conversations
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[
{
"from": "human",
"value": "Source: Patient: I have severe coughing problem from last 1 year & I have tried allopathy , ayurveda , homeopath also but still no releif I got till now. presently I am taking ayurveda from 2 months but I am not getting any relief. When I wake up in morning then I start coughing , after my lunch or dinner also I start coughing. Mucuos also generated while coughing Doctor: 1. Your main problem is of Productive cough (Mucus with cough) so problem lies in Lower Respiratory Tract, unless proved otherwise. 2. Morning cough could be due to Post nasal drip (sinus problem), Asthma, Gastroesophageal reflux disease (GERD), smoking, or use of medications, are these causes been ruled out by the health care provider with relevant X-rays and Endoscopy? 3. any Addiction or allergy related problem?? 4. avoid too cold,canned and processed and spicy food,carbonated drinks,vinegar,pickles,ice creams,take vitamin C and A rich diet which acts as powerful Immunomodualtor, along with honey,ginger,garlic. 5. talk with your health care provider about the same."
},
{
"from": "gpt",
"value": "Target: Severe coughing. Tried allopathy, ayurveda, homeopathy. Presently on ayurveda treatment no result. Remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my penis keep inching and scratching me, this happens mostly in the night, even result to little dots that even result to injuries, I have tried treating it but it comes back again. This has been going on for more than a year please I really need HELP Doctor: Hi,From history it seems that yuo might be having fungal infection on the part.Collection of smegma under fore skin does cause itching as well.Apply anti-fungal cream locally at night.Take Cetrizine or Benadryl at night for itching.Keep local part well shaved, clean and dry.Avoid perspiration.Wear cotton inner wears instead of synthetic one.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes severe itchiness on the penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have severe pain in T6/7 vertebrae and shoulder pain. Been doing the tennis ball pressure point massage. This turns the tennis balls in to egg shape. My muscles contract and relax and never stop doing so. It does help soothe the pain but why are my muscles doing this and will it be a problem in the long run. Fyi...was injured in rear-end car accident 2005 and will be having cervical disc surgery in 2 months. Doctor: Hi...The problem is due to less movement in thoracic vertebra.In addition to tennis ball point massage I recommend you..to doLot of icing frequently ...Roll a foam roller in your back byvlying on too of it with your back..go for back arches..while doing slowly move upwards and downwards..along the thorax...cat and camel exercise will help to maintain the mobilisation...Hope this is helpful for you..Kindly revert back in case you need any further clarification..."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for vertebrae and shoulder pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 27 and I have been trying to concieve for over 3yrs now. Thing is i donot have regular periods. Actually my periods come only once or twice a year. My gynea discovered I had an hormone imbalance and he put on me on a provera,folic acid and fertomid treatment. I began taking the first two a week or so ago and my periods have decided to pitch. I know I'm gonna have to take fertomid within the next five days...what I would like to know is when exactly should my husband and I try to concieve during or how far after my menstruation. I really want this to work. Please help me.From a fustrated wife Doctor: Hello. Thanks for writing to us. The best timer to have sex for a successful conception is during the day 10 to 18 on every alternate day if you have a regular 28-day cycle. You can also use a LH test kit to detect the impending ovulation.I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal Regards, Dr. RakhiTayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Taking fermatoid, folic acid. What time should i have sex to conceive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor , This is Dhanaprakash from India. I'm being affected by cold very often. I'm allergic to dusts also. I'm infected by cold for more than 300 days in an year. Even in summer i gets cold if i have any soft drinks or anything like that. Some times in winter and rainy seasons i feel very difficult to breath and sleep. What may be the main problem for this cause? Do i need to consult an ENT specialist to check my nose? Thanks in advance Doctor: hi welcome to health care magic.see you have allergy to dust,coldthing so it increase in winter or rainy season .it may because either you have asthma pro or sinus prob,or bronchitis.so whenever you feel you get cold start steam inhalation which very much helpful to you.concern any physician for conclude diagnosis.always take hanky when you go in polluted area,avoid cold things. thanks dr.dhara [email protected]"
},
{
"from": "gpt",
"value": "Target: I am suffering from cold more than 300 days in an year, I have dust allergy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor, i'm 19 year boy. from 2 years ihave been masterbating and left it before 6 months, but I'm facing problems like hair loss, weakness, i'm very thin. But the major problem is that ther is night fall and fall(sperm) at time of toilet. Nothing good nutrition suits my body. Doctor: there is no medical treatment for nightfall.you have to be mentally stable to reduce that.take nutritious food .avoid thinking and watching porn.this is the main thing you have to do.try to mingle with friends and family.avoid being alone."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for night fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: there is mild symmetrical dilation of the lateral ventricles bilaterally.this causes mild compression of the brain parenchyma against the skull vault,whic measures approximately 26mms on either side.falx cerebri is seen separating the lateral ventricles.choroid plexus are observed dangling in the csf of the lateral ventricles.measurement at the atrium of the lateral ventricles is 11 mms(normal 3rd ventricles is mildly dilated.4th ventricle is normal.thalami are mildly separated,as a result.cerebellum and brain-stem appear normal.ultrasonography of skull reveals, findings could be due to CONGENITAL AQUEDUCTAL STENOSIS with resultant mil the lateral and 3rd ventricles,as described above.correlate clinically. this for 1 month female child what is cause any critical please provide me suggestion on the send me the reply of this YYYY@YYYY hydrocephalus,involving impression: Doctor: Hi,Thanks for writing to Healthcare magic.It would be better if we could know what is the clinical symptoms of child, for which this scan was performed. This could suggest Hydrocephalus. But better to correlate clinically with both physical examination and investigation.Thanks. If you have any more queries I am happy to answer them. Else please rate this answer and close the discussion"
},
{
"from": "gpt",
"value": "Target: What does mild compression of brain parenchyma on MRI in a child suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on Metropolol for 4 weeks, prescribed for palpitations (400 in 24 hrs. per monitor) 50 mg. Also I have white coat syndrome, sometimes pressure rises, been under a great deal of stress, mostly apprehension re: heart tests, etc. Cardiologist says metropolol is good for bp also. I have a monitor, pressure is lower at home, only rises when I maybe active 150/62, pulse in the 70 s and has been as low as 112/60. Still I take readings to the Dr. to let him see that it really is when I am under stress. 50mg made me tired ( Cardio said it would be sluggish), I do feel calmer, had to do 25 twice a day. Still I can fall asleep sitting watching TV and that is not me. I think I could try 25 per day, that is how I started out, but my pressure in theDr. office was 162/63 so he changed it to 50. Now I notice my pressure is higher anywhere from 112 to 175 with the bottom # in the 70 s and my pulse in the 60 s. My Dr. didn t mention the fact that it was compared to at home readings, also because I am calmer in office reading was only 136/62 He thought all the numbers were good, but yet they were higher than before when I took them at home. I don t get it, I thought BP meds reduced your pressure. Doctor: With respect to palpitation, that is the sensation not the extra beats. The extra beats may not be harmful or even require treatment. If you have found no underlying heart disease or dangerous rhythm, the primary concern is to relieve your symptoms and anxiety. Finding nothing dangerous does not necessarily mean that heart rhythm is not the source of what you feel but knowing that its not dangerous is often treatment enough. The best way to interpret your blood pressure is to take only recording done on schedule. Single measures should not prompt concern, particularly no those done under stress. Record your blood pressure on a schedule every day. It should be taken seated after a 10-15 min period of relaxation. A two week average is what you use to make decisions about the need to take a medicine and its effect."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for heart ailments"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had hyperthyroidism for 3-1/2 years and had the following symptoms...all over body aches, higher blood pressure, irregular heart beats/fluttering, etc. foggy headaches all to the point of debilitating at times. Had my thyroid removed 3 months ago, and still have the same problems. What do I have? What can I do? I'm tired of feeling bad. All the doctors ignore my problems. Please Help. Thank you. Ali Doctor: Hi, your problem can be due to high blood pressure. Please see it is controlled well with medication and all symptoms like palpitations, headache etc should improve. Regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for body aches,higher BP and irregular heart beats"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 74 years old, I have had four episodes of my heart pounding when I start to eat dinner, if i continue to eat my heart will beat faster then begin to beat irrugular, if i continue to eat when it statrts to beat irrugular , then it seems like my heart will start all kinds of beats, I almost past out from one the episodes, when I have the attacts it last about two hours or less, te irrugular beats will stop after about 5 minutes, I have been to a heart Doctor, took all the test, everthing ok, My Doctor told me it was just a coincidence that eating would cause this problem I know this is not true, eating does cause this problems, I have small episodes when I eat my heart will start to pound then stop, I have no other problem with this unless I eat. I need your opinion also. I do not take anykind od medication, except Maalox Acid Refux, I am in good health active everday Doctor: Hi, I passed carefully through your question and would explain that your symptoms could be related to possible cardiac arrhythmia. For this reason, I would recommend performing some tests in case you have not performed them yet: - complete blood count for anemia - blood electrolytes for possible imbalance - thyroid hormone levels in order to investigate for thyroid gland dysfunction - an ambulatory 24-48 hours ECG monitoring in order to investigate for possible cardiac arrhythmia. You should discuss with your doctor on the above tests. 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 irregular heart beats?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a very bad cough for about 2 weeks which has gotten worse. my whole face hurts. my ears are clogged. now my back hurts from coughing. started throwing up from lots of flem. I thought it started out as an sinus infection. now I need medical attention Doctor: Hi, Thanks for your question. After going through your question, I can understand your concern. There is most likely a possibility of Lower Respiratory Tract Infections in your case. You should consult your doctor for detailed clinical examination. Following investigation may require for appropriate diagnosis - - Complete Blood Count. - CRP, ESR. - Sputum examination including culture. - Chest X-ray. Depending upon above test results there may be need for Ultrasonography of Thorax and HRCT. There is a need Antibiotic treatment. Hope this helps you, if so do vote as helpful."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe cough and back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: just out of curiosity..I have a 22 month old with Trisomy 21. He had an EA/TEF . He was never diagnosed with Vacteryl but has four of the signs. He has a 7 mm asd with significant left to right shunting, syndactly of his last two toes on each foot, tracheoesphageal fistula , and esophageal fistula..can he also have Vacteryl? Doctor: Hi,ASD is very common in trisomy 21 itself. Anyhow VACTERL is a possibility as he also have TEF and syndactyly. so its is better to get an ultrasound abdomen (to look for renal / genito-urinary anomalies), and a vertebral X-ray also. You can discuss with your doctor. Treatment is problem oriented and supportive.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for vacterl syndrome"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 47 year old female , I hurt my back a year ago , off and on all year it hurt. but now for two weeks it has been nothing but pain, shooting , stabbing, when I cough it hurts. I had rectal surgery three years ago , I was constipated a week ago and I thought that is why my back hurt. it is hurting like it did after I got this surgery. ? Doctor: Hello. This isn't from your surgery or from constipation. It sounds like it's a disc problem in your lower back and you need to ask your doctor for an MRI scan of the lumbar spine to check for that. If that's the case, proper physical therapy can help with the pain"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for persistent back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I'm currently suffering with a mild stomach pain. i guess it is due to body heat coz i feel burning sensation in my eyes and my are red too. wat is it and how can i over come it i'm at office now i have to be here till morning 7 so please tell me atleast a temparary solution Doctor: Hi.Thanks for your query.This may be a flu attack.Take Paracetamol round the clock .If there is no relief you may need a few investigations and treatment according to the clinical findings of the Doctor."
