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{
"from": "human",
"value": "Source: Patient: Good eve, i am 35yr old male. I was sent to get an ultrasound of the abdomen. I was diagnosed with a cyst in my liver. I do not drink or smoke.This is what my finds are.Liver measures 14.9 cm in length and is normal size, shape and parenchymal echogenicity. No intrahepatic ductal dilatation.There is a 1.8cm circumscribed anechoic structure within the right hepatic lobe with focal ring down artifact about its posterior aspect.Impression:1.8cm hepatic probable complex cyst with wall calcification.If there is clinical concern, recommend further evaluation with contrast enhanced CT abdomen..Please adviseThank you! Doctor: Hello friend,Your question does not give information whether your USG was done as a routine investigation or it was advised by a physician following any abdominal complaint like pain or discomfort in the liver region. I presume that it was found out following a routine check up because the cystic area in the liver is a compromised one and not an active one. The calcification is the result of such a situation. That means the cyst is not active and is not going to do any harm for you. What you have to do is just forget about the cyst in your liver and stop worrying over the liver complaint. Body has got several such compromising activities which are a part of its similar defence mechanisms. It has got no connection with your habit of drinking or smoking. It is not going to do any harm on you in future provided you are not too much worried about that. With best wishes,Dr. C. J. [email protected]"
},
{
"from": "gpt",
"value": "Target: Ultrasound of abdomen shows 1.8cm hepatic probable complex cyst with wall calcification. Advice"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mum (77 yrs old) had her gallbladder removed in August 2011. After the surgery, she suffers from constipation. Normally, patients who dont have a gallbladder, cannot take oily stuff. But my mum take oily stuff and constipate. What could be the problem? Doctor: Hi thanks for contacting HCM..Noted your mother had removed gall bladder.And she is taking oily foods.Gall bladder having bile salts which help in lipid digestion...So still after removal gall bladder as she is taking oily food there is problem in digestion.It is simple indigestive problem....Here she should not take fatty foods.Fruits more...Avocado fruit loaded with fiber so taken..Coked oatmeal help in proper digestion.Blueberries rich in vitamin c and fiber so useful.If still problem continue stool softener can given...Drink more water....Hope your concern solved.Dr.Parth"
},
{
"from": "gpt",
"value": "Target: What could cause severe constipation after undergoing gall bladder removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had anterior cervical spine fusion 4 days ago C3-C4 and just noticed a yellow discoloration in middle of chest just below my neck...I read somewhere that it is not uncommon after surgery but want to make sure. I have call in to my doctor but have not heard back from him Doctor: Hello,Your symptoms could be caused by internal bleeding. This could be just a normal bleeding during surgery. If you have shortness of breath or low blood pressure, I recommend consulting with your doctor for a physical exam. If you have any other questions, I would be glad to answer to all of them.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes yellow discoloration in chest after cervical spine fusion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with hyperthyroidism but after regular blood work I was taken off medication & told to get bloodwork every 3 to 6 month. I had bloodwork done 4 months ago & everything was fine. I noticed lately that my ankles are swollen. Is this possibly anything to do with it? Doctor: hi,thank-you for providing the brief history.As you had hyperthyroidism in the past and now having trouble with swelling I feel it is due to increased level of thyroid hormone and due to this there is a change in the normal cellular mechanism. Swelling is one of the commonest problem in the patients with hyperthyroidism and recheck of the blood is advised. treatment will include the medication to reduce the thyroid levels and swelling for symptomatic relief. You may be asked to perform physical therapy to improve the metabolism and also strengthen in the muscles. cardiorespiratory endurance training will help improve the vascular system and avoid the swelling of the ankles.In my clinical practice most cases with hyperthyroidism are having complaints with Swelling of ankles and with thorough clinical examination and a combination of medication and physical therapy helps reduce the swelling and also improve the metabolism.Regards.Jay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What causes swollen ankles with hypothyroidism?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has a pea sized bump on her thumb. The bump looks like a blister but is hard as a rock and has two small black dots at the tip. It has been there for 3 days but I don t recall her getting injured in any way. I have no clue what it is. It doesn t bother her but it s driving me crazy. Doctor: Hi.Thanks for your query.The hard pea sized lump on the thumb- with 2 small black dots is suggestive of a viral wart.It can easily be treated by applying the solutions available for warts. You have to be careful to save the skin around the wart.If you are not confident about careful application have a consultation with a Dermatologist. The part being a thumb- you have to be really careful."
},
{
"from": "gpt",
"value": "Target: What does hard bump on thumb without injury indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: resp sir,my daughter is 8yrs old.she had 2 episodes of fainting for few minutes at school after which she becomes normal.yest she again had that episode at home after which she was drowsy for 1hr or so.eeg was normal.mri scan showed tiny ngliosis in right deep occipital white matter region.sir,can u explain the prognosis Doctor: Dear parent,by your description it seems to me that your daughter is having absence seasures. EEG may be normal initially. But to be on safer side with the growth in occipital area, you should be vigilant and take her to a neurologist."
},
{
"from": "gpt",
"value": "Target: What leads to drowsiness and unconsciousness in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, this is Ravi from Gandhidham, Gujarat, recently my mom's hernia surgery done dtd 10/06/2011, after four days some liquid leakage is started, now mom is under treatment. Doctor has suggested nothing to worry as this is fat liquid which overflows sometimes. This is will continue four to five days. We are so worry about present circumstances, can you pls. advice on this matter...Best Regards Ravi Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Leakage of fluids can be possible after a week or so.Leakage after this time is abnormal. It requires a treatment.I suggest you to do culture and sensitivity from the fluid coming out.If it is infected than appropriate antibiotics as per the report will cure you.If the fluid is non infected than it requires a correction surgery. Once this measures are taken the fluid will decrease coming out.Please maintain good hygiene locally, you can do it by frequent cleaning and dressing. This will equally important as taking drugs. You can use betadine and dettol to do dressing from the wound.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for liquid leakage after hernia surgery"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father, age 46, is diabetic since a decade.. recently, he took tests and found out that he has high levels of uric acid in his body.. he had been taking dietary supplements in excess due 2 which there has been an abnormal increase in protein levels..what diet plan would u suggest for him? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Diet should be poor in purine rich food like offal, shell fish, crustacean, meat, sausages etc.2. Avoid alcohol and take a low fat diet.3. Take plenty of water. Weight reduction is necessary.4. fresh fruits, vegetables and high fiber diet will be helpful.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: Suggest diet plan to manage uric acid levels in blood"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm a 22 year old female, medically fit, no Cancer history in the family . about a month ago I had an abcess on my left elbow and I went to the ER and they gave me Analgesics and Augmentin and I went home and drained it.. 10 days later it was almost gone but another one appeared 2 days later on my right inguinal area. I managed this one by myself through draining and applying Fucidin ointment and it receded in about a week. Now I have a tender lump in my right armpit which is kind of worrying me; I try ti connect the three conditions to each other and yet I find myself fearing it being breast cancer or a lymphoma. its the size of a Hammus and it's a little red .. Please Dr I need a satisfying and calming answer as I'm afraid so much right now :( Doctor: Hi.Thanks for your query.The first and the foremost thing is that you are just 22 years and no cancers occur at your age. All these swellings are small boils/ abscess and will settle well with a small course of an antibiotic and anti-inflammatory medicines like Ibuprofen. IT is definitely advisable that you go for the blood and urine tests to rule out anemia, infection and diabetes, which again I feel will be normal.It is best to apply liquid povidone iodine to the affected areas as it practically kills al the bacteria, and you may avoid further infection lesions like this. Just do not worry. This is definitely not a cancer."
},
{
"from": "gpt",
"value": "Target: Is tender lump in armpit sign of any cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an abcess lanced and drained on my upper left thigh yesterday morning and I was expecting the mass to be much reduced as well as the pain but it still feel as big and hard as before and it s been burning at the site continuously since the anesthetic wore off. Is that a common occurrence? Do you know why it feels like burning/stinging at the site (even after 2 advils) ? Doctor: NO, it is not a common occurrence. It appears that your cellulitis stage is still not settled.You need antibiotic cover along with NSAID & multi vitamins.Kindly contact your surgeon for review."
},
{
"from": "gpt",
"value": "Target: How to treat a abcess on the left upper thigh which still looks noticable?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have a cyst on my right hand kidney 35mm how serious can tat be.. i do have alot off back pain and soreness inside d vagina, goin toilet more.. prickly feelin only lately comin from my kidney what does tat mean,, is it growin more.. wats best option... Doctor: Dear Patient,they are likely two distinct conditions. Simple cysts are benign and need an US screening every year. This is likely your case. On the other hand, exclude a urine infection with urinalysis and urine culture. Take care,"
},
{
"from": "gpt",
"value": "Target: How serious could be a kidney cyst 35 mm with severe back pain, vaginal soreness and frequent urination?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my wife had 2 gall stones and her gall bladder removed 2months ago, since then she has experianced diarrah constantly and also has been bleeding like on a period, some times light and other times quite heavy, is there a cause for concern and should we see a doctor.??? Doctor: hi.thanks for posting query at HCM.The cause of diarrhea after gallbladder removal is not certain. Some experts believe that it results from an increase in bile, especially bile acids which may act as laxative in the large intestine. it should subside soon, usually lasts from few days to few months.advise:- Avoid high-fat foods, fried and greasy foods- Add soluble fiber, such as oats and barley, to your diet. But be sure to increase the amount of fiber slowly, such as over several weeks, because too much fiber at first can make gas and cramping worse.- Eat smaller, more-frequent meals. - avoid caffeine and dairy productswish her good n sound healthregardsDr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: What causes persistent diarrhea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend (aged 43),(mother died of breast cancer aged 57), has been diagnosed with rectal cancer, (located15cm within her rectum), that has been within her body for 12/18 months, key hole surgery has been ruled out and she is waiting for a CT scan to find out if this has spread. It is seen to be an infected area as opposed to a tumerous mass, but it is a rather large area thats involved. Can you tell me if this in your opinion, can be surgically removed without leaving her with a stoma or if it can be cured with radiotherapy and chemotharapy? Regards Anita Doctor: A rectal tumor which is located 15cm from anal verge in the rectum can be removed surgically with an anterior resection without the need of a permanent stoma. Other factors have to be considered prior to this surgery including:1. Is the tumor localized or has distant mets. A CAT scan of abdomen and pelvis and a chest radiograph would give the stage of the disease and confirm or rule out metastasis.2. Negative circumferential resection margins (CRM) can be obtained or not. An MRI of rectum will settle this issue.If patient has no distant metastasis and no peri-rectal extension (extension through rectal muscle into surrounding tissue) or peri-rectal lymph adenopathy (enlarged lymph nodes around rectum) then upfront surgery with anterior resection can be done.If there is peri-rectal extension (T3 tumor) or peri-rectal lymph nodes then neoadjuvant (pre surgery) chemoradiation therapy needs to be given prior to anterior resection.If there are distant metastasis then its a palliative case requiring palliative surgery, chemotherapy or radiotherapy.I hope I have answered your query. You can discuss it with the treating oncologist. If you have any further questions I will be more than happy to answer."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for rectal cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I'm a 56 yr. old female. Had a dental extraction, right upper molar. Tooth broken off tothe gum. considered a surgery extraction. a week later, the area is very soar, developed gum ulcers at the area and the roof of my mouth. Prescribed a rinse and dental gel for the soreness. What caused the ulsers and will this heal the problem. Doctor: YOU SHOULD KEEP A GOOD ORAL HYGINE AN RINSE YOUR MOUTH AFTER HAVING MEALS. . TAKE PEDNISOLONE AND MUCOGEL"
},
{
"from": "gpt",
"value": "Target: What causes gum ulcers after tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4yr old fell on the coffee table and hit her left cheek 1yr ago and it has made her natural curve from her smile go straight across her face and its very obvious. We had an xray done right after the incident and they said everything was ok. What could this be and who do we need to take her to to get this fixed. Her pediatrician said that it will go away on its own, but I don t it will. Doctor: Hello, In most cases, it will improve with time but some deviation persists. Plastic surgery will be an option to restore the natural facies. Consult a plastic surgeon and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to get the natural curve of smile back post injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just finished my last round of chemo 2 weeks ago. I'm 50, pre-menopausal with more and more frequent hot-flashes (I don't know if it's from chemo or menopause coming on), but often I have very low temperatue of 96.5 and am cold. Is this normal or an indication of an underlying issue? Doctor: Chemotherapy does not cause fall in body temperature. Infact, if anything it can lead to rise in temperature. However, fall in temperature is a common menopausal symptom. Also, chemotherapy is known to accentuate menopausal symptoms in women approaching menoapuse. It is nothing that you should be concerned about. Just drink plenty of water."
