conversations
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[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...Hi i had two trys of icsi and the secon one we had a baby. My question is I was told that I could have killer cells but it wasn't certain. I was put on different treatments the second time. would it be possible for me to have a natural pregancy with the help of medication? Doctor: Hi, I think if you are ovulating and periods are regular and your husband's semen analysis is normal, you can get pregnant naturally. You can track your ovulation by ultrasound or by ovulation detection kits. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Is natural pregnancy possible after medication against killer cells?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i m 30 yrs old female. I m suffering from acne for more than a year now. I continuously took treatment from a dermatologist for almost 6 months, but did not help but made my skin more sensitive. Originally my skin is very oily but now it has become sensitive also. Finally, i ve started using natural products for my acnes. I m using face wash with 2% salicyc and it is helping my problems. I ve read that benzoyl peroxide helps to resolve acne problems by drying them. Can you please suggest any cream or gel which has 5% bezoyl peroxide(Available in India(Delhi)), so that i can apply it on my acnes at night. Thanks in Advance. Doctor: Hi Namrata, Onset of acne in adult age usually points towards a hormonal derangement. To get the same confirmed a hormonal work up and a pelvic ultrasound needs to be done. Usually adult onset acne does not respond to topical therapy alone. A course of oral anti acne medicines like azithromycin, isotretinoin needs to be taken along with hormonal pills. The same can only be prescribed after a thorough consultation with dermatologist. In the meanwhile you can start with these 1) continue using salicylic acid face wash 2) as your skin has become sensitive, use a mild moisturiser and sunscreen. You may use acne moist moisturiser and suncote sunscreen 3) use benzoyl peroxide 2.5 percent( benzac ac gel) in daytime and adapalene gel in night. Apply these medicines only over acne lesions and do not rub the medicine. Too much rubbing or excess application can irritate the skin. Chances of irritation of skin are quite high with benzoyl peroxide 5 percent. So I would not advise you to use it without a proper skin analysis. 4) get your comedones extracted regularly. Hope that answers your query. Take care."
},
{
"from": "gpt",
"value": "Target: Suffering from acne. Have oily skin. Suggest lotion which contain 5% bezoyl peroxide"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doc, i am 28 years old and i am planning to have a baby so last month i went to a gynecologist and see said that i am over weight and i have to reduce my weight and see suggested this drugs stimufol for 5 days, nacfil twice a day for 30days, m2tone twice a day for 30 days, blongf one for day for 30 days and about a 25 days are completed till now, does during the use of this drugs will not start the menses as usually my cycle is 28days and till now i is not started so please suggest me on this and also the future steps to conceive Doctor: hi kavita welcome to health care magic as your diagnosed as PCOS your menstrual cycles are disturbed and so your not able to concieve..i will suggest u to consult homeopath to get rid of PCOS permanently so that there wil b no recurrence of PCOS in future and you can concieve easily.. good luck"
},
{
"from": "gpt",
"value": "Target: Am i taking the proper medication to conceive ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: started low dose of Amitriptyline (25 mg) fop neuropathy and got low back pain immediately...then went to 50mg and neuropathy pain gone but back pain worse....then went to 756 mg and back pain unbearable....but doc say Amitriptyline is for treating back pain.......now what Doctor: Hello,As far as amytriptyline is concerned, it does not cause any back pain.But as your back pain is increasing on increasing the dose, it is better to withdraw the drug as soon as possible.Please reevaluate the cause for your Neuropathy.It may be due to your Disc prolapse in Lumbar region or other spinal problems.Please do CT or MRI lumbar region and then consult your treating physician.Hope this helps.Please reply for further queries.Wishing you good health."
},
{
"from": "gpt",
"value": "Target: How to get rid of the back pain caused by the intake of amitriptyline?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mum 82 years old just diagnose 3rd jan 2018 with bile duct cancer stage 4 , already spread to lymph nodes , she requested for chemo , although we know is tough for her , her 1st dose chemo done 6 feb and she seems ok except leg a little soft , otherwise she is ok and can still eat a little is this good sign , we are only afraid she might suffer during her 2nd dose chemo which schedule 13 feb Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Nothing to worry. She will tolerate chemotherapy easily. Just maintain a healthy diet and plenty of fluids. Thanks and regards."
},
{
"from": "gpt",
"value": "Target: What causes softness in the leg post chemotherapy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m googling aspirated foods for days. A few nights back i was eating too quickly, large bites of a baked potato...i acually felt like i inhaled it and it flew down wrong. I feel like it was literally in my lungs/chest for the past nights/days. Don t feel well and am wheezing. Today i woke feeling like my neck is a tad swollen and feels like a big lump is in it. have been ressed for the e.r. all day but thinking i am fine. was going for a chest/neck x-ray and don t know if i should bother. but feel discomfort still Doctor: Morning dear,Firstly you have to evaluate where the food is getting stuck.A few common places are food pipe(esophagus) and a abnormal diverticulum in food pipe etc.That needs to be evaluated by a swallow test called Barium swallow.it will show how your food is going down and will lead to possible treatment."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for feeling of food stuck in trachea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir,My Sperm count is 30%Total Motility is 50%Sperm Motility is Like - Grade I - 30%Grade II - 30%Grade III - 20%Grade IV - 20%Sperm Morphology is - Normal % Abnormal 10% and Dead 60%Pus Cells - 8-10so can you please tell me about my report is it normal or not if no so can u suggest me Which treatment can i do? Doctor: Hi, I think your sperm motility is on lower side. Get a semen culture and sensitivity test done to see if there is any infection. Take some antioxidants and vitamin supplements for 3 months. You can repeat a semen analysis after one month with 3 to 5 days of abstinence.You can try naturally for a pregnancy if your wife has no fertility issues. Be in contact with your wife every 2 to 3 days after her periods stop. If it doesn't work, you can go for IUI. Talk to your doctor regarding this. Hope it helps."
},
{
"from": "gpt",
"value": "Target: What does the following sperm test report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son has wheezing. my husband has paan (chewing of tobacco) all the time and there is that smell in his room and whenever my son spends time in that room his wheezing aggrevates but my husband does not agree psl advice also is there cure for wheezing he is now 12 years old. email - YYYY@YYYY Doctor: Hi Your child might be having allergy resulting in wheezing when ever he got exposed to it.Best thing is to avoid him from getting exposed to it and Use a beonchodilator with steroid inhalers for a while when ever he gets an attack on consulting a child specialist for proper dosages and drug names.Hope this will answer your queries and ready to help you further"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for wheezing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, I am 28 years old suffering from hairloss please let me know the natural way ( food intake) to promote hair loss. currently i am taking dr.batras treatment. Pls let me know the foods i need to consume. currently i am eating 2 teaspoons of fenugreek seeds daily. Doctor: Hello,I understand your concern as hair loss can directly effect our looks.1. Hair loss can be genetic or due to other reasons like dietary deficiency, stress, etc.2. At home u can do a few things to help prevent hair loss n have better hair.A. As in diet make sure u eat good protein diet like egg, fish, chicken. If vegetarian u can have various lentils / days.B. Include flax seed in your diet . 1 tsp daily. Can b had as it is or mixed with food after powdering it or roasting it. U can also mix the powdered flax seed with water n drink it, preferably empty stomach.C. U can have amla/ gooseberry daily in any form like raw / preserved with salt, turmeric n water/ amla juice.D. Try substituting brown rice instead of white polished rice. It might b little difficult but slowly try adapting the taste. The husk of rice is removed when polished which contains lot if vitamin b, which improves hair density.E. Have a cup of green tea daily. It has antioxidants , which helps to stay young n in turn makes hair healthy. 3. Other than that u can apply few things on hair which promotes hair growth. A. Methi seeds soaked n crushed to paste.B. Amla n shikakai pasteC. Burnt shell of coconut powdered in mixed with oil n applyD. Hibiscus flower pastethese pastes should b applied n left on hair for an hour or more. Then washed properly with mild sulfate free shampoo preferably. Hope this helps.Please feel free to ask any queries.Thank you"
},
{
"from": "gpt",
"value": "Target: Suggest natural medicines to avoid hairloss"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i have gad a positive pregnacy with my 1st go at ivf. Went for my internal scan 6w 6d but sac and baby there but no heartbeat but a 5mm bean, which they say is the size of a 6 week pg. Got to go back in a week for re-scan. Could I have implanted late?? And what s the chances I will here a heartbeat in a weeks time. Thanks littlemiss Doctor: Hello, and I hope I can help you today. The date of conception is known exactly with IVF, as it corresponds with your transfer date. Therefore, there really cannot be a discrepancy in the ultrasound dating with an IVF pregnancy. However, it can be too early to see a heartbeat on a 6 week ultrasound. Usually, a heartbeat can be seen in 7 weeks, which is why you were recommended to have another one at that time. I hope I was adequately answer your question today and I wish you the best for the rest of the pregnancy,Dr. Brown"
},
{
"from": "gpt",
"value": "Target: What are the the chances that one will here a heartbeat in a weeks time?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Two weeks ago my son s bellybutton had discharge in the form of pus mixed with a bit of blood. We went to the doctor who cauterized it and it bled older, faint colored blood and no more pus. It bled very little each day...one discharge per day, for example. It s been like that for one week now, very little, blood with a faint, older tinge.We began treating with antibiotic over the counter drops and the bleeding has subsided substantially to now a faint, older tinged color of blood. No pus, no swelling, no fever, no loss of appetite and normal behaviour.I am curious if it s a subacious cyst and what else can we do. Doctor: Hello, How old is your son? Is he a small baby. According to thae symptoms you are telling it seems like your baby has had an umbilical granuloma or mild infection. Cauterization will mainly help in umbilcal granuloma. Using topical antibiotic cream will fasten the healing of the wound. You have to keep the bellybutton dry to facilitate fast healing. But dont dry vigorously after washing. Because it would irritate or break the scab again. So you have to fan it well to dry. Hope this helps. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes discharge of pus and blood from the navel?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had dvt in the past. 22yrs ago in both calf in leg. Last year in rt. Arm. I notice yesterday on my left arm in the middle a lump associated with little tenderness when touch and.swelling. my arm does not hurt like it did last year with clot in rt. Arm. Could this be.swollen tenions Doctor: Hi! Good evening. I am Dr Shareef answering your query. Although this swelling on your left arm might not be related to the DVT of the past, I would suggest you to keep a close watch on it. For the present, you could go for an anti inflammatory and a proton pump inhibitor drug for a symptomatic relief till the diagnosis is made.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tender lump on left arm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For many years my husband has suffered with a medical condition, unfortunately I can't remember the name and he's not here to ask. The problem is he tends to get blisters on his gum in his mouth and now occasionally on his penis. The doctors/dentist explained that it was a gentic illness and he was prescribed Dapsone Tablets for a couple of years. He stopped taking them around a year ago, but now the problem has started to emerge. The Dapsone Tablets kept the problem at bay a little but it never really cleared up and I was just wondering if you have any other ideas of what it may be. Doctor: Hello, thank you for consulting with healthcaremagic. As you are mentioning that your husband is suffering from a medical condition, in which he gets blisters on his gums. If it is so recurrent, then you should consult a good oral medicine specialist. But still you can use steroids, but it should be used after consulting a good specialist, as here we cannot diagnose the condition. For proper treatment you suould visit him and get it properly examined. Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What helps with blisters on gums and penis apart from dapsone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having trouble in getting hard or having the right solid eraction after last foreplay . Actually i had foreplay for about 2 hours but dint ejaculate now after one day m having pain in mya testicals and also having problem in getting the normal eraction . What to do now Doctor: it is psychological problem take counseling from clinical psychologist.i is simply psychological problem take balanced dieat fresh fruits and vegetable yoga and meditation may helpyou.change your life style.exclude diabetes. you are having anxiety neurosis. control your anxiety"
},
{
"from": "gpt",
"value": "Target: Can erectile dysfunction after controlling ejaculation for 2 hours during foreplay be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi DR sorry my English is not good my name is Kathy I am 48 yeats old I have MS for 16 years right now I am in a hospital I been talking to psocologist for 2 monts she told me I have a depression now she recommends to take medication .......my hospital DR he can pricribe Zolaft is thes my best choies Doctor: Dear userWe understand your concernsI went through your details. Depressive disorder is a chemical disorder. First of all you should differentiate between depression and disappointment. Disappointment also manifest symptoms which could mimic depression. Please provide more details for diagnosis.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: How can depression be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi.. hope you can give me some advice. My mother is in her final stage of neurendocarinoma cancer of the liver. SHE HAS TYPE 2 diabetes and has frequently been hospitalized for hypercalcemia. what can I do for my mom to give her physical strength as she is bringing up everything we ( myself and the drs) try to give her, including water. Her tumor has grown to 75 percent of herliver, but I still hold hope. is there? Doctor: Thanks for your question on HCM.Neuroendocrine tumours are very notorious in their course. They tend to have frequent fluctuations. And in terminal stages only palliative care can be given. Surgery is contraindicated. Give her nutrition support in the form of multivitamins, iron, blood transfusion etc.If pain is there than you can give transdermal patch of centrally acting pain killer. It is very effective in terminal cancer pain.You can also dry low dose sedation for pain relief. Debulking surgeries may give symptomatic relief but oncosurgeon's consultation is must."
