conversations
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[
{
"from": "human",
"value": "Source: Patient: I am 19 and work at a golf course. I just did my laundry using new laundry soap and I live in resort employee housing with Phili[ino foreign exchange students. I am American, and now have a red rash that looks like mosquito bites or spider bites on my belt line. Any ideas of what it could be? Doctor: Hi, It may be most probably lichen urticatus or papular urticaria. It is due to a hypersensitivity reaction to insect bites. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take tab Cetirizine daily and to apply a mild steroid cream. If needed, you may take oral steroids in tapering dose, but after consulting your doctor. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes red rash on the skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am lactose intolerate. Now when I eat some foods (not milk products) I hurt and burn in my vaginal area. This usually goes away after about a day. A urologist did a cystoscope and my bladder is ok but he told me not to eat spicy food or citrus. It seems like everthing I eat bothers me and my gynecologist has not found anything. What is wrong with me or what type doctor do I need to see? Doctor: Hi.Your gynaecologist is right and he has done what could be done.If I were your attending doctor I would advise you to exhaust the channel of authentic herbal doctor. In Ayurveda 'Kaf Pitt' vitiation seems to cause you irritation in a specific area esp on eating pungent and heavy ( vast causing) food and this treatable by just changing little food habits and little local applications on affected area. One or two safe herbals given orally will also do wonders.I hope you get an answer and enlightens you to try alternative treatment when allopathic has been tried."
},
{
"from": "gpt",
"value": "Target: What causes pain in vaginal area with intake of certain type of food?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir,this is naresh, iam frm india, andhra. iam sufferinf from severe itching in inner part of thighs. my weight is 70. my thighs are almost sweatty always.i applied epidermal and anti fungal creams and tablets also but no use. so pls prescribe proper medicine Doctor: Hello,Thank you for posting on HCM.From your description, it seems you are having tinea crusis, a kind of fungal infection.Fungal infections are notorious for being persistent and recurrence if not managed properly.I would recommend you consult your dermatologist for proper management.I usually suggest a proper course of oral antifungals like fluconazole or itraconazole along with antifungal cream like luliconazole for local application.Additionally, use antifungal dusting powder to keep those areas dry and use ketoconazole soap for rinsing those areas. Takr antihistaminics as required for itching.Maintain hygiene and avoid tight undergarments.Hope this will take care of your problem.Thank youDr Hardik Pitroda"
},
{
"from": "gpt",
"value": "Target: Suggest medication for itching in inner thighs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have been given clexane forte 150/mg/1mlhi as I have to have a small operation next week on need to come off warfrin on the the clexane box it says 10 off clexane forte 150/mg/1m. then use as directed 0.95mls. does that mean I have to discharge the needle to the 95 make Doctor: HiFor patients prescribed doses less than 20mg but greater than 10mg, the 20mg/0.2mL preparation of clexane should be used to prepare a concentration of 20mg/1.0mL. 1.Draw 0.8mL of normal saline (0.9% NaCl) into a 2 mL syringe. 2.Inject Enoxaprin 20mg/0.2mL directly into normal saline syringe, making a total volume of 1mL. 3.This equals a concentration of 20mg/1mL. 4.From the 2mL syringe withdraw dose required with a 1mL syringe.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician"
},
{
"from": "gpt",
"value": "Target: How to measure clexane forte as per prescription?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an abnormal growth on my liver discovered in a ft scan it is getting more painful consistsnt rather than speratic with nausea and sleeplessness due to discomfort Should I have the ct repeated for changes the pain is driving me crazy. Doctor: Hello, If you have abnormal growth of liver than cancer should be ruled out. But usually such growth are not much painful. Excess pain suggestive of abscess formation due to infection. I need to check your CT scan report to guide you further. CT guided biopsy will be able to give exact diagnosis. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How can pain due to a growth in the liver be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I recently had an MRI done and overall as far as I can tell my brain seems healthy. I was diagnosed with panic disorder and recently started having spells of dizziness. On my MRI in the right maxillary sinus it appears mostly white. What is this and how concerned should I be? I intend to see my radiologist soon. Doctor: Hi,Thanks for writing in.The paranasal sinuses are air passages adjacent in the face region and to the nose. The main function of the paranasal sinuses is to condition the air entering the nose and warm it to body temperature and maintain the humidity. The paranasal air sinuses are 4 in location frontal, maxillary, ethmoid and sphenoid. The maxillary sinuses are one on either side of the nose. On MRI of brain, the maxillary sinuses are also seen.In your MRI brain scan, there appears to be white appearance in the right maxillary sinus on T 2 sequence. This means there is some fluid collection in the sinus. This is a completely benign condition and not a serious concern. It can cause slight discomfort like nose block and pain on the side of the face. These can be treated with medications. The opening of the maxillary sinus might be blocked and that is the reason for retention of secretions. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What does white maxillary sinus mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, I was curious if over the course of a two year period, a twice-a-month oral consumption of recreational illegal drugs, coupled with the daily use of marajuna and tobacco whilst suffering from semi-recurring cheek lesions (caused by sharp wisdom teeth) could lead to oral cancer in such a short period of time? Doctor: Hi,Thanks for posting the query, I would suggest you to get an examination done by an Oral Surgeon.A complete physical examination is required to determine the cause and treat accordingly.Get the sharp cusp of wisdom tooth trimmed.Take a course of multivitamin suplements.Take care!"
},
{
"from": "gpt",
"value": "Target: Is a person having cheek lesions subjected to oral cancer by the consumption of drugs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I'm age 13 and I have been feeling back pain since yesterday. I got in a car accident but I felt no shock since it was a small bump at 2 mph. Ever since then I notice pain from my upper left back, shoulder and armpit. I also notice my heart rate decreases to a third of normal when I extend my left arm. Please tell me if I am okay. Again 13 year old male with high cholesterol and 40 lbs obese. Doctor: Hello, I had gone through the case and found that the pain might be due to muscle spasm so take painkiller and muscle relaxant gel for local application.Also take physiotherapy for better relief.For high cholestrol Avoid preserved and refined floor food item. Take almonds 10 per day.For overweight do exercise and healthy food.By this heart beat will be normal, if not then consult to cardiologist.Hope my answer will be effective for you.Thanks"
},
{
"from": "gpt",
"value": "Target: What causes back pain, shoulder pain and decreased heart rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My name is AAAAA and I m 17. Just in the last for days, about, I ve been having sharp stomach pains (they come and go), and I m just wondering if it s something I should be worried about? I have a VP shunt (ever since I had my brain tumor removed in 3rd grade - about 9 years ago), and it was replaced 4 years ago after it broke. These aren t normal stomach pains (like from eating too much)... they re near the incision on my stomach and intensify when I breath deeply... I ve had symptoms like this before in my chest , but never in my abdomen . Should I be concerned? Doctor: Hi.Because of Abdominal incision,there may be adhesions beneath it.So,pain may be due to adhesions.Its a physiological process.Nothing to worry.If the pain becomes severe,associated with vomiting and abdominal distension,then you should be further investigated with Plain x ray abdomen & Ultrasound abdomen"
},
{
"from": "gpt",
"value": "Target: On and off sharp stomach pains. VP shunt after brain tumor removal, similar pain in chest. Should be concerned ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife underwent total knee replacement 9weeks back. She still has pain, knee feels warm and experiences intermittent shooting pain for a moment inside the knee and a jerk. What can be done to provide her relief. My mail Id, YYYY@YYYY Thanks and regards. Doctor: Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.I generally see many cases like this at my sports clinic.I give them a splint,rest,analgesics,anti-inflammatory tablets and ice pack till the swelling reduces to some extent. Then i get an xray done to find out the extent of swelling.in ur wifes case,i guess there should be a low grade infection persistent at the operative site that might have remained dormant.actually the pain should go completely after about 2-3 weeks post operatively. as the pain is still persistent i find that there should be some inflammation at the operative site that might be causing the pain.u should get an xray done to find out the cause. do get back to me after the reports are done. also get an blood profile done to rule out other causes.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for knee pain even after total knee replacement"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I noticed a tiny bump on my palatoglossal arch for months now. It s size has remained. I don t smoke and don t drink, as well. I also don t perform oral sex (swear). I m in my 20s. Sometimes, it gets reddish and painful, but normally it s just a bump that I feel whenever I swallow food. A doctor advised me to undergo a minor surgery to have a biopsy ... I asked you to also give me more information about my tiny bump. Thank you and may you help more of us in the future. :) Doctor: Thanks for your question on HCM. I can understand your situation and problem. Following are the common causes for tiny bump on palatoglossal arch. 1. Vitamin deficiency 2. Infection 3. Friction due to hard to chew food. So before biopsy, you should try these steps first. 1. Start multivitamin containing folic acid, niacin, vitamin b12 and zinc tablet. 2. Do chlorhexidine mouth gargles 5-6 times a day to prevent infection. 3. Avoid hard to chew food. Drink plenty of fluids orally. If you are not improving after 1 month then go for biopsy for the diagnosis."