},
{
"from": "gpt",
"value": "Target: What causes a mild stomach ache with body heat and burning sensation in eyes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 40 yrs,my L F T Test result showing that my sgpt and sgot 107 and 130.2 or three pegs alcohol consuming twice in a week,I am consult a physician and he prescribe to take Levolin S capsules morning and night for three months.Is there any side effects for this Doctor: HelloIncreased SGPT indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,medicines,auto immune causes etc.It may be due to alcohol intake in your case.SGOT is non specific and it increases in many conditions.You may need few more investigations like lipid profile,viral markers and ultrasound of abdomen.I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients.It helps in regeneration of liver cells.You should avoid alcohol completely.It is must for your recovery.Levolin S contains Levosalbutamol and it is usually prescribed as bronchodilator.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What causes elevated levels of SGOT and SGPT?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a back round of cancer and I have been in remission for almost 4 years now. I have been having really bad anxiety and have been finding random bruises on my legs and arms with no idea of where they came from . Some are there but do not hurt when I push on them... and I have had an on going cold for the past month or so and have been in and out of the clinic and I don't know if I should be concerned or not. Please help. Doctor: Hi and thank you so much for this query.I am so sorry to hear about bruises. I am happy to hear you were able to take on the cancer battle and have been in remission for 4years. I think what you term bruises are small bleeds on the skin. I will suggest that you get your clotting system evaluated. A full blood count would tell us whether the platelets are in good number or not. This can open the door to different possible causes. Also, You need proper interviewing and examination before testing to gather more information. talk to your priary healthcare doctor for this.I hope this addresses your query fully. Thank you so much for using our services and please feel free to ask for clarifications if need be. I wish you the best of health.Dr. Ditah, MD."
},
{
"from": "gpt",
"value": "Target: What could be random bruises on legs for a cancer remission patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 2 year old daughter is complaining of nausea, pain in the head, legs and back, all accompanied with a 102 steady temp. took her to the hospital after she was shaking but not cold and couldnt stand up because it hurt. the checked urine for urinary tract infection & xrayed her bowels. all was fine. they gave her antibiotics & took blood for a culture. what could potentially be wrong? Doctor: HelloMost common cause of fever with headache,muscular and joint pain in this age is some viral infection.Fever may be the only manifestation in viral infection or other symptoms like cough,cold,loose motion or vomiting may develop later.In viral infection fever usually shows a declining trend after 72 hours.I would suggest you to wait for sepsis profile and blood culture report.Till then follow the advice of your doctor.If reports are not suggestive of any bacterial infection the baby may get discharged from the hospital with oral medications.Regards"
},
{
"from": "gpt",
"value": "Target: What causes fever,nausea and leg pain in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My gums have been bleeding since I started flossing again in March after not flossing for 8 years. My oral health was fine. I only flossed for a week in March and then stopped again. Recently I became very ill from an unknown viral infection, and my gums have been inflamed and bleeding. It's hard to eat and almost impossible to brush my teeth. Is there anything I can do to relieve the pain and/ or help my gums? Doctor: Hello,You should do your best to maintain proper dental hygiene. Be gentle and include rinsing. The stress on your system will affect the gums and take time to heal. You may have a fungal infection develop with a compromised condition. The antifungal medication Nystatin may be prescribed. Schefule a dental exam to evaluate your oral condition if it persists and evaluate if the need for a prescription is necessary. There are prescription mouth rinses that include pain medication available by prescription, too.Keep well hydrated, follow good eating habits and take balanced vitamins. Vitamin B12 helps healing. Anti- onflmatotyeficstion such as Tylenol and Motrin may offer relief.Thank you for your inquiry."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for inflammation and bleeding of gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I just read the questions on here but cannot find one similar to mine. Today, sporadically, I have had a pinching pain right in the middle of my chest, and not to the left or right. I am healthy, I exercise regularly and I eat healthy, however, I do smoke about 5 cigarettes a day. I have been smoking for 3 years now but I have never experienced this pain. I am not sure if it's related to smoking or if it might be something else. The pain lasts only about 5 seconds, but it is painful enough that for those 5 seconds I cannot continue doing whatever it is that I was doing before. Thank you! Doctor: Hi welcome to HCM...You have smoking habit and sharp sudden pain is the complaint ....Smoking can lead restrictive as well as obstructive lung disease ....It release elastase and lung elastic tissue damage can occur ....So yes I want to rule idiopathic pulmonary fibrosis or early COPD changes by following investigation......1.Chest x ray (digital preferable )2.Spirometry (we can say as pulmonary function test )Than according to cause treatment guided by bronchodilator or steroid like drugs ....Try to avoid smoking ....Rehabilitation programme can be attended for that ....Take healthy and balanced diet ...Advise : pulmonologist consultation....Take care. ..."
},
{
"from": "gpt",
"value": "Target: What causes pinching pain on the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How & where can my husband be tested for dementia, Alzheimer’s, or any other underlying condition that might explain the following situations: extreme anger, acting out in public, physical confrontations with family, constant sexual arrousal, inappropriate behavior in front of our grandchildren and forgetfulness. Please note: he is diabetic, he has sleep apnea, & drinking (2 to 3 large cans of beer) which exacerbates all the above-mentioned problems. Am I over-reacting? Doctor: in my opinion he needs to go through a memory assessment ,and blood profile,vitamin b12 levels , thyroid functions also it is important to go for imaging of the brainit is important for him to stop alcohol as alcohol can worsen memory by its effect on memory structures"
},
{
"from": "gpt",
"value": "Target: How can dementia and Alzheimer s disease be diagnosed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir,i had sex wid my bf on 24dec and i took ipill on 25 dec.my periods were just over at 21dec and after taking i pill it come again at 2nd jan which lasted for 6 days i.e upto 8jan2012.and after that i havnt got any period till today and i have also done my pregnancy test.it is coming negative. Doctor: Hello,Firstly, you did not need the emergency pill since you were in safe period presuming a 28-30 day regular menstrual cycle. The pill contains high doses of hormone and as such creates hormonal imbalances. This had resulted in the withdrawal bleeding observed. Pregnancy is unlikely in this scenario as the pill was taken within the stipulated time. The next normal period can be expected to get delayed by a week or two. Please get expert help if you are overdue by ten days. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Does i-pill lead to delayed periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: . I am 40 years old having irregular period since January 2012. But Ultra sound taken in January 12 was normal . In the Ultra sound scan taken on 27.7.12, I am having a cyst with sepatition in left ovary measuringh 6.8 com X 5.0 cm . also thick endometrium with tiny cistitis seen. Liver enlarge ( 17.5 cm) But other Ultra sound normal. What can be reason/treatment my email id YYYY@YYYY Doctor: Hi, dearI have gone through your question. I can understand your concern. Treatment of ovarian cyst depends on age. In old age removal of ovary is treatment of choice. In young age treatment is conservative depending on the cause. For liver enlargement, you should search the cause. Go for complete liver function test. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Having irregular period. Have a cyst with sepatition in ovary, enlarged liver. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with malaria, the dr prescribed coartem and antibiotic (tetracycline 500mg). is it wise to take this antibiotic? i could not find tetracycline on the market. Can i substitute tetracycline with ciproflaxin 500mg (which is on the market) Doctor: Dear Friend.Welcome to Healthcaremagic.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.Neither tetracycline or ciprofloxacin are used for treatment of malaria.First of all you have to be sure that it is malaria or not.Many kits available in the market for detection of malaria show false positive result.So, tell us your main symptoms.If you have high grade fever with chills and rigors with low platelet count and there are cases of malaria in your area, then go to a qualified doctor to take proper treatment of malaria that includes wide range of drugs like Chloroquine, Artesunate, Doxycycline.This is my personal opinion based on details available here. If you still have any other query, you may please ask me.Stay Healthy. Dr Anshul Varshney , MD"
},
{
"from": "gpt",
"value": "Target: Is ciprofloxacin effective for malaria?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I would like to asks a questions, as I have a seasonal allergies and I am taking Fedac tablet. Which is I am used to it. The problem is Im already run out of it and I am wondering in which Pharmacy I could get it without any hassle. As get it yearly in singapore so now almost done because my seasonal allergies trigger. Any suggestion, please?! Looking forward. Doctor: hi, fedac is a tablet which contains an antihistamine and a decongestant, these drugs are easily available over the counter with any hassle , but it also depends on countries law, some countries it may not be available, what i suggest is you ask the pharmacist for another drug with same combination. also you get better tablet with very less side effects like drowsiness. also you can take steroidal nasal spray which is very effective in controlling symptoms and with zero side.i recommend steroidal nasal spray containing fluticasone it is easily available also. thank you dr.mukesh"
},
{
"from": "gpt",
"value": "Target: Taking Fedac for seasonal allergies. Any suggestions as to where to get it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, I am a 20 year old female and i have noticed that within the past week i have been getting bad lower back pains and i have been having frequent urination. I am also constantly tired. Even if I get a full nights rest, I feel like im still exhausted. All of this is out of the ordinary for me. Doctor: welcome to Health care magic.1.Bearing in mind your age, you can try with the back pain exercises which will help to get rid of pain.2.Comming to urinary frequency it can be due to cystitis (bladder infection ) take excess of water, if not working then you have to go for a course of antibiotic treatment.3.Get rid of any stressful events in the life if you have any. That to help.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for back pain and frequent urination"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Since I woke up this morning I have had numbness in a couple of my fingers on my left hand. Also, last night I felt pain on the back of my neck and noticed a red bump, then started to feel pain up my neck/bottom of my head. Could they be related. If not, why are my fingers numb for this long? Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.Your symptoms can be related this can be related to cervical spondylosisto proceed furrher we need1. Clinical Examination2. Radiological Examinationplease consult a Neurosurgeon in personHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care."
