hours extra a day. He could just be overtired with Xmas etc but the colour of his makes me slightly nervous. Any suggestions? Doctor: HiWelcome to the HCMI completely understand your concerns. Pale loose stools and lethargy is not a normal finding in toddlers. It can be due to liver dysfunction or gut infections. I see such cases in my clinical practice and recommend them for the following measures:1. Proper stool examination- routine, microscopy and ova/cyst detection.2. A complete blood count with peripheral smear and liver function test to check for associated jaundine.3. In case of conjugated hyperbilirubinemia, an ultrasound abdomen might be helpful.4. Keep the child well hydrated during these episodes by oral rehydration therapy such as lemonade, soups, buttermilk etc.Further plan of treatment is decided based on the reports and definitive diagnosis.Hopefully this will help you. For further questions, you may contact me by direct questions.Take care"
},
{
"from": "gpt",
"value": "Target: How to treat pale loose poo in a 18 months old child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a severe sore throat, stuffy nose , pain in sinuses and pain in my ears. I think it might be seasonal allergies but what's odd is that my teeth and gums hurt...is that normal? I have taken several different kinds of allergy medication and nothing works. Thanks. Doctor: Hi, Your symptoms are clearly pointing towards sinus infection or Sinusitis. Due to Sinusitis there can be a pain in upper teeth and gums on the affected side. So the pain in teeth and gums, if it is in upper teeth, then it can be due to sinus infection.. So my suggestion is to consult an otolaryngologists and get evaluated. A Sinus X-rays can be done for confirmation. If the sinus X-ray is confirmed, then a course of antibiotics like Augmentin can be advised along with anti inflammatory painkillers like Advil. Doing steam inhalations can help. Use saline nasal drops and use a humidifier in your room. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is it normal for the gums to hurt while suffering from allergic rhinitis and earache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello i Im Jonida. I am 34 years old and i have no children. I have had a miscarriagie a year a go, and since that time i have has some let say episods of chemical pregnancy, september 2012 was the last and at 3 weeks I miscarry. I have done a hysterosapingography and my left fallopian tube has a blockage in distal part (even 2 phlebolite over the distal tube). My husband had done spermogram and total sperm count was 53 mill/ml but motility was 5%-very fast, 15- medium and 20 - slow. Please have you any advice how to procede? Doctor: Dear Jonida Both of you need proper treatment for a few months to get the desired results. In the present state of affairs chances of pregnancy are a bit on lower side. There are herbs which are known as uterine tonic. With their use the uterus becomes receptive to hostt a fertilized egg. You will have to rule out presence of any added infection. Blockage of one tube matters a bit but chances of getting pregnancy still remain fair. The condition of your husband calls for more vigorous treatment. Use of spermatogenic herbs and known herbal sex tonics that increase the quantity and quality of semen are recommended. Perfect health of both uterus and semen is a must for healthy baby."
},
{
"from": "gpt",
"value": "Target: miscarrigies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In December I was diagnosed with a severe case of Thrush affecting my throat, mouth and tongue. I was prescribed Nyostatin oral suspension. I followed up with my family doctor after completing the medication and was given the all clear. The symptons of burning tongue and frothing mouth didn t leave and I was told by the doctor that I had Burning mouth syndrome , something that could last for weeks or months. Its 4 months later and I still have the same symptoms.... burning mouth and tongue, no white spots or signs of thrush exist. Any words of advice? Doctor: Hi. As per your complain Burning tongue/mouth syndrome is a condition in which there is burning sensation inside mouth and can also be associated with a scalded feeling and can also experience numbing sensation..It can occur due to a number of causes like nutritional deficiency of iron and vitamin B12, dry mouth or xerostomia, stress, acid reflux, side effects of medicines etc..I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical examination and investigations like blood tests can be advised..Treatment of underlying cause will resolve the symptoms..As of now to get relieved you can start gargling with a numbing mouthwash containing Lignocaine..Take anti inflammatory painkiller like Ibuprofen..Avoid spicy foods and take a soft bland diet..Suck ice pops..Hope I have answered your query. Please let me know if you can assist you further. Regards.Dr. Honey Arora, Dentist."
},
{
"from": "gpt",
"value": "Target: Advise medicine to cure burning mouth syndrome"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, My name is HR and am from Afghanistan. I believe I have moral issues. I always try my best to change my attitude, way of thinking and characteristics, but honestly speaking, I always fail. I get too emotional at times and there are times that my siblings really hate me for what I do which includes, having harsh to them, hitting them and at times ignoring them. I always try to be humble, gentle and caring, but I never can. I just don t know what to do. I am taking care of my entire family, I have tons of responsibilities on my shoulder, because of the burden, I didn t continue my college. I just don t know what to do - there are times that I tell myself - i wish I never existed. I have issues and I am lost. Please advise and help! Doctor: You suffer from depression due the stressors of life. You must start taking antideoressants like escitalopram and later on you can go for sessions of counselling and psychotherapy."
},
{
"from": "gpt",
"value": "Target: What to do for metal depression?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: about a week ago i was doing an exercise routine for the first time in years and when i did a move that required me to life my hands above my head and pretend to punch a punching bag a very sharp pain ran through my chest from my neck down below my breasts. since then ive had trouble breathing feeling as if there is something in my throat. and there is also some slight chest pain when i lay down mostly . Doctor: HelloAfter reading the details provided by you its seems that you have had a muscle pull or probably some degree of muscle tear. Now you need to take rest for a couple of days along with some mild pain killer med like paracetamol. Minor muscle tears takes approx a week to 10 days to heal properly. You can continue your routine activities and avoid any heavy work.Regards"
},
{
"from": "gpt",
"value": "Target: What causes a sharp chest pain while punching?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Finished radiation two weeks for vocal coard cancer. Stage one squeamish cell. When throat is dry and burning during night, I coughed, it burned, and I then spit up some blood. Has not occurred again. I do bring up a lot of reflux during night. Last night it appeared to have a ting of blood color along with yellow mucous. Doctor: The dryness in throat is due to radiation induced effects on mucosa (lining) of throat. Inhale steam for 10 to 15 minutes thrice daily. Maintain good hydration with good fluid intake. A short course of NSAIDS pain killers will also help.The acid reflux is GERD (gastro esophageal reflux disease). You need to reduce the acid production in your stomach with a PPI proton pump inhibitor like meprazole or esomeprazole and increase the motility of your gut with a pro-kinetic drug. Raising head end of your bed slightly will help. Try sleeping in right lateral posture to promote stomach emptying.I hope it helps. Please discuss it with your doctor."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to reduce vocal cord cancer symptoms"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I moved to Dubai and havent stopped caughing for the last 3 weeks. I started exercising again and my stomach muscles got sore. After a week my stomach muscles are still sore and its getting worse. I cant stretch or lean back. It hurts very bad. What could it be? Doctor: HI.It looks you have done the exercises at the wrong time - the time of viral / bacterial infection . The body gets so down by resistance and all the tissues of the body are in a stage of recovery.Yet get the blood reports done particularly for typhoid ( widal). It may not be possible for you to get a full bed rest- if possible get it.If Widal is positive get the proper treatment under the guidance of a Doctor, If negative - symptomatic treatment with anti-inflammatory medicines and supportive medicines would help. Remember the bed rest is very important , or at least avoid any strenuous activity."