},
{
"from": "gpt",
"value": "Target: What does a tiny bump on palatoglossal arch indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am now 61 years old - as a child of 4 I had a TB Gland removed from my bottom. I have had many chest x-rays since then for one thing and another and I have never actually had TB symptoms since. Is there anything to worry about as I get older please? Doctor: thanks for asking your questioni completely understand your problemin my opinion tuberculosis is a disease which becomes symptomatic if the immunity level decreases .by writing this i mean in developing countries 7 outof 10 people are infected with tuberculosis ,but they dont show symptoms because our immunity is holding up the infection.so as the immune status is depressed infection turns into disease.if once tuberculosis happens and we take treatment the bacteria are killed and some of the bacteria may b in dormant state and will relapse when immune status is depressed.in cured patients also relapse occurs in 10-20 % of the patientsthanks /regardsfeel free to ask more questionsmay god bless you with good health"
},
{
"from": "gpt",
"value": "Target: Can TB manifest years after TB gland removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been dealing with anger for the past years cause of things that I went through as a child but lately I've been angry all the time and anytime anyone says anything to me I automatically get mad and just snap at them. I will get to the point sometimes where I'll shut down and I will show no emotions what so ever and I just wanna know why I can just shutdown and show no signs of remorse or any emotion and why I get so mad lately Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You should understand yourself to curb your anger. You describe yourself as a short tempered person and often get angry at anyone. Are you working? If you are working and if you get angry at everyone at your office, tell me honestly, how many jobs you changed?So that is not the case. You are trying to exaggerate your anger. That also means you have control over your emotions. Control means, you where not to get angry. That is it. You got your answer. Improve your attitude and learn to life a life which is based on adjustments. I can help you in this aspect. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for mood swings and short temper"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm twenty-four years old and I have a severely herniated disc in my lower back, L5 I believe. They've recommended lumbar fusion surgery, even though I'm young. Physical therapy isn't an option at this point and they said steroid injections wouldn't do anything. Is there another option other than this highly invasive surgery? Doctor: you SHOULD CONSULT A PHYSIOTHERAPIST. There is so many non invasive treatment for L5 disc herniation. Like manipulation, Pelvic traction and so on. You better go to the clinic with all medical reports.Let healing hands treat you before aggressive knife."
},
{
"from": "gpt",
"value": "Target: Suggest alternative means of treatment for herniated disc in lower back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Today while I was at work I was sweeping (something I do often) and my hand started really hurting. I looked at my hand and noticed a bruise on my palm. I m not sure why this happened. I m currently taking amoxicillin for what my doctor thinks is a sinus infection. Is this anything to be concerned ab Doctor: hiHope this msg finds u in good health. i have gone through your complaints and under stand your concern. u seem to have strained some sort of soft tissues in that region that might be causing pain and inflammation. if its not warm and hot..give ice packs and rest. if it worsens get an xray done to find out whats wrong. start analgesic and anti inflammatory tablets. nothing to worry about. hope your question has been answered. if u have any follow up queries, feel free to consult me anytime. thanks Take care god bless"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for bruise in palm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve just read the article about higher incidence of bladder and rectal cancer for patients who have previously undergone radiation treatment for prostate cancer. I was diagnosed with bladder cancer in April 2013 (T1G3) and had the tumor removed via TURBT in May 2013. Cancer had advanced into my left ureter so I underwent more invasive abdominal surgery (partial ureterectomy) in June 2012. Had 6 BCG treatments in July and August and received all clear cystoscopies in October and January. PSA test in January showed irregularities (especially having only 7% free PSA) so underwent prostate biopsy in early February. Results showed cancer in 7 of 12 samples with a Gleason score of 7. One sample showed cancer was very near external wall of prostate. Had 28 external beam radiation treatments and 2 high dose radiation temporary brachytherapy treatments in March and April. I m having my first cystoscopy since early January on Monday, June 30. What s the likelihood of bladder cancer recurrence with the abdominal radiation I ve been through. Thanks! Doctor: HelloThanks for your queryAlthough you have given detail information but still time line events are not clear to me. But to answer your main query - chances of bladder cancer post radiation therapy for prostate cancer are very very very rare that too radiation induced cancer takes years to develop more than 10 years minimum. Either you have double malignancy one of bladder and other of prostate cancer which can be clarified by seeing the details of biopsy reports. or you have primary malignancy of prostate which was missed earlier and had spread to bladder which is just located just in front of and above prostate. Hope this helps."
},
{
"from": "gpt",
"value": "Target: What are chances of bladder cancer recurring with abdominal radiation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i got fracture on my right ankle at fibula bone. i got checked up from doctor , i get plaster on my foot n now its almost 2 weeks are passed. doctor advised me to take max rest n it will be removed after 4 weeks. so do i check it up again now or after 4 weeks .. n any further advise Doctor: HelloThank you for asking question.This is Dr Adil. Depending upon the nature and function of fractured bone, the duration of plaster is decided. For example, tibia, which bears larger portion of weight of the body, needs much time to heal, Fibula on the other hand, supports the tibia and provides more stability to ankle joint. Usually bony callus formation completes within four weeks, and after four to six weeks, cast is removed. Healing may not complete by four weeks but weight bearing starts the process of remolding. Remolding is a process in which the portion of bone that bear more stress becomes more stronger. So you may remove the cast after four weeks, and start to put weight. But avoid intense activities for at least two months. Kind Regards. Dr Adil"
},
{
"from": "gpt",
"value": "Target: How long does a broken ankle take to heal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have muscular spasm lower back, on medication for pain relief. Cannot stand straight even if try hard, get tired in my legs and buttocks after just a few seconds. Doctor says this will take two weeks to heal, no X-rays taken, I am asked to stretch exercises, while the doc in ER asked for rest! Confused and worried! Doctor: Dear Sir/ Madam Back pain is to be worried and investigated, if there is any urinary or bowel disturbances, or weakness of lower limbs, or sensory disturbances in the lower limbs or even after giving 3 weeks of rest or back pain is not subsiding. It is recommended to do back strengthening exercises as tolerated. Rest if pain is severe. It is recommended and physiotherapy to be started as tolerated. Regards Dr. Pvssmjagannadham, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes muscle spasms and weakness in legs and buttocks?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My girlfriend has a rash, below her belly button. The patch of skin is tough, almost scar material in nature. It is usually tolerable but seems to aggravate when foreplay is initiated and she scratches it, incessantly, subsequent to intercourse? She's had it, since before we started dating, almost two years now; we thought it might be a nickel allergy but no treatment seems to make a decisive improvement. It is obviously of serious discomfort, to her, any thoughts? Doctor: Hi, Welcome and thanks for posting your query to HCM. After reading your query it seems your girl friend is suffering from Lichen simplex chronicus. It is a condition of skin where there is a vicious cycle of itch - scratch and itch. So once you start scratching it causes more itching and it further aggravates the situation by scratching. As with defense mechanism of our skin, it gets thicker and thicker after scratching. So, in your girlfriend's part, after your foreplay and subsequent to intercourse it initiates the urge to scratch and then the rest of situation as above. For the relief part, ask your girl friend- DO NOT SCRATCH. She has to control her scratching tendency. It is very well treatable by steroid cream s and round the clock antihistmines under dermatological guidance. In between you can ask her to apply petroleum gelly for multiple time a day. So be stress free and relieve her tensions also !! With best wishes, Dr Sanjay K Kanodia MD (Dermatology & STD/Venereology)"
},
{
"from": "gpt",
"value": "Target: Rash below belly button, aggravates when foreplay is initiated, scrating. What could be this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... i noticed today that i had a boil under my tongue on the left side when i looked at it it popped and now there is a little hole where the boils was ... it was not painful just felt annoying. Doctor: HIWell come to HCMThis may not be the boil because formation of boil under the tongue is not likely but this could be a oral ulcer and in my opinion this could be treated with Tannic acid preparation if the symptom does not improved then it need to be clinically examined, Thank"