},
{
"from": "gpt",
"value": "Target: Experiencing numbness in fingers and hand"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son has had an ongoing staph infection for almost went years. He recently started having nausea and he is always tired he is on keflex 250mg 4x day. The staph is a result from having a nuss bar placed in his chest and he is scheduled to have it taken out feb. 23rd. Should I be concerned about the nausea he is having all of a sudden 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.Staphylococcus infection will not cause nausea to you.But antibiotics taken by you can cause nausea because of gastritis. I advice you to take the pantoprazole tablet under your doctors guidance. This is anti acidity drug. Prevents acidity to you. Take this drug half an hour before the meal.Avoid heavy eating at single. Instead you can eat small frequent diet.Walk a while after a meal. This allows the food to go down in intestine lumen preventing reflux of food from stomach.You can alternatively drink freeze cold milk to prevent acidity.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 treatment for nausea and staph infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello.I have and I wanted to ask about the marriage system here. In my religion cousins marriages are allowed. So can someone like me marry a first cousin who does NOT have thalassemia minor ? and what chances are there for the baby to be abnormal or thalassemic as well ? Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion sibling marriage should be avoided as much you can avoid.It is observed that when you marry to siblings variety of inborn error occurs in the coming babies.Though your cousin do not have thalassemia it is likely that her gene contains the silent gene for thalesrmmia on her genomes.When you marry your cousin this silent gene may get activated and cause thalassemia in your children.Avoiding such situation may prevent you for this type of results.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist."
},
{
"from": "gpt",
"value": "Target: Can thalassemia minor patient marry cousin who does not have thalassemia minor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the doctor the other day and she prescribed me amoxicillion, she said my throat was red and I was coming down with a cold. Well I did'nt get it fillied and the next day my gum is swelled badly where my wisdom tooth is. It hurts badly, It hurts to open my mouth and it feels like I got a sore on my check were my gum is swollen. Know My nose Is running could all this be from a cold or from the other wisdom tooth coming in???Help Please..Thanks(: Doctor: Hello,Your symptoms could be from either or both. Did your doctor diagnosis strep? You should start your amoxicillin and complete the prescription as directed. This will offer relief in both instances. Take anti-inflammatory medication such as acetaminophen or ibuprofen. Benadryl, an antihistamine, helps control inflammation and reduce swelling as well. Rinse with warm salt water. You may have bitten your cheek with the swelling and sore spot. Keep hydrated. Avoid vitamin deficiencies and maintain good nutrition. Practice good oral hygiene.Schedule an exam with your dentist or oral surgeon to evaluate the wisdom tooth. You may need an extraction. Infections can spread and have serious consequences. Corticosteroids may be prescribed for a great amount of inflammation. A chlorhexdine gluconate rinse is often recommended and can help with healing sore spots. Avoid irritants such as smoking, alcohol, spicy and acidic foods.Thank you for your inquiry."
},
{
"from": "gpt",
"value": "Target: What causes gum swelling with sores in the cheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what is lactic acidosis...how dou get this ...i am takeing medformin 500 mg 2 pills n morn plus 1pill glipizide 10 mg then in evening 2 pills metformin 500mg 1 pill glipizide 10 mg n evening....i was takein janumet 50-500 2 pills in morn with glipizide 10 mg then 2 pills janumet 50- 500n evening 1 pill gliptizide 10mg n evening ....i got pancriatitus n my doctor switched my meds he cancelled janumet n put me on metformin.....thanks marty Doctor: Hi Marty, Lactic acidosis is a condition in which a particular form of acid accumulates in the blood making it very acidic. This happens when patient has severe infection/ sepsis; or patient with kidney failure takes metformin tablets.In your case the doctor changed your diabetes drug because, janumet has a compound called sitagliptin which has been associated with pancreatitis in studies. Hence he stopped the combination janumet and put you only on metformin with glipizide. As long as your kidneys are normal you need not worry about lactic acidosis."
},
{
"from": "gpt",
"value": "Target: Will metformin and glipizide help in curing lactic acidosis and pancreatitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctors, i had some queries for my baby. Actually when my baby was born she was very fair.And now she has become very dark. When i consulted with child specialist he told me that it is because of dry skin, so he asked me to apply emoderm oinment all over the body and use pears soap for bath. he also told me to stop oil massage. After doing all this still my baby is getting dark day by day. Doctor is also telling me that it is fungul disease. Will you please help me out with this problem. My baby is 5 months old now Doctor: Although environmental factors like sunlight and UV rays have a role to play in determining the colour of an individual, genetics plays a very important role in this regard. The skin colour does not express itself properly at birth. So it is not unusual for a newborn to look fair. Even the present colour might not be the final colour of skin of your child. Although fungal infection is possible, it seems less likely.Oil does not get absorbed through the skin and hence your doctor has asked you to avoid it."
},
{
"from": "gpt",
"value": "Target: What causes darker complexion in babies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My periods is 3 days late..and I had sex last month but I think that nothing is going to happen as he didn t ejaculate..(entered only once nd half I think)..im having periods symptoms but its 3 days late...i tried eating papaya but no use..im so much tensed..plz help Doctor: Hi dear, I have gone through your question and understand your concerns.Unprotected intercourse can lead to pregnancy.Delay in the periods can be due to pregnancy or stress.I would suggest you to get a urine pregnancy test done to confirm the diagnosis and get appropriate treatment.Hope you found the answer helpful.Dr Deepti Verma"
},
{
"from": "gpt",
"value": "Target: Does delay in menstruation indicate pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 42, 5'5\" and I weigh around 145. I have Fibromyalgia, severe scoliosis, osteoporosis, and degenerative arthritis (please forgive my misspellings) I went to the urgent care yesterday and was diagnosed with shingles on my scalp and face, but there is also a hard but movable pea-sized lump under the scalp that hurts. It's not filled with liquid, and it's not opening like the other blisters. What is it? Doctor: Hi,Good Morning,Thanks for your query to My-HCM Clinic.I studied your query in depth.I understood your concerns.My opinion -You have-Furucle in early stage-with sore-indurated cellulitic stage.Its the boil of the scalp and is caused by the scratching of the scalp or trauma by combing.-Hope this would help you to recover from worry-some query.Wish you a Fast Recovey.Wellcome to HCM again."
},
{
"from": "gpt",
"value": "Target: What is the hard, painful lump under scalp?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My arm pit and upper under arm are very itchy, no rash, also a pulling pain occaisonally. This started with what I though were bug bites. i had two raised bumps and it was very itchy. The bumps went away but the area is still itchy with that mild pulling/stinging pain. Doctor: Hi, Your rash could be an insect bite hypersensitivity reaction. You do not need to apply any cream as the rash had disappeared already. I request to take an antihistamine tablet for 1 week. If you do not get any improvement in a week, I request you to consult your dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Siva Subramanian, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Suggest medication for skin itchiness without rash or bumps"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have small red bumps along the gumline of my teeth. Between my middle two teeth and along the top of one to the side. Its doesn't hurt, Ive also been wearing my retainer and they only appeared after I put the retainer on. I'm supposed to wear it daily but I choose not to. The retainer also looks like invisaline but its not, because Ive already got my braces taken off. What could the bumps be? Doctor: thanks for your query, i have gone through your query. the bumps ocuring on the gum line could be secondary to the irritation caused by the retainer or it can be because of gum infection. consult a oral physician and get yourself examined. if any sharp margins are get it trimmed. if it is gum infection then get your teeth cleaned. i hope my answer will help you. take care."
},
{
"from": "gpt",
"value": "Target: What causes red bumps along the gumline of the teeth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi there, I was in a car accident 3 weeks ago and received a very large hematoma on my leg that swelled up instantly. since then, the swelling has gone down considerably and although I still have bruising on various parts of my leg and ankle (from drainage) i still remain with a hematoma that is 4 by 4.5 . The sensation on that part of my leg is not normal and the area is still very hard and spongy. I m wondering at what point i seek treatment, and if its safe to fly. Doctor: Hello,You are suffering from soft tissue injury with hematoma. Although you have not mentioned your age I think you can observe the hematoma for a few more days, usually it takes about 4 weeks for it to completely resolve depending upon the area involved. As you say you are going to fly soon, my suggestion would be to consult your doctor if the hematoma size increases or remains same just before you fly out.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Santosh S Jeevannavar, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What medication is suggested for hematoma on left leg and swelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What is the proper treatment for an immune suppressed patient (21 year post renal transplant) that for the past seven weeks has been hospitilized X 2 for e coli UTI's resulting in sepsis X 1 now presenting with Morganella in urine culture. He is on oral Keflex 500 BID and the suggestion is to add Cipro for seven days Doctor: Hi and thank you so much for this query.The main arm of treatment is to make sure he keeps away from being exposed to sick persons as he can easily get infected even by very common germs that would otherwise not cause problems in others. His treatment should be guided by what the antibiogram sensitivity testing is after germ identification. Ciprofloxacin should be added if the culture results suggest so and not because he is immune suppressed.I hope this helps. I wish you well. Thank you so much for using our services and feel free to ask for more information and clarifications if need be."