},
{
"from": "gpt",
"value": "Target: What could explain persistent cough and soreness in stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor my Query is we got marriage in 2012 but we dont have any child ,doctors tested and said you husband is having low sperm count so they prescribed tablets such as POTENZ,HIMALAYA CONFIDO ,but there is no result ,so please explain what to do? Doctor: Hi,we have been seeing increase in the incidence of male infertility. low sperm count or oligozoospermia can be due to many reasons. further investigation are needed to say whether simple treatment like medicine will do or more aggressive therapy is required. these are blood investigation like fsh testosterone...your infertility specialist can help you with that.Dr. Prerna Gupta MBBS (AIIMS), MD (AIIMS), (Gold Medalist)DNB, MNAMS, MRCOG (UK)Commonwealth Fellow in Reproductive Medicine (BCRM, UK)"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for low sperm count"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel uneasiness in left part of my chest.. around 6th rib (*not sure how to specify) .. I feel pain sometimes.. sometimes unusual pressure feeling in that area.. I feel like keeping that part of my chest pressed with my palm... And the feeling of uneasiness lasts even for hours sometimes... Is it a heart problem? .. I dont see any other symptoms similar to what I read on the internet... Doctor: When pts. With such complain come to my clinic i like to elaborate their symptoms like:- is the pain referred to shoulders , arms or anywhere else- is it dull aching or a sharp shooting kind of painis fever , sweating , cough or breathlessness presentit will be then easier for me to opine on the same"
},
{
"from": "gpt",
"value": "Target: What causes chest discomfort?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm just doing some research on how Prednisone helps fend off asthma attacks. Just wanting to get as much information as possible.I'm a Radiographer working in CT, and we give Prednisone to Asthmatic patients the night before, and morning of their CT scan (if we are going to inject them with contrast - which can trigger attacks). Any info would be much appreciated.Thanks, AAAAA. Doctor: Hello, As you are in the medical field , so you know very well that prednisolone is a preventive ( precautionary ) medicine for asthmatic attack , not a treatment. If prednisolone uses for regular asthmatic attack , patients will develops resistance to this drug and will require higher dosage for prevention. 2nd point is this is an addictive drug . In my opinion this is not a treatment of any asthma's patient rather it is only for an emergency.Prednisolone is an anti inflammatory and bronchodilator , so it helps in asthma. Good luck. Dr. HET"
},
{
"from": "gpt",
"value": "Target: How does Prednisone helps fend off asthma attacks ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i take thyronorm 125 every day ( hypothyroid ) i have 1 girl (first pregnency) 11 year old. she is hyper active and after 2 times miscarriage .when i am again pregnent during 1 and half month doctor recognize thyroid after born 1 boy he had cerebral pulsy he died in 1 and half year i need a child is it possible i am very tensed my husband need a child Doctor: Hello Thank you for your query. Firstly, if your hypothyroidism is controlled on 125 thyronorm, then do not worry. You need to rule out causes of previous 2 miscarriages as well as cerebral palsy in your child. Genetic causes, uterine malformations, infections in utero, hormonal imbalances, autoimmune causes, traumatic delivery, intra uterine asphyxia - there are various causes for your earlier obstetric mishaps. Firstly go for a detailed evaluation of yourself and your husband, so that the cause is identified and prevented next time. Also, if it has been more than a year since you are trying to get pregnant, see a Fertility Specialist, who will assess various aspects for conception like ovulation, semen analysis, tubal patency, hormonal status etc. Take care."
},
{
"from": "gpt",
"value": "Target: Hypothyroid. Taking thyronorm. Getting pregnant possible? History of miscarriages, child died of cerebral palsy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thank You. I have been fighting planters fasciitus for years. I do all my exercises and have orthotics in my shoes made by a doctor, also I have had pain injections in my feet. No help. I m only 57 years old and my feet are always sore.. Please help??????? Doctor: HiPlantar fascitis is helped by contrast fomentation, alternate hot and cold water dipping of foot each for a minute for total 10 minutes.some physical therapist use ultrasonics massage to give relief.Orthotics, soft foam insole in footwear are used.If there's flat feet, then suitable medial raise sole footwear are advised by podiatristsApply voltage gel to soles after contrast bathBest wishes"
},
{
"from": "gpt",
"value": "Target: Suggest medication for planters fasciitus"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having prostrate enlargement 48mm cube. operated for hernia left and right long back. swelling like hernia on left groin side seen. dr. told no hernia. what to be done for this swell comes and heals in half hour. Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have Enlarged prostate and was operated for Bilateral Inguinal hernia few years back and have noticed swelling in the left groin .The swelling in left inguinal region could be due to recurrent inguinal hernia secondary to enlarged prostate .Please consult qualified Urologist for clinical evaluation and to confirm the diagnosis,If confirmed you need to get endoscopic surgery of resection of prostate (TURP) and hernia repair done .Both these procedures can be done in same sitting under spinal anaesthesia.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Prostrate enlargement, operated for hernia, swelling on left groin. Whats the reason for swelling that comes and heals?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 19 year old daughter has been diagnosed with pharyngitis. She is at college and went to a urgent care. She was tested for strep which was negative as well as mono which was negative as well. The question I have is it normal for her face and cheeks to be quite swollen?? Doctor: Hi..Can understand your concern..As per your complain it seems that swelling on both sides of cheeks and face can be due to viral infection of the parotid gland known as Mumps..Mumps also known as \"Epidemic Parotitis\" is a VIRAL infection and it can affect either one side or both sides Parotid glands which are major salivary glands leading to the above explained symptoms..The symptoms subside within 7 to 10 days after the symptoms appear..Consult a Physician and get evaluated and investigation like blood test,x ray and salivary amylase test can help in confirmation of the cause and treatment can be done accordingly..There is no exact treatment for mumps and only symptomatic relief can be provided..For pain you can take Acetaminophen or tylenol for relief..Doing cold compresses can be relieving..Take plenty of fluids which can include water,fruit juices,soups etc..Take a soft and nutritious diet..Take sufficient rest..In case if the symptoms persist for more than 10 days without any relief you should consult a physician..Although after occurrence of mumps once the person becomes immune for lifetime and and relapse can be with very mild symptoms..Hope this information helps..Thanks and regards.."
},
{
"from": "gpt",
"value": "Target: Does pharyngitis cause swollen face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 66 years old. I noticed after having sex with my wife that I have blood in my semin or least something that leaves a brown stain. This is the first time I have every experienced this. Should I be concerned. What tests should I do to check this out. Doctor: Hi, Most common cause for blood in semen is prostate related problems like prostatitis and BPH. If symptoms persist, you can consult a urologist and get evaluated. As of now, you can check your PSA (prostate specific antigen) to look for any possible cause. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is blood in semen after intercourse a matter of concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 16 years old and am taking chromium picolinate, for my weight. I weigh 8stone 5pounds. I ve been told that it can give you anemia , liver damage and kidney failure, also diabetes . is this correct?I ve had headaches since i ve been taking them and felt really weak and shaky. But i ve also been a lot happier on them. should i keep taking them or is it too dangerous? Doctor: Chromium picolinate is not that effective and can cause the problems you mentioned above in high doses. Take it in the minimum dosage if you require to take it. Scientific facts: 1. Chromium has NOT been proven to cause weight loss or lower cholesterol 2.Chromium has been shown to damage chromosomes. When chromosomes are affected, even cancer might be caused, though rarely."
},
{
"from": "gpt",
"value": "Target: Is Chromium Picolinate too dangerous for a 16 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: gd mrng sir.... sir my wife is 32 years old n in april 2012 she has taken leon 500 mg 1OD * 5days due to sneezing n cough problem.....she became all right tht tym bt now frm last 3 days she is suffering with same prblem again should i repeat that dose of leon 500 mg or i should arrange a proper checkup wd any other doctor for her.....(as the doctor wrote ths medicine is transferred ) Doctor: Hi, Leon 500 mg helped her previously. It shows that she was suffering from a respiratory tract infection. Are you sure she is suffering from the same problem this time. It needs to be found out why is she suffering from repeated respiratory tract infections. It can also be an allergic attack and so is repeatedly occurring. I would advise you better go to a Physician who can get a complete check up done and find out the exact cause. Also Leon is an antibiotic so do not use it injudiciously. Use it only on prescription from a doctor. Till then you could try taking steam inhalations and warm water to drink and gargle. Take care"
},
{
"from": "gpt",
"value": "Target: Leon 500mg, sneezing and cough, relapse. Continue with same medicines?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am working with a patient who I believe has transvestism fetish which I know little about. He is a straight married with children male who only seems to want to wear lingerie during sexual activity and when masturbating. He reports this behavior started when he was 10 to 12 years old. Can you're shed some light on this. This has caused him a lifetime of secrecy, distress and shame. Doctor: Hello, Welcome to Health Care MagicTransvestism fetish usually remain hidden and they are secretive in their behaviour. A lot of individuals repent their behaviour and have guilty of their behaviour. This result in severe distress to individual and they usually withdraw themselves socially. Loss of confidence result in poor work life. Treatment for this sexual perversion is lengthy and need long term follow up. Patients are usually advised Cognitive Therapy to find out faulty cognitive distortions and cognitive restructuring is done. Aversion therapy is also very useful in feticism. Apart from psychological methods the patients are prescribed medication for underlying anxiety. Fluoxetine, Paroxetine have good result in decreasing undesirable behaviour.Thanks, hope this helps you."