},
{
"from": "gpt",
"value": "Target: What causes boil under my tongue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What are bumps on scrotum and pubic area that keep coming up. They are red and itch, but when i scratch them they will only have a watery like substance come out, then what appears to have a dent in the middle of them, and then scab over. Then usually another one or two will appear on different areas of the scrotum. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.All these symptoms are suggestive of epididimitis which is inflammation of part of testicle and not uncommon in males. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequances. MAsturbation and intercourse should be avoided till pain persist. Some more serious conditions such as tumors or torsion are rare but in doubtful cases you should do Doppler ultrasound or scintigraphy. In this case, I don’t think this is required.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.DR. Ivan Rommstein"
},
{
"from": "gpt",
"value": "Target: What causes recurring red, itchy bumps on scrotum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Long Weird Lesion type of growth under my tongue - Sudden I have a big lesion on the underside of my mouth, under the tongue, it sort of scares me as it looks like a mini second tongue. It happened very quick - under 5hrs - I think, it was throbbing down there so I kept touching it with my tongue, by the time I got home it was big and red! Today, it has some whiteness to the end and looks like thick pus coming out but its getting slightly smaller. My doctor says he hasn t really seen this sort of thing but guesses its a lesion. I m not so sure, it looks really odd as it is not a circular bump but a long sort of flap of skin. Doctor: It looks sort of like this!! Same spot! Just other side of tongue but a little sharper at the end and bit of pus now! Getting smaller too just like the video on youtube: http://www.youtube.com/watch?v=LPEeFamqvzI&feature=player_embedded"
},
{
"from": "gpt",
"value": "Target: Long Weird Lesion type of growth under my tongue"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My name is charlene. I am 5'2 and weigh 94 lbs. My daughter came home the other day with my aunt. and when my aunt dropped her off i noticed like a blood spot in the eye. and figured she just scratched herself. I ended up taking her to the hospital and the told me that the red mark in the eye is ONLY caused my shaken baby syndrome. Is this true because my aunt is saying that nothing happened to her but it was not there when i dropped her off. she is only 3 1/2 months old. Doctor: Hi Charlene, I am Dr. Richa Sharma and a pediatric ophthalmologist.I understand your worry for your child. Yes, Small red spots in eye can be caused by shaken baby syndrome but not necessarily and it is NOT THE ONLY CAUSE.The most common cause of haemmorage in eye is accidental trauma may be the finger nail of your child or someone else which leads to bleeding of superficial vessels.So, don't worry. just need to be little careful in future.Take care"
},
{
"from": "gpt",
"value": "Target: Could blood spot in eye be caused by shaken baby syndrome?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am taking Percocet 5/325 mg. for a severe chronic back ache. I was told originally to take one at bedtime. I have been waiting to see a pain management doctor for two months and am almost there with my appointment on this Friday. Having had to deal with snow storms and the clearing thereof I have exacerbated my pain level. Generally my daily meds use is one Baclofen 20 mg. with breakfast (usually between 8 and 10 AM). On most days that will get me through the day along with heat pad treatments. I normally would take 1/2 of a Baclofen and 1/2 of a Percocet prior to going to bed. With the increased snow removal activity I have resorted to 1/2 Baclofen and 1/2 Percocet around supper time (Usually around 6 PM) and repeat prior to going to bed. I am simply trying to determine whether my med treatments are sound, or should I be doing otherwise? Thank you, Marc Doctor: Hi I am Dr Gopal Goel , Orthopedic Surgeon. In my opinion your medications Percocet ( Mild pain killer) and Baclofen( Muscle Relaxant) are good as a pain reliever. Generally they do not have much side effects in doses that you are taking, except that you may get used to them. Let us wait for pain management team to diagnose and give further treatment."
},
{
"from": "gpt",
"value": "Target: Are Percocet and Baclofen effective in treating chronic back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,i m a 26 yr ols woman,married for 3 yrs from now..since last 2 yrs i've been trying hard to concieve.and have changed many doctors due to dissatisfaction with no results.my n my hubby's reports sre normal,i ovulate and my cycle is ok.i have been facing yeast infection.and since last 4-5 mnths i m on sporolac plus,letoval,mentonorm syrup,ovacare capsule,dubagest,fluton and f-gam. have already had many follicular studies and had pelvic sonography n blood test,CBP,VDRL,RBS,Ph..all were fine. every month me and my hubby hopes for positive results.but still nothing..my doctor asked me to have HSG done.but now i am scared of it..and the dye used for it..is there any other test other than HSG and endoscopy to check fallopian tubes? and how can fallopian tubes be opened naturally? what do u think might b the reason for not getting pregnant since long in your knowledge..plz help.. Doctor: Hi, I think you can go for saline sonosalpingography. In this normal saline is instilled into your uterus and the flow of saline is seen on ultrasound that it passes through tubes or not. But it can be wrong in many cases. But the gold standard for seeing the tubal status is laparoscopy. If the tubes are blocked proximally, it can be opened in some cases by cannulation. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Suggest tests other than HSG and endoscopy to check fallopian tubes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Sirthis is my sprem report please check it and let me know ,SEMEN ANALYSIS-----------------------------------VOLUME : 3.0MLCOLOUR : PEALY WHITEREACTION : ALKALINEVISCOSITY : VISCOID LIQUIFED WITHIN 30 MINUTESMICROSCOPIC EXAMINATION-----------------------------------SPERM COUNT : 30 Millions/ml ( Normal range 60-120 millions/mlACTIVE MOTILITY : 20%SLUGGISH MOTILITY : 30%DEAD FORMS : 50%NORMAL FORMS : 50%ABNORMAL FORMS : 50%PUS CELLS : 04-05/HPFRBC : ABSENTEPITHELIAL CELLS : 01-02/HPFOTHERS : ABSENT Doctor: Hi, I have checked your mentioned history report. The sperm active motility is less in the mentioned report that is 20% only. It should be 32% at least for conception. So I suggest you take hey forte like a tablet to increase sperm motility. Smoking and alcohol should be avoided. Avoid hot heat shower and wear loose clothes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What does the sperm report regarding sperm count indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband and are are not actively seeking pregnancy however there have been many times he has ejaculated inside of me during ovulation. I know for a fact I am very fertile having had been pregnant before and also having to have an abortion due to an unwanted pregnancy during my first marriage. Are there signs to look for in males regarding sterility and also what would could be done to correct it? Doctor: Hi,Thanks for writing to HCM. There are no symptoms and signs to diagnose infertility in a sexually active men except presence of very small or large testis.Large testis could be varicocele. Small testis could be atrophic testis.The best way to diagnose infertility is getting semen analysis. Further treatment depends on the report.Hope I have been helpfulRegardsDr.Deepika Patil"
},
{
"from": "gpt",
"value": "Target: What are the symptoms and treatment for infertility in men?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: doctor i have spermattorhea & premature ejaculation for past 10years . i used to masturbate heavily (4-5 times/week).i have severe depression and OCD .few months ago i had severe headaches .my body has become thin & exhaused even to exercise.voice deepened, became more aggresive in behaviour,beard started growing heavily.i have no appetite & sleep .no concentration.and severe memory loss & have hard time sensing reality. Doctor: Hi, I can understand your concern for your symptoms, Rule out for UTI and prostate infection. for premature ejaculation you can take antioxidants basically. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for spermattorhea and premature ejaculation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, week of Christmas I had a kidney stone on left side, with a bacterial infection. took antibiotic for 7 days and seemed fine. was traveling and thought pain in back was because of being stuck in car to long, ended up in er after I basically collapsed at drs office, er said I was sepsis. iv antibiotics for 24 hrs and sent home. im am a week out taking augmentin and the pain in my back/kidney are is still pretty bad. is it possible im still sepsis? kidney infection? don t know what to do. went to dr day before yesterday and no one knows what happened how I got that way nd if its gone. I need help please Doctor: HiI think it will take time for you to completely get over your symptoms. Persistence of pain does not mean the infection is still there because other symptoms that will orientate to sepsis are not present.If i were your treating Doctor, i will add an anti-inflammatory pain medication like ibuprofen to augmentin and observe for some days.Also, you need to drink enough water.Wish you a speedy recovery"
},
{
"from": "gpt",