},
{
"from": "gpt",
"value": "Target: What could be the treatment for an immune suppressed patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor, I fingered performed oral sex on a girl and she did to me as well( for like 20 seconds for each activity) . then after that i rubbed my penis on her vagina. I'm 99% sure no pre come or come came out. there was no insertion. only rubbing. Can she be pregnant by this Doctor: Hi,Chances of conception are very rare in such an instance. If she happens to be during the fertile period and if there is any pre-ejaculate, it is possible that conception may occur as even the pre-ejaculate contains adequate sperms to cause conception. If nothing like that has happened, you can rest assured. She should wait for her next period if she has regular 28-30 day cycles or get a blood test for pregnancy 10-14 days after the act, if exclusion is needed. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Is there a chance of pregnancy by rubbing penis on vagina?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, I am on clomid 50 mg and this is the second cycle. I responded well the first cycle and now this cycle there are two follicles in my right ovary but growing very slowly. on day 10 it was 1.2 and day 13 it was 1.3 and day 15 i was 1.6 so my doctor has said to take 2 clomid 100 mg from today (day 15) and she will she me next week. I wanted a second opinion is it safe to take at this stage of my cycle and will i have any side effects as it will be 2X the dose? Doctor: Hi , How are you doing ?I don't agree with this management. Clomid is Clomiphene is hormone which causes increase in hormone which makes the follicular growth better. But it's main side effect is it will reduce the inner lining of the uterus. If this is reduced , the pregnancy chances is reduced, as this lining is needed for the embryo/ baby to get good attachment to uterus. So the better option is to have dose of hormone injections to increase the follicular size. It will be safe to increase dose of Clomid in next cycle. But by just increasing dose of tablet , problem will not be solved. Better to take hormone injection from the beginning & you will get a much better follicular response. Hope I have clarified your queries All the bestDr.Balakrishnan"
},
{
"from": "gpt",
"value": "Target: Can Clomid be taken safely on day 15 of menstrual cycle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I have had a WHO Grade two Oligoastrocytoma for the past 12 years, recently confirmed by biopsy and underwent 6 months Temozolomide chemotherapy treatment, with excellent results. For a long time now I have been suffering insomnia, i currently take Lamictal, Tegretol, Keppra and Phenytoin for seizure control. What sleeping med would be that safest to combine with these? Doctor: Hi, Why are you thinking of taking sleeping pills. Generally sleeping pills are tried to be avoided. You should better try the other methodology. Keep your room soundless. You may listen to soothing music, may practice reading before going to sleep. Consult your neurologist. Taking sleeping pill may be habit forming. Try it in extreme situation."
},
{
"from": "gpt",
"value": "Target: Suffering from insomania, underwent chemotherapy treatment, takin lamictal. What sleeping med would be safest to combine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 12 year old daughter got a red welty rash on her left side from mid torso down to her waist . we put benadryl on it and it went away. today it was on her left leg from mid thigh to below her knee and behind her knee. also behind the other knee. gave her a cool bath and now she has it on her waist line, under her left breast and behind her right knee. it itches then the rash seems to spread. Doctor: hello Trye It can be Urticaria so important thing is dont give any spicy food, junk food like choclates, icecream, pizza, cheese and all fried food. Ask her to drink enough water. Give her healthy vegetarian diet. and give following medicines for 1month- 1- Mahamanjisthadi kasayam 3tsf mixed with 5tsf water after food twice daily. 2-Tab Neem 2tab twice after food. 3-Tab Haritaki 2tab bed time with warm water. 4-Tab Liv522tab twice after food. after that let me know how she is feeling. Take care."
},
{
"from": "gpt",
"value": "Target: How are body rashes which spread treated ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a 48 year old female. I have been experience shortness of breath for last 2 days. Last night I was waking from shortness of breath. Today have been short of breath all day. I went to the doc straight after work. My blood pressure was 163/91. I usually have around 145/83. I am not tight in the chest, but feel slight numb on my left calf...as if I am wearing a tight sock there. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should rule out hypertensive heart failure in your case. Your blood pressure is high and your symptoms like sudden onset breathlessness in night are commonly seen with heart failure. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. Ecg 3. 2d echo 4. Stress test. You may need diuretics and antihypertensive drugs and other cardiac supportive drugs. Avoid stress and tension, be relax and calm. Strict salt restrictions in diet is also beneficial. 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 breathlessness with high blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I'm a 30 year old woman, I've always been healthy but I have this problem since my 20s. Whenever I'm nervous, anxious, emotional, really unhappy about something or really happy about something, I start sweating, my chest and neck become very hot and red blotches appear mainly in my chest very rapidly. Is is very disturbing in social situations. What can I do to solve this problem? Thanks Doctor: Blushing is a common reaction. it may be a part of social anxiety disorder or social phobia. If blushing, sweating, along with possibly tremors or stuttering occur when you are in a social situation; you may seek the help of a psychiatrist. The other features of social phobia which you may be having are:1) Fear that people will evaluate you/ judge you in a negative way when you are in a social situation. Such fears are more likely in public speaking, talking to a crowd, or meeting many people at a party or social gathering.2) Many people have symptoms described in 1) above. But they should be severe enough to cause limitations in your functioning. Or you find the anxiety so severe that you avoid situations completely. This then leads to further social problems.3) You think this fear is excessive, but seem to have no control over it. There are medications as well as Cognitive Behavioural Therapies (CBT) for dealing with social anxiety. The disorder is sometimes almost a part of your personality, that it stays throughout life. However, medications or psychotherapy will help you deal effectively with the symptoms. Do seek a psychiatrist's opinion on it."
},
{
"from": "gpt",
"value": "Target: Sweating, sudden hot chest with red blotches, hot neck when nervous, anxious and upset. Solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I had a full lab workup done a few weeks ago because I have been having some issues with my hands and I thought it might be RA. Everything came back normal except my CRP was 10.5 (10 is the highest for normal range at my lab) and SGOT was 54 u/l ( 36 is the high norm for female). I have not been recently injured and I was not visibly swollen anywhere the day of the test. I have two questions. 1) what could be causing those two things to be higher than normal, and 2) can taking levothyroxine (120 mcg/ day) have an effect on them? Doctor: Hello,CRP levels usually increase when inflammation is present somewhere in the body. If you can't recall any possible inflammation (including teeth problems, inflammatory papules etc) then it could be even a subclinical viral illness. Rheumatoid arthritis also causes a CRP level elevation but this is not specific or diagnostic. Such a slight elevation is not clinically that important most of the times.SGOT elevation has to do with muscle problems (including the heart muscle) and injuries but it's not that specific either. Have you checked for high creatinine phosphokinase? This is a muscle enzyme that increases in muscle inflammation or destruction. You haven't provided enough clinical information to help me judge whether a muscular problem is likely or not. Levothyroxine is not supposed to affect them unless you're taking too much and your TSH is almost undetectable.I hope I've helped!If you'd like further information, please provide more details about your condition including symptoms and other laboratory testing you might have done.Kind Regards!"
},
{
"from": "gpt",
"value": "Target: Cause for variation in the CRP and SGOT?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had wisdom teeth extracted, an upper and lower on the same side, 48 hours ago. A clot formed within 7 hours of extraction. /Thirty hours after extraction I drank a very thin drink gently through a straw, forgetting I wasn';t supposed to do that. The clot was still present at 40 hours but this morning 48 hours it is gone. Is that ok? Worried about dry socket of course. Doctor: Hello, Thanks for your query.A dry socket will present as intense/increasing pain typically 48 hours after a tooth extraction. It is caused by exposed bone in an area that has lost it's blood clot. Treatment is to have a medicated dressing placed into the affected area.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: Should I be worried about a dry socket after a loss of blood clot after tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: yes i have same symptoms as described below; this is after I catched a very bad cold and my doctor prescribed desloratadine here is how I can best describe my right hip pain: sharp burning pins, like huge huge needle injected in my upper toward side hip, and only when I cough; I never had that before and I am thinking that this is the side affect of that medecine so after my runny nose became better I stopped taking it but I still have the pain when I mainly cough due to my cold please advise tx Kat. Doctor: Hi, Side effects of medicine are very unlikely to hit one particular spot. Hips are quite common to have wear and tear and to have particular sensitive spots due to this. These areas can be stressed by sudden movements. Cannot say in your particular case, and a simple direct exam would probably be able to tell what is going on. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sharp burning pain in hip while coughing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, I had 3 wisdom teeth and one bug jaw cyst removed 10 days ago, went to my follow up app on day 7, everything seamed to be fine.I have all along had a little bit of blood mixed with my saliva, but since yesterday the blood tastes and smells rotten, i know its not my breath or my whole mouth, just the blood.What could it be? Doctor: Thanks for your query, I have gone through your query.The blood tinged saliva can be because of the trauma to the socket region while brushing or from food particles. The bad breath can be because of the food accumulation of the food particles in the socket region. Nothing to be panic, you can gargle with saline or take mouth wash 3-4times daily.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes bleeding in mouth long after tooth surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was put on Clomid this month for luteal phase defect days 3-7. I have been charting my bbt and had a signficant drop on cd 13 and a spike on cd 14 and then it dropped a little for two days in a row and then spiked up much higher and has remained at the higher temperatures for the past 11 days. Is that normal? before clomid I would have a drop and then a spike that stayed up for about 9 days and then would drop the day I started. I have 28-30 day cycles. I took a hpt this morning and received a negative. Not sure which day I ovulated. Doctor: Hallow Dear,Pregnancy test on urine (HPT) would not be useful to ascertain or even detect ovulation. These tests are specifically meant to diagnose pregnancy.Your BBT chart changes suggest that you have ovulated on the day when you had an ascending spike. Just before the ovulation, there is a drop by about half a degree followed by rise of one degree when ovulation takes place. Then again there is a fall by half a degree and the temperature remains that high. You are on Clomid; i.e. Clomiphene citrate. This medicine can cause release of more than one eggs. Hence you had two spikes of temperature rise . However, to ascertain the evidence of ovulation, ultrasonography is the best tool at our hands. Ovulation monitoring by USG can spot the day of ovulation. It can inform us about the number of egg released also. Apart from the visual evidence of ovulation, it provides following important relevant information:1. Follicular size at the time of ovulation: Follicles between 18 mm and 21 mm release healthiest eggs which can result into successful pregnancies. It may facilitate the decision of hCG injection if planned for. 2. Endometrial thickness: Uterine lining (endometrium) between 9 mm to 14 mm thickness is most conducive for the implantation of the fertilized ovum. I hope you will take help of USG in future rather than just relying on BBT chart."