},
{
"from": "gpt",
"value": "Target: Porvide details on transvestism fetish"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: gud mrning sir, my sisters son had high fever 2 dys back and he got convulsion due to that,and he was taken to the doctor and the fever was subsided and he was ok now.the problem is we cant recognise the fever and he will get fever suddenly.why and whether antthing is serious.but he is very active now. Doctor: HI, thanks for using healthcareHe had a febrile seizure.This is a seizure that occurs along with a fever. It occurs most commonly in children.Febrile seizures can be simple or complex. If it was simple febrile seizure then the risk of future seizures is very low.You can use a thermometer to help diagnose the presence of any fever. You should be able to obtain one of these from your local pharmacy.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes sudden fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a recent knee injury with a shin laceration to add to the joy. Knee swelling kind of went low into calf and ankle. Issue I don t understand is my lower leg feels like modeling clay. I press on the swelling and it tender and stays indented like memory foam. Eventually returns but I am concerned about what this means Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern. You are having swelling of your leg and its indent on pressing. It is called pitting edema. It means you are likely to be having some generalised disease such as heart, kidney and liver disease. So you can get your heart, kidney and liver function test. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes knee swelling and tenderness after knee injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I spent hours outside cutting grass yesterday. I came in around 7pm and when I tried to eat I felt intense pain on the roof of my mouth and my sinuses and teeth started aching. Now every time I eat, I get the same pain but no pain when I drink. Could this be an allergic reaction to something outside? Doctor: Hello,You certainly could have caused some irritation to the oral and sinus tissues. Even breathing heavily and keeping your mouth open can stress your tissue. Dehydration is a good possibility as well. I suggest avoiding all irritants including smoking and alcohol. Avoid spicy and acidic foods. Keep well hydrated and make sure you do not have any imbalances or vitamin deficiencies. make sure you have adequate vitamin B12. Rinse your mouth with warm salt water multiple times daily. Benadryl, the antihistamine, can be taken to reduce inflammation and offer some reduction of discomfort.If your symptoms worsen, seek immediate medical attention. If your dental condition does not improve, see your dentist to examine your mouth for signs of an infection. Thank you for your inquiry. I hope you feell better soon."
},
{
"from": "gpt",
"value": "Target: What causes pain on roof of mouth, sinuses and toothache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,it has 2 years i m married.trying for this much time for concievng but helplessi had my ultrasound on day 13 that is suppose to be the day before ovulation..it come that i have small follicles and have got just 1 follicle of 1.6 cm.can you please help me in this.. am taking 400 microgram foloicacid Doctor: Hi,Thanks for the query. The period of ovulation can differ from person to person and cycle to cycle in same person. Usually in case of regular 28 to 30 days menstrual cycle, ovulation can occur between 13th to 17th day. In follicular study ovulation can be expected after the ovarian follicle reaches around 2 cms size.So, possibly in around 2 to 4 days your ovarian follicle will reach that size. Continue follicular study on alternative days. Once ovarian follicle reaches around 2cms size, you can go for hcg injection to induce ovulation with your doctor's advice. Then plan intercourse around that period. Continue your folic acid tablets. Take care."
},
{
"from": "gpt",
"value": "Target: What are the treatments required after analyzing the report?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 3 yr old grandson woke up thru the night screaming bugs where everywhere. it was horrifying to see him like this. it is 2pm now and still seeing bugs, but not screaming like he was. thursday afternoon he said his eyes were hurting. But he is seeing bugs and pointing them out to us and there is nothing there. What could this be? Doctor: Hi...these could be floaters inside his eyes in the vitreous matter, which a child is expressing like this. I suggest you get him an opthalmic consult as soon as possible.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for nightmares in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Is there any old home remedies to aid folliculitis symptoms on my PitBull pup? She was bathed (heavily) with flea shampoo and I know that there is a certain dosage for dogs based on size. I ll need to get her oral antibiotics, however until then is there anything around the home that I can use to aid her skin? Doctor: Hello,Welcome to HCM,As you are having folliculitis of the scalp following use of the flea shampoo.I suggest you to wash the area regularly and maintain a good hygiene of the scalp. An antifungal shampoo such as ketoconazole shampoo can be used to wash the scalp regularly. A cream containing mild steroid such as cortisone with mupirocin can be applied for few days to reduce the swelling.Do not apply any hair oil or any creamy stuff over the scalp as it causes more aggravation of the problem. You can take further guidance from your treating dermatologist.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest home remedy for folliculitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, Whenever m tensed over some thing or over stressed. or At times i go in too much hot whether or i dint eat properly. I develop this gas ( acidity ) problem which in turn causes a v severe head ache and even vommitings. I take ENO in case of acidity however i dont get fine till i get a complete night sleep. Can you please advise me on this problem. How to prevent such situation as it spoils my whole day n ngt. Doctor: Hi there, thanks for asking. Reflux of acid is a common problem. In many cases it is aggravated with stress. Stress management is a skill that everybody should learn. You can ask your doctor to introduce you to a therapist to work with you for some sessions to get familiar or even mastery on them. On the other hand, some medications for reflux, are a combination of a medication specifically for stomach and another from the class of benzodiazepines. Many people are quite comfortable with low dose of these medications alongside with other therapies. You can ask your doctor about. Best wishes."
},
{
"from": "gpt",
"value": "Target: Develop acidity while in tension or stress, causes headache, nausea and no sleep. Prevention?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have Psoriatic Arthritus, Fibromyalgia, Hypermobility, IBS, Depression and Anxiety. Currently taking Biologic therapy (Simponi 50mg monthly injection) Sertraline (100mg) Amitriptaline (30mg) Cocodamol (30/500) and Tramadol. I am not finding my antidepressent working and would like to try Citalopram (I took it before and it worked well for me) My doctor wont allow me to take it because of interaction with amitryptaline. Is a good alternatice Gabapentin with Citalopram? I need pain relief and something to tackle my depression and anxiety too. Thank you Doctor: hi,thank-you for providing the brief history of you.A thorough clinical examination is advised.As you have fibromyalgia, arthritis etc you need to focus on three major activities.MeditationBreathing exercisesPhysical therapywith meditation you will be able to fight against the anxiety and depression.with breathing exercises you will have a relaxation of the body, also it will help improve the blood carrying oxygen cells more which will inturn help reduce the pain and improve your metabolism & endurancephysical therapy will help reduce pain with Therapeutic ultrasound therapy and TENS therapy. Also exercises are a must to remove the excess lactic acid formed at the end of the activity called the glycolysis cycle.Taking an anti depressants pill will lead to a complication of back ache, muscle and joint aches schedule too.Dealing something with a nature way has always helped my patients in clinical practice.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Is Gabapentin a good alternative for Citalopram in patients with Pscoriatic artheitus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my niece is 19 years old, lives in Pakistan. She had fever 103 F, diarrhea and she threw up all night , had to take her to the hospital for dehydration. Vomiting and diarrhea subsided. Now she complained of chest pain and rib cage pain, also have fever of 101 F. Can you help us in diagnosis. Doctor: hi,your niece unfortunately ate up something unhygienic causing her to throw vomits and diarrhoea to an extent that she went into dehydration,this is acute gastroenteritis due to bacterial infection.because of repeated vomiting she has rib cage pain and because the stomach has become rough chest pain.give her antacid or ranitidinelots of water, ORS, coconut water.all the best"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever, diarrhea and vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Could you tell me how long you would have to wait to fly after heart surgery. My aunt had a heart attack and they operated using keyhole surgery to unblock the artery. She would like to know does she have to wait several months before she can fly as we have had lots of different advice from people? Doctor: N I if the surgery was fine, no residual blockages remain and she is comfortable she can fly as early as 2 weeks with no risk. However she should be strict with the time of medication and shouldn't miss any. The whole purpose of key hole surgery is so that the patient can get back to normal as soon as possible. However on final note the surgeon who did the surgery would be the best to take a call. Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: When is it ok to fly after heart surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Today after I had a bowel movement, I became very weak, sweating everywhere on my body, shortness of breath. I went to the ER and blood pressure was 110/100. I was released after 5hrs. I was told to follow up with a GI. Bloodwork came back normal, no infection, xray showed I had little stool in my intestines. I am still weak and tried. I have been having issues with this for about 6wks, but never the shaking, etc. I had other tests done last month showing I have red and white bloodcells, protein, and other cells in my urine. I had a CT scan done last month as well and it showed I had moderate amount of residue in my intestines. I have been Gluten free for about 5yrs and I felt 10x s better but now I am hit and miss. I have a hard time eating, I am eating about 1 meal a day. I am never hungry and when I do eat I feel bloated and sick to my stomach. There are times I will have a headache that will last for days and nothing I take will take care of it. It can get so bad I am in tears. What are your thoughts on what I should do or ask the Dr. to test for? Doctor: For shortness of breath issue, you need to evaluate cardiovascular and lung function to relieve you from the tension of chest problems, this means:cardiac: ecg, echo, ettlungs: chest x-ray, pulmonary function testsOnce they're done, you should move on to other issues, as you stated you had kidney issue too, get that test repeated and see if it's aggravated or reducedkidneys: Renal function testsNow coming to the nausea when trying to eat something, do you have epigastric burning too? (burning below the rib cage in the center), please let me know so that we can discuss further regarding your treatment plan and investigations required."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high blood pressure and shortness of breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thank You.I fell hard in a hole cut in the cement last year on 6/24/12, was treated by my MD and Chrio with PT treatments. the severe pain has returned... I was riding a bike 30 mile+ earlier this week every weekMy symptoms are sever left side back pain radiating into my left testicle, across my hip/belt line and have sever pain in my thigh area. My wife is a PT, I'm an Radiological Tech for over 30 years...any suggestions /I'm icing, wearing abrace, and can hardly walk Doctor: Dear Urgently Get done MRI Spine.Consult your Doctor/Spine surgeon.Compelete bed rest,pain killers & Neuroprotective agents(Pregabalin,etc.)"