"value": "Target: What causes recurrent kidney and back pain while on Augmentin for sepsis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a male, 20yrs, 75kg and 5.5 ft. Having consistent fever, 102 to 103.5 degrees F. LFT shows SGOT-364, SGPT-507. Gamma GT-188,Total Bilirubin-1.7, Conjugated Bilirubin-1.1,Unconjugated Bilirubin-0.6,Urine colour is chocolate brown.Am I having some type of Hepatitis? Doctor: Hi dear thanks for asking question..Yes your liver enzymes are increased...You should consult doctor.....First here hepatocellular jaundice by viral hepatitis has to be ruled out....Alcohol and prolong drug intake also can lead hepatitis.. .As your urine is brown colour hemolytic jaundice should ruled out by serum LDH, urine urobilinigen , retic count etc ...Rest your liver by taking less fatty diet.Take papaiya like fruits more....Licorice with honey good herbal remedy...Take care.Dr.Parth Goswami"
},
{
"from": "gpt",
"value": "Target: Could constant fever, SGOT 364, SGPT 507, total bilirubin 1.7 suggest hepatitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After having my wisdom teeth removed, I began to develope red blotches on my legs, arms, fingers and toes. After two days, the blotches turned dark in color and i developed an extreamily painful arthritic like pain that lasted for 2 days. The pain was so sever that i couldn;t walk and was unable to bend any part of my body where joints connect. What could this be? 2 years earlier while vacationing, i but my foot slightly and my legs broke out in red blotches, but there was no pain. what could this be? Doctor: Hello.You should consult physician for perfect diagnosis n treatment of your condition. Wisdom tooth extraction doesn't cause these type of blotches or pain in limbs normally. You can reconsult for further queries."
},
{
"from": "gpt",
"value": "Target: What could red blotches with painful limbs after wisdom tooth extraction indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on the depo-privera shot for almost 2 years now.My last period was about a year and a half ago. I ve had 2 c-sections, the most recent being 9 years ago. My first c-section resulted in blood clots. This is why I m no longer on the pill, but receive the shot instead. Well I ve been experiencing symptoms of pregnancy. I vomit almost every time I eat. Sometimes I get nauseated just by smelling the food while I m cooking. My pubic area seems to be widening and my stomach hurts anytime it s pushed on or when I lean up against something, like when I do the dishes. My boyfriend has even heard a heartbeat when he lays his head on my stomach. He s listened to mine and he says they re 2 different heartbeats. I ve taken numerous pregnancy tests and all have negative results. I don t know what to do now. Doctor: HI, I have read your query & understand your concern. Depo provera when taken regularly has excellent protection from conception ( 99%) & your pregnancy tests are also are -ve so, apparently you are not pregnant. Depo provera is known to cause menstrual irregularity/ Few digestion issues ( like bloating, indigestion & vomiting can be due to this ), weight gain also it leads to bony weakness This might have caused widening of pubis & also pain after pressure on abdomen. Hearing of heart beats of a fetus when pregnancy test is repeatedly -Ve seems to be impossible-- still you can get USG abdomen to remove the doubt . Unless you do not have option for contraception, you should dicontinue Depo provera for couple of years & adopt some alternative method... for depo can cause osteoporosis weakening bones. Take calcium/ vitamin D supplements / regular exercises/ healthy life style , in the break to upgrade your health. thanks."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of potential pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 29 year old male. I have a lump on my inner left thigh, perhaps 2 inches from my genitals. It is hard, smooth, and appears to be separate from the skin, lying underneath. There is no visible evidence of it being there, I can simply feel it. It doesn't cause any pain. It just concerns me, probably more so because my medical insurance expires in 5 days. Is this something that should be removed, drained, left alone, or what? Doctor: Hello! Welcome to HCM.Since how many days/months is it there?Is it freely mobile?Do you have fever?This can be a lipoma i.e. benign tumor of fatty tissue. But as you have mentioned, is it really hard? coz lipomas are soft or firm at the most but not hard.This can also be an enlarged inguinal lymph node.Local examination by your doctor once is necessary.FNAC - fine needle aspiration cytology is advisable for accurate diagnosis.Treatment is done accordingly.Hope this information is useful to you.Wish you healthy life.Thanks.Regards."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lump on inner thigh"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello my 6 yr old daughter underwent an ultrasound . the report reads as below -- left renal mild pelviectasis - 8mm - not significant no caliectasis no ureteric dilatation. no urecterocele no u. bladder diverticulum could you please help with this? what does this imply? is there something that needs to be done? will there be any health issues in future? pl advice. Doctor: Hi Relax. It is nothing to worry. However, she needs a follow up USG after 3 to 6 months. If the pelvis size increases from 8mm to more, she will require a DTPA renogram. Absence of ureteric dilation rules out high grade reflux. So kindly relax"
},
{
"from": "gpt",
"value": "Target: 6 year old, ultrasound says left renal mild pelivictasis, no caliectasis, no ureteric dilatation. Implications? Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a long % year history of morphine ER . Starting 30mg and escalating to 180 mgs daily. Due to 11 reconstructive surgeries over the last 15 years. last 5 years awaiting a right complete knee replacement. It was successful and the added Oxy IR 30mgs 2-3 times a day, for post operative pain it works well. The Morphine ER was planned to be reduced as to it has become non necessary now . In fact is causing diminished breathing issues. it has been reduced by me over the last 2 months to a from 180 mg to even 45 mg. however even that is causing extreme breathing and anxiety stress. I have stopped it the last 4 days completely! i am feeling better , except the with drawl symptoms. extremely lathargic, sinus issues, muscle twitching and severely depressed already and edgy. I go to my pain management tomorrow morning. I need to have and have heard there some standard medications to be used with withdrawl issues non-narcotic preferred. My pain has been managed almost completely at least functional and able to make a good physical recovery as expected. with the Oxycodone IR 15-30mg tabs 3 times or less as needed for pain. do you have any recommendations? Doctor: Hello! From your question I come to understand that you have developed physical dependence to morphine and currently after the cessation of the drug you are experiencing withdrawal symptoms with can be very annoying and disturbing. The ideal way to decrease the incidence of withdrawal symptoms is by gradually tapering the drug before completely stopping it. As you have already stopped taking it, you might have these symptoms only for a couple of days after which you will be feeling normal. One of the most disturbing withdrawal symptom is lack of sleep, which can managed by using short acting benzodiazepines which can be tapered and stopped quickly. This can be done by getting yourself hospitalized ans supervised by a psychiatrist."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stress , anxiety and depression"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just been diagnosed with grade 1 anterolisthesis of L4 over L5 Multilevel degenerative disk & facet joint changes, most remarkable at the L4-L5 and L4 S1 level I am 56 yr old female with history of high level of activity I have been in pain for long time What are my options to help this condition and deal with pain? Doctor: Hi, I had gone through your question and understand your concerns.Thetreatment options for spondylolysyhesis grade I are:1.Short period of rest or avoiding activities such as lifting and bending.2.Physical therapy ( when you are free from pain).3.Anti-inflammatory medications.(NSAID drugs)4.Epidural injection of steroids.5.Hyperextension braces of your lumbar column for short periods of time.( mainly during physical activity)If symptoms fail to improve with conservative treatment surgery may be an option. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for anterolisthesis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lump about the size of a pea on my sternum between my breast. I noticed it in Oct but it has grown some in the last few weeks. It is tender, but I think a lot of the tenderness is because I am constantly messing with it. It is hard (but not bone hard) and it does not move. It feels like it is attached to my sternum. It did develop kinda like a pimple over the lump that had white liquid (smelly) drain from it. I have an appt with my doctor next week, but really concerned. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of infected sebaceous cyst is more likely.And the liquid you are talking about it nothing but sebum (infected material of cyst).It is common in anterior chest. Best treatment is complete removal of cyst. This will prevent recurrence.So better to consult doctor and discuss about need for incision and drainage (I and D).Also rule out diabetes as this kind of infection is common in diabetic. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes a lump on the sternum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: WENT TO CARDIOLOGIST WEDNESDAY AND WAS PRESCRIBED NITROGLYCERIN, METOPROLOL, LIPITOR, AND A BABY ASPIRIN A DAY. EKG SAID SINUS RHYTHM AND INFERIOR ST T CHANGES. BEEN GETTING VERY DIZZY, SHORT OF BREATH, AND CHEST DISCOMFORT. HDL IS 19, TRIGS ARE 800, CHOL 265, APOB100 IS 170. HE PRESCRIBED ALL THOSE MEDS BUT GAVE NO DIAGNOSIS. Doctor: Hello there you seem to be having an angina attack if not an MI and you need to visit an emergency quicklyhope that helps"
},
{
"from": "gpt",