},
{
"from": "gpt",
"value": "Target: How to ascertain the day of ovulation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had a crown put on monday night and i had a large swollen jaw, could not open mouth up very wide. this starting during the injections to deaden and it would not get all the way deaden but the crown was put on. dentist gave me antibotics and steroids. still have the swollen lump but it has went down and bruising on my chin has appeared plus my side of my nose feels like it does at the beginning of injection when the medicine is starting to take effect. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Swelling in jaw after crown placement can be due to pulp involvement during crown preparation or abscess formation. For this I will suggest you to consult oral surgeon for clinical examination and radiograph for proper diagnosis. In the meantime you can take medicine like Novamox LB with Metronidazole by consulting with local doctor. I hope I have answered your query. Let me know if you have any further questions. Regards,Dr. Priyanka Tiwari"
},
{
"from": "gpt",
"value": "Target: How can swelling in the jaw after a dental procedure be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi dr. my problem is abt my wife . she always fighting with for very silly matter.and she is not respecting me. if she get angry she will b blind and sometime she hiting me and she using very bad words not only to me to my parents also....is it personality disorder? it will cure??? pls reply me Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I can understand your fate. But I need to hear from your wife also. Every family expert should tell you that. Please consult a psychological counselor with your wife. Narrate everything. Psychologist also may talk to both of you in person. Once he makes the conclusion, he will be able to solve your problem. don't conclude anything now.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: What causes abusive behavior?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm having trouble processing things I'm reading, communicating thoughts, and making decisions. I think I have a sinus infections that may or not be related. I was driving the other day and felt like I was not able to contimplate where everthing was. It's making hard to continue with normal activities. I don't even know who to see. Sometimes my words get jumbled, and I'm having trouble remebering conversations. The worst symptom by far is that I feel incapable of driving..... Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. From the given symptoms, it is difficult to diagnose. Please understand that self diagnosis and self treatment can be more trouble than cure. If you are having confusing symptoms, you should introspect. Are you able to do your job properly? Any of your superiors complain about your job? Did your family members find anything wrong with you? Did your friends find anything wrong with you? If these answers are NO. You do not have any problem, but all these symptoms are your thoughts. otherwise, you must consult a psychologist for further diagnosis. But don't worry, I am sure that you are clear.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: What causes difficulty in processing and communicating thoughts?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 15 month old daughter is has just cut her first molar on her right hand side but yesterday i noticed on her left hand molar side there was a raised lump that was sort of clear and looked like an ulcer - today when i looked it apperas to be a lump of gum thats attached still but flaps around and there is a hole where her tooth would be coming through, is this dangerous or an absess or something? she is in discomfort but im not sure if its from this or the other tooth?\"? please help! Doctor: Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain it seems that a transparent bump in the gum with signs of teething seems to be most probably an Eruption Hematoma or an Eruption cyst that occurs as a fluid filled pale coloured lump and it is not a harmful condition and will resolve as the tooth will erupt..But in case if there is any problem associated with it or the tooth gets delay in erupting then it has to be removed to let the tooth erupt in the mouth and once the tooth erupts there is no further problem associated with it..Consult a Pedodontist once and get it confirmed by a clinical evaluation..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump on left molar side in baby"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi . My son is 4 years old he got badly exzema .i went to doctor he gave hi. Bath oil cream and it s not work. It s worse day by day. I m really worried . Some doctor say its half exzema half fungus.i m really confused. Is any specialist doctor for exzema ?or any treatment or any suggestions plz xx Doctor: you need to consult a pediatrician or skin specialist to know the severity of disease and need of topical steroids ang other medicines."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for eczema of a 4 year old"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year old daughter had her last hard pooh a week ago now! Tuesday night into Wednesday morning she had bad diahorea but no sickness, last night (sat) & this morning she had a very small odd shaped & odd coloured pooh with white flaky some stringy pieces! Nothing wrong with appetite! Has been rubbing her tummy and generally unwell for her! Please advise... Garry Barker..concerned parent Doctor: Most important thing is to prevent dehydration by giving oral rehydration solution.If baby is dull, has fever, passing less urine, or appears sick, you need to consult your doctor."
},
{
"from": "gpt",
"value": "Target: Suggest medication for diarrhea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: very first time i experience this,blood in sperm. Is it anything serious.i use to masturbate weekly twice when i do i use to tight my penis with my hand often not to ejaculate & to extend the orgsm.i am 34 male & not yet married,planning to marry soon.i am scared of this now.pls reply Doctor: Hi, It can be due to: 1. Infection2. Renal calculi 3. Injury4. Obstruction / BPHHope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: What could cause blood associated sperm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: is it always possible to become pregnant the first time you have sex? Doctor: not necessarily. pregnancy depends upon on female's ovulation & male's sperm union. After female's ovulation the female egg remains fertile for 72 hours. After ejaculation male's sperm live alive & active for 24 to 48 hours for fertilisation. If male's sperm & female's egg unite & fertilise during that period, then & then pregnancy takes place."
},
{
"from": "gpt",
"value": "Target: How does one become pregnant ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 58 year old male vascular disease. Is suddenly presenting as confused and memory loss.could there be a connection 3 years ago has major surgery for oral cancer, followed by radiotherapy, now eats very little and food has to be blended. Weight 6 st 11 lbsHistory of being a Heavy drinker and smokes 20+ daily Doctor: hithanks for choosing healthcare magicearly memory loss in your case may be due to vascular dementia. U have history of radiotherapy, vascular problems with strong history of addiction. All these factors escalate the deterioration. Better to consult a neurologist for proper investigation.Thanks"
},
{
"from": "gpt",
"value": "Target: Can vascular disease cause memory loss and confusion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been suffering for 4 years with no diagnosis. I havemsevere bone pain , primarily in my spine , hips, legs and feet. I am extremely fatigued and my ribs hurt. It is very difficult to breath because I feel like somebody has duck tape around my ribs. I have a difficult time walking due to the pain. I sweat a lot and suffer from weekly migraines. In addition, I have sleep apnea and itchy skin. I also experience tingling , and numbing sensation all over. Plz help me. Plz. Doctor: Hello. Thanks for writing to us. Having a generalized bone pain all over the body along with tingling and numbness is likely to be related to vitamin D 3 deficiency along with a vitamin B 12 deficiency. A few blood tests will help in detecting the exact problem. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Having pain in spine, hips, legs, feet. Fatigue. Pain in ribs while breathing. Tingling, numbness all over. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a pain in the lower left side of my back. The pain becomes worse when I sit down suddenly or go to the bathroom. When I sit down to start to go to the bathroom it s a quick sharp pain that causes me to bend over and then slowly eases into a dull ache. I thought it might be built up gas, as if I was constipated, but I m not and the pain has been going on for a few days now. Doctor: Hi. Thanks for choosing HCM. Please note that your symptoms can be due to various reasons. But it is wiser ruling out the serious ones like the prolapsed disc in the vertebral column. There are some clinical tests which can reasonably detect what could be the problem by your doctor. However do the following- 1] Give sufficient rest to back. 2] Hot water / bag / electric patch fomentation to the back. 3] No massaging please. 4] No exertional activities for 2 weeks. 5] X-ray of lower back [ MRI of lower back if needed] You have not mentioned your gender as in females pelvic problems may have to be looked into."
},
{
"from": "gpt",
"value": "Target: Pain in the lower back while sitting down. No constipation. Should I be worried?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father recieved an injection on his gum to get a filling. Its been about 3-4 months since the procedure. For some reason he's still been suffering of pain on the location and general head pain. The odd thing about it is that a small bag has developed under his eye close to the injection site. Nothing so far seems to help. Any idea what may be causing the pain or a way to relieve it? Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have pain and and formation of small swelling dont worry pain can be due to formation of pus at periapical region of tooth Consult dentist and go for investigations IOPA xray if there is periapical pathology then go for Root canal treatment. Do warm saline gargle two - three times a day Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What can cause pain and a formation of small bag under the injected area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, I am 38 yes old. Married in 2012. I am having a problem with low sperm count and I losing out of interest in having sex with my wife. Also I am not able to stay longer. I get ejaculate faster. Kindly suggest me a medication to get rid from this problem Regards Doctor: HelloThanks for query .You have not mentioned your sperm count in your query nor posted semen analysis report ..You have been married since 4 years and expecting child however your sperm count is low (Oligospermia) .The other problems like loss of libido and premature ejaculation are mostly due to anxiety .Clomiphene taken once daily for few months does help to increase sperm count .Following measure will help you to boost up your confidence and getting good erection and delay ejaculation and increase sperm count . 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday 4) Avoid alcohol and smoking..Taking Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for low sperm count"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My boyfriend was home from Iraq from June 26 to July 11. We were sexually active during this time. My period came from July 1 til the 4. I had my next period from July 29 til the 31. My period was suppose to come again on the 26th of this month and it did sorta. I had spotting that night and I bled lightly on the 27th. But Ive been spotting when I use the restroom since Saturday the 28th. Nothing more. I took a pregnancy test this morning but it came up negative. Should I be worried or could I be pregnant? Doctor: Hello dear,I understand your concern.In my opinion there might be no chance of pregnancy.As per your information you were sexually active between June 29 to July 11.And after that you had normal periods between July 29 to 31.And once period occurs the chances of pregnancy are ruled out.And after the period you were not sexually active to raise the suspicion of pregnancy.But as a benefit of doubt the urine pregnancy test was done and it is also negative.So there might be nil chances of pregnancy.And the abnormal spotting in this period might be due to hormonal imbalance.This spotting might consequently get converted into periods or stop.I suggest you to observe for the periods in next 1 or 2 months and if same abnormal spotting continues then I suggest you to se a doctor to rule out any thyroid abnormalities or PCOD etc.Avoid stress as it might also cause hormonal imbalance and cause irregular period.Hope this helps.Best regards...."