},
{
"from": "gpt",
"value": "Target: Severe lfet back pain has returned even after Chrio with PT treatments. Any suggestions"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son is four and has come to me telling me his chest is sore. On further inspection it is slightly swollen and raised with a kind of swollen raised bump. Im very worried what could this be? Its in line with his breasts but a little nose close to his heart side. Doctor: Hi, this could be due to insect bite. Kindly attach a picture of the lesion for proper diagnosis and advise. Take care."
},
{
"from": "gpt",
"value": "Target: What could the swollen lump causing chest soreness be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thanks, I have been taking pioglit/met 15-850 twice daily for a few years with a am fasting sugar between 100 - 120 . My doctor retired and my new doc told me there had been som neg imfo with pioglit so he changed med to glipizide er 5 mg one time and a 1000 mg meteor in one time daily and my am sugar have been between. 150 to 200. I don t go back for 2 1/2 months . Do you think I should call and as him about the differance in the dosage. Thanks..... David Doctor: Hi,Thank you for asking your query on HealthcareMagic.I have gone through your history. Your doctor is right. Pioglitazone class of drugs have been found to have some serious side effects. Glipizide and Metformin are good drugs to take care of your diabetes. However, based on you AM sugar levels, it seems you need a revision in your dosage or addition of another anti-diabetic drug. Kindly consult your current doctor for the same. Also, lifestyle changes are equally important with right medications. See you are having the right diet and regular exercise (at least brisk walk for an hour daily) for better results.I hope I have answered your query. Let me know in case of any further questions. Best,Dr Vishesh"
},
{
"from": "gpt",
"value": "Target: Will Glipizide and Meteor help control diabetes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i feel dizzy and foggy and confused and haven't had my period in 2 months. i took a pregnancy test and it said negative. some days i feel the need to pee almost every 5mins even if nothing comes out. other days its perfectly ok. i have period cramping and head aches. i feel fat weak Doctor: Hi,Thank you for posting your query. I have noted your complaints and they seem to be related to gynecological issues.If you have not had periods for two months, and you are not pregnant, there could be underlying hormonal imbalances. You need to consult a gynecologist to exclude problems such as polycystic ovary disease.Also, in view of frequent ruination, we need to exclude an urinary tract infection. This can be done by doing an urine examination test.I hope it helps.Best wishes,Dr Sudhir kumar MD DM (Neurology)Senior Consultant Neurologist"
},
{
"from": "gpt",
"value": "Target: What causes dizziness and confusion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, i am 27 year old male suffering with back pain and fever from last one and half month my doc. start TB medicines on the basis of +ve mantoux, and on pleural effusion in left side (X-Ray) but my condition remain same even after 20 days of medication and now he stopped my TB Medicines ans asked me to go for an ESR & Sugar fasting test. what should I do?? Please advice.. Doctor: HiI read very carefully your concern.I can understand that you have been under treatment for tubercular pleural fluid.This diagnosis is mostly encountered in young persons.But i have not clear the fact of how was the diagnosis made? Only a PPD test positive is not enough to start the treatment for tb.The most important is theexamination of the fluid and its culture for tb bacilus that if it comes positives we can start the treatment. If it is tubercular fluid the treatment last minimally for 6 months not so short as you have done.So my opinion is to see a tb specialist and he should reevaluate your situation. Thank you Dr.Jolanda Pulmonologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back pain and fever after treated TB"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I have severe pain in the centre of my lower back since last one year but now it is worsening. I contacted ortho doctor and he advised that it is nothing but muscle pain and I should live a tension free life which will help. he also gave me some muscle relxtants but did not help. Pain is in the centre of buttocks and it spreads to buttoks are also. Please suggest some remedey. Sunita Doctor: **1. since your low back [L4/L5] supports most of your body weight thus is the most common area affected in LBA [low back ache]PS. since the symptoms again came back after taking conservative treatment, thus check with X-ray LS-spine, MRI for any nerve impingement or narrowing2. even if you dislike going to see doctors, make sure to have conducted all the relevant examination and investigations [either prolapsed intervertebral disc or if there is pressure on the nerves], prior to surgical or conservative [second opinion] line of treatment, thus Ayurveda approach to your disease will be guided as under:i. Avoid: urad dal, curd, fish, jaggery, milk, incompatible and heavy food, suppression of natural urges, anxiety, grief, outdoor activities when sky is covered with clouds, and cold wind.ii. Take: maize, horse gram, karela, dried ginger, garlic, ajwain,saunf, kali marich, saindhav lavan, hing, jeera, old ghee, lukewarm water, castor oil, light walking, sudation, warm clothes, garlic and ginger mixed butter milk.iii. fry 250 ml ginger juice in 250 ml of til tail, when 250 ml remains [make sure oil doesn't get burn], filter it after cooling and massage.iv. boil 1 spoon dried ginger in 4 cups of water till 1 cup remains, filter it and add 2 spoon castor oil and drink.PS. General Instructionsi. Maintain straight back posture while sitting or standing.ii. avoid bending forwards and lifting weights.iii. sleep on hard mattress.iv. gentle massagev. back exercises: Leg raising in dorsal recumbent position, push ups, swimming. [once acute stage is over]Spine Management:i. Relax the spine completely.ii. Do not lie face down.iii. Lie on your back with pillow under the knee.iv. Lie on the side with a pillow between the knees.v. Distract your mind from the pain, watch television, read light humorous stories, listen to soothing music.vi. Take 4 spoons of Tulasi juice4 spoons of ginger juice4 spoons of honey and take for 1 month.. Boil 100 gm black pepper powder in 300 ml til tail--- filter, cool and massage OR mix dried ginger in castor oil and massage."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in center of lower back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: An ultrasound has just revealed liver diffusely echogenic and hepatic steatosis . I gather that is some kind of fatty liver (non-alcoholic). I am 5 7.5, 130 lbs, 73 years old and follow a pretty clean diet: no grains/sugars. I consume about 2 tbs MCT oil/coconut oil daily, occasional flax oil, olive oil, no heavy fatty foods or fried foods. I exercise daily about 30-40 min trail run and occasional swim about 30-45min. Can you tell me what I am doing or not doing to create this condition and what I should do about it. (My mother had hepatitis in the 50 s so I don t associate a letter w it. However it was chronic and consumed her for at least 5 years before she died a week after surgery on a blood clot). Doctor: Hello,The given ultrasound suggestive of fatty liver and it could be a non alcoholic disease. Consult a gastroenterologist and get evaluated. You have to do a liver function test to assess the functional status. In most cases it will resolve with conservative management and only observation and follow up is required.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What does this ultrasound report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr, I am 28yrs got married 2yrs back,didnt conceived ,so we4nt for tests & found low L.H level &AMH tests shows 2.01.Underwent IUI thrice but failed now trying for 4th time.10th day endometrium size is 9mm n presence of very minute cysts on eggs.so wt to do & could you tel me about good infertility clinic in hyderabad with good results & somewhat economic. plz....... Doctor: Rather than going to any fertility clinic you can conceive in a well manner the need is that you should see to some good Endocrinologist within your area. The Endocrinologist can help you to deal with this. Rest reason for IUI your husbands' Semen report is not here hence, could not comment on that part of the fertility...Hope it is helpful..."