"value": "Target: What is the diagnosis for shortness of breath, dizziness and chest discomfort?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My left palm and three fingers starting at the pinky are usually numb throughout the day.At different times the numbness spreads up my arm into my shoulder,part of my back,chest and face,the numbness is always on my left side. I have had lumber and cervical mri with no results that would cause the numbness. The mri s showed L-4 & L-5 to be herniated,also a nerve touching a bone.After walking for about 1/2 mile on the side of my left shin it hurts and I need to sit a few minutes before I can continue walking .What advice would help me alleviate this problem? Doctor: Hello. I have been through your question and understand your concern.Regarding the arm you might need a nerve conduction study to evaluate the nerves of your arm, to see if there is a progressive condition or any damage to the nerves. That would help a lot understanding better you symptoms.The need to rest after walking is a sign seen in narrowing of the lumbar spinal canal, probably caused by the herniated disc. This is more serious that the arm complaints, because this situation can progress. I recommend a neurological consult on this matter.Hope this helps. Please feel free using MHC again"
},
{
"from": "gpt",
"value": "Target: What causes numbness in hand, arm, shoulder, back and face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: All of a sudden ive got left chest pain above the left breast that sometimes, goes down my arm, i had a massive panic attack, and thought i was having a heart attack, now with every ache or pain i get i feel as thought im gonna die, then work my self up again..... im a 21 year old female. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in depth .* This seems in relation with psychosomatic manifestation of underlying stress or anxiety disorder .* Suggestions for better recovery- Have adequate rest .- Avoid stress , anxiety .- Regular sound sleep of 8 hours .- Avoid smoking or alcohol if using .- Tab. tylenol ( 500 ) mg 3 times a day after meals .* Consult your doctor later if required .Always feel free to ask any further doubts .Regards ."
},
{
"from": "gpt",
"value": "Target: What does sudden pain above left breast and arm mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My penis is about five inches when im erected and gets flaccid immediately after I ejaculate, what are some ways I can last longer? 2). How can I make it bigger? 3). Is it OK to use a penis pump? 4). Also while flaccid it very small and feels like its scriveled which is very annoying, how can I stop this feeling? Doctor: Hi, thank you for using health care magic.I can understand your concern.Five inch in size while erection is sufficient enough for intercourse and it is of normal size too. Most men have 4 to 6 inch penis while erected. so about size you are fine and there is no need to increase the size and no medically proven method available other then surgery for same. I am not seeing any indication with five inch penis for using penis pumpAbout lasting longer you can try squeeze technique, or start and stop technique , you can also use condom.You need to find out more about penis size from an authentic source and should not feel ashamed about your size after comparing with other ones. Hope this will help you.Regards."
},
{
"from": "gpt",
"value": "Target: How to improve penile size?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My steady girlfriend had her menses on april 1, 2012.we had sex using postinor 2 on april12. She had bleeding for 3days(menses) on may 3. we had no sex for the whole of may. When her period failed to come in early june we did a preg test which was positive.we did an ultrasound scan on june 25 which gave age of pregnancy as 6w+6d and EDC of februay 12 2013. Did my girlfriend cheat on me in may or is there any possibility that this delayed age of pregnancy is any effect of postinor on a pregnancy that occured in april? Doctor: Hello,Emergency contraception can avert pregnancy by three ways-preventing ovulation if it has not yet happened, thickening the cervical mucus making it difficult for sperms to ascend if ovulation has already occurred, making the endometrium hostile for implantation if conception has occurred. It cannot do anything if implantation also has occurred. In your case, since she took the pill within the stipulated time, protection should have been high. To know exactly when the pregnancy happened, you can calculate back from the EDC. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Had sex using postinor 2, usual cycles. Delayed periods, home test positive. Any effect of postinor on pregnancy ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an embarrasing prblem in that lately when I achieve orgasm a discharge comes out in large quantity. At first I thought it was urine but now I am not so sure. Is this a serious medical problem or will it go away? I am 22, 5'4\", and weigh 142 lbs. Doctor: Hello .Get a semen analysis for better evaluation as you are not able to describe the consistent. And see urologist for further.Do not hesitate to ask, Thank you."
},
{
"from": "gpt",
"value": "Target: What causes large quantities of discharge after the orgasm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, For past one month, my mother is saying she is hearing voices and says that the people in our apartment are planning to get rid of her from our house, although we are in our own house. From what she has told me, I understood she is imagining things.Today, early morning 4:30 she woke up me and saying that people are talking about her and she is afraid. No one is there and it is very silent. Kindly help me on how should approach Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are concerned about your mother's recent problems. Hearing non-existent voices is called hallucinations and having false beliefs that people are going to harm her is indicative of delusions. Hallucinations and delusions are symptoms of a psychotic disorder. So, it appears that your mother has developed a psychotic illness. She needs to see a psychiatrist for a detailed psychological assessment and further treatment.Don't worry because there are effective treatment options for this problem. Treatment can be in the form of medication called anti-psychotics and psychotherapy, which can control her symptoms. So, please take her to a psychiatrist as early as possible for further evaluation and treatment.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: What causes one to hear voices ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am Indian female 26 years old. i have had bad skin from a very young age.now almost more than 7 years. doc said its hyper pigmentation.i have met 7 dermatologist . When i stop using them my skin goes more bad. now i m nt takin any medicine but i still suffer from hyper pigmentation. my cheeks are darker and upper lip and the temple of forehead . please help. only my face skins bad.. Doctor: Hi there. You did say you have met 7 dermatologists'..am surprised you still count :) We are not a very large group in the medical fraternity but am sorry we have not been of mch help thus far...am sure they will have tried. Your problem my dear will require a more in-depth assessment. First, one needs to know the 'depth' of your pigmentation..superficial, epidermal or deeper dermal? A wood's lamp examination will be useful to help out or a dermascope or nowadays, facial scanners with IR etc give you a 'map' of your face. Next, underlying hormonal or endocrine causes need to be ruled out. Then accordingly a treatment regime needs to be started that varies from creams to lasers depending on your case. You may check our portal for a 'different' dermatologist in your area using our healthcaremagic website doctors addresses or use our 'ask-a-doctor' premium service & get in touch with me with details & photographic evidences. Chers & Good Luck! Dr Praveen Rodrigues MD Bangalore, India"
},
{
"from": "gpt",
"value": "Target: On medication for hyper pigmentation. Darker upper lip and forehead. Need help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was using a foot bath and reached for the remote control to the tv. My hand touched my iphone charger that was plugged into my computer and I got a HORRIBLE electric shock!! It hurt so bad! I was crying and could not even tell my husband what happened. THis happened about an hour ago and my arm is still tingling, weak, and in pain. Should this worry me? Doctor: Low voltage injuries are usually not dangerous. Pain at local site will be there for some time.U can apply voveran gel."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tingling, weak and painful arm after electric shock"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...a friend of mine received 3 untis of blood and has had drenching nights sweats for a week since.he is fine during the day and has no cough/urinary symtpoms etc. he bled during a camera test and had to go back to theatre to get the bleeding stopped Doctor: Hi, The bleeding can be due to prostate infection, renal calculi and urinary tract infection. Sweating can be due to anxiety, stress anger and thyroid dysfunction.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: What causes night sweating with bleeding?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc, good day am a young man of 36yrs without a child. I am married for 5 years. My sperm analysis are as ff.Cream Sperm, Liquified Specimen, 40% active and linear whiles 25% active but non linear. PH. 8.0 . please analysis if is possible to be a father. Doctor: Hi, This result of semen analysis is acceptable. I have seen men with similar results and got babies. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Melek, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest the range of fertility with the sperm analysis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am Sanjeev from DelhiMy Daughter of 4 yrs Old ,always suffering from cough(allergic and dry) Doctors suggested for Montair lc kid, however she is taking this since she was 2yrs old , doc recommend it will continue untill she gets normal..Is it safe to continue this medicine for long Doctor: **1. Montair [montekulast sodium] are inhibitors of leukotriene which are important mediators of bronchial asthma.2. Montair is indicated for prophylactic therapy of mild to moderate asthma but not to be used for terminating asthma episodes, i.e. In the acute phase,the goal of the treatment is to relieve the distress in breathing.In the later phase,step are to be taken to eradicate the disease. [where montair can be given]3. Montair is a very safe drug and produce few side effects [for exhaustive list consult your Doctor]4. Since the said problem for the last 4 years, thus steps are to be taken to eradicate the disease or alleviate the symptoms, in Ayurveda the problem is managed on the basis of \"PRANVAHA SROTAS VYADHI\"1. Asthma is a psycho-somatic [mind-body disease] disorder, thus calming of mind is very important: thus Medhya Drugs to be taken at bed time.2.Deep breathing exercises.They help increase lung capacity and also create awareness of the lungs and breathing process.3.Avoid deep fried, sour food/fruits, too cold food.4.Take warm drinks often like tea, coffee, soups5. For Breakfast and snacks: bread sdandwiches, idli,corn flakes, biscuits,sweet fruits like apple,mango,papaya and dry fruits6.For meals: roti, chapati,palak,methi,cabbage,salads(beet,carrot,cucumber)7.Cooking should use minimum oils.8.Avoid heavy meals,eat small frequent meals and take early dinner, keep bowel movement regular.9. you can ask for prescription medicine like: syp/tab bresol [himalaya], tab/syp haleezy [charak], [at her age]10.mix powdered salt and karpoor in warm ghee and massage between the shoulder blades"