},
{
"from": "gpt",
"value": "Target: Any suggestion for suffering from final stage neuroendocrine when having type-2 diabetes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Doctor, I am a healthy male of 50 yrs of age leading an active life as well as active sex life. About 5 yrs ago i remained without sex for about 20 days as i was abroad and on return one night after intercourse my wife discovered blood particles in my semen. Next day i visited my doctor and he had got all the clinical as well as pathological examination done, i also visited a urologist and after discussing my reports jointly they came to the conslusion that there in notinh serious and i was adviced to increase my sexual activities for some days and have to observe regularly about the presence of blood. Surprisingly the quantity of blood got reduced with each intercourse and after about one week it was clear. I was advised to remain sexually active or you can say not to put a big gap i.e. 10-15 days, if it happens i have been advised masturbation. After 5 years it happened again under the same circumstances. Is it a signal of a serious problem or is it a normal thing. Pl advise.RA Doctor: HelloThanks for query .You had blood in semen (Hematospermia) during sexual intercourse following abstinence for 3 weeks and was investigated thoroughly to detect the cause for same which turned out to be inconclusive ,Normally during long period of abstinence there is stagnation of semen and sperms in reproductive organs (Epididymis ,seminal vesicle ,ejaculatory ducts etc ) resulting into congestion of these organs .Sudden release of pressure and congestion of these organs during first intercourse after incontinence causes what is called as rebound bleeding giving rise to Hematospermia.There s nothing to be worried about it .It is normal phenomenon .Practice regular sex at least thrice a week to avoid such situation to recur again . Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Is it normal to see blood in semen after being sexually inactive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I m a 35 year old woman with problems with my hair. My hair has started falling out and it has also stopped growing. I have a very healthy diet and I don t know what s causing this problem. I had my boods checked and they re all fine except I was told that I have a low white cell count. I m waiting too see a haemotologist. My periods are also very irregular and I feel tired all the time. I would be very grateful for your advice. Regards, Mary D Doctor: hi,thank you for putting up your query on HCM.mam, as per your history you may have telogen effluvium due to iron deficiency anaemia. also, there may be a possibilty of female pattern hair loss.since you have irregular periods, i would suggest you to consult a gynaecologist and get yourselves checked for hormones.my treatment advise would be:1. stop all hair cosmetics which may cause damage to your hair like hair spa, rebonding, straightening, hair gel etc.2. take multivitamin once a day which include biotin, zinc, amino acids.3. take a healthy diet containing green leafy vegetables, fresh fruits.4. other treatment modalities can be topical minoxidil, finasteride, antiandrogen drugs, which has to be started only after consulting a dermatologist.thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hair fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I broke my right humerus 2 years ago (long story) 15 months later it was found that the rod was to far up in my shoulder and causing pain second opp replaced rod into correct position but the screws came out 3rd opp to correct that,they are still out slightly which brings me to my question ,can it still be stable when screws are out a little bit ? I have a pulse machine that I was advise to use to heal the bone that I use once a day? why only once a day ? after the 3rd opp I have a nerve problem in my thumb and four finger, both numbness and stinging, hot water feeling,How long would you estimate the recovery time will be now ? Doctor: helloit depends what your orthopedic surgeon diagnosis-whetherrr non-union is there ....the details you provide indicate still union is incomplete that repositioning of nail done againwith screws fixation.If I were to treat, I would prefer to put bone graft also and ,if your bone not weak due to osteoporosis, like to do a bridge plating instead of nailing. However, under the circumstances, your surgeon is the best judge as he has seen the inside, and x rays etc and if, screws are now fixed in place, trust his judgement for now, slight bit of protrusion of screws may not matter. Regarding nerve symptoms , of thumb and index finger, means, radial nerve slightly implicated at the humerus level in mid-arm.90% recovery of nerve is spontaneous, just keep up with exercises of thumb and fingers and wrist.Pulsing once a day to promote healing may be sufficient clinically if your doctor thinks so.Musce-nerve stimulation helps in rebuilding nerve and muscle tissuesbest wishes"
},
{
"from": "gpt",
"value": "Target: How long does a fractured humerus take to heal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 27 weeks pregnant and have just finished a ten day course of Augmentin 375 mg three times daily for uti. There is still an off white bladder discharge with brown spots in it.? Do I need to change antibiotic? I have had a urine culture and sensitivity which showed that the bacteria was sensitive to Augmentin. Doctor: Hi,Thanks for writing in.Augmentin is a very strong antibiotic and if you have taken it for 10 days and find no relief then please get urine culture and sensitivity test done. After getting results of urine culture please discuss with your gynecologist if you need any change in antibiotics and as to what are the medications to be taken during pregnancy. I agree that in the earlier urine culture, bacteria were sensitive to augmentin but you might have developed a mixed infection or infection with fungus which is causing the white discharge. Please drink lots of water and use washroom regularly. Maintain genital hygiene and wear cotton inner clothes to prevent sweat formation which will give rise to infection."
},
{
"from": "gpt",
"value": "Target: Is change in antibiotic required after 10 days of taking augmentin for uti and still off white bladder discharge?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor,i have mucus in my lungs and cough once in a while.at night i can hear wheesing sound and at times i have difficulty in breathing.This problem has bee there for the last three months.this problem comes once i catch cold.is there any medicine for this Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. You are mostly having bronchitis. It is inflammation of airways. And the most common cause is infection. Your all symptoms like cough, expectoration, wheezing etc are suggestive of bronchitis only. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). For the diagnosis of bronchitis, PFT is needed. It will also tell you about severity of the disease. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Oral expectorant and mucolytic drugs are also helpful in your case. So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What are the treatments for mucus in lungs and breathing problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI Doc, i've been suffering from bad hair fall for the last 1 yr. Now my hair has thinned a lot on my forehead and my scalp is visible clearly. I've just started using homeo medicine and use Jaborandi hairoil once a week. I have thyroid but am not on any medication. I used to color my hair but have stopped for the last 2 weeks please help ! Doctor: Hello,Welcome to healthcare magic,It is better that you consult a dermatologist for your hair fall. Hypothyroidism can cause diffuse hair fall , we call telogen effluvium. You have mentioned that forehead hair is thinning. It could also be baldness. A consultation with dermatologist will confirm the diagnosis. Treatment will change according to diagnosis. In either case you should take treatment for thyroid disorder.Hope this helped,Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hair fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, doctor my daughter is 11yrs old, seeking typhoid fever since 15 days, he, s culture report during giving antibiotics is NoGrowth found . cBc is good, but the ESR report is 77 kindly give suggestions, I was giving cefixme 250 in one time in last 10days Doctor: Hello Dear I evaluated your concern in depth .@ ESR gets raised in many clinical conditions one of which is inflammatory response of the body due to various infections @ As she is suffering from typhoid fever, it is likely that her ESR will remain high still for some time period, it will gradually settle down once the systemic issue is getting fixed with proper care .@ So don`t get panic, relax, take good care of her as per doctor`s advise for diet & medications .Hope this will definitely help you .Feel free to ask any further doubt in future anytime .Thanks for using Health care magic .Regards ."