},
{
"from": "gpt",
"value": "Target: Test shows low L.H level and AMH test shows 2.01.Undergone IUI thrice but failed. Suggest infertility clinic"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 year old daughter has a bulging vein on the left side of her neck and when she cries or yells it is huge and bulges like it is about to bust..it seems to me to appear to be getting larger but it doesnt seem to bother her any...just being a super worried mom? Doctor: Hi Thanks for writing to Healthcare magicIt would be more informative if I could see a photo or a vedio. From your description I can only infer it as a superficial vein which is distending on increased blood pressure , that is while crying, or shouting even squatting might cause same. If she has no weight loss, no extra swellings noted, growth is fine, and no other obvious symptoms, You need not worry.. In case there is any other query I would be more than happy to answer, else rate the answer and close the discussion. Thanks"
},
{
"from": "gpt",
"value": "Target: What causes bulging vein on neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir my wife(age 25) has hormonal disorder she has irregular menses cycle which this time took more than 4 months we are married since 02 years she has not conceived yet.we have consulted different doctors and have undergone treatments but they brough no result.i have heard about Synthesised harmons injection treatment what you suggest about it further is ther any harmon specialist in islamabad?Regards,Fahd MalikAge 31 Doctor: Hello, Fahd MalikYou mentioned that your wife is having irregular bleeding ( menses ) and hormonal imbalance and not getting pregnant .This type of case we call as infertility case . But , what is the main reason of infertility in male or in female . Yes you are right that there are so many synthesized hormones injection both for male and female but before prescription for injection we should know the cause of infertility . Injections are as HUMAN CHORIONIC GONADOTROPHINE . GONADOTROPHINE RELEASING HORMONES (GnRH ) ANALOGUES, ANTIGONADOTROPHINS and many more injections.So either upload all reports or consult an INFERTILITY SPECIALIST .Good luck."
},
{
"from": "gpt",
"value": "Target: Are synthesized hormone injections safe and effective to treat infertility problems?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 75 years old and have been breaking out with red rashes all over my body and the skin underneath the rash is very hard. The rashes come and go, ive had it on my neck, arms, chest, leg etc. Dont know what i should do, i havent changed anything in my diet, im diabetic. Doctor: Hi,After reading your query it appears that you are suffering form urticaria or allergic rash.Urticaria is a common condition where due to release of histamine from the white blood cells; especially mast cells causes all breaking out with red rashes all over body. It remains transiently for few hours and then disappears its own.You please check out for any recent change in your daily routine where some allergen producing the same is coming in contact. It can be in the food, environmental or some times in your clothes too such as some dyes and fibers.You can take tablet loratadine or leeocetrizine or any good antihistamine tablet by mouth for one to two times per day.Take care."
},
{
"from": "gpt",
"value": "Target: Diabetic. Having red rashes all over body. What could be the reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother is 50 years old. He is driving me nuts. He talks about everyone's problems except his own. It is unbelivable! He can see and diagnosis everyone but himself! If you even try to express your feeling to him about him, he shuts you down immediately!!! I want to hang a mirror in front of him and say, tell it to the mirror!!! He can fix everybody else but HIMSELF and he is a train wreck! Recovering alcoholic- Yea! Honestly... No job, lives w/ my parents, borrows money from my parents and anyone who will give it to him. He doesn't pay child support or do anything about working on a relationship w/ his 12 year old daughter. He get's involved with women who are needy and feels he is right and can fix them! Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. From the given information it may not be possible to diagnosis your brothers disorder. But I can suggest some personality disorder. Proper and correct diagnosis is the first step towards cure. Consult a psychologist / psychiatrist for further advise.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: Suggest treatment for stress and depression"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Had metal put in my arm last year, had it taken out in january due to massive infection.Hydrocodone used to do wonders for my pain, but does nothing anymore. Doctor tried putting me on oxycodone, but I don't feel it at all. My arm hurts all the time. What can I do? Doctor: HI WelcomeYes you can start Oxycodone, It is better than Hydrocodone .How1-5 mg Oxycodone=7.5 mg Hydrocodone.2-Oxycodone has Anti Depressant effect3-Does not cause Euphoria.4-Oxycodone could be used without Paracetamol but Hydrocodone not.5-Safer for liver in long run.In my opinion Tramadol is to be used for mild to moderate pain & Oxycodone for severe pain. Take any medicine all are harmful.Don't take any medicine without discussing with your doctor.Thanks for query."
},
{
"from": "gpt",
"value": "Target: Can I switch to oxycodone from hydrocodone for pain in arm caused by infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello... My TSH is 3.66, I m feeling depressed, tired and anxious for the last 6 months. My hair is falling out for last couple of years (since i started to massage it with oil, now it started to grow back, a bit), and feeling cold always, since forever. Also, I lost about 14 kg in 1.5 year which I thought is because I started to workout but now I stopped because my knee and lower back hurt. My doctor is not saying anything to me. Leukocytes in blood are elevated too (12.3) and pl. epitel in urin (7-9)... All else is in expected intervals. If you could tell me what do you think, that would be great. Doctor: Your tsh is near the upper limit. What's your t3 and t4 levels?If those reduced, you might have hypothyroidism.which leads to hair loss,sedentary state, tired often, weight gain, and due to sluggish blood supply, you might feel cold. If u r woman, how's your menstrual cycle, is it regular? Check your physician and visit an endocrinologist."
},
{
"from": "gpt",
"value": "Target: What does this blood test report mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 5yr old complained about a sore head straight after a rear end car accident and couple of hours later a sore neck. due to not hitting head on anything hard i thought its shock related n just got her checked for concusion. she doesnt suffer atm which is 32 hrs later but just wondering if there is any symptoms i need to be watching out for now Doctor: Hello,I read carefully your query and understand your concern. The symptoms of your child seem to be related to concussion after the accident.Some symptoms that you should evaluate are:Weakness, numbness, slurred speech.Difficulty with eye movements.Worsening or severe headache.Seizure.Vomiting multiple times.In this case you should go at the emergency room. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes soreness in head and neck after a rear end car accident?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with a Penicillin allergy in 1991. Subsequently,I developed sensitivity to peanuts. I am 66 yearsold,female. I tend to have problems with nonspecific itchiness....the middle of my back, then the palms of myhands will itch. No rhyme nor reason it seems. I was also diagnosed with allergy induced asthma when I developed the penicillin allergy. I have done well the last few years and have not needed any inhalers. I seem to have weird symptoms now that I'm older, such as the itchiness,but also experience my tongue becoming irritated for no apparent reason, or a sore throat will develop. I must say none of my symptoms are particularly serious, just annoying. Any thoughts? Doctor: allergies when not treated tends to recur and can start giving symptomps at any timewhen you have allergy to one sustance it may increase to multiple things as immunity decreasesyou can take continuously antiallergic like ebastine 10 mg once a dayor get tests to get full cure by immunotherapy"
},
{
"from": "gpt",
"value": "Target: Non specific body itchiness, have Penicillin allergy, sensitive to peanuts, allergy induced asthma. Any thoughts ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife had an abscess near hip which we recently got removed. After that lot many tests were carried out to know the cause and finally she has been diagnosed with TB. Want to know whether it is contagious? In her case symptoms have been 1.) Abscess got created (Contained Pus) 2.) Weight Loss..Also want to know whether it must have damaged her organs by now? Doctor: Welcome to HealthcareMagic,Tuberculosis (TB) usually effects lungs but sometimes may effect other organs such as bone etc and may result in abscess. Yes TB is a contagious disease. I advise for you is to do 2 sputum sample examination for tuberculosis and find out if her lung are effected. TB is very contagious. We currently have good treatment for TB and once your wife is put on those drug she will become non contagious usually within a week. The only problem is that this treatment needs to be taken at least for 6 months. Do not worry because if the treatment is taken correctly it will cure your wife of TB.Remember TB mainly spreads by coughing and not trough sex.Hope that answers your question.Regards, Dr.Imaad."
},
{
"from": "gpt",
"value": "Target: Is TB contagious? Will it damage my organs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I believe I had an infection in a hair follicle near my armpit. It seems to be going away...but when I first terated with peroxide and then squeezed it, it sort of work but now there is still a bump there. How can I make sure I do not get an infection? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain a lump in the armpit the has started regressing in size can due to hair follicle infection or a swollen lymph node..As both these conditions resolve gradually yoy need not to worry as it will resolve soon..You should take a course of antibiotics like Cephalexin or Amoxicillin..Take anti-inflammatory painkillers like Ibuprofen..Do warm compresses over the lump.Avoid scratching it touching it again and again as it can get further infected and tender..In case if there is no improvement in a week consult a General Physician and get evaluated..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.."