},
{
"from": "gpt",
"value": "Target: Can chemo cause low body temperature?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 44 yo female, good health, 5'9, 150lbs, had ureterscopy and lithroscopy, no stent, two days ago for removal of 7 mm stone. Pain isn't nearly as severe as the pain I felt before the procedure, but I still have pain in the exact area I had before. Lower back, particularly left side, left flank and left abdomen. CT scan showed 5 more (3 in L; 2 in R) pending in my kidneys so I am now on an oxylate diet indefinitely until my urologist can analyze what kind of stones I am producing. I just want to know if it's normal that I am experiencing this dull but persistent pain in the same area post-op, or if this is indicative of yet another stone that is near my ureter again. I really, really don't have it in me to go through that kind pain again and I just want to prepare myself. If this pain is normal, then I will relax more. Doctor: Hi, your treatment is going on as it should be , and the post operative pain also common . I to my patients with such pain prescribe higher antibiotics, protiolytics, and apin killers for pain relief. Take plenty of water, to flush the remaining stones. Neeri syrup will help a lot for desolving the stones. Thank you."
},
{
"from": "gpt",
"value": "Target: Pain in kidney area, lower back pain. Ureteroscopy and lithroscopy. Done CT scan. On oxylate diet. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 year old son had a fever with sneezing, cough, stuffy/run nose this past 3 days. The fever is gone nose still runs off and on but the cough is very persistent...continuous and sounds really bad from the chest. Not sure of what to do...it sounds bad. Doctor: hi according to your history any fever in children persists for 3 days need to evaluate best option is channel a doctor and child might need some blood investigation and if the lung sign oblivious might need x ray toosputum colour also important whether it's yellow or white sometimes might need antibiotics"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever, sneezing and coughing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ultrasound results of 1.1 cm cyst on inferior pole Rt. Kidney. History of endometriosis and several scope lysis of adhesions years ago. Leaving adhesions still abundantly near and around bladder and bowel. Reason for recent ultrasound upper right quandrant pain Doctor: Reasons for upper quadrant pain with the past history of surgeries, endometriosis and cyst on kidney ::AdhesionsEndometriosisThis are the most probable causesGall bladder infection or stones Liver inflammation also can cause this. I would advise you the following::Entroclysis to start with.UltrasonographyX-ray of the abdomen in standing position.The proper diagnosis will lead to a better management"
},
{
"from": "gpt",
"value": "Target: What causes upper right quadrant pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I was having inefficient vitamin D and I was not aware about that and taking penadol frequently as I was feeling temperature after some days I visit doctor and come to know that my vitamin D is 16 and sgpt was 77. Please help me is there any medicine required for it Doctor: Hello, The low levels of Vitamin D can be corrected with the help of proper supplements. You can start with vitamin D3 supplements. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What can I do to overcome vitamin D deficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Might have had a mild heart attack, elevated enzyme tested positive, enzyme went back down on second blood test, ecg and ecko read healthy normal heart beat, discharged from hospital by doctor . What exercises can I do? I have cardiologist Friday via private and mri nhs follow up pending . Ecko cardiologist happy to discharge. Doctor: Hello Welcome to Ask a Doctor service.I have reviewed your query and here is my advice.with cardiac disease particularly if this is a CAD (Coronary artery disease) so exercise is not advisable till it is not the symptoms CAD is there, first thing is to come out of the risk of cardia disease then and then you can go for exercise, it is the cardiac rehabilitation centers are there and you need to consult it.Hope I have answered your query, let me know for further assistance."
},
{
"from": "gpt",
"value": "Target: Which exercises are advisable when diagnosed with a heart attack?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I have a nasal allergy (from dust, old dust, smoke and pollens) i kept on sneezing when weather changes mostly in the morning when i wake up I sneeze a lot. my local doctor has prescribed Montair FX, Defcort 6(3days) and a Duonase Nasal Spray for 20 days. Please advise if we have any permanent solution to it. Also is it hereditary? Please advise. Doctor: HelloFrankly speaking, there is no permanent cure for allergy . If once you contract allergy , there is bound to develop allergy , so avoidance help great.2nd answer , yes to some extent allergy is a hereditary disease.These measures may help you.Wash all bed covers in hot cycle every week.Treat carpets w/acarcides or tannic acid.Clean upholstered furniture thoroughly or replace w /leather furniture.Keep dust-accumulating objects in dust cupboard.Replace curtains /blinds & easily washable curtains.Use vacuum cleaner Encase mattress , pillows & quilt in impermeable coversKeep pets out of house & living bed roomsInstall air conditioner or dehumidifier When such patient visit I prescribe only montelukast +bambuterol tablet once or twice in day depending on severity of symptoms .I don't prescribe defcort like drugs because these drugs are steroid and long term uses produces untoward side effects.Hope this will help you.Hot coffee and steam inhalation also provide instant relief."
},
{
"from": "gpt",
"value": "Target: What is the permanent solution for nasal allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I am 29/M and recently gone through a full body checkup. found that Protein Total, Alkaline Phosphatase , SGOT/ SGPT is above the limit (as below), also triglyceride is 1725. I was suggusted fatty liver in 2011 april when I was hospitalized and was fine after, Complete Blood Count report is all fine also Kidney Function Screen is OK also Urine Routine Examination is ok too. Pl advice what should I do futher? Bilirubin Total 0.40 mg/dl 0.1 - 1.2 Bilirubin Direct 0.07 mg/dl 0.00 - 0.2 Bilirubin Indirect 0.33 mg/dl 0 - 1.0 Protein Total 11.10 gm/dl 6.0 - 8.0 Albumin 5.20 g/dl 3.5 - 5.2 Globulin 5.90 gm/dl 2.3 - 3.5 A/G Ratio 0.88 1.5 - 2.5 SGOT / AST 68.1 IU/L 0 - 35 SGPT / ALT 165.2 IU/L 0 - 41 Alkaline Phosphatase 169 U/L 53 - 128 Gamma GT / GGT 100 IU/L 0 - 49 Doctor: Hello!Thank you for the query.Your liver tests confirm that fatty liver is still your main problem. The most probable reason of such results is bad diet, alcohol abuse, painkillers overuse. Fatty liver is a reversible thing. However if left untreated can lead to liver cirrhosis which is irreversible. That is why you should do everything to stop that process. To do that you should change your diet. Avoid fatty foods, spicy foods, fried foods, alcohol and painkillers. Increase vegetables, whole grains and mineral water intake. Start some physical activity like jogging or bike riding.Hope this will help.Regards."
},
{
"from": "gpt",
"value": "Target: Tests show increased SGOT/SGPT, triglycerides,fatty liver. What next ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was suffering from typhoid fever which get treated with ceftriaxome and amikacin inj BD 5 days & cefodoxime BD for 10 days , but occasionally i have low grade fever like 99.0, 99.1. my dr. advised for mantoux test which came positive, chest X-ray is clear and i have no symptom of TB but my dr. has started TB treatment. Am I suffering from TB as every one says that positive mantoux doest not surely confirm TB? Doctor: Thank you for writting on health care magic.In my every day practice we don't treat every patient which is mantoux positive. There are some criteria to start treatment. Manthoux can come positive wich meens that you have been exposed to mycobateri tuberculoisis but it's not equal to disesase.It needs to have other clinical correlations.A normal chest x ray normaly is against starting of treatment.At first there is the need te see you have had any privous contact with tuberculous patients. If any member in your family has had tuberculosis.Low grade fever could be symptom of other disease and the list is long including infection, systemic disease etc.You have to disccus again the reason for starting of treatment. low grade fever is not a indication for Tuberculosis treatmentWish you good health"
},
{
"from": "gpt",
"value": "Target: What are the early signs and symptoms of TB?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband and I are having issues conceiving. His sperm count is high, motility is a little bit low, and morphology is quite low (15% are shaped normally and doc. says it needs to be 70% normal shapes). His doctor has prescribed him ADDERALL for his newly diagnosed ADHD . Will this drug affect his sperm in any way at all? Would it be better to have him wait to take this drug until I can conceive? Thank you SO much for any information you can give! Doctor: Hello dear... Adderall is Amphetamine, which is a CNS stimulant. Though interference with sperm count or morphology has not been reported as a side effect of Adderall, the studies have shown the individuals taking amphetamine to have decreased libido and sex drive. So...if you are planning to conceive, then consult with your Gynecologist. Otherwise it will be better to wait till your husband completes his medicines. Make sure he is taking his medications regularly, having a healthy balanced diet & avoiding stress, alcohol and smoking. Wishing a good health. Thanks & take care"
},
{
"from": "gpt",
"value": "Target: Taking adderall for low sperm motility. Will it get cured by this medicine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir I am Prashant shukla and i am banker.Recently my sonography report and urine test revelead that i have mild stone deposition on right kidney.my questioln is what sort of diet should i take now since i have been asked to stop Tomatto,brinjal,dry fruits,Spinach,cucumber milk products,pulses. Doctor: HiThree main things to do is increase fluid intake to make urine colourless, reduce salt intake, avoid red meat and decrease animal protein. Also in most patients reduction of spinach, tomatoes, radish, nuts, helps. Also increase diary products like milk, cheese and yoghurt."