},
{
"from": "gpt",
"value": "Target: Is it safe to continue Montair for cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Oldest daughter has been having lower right side pain for 10 years. we think its her appendix. in and out of hospitals everything normal from all the tests over all the years. so without insurance how much does a appendectomy cost with doctors,hospital,etc. Doctor: Well, the cost of appendix removal depends upon which city, which hospital , which facility you want , whether you want an open appendectomy or Laparoscopic and so many such factors. History of 10 years of pain in lower abdomen can not be due to appendicitis as by this time it would have ruptured and caused many complications. The pains like this can be due to IBS- Irritable Bowel Syndrome or so. Get investigated and diagnosed properly by showing to a Surgical Gastroenterologist.I would advise a CT scan of the abdomen, Enteroclysis, all relevant blood, urine and stool tests."
},
{
"from": "gpt",
"value": "Target: How much does an appendectomy cost?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got post. Natle depression after my birth of my daughter about 15 years ago when she was 5 1/2 I when on pills for it about for 6 mouth then I started back on it 2 years late have been on it for for 6 years which is Effexor-Xr 75.mg but now I am taking 37.5 mg I would like to get off them but when I miss it for one a I am very angry I am finding I don t sleep well at time I will not sleep 24 hours what can I do I have tried sleeping tabs which is seriously which is about 12mg but I wake up very tired and unable to go though the day please give my some advice . Doctor: DearWe understand your concernsI went through your details. Depression is supposed to be managed with the help of medicines and imparting life style changes. If you sit at home and not do any productive assignments, there are every possibility that your depressive episodes will return. Please understand. You should consult a psychologist (with your psychiatrist's consent, of course), who will guide you through behavioral therapy , exposure therapy and rational emotive therapy. Work with the psychologist for management of your problem. 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: Suggest treatment for postnatal depression"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been suffering from nightfall for many years. In past it used to happen 2 or 3times in a month. Now it has increased. Now it occurs 3 or more times in a week (since last two months). I am worried because of it. I am a student of computer Hardware, Networking. My present age is 26 years. Please help me to solve this problem. your kind cooperation is fervently solicited. Doctor: HelloI share your concern Night fall is a very much treatable condition so you need not to worryIf you can answer some of my question, I will definitely help you in best possible wayDo you masterbate?Do you smoke or consume liquor Any history of discharge or pain during urination Meanwhile please follow these guidelinesHave a sound sleep, try to get up early in morningHave lots of fluids Empty your bladder before going to bedYou should take multivitamins and good balanced diet.Please write back to me for further clarification or more queriesBest wishes"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for nocturnal emission in men"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I get random stomach cramps like lower abdominal pain and my side aswell especially when it s cold the pain is so unbearable that I can t stand straight sometimes and also I m bleeding but it s not time for my period the blood is red brownish colour I also have lots of blood clots during period Doctor: Hi.Thanks for your query. This is called inter-menstrual bleeding if you are not pregnant.This can be due to abortion if you were pregnant.The clots cause lot of pain like you have as the uterus tries to expel it. You can take anti-spasmodic tablets. If the bleeding is not controlled within a few days consult a Gynecologist, go for ultrasonography of abdomen and pelvis."
},
{
"from": "gpt",
"value": "Target: Suffering from stomach cramps & lower abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello My mother is suddenly having vomitting tendency (has already vomitted 4 times) .. she is not able to eat and looks like she has low blood pressure as well. I do not have car and Docs are not ready to come home, should I take her to hospital? Please advise Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes certainly you ll have to take her to hospital. At home you give her water with added salt and sugar to increase blood pressure. Also give some antacid if available. Don't give her spicy, fatty meals. Give meals in small amount at multiple times.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sagar Makode"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for low BP and vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I need to take Prepopik prior to a colonoscopy. The instructions from the nurse are to take it in two doses, one at 5 PM an the other the day of the colonoscopy at 3 am. The second dose is followed by drinking water 3 8 oz. glasses of water, which I should complete by 4:30 am. Could this affect my safety in having the Propofal administered for the procedure which is scheduled for 10 am? I was concerned as I thought I needed to be NPO after midnight. Many thanks, Valerie Doctor: Hi,I have gone through your query.Before colonoscopy large intestine need to be cleared up for proper visualization. That is why you were given preponik. There is no interaction between preponik and propofol. Overnight NPO is not required before the procedure.You should follow instructions by medical staff without worry.regards"
},
{
"from": "gpt",
"value": "Target: Could the Prepopik dosage taken before the day of colonoscopy affect the Propofal administered during the procedure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been taking iron tablets since 2010 for anaemia and I still have no stores and low blood test levels, my symtoms are getting worse, I have no energy my bones ache and my hair is thinning rapidly but my doctor keeps saying to persevere with the iron tablets.... Is there anything more I can do I feel so depressed with it all?.. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Get a complete hemogram to identify the type of anemia. Iron studies and vit B12 assay is also necessary.2. If iron studies show low serum iron and low ferritin, the your oral iron tablets are possibly not getting absorbed properly. 3. You will require iron infusions or iron injections to improve iron. More details necessary for further opinion.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for anemia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 7 year old frequently gets nosebleeds. There are periods though that she doesn t get them. Just this week, she s been having them almost every day and some days twice. We have a humidifier and I also use vaseline and saline spray for her nose, but even when she sneezes she has a nosebleed. It is becoming to be very frustrating for her and I am thinking of taking her to her pediatrician to be referred to an ENT? What do you think is causing this? Doctor: The cause is Adenoid hypertrophy which causes nose bleed and allergy You go for XRAY STN FOR ADENOIDS AND XRAY PNS WATERS VIEW FOR SINUSES temporarily you can add fexofenadine for sneezing Apply neos[porin H eye ointment in nose for twice a day Add liquid paraffin' Take a dropper aand 2 -3 droof iquid parafin in nose twice a day till you get reports"
},
{
"from": "gpt",
"value": "Target: Nosebleeds, uses humidifier and saline spray. No effect. Possible causes and remedies?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a bad cough for about 5 months. I have also chronic migraines, I have sleep apnea and I also have hypothyroidism . Lately every time I cough I pee heavenly in my pants :( I have night sweats and also my hands and feet have been sweating a lot. What do I do? Doctor: Thanks for your question on HCM.I can understand your situation and problem.You are having too many health issues simultaneously.In my opinion you should consult pulmonologist and get done1. Chest x ray2. PFT (pulmonary function test).You are having chronic cough since 5 months. So we need to rule out lung infection and bronchitis first.So chest x ray is needed to rule out lung infection.PFT is needed to rule out bronchitis.Uncontrolled sleep apnea can also cause chronic cough.So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. You are having stress incontinence (urine problem). So control of cough is needed to treat urine problem."