},
{
"from": "gpt",
"value": "Target: How to prevent recurring infection in hair follicle near armpit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having a dark complexion. I use emami fair n handsome cream when i used to move out but it really not working. When i come back my face get more darker. I feel very odd to attaind party due to my dark complexion. Plz suggest some good sunscream or product for healthy fair screen... Doctor: Hi,You seem to have dark complexion due to genetic factor. And the exacerbated hypermelanosis may be caused by tanning effect of sun rays. Other factors like vitamin B12 deficiency,anaemia,endocrinal diseases..etc should be ruled out. You consult dermatologist for better evaluation of your problem. To reduce pigmentation,you may take vitamin C, nicotinic acid and glutathion tablets for long time. Kojic acid containing lotion may be applied at night . Sunscreen gel like sun mask aquagel may be used to prevent tanning effect of sun. Kojic acid soap like clearmin soap may be used for bathing. You may be benefitted. I hope you got my answer.Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: Suggest cream to get fair skin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 7 year old doughter came to me saying it feels like my heart is not pumping I kinda laughed at first, but then placed my hand over her heart and noticed it was rapid; I kinda panicked but did not show her I was. So I had her lay with me and told her to take slow deep breaths as I asked her questions to try to dis tract her from worrying about her heart it slowly went back to normal. This is the second time she has came to me with this problem, but than last night she came to me with a new problem; her legs and feet were hurting, I was wondering know if she may have problems with her heart and blood not flowing well, she doesn t drink often but when she does she loves water. She does not drink pop. But one of the days that she had a rapid heart beat she was with her grandam s and she did drink pop so I assumed it was cause she flooded her system with sager and she was not used to it. Doctor: You can get her thyroid blood test done. Hyperthyroidism will lead to such palpitations and racing heart rates. On the other hand if it comes out normal you need to rule out any cardiac problem or any anxiety or panic attacks which might be causing it. Better to consult a physician"
},
{
"from": "gpt",
"value": "Target: What causes rapid heart rate in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: had a fall Monday, injuring my ribs pain is more severe today I am short of breath because it hurts to breath, also when I recline in the chair it feels as if my rib is moving and catching on another part of my rib feel like I am going to pass out from sneeze pain Doctor: Hello,I think you have sustained fracture of the ribs. it will take some time in healing and it is very painful. I would recommend you to get hot water fomentation and tablet voveran thrice daily. You should also apply hot water fomentation and volitran ointment.I hope this answer will be helpful for you. Let me know if there is any other followup questions.thanks."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for ribs pain with breathing difficulty"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir, My name is XXXXX my age is 24. I am suffering from kidney disease since from last 4 months. My creatine level was 6.80 3 months back and after that i was having diagnosis from XXXXX and my creatine level comes to 4 after some time but now since from last one month my creatine level is increasing day by day. Today it is 11.28. Now please suggest me what to do now to reduce this and how can i be cured. Doctor: Hello,It is certain that you have advanced CKD.Please do not base your decision to get treated on creatinine only & immediately get in touch with a qualified Nephrologist & get yourself thoroughly evaluated with a treatment plan in place as in CKD there are many complications which may develop suddenly & be very serious,at times life threatening.Please do not delay any further."
},
{
"from": "gpt",
"value": "Target: Kidney condition, high creatinine levels, increasing daily. How to control levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 39. 5ft6. i was treated for a tooth cavity by removing the roots and filling...the filling recently fell out and i got a abcsess..with a large lump on the side of my face . i am currently taking antibiotics for this. i believe it is getting better. But im sore in the soft part under my chin. and itchy along my jaw line. is this normal Doctor: hello, welcome to healthcare magic, the decay could have involved your pulp (nerve region), better go for rct and cap your tooth after examining with a xray of that tooth. take care"
},
{
"from": "gpt",
"value": "Target: I am getting tooth abscess after root canal treatment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lump on the side of my face, in front of my ear lobe. It is hard and tends to enlarge when I eat. Makes me believe their is a problem with a salivary gland. I also get cramps on that side of my face, causing the bottom left side of my mouth to be pulled down. Doctor: Hi Dear,Welcome to Health Care Magic Team.Understanding your concern. As per your query lump on the face in-front of earlobe is mainly due to enlarged lymphnode or submandibular salivary gland enlargement which could be due to siledenitis or mass. It could be due to salivary stone. I would suggest you to visit ENT specialist once and get few diagnostic examination such as you should go for fine needle aspiration cytology or biopsy of that lump to find out exact cause and to rule out any underlying cyst or tumor. You should go for ultrasound as well to find out extent of lesion. Once proper diagnosis is made start treatment accordingly. It can be removed by manual digital palpation method and can be done surgically as well. till then such on citrus substances. Maintain proper hygiene. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump on the face"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I hit my wrist (on the palm side), a vein were i hit it, immediately swelled up and became very painful. Im icing it now...that seems to be making it feel slightly better. Do I have a problem? Should i go to the hospital? Cause im worried about clots and other stuff. Any advice would be great! Im 27, 5 1 , 120lbs, female Doctor: Hello,It may be due to fracture. For that you may require x ray wrist after orthopedic surgeon consultation. For pain you can take tablet acetaminophen. Restrict your movements. You may require sling. You may require surgical intervention after surgeon consultation. Use support. Hope I have answered your query...Let me know if I can assist you further.Regards,Dr Shyam kaleFamily and general further"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful and swollen wrist"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...My name is Legesse, from Ethiopia29 years old, 1 m and 71 cm tall, 63 kg in weight.I have been suffering from...I don't know to mention the type of disorder...rather let me tell you symptoms.I feel extreme cold at the center of my head and when I walk up in the morning, I found dried substances in my noses.I don't feel comfort around my nose and in my face.I remove them while I wash. I saw a doctor suspecting I had asthma. I had x-ray and the doctor told me that I'm not. I would like to know the causes of it and how to treat Doctor: Hello, Welcome to HCM and thanks for your query. Asthma produces wheezing, cough and breathlessness. The symptoms you have is due to allergic rhinitis. You should see a doctor and have proper treatment. Take care, Dr Noble Zachariah"
},
{
"from": "gpt",
"value": "Target: What are the causes and treatment of asthma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i been ttc for about 10 months now almost a year i had on miscarriage and we been having sex unprocted everytime i been tryin to calcuate my ovulation every single time and still nothing im yound im only 19 years old but its been almost a year and still nothing Doctor: Hi, Thanks for the query through HCM forum. I understand your concern. - Please exclude any infection/ fever/ pelvic infection after the miscarriage . consult a gynecologist for that. also get tube testing done if advised by the doctor. - It's good that you are calculating your ovulation day before testing for conception.. Actually a usg for ovulation study should confirm ovulation day. Instead calculating ovulation, you can use LH surge test to know exact ovulation day. & try an unprotected sex 2 days before & 2 days after the estimated ovulation day. Similarly it's good to confirm good sperm counts by semen analysis ,for geed conception rate. Looking at your age with both ovulation & semen analysis normal.. you have good chances of conception. Thanks."
},
{
"from": "gpt",
"value": "Target: What are my chances of getting pregnant at this time?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...I am 30 years old & my blood pressure is 152 over 100 with a pulse of 80 my doctor gave me B.P. Medication but I didn't get it until this morning when my chest felt tight. Should I get to a doctor or hospital or just take my medication? Doctor: As per your age your BP is definitely on highr side.I would like to know if you have any habits,like smoking or drinking.Chest tightness ...is it increasing on exertion?You have to rule it out ....its cardiac or non cardiac.Other thing is ....hows your stress level.....Stress can also cause these symptoms."
},
{
"from": "gpt",
"value": "Target: How to treat tightness in chest with BP -152/100 and pulse 80?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 31 years old, overweight nearly 30 kilos extra to my age. Past two weeks i feel like my heart is beating very fast, mostly after my dinner (the only real food i take) , which i take only by 10.30 or so, due to work. I think that my pulse rate is 88 per minute and beats faster than that after my dinner. I dont have nausea, but feels a slight difficulty in breathing after my dinner, when my heart beats faster. Please help me with an advice and suggestion. Doctor: Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that your symptoms could be related to abdominal extension or postprandial hypotension. I would recommend some tips to help avoid this clinical situation: - avoid large and hypercaloric food- eat more frequently in small amounts during the day- perform a lot of physical activity (walking, aerobics, etc.)- try to lose some pounds as overweight can trigger this situation. Hope you will find this answer helpful!Kind regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes palpitations with breathing difficulty?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Liver cirrhosis patient since 2008 under medication and now the parameter of liver is ok. However, parameter of kidney is very abnormal. my BUN is 152mg/dl and creatinine is 6.28 mg/dl. My nephrologist is pressing for dialysis procedure. But I want to avoid the same. Kindly intimate if any medicine available to correct the parameter Doctor: Hi Thanks for the query. BUN of 152 and creatinine of 6.2 indicate a severe degree of renal failure. At this point the consultanat nephrologist is the best person to decide about dialysis and from the above labs it appears to be the preferred choice at this moment. You need to speak to your doctor and he can review your other lab parameters. These can help us determine if the dialysis is going to be termporary or permanent. Also he can look for any reversible cause which might be treated with medicines. Hope this helps Good luck."