},
{
"from": "gpt",
"value": "Target: Is ESR level of 77 a cause for concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I had a pimple for around 2 weeks and it was bright red and did not seem to subside , then i poped it and got blood ( a lot of it for a pimple ) and a week later it seemed to diminish in size , now the layer on top of the pimple seems to be smooth but there is a black spot underneath which seems more like a blood cloth , this is concerning me because its on my face and now I am worried if this will be permanent Doctor: Hi, Instead of self treatment, consult a qualified dermatologist. If the spot is painful, apply clindamycin and benzoyl peroxide till it heals. Later for the dark spot use a cream containing kojic acid/glycolic acid/hydroquinone for 4-8 weeks at night. Apply sunscreen with a SPF of 30 during daytime. Best would be to consult a dermatologist. Hope this helps you. Dr. Rahul Nagar MBBS, MD Consultant dermatologist New Delhi B"
},
{
"from": "gpt",
"value": "Target: Persisting pimples. Need a permanent cure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I sprained my ankle a few days ago. They labeled it as a grade 3 sprain. They put me on crutches and put an ace bandage and a air cast on me. When I rest my ankle I feel a tingly sensation like pins and needles, I can barely put weight on my ankle as well when I do I feel like I m gonna throw up or I m dizzy. What could this be?! Help Doctor: Hello dear user!I have gone through your query and understood your concerns!Thank you for sharing them on healthcaremagic. Now I guess you have a pain only when you move and sensation when you rest. Your dizziness is due your pain. I think a combination therapy of ketoprofen (1 capsule twice a day), application of Diclofenac gel on the painful areas and massage therapy should get you pain relief.There is also good evidence about physiotherapy. For this you need expert's guidance by physical therapist. Hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for ankle pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my child is 4 year old and her weight is 14kg. she is suffering from high fever past 2days. doctor asked me to give her paracetaml suppository 250mg 4th hourly and also to give her brufen syrup alternatively, is it ok to give her these medicines? waiting for you replay Doctor: Hi...you can use both...but make sure that the paracetamol is spaced out at least 4th hourly once and it is oral medication and not a suppository. Brufen can be given at the interval of 8 hours once not less than that.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What is the treatment for high fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am a 20 year old female college student. For the past couple of months I have lost a lot of weight. I am about 5'4\" and I went from 125lb to about 117 lb. I have a very rapid heart beat, nausea when I eat, a hard time sleeping, and a cough up a lot of green flem and have a lot of green nasal mucus. What is going on with my body? Please help me. Doctor: consult your doctor for the following1st - Possible Infection in your Respiratory passages. 2nd - you may require Radiography of your chest, some cultures of your phlegm and secretions and other tests like CBC,ESR, etc., to prove the possibility of any existing infection in the Respiratory system or other sites in your body.3rd - you need to consult your doctor and discuss the possibility of Hyerthyroidism also.4th - A lung Abscess also needs to be ruled out"
},
{
"from": "gpt",
"value": "Target: What causes sleeplessness,cough,nasal congestion and weight loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: SGOT / AST (kinetics ) Normal Range: 5-31 Result: 61.07 LDH (kinetic) 135-214 292.81 ESR (westergreen) 0-20 23 WBC 3.98-10.04 2.5 MONOCYTE 5-12 16.40 i had a cardiac panel test this morning cause i wanna know what s causing my hypertension . Just gave birth 8 wks ago to my second child ( pre-eclampsia ) same with my first child (2007) this are some of by lab test results.. it sound sooooo bad.. does it suggest i have liver problem? Doctor: Hello, The AST/SGOT is a bit off the higher limit of normal although not grossly elevated (high values are 3-4x higher normal i.e., >120) and LDH is a bit high. The platelet count was not provided although slightly lower values are expected. It would suggest you had HELLP syndrome and the pre-eclampsia phase of raised BP continues now. I am not sure of the BP now, but cardioselective beta blockers will help. Do discuss with you cardiologist and obstetrician on the drug of choice. I am sure things will settle down so try and relax to give some time for the medication to work. You should be able to stop this in a few weeks. Best Wishes."
},
{
"from": "gpt",
"value": "Target: High SGOT, LDH and ESR, had baby birth 8 weeks ago. do results show problem with liver ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was eating an apple recently and felt pain when I bit into the apple. I thought I had cut my gums on the bottom front. Now my gums in between my bottom front teeth are sort of loose looking, almost like they are not attached to the teeth and my teeth and gums are sore. Doctor: Hello,You may have some periodontal disease. Rinse with warm salt water. Make sure nothing is stuck under your gum. Practice good oral hygiene with brushing, rinsing and flossing. Gently massage gum area. You can cause strain to the periodontal ligament that holds the root onto the bone socket when you incise. Please avoid chewing and stress to this area.Take some anti-inflammatory medication for pain relief and to reduce any accompanying inflammation. Medications include Tylenol and Advil. Keep well hydrated, proper nutrition and balanced vitamins. Prescrition rinses with chlorhexdine gluconate may be helpful to healing.Schedule a dental exam and cleaning. Can you see tartar buildup on your teeth? There may be subgingival tartar buildup. Your dentist will probe your gums and evaluate for periodontal disease. Gingivitis can have swollen gums with increased probings. Periodontal disease will include bone loss and additional treatment recommendations. Maintain routine dental visit at least two times a year.Thank you for your inquiry. I hope my suggestions are helpful and offer you some relief."
},
{
"from": "gpt",
"value": "Target: What causes pain in gums after eating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had an area inside the bend of his arm. we went to his dermatologist and she took a sample to send to the lab. less than a week later she called and wanted to see him back in her office where she took more tissue. She called today to refer him to an Oncologist. He has had Basil Cell Carcinoma on his chin before and she really had to take a large amount of his chin tissue to get it all. Now this is Small Cell Carcinoma and there is nothing else she can do and refered him to an Oncologist. Everything I m seeing about this is referring to Small Cell Lung Cancer. What is the Oncologist going to do and how serious is this? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. So the tumor needs to be removed by surgery followed by radiation and chemotherapy. Hope I have answered your query. Let me know if I can assist you further. Thanks and regards"
},
{
"from": "gpt",
"value": "Target: Is small cell carcinoma in the crease of the arm a concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What is wrong with me... I'm tired all the time, I have been putting on weight for the past month and nothing helps. I feel like crying all the time, I'm cranky and moody and I feel like I move in slow motion. People just say to get over it but I can't. Doctor: HiI understand your concern.Sudden change in weight indicate metabolic changes.We have to rule out certain cause like diabetes , thyroid etc.Require certain basic investigation and proper chart of body mass index.Consult physician and do all reports.After reaching prper cause we will able to do treatment properly.Dietary control.avoid fatty and junk foods.Follow proper diet plan from dieticians.Exercise and walking regularly.Thank you.Take care."
},
{
"from": "gpt",
"value": "Target: What causes mood swings with weight gain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am 31weeks and 4daysnpregnant, ultrasound results vertical cephalic,estamited fetal weight 2200 g..BPD 78mm,FL 59mm, HC 280mm AC 286mm...amniotic fluid:anechoic normohydramnios, Placenta hihg lying grade2...Thank you in advance,Eden from Philippines.. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The antenatal ultrasound is quite normal and nothing abnormal in it to worry. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is a vertical cephalic at 31 weeks of pregnancy when placenta is high lying grade 2 normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 14 month old daughter is teething and for the past week or so has been constipated. Some of her diapers have been a yellow and pasty almost like play dough. Others have been pretty solid but also a yellow color. I can t remember the last time I changed a dark brown diaper. Could this be caused by the teething, a cold, milk allergy? Doctor: Hi Thanks for posting your query. There are few problems expected during teething like irritation, excessive cry, excessive salivation, diarrhea. Constipation is as such not noticed during teething. But, stomach upset is expected due to infection as child keeps sucking the things due irritation in the gums. Even cold is not directly related to constipation. It would be of great if you provide me some more information to guide you better. Since how long your child is having constipation? Did constipation start after introducing any weaning food? Is she on any formula milk? Constipation could be due to intolerance to some food especially milk. It is more with formula milk compared to breast milk/cow milk. Introducing fiber-rich foods into her diet, such as fruits, vegetable purees and cereals like porridge will help. Fluids are equally important and the baby should be given plenty to drink for example water and diluted fruit juice. Massaging the baby's tummy can help relieve some of the tension in the bowels. Consult your pediatrician to rule out stomach infection if the above mentioned treatment doesn't work. I will be available if you have any followup queries. Thank you consulting me. Wishing you good health. Regards, Dr. Jyoti Patil."