},
{
"from": "gpt",
"value": "Target: What causes mild stone deposition on kidneys?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have lump, the size of a roma tomato, underneath my left breast. I showed it to my doctor last year in my yearly physical. She said it was probably a fatty tumor. Well this thing has grown and is feeling harder than last year. How big do these fatty tumors get and are they usually hard????Since I am being prompted to add my age, weight and such...here it goes. I am 44,five nine and 240 lbs. My medical history consists of high blood pressure since I was 24 and two c-sections. And this lump is under the breast, in the upper rib cage area, not in the breast. And yes I have had a mammogram, it showed nothing. Doctor: Hi, dearI have gone through your question. I can understand your concern.You have soft tissue mass. Your mammography is normal so no need to worry about breast cancer. It can be lipoma, neurofibroma, dermatofibroma or some other mass. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact idea regarding diagnosis. Then you should take treatment accordingly. 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: Suggest treatment for lump underneath breast"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir my uncle suffered cancer and he is very poor what can i do hello sir, my BROTHER suffered neck cancer and he s referred JAWAHAR NEHRU CANCER HOSPITAL. BHOPAL M.P. MY FAMILY IS VERY POOR , SO I DON T UNDERSTAND WHAT SHOULD I DO. HELP ME. IF U CAN PLEASE SIR ITS URGENT Thanks, RAABINDRA SAXENA Doctor: Hi,Rabbindraji, Thanks foe query, Government hospital will give you free or with nominal charge treatment. These hospital have latest technology to treat. Take him there and get the treatment. ok and bye."
},
{
"from": "gpt",
"value": "Target: Where can I get cheap treatment for cancer ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc,i am 18 yr boy ,wen i was 16 at hom we had a house maid n therre always evry nyt she commes on my room n i fuck her til morning there fore i go off to school nw days she z gone n i am addictd to it n i mustbt even 4 tymz a day wat should i do to stopp dis Doctor: Hi, The masturbation for four times a day can cause social fatigue and groin discomfort like side effects. To get rid of this habit you need to decrease porn watching if having a habit of it. It's advisable to set short term and long term goals in life and focus on study. With firm determination, you can decrease the frequency of masturbation. Yoga, meditation also will be beneficial. You can take the help of psychiatrist if needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to get rid of too much mastubation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey I was out on a lake and in a forest area, and when i got back i noticed these purplish/reddish marks on my legs feet on one on my face . Any clue what they are or what caused them? Doctor: HI...dear user., Thanks for choosing HCM.., reddish marks on feet and face., could be..CONTACT DERMATITIS.., it is due to contact with plants or Insect bite.., 1) Apply calamine lotion in morning times..,..., 2) Betamethasone and gentamycin cream on affected part night times., 3) Tab..cetrizine daiy night times.., 4) Cap cephalexin 250 mg 2 times daily for 5 days.., ok...good luck.,"
},
{
"from": "gpt",
"value": "Target: What can be the cause of red/purple marks on my feet when I was in a forest area ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 14 month old daughter is suffering from cold and blocked nose from last 1 week,now she also caught loose motion and mild fever.Losse motion has started yesterday in morning and fever from yesterday night.Doctor has prescribed *sinarest af * Sinarest -PD nasal drop *Nitrolin-B syrup Can I give all the above medicine accompanied with crocin?And waht should be the Amount of medicines . My baby s weight is 9 kg. Please answer Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Based on symptoms it's looking like viral fever just use following medications Rx 1) syp.P250 2.5ml every 6th hrly for 2 days. 2) Otrinoz p nasal drops 1drop in each nostril every 6th hrly for 2 days. 3) Syp.Maxtra 3ml three times/day 4) Enterogermina 1respule morning 1 respule night for 3 days give plenty of water. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can Sinarest AF and Nutrolin B syrup be given for cold and nose congestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I lost my birth control pack midway through the pack. I stopped taking them for the month and I'm going to start again this month. I get my new pack on the 6th. Is it okay to start taking the pill for this month before I get my period or during my period? Doctor: Hi,Welcome to healthcare magic. I have read your question.I would like to reply as below:1) Dont start the medicine before periods if you have stopped for more than 3 days.2) Please wait for periods to start and then start your pack.If you have any further queries, let me know so that I can help you much better.Wish you good health.Dr. Soumya"
},
{
"from": "gpt",
"value": "Target: What time should birth control pills taken?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i have mentioned my report, let me know my health status. Period of sexual abstinen: 3 days Liquefaction time : 30mts Colour : Greywhite Volume : 2.0 ml 2 - 5 ml Viscosity : Normal Reaction pH : 8.0 7.5 - 8.5 MICROSCOPIC CHARACTERISTICS Sperm concentration : 36 millions/ml 40 - 140 Millions/ml MOTILITY Rapid Progressive : 09% Moderately progresstive: 21% Sluggishly progressive : 20% Non Motile : 50% Agglutination : Nill MORPHOLOGY : Normal Fructose (Qualitative) : Present. Doctor: Hi Mohan, Thanks for writing in. Your sperm count and the actively motile sperm count is also reduced. This can lead to problems in having a child. This can be due to several cause like varicocele etc. Treating the varicocele may help improve the sperm count. If no cause can be identified, there is no treatment as such. If you wish to have a baby, a test called the sperm survival test is done. If there are >3 million motile sperms/ml after this, then there is no problem. The best way forward if you are trying to have a child is intrauterine insemination. Please see a infertility specialist if you are trying to have a child."
},
{
"from": "gpt",
"value": "Target: Done semen anaysis test. Let me know my health status"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I popped what I thought was a pimple on my gential area by squeezing it and it grown quite large to near the size of a Nickel and raised up much more. It s been painful, almost like I got kicked in the testicles. It s late at night so I can t really see a doctor today, can I assume it d be fine over night and/or wether I need an immediate doctor visits in the morning? Doctor: Thanks for asking in healthcaremagic forum A boil if squeezed even before pus points then can cause severe pain and inflammation leading to increase in the size and spread of infection. So, please use any anti-inflammatory + pain killer with local antibiotic cream for relief. You can visit your doctor whenever you are free, as it is not an emergency. All the best."
},
{
"from": "gpt",
"value": "Target: Should i consult a doctor as i popped a pimple on my genital area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My 5 year old daughter is complaining of a pain in her heart. She was laying down when she first said it. She does have a mild cold and stuffy nose that started yesterday but, that s it. She is generally a healthy kid. My concern of the moment...how fast should a 5 yo heart beat? I felt her heart and it s beating pretty fast. I just don t know what normal is. She is not overweight....she is only in the 25th percentile for her age group. Doctor: heart rate at this age should be less than 100 per min. chest tightness may occur in children with cold usually in children which are allergic. thus will improve with treatment of cold."
},
{
"from": "gpt",
"value": "Target: What causes heart pain with palpitations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My periods almost alwayse come on the sixteenth evry month until last month I missed it and this month I got it on the second. Then I had intercourse on the elevinth and three days later I had discharge that looked and feels exactly like eggwhites. It was clear and yellowish and all in a ball like thing kind of like snot but it didnt come from my nose. Now all of the sudden only two days after this happened I feel like I am going to start again. My back hurts, my breast hurt and are sore. Whats going on? Doctor: hi.soreness of your breasts is due to hormonal changes which usually occurs few days before or during your menstruation. inflammation will subside in a few days time. the whitish discharge after your intercourse is normal.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: What causes soreness of breasts and back ache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been taking Diclofenac Sodium 75 for four years now. It works well for the pain, but I am worried it is damaging my organs. I would like to switch to Tramadol for a period of time to let my organs heal. I have researched Tramadol, and it seems to be a safe alternative for a short time. Is this a good move? I am 35 years old from Limestone Maine. I am 6ft tall and I weigh 275lb. Doctor: hipainkillers like diclofenac, especially NSAIDS (non steroidal anti-inflammatory drugs) are very dangerous & cause organ damage.most of the commonly affected organs are the kidneys sometimes leading to renal failure ,landing to life threatening problems.the other organs affected can be liver and gastro-intestinal tract.comparitively tramadol is more safer with less organ damage.you can switch on to tramadol.but try to reduce the usage of all these drugs unnecesarily, unless indicated.all the besttake care"
},
{
"from": "gpt",
"value": "Target: Would Tramadol be a safe alternative for Diclofenac sodium 75mg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife has been dealing with a lot of hip and lower back pain the last month, she has also had strep throat during this period. Yesterday she complained that her throat was hurting again, this morning she had a fever of 100.6 and muscle aches. This evening she was nauticiaus and started vomiting and there was traces of blood. I know she has been taking alot of pain killers and anti inflammatory meds, would this cause the blood in her vomit? Doctor: Hi,Looking to the history this bleeding can be due to,Severe infection in throat producing blood from congested throat mucosa or from the stomach due to gastritis or even ulcer due to taking pain killer or anti-inflammatory medicine for long time.Consult doctor and get examined.Meanwhile take some ant acacid like Rantac or Famotidine.Take plenty of milk.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Do pain killers and medications for inflammation cause blood in vomit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Respected sir I got married before 2 years but I my wife didn't conceive till now before 5 months I went to a gynecologist after check up my wife found mountous test possitive and taking teblets 1. Productive -F form wrenburry company. and Reninzide Tablets. but till now there no result. And my sperm counting is 20 million. so pls guide us what should we do and if it is possible send prescription on my mail ID YYYY@YYYY I be thank full for u. Doctor: HelloAs you mentioned that your wife is taking anti tubercular treatment ( productive -F and reninizide tablets , that's a nice thing).First of all upload detail reports of SEMEN analysis . As you mentioned that there is 20 million SPERM count ( you didn't mention total sperm count or / mL i.e. normal sperm count is 60-120 million total , while 30-40 million / mL).So first of all I want to tell you is that your SPERM count is less than normal for fertility . Also get in morphology and motility of sperms and upload these reports also . Fertility and subfertility is associated with motility and morphology of sperms .After this get in an ultrasound of both ovaries of your wife . Also get in study of dominant follicle size as this decides whether there is successful OVULATION or not .If follicle attain full size ( 19-20 mm at the time of rupture ) and burst and liberate ovum , there will be conception.So first of all get in SEMEN analysis ,then ultrasound of both ovaries of your wife , then follicle study , then ovulation study.So consult a fertility specialist and get his opinion."