},
{
"from": "gpt",
"value": "Target: What is the treatment for cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been having trouble with bloody diarrhea for about a week now, and stomach cramping, nausea, and exhaustion for about 3 weeks. I've also been having 2-3 periods/month. I went to the ER on Saturday after a bad bought of bloody diarrhea because it worried me, was given Cipro and Levsin, no blood in stools until today, after a run. What questions should I ask my doctor when I go in this afternoon? Doctor: you need to do stool analysis to see the exact pathogen which is causing this. most commonly this is shigella or e. coli and you need t0o do antibiogram to see approprate natibiotic for it. Regards"
},
{
"from": "gpt",
"value": "Target: Treatment for bloody diarrhoea, nausea and abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a fall about a month ago, hurt my back. didn t go to a doctor, didn t seem necessary at the time. Some days I feel good, others...my back gives me pain. I had spinal surgery many years ago (1961-62)). I m wondering if that could be a problem? I am 85 yrs old now. Elaine Doctor: Hello, Thanks for your query.It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis.The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.You can get the appropriate drugs prescribed from your Orthopedician after examination.Meanwhile you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: Do I need to consult doctor for the back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... I developed 2 very small red marks on my upper abdomen;(only 2), along w/ a very small reddened- mark under my rt.breast. Appeared as a white \"blackhead\". They at 1st itched, & do NOT now. I put Bacitracin ointment on them. They seem to be disappearing. I have had sexual contact this past Sunday, the 19th. They developed on Mon., the 20th. I would hope that this is not the beginning of Shingles. What could these possibly be?? Doctor: Hi, I have read about your concern. Thanks for asking. Let me tell you one thing about shingles. They are not sexually transmitted. Shingles are caused by a virus called Herpes zoster, the same virus which causes chickenpox which might be well known to you. Shingles only occurs in people who have had previous episode of chickenpox probably in childhood. In people who have chickenpox in childhood, the virus enters nerve cells in body called dorsal root ganglia. There it stays dormant. When the persons immune system is weakened, it gets reactivated and develops into shingles. Also it is restricted to only certain areas where that particular nerve supplies the skin called dermatomes. It doesnt occur in the way you have mentioned like red marks. Shingles has many blisters or vesicles. So dont at all worry about shingles.You might have developed some allergy to some clothes or due to excessive sweating. Just try to avoid clothes that irritate you. Try to keep the area with red rashes dry without getting wet with sweat. It will mostly resolve by itself. As bacitracin ointment has worked on them, you can continue applying it.If it doesn't resolve in few days, visit your dermatologist."
},
{
"from": "gpt",
"value": "Target: Is Shingles, indicative with red marks on abdomen ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having fatigue, head pressure, pain in muscles and joints, ears ringing, eyes burning, shortness of breath after walking, confusion - can t concentrate on more than one thing at a time. It started with a pain in lower calf that went to foot. The foot is slightly swollen. Toes and fingers slightly tingly and numb. When leaning on anything, muscles hurt pretty quickly. Local Doctor ruled out blood clot in leg and gout. Doctor: Hi,thank you for the brief history of you. As you mentioned the symptoms i would like to suggest you to do regular meditation, breathing exercises and regular physical exercises. Also for swelling of the foot you can do hot water fermentation and then keeping the leg elevated above the level of heart.Also for for tingling and numbness of toes, it appears to have pinched nerve in the lumbar spine. An MRI will be of advised to see the soft tissue pathology. Also doing physical therapy under a guided physical therapist who will use therapeutic ultrasound therapy and TENS therapy to reduce the swelling and pain.Also, breathing exercises as, for shortness of breath the lung capacity has to be increased, a chest X-ray will provide some input to the lungs. Breathing exercises include - deep breathing exercises, pursed lip breathing, costal breathing exercises, abdominal breathing and diaphragmatic breathing exercises will help to reduce the shortness of breath.Exercises like core stability and spine strengthening exercises will help improve the abdominal muscles and provide the stability to the spine and also improve the breathing difficulty.Doing regular neck exercises will also help strengthen the muscles and improve the breathing capacity as the accessory muscles of respiration are involved in strengthening.With the grace of god i wish you a good health."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for fatigue, burning in eyes, muscle pain and shortness of breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a bottle in my mouth and it it the roof part of my mouth , It started Harding , when I put my hand in my mouth to feel it I notice a hard lump on the roof part of my mouth, and a soft one one the side by my teeth, should I wait to see if it goes down or go get it checked ? What could it be? Doctor: hello,thanks for consulting at hcm..the hard lump could be due to trauma,,soft one by the side could be due to abscess due to periodontal or periapical..do salt water gargle thrice daily,,take analgesics for the pain..either ways plz take a consult with an oral medicine specialist..hope it helps ,,tc,,"
},
{
"from": "gpt",
"value": "Target: Noticed a hard lump on the roof of the mouth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a large lump between my shoulder and neck. It appears after I carry my laptop bag, then goes away after a couple of days. Warm to the touch but not inflamed. This has happened 4 times now during these same circumstances. Is this cellulitus caused by pressure from bag strap? Doctor: Hello...Cellulitis generally does not relives without treatment and may cause symptoms like pain and fever...It is quite possible that repeated injury by laptop bag strap in form of muscles pain/hematoma...Kindly avoid hanging laptop bag on same side few days... use analgesic if needed. ...get done ultrasonogram if condition is not resolving..."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for large lump between my shoulder and neck"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I cut my finger while cutting raw poultry. The cut is not deep. I washed it with antibiotic soap. I wrapped it. It stopped bleeding quickly. The only thing I am worried about is salmonella. Should I be worried? If yes, is there anything I can do right now? Can I wait until tomorrow morning? Doctor: HI, thanks for using healthcare magicIt can wait until the morning. Since you washed the area with antiseptic solution, it is unlikely that any problems should occur.You can monitor for any evidence of infection such as increasing swelling, increasing pain, discharge, increasing redness.If there is any evidence of infection then you can see your doctor for assessment and treatment.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Can salmonella be cause after getting a cut in finger?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Okay. I have two rashes on the side of my upper arm, above the elbow. They started off as what looked like bug bites, but now they have turned into rashes. They re about the size of a quarter. They itch and look like they have a bite mark from where there could ve possibly been an insect? Please help. Doctor: Hello, I suggest you use an oral antihistamine e.g Cetirizine tablet once a day for a few days. In addition I suggest you to use a moisturizer to calm down the rash. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist"
},
{
"from": "gpt",
"value": "Target: How should upper arm rashes with itching be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my three year old has been suffering from dizzy spells for the past three month s- she describes it as her head is shaking. She does not visibly shake however. The doctor is not too concerned and has found nothing physically wrong. Should I have blood test s carried out - or even a scan? Doctor: HiThanks for askingBased on your query, my opinion is 1. Dizziness is caused commonly due to anemia, other causes being hypoglycemia, hypotension.2. You need get some blood tests for him, complete hemogram, random glucose levels and get his blood pressure checked.3. Get a stool examination too for parasites/ malabsorption.4. These tests would rule out/ confirm the above mentioned causes for dizziness.5. You can also take a ENT opinion for dizziness/ vertigoHope this helpsRegards"
},
{
"from": "gpt",
"value": "Target: What causes chronic dizzy spells in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello dr i m hbbvnaa i have a 3 years and 7 months daughter, she has flat feet and her ankle is twisting outside. i have start using inserts since she was 2 years, but the ankle showed no progress. this is causing her pain in her back knee and her back. and sometimes she wakes with the knees close to each other. please advise what treatments i have? orthopedic Dr said that this is because she has calcaneal valgus or prenatel and the advised to for me to leave her with out a help. one more thing they said that she has extra mi-liability thanks in advance Doctor: Hi thereit is very common for children to have flat feet (20 % of children have flat feet) this is because of ligaments being still very loose but as they grow, ligaments toughen up and the medial arch reforms. If she stands on her toes and her feet forms arches on the inner side there is no reason to worry she will do fine. If however she stands on her toes and the feet remain flat and the heel still pointing outside then I would recommend that you sought second opinion from an orthopaedic surgeon."