},
{
"from": "gpt",
"value": "Target: Constipation with yellow poop of a 14 months baby"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had the mirena in for a year and a half now and I don't get periods anymore. Before the mirena I have very bad periods but never breast tenderness. Now all of a sudden my nipples and around them hurt. I can put pressure they are very sore. Is this normal? Doctor: Dear member,Thanks for writing to healthcare magic.Mirena is progesterone IUCD. The effect is more local which causes delayed or absent period.The sore heavy breast is due to the hormone.Try evening primrose oil capsules . It usually provides relief. Thanks Dr Bhagyashree"
},
{
"from": "gpt",
"value": "Target: Is it normal to have breast tenderness after inserting mirena?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have small red bumps on my upper thighs that itch and turn to blisters. This happened on June 3rd also but they were on my arms and hands. I thought it might be shingles so I went to Urgent Care. They said it may be something I was allergic to and gave me Triamcinolone. Today July 24th the same type of bumps started on my legs. The ones on my arms scabbed up and left a scar , but they still itch. Any clues? Doctor: these are allergiestriamsolone are steroids and continuing this can harm youyou ned to find cause any body application material like soap shampoo oils creams hena dyesmed like pcm ibuprufecalcium multivitamins and diet supplimentsany food you expectget dignosis on there guidelinestemp i can suggest fexofenadine 120 mg od and loal application of beclomethasone skin cream locally"
},
{
"from": "gpt",
"value": "Target: Small red bumps on thighs, spreading to arms, hands, blisters. Taking triamcinolone for allergy. Causes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I go to latrine 5 times a day....plz give me solution Doctor: I feel you might be having irritable bowel syndrome sometimes.Irritable bowel syndrome (IBS) is a problem that affects the large intestine. It can cause abdominal cramping, bloating and a change in bowel habits. Some people with the disorder have constipation. Some have diarrhea.The best way to handle IBS is to eat a healthy diet, avoid foods that seem to make you feel worse and find ways to handle your stress.Fiber can be helpful because it improves how the intestines work.You may try taking Fybogel orange powder in the night with water and if you still have these then you might need some medicines for which you need to meet your local physician"
},
{
"from": "gpt",
"value": "Target: latrine problem, plz give me solution"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter is 7 yrs old she was having VWD type 3 disease, she was having internal bleeding in her left knee the doctor advised for give 2 tablets in 3time a day, he advised to continue 3 months, after that my daughter having some problem in her eye, Doctor: There is no complete cure treatment for VWD but you should select one of the following options, blood-component therapy include topical thrombin, tranexamic acid and DDAVP, a synthetic vasopressin. All of the options you have to select on the VW factor status of the patient. Thnx"
},
{
"from": "gpt",
"value": "Target: What is the treatment for VWD type 3 disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,My father has been in hospital with a rare bacterial pneumonia called stenophomonas maltophilia. He was dx with emphysema 4 years ago and has not smoked since. He has been on antibiotics for 17 days and the latest course will end tomorrow night of pip-tazo and septra IV. We were told today he has a large fluid collection on chest ct that will likely require drainage or a chest tube by the end of the week if no improvement. He no longer has fever, but is tachycardic at 126 and saturates at 92 with 5 L o2 via nasal prongs, desats to 78 when off oxygen for 4 minutes. He was sent today for an emergency abdo ultrasound as his liver enzymes were elevated today. Last drawn and normal 4 days ago. Is this possibly related? Doctor: HelloWelcome to HCM Thanks for posting your query I understand your concerns. As your father had pneumonia, fluid has collected in the chest that is precisely called pleural cavity. Fluid collection in the pleural cavity is medically termed as synpneumonic pleural effusion. It is due to excess translate from the infection site. So no need to worry. As your doctor has told, insertion of chest tube will automatically decrease the effusion. Hope I have answered your query.Thank you"
},
{
"from": "gpt",
"value": "Target: What causes fluid collection in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, i just notice a lump behind my 5month old right ear during bath time. he has no fever but was little cranky, i think it might be an ear infection. seems if you touch the lump he moves his head like it might hurts , please give me some information on this matter! thanks chuck Doctor: Hello,I can understand your concern. The area behind ear contains lymph nodes. When ear gets infected, the lymph node in this area swells and causes pain. As it might be minor infection, the child has not developed fever yet, but he may develop if the infection is not treated at the right time.I would advise you to visit a pediatrician or an ENT specialist for clinical examination of the swelling behind ear and further investigations, if needed. If ear is infected, the child may need to start antibiotic course. I hope this information helps you. Thank you for choosing HealthcareMagic. I wish your son feels better soon.Best,Dr. Viraj Shah"
},
{
"from": "gpt",
"value": "Target: What causes lump behind ear in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 7 year old sick hi my 7 year old son has high fever with cold hamds and feet he has diaheria and he also feels sick i have given him paracetamol but its not too effective i got scared because he was asleep and woke up confused staring strangely and talking stuff that didnt make any sence please help me what is this and what can i do. Doctor: Fever, cold and diarrhea are usually caused due to certain viruses. It is generally self correcting. But if there loss of water and salts is more than the replenished amount, dehydration may occur which may manifest with cold extremities (shock) and confusion. You should rush the child to the emergency of a hospital without delay. He might need treatment with intravenous fluids."
},
{
"from": "gpt",
"value": "Target: What is the cause for fever,cold and diarrhea paracetamol didn't work?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: IVE BEEN HAVING HEART PALPATATION EVERY DAY THAT STOPS IF I COUGH ONCE ITS VERY SCARY HAD A EKG TURNED OUT GOOD AND THEY TOOK BLOOD TEST TO SEE IF ANY DAMAGE TO MY HEART EVERYTHING GOOD. I ALSO HAVE A VERY SMALL MURMUR BUT DOCTOR SAID ITS NOT BADSHOULD I HAVE ANY MORE CONCERN Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern. You should not worry. I'll try to explain you something and give you my opinion. You should know that this palpitation has to do with a rhythm issue. There are some electrical impulses that generates in parts of the heart different from normal sinus rhythm.They cause a premature heart contaction that its not a normal one. You feel like a skipped beat, palpitations, difficulty in breathing deeply, anxiety and this symtoms might disappear when you caught becoise of changes in inta-thorachal pressure. This extra beats are sporadic and it might be difficult to catch them whith a simple ecg.The reasons of thisrhythm issue might be different to simple emotional stress ,coffee or energy drink consumption, patologyes like anemia , hyperthyroidism , electrolyte imbalances or cardiac diseases. So,if this happens once a while you should not worry, its normal.If these bother you and start to interfere in your daily life than if I was your treating doctor I would recommend some examination like a cardiac echo to evaluate heart function and valves for your murmurs, a full blood analyze,your thyroid hormones and a holter rhythm monitoring to see your rhythm tendency. Only after this we can better understand if it is necesary to treat this rhythm issues.Hope I was helpfull. Best regards, Dr.Ervina."
},
{
"from": "gpt",
"value": "Target: What causes heart palpitations daily and is small murmur a cause for concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am just getting over the stomach flu where I was vomiting for around 6 hours and am having a hard time breathing. There is a lot of pain in the upper part of my chest right below my collar bone. I have shortness of breath, but it is painful to take a breath in. Should I be worried or is it just a strain? Doctor: Hi thanks for asking question.As you have difficult breathing your case should be concerned.Here are few possibility.1.First as you had history of viral flu you might have viral respiratory infection like rhinitis , sore throat or bronchitis.complete blood examination may reveal lymphocytosis.Chest x ray also helpful.2.Second if fever and cough associated then pneumonitis like cause has to be though and chest x ray done for it.If cough productive and bacterial infection is under suspicion then antibiotic needed.3.Third you might muscular pain as a part of respiratory infection or by muscular strain.Pulmonary function test useful in differentiating restrictive or obstructive condition.4.If you have hypertension or diabetic then after ruling out respi.cause still if diagnosis not clear electrocardiogram useful for ruling out cardiac causes.I hope my suggestion will helpful to you.Wish you good health."
},
{
"from": "gpt",
"value": "Target: What causes breathlessness with stomach flu?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Are they still making Maxidone 7/750 mg? My provider says they are not making it any more this is the only pill that helps with my sever pain of my hips and back Born with no hip sockets had 8 total hip replacement on left side and 5 so far on my right. They tried to give me Hydroncordone 2 of 5/325 mg. Made my heart race and not feel well. I told them their is something different in Maxidone that makes me feel like doing things and takes away the pain. No side effects. If they will give me the Maxidone anymore I was wondering if you have any other pills that perform as well as Maxidone 7/750 mg? Doctor: Maxicodone has hydrocodone which is a opium derivative and that is why once patient take it for long time, he did not like any other pain killer. You can say it is sort of habit forming drug. My advice to you is you can use tramadol and acetaminophen combination. I hope it will work for you. If your doctor can prescribe you morphine for some time this will also have same feeling like hydrocodone but it is also habit forming so should be used when pain is very severe."
},
{
"from": "gpt",
"value": "Target: What is the best replacement for maxidone 7/750 mg taken for hip and back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello.Looking for possible answers on why I am experiencing a Strong Metallic urine smell. I have a copper IUD, put in 7 years ago.I am a healthy 30 year old woman, and excercise everyday. I drink lots of water, dont smoke nor drink alcohol much.I do not have children and presently having my period - which is dark and pretty normal flow. Thoughts? Doctor: HelloThanks for visiting healthcaremagicThere is no relation for the metalic urine voided and implanted. Cu T . So. Need not have panic.Kindly do urine examination."
},
{
"from": "gpt",
"value": "Target: Experiencing strong metallic urine smell, on Cu IUD. Why ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 6 month old baby girl stool anlysis .... GROSS consisitency : loose color ; greenish muscus : present blood : absent CHEMICAL EXAMINATION PH : Alkaline Reducing substances : Present (+) MICROSCOPIC EXAMINATION Pus Cells : 8-10 /hpf RBCs : Nil Ova : Not Found Cyst : Not found Others : Nil Doctor: Hi...this is a completely normal stool examination. Nothing to worry about it. I guess you would have done this after she developed some loose stools. It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: Stool test: Consistency-loose,colour-green,mucus-present,pus cells-8to 10phf"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A few weeks ago, I experienced a shooting pain that went through my left testicle and up through my left abdomen, and it felt a lot like a cramp or sprain. It went away after a few hours and since then, I've felt a slight twinge or ache in my lower left back. It hasn't really been flaring up for a few weeks, but for about a week now, I haven't been able to get an erection. Help me? Doctor: Hello, May not be that serious. Still, it is always advisable to consult a doctor in person for a physical inspection. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
},
{
"from": "gpt",
"value": "Target: Need advice on inability to get erection after having shooting pain in testicle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an episode at work where I was standing at the register and I blacked out but did not fall to the ground but when I came to I was resting my head on my hand and my body was shaking and so were my legs. I went to the ER but they did not find anything. Just wondering what might have caused it. To me it seemed like a mini seizure but not sure. Doctor: Hello!Welcome on Healthcaremagic!Your symptoms could be related to different possible disorders: orthostatic hypotension, a seizure, low blood pressure, a cardiac arrhythmia, hypoglycemia, an electrolyte imbalance, etc.. For this reason, I recommend you to measure frequently your blood pressure values in the next days in sitting and standing up position.I would also recommend performing some tests: - a complete blood count- fasting glucose - a resting ECG and cardiac ultrasound- an ECG Holter monitoring for cardiac arrhythmia- a Head Up Tilt test for orthostatic hypotension- an EEG. You should discuss with your doctor on the above tests. Hope to have been helpful to you!Kind regards, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: What do blackouts along with tremors indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A new patient moved in with history of end stage of Parkinson's, Dementia, Delirium with aggitation, Orthostatic hypotension. He is 81 years old and moved into Dementia unit onOctober 15th. He's been having petite mal seizures during the day for the last three days. His medications include levodopa-carbidopa, Seroquel, Lipitor, Multi vitamin, and Simivastin. WhaT SHOULD STAFF DO 1ST? Doctor: Your patient is probably having PDD with seizures. If seizures are well control then the above medications are appropriate. Adjust doses with advice from your doctor. Avoid abrupt standing as patient is having ortho static hypotension what he needs at this stage is good nursing care, physiotherapy, protection from injury and fallsHope my answer will help you. Take care.dont forget to rate me."