},
{
"from": "gpt",
"value": "Target: What is the cause and treatment for infertility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My child of age 4.5 years has been suffering from high fefer (some time rises up to 104-105 deg)from past 12 days.Initiaaly after 6 days widal test conducted found negative but now after 12 days widal test conducted found positive for typhoid fever. Doctor prescribed cexime 100mg oral suspension and azithromycin 200mg oral suspension Doctor: Hi,It is confirmed that your child is suffering from typhoid fever.Continue with antibiotic medicine prescribed your doctor.It take few days to start its effect to reduce fever down.Give liquid diet and plenty of water.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high fever in kid"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctors i am sara married since last 2 years at marriage time my husband was for only 2 months after that he went abroad now iam with my husband from 1 year we trying to conceive from 8 months but there no result i hve pcos and my husband sperm is low i wnt to know will laproscopy surgery is good for us or we should take ivf iui wt will be helpful plz reply Doctor: Hello,What is the sperm count? Ask your husband to take a course of antibiotics as advised by a gynecologist. Take Clomiphene from day 2 and go for follicular study till follicle size grows up to 18 mm till follicle rupture and then IUI for early results.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal"
},
{
"from": "gpt",
"value": "Target: How to increase chances of conception?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son was diagnosed with orchitis or epididymitis. My problem is that he always gets this immediately following an ingrown toenail infection. Also, his left side lower abdomen hurts more than his left testicle. He was given antibiotic injections, one each day for three days, and 5 days of azithromycin. This is the fourth time he has had this and it get worse each time. He is 12 years old. The urologist said yesterday that this just happens sometimes. What does that even mean??? He is finished with the antibiotics and seems a little better, but not like he usually is after the antibiotics. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. At 12 years getting orchitis has to be investigated.Was he suffering from mumps or any other viral infections.? If he is getting toe nail infection frequently and if so the nail can be removed. Discuss with a surgeon regarding this. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain in the testicles and toe nail infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: IM 57 YEARS OLD AND HAVE HAD THIS PROBLEM FOR ABOUT 3 MONTHS. HAVE SEEN MY DOCTOR ABOUT 3 TIMES AND AM LOST. I GET SHORT OF BREATH WHEN I DO THINGS AND ALSO WHEEZE AT NIGHT JUST WHEN IM LAYING DOWN. MY CHEST FEELS LIKE I PUT VICKS INSIDE OF IT, I ALSO FEEL LIKE COLD AIR WHEN I BREATH IN.I COUGH MANILY AT NIGHT WHATS THE PROBLEM, I AM FED UP Doctor: HelloWelcome in HCMI have gone through your concern and i will try to help you.According to the history you have difficulty in breathing mainly during the night and laying down.I strongly recommend you to do some tests for the lungs especially:HemogramCRPChest x raySpirometry test with b/dilatatorsEKGPrick testAfter having the results the pulmonologist will for sure prescribe to you some medications like inhalers ( Ventoline + Seretide) maybe oral corticosteroids for several days,some mucolitics and you will feel better again.If you smoke you have to stop it immediately.If you are obese you have to lose weight to do some exercises physical activity,a lot of liquids.So consult a specialist please.Dr.JolandaPulmonologist"
},
{
"from": "gpt",
"value": "Target: What is the treatment for shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been in a automobile accident . I have had some neck and back injuries. I have also noticed a pain on the right side of my lower abdomen . I didnt notice it for about 3 days or so.. its right next to my hip bone . Im not coughing up blood or anything and sometimes I dont even notice its there but now when I touch that area I can def tell its there and i think its starting to get a little worse. A doctor said that its where the appendix is located but he said if your not dizzy or you didnt experience symtoms right away than its probably not caused from the accident and I should just keep an eye on it. I have never had a pain like this before the accident so Im wondering if the seatbelt could have damaged my appendix or given me a hernia or something. Doctor: Hi. If you prove that this is appendix damage due to car accident I d like you to send me all infos because i wanna public this as case study:)) There are plenty of organs which can be damaged and incidence of appendix injury is probably 0.000001%. So you should think of the most common disorders first. Did you check(x-ray) pelvic bones and lumbal spine. Pain can be felt due to even small fractures. Just dont worry, I think its nothing but... I am an author of the book \"Abdominal trauma-for medical students\" and I want to inform you that abdominal injuries can have very unspecific clinical presentation. It is not necessary to have symptoms right after the trauma, even more then 5 days can pass.Seatbelt can cause variety of injuries especially of the spleen and small intestines, but its very hard for hernia to develop. The most dangerous disorders that can occur are intraabdominal bleeding and hollow organs perforation followed by infection and sepsis. You obviously dont have bleeding, but organ injuries and abdominal infection should be ruled out. The best way to do it is ultrasonography or CT scan. Check your red blood count and inflammatory parameters."
},
{
"from": "gpt",
"value": "Target: Neck and back injuries, abdominal pain. Had car accident. Appendix damage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was hit in the eye with a nerf bullet quite close I straight away had a black spot in my vision of the injured eye, it went but came back last night. It's been 24 hours now and I've also had a headache and pain in the eye. I'm 20 and have never had an eye injury before what could it be? And what should I do? Doctor: Hello., thank you for the question. In my opinion you must see an eye specialist at the earliest. Injury to the eye must be evaluated. I hope you have cleaned your eye well with water only. Take care and meet your doctor soon."
},
{
"from": "gpt",
"value": "Target: What should be done when hit by nerf bullet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My right knee all the way down to my ankle will swell to twice the size of my other leg. Behind my knee is swollen like a tennis ball sticking out blood vessels have showed up everywhere. It feels like it has fever and is very painful.I went to ER and they said they coucouldn t find anything. Please help me Im in tears. Doctor: Dear user,Firstly to control your pain, while you get further investigations. There are a couple of things that will help1. Regular pain killers. Start with regular over the counter Paracetamol ( if you are not allergic or have liver problems). You can add on stronger pain kilkers like Diclofenac(make sure you get a prescription for some PPI e.g Pantoprazole, Esomeprazole to rotect your stomach with this), Tramadol, Oxycodone(with tjis you might need a laxative) for the first few days. 2. Pressure Stocking. You can start with class 2 elastic stockings above knee. Your pharmacist should be able to help with sizing.3. Avoid prolonged standing3. Elevate your leg when your sitting or lying to help rdduce the swelling.This swelling could be because of Varicose veins, Cellulitis due some infection around your foot or leg, DVT( deep vein thrombosis; this is one of more serious problems where a deep system of veins is blocked and blood keeps pooling in the legs).While you are dealing with pain, try and get an appointment with a Vascular Surgeon, if not get your doctor to examine and refer you to them. They will be able to look at the veins in your leg and the ball of vessels behind your knee. They might need to do some scans though. In the meantime, stockings and elevation should help with discomfort anyways.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe pain and swelling in right knee"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor. My 6 year old son is having mild fever (99.6) for the past 10 ays along with diarrhea ( stool with little bit of blood). His stool report indicates leucocytes/pus 40-60 /HPF; BLOOD present; RBC 15-20/HPF;MUCUS THREADS PRESENT. What treatment should be given? Please suggest. Doctor: Thanks for askingI gone through your question, your 6 year old son suffering form diarrhea with blood in stool,with fever. and stool test has been done.I was your treating pediatrician , My diagnosis would be bacterial dysentery. i would suggest you antibiotic course of Cefixime 8mg per kg per day in two divided dose for 5 days. with tab zinc 20mg per day, and prebiotics . and medicine for fever paracetamol 15mg per kg per dose . SOS ( maximum four dose per day). By this treatment stool in blood with reduce in 48 hours. If you not get relief in 72 hour . then contact again for stepping up of treatment. hope i answer your query have health family life"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever and diarrhea in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on Pradaxa for about two years. For the past six weeks my lower abdomen aches and my bladder has gone into hype-drive. It has always been somewhat frequent even before i started taking a diruerectic. Now it s worse. My GP said I have diverticulitis and prescribed anti-biotics. This did not have any effect. I didn t take my prodaxa this morning and it has already eased up somewhat. Could the Pradaxa be causing this? Doctor: Hi.Thanks for your query, read and understood the problems.Pradaxa is not known to give such side effects nut as per the thumb rule in medical field, any thing under the sun including the sun can cause allergy. Lower abdominal pain and Can be due to Diverticulitis as your GP has suggested. Antibiotics alone may not be sufficient. The hyperactive bladder can be due to chronic cystitis or as a secondary effect of any inflammation in the pelvis including diverticulitis, Salpingitis, Ovarian problems, appendicitis or PID Pelvic inflammatory disease. I would advise you the following:Ultrasonography and / or CT scan Colonoscopy .Relevant blood, stool and urine tests including that for culture and sensitivity of the urine will help to get a proper diagnosis and plan for treatment."