},
{
"from": "gpt",
"value": "Target: What are the early signs and symptoms of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a to do list with me every day .....I start my day enthusiastically later I am not able to accomplish the task in hand and then I feel demotivated also I am not able to take criticism positively ....I become highly demotivated after criticism Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. To achieve a self designed task, you should have interest on whatever you are doing. Interest is supposed to be cultivated and never crop up automatically. To have interest, you should love your job and be passionate about your job. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lack of motivation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Myself Hanuman Parshad Meena, i wanna to ask you some question about sex. 1. When i see porn movie so i am not be able to stop my orgasme and without sex my work is to be completed, so what should i do to stope this type of problme, its a biggest problem & which time is better to do sex. Doctor: Hello, It can be related to porn movie addiction, try to reduce the hours you send in watching porn movies. If it's related to premature ejaculation, share more details regarding the duration. We can work on the treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: How to stop ejaculating when not having sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I lost my virginity on teusday and i used condom so its been 3 days now. I feel pain in my lower stomach and now i feel a bit dizzy, and i feel like i want to vomit but it doesn't come out. My stomach also rumbles. So i don't know if am pregnant and am really worried. Please help me Doctor: Hi, I did review your concern.I believe you are going through a phase that many girls go through after their first sexual experience. Since it is new experience and you are worried about pregnancy you feel like vomiting. If condom was used and it did not burst inside and was removed safely without any semen leak there is no need to worry about pregnancy. Also you do not feel morning sickness 3 days after sexual intercourse in case of succesful fertilization. It takes 10-15 days for those symptoms to start. So do not worry and in case of doubt get a pregnancy strip test done in 3-5 days. i hope this helpswish you all the best and happy healthy life."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower abdominal pain and dizziness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 9 year old son started complaining with his foot hurting at the top of his foot where it meets his leg. This morning he complained of his knee hurting. He said the pain moved from his foot to his knee. He plays football, soccer, kickball or runs laps at school and won t stop when I tell him to take a day off. My husband has had two knee surgeries for a torn meniscus (he wrestled when he was in high school he is know 29). Could knee problems be inherited and could the fact that my 9 year old is so athletic have sped up the knee issues? Doctor: Hello,As your son is an athlete, there might be possibility of sprain of ligaments at the ankle or knee which is causing pain. You should consult orthopedic surgeon. After clinical examination, orthopedic surgeon may advise x-ray or rest and pain killer medicine like Ibuprofen.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad"
},
{
"from": "gpt",
"value": "Target: What causes radiating pain from foot to knee in kids?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A 75 YEAR PATIENT OF NHL SURGERY IN NOV 2009 GIVEN RCHOP AND R BENDAMUSTIN 6 CYCLES EACH LAST THERAPY IN SEPT 10, NOW SLUDGE IN GB ABD CBD IS DILATED LFT VALUES ENLARGED BLOOD COUNTS EXCEPT ESR ALL ARE O.K.heamoglobin above ten obstructive jaundice to be treated with medicines or mrcp and ercp to be got done surgery of sub toal gastjunctomy in nov 2009 Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If there is a stone in the common bile duct then this can be treated endoscopically with ERCP or by open surgery. It is always better to do ERCP which is less invasive, however, sometimes it may not be feasible and surgery is the only option. If this obstruction is caused by tumor then he should undergo surgery. Dilated bile duct means that there are serious issues and hyperbilirubinemia and treatment should be started as soon as possible to prevent serious consequences. It can be treated with medications, unfortunately.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ivan R. Rommstein"
},
{
"from": "gpt",
"value": "Target: Patient of NHL surgery, obstructive jaundice. What now? MRCP and ERCP after surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old son was recently tested for von willebrand's disease - I have type 1. The results came back in the normal range (COAG Factor VIII Activity 50%) But his MCV is low (74.7) and his MCH is barely in the normal range (25.4) Should I be concerned about thalassemia or another inherited blood disorder? Thank you Doctor: Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. Before going to thalassemia, get his ferritin levels tested. Iron deficiency is the commonest cause of low MCV2. There are other causes like sideroblastic anemia, copper deficiency, anemia of chronic disease and lead poisoning.3. Better to get a hemoglobin electrophoresis of your son, to rule out thalassemia. Even if it is thalassemia, it will be mild one, which wont affect his life. If it was serious type, it could be the presenting symptom before five years.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: Is it to be concerned about thalassemia or another inherited blood disorder if MCV level is low?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I m 18 years old, female and I discovered a bump under my under arm/ armpit. Could it be cancer? I ve actually had it for a couple months now.. Doctor: Welcome to healthcaremagic All bumps are not cancer. The bump you found most likely is a lymphnode. Go to a general surgeon and get a fnac. Take care"
},
{
"from": "gpt",
"value": "Target: Can a bump under my armpit be cancerous ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am suffering from chronic prostatis since 2003 onwards, for which i would various medicines from both alopathy and homoepathy medicine but till today it could not be cured, hence i want to know whether it can really be cured or not. if it can be cured, what is the best remedy you suggest me. i am 57 year old retired banker Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have problem of Chronic Prostatitis It is very notorious disease that does not respond to any antibiotics or medicines from any faculty of medicines.However I have been practising doing prostatic massage every day for 2-3 months in my patents and getting encouraging results.Please consult qualified health personnel to get prostate massage done .every day.This helps to discharge all the prostate secretions which is the prime source of getting infection.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suffering from chronic prostatis, no improvement with allopathic and homeopathic medicines. Is it curable?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 20years old female.i want to know the name of scar cream plz do tell me and m a medical student,i had allergy once and then there are too many scars on my body...plz do help me n tell me the best ointment in PAKISTAN which removes all my scars..i will be thankful to you Doctor: hello welcome to healthcare magic. there is no medicine as such which can remove the scars completely. however there are certain ointments which can make the scar less visible(make it lighter). also there are some lasers( an expert dermatologist can help) you can try an ointment called contractubex or myderma cream, but remember they will only lighten the scar. also they show there effect in a few months only."
},
{
"from": "gpt",
"value": "Target: Which cream should i apply for scar ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 18 months old now,when she was 16 months old she was hospitalized for diarrhoea and now after two months she is being admitted for the same thing along with viral fever and her reports show that pus cells 50-60 and the alst time she was admitted it was 80-90, why is it happening to her, I am really worried,please suggest? Doctor: Hi, It is probably a viral infection with high recurrence rate, but on the other side, there is no need to worry as good medical care with appropriate medication can solve this problem quite well. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes elevated pus cells in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is 46 years old. We are very active and try to be healthy for the most part. About a month ago he was complaining of a knot in his upper right shoulder. I had tried to message it out and even got him into a deep tissue masseuse. He said it hurt worse after he went to the deep tissue. It has grown tolerable for him but, now we have noticed that his right side of his upper body is visually weaker than his left. I am concerned even though he jokes about it. I can feel the knot and it is not going away. It feels like a guitar string strung tight. Can you tell me what might be going on. Doctor: Dear,the most concern I feel in your history is of the fact that there is getting weaker than the left, these are signs of neurological involvement, and the knot that your feel might be some tumor, But nothing can be said about the nature of swelling unless we get a biopsy done, some times the tumor might be of neural origin, thus causing pain on deep palpation.The first is to get an MRI done, to see the type of tissue, and this will be followed by biopsy to ascertain the cause of tissue causing such problems'I hope I made your mind clear on the issue discussed,Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for knots in the upper traps"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had CABG 9 years before and there was formation of Keloid on my chest. First 5 years there was no problem and now the place where there is Keloid in chest is getting infected frequently and I am taking anti-biotic medicines to cure the same, every time. How can I get rid of the problem. Doctor: Hi you are either a Diabetic, or some infection is remaining in the keloid and re-surfacing. After an antibiotic course, use magnesium sulphate dressing daily for a week. This will draw out residual infection--regards"
},
{
"from": "gpt",
"value": "Target: What causes the recurring infection of the keloid on the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: while making out with a guy... if both partners are naked and if the guy s dick comes in contact with d girl s vaginal opening without any insertion of the dick in the hole.. are there chances of getting pregnant if the guy s dick s head had fluid on it Doctor: it is quite unlikely for u to get pregnant,still u need to confirm your pregnancy by a urine pregnancy test after 4 weeks"
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible without sexual intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my adult daughter had some autistic-type symptoms when she was a child, although they were not discovered because she was home-schooled and we missed it. Today she continues to have relationship problems, such as difficulty with intimacy and physical affection. She has high anxiety and panic attacks, sometimes in social situations, sometimes for no reason. Further problems include difficulty paying attention, easily frustrated. We ve looked into web-based descriptions of high-functioning autism and asberger s syndrome but it doesn t quite seem to fit her. Something is wrong. Can you help, please and maybe point us to some other area to consider? Thank you. Doctor: As you mentioned that your daughter was home schooled, it is quite possible that during that time she started having an aversion to social interactions. Your daughter did not have any exposure to social situations or physical affection. She's still adjusting to something which she should have in her growing up years.Give her time to come to terms with her panic attacks by not hovering. If she doesn't improve even then , you should take the consultation of a psychiatrist."
},
{
"from": "gpt",
"value": "Target: What are the different types of Autism?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 33 , 5 2 , 142 lbs. and has a spot on her pancreas and dermoid cyst on her one ovary and possibly in other ovary...what does this all mean? Her health has been good, but a year ago, they said she had lymes disease, but she hadn t been around dogs, cats or real woods, just walks in the local park but never saw any tick bites. Doctor: Hello. Thanks for choosing HealthcareMagic forum. Dermoid cyst in an ovary is not a completely harmless thing. It is best to get the cyst removed surgically.If she is married and she has completed her family then there is nothing to worry. A spot on the pancreas might be a harmless chance finding.Just monitor for any increase in its size. Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Dermoid cyst with teeth and spot on pancreas"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr.. I am basically from chittoor (AP) suffering with a severe back pain for the past 6-7 months. I wish to undergo a simple but an effective treatment recommended by our family doctor Mrs.Anuradha MBBS MS. Can you please advise me on the treatment, period, costs and other factors so that I may arrive at your end for treatment..? Thank you... Doctor: Hello. Thanks for writing to us. The treatment for back pain depends on the diagnosis. The cause needs to be detected after proper investigations like X-ray and nRI scan.I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal . For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 yr old son has a rash that didn't seem very intense on his face but gradually began to get worse and now is all over his body. He doesn't have a fever but has black loose stool and complaining about his stomach hurting. He is asking to go to the doctor. No other real symptoms. He just got off antibiotics for his ear infection 3 days ago and was on steroids a week ago for his allergies and wheezing. Trying to decide if I should take him to the doctor or not? We have tried Benadryl thinking maybe it was an allergic reaction to something. But the symptoms gave been getting progressively worse for 3 days now. Thank you so much for any help. Doctor: Hi, A rash is a reaction of the skin. It can be caused by many things, such as a drug reaction, an infection, or an allergic reaction. Many different agents can cause similar rashes because the skin has a limited number of possible responses. Very often the associated symptoms , in addition to the rash, help estabilish the diagnosis, such as a history of tick bites, exposure to other ill children or adults, recent antibiotics use, environmental exposures , or prior immunizations. Most rashes caused by viruses do not harm your child and go away overtime without any treatment .However, some childhood rashes have serious or even life- threatening causes. As a parent, you should be familiar with these rashes. Many rashes can look the same, making difficult to know the exact diagnosis whenever you have a concern, see your Doctor."