},
{
"from": "gpt",
"value": "Target: Suggest precautions for patients with dementia & seizures"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my name is brendan im 21 and i have a pace maker ...have had one since 2008. i was born with heart defect .called Blue babies born with a defect called transposition of the great vessels/arteries, in which blood from the lungs flows back to the lungs and blood from the body flows back to the body. The two major arteries coming out of the heart, the aorta and the pulmonary artery are connected to the wrong chambers. Such babies look blue because insufficient oxygen is circulating in their bodies. . well i went to heart doctor for chest pains ..and they said i needed to get a pace maker ..well after having one and having my med s changed from 25mg to 50mg and on a new drug called Multaq its 400mg ....i m still having thes chest pain s and burning on my left side of my chest .my dr. doest know why i m having thes pains and burning ....and my heart is turn side way s ..i just wish i could have help knowing why i m still hurting if they can t find out why i am ...they so i shouldnt be ..and it even make s my left arm hurt and hands and arm s go numb at time s the pain does stay all the time it come s and goes ..it come s more when i m walking around or cleaning ....PLEASE help me figure out what i can do Doctor: Hi, The very first thing is to rule out cardiovascular problems. Do need to recheck your heart and pacemaker status (EKG, echocardiogram, Holter monitoring). Next, should rule out stomach hyperacidity problems (gastritis, acid reflux) as they are similar to symptoms you are currently experiencing. Upper endoscopy is also recommended. Another explanation is neuromuscular issues as you experience numbness after working around home. Can check it out by neurologist. EMG studies are also recommended. For the moment I can only suggest you to take magnesium supplement to ease the muscle spasms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to deal with pain in chest in blue babies case?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After about four months of the birth of my daugher ( ceasirian section) , I now develop allergies in the shape of rashes called (chappaki) in local language. It is sometimes accompanied byface swelling. Vanishes in few hours.. Reasons not known. No previous history.Pathological tests are normal. Doctor: Hello,It is my pleasure to help you,Rash can occur in any individual, similarly it can in a women following C Section.Allergy to any of the dust,food or mite can lead to rashes.If there is any itching and rashes i and around the incision site, it may be due to the process of healing.If rashes are occurring all over the body it may be due to other factors.It may be a generalized eczema.Further evaluation to be done to know the exact cause of the allergy and rashes.Thank you."
},
{
"from": "gpt",
"value": "Target: What is the reason for having allergy after c section delivery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My tongue has been pasty and a white-greenish color for two days and my eyes are also very swollen. There is a weird taste in my mouth and I brushed my tongue until it bled to remove only most of the gook that is layered on it. Are these combine symptoms of something I should be concerned with? Doctor: HI,thanks for using healthcare magicThe discharge on your tongue is likely to be due to oral candidiasis. This is a yeast infection.It would be associated with an abnormal taste in the mouth.It would require treatment with anti fungal medications.You should consider visiting your doctor for assessment and treatment.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes greenish tongue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, I am wondering about when to resume taking my birth control pills after a rhinoplasty procedure. I have stopped it for a few weeks before the surgery. After the surgery , is it okay to resume the pill again after 2 weeks or must you wait for longer? Thank you Doctor: Hello,Welcome to healthcaremagic.com!I really appreciate your concern. You can start your birth control pill on next menstrual cycle. There is no harm in it after rhinoplasty been successful. Hope I have solved your query. Take Care.Thank you. Best Regards."
},
{
"from": "gpt",
"value": "Target: How long should I wait till I resume my birth control after Rhinoplasty surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am not mentioning my name but still need kindly suggestion from you regarding the ivf procedure. In 11 th day of my cycle, the follicular size is 15 mm and blood flow is 3/4 but the endometrium thickness is still 6 mm after taking one round of injection called HMG 75 iu. in these situations, i am bit confused whether to transfer embryos or to not to go for it. Doctor: Hi,The endometrium thickness of 6 mm is thin and will decrease the chance that you get pregnant. It is better that you vitrify the embryos (freeze them) in the IVF lab and transfer them when your endometrium is more appropriate.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman"
},
{
"from": "gpt",
"value": "Target: Is it safe to transfer embryo when endometrium thickness is 6mm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hie Doctormy husband is 47yrs about 5 week ago he got jaundice he was hospitalised and he was given vit b n k for 3 wks but no help after sme weeks he started feeling pains when he go to toilet and we had travelled to zimbabwe might it be malaria all what herevthey are failing to know whats the cause his birrubin was recorded high and the urine is still coffee Doctor: Hi,There are many causes for jaundice and it is almost impossible to comment on the cause without knowing the results of the investigations.The minimum investigations needed would be:CBC/ESRFasting SugarSer. CreatinineLiver Function testsAbdominal ultrasoundIf possible Viral marker studies like Hepatitis B antigen would help too but the above are a bare minimum required to diagnose and treat jaundice.Thanks."
},
{
"from": "gpt",
"value": "Target: High bilirubin levels due to jaundice. Dark urine. Recovery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a pap test done and my OBGYN discovered I have HPV. She took biopsies of a few areas and decided she wanted to do some kind of treatment to help the cells slough off. I just had a treatment done yesterday afternoon. They told me it was an acidic solution that they were putting on my cervix with large Qtips, but they didn t tell me specifically what the solution was. Today I feel a little nauseated and kind of fuzzy headed or dizzy. I ve also had very mild cramping off and on. Are these symptoms normal? Doctor: HiWelcome to Health care magic.I went through the history you have provided here. It seems from the history that you are had treatment for human papilloma virus.The symptoms you are having now in the form of nausea,dizziness are not related to the treatment you have taken.You need to take anti-vertigo drugs for symptomatic relief.Do consult your doctor to find out the underlying cause and treatment accordingly. Do write back to me for further questions.Thank you for writing to Health care magic.Wishing you good health"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for human papillomavirus"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a purple, blueish discoloration under my lip area. When I ate a nectarene, my lips started an inflammation, which turned me red, then my bottom lip turned purple in June 2011. I went to an allergy specialist who couldn t tell me the cause. Then I went to a spa medical doctor for profractional laser treatments and it hasn t really improved the discoloration. I am a light skinned African American female in her 20s. Both deemed to fail. Do I have a baterial or fungus infection deep in my pores? I am going to see a dermatologist to get another opinion. What should I ask? Doctor: yes you got allergy to one food then you can develop to many foods and whenever that sustance is taken allergy occur at weak point that is discolored spot on lips if you get blood serum tested for food drugs and pollens you will go for avoidence then the skin automatically comes to normal as the triggers are withdrawn"
},
{
"from": "gpt",
"value": "Target: Purple bluish discoloration in the lips after eating nectarine. Allergy or bacterial infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have been suffering with Leucoderma in-front of Nose since 2 years. frequently it will come and come down after taking medicine. I want to permanent solution for this. present i am using Unani medicine but it is decreasing very very slow. Can any one suggest quickly cure. Doctor: Thanks in believing in health care magic ,now so many modern treatments are available now a days for Vitiligo . I will mention Narrow Band UVB ,miniature punch grafting ,blister grafting are very good techniques for face you can opt for Invasive or surgical any one . color match and most procedure satisfaction is very high .thanks"
},
{
"from": "gpt",
"value": "Target: How to permanently cure Leucoderma in front of nose?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have the flu and from yesterday even if i stand up or go get water my head starts to hurt and i get really light headed and have to hold on to the wall to walk and my heart races twice as fast when i walk 2. Is this something I should be woried about? Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern . You should not worry about .I will try to explain you something and give you my opinion. You should know that normal heart beats range between 50-100 beat for minute. If the heart beats over 100 for minute in a regular way than we talk about sinus tachycardia. Sinus tachycardia might happen for different reasons like simple emotional stress, coffee and energy drinks consumption or pathologys like anemia, hyperthyroidism, electrolyte imbalances , active infections. A flu or a bacterial infection might be responsible for sinus tachycardia becouse during infection our imunitare sistem is activated and the hole organism needs more supply so the heart goes on tachycardia. Other symtoms like headache, muscle aches and dizziness are normal, they soon will dissappear. So, dont worry, it will pass.Hope I was helpfull. Best regards, Dr.Ervina."
},
{
"from": "gpt",
"value": "Target: Could suffering from flu be the cause of rapid heart rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My stepfather had a kidney transplant on Tuesday. He was on dialysis for 4 years and his creatine levels were around 10 before the transplant and after it was at 7. It came down to 3 yesterday and is now back up to 4. The doctors aren t telling us much, is this a sign of rejection or failure? Could it be the meds he is on for anti rejection? Doctor: Hello..Thanks for asking to healthcaremagic.Brief answer: Indicate transplanted kidney is working fine.Detailed answer: No, sign of rejection or failure would be building up of creatinine in the blood rather becoming low. Creatinine is actually an end waste metabolite that is usually excreted by normal kidneys.The anti-rejection medications may cause the transplanted kidney to fail at high doses.But at low effective doses,it prevents rejection and aids in proper functioning of kidney.Do not worry as in your stepfather's case,everything seems to be fine.Hope this answers your query.Take care."
},
{
"from": "gpt",
"value": "Target: What does low creatinine value after kidney transplantation indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is on a blood thinner (Xarelto), which he took at apx 6:30 this evening. At dinner he bit the inside of his bottom lip and it is STILL bleeding. I have tried the following: Ice with his head back.Chalk stick used for shaving cuts.Rolling his lip down and holding pressure with a Hemosat Foam Strip. (Several times, several minutes)Also rolled lip down and held Hemostat Gauze for few minutes.He recently cut his finger and after hours of bleeding, we used WoundSeal powder recommended by a paramedic and it stopped, but I feel sure I can't use this powder in his mouth. Even if we were careful that he not ingest it, I know it says it needs to stay dry in order to form a scab, so being inside his lip it could not stay dry. Can you suggest ways to stop the bleeding that are safe to use inside his lip? We are trying to avoid a several hour wait in the ER for this! Thank You Doctor: Hi welcome to Health care magic forum. The reasons for uncontrolled bleeding is the blood thinners in this case, other reasons are hemophelia.The incidence of previous bleeding is before starting of the drug, it could be hemophelia. I advise you to consult your doctor, for diagnosis, he may reduce the dose of the drug, to prevent such bleeding. Take more of green leafy vegetables, pulses, sprouts, andand protein rich foods to prevent such things. Wishing for a quick and complete recovery. Thank you."