},
{
"from": "gpt",
"value": "Target: What causes lower abdominal pain and hyper active bladder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Please, I can't get a full 7-8 hours of sleep. I wake up in two hourrs and have trouble going back to sleep. I'm depressed all the time and I am anxious about an exam. What do I do? I'm not taking caffiene or sleeping at different times, etc. so I don't need advice like that. Doctor: Hi,Thanks for writing in.Depression and anxiety might reduce and disturb sleeping patterns, or they might occur secondary to sleep disturbances.The things might improve if you try relaxing a bit. It good you are not taking caffeine and are maintaining a sleep routine. Try practicing sleep hygiene techniques. For further help, visit a psychiatrist.Hope this helps.Dr A Rao"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stress and sleeplessness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi. what is HCV borderline result of anti HCV test?and how can it be cured. i recently tested for anti HVC test and the result came \"Border line\" what is this?and is it cureable?some other information about test is this.. cutoff value 1.00 patient value 2.28 CUTOFF VALUES: non reactive 5.0 PLZ TELL ME WHAT IS THIS AND HOW CAN I BE CURED Doctor: hi.thanks for posting query at HCM.the values of both tests suggest that you need further tests to confirm if you have HepC or not. Test required is HCV RNA by RT-PCR.Yes, HCV can be treated. You should consult treating hepatologist. hope to answer your concernregardsdr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: Is hepatitis curable?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yesterday afternoon I began scratching the back of my head and as night time came I felt an itching feeling in my midriff area. When I got home I noticed a rash line on my lower abdomen on my belt line. This morning I took some Benedryl that relieved the itching. As the day progressed, the back of my neck became stiff. Although the itching has subsided, the back of the neck is still stiff. I have scheduled a consult with my physician tomorrow at noon. Doctor: Hello, I have studied your case. In cervical spine muscle spasm there may be loss of lordosis. For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.There can be associated allergy with it.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes stiffness at the nape of the neck area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, My uncle is suffering from lung disease & he is refering himself at BHU but when ever he coughs he is vomitting blood. I spoke to him & he is confirming post TB bhronchiotis... How serious is this & which is the best hospital to have him checked.. Doctor: HelloAs this patient is coughing and also having blood ( most probably with cough , not in vomits ) .As patient were also having tuberculosis , so all these symptoms may be due to these possibilities , these include:1 Multi-Drug-Resistant-tuberculosis ( popularly known as MDRTB) , as this is the main cause of blood during coughing as I have seen in my so many patients.2 The next possibility may be bronchiectasis ( as mentioned by you ) . There is abundant amount of expectoration associated with blood .3 Lung carcinoma , diagnosis can be confirmed by X ray and MRI .There are so many big hospitals in Banaras ( BHU ) ,so the best way is to consult a \"CHEST & TUBERCULOSIS \" specialist or \"PULMONOLOGIST\".If proper treatment is to be taken this is not serious , so please consult as mentioned above.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for blood while coughing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have been on microgynon for a few years and have been prescribed amoxicillin for a chest infection. I have read lots of information on wether the amoxacillin will affect the pill but I m unsure what is actually true! Please can you give me some advice? Doctor: hello dear.understand your concern.yes,it increase chance of failure of microgynon .failure rate is 0.5%,so not to worry a lot.but for safe side ,i will advised you to take extra precaution like condoms,diaphragm up to use of amoxicilin.i think ,it will help you.stay safe & healthy.thanks.Dr.sagar"
},
{
"from": "gpt",
"value": "Target: Will taking Amoxicillin affect Microgynon efficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Gud day... my 7 yr old son had a cough and cold last sept. 2014.. his doctor gave him polymyxin b sulfate neomycin sulfate dexamethasone 3 drops twice a day...he had still left over...can i still give it to him cause he has the same situation now...can i still give the remaining solution to him....after having it kept to the fridge for almost 2 mos... Doctor: Hi....this is Dexamethasone (a corticosteroid) and it is not required unless the kid is severely breathless or having low oxygen in the blood. Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough and cold"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother has been having memory problems for over 2 years the doctor just ordered an mri but the results said normal. She has short term memory loss and sometimes does not recognize me or my daughter, forgets to eat, doesn't always remember what one is hot or cold on water faucets, forgets where she's going often. im just very worried for her and her doctor doesn't seem like he wants to get to the bottom of this. I would just like some information on what kind of tests I should ask for her to get so she can have a better life. or even some ideas on what it could be. Doctor: Hello Welcome to HCM Your mother is having problem of memory for about two years. She is not able to recognize familiar faces, she forgets to eat, she is having short term memory loss. Also her MR scan reports came normal. Most likely she is showing symptoms of Alzheimer's Dementia. Alzheimer's disease is a form of dementia characterized by impairment in short term memory, poor judgement, cognitive decline, poor coordination some times even impairment in speech. In most of the cases with earlier stage the tests come normal. I would advise you to please take her to a good Psychiatrist for expert evaluation. Medicines like Memantin, Donepezil etc are very effective and halts the progression of disease. Thanks Dr. SeIKHOO Bishnoi"
},
{
"from": "gpt",
"value": "Target: Short term memory loss. MRI normal. What kind of tests should be done?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... hi my name is linda and ifeel like i suffer from a disorder or something when i have mood swings i have them really bad when im angry i cry and scream because im so angry then i can be happy with in the next second and i can get really sad and dawn and just want to be on my own and im only 16 is that normal ? Doctor: Linda you are having bipolar personality traits. Such person are emotionally labile. You need some counselling sessions and psychometric analysis. If you are having bipolar disorder than drugs like lithium bicarbonate and valproate will help you to stabilize your mood. Visit a psychiatrist for these tests. Hope my answer helped you. Take care."
},
{
"from": "gpt",
"value": "Target: What causes extreme mood swings?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 47 year old women in good health. Two days ago, I had pain in my hand and it looked swollen and hurt to touch or move. The next day I had pain in the other hand and it hurts to use it. My neck also is stiff and hurt to move it back or side to side. This morning, I still have the hand, neck pain and now pain in my collar bone upper chest area. I have not idea whats going on, do I need to go to a doctor or the hospital, Id rather not. Doctor: Hello, It could be due to spine related problem like cervical spondylitis. Consult a neurologist and get a MRI neck done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes hand pain and stiffness in the neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have came across hair loss problem for the first time ever .. ive lost most of my hair from the frnt section of my head ... n its is somehow becomin visible now... my doctor suggested me for canthradine oil ... just want to knw that will it really help me for my hair growth ...? Doctor: Hello,Cantharidin is an irritant and is usually used for a type of baldness called alopecia areata. I would personally not advise its use as it can cause severe redness and irritation.Please take a second opinion regarding the same after consulting with another dermatologist.Take care."
},
{
"from": "gpt",
"value": "Target: Is canthradine oil effective in reducing hair loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My baby is seven month old. He has allergy for last 7 weeks. We have given him drug. But its not working well because it reduces the allergy but allergy come again. Now he is suffering with watery stool. For last few hours he stooled for five times. what can we do? Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. Were I treating him, I would suggest him combination of montelukast and levocetirizine for nose allergies for 7-14 days depending upon response.2. It is important to mention here that most of the medicines can only \"control\" allergy symptoms, they cannot \"cure\" allergies. Hence it is important to identify allergy first.3. I would suggest him allergy testing which will help you identify substances causing allergies to him as well as to know the measures to avoid them.4. For watery stool, most commonly, it can be due to viral infection. The best treatment is to maintain hydration by giving him plenty of fluids during the day like ORS solution, curd-lassi, buttermilk, etc. 5. I would also suggest him syrup zinc for 14 days which will help in improving stool consistency.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish your baby the best of the health ahead.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: What medication must be given to a child suffering from allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am 32 years oldsince 1 month getting red rash on penis glans it is not itching but after use antifungal cream candid-b and daktarin also not recovering i am in tense i also consulted with doctor here he told me it is just fungal infection not to be worry Doctor: HiThank you for asking HCMYour problem can be a local allergic reaction or genital herpes.It should be ruled out by showing a dermatologist.If you have used a latex condom recently then you can suspect an allergic reaction.In such case antihistamine drugs and calamine lotion will give you relief.If it is genital herpes then antiviral drugs like acyclovir for oral and acyclovir ointment for local application also can be considerd.Hope this may help you.Let me know if you have any further query."
},
{
"from": "gpt",
"value": "Target: Suggest better treatment for red rashes on penis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel as if I have the Flu, I've been like this for over a week and not getting much better. It started with a sore throught which quickly developed into a temperature, coughing, sneezing, aching in my limbs, burning eyes, tight chest. I've been taking lemsip max capules to little effect. The wheezing keeps me awake at night. During the night I have to change my pajamas several times because they are soaking wet with sweat.I'm 68, fairly fit, 6ft 3\" normally take lots of excersize.John Mitton - Leicester Doctor: Hello and welcome to the health care magic forum, generally speaking, flu s are caused by viruses and are treated mainly with drugs that control symptoms. The drug should normally contain products the reduce fever, reduce degree of inflammation and control pain. Anti histaminic components are genrally responsible to reduce obstruction. The wheezing you experiencing needs further examination for this can be linked to asthma. An additional bacterial infection is a possibility when symptoms are not cleared. the drug you used is appropriate, and if you are still this sick, your doctor might need to examine you again to check for a bacterial infection or asthma. I think you should see you family doctor. Be well, Dr Njong"
},
{
"from": "gpt",
"value": "Target: Feeling of flu since days, no relief with lemsip. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have had an emg - summary is acute denervation noted in thr right vastus lateralis to a remarkable degree with a lesser amount of acute denervation evident in the right adducter magnus. this is due to high lumbar radiculopathy at the L2-L4 level - recruitment is still present so maybe the nerve is not severed. also, loss of amplitude in the right peroneal nerve when compared to the left. this happened during a spinal injection for low back pain at the right side L4 (my 3rd treatment after an initial 3 treatments at 1 week intervals. Now I am supposed to start physical therapy and have a neurotransmitter installed - trial for a week then permanent if it works. It is obvious I am under a good neorosurgeons care (A Fabi Kalamazoo). My question is: my back pain is not anything like my right leg pain, especially in the knees (primarily in the right knee suposedly from osteoarthritis - hips - ankles, and wrists/elbows). My back was worse untill i had the injections in my spine - how can a neurotransmitter help osteo......... pain in my hips and knees. Second ? = should I be working (test technician for dishwashers - yes on the floor alot) - I obviously fall alot, my right leg just acts like it is not there - if I forget to lock my knee, I fall! Doctor: Thank you for the question.Good that you are seeking help from a good neurosurgeon and undergoing right tests as well. For arthritis of knee and hip mayconsult a hip/knee surggeon/orthopedic surgeon also.plain X rays of hip and knee may show whether you have osteoarthritis and statusof spurs or degenerative changes, loss of space cartilage etc which shall determine further line of management-conservative on medicines physical therapy ot surgical if advanced Aslo have complete arthritis blood profile done for polyarthritis /arthralgia just in case any specificdisease process which may require specificdrugs apart from routine anti-inflammatory/analgesics. Sohave a work out with an ortho specialist/rheumatologist as well"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can gallstones develop as a result of another condition such as a large kidney stone. Neighbor was diagnosed a month or so ago, but had to wait a for lithotripsy. Had nausea & vomiting, which she still has, in addition to pain. Her skin looks yellowish. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Kidney stones and gallbladder stones are entirely different and they are formed by different mechanism. Gallbladder stones are of two types biz cholesterol stones and pigment stones. High blood cholesterol and sedentary lifestyles may predispose to fall stones. People with increased turnover of red blood cells are also at a higher risk of developing gallbladder stone. However most gallbladder stones are regarded as idiopathic without a particular cause. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: What causes gall stones?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my tonsils removed on wednesday of last week and since then my teeth have extremely sensitive. I cannot even touch a toothbrush to my teeth to brush them and if I eat anything that needs to be chewed it is extremely painful. I have seen other people complain about a toothache, but this is not a toothache, it is extreme sensitivity on every surface of my teeth. Doctor: hi.i understand your query.. tooth sensitivity is a common symptom felt after tonsillectomy which is due to referred pain that is tooth is not the source but because of shared nerve supply. You should take regular painkillers.Take softer foods and fluids. You should continue brushing. If the symptoms persist even after the recovery. Then you may visit the dentist. hope it helps."