},
{
"from": "gpt",
"value": "Target: Had a rash, gradually began to get worse and now is all over his body. Trying to decide if I should take him to the doctor or not?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am a female, 38 years old. I weigh 142 and am 5 7 . I regularly play with my two young children and do a power yoga DVD 4 or 5 times a week. I occasionally smoke and drink (1-2 x per week). I feel I eat a relatively healthy diet (although I do use 1/2 & 1/2 and real butter and I enjoy ice cream regularly). Lately I have noticed a few things that are concerning: I sometimes feel a little twinge of pain right in the middle of my chest. Often times, it happens when I lean over. It s just enough to notice it, but it s not very painful. Also, I ve noticed a strange smell to myself. I think of it as kind of amoniaish. No one else can smell it and it s not always there. Lastly, I have been having some lower back pain and have been having trouble peeing. It s not a UTI and nothing hurts or burns; it s just that when I have to go, I sit and sit and sit for a few minutes before I can coax the urine out. Maybe not even connected or worriesome, but weird. I appreciate your time. Thanks. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As per my surgical experience, the issue seems to be possible narrowing of urethra with secondary manifestations. * I recommend to undertake basic lab tests of blood and urine with diagnostic cystoscopy to evaluate it precisely and manage accordingly. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes chest pain with foul body odor and lower back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doc.. i am not sure if this is a medical issue but i m bothered with my 2 daughters.. my 3rd child, she is 12 years old and likes to rub rough surface in her body. The latest area the she keeps on rubbing unconsciously and repeatedly now is her dry lips..i already applied many times lip balm to keep her lips moisten but she will find another part on her body that is rough (such as dry wound).. it is her mannerism that even in school she is doing it.. then my youngest daughter, 11 years old..had this strange mannerism also.. except that she likes scratching her scalp then sniffing her fingers after scratching her scalp..or sometimes...she sniff repeatedly and very loudly..i already explained her to stop this as she can irritate her sinus but to no avail.. i am bothered with their behaviors...is there something wrong with them ?.. thanks doc and more power..God bless you.. Doctor: Hello,As per your history, I think your both daughters are suffered from chronic itching. Before diagnosing as it is there behavioral problem, we have to find out other causes of chronic itching.Common causes of itching are:1) Allergic reactions2) Dry skin3) Fungal infections4) Scabies5) Dermatitis6) EczemaYou can apply lacto calamine lotion over body, take syrup chlorpheniramine as per weight after consultation, and keep skin moisturized. So, I will suggest you to review here with detailed history or consult with the dermatologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shyam B. Kale"
},
{
"from": "gpt",
"value": "Target: What causes children to keep scratching rough surfaces on body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my brother is an alcoholic. He just had a seizure and his liver is damaged not sure of the degree. But our doctor said he can't have one more drink or else he will die. He has tried to quit and went to rehab, nothing is working. They said he has cirrhosis, what does that mean? Doctor: Hi, How are you?I am so sorry to hear about your brother. Alcohol de-addiction can be very challenging , both for the patient and for the family. Relapses are common and it takes team-work between the patient, family and the doctors team to treat this.The liver is a remarkable organ in its capacity to regenerate. We can resect (cut out) more than 70% of a person's liver and the rest of the 30% will grow back to normal size within 3 weeks!! The flip side to this is that until the liver is damaged beyond 75%, the patient will not have any symptoms related to liver disease. Just as a rubber band can be stretched only so much before breaking, so is the liver's capacity to regenerate. When it is continously damaged as in case of daily intake of alcohol or viral infection like hepatitis b or hepatitis c, at one point it will stop regenerating itself and leads to scar tissue formation. Scar in the liver will lead to hardening of the liver and the in-between liver tissue appears as nodules - this is known as cirrhosis of the liver. This will subsequently lead to \"portal hypertension\"which will result in vomiting of blood and fluid accumulation in the belly. In the initial stages, these things can be managed with medications, but later on the patient will end up needing a liver transplantation.Hope this helped and hope your brother feels well soon. Please do not hesitate to contact me for further details, esp regarding centers which offer liver transplantation - [email protected]"
},
{
"from": "gpt",
"value": "Target: What is liver cirrhosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been taking tri-Sprintec for a 13months now. I missed one of my pill the other day. So the next day I took two pills instead of 1. But the problem is now I had unprotected sex and he cum inside me. Now im worried that I could be pregnant? Please help me. This just happen yesterday? Should I take the morning after pill or should I just wait? Doctor: Hello. Whether you need backup birth control after missing a birth control pill depends on where you were in your pack when you missed the pill. For combination BCPs like Tri-Sprintec, if you miss one of the first two pills in the pack, you should take the forgotten pill as soon as you remember and the next at its usual time (just like you did). You should then use a backup method of birth control (e.g., condoms) for one week. If you missed a pill from day 3 through 21 of your pack, you should take the forgotten pill as soon as you remember it and the next at its usual time (as above). Backup birth control is not required in this case. If you missed one of the inactive pills (the white ones), you don't need to take the forgotten pill, and no backup birth control is needed. Given those scenarios, you can decide whether you need emergency contraception. Specifically, if you missed one of the first two pills of your pack and had unprotected sex within a week, you should take emergency contraception. Otherwise, emergency contraception isn't indicated. I hope that answers your question!"
},
{
"from": "gpt",
"value": "Target: Missed tri-sprintec pills, had unprotected sex. Could I be pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Doctor Rynne:My doctor said that my blood shows elevated levels of red blood cells and ordered a 2nd test which was normal. Next he told me to buy SlowFE , an iron supplement. Is my understanding that iron promote red blood cells in the blood. Why he prescribed iron? Doctor: Hello,Iron is a part of hemoglobin which we need for oxygen transport to every tissue of the body. Your iron store may be low for which you should take it. Improve diet which contains iron like leafy vegetables, spinach, jaggery and citrus juice which increases iron absorption capacity.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhadresh Lakhani"
},
{
"from": "gpt",
"value": "Target: What is iron supplement prescribed for?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning!I am Johnpaul Pereira, 36yrs, 104kgs, i have done my blood test last week it has detected elevated sugar levels 130 mg/dl fasting and 132mg/dl PP.6months back it was 121mg/dl. Sugar levels are gradually increasing.Please advise. I have started morning walk for 5kms and also work outs for alternate days of the week in a park.I have a 9-10hrs sitting job.Thanking you for your advice.Warm regards,Johnpaul 0000 Doctor: Hello,Thank you for your query. I understand your concerns.For ideal blood glucose control, your fasting blood glucose should be less than 110 mg/dl, your 2 hour post meal/post prandial blood glucose should be less than 160 mg/dl and your HbA1C (which gives the 3 month average blood glucose level) should be less than 6.5%.From you have mentioned, you seem overweight/obese, I do not know your height. BMI is your body mass index – it is calculated as ratio of weight to height (kg/metre square).Ideal BMI for South Asians should be less than 23, for Caucasians and others the ideal BMI is less than 25.Weight loss will help in proper glucose control. You need to watch what you eat, reduce your intake of high calorie/high fatty/high carbohydrate (sugar/starch) food items. Take smaller portions of food. Consume more wholegrains like oats, millets, wheat products etc. Use food items made of whole wheat flour rather than plain flour. Consume more vegetables, restrict consumption of saturated fats like butter cheese etc.Exercise at least 45-60 min everyday – moderate exercise like jogging, swimming, cycling etc. Your target weight loss should be 1.5 -2 kg/month. Do weight training at least twice a weekRecheck your FPG and PPG levels in 1 month. If the sugar levels are falling, then continue with your lifestyle management and recheck your HbA1C in 3 months’ time. There should be a decrease in the HbA1C from current reading to one in 3 months. Despite, the above, if your sugar levels are raising then you need to see your doctor for medication. I wish you good health.I hope this answer has been helpful to you.RegardsDr Sunita Sayammagaru"
},
{
"from": "gpt",
"value": "Target: Suggest remedy to control elevated sugar levels"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My nephew's 12 yr old son was hospitalized with 2 fractured ribs & a fractured sternum. He has developed a gel-like substance in his lungs & a procedure will be performed tomorrow to determine what it is. He has some issues with his lungs earlier today & they were unable to insert a tube because of the substance. Doctor: Welcome to healthcare magic for your health concernsI am Dr Fahim and I will looking into your problem I have gone through your question and understood your concerns. After rib and sternum fracture he would have developed hemothorax (collection of blood in the pleural space). It is usually managed with inserting tube in the pleural space called tube thoracostomy. Some blood remains un-drained and results in clot formation, called a retained clot; to which you are referring as a gel like substance in the lungs. It is then evacuated with VATS (Video Assisted Thoraco- Scopy), otherwise it will result in empyema ( pus formation ) and fibro-thorax. VATS is established and safe procedure, I think It will do the job for him, and he will better soon. I hope my answer will help you. Do rate it if you like it.Regards"
},
{
"from": "gpt",