},
{
"from": "gpt",
"value": "Target: How to stop bleeding on inside of the lip when on a blood thinner \"Xarelto\"?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m bhagyesh from india. I am 52 years old..i am pure vegetarian..no fish too.i want to know that is b12 injections are purely vegetarian or not? Please answer me as soon as possible as i have low b12 and i need to take injections very soon. Email: YYYY@YYYY Doctor: Hello,The injectable vitamin B-12 is made by a fermentation process without animal components. You can have the injection without any worries.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is B12 injection free from animal extract?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, i have been having this paid on my chest it feels like a rib pain with murcus on my throat, it gets serve when i move my left hand upwards and i feel like coughing, it feels like something is blocking my air pipe, and its paining on top of my breast to the back of my spine, could this be serious , i just took panado to take the pain away, thanks in advance Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you are mostly having musculoskeletal pain because your pain is associated with specific movement. So no need to worry much. Do following things for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on affected areas. 5. Take painkiller like ibuprofen. Don't worry, you will be alright with all these in 5 - 7 days. If not improving after 7 days then consult doctor and get done chest x ray to rule out internal pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in chest & ribs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi ,i had done iui on 8/5/11 and 9/5/11.after taking inje.humoG 150 for 6 days from 1/5/11 to 6/5/11.on 7th aftter the scan dr. told me that i had 4 mature follicles ,so that we can done the iui on 8th and 9 by takig lupride inje.surprisingly on 16th my period started. dr. told me that some times it happens in iui .again she done a scan and told me that there are multiple residual follicles .what can i do? Doctor: Hello IUI should ideally be done for 3-6 cycles .( you getting double IUI done)result of IUI varies from center to center from 10-30%only after 3-6 cycles.So don`t leave treatment in between. Hope I have answered your question well to your satisfaction. Wish you speedy complete recovery at the earliest."
},
{
"from": "gpt",
"value": "Target: What can I do to avoid periods after iui ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my wife (28 years old) is suffering from severe back pain. Her X-Ray reports say her L4 and L5 disks have been compressed and has very less space between them. Please advice me as to what kind of step I should take next. Should I Opt for physiotherapy or should I consult an Ortho doctor. Who are the best Ortho doctors in Chennai? Doctor: Hello,You see, the idea is not that you have a disc bulge. The issue is that the disc bulge is compressing the nerves. I suggest meeting a neurologist, not an orthopedician because, the disc cannot be replaced in its space, short of a surgery. Meanwhile, medicines like pregabalin and gabapentin can be prescribed for the neuropathic root compression pain. You may need to test an MRI of the LS Spine.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saumya Mittal, Diabetologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for compressed l4 l5 discs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello please help me anyone...I am trying to conceive. Last to last month, ie., in November I had taken Naturogest on 16th day of my period and then I had a regular period the next month, but last month in December, I had no medications taken other than folic acid and metformin. but this month, I am getting overdue for my periods. I have symptoms like period, but no period, can I be pregnant . Also I have PCOS. How soon can I take a test. Please reply fast, I am soo anxious. Doctor: Hello Welcome to HealthcareMagic As per your history your periods not came yet and you want to confirm you are pregnant or not? For testing pregnancy - after missed periods the pregna urine test will be positive after one or two weeks. The most confirmative test for pregnancy is USG scan. As You are having Fertility related problems get it corrected by Gynae doctors advise. Have a Healthful Day"
},
{
"from": "gpt",
"value": "Target: What are the chances of conceiving after consuming folic acid ,metformin as well as Naturogest for a woman having PCOS ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi this is aisha last month i removed copper t as i want to get pregnant by this month last few months i had a severe bleeding problem i have taken regestrone last month and now i got my periods as soon as i stopped taking it. my doctor has advised me to take progynova 28tablets twice a day and siphene twice a day for 10 and 5 days respectively to concieve in the same month .i have a query that taking this tablets for getting pregnant is safe or it may harm the baby or mother in any way as progynova contains certain harmones. Doctor: Hello Aisha.I understand your concern regarding the potential harmful effects of both the drugs I.e. progynova (estradiol valerate) and siphene (clomiphene) citrate, and you are right to some extent.Both these drugs are contraindicated during pregnancy and fall into category X. Since you have just removed your copper T last month, and if there is no other contraindication, I would suggest you wait for some more time for your cycles to normalise and for you to ovulate naturally. It may take another 4-6 months but it will be worth the wait. Trying to conceive using hormones for ovulation should be reserved for in extreme cases where normal conception is not possible. Hope this helps.Regards, Dr Geeta"
},
{
"from": "gpt",
"value": "Target: Is Progynova safe during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello my boyfriends penis colour is very dark purplish sometimes and his helmet is grey is it normal and after most sex it gives me sore bumps on my vagina were also being treated for chlamydia and had sex with a condom can this effect our treatment ?!:/ what's happening too us !!?? Doctor: HIThank for asking to HCMThis is absolutely normal no need to worry about the color this is not the sing of any disease do not take any medicine for any things that you have described here, hope this information helps you have nice day."
},
{
"from": "gpt",
"value": "Target: What is the reason for dark colored penis and bumps on vagina after sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My left foot and ankle are swollen and I m wondering if I should be concerned. It s not painful. I guess I m concerned about a blood clot. About a week ago my toe felt like there was something under it, but there wasn t and then my whole foot started to swell, so I m not sure what s going on. Doctor: hi,thanks for providing the brief history of you.since you mentioned you have swollen ankle and feet , first need to understand what is your age? secondly suspecting a clot in the veins if you have such thought in mind than you can meet up a vascular surgeon and undergo a Doppler test for finding if any is present. If there is a clot the vascular surgeon will help you for the same.for time being before coming to any conclusion you can try this conservative treatment of dipping the feet and ankle in hot water and then keeping it elevated over a pillow to allow the metabolic waste to drain out. and perform some simple ankle toe movements and straight leg raise while lying down. it will help to reduce swelling as well.if you are obese than you need to look for reducing the weight. On the other hand, specialist are always there outside close to you to diagnose and help you with your medical illness. Do not get self diagnosed or self medicated and later take a tension of the same.with the grace of God I wish you a speedy recovery"
},
{
"from": "gpt",
"value": "Target: Are swelling in foot and ankle a cause for concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was fine this morning and had breakfast however right after lunch I felt a tiny sharp pain in my lower right side abdomen almost right below the belly button. I wear a belt to work which made it worse and I felt bloating. I also got my period yesterday. Anyhow I started feeling more tight around my lower abdomen towards 2 pm. I took off my belt at work and walked home. On the walk home I felt my back as if it was being pulled apart and my legs started to feel weaker. I got home and felt a little chilly and jumped in bed I tried to close mg eyes and sleep. I slept very little but I rested. Now I notice as I lay on my back that when I breath in fully a feel a pain in my right lower and abdomen and when I put pressure on it with my hand I feel pain again. Not severe but enought to worry me as its something that s never happened before? What are your thoughts on this? Doctor: Hi,From history it seems that there might be having some food poisoning effect after lunch giving rise abdominal colic, fever, chills etc.Take antispasmodic medicine like Meftal spas and ofloxacilin, tinidazole combination medicine for 3 days.Take plenty of water.Take light diet for two days.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter is 2 yrs old. yesterday she didnt have much to eat. except when it came to junk food (chips, juice etc) this was mostly the entire day refusing to eat solid food. then today she projectile vomit (3times), reoccurring hiccups and still doesnt have an appitie. but doesnt show signs of being sick ...HELP! Doctor: Thanks for the query.By description it seems adults are giving in demands of the child. The yesterdays meal was high in salt and sugar and fructose and GOK how many more chemicals in the form of stabilizers, preservatives etc.Her body seems to be throwing the toxins ingested.My advise is to wait and watch and visit her doctor if vomiting persist.Do not worry if she doesn't take a meal or so. Do not force any thing, but please do not give any junk food, it is never replacement of regular food.you can offer her banana, lemon water, buttermilk etc.You are the parent and you are supposed to enforce these things."
},
{
"from": "gpt",
"value": "Target: What causes low appetite, vomiting and recurring hiccups in a 2 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've recently (4 weeks ago) had a corenectomy of my wisdom. I needed this because my roots are wrapped around the nerve, and I had an infection.The Dr. put me on Vicodin and Penecillin. I used all of my antibiotics, and felt okay for a little while. The surgery is not yet fully healed. I still have a small whole that needs to close. Now, the infection has returned. I was thinking it's because food might be getting in that little whole from the surgery that hasn't healed. My Dr. thinks it might be an infection in the roots, in which case the chance antibiotics will work is small. He recommends going back in and removing the roots. However, due to their placement, there is a risk that I will have pain and numbness on my lower lip for remainder of my life. I really don't any more surgery. I leave for Africa in two weeks for vacation. Will the amoxicyllin work or should I get the second surgery to remove the roots and run the risk? Doctor: Hi, Thanks for asking the query, According to your clinical history i suppose that the Dentist had performed a coronectomy of your wisdom tooth as your tooth was in close proximity of nerves to prevent any complications. I would suggest you to consult the Dentist and get the antibiotics and analgesics prescribed, take lukewarm saline gargles and antiseptic mouthwash rinses. If this does not subside your pain you need to get an OPG radiograph done to determine the exact cause of pain and the treatment plan. Hope this helps out. Regards.."
},
{
"from": "gpt",
"value": "Target: Had infection in the teeth. Had a surgery earlier. On many medication as prescribed by the doctor. What to do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 53 years old. For the past 5 years, my bones ache and i have severe muscle weakness. I took fosamax for 7 years. The reaction I got from that was jaw narcrois (sp). i cannot get out of bed in the morning, and once I do, it takes me most the morning to get going. The pain is excrusiating. I tested negative for lupus and arthritis . What can I do and what can it be ? Doctor: Hello Jeanne. Get yourself tested for serum VIT D,B12,FOLIC ACID,Ca,phosphorus,Serum alk.phosphatase."