},
{
"from": "gpt",
"value": "Target: What causes tooth sensitivity after tonsillectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there,I have a dark lips. I don't smoke, don't take too much of coffee but still have a dark lips. Some time my lowe lip look's pink. When wake up i see a black layer forming on my lip. Please help. I also have a dark patches on my face (More on nose). Some part of my face looks fare and some don't. I thought of buying a Product called Meladerm Cream. But it is very expensive and more over I am not sure if i can use it with out Dr's Consult.I am 27 (Male). Doctor: Hello,Welcome to healthcare magic.The dark colour of lips in a non smoker could be familial. It is also common in individuals who have a dark complexion. It is difficult to lighten the inherent colour of your lips. You could use a sunscreen in the morning and afternoon and a moisturiser containing elovera at bedtime. Q switched Nd- Yag laser is also being used recently but with variable results. The possibilities of the dark spots on your nose could be melasma, freckles, lentigenes and lichen plan us pigmentosus. Use a broad spectrum sunscreen every 4 hours. Use a lightening agent containing 2% kojic acid, arbutin, liquorice and niacinamide at bedtime for 2-3 months.The cream which you have mentioned does not seem to have any steroid or harsh ingredients. It seems to have natural extracts for skin lightening . But since it is not a prescription drug , I cannot give you any medical evidence about its efficacy.Hope this helps you.Take care."
},
{
"from": "gpt",
"value": "Target: How to lighten dark lips in a non smoker and can meladerm cream help in lightening dark facial patches?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: iam 19 weeks pregnant, and my altrsound results say my baby is 6 1/2 inches long. however during my first month of pregnancie i was doing coke with one of my freinds. i didnt know i was pregnant. out of 30 days i wanna say i did it about 12 times. not super lage amonts either.. im wondering if that would affect my babys growth and affect the altrasound results... could it say im 19 weeks pregnant but really be alot more?? Doctor: Hello,Intake of cocaine during the first trimester or the early months of pregnancy can lead to miscarriage. Prolonged use can lead to birth defects. Use in the later stages of pregnancy can lead to placental abruption, preterm birth and fetal death. In the current scenario, you need to get an anomalies scan and have follow up for fetal well being. Follow up scans should be done and if they do not show good improvement in the fetal growth, you should take the opinion of an expert in high risk pregnancy for further management. Hope this helps."
},
{
"from": "gpt",
"value": "Target: What causes retarded fetal growth on pregnancy scan?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear all Doctors ,I believe you all are the living God for all patient . I want a baby & i have consulted one Gynecologist yesterday. She advised me to take Productiv -F daily -2 times ..should I take other medicine with..it.....please give your valuable suggestions.Mrs. Mishra Doctor: Hi Mrs Mishra,Thanks for writing to HCM and also thanks for your sweet words towards doctors.Productive F is nutritional support given to improve quality of eggs in females. I would suggest you to continue that and also get your follicular study done. It is serial ultrasound abdomen or transvaginally done on various days of a monthly cycle.By this you will come to know you are ovulating(producing egg) or not and also timing . If you are not ovulating you can get treatment for that. By knowing the average day of ovulation you can plan intercourse 2days before and after that. Hope I have been helpful.Regards Dr. Ashish Verma"
},
{
"from": "gpt",
"value": "Target: Need medicine for infertility"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a burning sensation in the right lung and chest and back area. I feel muscle and skeletal discomfort and burning in my sternum and right part of my lung area radiating to the back. I had a chest exray in June 2011 and all was clear. I do smoke cigarettes and smoke about a pack a week.. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since you are active smoker, we should definitely rule out lung infection and bronchitis in your case. Cigarette smoke causes irritation and inflammation in airways. So chances of bronchitis is more. It also causes reduction in lung defence. So lung infection is also common in smokers. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Fresh chest x ray for lung infection. 3. PFT (pulmonary function test) for bronchitis. You may need antibiotic, inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of above reports. Quit smoking as soon as possible, it is not a good habit. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. 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 burning in the lung & chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Bad headache sweating cold chills center of my lungs hurt when take a deep breath yawn or cough , got into a fist fight two days ago got two gashes on top of my head and one on my forehead also one on my cheek could I get sepsis from wounds on my head and face ? Could fighting make my lungs hurt like this? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Yes, external wounds if not treated properly, can lead to infection and sepsis. So better to first get done proper surgical dressing of wounds. And possibility of chest injury unknowingly during fight is more. And this blunt chest trauma can cause rib fracture, pneumothorax, Pulmonary contusions and musculoskeletal injury. All these cause chest pain on deep breathing and yawning. So get done chest x ray. If chest x ray is normal then no need to worry much. Take painkiller and muscle relaxant drugs. Avoid such fighting in future. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright. Get done chest x ray and surgical dressing of wounds. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes pain in the center of the chest after fighting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my brother 25 years old was diagnosed with a mild case of OCD and was given lustral as the primary treatment, a month later he started complaining of stomach pain and heatburn, he consulted his primary physician and gave him a proton pump inhibitor. A week later, he started feeling dizzy, and today he fainted, and admitted to the ER department CBC findings are insignificant but there was hematemesis . He is irritable, a little confused, pale, and having shock. Tests and exams to be performed tomorrow morning, but am very worried. Please advice. Doctor: Hi, In some cases, hemorrhage has been reported with the use of lustral. In the case of your brother, hematemesis is reported, which might be related to its use. You can talk to his doctor about this side effect and to change therapy. Do not worry about him being confused as it is a normal reaction to the drug."
},
{
"from": "gpt",
"value": "Target: Taken Lustral for OCD. Dizziness and fainting after taking medicine for stomach pain. CBC shows hematemesis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doc, I'm experiencing abdominal pain and I think it might be my liver. The first day was pretty painful followed by yellow stool. On the second day the pain has reduced and became bearable but comes and goes every hour or so. Also I am still experiencing liquid stool from when it started. Is this something to be concerned about and will I be needing surgery or put on medication to resolve this problem? Doctor: Hi,from history it seems that you might be having intestinal colic giving this problem.There might be having some gastri-intestinal infection.Nothing to worry,Take antispasmodic medicine like Meftal spas or Cyclopam for pain.go for Ofloxacilin, tinidazole medicine course for 3 days.Take light diet.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have congestive heart failure and weigh 413 pounds. I am eating right and being very careful of what I eat and how much to the point I write everything down for the last 3 days. Today I am quite light headed and feel dizzy. My blood pressure is 123 over 69 and heart rate is 64. Doctor: Hi,Don't worry both your blood pressure and heart rate are normal. Your complaints may be associated with dietary changes. Anyway, nothing abnormal, I think your complaints will disappear soon.Take care"
},
{
"from": "gpt",
"value": "Target: Why do I feel light headed and dizzy with low blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi... 3 years ago I suffered from typhoid, I took proper treatment according to doctor s prescription but I wasn t able to take proper rest during my illness period as I was going through my final thesis those days.. I got better through medications but since then severe pain In my joints started after that.. it went away after a while but my right arm and hand s joint pain is still there.. since three years now.. it gets better in summer and gets worse once the weather starts to get cold. Please suggest .. Doctor: Hi,Welcome to the HCMBrief..It could be Arthritis.Detail..As typiod can cause arthritis too ,but since it has been years, so it coud be autoimmune cause of joint pain too.For pain you may use non steroidal anti inflammatory pain killer like tab. ibuprofen .But my opinion would be get checked thoroughly by a rheumatologist to rule outnthe cause.Hopefully my answer will be helpfull.Regards,Dr.Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for joints pain inspite of having typhoid fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 26 years old, female, and i got married in Nov 2007. I took precautions for 2 years but now i want a baby. I never took any pills nor anything else. Me and my husband adopted purely natural method, withdrawal method. Its been 9 months that I am trying to conceive but failed :( don't know what to do. We both are medically fit. Please adviceFarah Doctor: hello..thanks for trusting the health care magic doctors for ur health related queries.as u give information that u both people are using natural method for contraception and u both are medically fit..right. that means u have high chances of getting pregnancy.but u didn't give information regarding ur menses weither it is regular or not. so I couldn't comment on this.also u didn't give information regarding ur medical tests,u both people gone through.because for getting pregnant various things are required like-- normal semen analysis of the husband- regular menses- normal genital Anatomy of the women etc.with the above discussion u can try out my suggestions-1.relax, don't worry. every problem have solution.2. do coitus as more as possible during fertile period ( it is from 10-16th day of cycle). because this period chances of getting pregnancy is high.3. if u r in hurry then visit nearby infertility specialist. he/she can help you.good luck.regards-dr sudha rani panagar"
},
{
"from": "gpt",
"value": "Target: What causes difficulty in conceiving?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having severe pain in my hips, legs and hands, that started with pain in my right hip with the feeling of dislocation at times. If I get up from sitting down, I can barely walk for a few minutes, feet feel flat and leg pain is severe. If I kneel down I can hardly get up. When grabbing things, my hands are very weak and they hurt. I have Chiari Malformation and think I may be going into Lupus or something very serious. Doctor: Hi, it appears to be the arthritis, with some infection. You may need to have x ray of the hip, or M.R.I. for diagnosis . So i advise you to consult an orthopedic surgeon for diagnosis and treatment. Of course he will wxclude the possibility of the chiary mal formation. Thank you."
},
{
"from": "gpt",
"value": "Target: Severe pain in my hips, legs and hands with dislocation. Symptoms of Chiari Malformation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir my father is suffering from leukoplagia. we r doing regular cheak ups and follow ups by doctors. A fter biopsy my father have problem in mouth opening. he has only 1 inch opening faccing difficulty in eating food. for increase the opening of mouth we have to consult whome? This sytomating treatment hemopatic or ayurvedic what is the best Doctor: You should visit an oral and maxillofacial surgeon soon. Leukoplakia never causes limited mouth opening. There may be some other reseon behind it. Tell me baut you father's oral habbits."