"value": "Target: Developed gel-like substance in lungs after hospitalization for fractured ribs and sternum"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: We have just come from the Doctors office. My husband is stage 6 on the Gleason scale. They are recommending removal of the prostate with robotics in Celebration Florida. Is this our best option. Should he have a Scan of the rest of the body first. They are not recommending any scans. Doctor: Hello,Gleason score and prostate-specific antigen (PSA) levels are considered for scoring the risk. With Gleason, less than six and PSA levels less than ten would be considered low risk. And PSA is greater than ten and Gleason is greater than seven come under a moderate risk. Treatment options for the low-risk category are1) Active surveillance 2) Prostatectomy or TURP3) Radiotherapy/brachytherapy I hope your doctor explained to you the pros and cons of each of these options. At present the recommendation for the low-risk category is active surveillance in which he’ll have to get himself examined every three months and monitor PSA levels if anything is abnormal or if the levels are rising, then he needs to undergo prostatectomy or radiotherapy accordingly. With active surveillance, the five-year survival rate is around 80% which is equal to prostatectomy.If you decide to go for prostatectomy robotics has no advantage over open method and post-prostatectomy quality of life is compromised like he might not have control over the bladder, have lower abdomen pain and loss of libido so before you go ahead with the procedure. I would suggest you take a second opinion and totally understand about the treatment methods.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Avanti Sathineedi"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for prostate cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello..I am a 57 year female and Friday night I went to the er and they took blood found out my potassium was very low, was admitted, and got out the next night. Now I feel like my potassium level is trying to get low again. I am on lots of potassium pills morning and night. I am taking a water pill prescribed by my dr. I want to know besides bananas, what can I take to get the potassium level to come up pretty quick? Thanks and God Bless You Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Low potassium levels are serious. Low potassium is known to myalgia, muscle cramps, abnormal heart rhythms, flaccid paralysis, constipation, etc. It needs to be corrected slowly, as increased potassium is much more dangerous.2. If you are getting any muscle cramps or pain, then you could be having low potassium. Diuretics or water pill are one of the commonest causes of low potassium. You need to discuss with your doctor regarding this. Other medication maybe added for blood pressure replacing the diuretics.3. Diet rich in bananas, dark leafy greens, potatoes, yoghurt, fish, avocadas etc could help in improving it. Slow increase in potassium is necessary as hyperkalemia can cause instant death. If potassium is too slow, slow infusion will be given. Not to worry, continue pills as prescribed and improve your diet.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: How to improve potassium levels in blood?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,my kid of 4 years is getting fever 101.8 °f I m giving her crocin 240 5ml from yesterday but fever is not getting controlled.doctor prescribed to give meftal-p 6ml for every 8 hours and crocin 240 5 ml for every 6 hours..can both be used simultaneously Doctor: Hi, Yes, you can give simultaneously but remember fever is a symptom alone. It is not a disease. Crocin and meftal will reduce the fever only it will not cure the disease. So don't worry about the numbers. Keep the kid hydrated and comfortable. Don't exceed the recommended dose. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajmohan, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Can I use Crocin and Meftal-P simultaneously to bring down my child’s fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a fifty year old man I take warfarin as I have a metal heart valve from a six year ago heart operation , my wife is still fertile and been having lots of problems with birth controll , so would it be possible for me to have a versectomy as I have to take warfarin every day we are concerned about not tacking my medication or bleeding after the procedure Doctor: HelloThanks for writing to us with your health concern.As long as your bleeding and clotting profile , basically INR , is within normal range, you can have a vasectomy.You would need to stop warfarin for a few days, and would be managed accordingly.Why cant your wife go for ESsure.it is less invasive compared to a tubectomy and much better.Also, she too would be peri menopausal, so you have only a few years left to desire contraceptive action.Take care."
},
{
"from": "gpt",
"value": "Target: Have metal heart valve, taking warfarin. Can I go for versectomy, wife having problem with pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I'm a black male 24 years old. My gum located around my lower teeth is normal. A pink color. But just around the lower teeth, if you look at it further down a black color on the begging of the gum is seen. I wonder why this is? I'm around 177 pounds, nonsmoker, occasional drinker. Doctor: Hi,Thanks for asking the query,This could be due to pigmentation or plague and calculus deposition.I would suggest you to get the checkup done.Also go for complete mouth scaling and polishing.Maintain a good oral hygiene.Take care!"
},
{
"from": "gpt",
"value": "Target: What could be the reason for black gum lining around the teeth ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am experiencing fatigue,swollen glands in front of neck and back of neck below my hair line. My head feels like it has alot of pressure and headache. I have a pressure on left side of my ribcage, I am very tired and it takes a lot just walk a short distance. Legs feel heavy and weak. Sporadic fever, night sweats, chills and I feel dizzy and nauseous laying down. I do have Devic s disease a form of MS, but this is not the regular flare up nor does it feel like the flu Doctor: Hello,Your symptoms are suggestive of a possible infection. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests:- A chest X-ray study- A blood bacterial culture- Complete blood count, PCR, ESR.Consulting with an infectious disease specialist may be needed.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for Devic s disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a few bumps that appeared on Friday morning... One is on my forehead, it s very red and hurts. The others are on my head, one right by my hairline and a couple smaller ones further back. They are all red and sore . What could they be ? At first I thought maybe in my sleep I hit my head on my night table which is what caused the bump, but it doesn t explain the one on my forehead. Thanks Doctor: Hi, I don't believe they're insect bites at all, no fluid either although they weren't itchy in the beginning from yesterday they started to get a bit itchy... I did go to the Dr and he said it might be some kind of skin infection and perscribed me some Keflex, told me that if they do not improve in 2 days that I'm to go back to see him. The only other symptom I have is swollen glands... A lot of them, ranging from my chin down my neck and on both sides... They're about the size of marbles, maybe a bit bigger some are..."
},
{
"from": "gpt",
"value": "Target: I have a few bumps, What could they be ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small rough patch on my gums right by where my wisdom tooth was extracted 30 years ago. I am told it is probably just callous, but I recall that at one point while I was recovering from the tooth extraction, some bone slivers emerged. Is this normal? Doctor: it is absolutely normal.. ur gums must be hurt during the surgery and hence callus appeared. sharp bone appearing during healing is acceptable as it is remodeled during healing."
},
{
"from": "gpt",
"value": "Target: What causes small rough patch on the gums where the wisdom tooth was removed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My heart has been racing off and on for about a week now. About 10 years ago I had a murmur but haven t had trouble with it since. My husband listened to my heart and he said it sounds different than a murmur. He said it does nt just skip a beat it speeds up and then skips a beat. Also I have been having these weird spells when I move like walking or moving from one position to another where I feel like i am blacking out. I don t know how to explain any other way than if there was an electrical wire going to my brain and when I move a certain way it shorts out. Kind of feels like electricity going through my head and neck. Doctor: Hello,The feeling of electricity going through your neck and brain could indicate a possible spinal cord damage. For this reason, I would recommend consulting with a neurologist for a physical exam and performing a cervical spine MRI study. Regarding the palpitations, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to investigate for possible cardiac arrhythmia and some blood lab tests (complete blood count, blood electrolytes, thyroid hormone levels) in order to exclude possible metabolic causes that may trigger palpitations. 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 heart racing and spells of blacking out feeling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son had a reconstructive surgery on friday 12 4, he is a childhood cancer survivor since 1999. He took clindamycin liquid form starting friday night, developed a rash on sunday, 12 6 stopped taking it. started on cephalezin on Monday. He is not worse but very very itchy and uncomfortable. Rash is not lumpy as was on sunday, he is just very red on chest and back. Does it have to take its course or should we be worried? Kim Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns.As per your complain it seems that your son has an allergic reaction to Clindamycin that has led to rash over his chest and back and as it is just redness and no other symptoms you need not to worry as the rash will gradually subside..You can continue giving him Cephalexin and do not worry about the rash..In case if it is itchy you can apply a steroid ointment over the rash..You can also give him benadryl after consulting your treatimg physician as it is an anti allergic and will help in resolving itching as well as the rash..You can also do cool compresses over the rash for soothing the skin..Calamine lotion can also be applied..Give him plenty of water as it will help in faster excretion of allergen out of his body..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora."
},
{
"from": "gpt",
"value": "Target: What causes skin rashes in a child after having Clindamycin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My nephew is in the hospital with Hepatitis C. His conditioning is worsening each day. I know there is a medication that is on the market now, but the cost is $1000 per pill. His most recent symptom is that his testicles have swollen to grapefruit size. Is this one of the symptoms of the infection spreading in his organs? Doctor: HiGreetings from Dr.Divakara.P No I don't think it is a symptom of Hepatitis C spreading to testes. Due to severe hepatitis it damages the liver and because of the liver damage the protein production gets reduced. If the protein concentration in the blood reduces then it can cause swellings in legs or face or in testes. I would recommend him to get Serum Albumin levels which will confirm that protein levels are low If at all it is in normal range then an ultrasound Scan of scrotum has to be done.Hope this information was useful to you.Any clarification feel free to ask.Regards."
},
{
"from": "gpt",
"value": "Target: Is swelling of testicles a symptom of hepatitis C?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My grandson who is 4.5 was at the doctor for his flu shot this morning and because of his cold they decided to wait until he is over it. Just when they decided that he fell to the floor and was stiff as a board. It lasted a few minutes. They checked his vital and everything seemed normal. The nurse told my daughter that this is more common than you would think and that it could be a calcium shortage. Does this make since to you? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If the baby is fine you need not worry. But any event like this post vaccination should take as due to the vaccine and needs investigation. I am just telling for the safety of your kid that it needs additional work up. Sometimes if there is egg protein allergy - flu shot can cause this.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Sumanth Amperayani"
},
{
"from": "gpt",
"value": "Target: What causes sudden body stiffness after taking flu shots?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m doing a project for my health class, and I was wondering if teenagers could tell me how you deal with stress. It can be a positive or negative method. Thank you so much! Doctor: I don't deal with it."
},
{
"from": "gpt",
"value": "Target: How to deal with stress ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: himy mom is suffering from Cough since 8-9 months and now its getting bad evryday.. we had all d tests done as consulted by doctors like fr TB and all. But still no answer found .. now d doctor asked for Monto test. Can you pls tell me wht this is for Doctor: Hello,Thank you for asking at HCM.Mantoux test is used for diagnosis for tuberculosis.It is a very simple test. Please do not afraid of it.It is usually suggested when the doctor thinks possibility of tuberculosis. As your mother has cough for 8-9 months, your doctor wants to see whether she is having tuberculosis. Hope this will help you.Wish your mother a very good health ahead.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: What is the use of mantoux test?"
}
]
|
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