},
{
"from": "gpt",
"value": "Target: Bone pain, musle weakness, What can I do and what can it be ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had pulmonary hypertension for at least ten years. I have elected not to have a right heart cath. My symptoms are minimal and I have so many other health issues that I am not certain what is caused by the pulmonary hypertension. When I am conditioned I can walk up two flights of stairs and am not short of breath. I am just wondering what life as to hold for me Doctor: Hi thanks for asking question.You have to take care regarding taking regular drugs prescribed like that of vasodilators or calcium channel blocker.Take enough rest.Regularly do moderate exercise.Avoid smoking strictly.Take care not travelling to very high altitude.Take low salt diet.Depending on stage you might need oxygen therapy.With life style change and regular medication intake will improve your life.If you will not take care then chances of right side heart failure is there.so follow above measures along with your physician prescription.I hope my suggestion will helpful to you.Dr.Parth"
},
{
"from": "gpt",
"value": "Target: What is the prognosis after being diagnosed with pulmonary hypertension?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... Hi, I have a 16-month old baby girl and I noticed that she has what appears to be a hemorrhoid or wart or skin tag or something right at the opening of her anus. I m very concerned about what this is. She is in some pain when I wipe her after a bowel movement. Any advice? Doctor: Hello, The symptoms of the child seem to be related to hemorrhoids. I suggest using anti hemorrhoid cream for local application. I also recommend giving a fiber-rich diet to avoid constipation. I also recommend giving liquids. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain and soreness in the opening of anus"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Is there a possibility of being pregnant from dry humping if my partner and I both had clothes on and he ejaculated? We were both wearing underwear and pants (not jeans), and he penetrated me through the clothing. Is there a chance of getting pregnant? I was mid-way through my cycle, and about a week later I noticed the faintest pinkish drop of blood (very tiny) after urinating. 1 week after this we were making out again and he was fingering me through my clothes - the following day I had a bit of brownish discharge. Could this simply be dried blood? Am I worrying about nothing? Doctor: Hello,There is a chance of pregnancy because ejaculation has taken place inside your vagina. So i would advice my patient to undergo urine pregnancy test within 2 days of missed periods."
},
{
"from": "gpt",
"value": "Target: Any possibility of getting pregnant from dry humping with cloths on? Noticed pinkish blood after urinating"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friend woke up one morning unable to move. He finally got moving and out of bed but ended up on the floor twice that morning, fall because his legs gave out. The doctors are running test, he s got to herniated disk that are damaged and one hitting a nerve on the left side of his back. The conerning thing is he s loosing sensation on the right side, legs and arms and his speech is impaired. What could be the problem? Doctor: I read your question carefully and your concern is understandable.While your friend's herniated disc can explain the weakness and numbness in the legs, if the disc in question is in the neck spine also in the arms, it does not explain on the other hand the speech issue. It is not related to the spinal issues the explanation lies elsewhere as the brain areas and nerves responsible for the speech function are at a higher level than the spinal cord.So your friend has to have more tests for some other type of involvement, either a brain issue which should be revealed through a brain MRI, or a peripheral nerve issue which involves the cranial nerves, tests like lumbar puncture and nerve conduction studies with electromyography might be necessary to investigate that.I hope to have been of help."
},
{
"from": "gpt",
"value": "Target: What causes numbness in arms and legs with impaired speech?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a 22 year old male. Last week I noticed there were blood stains on my underwear near where my penis is. Today I have a fever along with diarrhea. I have also been vomiting & have the chills. Any meds I could take? No money for doctors appointment. Doctor: Hi,From history it seems that you might be having acute urinary tract infection giving rise this problem.Go for one antibiotic medicine course for 3-5 days.Take analgesic, antipyereitc medicine for fever and chills.If require go for ultra sound of kidneys to rule out stones.Take plenty of water.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes blood stains on my inner and penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctori m male 41 y/o recently i have been diagnosed with gallstone and kidney stone, my kidney stone are come and go, but new one is my gallstone, last two month i m having mild pain under my right rib, plz let me know do i need immediate surgery, or i have time to dissolve it by medication. Doctor: hi.noted history of gallstones and kidney stones. unlike your kidney stones, gallstones have lesser chance of being dissolved by medications especially when it has been there for a long time already. it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. other diagnostics (such as repeat ultrasound, liver function tests, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. if your symptoms are becoming more frequent, i advise you to consult with your surgeon with urgency and schedule surgical intervention electively, as emergent surgeries or procedures has higher risks and chances in developing post-operative complications. definitive treatment for gallstones is cholecystectomy or surgical removal of your gallbladder along with your gallstones. it could be done laparoscopically (goldstandard) or thru open technique. low fat and low salt diet is also advised.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: What is the treatment or medication for gall stones?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: oblique tear with grade 3 signal involving body and both horns of lateral meniscus.tear is seen extending on to the periphery and tibial articular surfacemultiloculated parameniscal cysts adjacent to the body af meniscal body is seen extending inferiorly and scalloping the lateral margin tibial condylend posterior horn.cyst in the region Doctor: Hello, I have studied your case.Meniscus injury can be managed by arthroscopic repair,and same day you can go home.Somtimes notchplasty may be required.Post operative rehabilitation and physiotherapy is important.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: How to treat meniscus tear extending from periphery and tibial articular?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have chronic crumbling feeling in my spine. Last December I had total disc replacement surgery. It helped but I can't sit without extreme pain. I get waves of aching feeling that come and go. The chronic crumbling feeling in my spine is constant. This can't be normal and it is affecting my quality of living Doctor: Yes that pain will not be normal that's something is going wrong with your spine may be its a post operational complication like nerve damage some thing like that should have new MRI"
},
{
"from": "gpt",
"value": "Target: Why do I have chronic crumbling feeling in my spine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son was outside playing with a friend and was struck in the gum. There is a pretty good cut above his front tooth (this is a permanent tooth that is growing in, he is almost 8 years old) The tooth doesn't seem loose and the bleeding is stopped but the gum is cut pretty badly. Is it necessary to take him to a dentist immediately or see how it heals? Doctor: Dear friend. Thanks for sharing your concern. As your history suggests that there is only gum injury then you can avoid going to the dentist. but if you suspect any trauma to the tooth structure,you must keep a close watch on the concerned tooth ,as the teeth is still in development stages. if you find any discoloration or associated pain,it is good to visit your dentist and get it evaluated clinically for its vitality. for now you can just deb ride the wound and leave it to heal on its own. Hope it helps. take care."
},
{
"from": "gpt",
"value": "Target: Child got cut near permanent front tooth gum. Bleeding stopped. Visit dentist?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, im male age 25, i have found out a couple of days ago that i have a lump or a swollen pee tube, right between the knob and the shaft and a small amount of white discharge comes out. i woke up a couple of days ago with the white substance when i pulled back my fore skin. at first it did hurt at all when i pee, but after a couple of days it burned like hell. Could this be a std? like my girlfriend cheated on me like a week ago but i know like after 10 days or so. if i knew that i would not have any intercourse with her,. i maybe not circumcised but i take good of my private part. why i ask here is because i life in indonesia and the doctors here are not as good. well thanks hope you can help me Doctor: Hi.Thanks for your query.As you have got a history of exposure, you have to undergo a treatment accordingly and get all the relevant STD tests done. You have to take a proper antibiotic course and for this you need to visit a Doctor, preferably a Dermatologist and Venereologist.He would examine you and advise you the blood testy sand the test of pus from the wound you have foe gonococci.You can post a photograph on this website for us to get a direct visual and give you a proper diagnosis.Apply liquid Povidone iodine locally and nothing else. Keep the area clean and dry. Always use condom. Take care , get a diagnosis and complete recovery ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump/swollen pee tube?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m a 43 year old male. I have an elevated ganglionic neuronal antibody. I was told by my neurologist not to worry about it. Should I be worried? What is normal procedure upon this finding? The antibody is .05 I have had unusual symptoms. Slight dizziness, low vitamin d2,low testosterone, arm weakness, anxiety, low libido. Are any of these conditions related to this antibody? Doctor: Hello.I understand your concern.The antibodies you have been found can cause a disorder called autonomic neuropathy .This is a rare conditions, difficult to be adiagnosed.The antybody level is not too high, but it i The dizziness , sexual disfunction may be related to this disorder. The weakness too. But the level of testosterone and vitamins D2 are not related. Anxiety is not a common symptom but it fan be explained by autonomic dysfunction.I would like to know if you have had any problems with your blood pressure and heart rhythm lately. Or bowel dysfunction. These are common symptoms of this disorder.I agree with your doctor. You shouldn't worry for the moment. The treatment with imunosupressor is not worth, because you have light symptoms. And the side effects of this therapy are severe.Hope to have been helpful.Thank you for using HCM.Best wishes Dr.Abaz"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for elevated ganglionic neuronal antibody"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was recently masturbating when all of a sudden I had an erection as the erection began I felt a Sharp pain in my buttocks above the anus and below the tail bone I have a pain when ever I sit or even walk what could have caused this and how can I make it go away? Doctor: Hello, The pain felt could be due to the awkward position and resultant jerk or strain associated with it. Do consult a doctor if pain persists. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
},
{
"from": "gpt",
"value": "Target: What causes pain in buttocks & anus during erection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my four impacted wisdom teeth removed about a month ago. I was given antibiotics before the surgery, ibuprofen and percocet after, and an antiseptic mouthwash both before and after. At the post-operative appointment about a week and a half after the surgery, the dentist said I was healing excellently. For the past week or so I've been experiencing pain and tenderness (no weeping fluids or anything) in the lower right socket, and for the past day or so it's been swollen to the point where there is a visible bulbous lump in the socket and the swelling can be seen as asymmetry of my face. The tenderness has spread to my right jaw bones, and they feel slightly warm. What could be wrong and what should I do about it? Doctor: Thanks for using Health care magic.Read your query.The signs and symptoms which you have mentioned , suggests the infection in the tooth socket which will require immediate consultation with the dentist .I would advice you to visit your oral and maxillofacial surgeon as immediately as possible and get it checked, followed by the radiograph for better evaluation.If needed the dentist will drain the pus and put you on needed antibiotics and pain killers .Do warm saline gargling.Do not apply hot bag on the external surface .Visit your dentist soon .Thanks and regards."
},
{
"from": "gpt",
"value": "Target: What causes tenderness in the jaw after the wisdom tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,earlier today I had 4 teeth extracted and I had a few needles to nb the pain. 12 hours later and a portion of my lip is numb and swolloem, the small area has also risen and is tinged white. No other part of my mouth seems to effected but this area on my bottom lip.what is it and is it a concern? Doctor: Hi. Welcome to Healthcaremagic. I read your query. After extraction, numbness of lips is quiet common due to mild pricking of nerve during injection or extraction. Usually the numb portion seems like swollen as well. This is a temporary situation which goes away with time.Please do not take too hot or cold things as it may burn the numb area. Do not chew or bite your lip. Take multivitamin tablet for 2 weeks. Massage lip with gum paint to increase blood supply. Maintain good diet.In case the numbness persists after 2-3 weeks, consult your dentist.Hope the answer helps you. Thank you!"