},
{
"from": "gpt",
"value": "Target: How to increase mouth opening when suffering from leukoplagia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has spins bifida and has had a small bowel obstruction in November. She was hospitalized and it eventually took care of itself. Recently she had s stomach virus that lingered. Her feces had no odor. She has been burping and it smelled like feces. We went to the dr, had an X-ray and has a hard stool. We have been treating her with laxatives. She is having bowel movements but are odorless but she is occasionally burping the terrible odor. What do you recommend? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If there are no bowel movements, and foul-smelling burps, it could be a prelude to bowel obstruction. Restoration of bowel movements should soon be achieved, otherwise, I recommend to see a doctor. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes foul smelling burps and hard stool?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 67 yr old male 92 kilos , about 18 kilos overweight , feel so tired all the time , very shaky in morning. latest tests 1 year ago after meal test 82 mg...................6months ago fasting test 142. 2 yrs back fast test 110. Drink beer , too much really, helps me sleep , otherwise dreadful , no more 3/4 hrs total daily.................feel hopeless..... excercise difficult ,feet become painful , numbness in hands and feet especially at night. live in thailand so doctors are a bit vague , try to eat healthy and cook myself Oh yes , Impotent over a year now. Barry Doctor: Hi, Consult a neurologist and get evaluated. We have to rule out possible conditions like peripheral neuropathy. Detailed evaluation including an MRI scan is required to make a diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes tiredness, foot pain and numbness in the hands?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have the exact symptoms as the lady below (jasminehallauer) pressure in the abdomen, burping a lot, breathlessness and plugged ears. hopitalized 3 times, done all test, found nothing. everything normal. i was told its only gas. been having these symptoms for 3 months tried all gas medications but did not work.help!jreyes Doctor: Hello, thanks for the query to H.C.M. Forum. Presumed that each and every tests are normal and within limits. Still there is burp, pain and pressure in abdomen,plugged ears, breathlessness. As all these problems are related to each other and may be due to , Hyper acidity Gastritis Overfeeding Nature of food as spiced and fried, ANXIETY due to any reason. So please have an antacid containing some local anesthetic as \"OXETACAIN). Seems to be no disease but due to any reason , so remove reason & you will be fine. Good luck Dr. HET"
},
{
"from": "gpt",
"value": "Target: Pressure in abdomen, burping, breathlessness, plugged ears. What could be this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is a very active 4 year old. She had open heart surgery at age 2 for V. S. D. Before the surgery she was under weight, and now she s at 80 pounds. I ve had her on a strict diet for a month now and shes gained 7 pounds. Now today her fingers are red and puffy and her arms, legs are retaining fluids. What is wrong with her? Could it be her heart or kidneys? Doctor: hi! since your child has an operated vsd at the age of 2 it is likely that her heart has become weak. as a result her body is retaining more fluid to maintain good circulation. you should consult your cardiologist regarding this issue because she might need some new medicines to help cope with her fluids overload."
},
{
"from": "gpt",
"value": "Target: What causes redness in fingers and retention of fluids in legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Had strange chest pain and all i did was go outside, 95 degrees outside and humid. It seems it has something to do with heat/humidity. I am 55, smoke, 5'7\", 180. went to Dr, went thru a strenous stress test, had to almost run to get heart rate up. Passed the test fine and no pain. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since you are smoker, humidity can cause bronchitis (inflammation of the airways). And this bronchitis can cause chest pain. No need to worry for heart diseases as a cause for this chest pain because your stress test is normal. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. In any case, it is better to quit smoking as soon as possible. You may need inhaled treatment also. So consult pulmonologist and discuss 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 chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son has had sickness over the last few days on and off he is almost 2 and will not drink anything but milk on a normal day no juice or water or anything. hes been sick in the night twice again but seems fine in himself so rather than him have nothing at all i have given him skimmed milk which he has managed to keep down my mum disagrees with me says i should not give him any miilk ? Doctor: Hi...no relation to milk and sickness or illness please. Please go ahead and give milk. As it is his well nutrition source - do not deny it to the kid.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Should milk be continued in view of sickness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father has recently been diagnosed with Lung cancer, the doctor has arrange for a FNA to check his glands. I am confused as I taught this test was to check the glands at the upper part of his lung but on reading some info on the net I am lead to believe that the glands which the neddle will be inserted to are actually in the neck. is this correct? or could this test be preformed to test glands on the upper part of the lung? Thanks Lorraine Doctor: Thanks for your question on HCM. I can understand your situation and problem. FNAC (fine needle aspiration cytology) is a technique in which cells are aspirated through needle insertion in the mass. It is simple, easy to perform , less harmful and day care procedure. And it can be done in any mass or swelling of the body which superficial or easily accessible. Since neck is the common site for enlarged glands and swelling, FNAC is procedure of choice for diagnosis. And lung mass, if superficial and easily accessible then FNAC is also indicated and can be diagnostic. So no need to worry, get done FNAC from lung mass. It is very safe procedure."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lung cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi.i m 30 ,i have 5 year old son, he is so much noughty,,never listen anything,specialy at the time of eating he is irritating me so much,, in anger i always beat him so badly and also saying bad words to him. in other hand my husband and his family always tourturing me for job,bt my son is very small, i always become irriating and my temper raises, i cant controll my anger any more, please help me.. i want to become good mother, bt becz of my anger my son scaring so much with me..please help.. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Have you ever thought, why uncontrollable anger creeps up within us only at our home? Anger always comes due to frustrations in life. Frustrations are normal with everyone. People learn to ignore frustrations when they get experienced. Do you get angry to circumstances outside your home as you get angry at your house? Your office, bus stand, railway station, neighbors etc. If yes, you might need to get evaluated for anger issues. If NO, just understand and compare the two situations and you can be better yourself.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: How to overcome anger in stressful situations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m a fourteen year old girl, and I m really scared. Last night I had troubles breathing and other problems I don t know how to explain, and got all most no sleep all because if it. I woke up in the morning and I was fine. Now, it s about 10 o clock and I m having problems again. I m so tired but I m afraid to sleep. Im really scared and don t know what to do. Doctor: Thanks for your question on HCM.I can understand your situation.Recurrent breathing difficulty in young patient is seen either due to asthma or anxiety.So we need to first rule out asthma.So get done chest x ray and PFT (pulmonary function test) to rule out asthma.If both are normal then no need to worry for asthma, you are having mostly anxiety related symptoms.So avoid stress and tension.Be relax and calm.Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution.Don't worry, you will be alright."
},
{
"from": "gpt",
"value": "Target: What does timely difficulty in breathing indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I smoke around 3-4 cigarettes a day. Just recently I found out I m 2-3 weeks pregnant . I have stopped smoking now. My question is - Has this affected the baby in anyway? Thank you :-) Doctor: yes smoking affects -- tobacco in it does afeect a childs growth. it is at this stage , first 12 weeks , the organ formation occurs & therefore all teratogenic substances should be avoided"
},
{
"from": "gpt",
"value": "Target: Does smoking in the early weeks of pregnancy affect the child ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doc my husband is dx as severe oligospermia.. He is using lineator capsules and b rich capsulees now which doc has prescribed for 3 months.. We hav been trying for children from two years.. But not worked out till now... Are they useful in improving count nd motility.. R else wat wud b best Doctor: Dear member,Thanks for writing to healthcare magic.The medication mentioned improves the count in most cases. It is important to check for causes of low count and treat it. Only lineator will not help if other factors are present.Following investigation required.Thyroid profile.FSH,LH, TESTOSTERONE.Scrotal ultrasound and Doppler for varicocele.Detailed semen analysis and semen culture for infectionPlease write back with these reportsThanksDr Bhagyashree"
},
{
"from": "gpt",
"value": "Target: Are lineator capsules and b rich capsules effective in increasing motility and sperm count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr Grief,i am from Philippines and i got my Tb skin test check two days ago and its showed that its positive, what is that mean?i dont have any symtoms of having Tb..i have a medical exam in philippines before i came here in usa and everything is good..i also have an chest xray 3 years ago.and some vaccine Doctor: Hey dear as you are not having any symptoms you need not to worry about.The positive skin TB test does not always means a disease.The positive TB test indicates that you might have had infection with TB bacilli which does not mean you have suffered the disease from it.Having TB infection & having TB disease are two different entities.Furthermore occasionally few people who has been vaccinated with BCG vaccination might show positive re-activity to the test.The results of the positive TT test should always be correlated with the symptoms. ( persistent non responsive cough with expectoration more than 3 weeks duration, weight loss, fever, difficulty in breathing Etc ) So considering your case you need not to worry about."
},
{
"from": "gpt",
"value": "Target: What does a positive TB skin test mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m a 31 year old female and I ve been having abdominal pain and chronic diarrhea for about 3 months now. I had a colonoscopy and an EGD two days ago and during the procedure they found the following: Normal mucosa in the first part of the duodenum and second part of the duodenum(biopsy) Erythema in the stomach body and antrum compatible with non-erosive gastritis(biopsy) Grade 1 esophagitis in the lower third of the esophagus(biopsy) Erythema in the vocal cords 2 polyps in the ascending colon(polypectomy) What does all this mean ? I will not get to follow up with my Dr. for 2 weeks. Please help me understand what the findings are. Thanks, MB Doctor: Thanks for the query It just mean that u had some benign gorwth in the colon for which u were operated upon. U have some amount of inflammation of the food pipe for which i am sure u r receiving treatment. It is ok if u follow up after two weeks, there is very little to be worried about Have a healthy living"
},
{
"from": "gpt",
"value": "Target: Colonoscopy and EGD results"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I take glucosamine HCL 1500mg MSM 1000mg everyday for osteoarthritis. Also vitamin D 2000 Iu. I tale sometimes DGL for acid reflux due to hiatal hernia.I have white lesions in the mouth upper right gums for 4 yrs. Now did biopsy which showed it a hyper keratosis and chronic mucositis.I have some random red spots in the mouth on both cheeks.Do I need to stop or reduce glucosamine dosage if that is the cause for red spots. Also have eczema which shows up as finger cracks and itching and callus on both knees due to eczema.Please advice if the side effects of medicines causing these. Doctor: Hi.Thanks for the query..Red spots on inner cheeks can be due to causes like allergic reaction, side effects of medications, traumatic injury, burning with hot foods etc..Certain habits like cheek biting, tobacco chewing, smoking, reverse smoking etc can also cause red spots inside mouth and cheeks..Inflammation of sebaceous glads can also be a cause..If the spots are present for more than a month and does not show any signs of improvement then you should consult an Oral Surgeon and get evaluated and a biopsy of the spots can be done for confirmation..You should also consult your Physician and get evaluated so that he if it is the side effect of medication then the dose can be titrated or drug can be changed..For now you should start doing warm saline gargles and take Vitamin B complex supplements..Avoid spicy and hard foods..Hope this helps..Regards."