},
{
"from": "gpt",
"value": "Target: Have liver cirrhosis. Abnormal kidney parameters. Do not want dialysis. Any medicine available?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am experiencing chronic pain in my knees and elbows. I have never had this before. It is almost debilitating when I bend down and try to right myself. My knees hurt so bad and I have a hard time standing up. The pain seems to be constant even though it doesn t keep me from walking around during the day when I m at work. It s near crippling when I have been asleep and need to use the bathroom. My legs almost don t work. Doctor: Hello!I read your question and understand your concern. In my opinion your symptoms may be caused by a rhematological problem. I would like to know your age. The morning freezing is a common feature in many rhematological disorders like rheumatoid arthritis. I would recommend you to consult with a rhematologist , have a good physical examination, a full blood work, blood tests for inflammation like fibrinogen, PCR, sedimentation and rheumatoid factor. Further tests may be necessary to establish the cause of your symptoms and the appropriate treatment. Hope to have been of help!Greetings!Dr. Abaz Quka"
},
{
"from": "gpt",
"value": "Target: What causes chronic pain in knees and elbows?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am a girl never marrided 30 y old my weight is 60 kg and my fat percent is 34 % means 7 kg extra fat from the standard active girl with ovarian tumor operated at 10 months age (baby) dermoid again at 28 y but with 2% malignancy my cbc was normal with hb 13 without any supplements on age of 26 i got a small dose af (mice killer powder) in a false trial of commiting suicide in 2007 but after 20 min only got to hospital and stomach cleaning done and all medical care done in 2010 infected with hepatitis C in egypt at dentist office operated my ovarian on 2010 and 2011 my condition is very good afordable for excercise and weight lift and normal my question is my CBC since 2008 i can see MCV :68.9 , MCH 20.6 MCHC 29.9 HCT 34.2 my HB is between 10 - 12 depends on my food my ferritin is normal my HB ectrophorisis is normal HBs my platelet starts to be borderline low 130 to 190 after my hepatitis started how to increase my MCH and MCV Doctor: Do a periheral smear test .Tiil then you can take iron and folic acid tablets which would improve your MCV and MCH."
},
{
"from": "gpt",
"value": "Target: Done CBC test. How to increase MCH and MCV?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lump in my arm pit the size of a golf ball, maybe a lil smaller. also a lump the size of a grape on my lower inner bicep, both on my right arm. They both appeared 2 weeks ago and they are slightly painfull and have reduced in hardness and size since then. The day before I saw these, I did a lot of physical labor, with lots of heavy pulling and lifting. Is this a lymphnode case or muscular? I also take 1000 mgs. of L-Tyrosine a day with 2000 mgs. of Vitamin C and B 6. could is also be a reaction to amino acids? Please help. .... -Geoff Doctor: Welcome to Health care magic.1. The history of bilateral axillary lumps over two weeks - suggest me as lymph nodal enlargement.2.This type of lymph nodal enlargement is seen in case of localised and systemic infection / inflammation may cause the similar symptoms.3.Possbility of muscular pain is possible , lumpy ness is not seen after labour work.4.In this case i would recommend you to gat an ultrasound examination of bilateral axillary region - to find out the nature of the lesions / lumps, its source and extensions.5.After that first the underlying cause should be treated, if required an FNAC - fine needle aspiration cytology might be necessary to evaluate the types of cells.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes lump in arm pit and inner bicep?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went for semen analysis test. Report shows i have Normospermia with evidence of infection and sperm motility rate active-10%, sluggish-30% and non motility 60%, pus cells-8-10HCF, sperm count-21 milion/ml etc. My question is should i be able to get parenthood.? is it safe to do intercourse? what are the treatments to overcome this problem? I am confused-Please suggest.......... Doctor: Welcome to healthcaremagic.com and myself Dr. Atishay Bukharia would be answering your questions.. chances of parenthood with such decrease motility is very less so I would suggest you to go for in vitro fertilization in order to achieve pregnancy if unable to become parents after 1 year of sexual exposure. Hope it helpsIf you have any other question please do not hesitate to contact usRegards."
},
{
"from": "gpt",
"value": "Target: What are the chances of parenthood with motility rate at 10%?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing pain and discomfort in my lower left abdomen, also increased back pain, even sitting down right now causes me discomfort, I also noticed that I have bouts of extreme belching at times, it has happened before but seemed to go away for awhile Doctor: Hi.This can be a form of an intestinal infection causing all these symptoms together. You may need an antibiotic for intestinal infection along with metronidazole and antispasmodic tablets to reduce the pain in abdomen.Then observe whether reduction in intestinal symptoms are improving on back pain and belching. If yes continue the treatment for 5 days everything will be alright.If other symptoms are not improving , one has to find the local cause for backpain."
},
{
"from": "gpt",
"value": "Target: What does abdominal and back pain and belching indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor my self sathish.Basically i had completed B.PHARM.26 yrs old.I am suffering from Erectyl dysfunction,my penis bent to left side like bent banana,during semen comming outside suddenly my penis looses the rigidity and comes down normal i.e downward,eventhough i am trying but more pain is there,suddenly i abanded inter course,less amount of white semen comming out and it is not thick,after few minutes all ejected semens are converted to watery,till now there not comming meatus,glans.while i was played cricket cricket ball hitted on my scrotum many times.This is my case history .so please suggest the homeopathy remedy. Thanking you doctor, Respect fully, Sathish.V Doctor: DearWe understand your concernsI went through your details. Cricket ball hitting on your groin area many times cannot cause the given problems. Bend penis is normal and is good for you because bend penis will give you more pleasure within a vagina than a straight penis. When semen is ejaculated, automatically your penis will become slack mainly because of blood drain. That is also normal. You should not try doing masturbation again. Wait for at least 1 hour. You are already 26. You should reduce masturbation frequency to two or three times a week. There is no need to abandon intercourse. The semen thickness is dependent on many factors including anxiety and stress. I suggest psychological counseling to you. contact me.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest homeopathy remedy for erectile dysfunction"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Over the last few days I have a pain that comes and goes on the left side of the head of my penis. It s not a terrible pain but I feel that I when I do urinate it does feel slightly better for a very short time. Is this something that should go away on it s own? Doctor: Hi, It may be a small urethral calculus or stone. As of now, drink plenty of water and generally, the symptoms will settle with adequate hydration. If symptoms persist, better to consult a urologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain in the penis head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Im Joan from Philippines, I have Hepatitis B right now. and i did a series of test yesterday, according to the result. I am positive in HBs Ag and positive with HBc Ab? and the rest HBc Ab IgM, HBe Ab, HBe Ag, HBe Ag, HCV Ab are negative? What is the stage of my Hepatitis? Is it Acute or Chronic. What is the best cure for Acute and Chronic Hepa B? Im very worried about this because im planning to work in Qatar soon. Im just waiting to finish my medical here in the Philippines. Im hoping for your urgent response. Thank you very much. Doctor: Hello Joan As u told you have got your lab report positive for Hbs Ag and Hb c ab Hb c ab? Acute Hepatitis B status : HbsAg, Anti HbCag Ig M positive Chronic Hepatitis B status : Anti HbC IgG, AntiHbsag, HbeAg, HbcAg positive Hbeag seen in bloode denotes infectivity of Hepatitis B"
},
{
"from": "gpt",
"value": "Target: What is the best cure for Acute and Chronic Hepa B ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went into a dental webmd area. I have an extremely sensitive front tooth. I have in general sensitive teeth, I only use sensydyne toothpaste. I am staying away from high acid foods and beverages. Abesol works some. Any remendy till I can see a dentist? Doctor: Thanks for your query. I have gone through your query.The sensitivity in the teeth can be treated with desensitising tooth paste like senolin or sensoform. You need to apply the tooth paste over the teeth and leave it for two minutes and later brush with normal brush. Then the tooth paste will be effective. Otherwise it will not work.I hope my answer will help you. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe tooth pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My husband is saying that he feels a slow but steady pulse on the top of his head. He said that he remembers exactly when it started about 3 hours ago when he bent down to tie our son s hockey skates. He said that it felt it all of a sudden and it has not stopped since then. Doctor: Hello, In my opinion, this sensation doesn't mean anything serious.It is mainly linked to temporary increased intracranial pressure after excessive bending.In other cases, when it persists, may be linked to high blood pressure. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pulsation on top of the head"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with soft tissue sarcoma in January. Surgery was done to remove a tumor on my upper right rib. They told me they got it all, and I return to see them every four months. My problem is that I have ran a temp of around 100 for two months. The last two weeks I have experienced strong to severe pain across my shoulder blades. It feels like my lungs hurt. My family doctor has given me antibiotics and still the fever persists. He did a chest x-ray and said it was normal. I feel like I get light-headed and could collapse. Doctor: Hi, Soft tissue sarcoma has got various sub types. Treatment of soft tissue sarcoma depends on grade. High grade soft tissue sarcoma may need adjuvant radiation therapy and chemotherapy. Anyway your treating physician will guide you better. Malignancy often associated with fever, but other infective causes to be ruled out first. You should ask your doctor for testing your routine blood parameter. Type of fever should also be noted. Fever chart may be helpful. Consult your doctor. At present it is not likely to be associated with malignancy. Take care."