},
{
"from": "gpt",
"value": "Target: What causes swelling on lips after tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I believe my son who is 1yr and two months caught some sort of skin issue from the babysitter who we had before. we let her go because she was diagnosed with something called mouth herpies. what treatment should be used to treat a child that has a rash caused by exima or her mouth issue? Doctor: HIWell come to HCMI really appreciate your concern, it is very necessary to confirm the clinical condition whether this is really happened because of babysitter ? if this is viral infection then you need to wait for some time because this would come around on its own although chances of this is very rare, baby must be having some hypersensitivity reaction and for that you need to wait because most of the time this is also self limiting, if condition remains as its then it need to be clinically examined, hope this helps, take care and have a nice day. (At the most Diphenhydramine lotion can be tried)"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rash caused by eczema"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been very lethargic for the last 3 days, i am type 1 diabetic so i checked my ketones in my urine and according to the stripnresults there are a large number of them in my urine. Should i trybto flush my system myself or go to the ER to get IV fluids? Doctor: Hello, Thanks for the query.If ketones are present means blood glucose is not in control. So You should control that . But it is better to go the ER and get proper treatment. At home it may be difficult to manage. Because ketones present indicates very high blood glucose, which needs to be managed at ER setting. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes severe lethargy while having type 1 diabetes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, I want to know that is it possible to get pregnant without uterus because my wife don’t have uterus by birth and she is physically good her feature also is like a normal woman .I want to know is there any medical technique available from which she can conceive ,Waiting for your reply.Thank you Doctor: HI, I understand your concern. Uterus is dwelling place for fetus. So ytour wife may not carry the baby .. but... If your wife has intact & active ovaries.. her ova can be used for conception.( If not so, even ova can be donated by a sarrogating woman.) In this case either Intrauterine embryo transfer Or Intra uterine insemination ( using your sperms can be done in Uterus of a Sarrogating woman . Sarrogation has to be done with completing all legal formalities. Thanks."
},
{
"from": "gpt",
"value": "Target: Are there any possible methods for child birth without uterus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i cant blink my left eye,slurred speech ,problem with my balance,weakness on my left hand in grasping things,can you please give me advice on the exercises treatment i could do at home i was discharge from the hospital 4 days ago after having cardio vascular disease acute infarct right side thank you Doctor: hellothank you for trusting HCMdear you may be developed acute cerebral infract with left racial palsy. but your facial palsy it seems involved both upper and lower face. may be due ventral medulla involvement.facial palsy may cause slurred speech. continue medication with physiotherapy and exercise. if symptoms not improved please consult your neurophysician he will examine and treat you accordingly.take care"
},
{
"from": "gpt",
"value": "Target: What causes slurred speech and weakness in hands?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m trying to decide if I should go to the doctor. I fell flat on my back and my head hit the ground a few hours ago. I took ibuprofen and hoped the headache would go away. The thing that is bothering me the most is it s still really hard to take a deep breath. When I do it hurts mostly on the middle of my back and a bit to the right. Doctor: Answer: Hello,Thank you for using Healthcaremagic.I read your question and understood your concern.I think you may have blunt chest injury so meet a surgeon get examination done followed by x ray and ct chest if pain persists for longer time which helps to come to a diagnosisDr. Sandeep patil"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for injury mediated back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have three members in my household. All three of us are experiencing a weird rash on our bodies. My son and I have eczema so that is what I thought it was but my dad is experiencing it now and he does not have eczema. The weirdest thing about it is I know on my son its presenting itself on my upper thighs and the top of my butt crack and on his gentals at bump. Not pimples and not pussy or oozing just bumps. I don't know if it is doing this to my dad as well though. Doctor: Hello.A possible diagnosis is fungal infection spread by one of the members of the family to another.It is also possible the appearance of rash after contaminated food ingested by the three.Go to your doctor.He will examine your injuries and will establish right diagnosis and treatment.I wish you good health.(If the answer has helped you, please indicate this)"
},
{
"from": "gpt",
"value": "Target: Have weird rashes on the body. Have eczema. On upper thighs, butt crack. Not pimples. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I think I have Genital Herpes...... I haven’t been able to get a hold of my doctor since it’s the holidays...... I first got one bump on my vagina lips Friday and now have about 7 or 8 that are extremely painful and whenever pee comes in contact with them it’s extremely painful...... the bumps are red and some look like there open..... Doctor: Hello and welcome to HealthcareMagic! The classical sign and symptoms of herpes are painful vesicles. Vesicles are tiny rashes containing a transparent fluid. They usually start small and then increase in number. This seems like what you are describing. If this is so, I will advise you to see a doctor immediately. Firstly, you need to test for other sexually transmissible infections like hepatitis B, syphilis, HIV and chlamydia. Secondly, you need to start treatment with the antiviral Acyclovir and a strong analgesic (Tramadol). It is important to start a corticosteroid (Prednisolone) to prevent postherpetic neuralgia and an antibiotics therapy (Amoxicillin) to prevent infections in case you have an ulcer. Hope that clarifies you concern. Thank you for the query. Take care Regards, Dr. Chobufo Ditah, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of genital herpes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm 36 yr. old female with a diagnosis of mitral valve prolaspe and fibromyalgia (pressure point test). For several months I've had shaky vision upon waking up, I also have very fast palpitations upon waking. I had a head MRI and went to opthamologist, and nothing seems to be wrong. They tell me it may be anxiety, but I am not convinced. I have very twitcy muscles and stiff joints which my Dr says is due to fibromyalgia. What other Dr. can I see for this problem? Doctor: Cardiologist to exclude that mitral valve can cause that...as mitral valve diseases can cause lowering of oxygen supply to your body causing your attacks..."
},
{
"from": "gpt",
"value": "Target: What causes muscle twitching and palpitations while having mitral valve prolapse/fibromyalgia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 21 month old has been suffering with a runny nose and allergy like symptoms for the past two weeks, as with most people in the Houston area the pollen is terrible right now. Yesterday morning she started with temperature off 100.2. I alternated Motrin and children s Tylenol through out the day into the evening. This morning she had fever again (100.1) again I have been alternating the Motrin and Tylenol. Since this morning she has begun coughing a seal like barking cough more prevalent when she is lying down than sitting up. I am thiking she may have a touch of bronchitis. What are your thoughts? Doctor: Hello dear, thanks for your question on HCM. I can understand your situation and problem. Yes, I am also thinking about acute allergic bronchitis. Pollen is well known allergen and if this is more severe or not treated properly, can lead to allergic bronchitis. Barking cough is supportive evidence for bronchitis. So better to consult pediatrician and get done clinical examination first.Your child may need antibiotic and inhaled bronchodilators. So better to consult pediatrician and start appropriate treatment."
},
{
"from": "gpt",
"value": "Target: Is my 21 month old suffering from bronchitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have been diagnosed with HPV2 for several years, I have recently been experiencing swollen, itching and burning eyelids, It looks like it could be herpetic to me...? I am scared and I don't have any medical insurance, I do not qualify for Medicaid at this point. I don't know who I should see? or how much it will cost? I want to make sure that they know what they are treating? I can see my OB/GYN next week. I am concerned that I can spread it or go blind. what to I do? Doctor: firstly r u taking any medicine for hpv2 as it may be due to the side effect of the medicine u r taking.second u should see an opthalmologist before u go blind(unfortunately).usually it is not very costly for a consultation."
},
{
"from": "gpt",
"value": "Target: What causes swollen and itching eyelids while having HPV 2?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recently I have started a weight training and over all fitness program. I have lost 8lbs the past two weeks and went to give blood and my Hb was a 12.0. I was wondering if beginning this new regime had something to do with the low hemoglobin and what I could do to counteract it. I'm 36 5'11\" 280. Doctor: Hi, dearI have gone through your question. I can understand your concern. Your hemoglobin level is slightly low. You should go for complete blood count, rbc indices and peripheral smear examination. Then you should take treatment according to your diagnosis. If ypu have macrocytic anemia then take iron supplements and if macrocytic anemia then take vit b12 supplements. 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: How to increase hemoglobin level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The right side of my face next to my nose, under my eye is swollen, this has happnened in the past and the Dr diagonosed it as 7th nerve bells palsey. He gave me prednisone and it went away. I've had scans, and nothing but a \"mass\" shows up, they ruled out cancer or anything else. It's back again, very painful. The Dr. I saw yesterday said he does not think it's bells palsey b/c my face if not drooping, but based on my history, gave me another round of predinsone. It's not come down any yet & still hurts. Could this be something else? Doctor: Hi,Thank you for posting your query.Bell's palsy leads to paralysis of facial muscles on one half of face. This includes inability to close one eye, facial asymmetry, inability to blow out cheek on one side, etc.So, your symptoms are not like Bell's palsy.If you can upload a picture of face swelling, it would be helpful.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: [email protected]"
},
{
"from": "gpt",
"value": "Target: Swelling under the eye. Bell's palsy diagnosed. On steroid. In pain. Is this something else?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i suffered with heart palpatations about a month ago but after cutting caffine down they are gone, now i have a tight chest with little pain sometimes and i get shakey with feeling sick i have no stress or worries at the moment this has been happening for the passed week ? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) for your palpitations.So get done ecg, 2d echo and Holter monitoring (24 hours continuous recording of Ecg).If all these are normal then no need to worry for arrhythmia or other heart diseases. Sometimes stress and anxiety can also cause palpitations, shaky feelings , chest tightness etcSo better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for heart palpitations with chest tightness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last Spring I injured my rib area on the right side of my back while using a tiller. It seems to get better then flares up again. It doesn t hurt, it aches and kind of burns. I can aggravate the area by moving wrong while doing something. Most recently I was caring for my bed ridden mother in law and it has gotten much worse. Taking Motrin works. What can I do to help it heal. I see a massage therapist once a month. Should I go more often or is there something else I can do. Doctor: Hi, thanks for writing to HCM.Based on the description, I suspect that you could have suffered Intercostal myagia or neuralgia.* Use Ice packing over the affected area as this will numb the local nerves providing relief of symptoms* Apply moist heat fomentation to relax the tensed soft tissues* Local analgesic gel application as needed* Avoid the movements that hurts you* Continue Motrin for a few dayHope this information is helpful. Good day"
},
{
"from": "gpt",
"value": "Target: Recurring burning on the rib area since injury, eases with Motrin. What can help it to heal?"
}
]
|
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