},
{
"from": "gpt",
"value": "Target: What causes red spots inside the mouth while on Glucosamine HCL?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i am 27 years old and i have been experiencing lower right abdominal pain for about half a year. The pain is constant and it becomes worse after i have any form of bowel movement or bending movements. I did an ultrasound scan and nothing wrong was found with my reproductive organs. Subsequently, i saw a colorectal specialist who initially thought that my constipation problem is causing the pain. However, after being on mild laxatives for 3 weeks, the pain did not improve of go away. The doctor says he is unsure of what is wrong with me. I have also sought help alternatively from Traditional Chinese Medicine who has diagnosed me with Chronic Appendicitis . Basically, he identified this condition by first pressing on the lower right quadrant of my abdomen (where the pain is). After which, he lifted up my right leg and pressed on the same spot again and that set me off into a yelping pain in which i literally jumped up a little from the bed. Hence, i will like to seek other opinions as to what can be causing this constant lower right abdominal pain. Is it indeed a condition of chronic appendicitis? This is bearing in mind that the pain intensifies after bowel movements or during any bending motions. Thank you very much for your kind help and time. Doctor: Hello. There is such a thing as chronic appendicitis. This usually occurs when fecoliths (small rock-hard pieces of stool) get inside the appendix stump and cause inflammation. The pain you described with right leg flexion is characteristic of a \"psoas sign\" which helps support this diagnosis. In \"chronic\" appendicitis, the omentum (a curtain of fat overlying the gut) will usually start sticking to the inflammed portion of gut, causing more discomfort that can be constant. Alternative diagnosiis would include diverticular disease, irritable bowel syndrome, functional constipation, or ovarian pathology. The most usefull test in this case would be a Cat-Scan of the abdomen and pelvis with PO/Rectal and maybe IV contrast. If normal, I would then order a colonoscopy. If it is chronic appendicitis, this could be potentially dangerous. It usually responds to a long coarse of antibiotics, which can also be considered empircally if you dont have access to testing."
},
{
"from": "gpt",
"value": "Target: How is chronic appendicitis treated ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Well I had a limp on my penes near the base of the shaft, I looked for answers and may told me to pop it. So I did, It did not go away though, It became a scab. Im worried it may be penile cancer, Im 15 and circumcised, never had sex before. Any help? Doctor: dear,I would suggest to consult a local surgeon as a detailed clinical examination is must. No need to worry as prnile cancer does not present at this age and in this manner.we need to consider possibility of skin lesion or trauma injury."
},
{
"from": "gpt",
"value": "Target: How to treat lump on my penis near the base of the shaft?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i had a laparoscopy 10 days ago now and 3 days post surgery i attended my gp as the belly button wound was very sore and weeping. they took a swab results not back yet but started me on antibiotics for a week as had a chest infection as well - Am finished antibiotic now but wound still really sore and weeping and there is a smell from it - should i go back to my gp or should i go straight back to the surgeon - also when the procedure was being carried out i had a broncho spasm and have been coughing and quite chesty since Doctor: get your pus culture results and go back to the surgeon so that he could modify your antibiotics .For your cough and chest problem check with the GP he should prescribe you bronchodilators and steam inhalation may be some inhalers ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a weeping wound on the navel"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Iam an 29 years old man sufffering IGA nephropathy for the last 2 years . My creatnine level is became 6.8 mg .My mother is ready to donate the kidney to me . But she is diabetic . Kindly reply me diabetic person can donate kidney or not .Thanks and regardsMahesh Doctor: Hi, welcome to HCM.Kidney donor require stringent evaluation before consdiering him/her as a donor.Diabetes is contraindication to kidney donation. It is not advisable for your mother's health.I think this would be helpful to you.Best wishes. TC.Dr Jay Patel."
},
{
"from": "gpt",
"value": "Target: Can diabetic person donate kidney ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have problem with my delayed period my OB recommend injection profamol injection and profamol capsule....I just want to know that it is no side effect? thanks Doctor: Hi, Welcome to Healthcare Magic Forum. I think the drug you talking about is Brufamol. It's side effects include, heart burn, rash, drowsiness, digestion problem. Don't worry, just take the capsule as directed by your Doctor and go for regular follow up, as these side effects may not occur in everybody if taken in proper dosage. Take Care."
},
{
"from": "gpt",
"value": "Target: Is there any side effects of profamol in delayed period ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Female, 37, 5 ft 5 about 170 lbs. Medical History. I smoke about 10 cigarettes a day, have never done recreational drugs and only drink occasionally. 4 months ago I passed 3 kidney stones. I gave birth to 3 children and had 3 late term miscarriages (4 to 6 mo along). 2 of my children I had to have progesterone shots in order to carry them to term. After the last one I had severe bleeding issues for over a year causing me to have a partial hysterectomy, I still have my overies. 4 years ago I was diagnosed with high blood pressure and have been on and off medication since, at times it would be under control without medication. For 2 years now I have continually been told that I have a high red blood count and have had to undergo a phlembotomy several times because of it. I currently have high blood pressure, sometimes as high as 190/140 or so. I have a head ache almost all the time. I have noticed times that my heart seems to beat very very hard or flutter for short times and it causes tension in my chest. Different doctors have run so many tests and can't tell me why any of this happens. They don't know what has caused the high red count. I also have leg pain and swelling which worsens in cold weather and it doesn't really change with activity or rest, they feel very heavy at times. Most doctors dismiss this. I am constantly being asked if I have a sunburn even though I don't. I sweat horribly bad very often even from the slightest activity such as vacuuming in a 70 degree house. I am constantly tired no matter how much sleep I get. I have been diagnosed with minor sleep apnea but the machine doesn't seem to help me. I deal with months of diarrhea and then turn around and am severely constipated for a couple weeks. I have an increasing amount of facial hair growth that the doctors also dismiss, where I pluck about 200 hairs a week. They all tell me that my hormone levels are normal although I question that. I have gone through all of this with 3 different doctors now and get no where, I end up getting frustrated and stop going and then end up running out of my blood pressure medicine for months at a time until I finally decide to give another doctor a try. I am lost of what to do since no one can tell me what is wrong. Doctor: Hello, You have provided a details history who h would help me narrow on some diagnostic possibility. The reason for headache is both high blood pressure and higher RBC s which would cause th3 blood to be more viscous and this per say can cause bad headache. .control the blood pressure and keep your hemoglobin and Packed cell volume under control. The reddening in cold weather may be as a result of reynolds phenomenon. The miscarriage, Reynolds phenomenon, hypertension, hormonal changes can all be explained by some autoimmune disease , So a rheumatologist opinion is worthwile , get an ANA done and if positive evaluate it furthur . Smoking can cause polycythemia which can in turn cause other symptoms. So try omitting the same . Do send the investigation done till now so I can guide you better . Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: What causes fluttering sensation in the heart with headache and high bp?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I wake up to horrible, back pain every day for a couple of years now. It feels like the middle of the back in the lungs. It s hard to breath and feels like my lungs can t expand without the pain. I end up waking up and staying up very early and I am now feeling a lack of sleep everyday. I suffer with acid reflux been on omeprazole very long term with known side effects now, so I recently stopped taking the pills and now drink a few swallows of probiotic Kefir which helps more then the pills. The pain in the back (Lungs) goes away once I am up and about an hour or so after getting up. A CT scan with contrast showed clear lungs. Doctor: Hello dear, thanks for your question on HCM. I can understand your situation and problem. In my opinion you are having GERD ( gastroesophageal reflux disease ) mostly. Since your CT thorax is normal, no need to worry much for pulmonary causes. You are having mostly GERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause burning chest pain in center of back.You need to follow these lifestyle modifications along with drugs for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in bed to prevent reflux. 6. Avoid alcohol and smoking, if you have these habits. 7. Loose weight if you are obese. Don't worry, you will be alright."
},
{
"from": "gpt",
"value": "Target: What causes pain in the back at the center of the lungs and has acid reflux?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Had tooth ext# 13 xraydigital Rx for amox 500mg for abscess tooth pain is gone swollen face from cheek bone now spreading to mandible next to 28 to 25 in tissue feels tender. Have taken amox is abscess spreading should I apply heat to area? These are systoms after extraction 1 day post op Doctor: Hello, thank you for consulting with healthcaremagic. In case of extraction of tooth generally the swelling subsides after 1 or 2 days, but if you will apply heat it will increase more, so please do not go for it.But you should follow the instructions which the dentist must have given you after extraction, as for 24 hours after extraction should not take anything hot, have soft diet, apply ice cubes on the area. And after 24 hours you should rinse with warm saline gargles. And for medications you should continue with antibiotics and analgesics which contains serratiopeptidase as it helps in decreasing swelling, but better once you consult your dentist. Hope it will help you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling on face after dental extraction"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 34, overweight and have never exercised. I want to b fitter so I tried to climb 4 flight of stairs( then take the elevator down) and repeat. by the second time my heart is racing and my chest hearts. If I rest, within 30 seconds I feel better. Is this normal? Doctor: Hello........You did not mention regarding your weight and height. Generally BMI more than 30 is called overweight. And target should be BMI less than 25.But to reduce weight, you should follow the proper exercise. Start with very minimal effort because you never do exercise before so first of all start with walk on plane ground with your own speed. Then gradually increased your walking distance first. Then gradually increase your speed day by day. When you feel that your speed of walk is above normal then start climbing upstairs. Start climbing gradually and increases the length day by day. In this manner if you start exercise definitely you get advantage and beneficial for your health also. But one important thing you keep in mind that kindly make attention on your diet also along with exercise. otherwise you will be not benefited by exercise only.Thank You."
},
{
"from": "gpt",
"value": "Target: Is it normal for an over weight person to have palpitations after climbing stairs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor! Iam trying to get pregnant from quite sometime. This time, my periods are due from tomorrow but I have not been getting the usual sharp symptoms. Also I can. Feel. Some dripping sensation, though what is flowing out is a small amount of white discharge. Can it be that Iam pregnant? How soon can. I take a home pregnancy test? Doctor: Dear user, welcome to healthcare magic.We cannot suggest pregnancy by the symptoms you mention because they are non specific.You can have a blood test now or a home urine test after one week.If the test is positive, start taking Folic acid supplements and have a visit to your doctor to do an ultrasound to confirm a healthy intrauterine pregnancy and exclude ectopic.I wish you get pregnant soon. Good luck.Dr. Ahmed Bahaa."
},
{
"from": "gpt",
"value": "Target: Trying to get pregnant. White discharge, no cramps before periods. When should I take pregnancy test?"
}
]
|
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