},
{
"from": "gpt",
"value": "Target: Diagnosed with soft tissue sarcoma. Removed tumor on the upper rib. Mild fever persisting with lightheadedness. What is wrong?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 20yo, 5 7, 165lb male. I m considering buying Somatropin injections for several reasons. I plan to use up to 5iu everyday and along with a lot of stretching, i hope to increase my penis size and my height. I bought the sizeg enetics extender and a pump so Im hoping the hgh will speed up the process. I also plan to stretch a lot, not lift heavy, and eat right/not smoke.Is there a chance i can increase penis size with this after the stretching?It increases cell mitosis which is what the extender works on and the hgh also causes organ growth Doctor: Hi, dearI have gone through your question. I can understand your concern.You should not do that. after the age of 20 you can not increase your height not the penis size. You should not take that drug without any prescription. Consult your doctor and if needed take according to his advise.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Is Somatropin injection effective to increase height and penis size?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has just been diagnosed with. An echocardiogram result diagnosis. The results were phoned to us and an appointment was scheduled for 4/2 to see a cardiologist. The woman who called said with the results said. Your heart is healthy and numbers say its working well. You have what is called Aortic Stenosis usually the treatment for this is surgery. Do not lift anything that would cause you to hold your breath and if you get constipated call and we ll prescribe something so you do not strain and hold your breath. We are to leave for Ecuador 3/16 and he has made an appointment with the cardiologist isn t until after we return. is it okay for him to fly? We have flights from northern us to Miami then Miami to Ecuador and 4 flights in Ecuador. His symptoms are nonexistent. This procedure was done at the request of his VA doctor. I m concerned and he is not. Doctor: Hi,Welcome.If he has no symptoms and heart function is normal surgery is generally not recommended.So yes he can travel by air but yes preferably he should not do heavy exercise or lift heavy object.For further treatment plan kindly consultant your cardiologist soon. If possible send me the echo report of his.Thanks and take care"
},
{
"from": "gpt",
"value": "Target: Can a person with aortic stenosis travel by air?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: From approximately Dec 28 until Jan 9th I had congestation in my chest. A little wheezing, not much mucus, but a lot of coughing, some of which was self induced. Every since Jan 10th my right chest has been very sore, especially when lying on my back, or on my right side. The pain center is close to right below my right nipple. Could I have a hairline fracture or a compression fracture? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Possibility of simple musculoskeletal pain because of coughing is more likely.But better to get done chest x ray to rule out fracture or any internal lung pathology.If chest x ray is normal then no need to worry much.Apply warm water pad on affected areas.Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise.Take simple painkiller like paracetamol or ibuprofen.Don't worry, you will be alright with all these.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes pain in rib cage while lying down?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hei doctor, i am 28 yrs old having 7yrs old son and now plaaning a second child .as after my first child my doc.advised my to have copper-t inserted and i have done so now i have removed it in month feb.this yr.as i told now planning for second child and trying our best but result is no? what should i do ? Doctor: Hi,Welcome to HealthcareMagic .After removal of copper T it takes 6 months in general for periods to become regular . Generally as age advance fertility reduces. I would suggest you to go for ovulation inducing drugs like clomephine . This will increase chances of pregnancy by causing multiple follicles to mature and rupture. You may discuss this with your doctor and may take upto 6 cycles.Hope I have been helpful .RegardsDr.Deepika Patil"
},
{
"from": "gpt",
"value": "Target: What causes difficulty in conceiving?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been having abdominal pain in my tummy in the centre and right side, when I add pressure the pain is there but also when I move to get up or get in any position its very painful it brings me to tears its mostly any position I move its an unbearable, should I go to my GP or straight to the nearest hospital? Doctor: HelloPain in the right side in abdomen , also in the center , bending increases pain. Such type of acute pain in the right side in abdomen may be due to these possibilities, these include.1 Right renal colic , diagnosis can be confirmed by ultrasound of abdomen with both kidneys.2 Acute appendicitis may be the another cause of such acute pain Diagnosis can be confirmed by physical examination as well as ultrasound of appendix.3 Consolidation of lower lobe of lung may causes such type of referral pain . diagnosis can be confirmed by X ray chest .However, there are so many other possibilities of such pain but in the absence of complete history it is not possible to establish exact diagnosis . I recommend you please consult a physician and get his opinion as physical examination is important.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been really tired last I want to say 3 weeks maybe and I went to the dr. finally last week he did ekg and said I probably just needed to drink more water because I do not drink much through out the day . also went to allergist and they said could b my sinuses but were testing my blood for mono and checking white blood count although its just a procationary. what do u think it could b and I wa sput on 4 mg of a steroid for inflammation but first does made me nausus so I stopped and hacve to go in again tomorrow . should I b worried? Doctor: Hi, Thanks for using HCM.You are giving history of only tiredness and no other symptoms and also not written your blood tests reports. Tiredness are due to many reasons. We can't explain all here. come with all your symptoms, how the appeared and tests done. Is there any change in weight, any restriction of activities, brathlessness, breathing problem, any problem in abdomen and also in renal or hepatic system. If no problem it may be due to viral or allergic manifestation. Consult your doctor for examination and management.Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care.RegardsDr. Vidya"
},
{
"from": "gpt",
"value": "Target: Tiredness. Prescribed steroid for inflammation. Done blood test. Need to worry?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, my husband has been experiencing rapid heart rate today. He has a history of high blood pressure and high cholesterol and is on daily medication. He said he thought after eating tonight it would help but he said it is still continuing. He just had his regular physical and blood work about 1 month ago and blood work looked good according to his internest. What would you recommend him doing? Doctor: I have gone through your question and appreciate Your concern. Rapid heart rate may be due to arrhythmia. Atrial fibrillation or Supraventricular tachycardia can cause rapid heart rate. It is Better to get Ecg done to know heart rhythm. If required holter monitoring can also be done. Thanks.U can write me back for any query."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rapid heart rate"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my baby was born with tiny dimple/dent on tummy? He is 5 months and only slightly bigger now. Not sure what it could be? He has also developed white non scaley rash on tummy looks like these patches losing pigmentation. Have tried washing with anti fungal for few weeks but no change. Can you help? Thanks Doctor: Hi,Thank you for asking question on health care magic.whitish,non scaly rash over the tummy may be a fungal infection or rarely b complex deficiency.Give multivitamin drops daily for 1-2 months.Skin diseases are difficult to diagnose without seeing them.If no relief better consult dermotologist.You may try local application of clotrimazole skin ointment.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: What could white, non scaley rash on tummy of an infant with having tiny dimple on tummy on birth indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 3 year old son who is complaining of sore legs everyday. He has a high temperature sore throat and has a headache. I'm tired of going to the doctors now because they tell me the same thing that nothing is wrong with him yet im his mother and I know there is !!!! Doctor: Hi,It seems that he might be having acute viral infection producing generalized bodyache, malaise and fatigue giving rise this problem.Give him Ibuprofen or paracetamol clock wise for 2-3 days to get relief from pain and fever.Give him plenty of water, fruit juices.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes leg pain with high fever and sore throat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 36 year old female and suffering with fear like feeling and sometime when the fear is high i feel very thirsty and under such situation my BP is normal but doctors feel that i am acting.Kindly let me know what this situation means.this is since from many years.i am a doctor by profession.i had met a psychetrist and i am using tab.Clonam-IR 0.25 AND tab.Ventab DXT.25.Kindly let me know my problem.thank u. shilu. Doctor: HIThanks for using healthcare magicI think, you have anxiety disorder or dissocative disorder. May be due to some stress or work related issues, you have anxiety disorder or dissociative disorder. In that case, you need continuous treatment with antidepressant and that would help to control these symptoms. You can also try some relaxation exercise. In case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: What causes mental disorder?"
}
]
|
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