},
{
"from": "gpt",
"value": "Target: Should I be worried about flat feet, twisted ankle and closed knees?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have sever tuthache advise me tablets i fell hot n cold in that teeth since 2 days now pain since last night? plz Doctor: Hello and welcome to hcm, If there is cavity associated with the tooth with pain,place cotton dipped in formocresol within the cavity for temporary relief. Also avoid food lodgement at the site. maintain good oral hygiene. Get a thorough clinical and x-ray evaluation done. Get your teeth cleaned. Decayed teeth has to be restored. Pain killers will not give permanent relief. Please do take medicines after consulting with your dentist. Take care."
},
{
"from": "gpt",
"value": "Target: Which pain killer i can take for tooth ache ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have red bumps all over my stomach chest and back. It s been two weeks since they ve been here. They don t itch but for the past three days I ve been getting sharp pains coming from where the bumps first began and reaching out into my chest and lower abdominal. Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, in my opinion, you are mostly having allergic skin lesions. Multiple, red skin lesions are mostly due to allergy. So better to consult dermatologist and clinical examination of lesions. You may need anti allergic and antihistamine drugs. Steroid containing cream is also helpful in such conditions. Since all these are prescribed medicines, better to consult dermatologist and first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes red bumps all over the body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 39 years old and I need a form of contraception instead of condoms. I tried Yasmin with no bad effects but I am concerned about my age. So I want to take the mini-pill with just 0.5mg lynestrenol. The research I ve done seems to say it s a better option for over-35yr women. Is this correct? Doctor: HelloThanks for writing to us with your health concern.The OC pill has numerous benefits apart from contraception.It regulates menstrual patterns.It reduces heavy menstrual bleeding.ALso, due to regulation of the hormonal milieu, it leads to remission of your hormone related mood changes.It benefits headaches and cramps also.At 39, there is no reason for you not to take the pill if that is what suits you.Contraceptive choice is highly individualized, one HAS to go by the cafeteria approach.NO doctor can dictate what you should have, unless there are medical emergencies to take care of.As compared to condoms the pill is anyday more effective and has a lower failure ratePlease take the mini pill if that suits you.Ask your doctor to run through the medical eligibility checklist and if all is well, the pill is an excellent choice anyday, and there is no reason to recommend the coil or condoms over it.Make sure you take it consistently.yes, over 35, mini pills are safer than conventional combined hormonal pills.All the bestPlease feel free to discuss further."
},
{
"from": "gpt",
"value": "Target: Are mini pills better than condoms for women above 35?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, back in early April i had a termination as my baby had Downs syndrome and AVSD (also possibly hertsburgers syndrome) my husband and i have just decided we wld like to begin trying again for another baby are we more likely to have problems conceiving this time round? Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] I will suggest indulging in a healthy diet and regular exercise regime.Include plenty of fruits, salads, vegetables in the diet. Have adequate water intake , say 8 – 10 glasses per day.Avoid deep fried foods, bakery products, and refined sugars.Avoid substance abuse, if any.Start on FOLIC ACID, B12 supplements at least 3 months before you plan to have baby.2] You can also get genetic karyotyping done for both of you. If you both are normal , then your concern about repeat chance of Down's syndrome get statistically reduced.3] In next pregnancy . 12 weeks scan with nuchal translucency and nasal bone with double marker ; and at weeks triple test will help to screen out for Down's syndrome.4] In case of any doubts. CVB- chorion villous biopsy, and amniocentesis can be done to rule out fetal abnormality. I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam"
},
{
"from": "gpt",
"value": "Target: What are the chances of downs syndrome for the next pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI DR.,THANK YOU FOR TAKING MY QUESTION.I GOT OVER 200 RED BUG BITES YESTERDAY AFTER SITTING ON THE GROUND....WASNT THINKING.I HAVE BEEN TAKING BENEDRYL TABLETS,USING HYDROCORTISONE 1% ONIMENT AND ALSO USING XTRA STRENGTH HISTAMINE BLOCKER.CAN YOU RECOMMEND ANYTHING ELSE AT ALL FOR THIS ITCHING UNTIL MONDAY WHEN I CAN GO SEE MY DR.? Doctor: HI, thanks for using healthcare magicThe main danger for these insect stings would be an allergic reaction.At present you are using medications that would decrease any allergic response.There are no additional medications recommended at this time.In severe reactions a course of steroid therapy may be needed.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Bug byte, taking benadryl, hydrocortisone, histamine blockers. Recommendations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently had a ultrasound on my heart due to palpitations and feeling very fatigued, extremely sluggish, chest pressure, numbness down my arms at times, and feeling like i could not go for days on end. Hard to breathe, etc. The results of my ultrasound came back saying this: Report Pulmonic Valve: Trace pulmonic valve insufficiency is noted. Pericardium: No evidence of hemodynamically significant pericardial effusion is noted. Venous: The IVC is normal in diameter. Conclusion: Otherwise normal echocardiogram. At the time of interpretation, no previous studies were available for comparison. Summary 1. Estimated Ejection Fraction of 55 to 60%. 2. No tricuspid stenosis. 3. Trace mitral regurgitation. 4. Trace pulmonic valve insufficiency. 5. Trace tricuspid valve regurgitation. I would like to know if all this is normal or something I need to be watching or monitoring? Doctor: Hi, Mild tricuspid regurgitation or pulmonary regurgitation or mitral regurgitation may be seen in rheumatological heart disease or pulmonary hypertension or ischemic heart disease with dilated cardiomyopathy etc. If it is mild no problem but if it is moderate to severe lead to pulmonary edema, palpitations, dyspnea or cardiac failure. So you have to control your blood pressure and diabetes. Regular exercise and eating green leafy vegetables are useful. Please consult your cardiologist, he will examine and treat you with medication to prevent further progression. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for trace mitral regurgitation, tricuspid valve regurgitation and pulmonic valve insufficiency"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 31 yr old F. Generally healthy since I spent 13 yrs in the Army. Recently, I ve been more chest pain than normal. Been seen in the ER twice now.Finally was able to read the notes made by the ER Doc. ABNL ECG FINDINGS W/ BORDERLINE LEFT AXIS DEVIATION, T WAVE ABNORMALITIES, PROLONGED QT INTERVALS, AND PROBABLE ANT INFARCTION. I know what infarction means due to have a long line of medical in my family, and I m now a massage therapist. But the rest is a mystery to me. Doctor: HIWell come to HCMMain concern would be infraction else other finding can be seen in healthy person too with no clinical symptoms to rule out the possibility of any infraction it is advisable to get done the coronary Angiography, this would rule out the chances of infraction, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: What causes chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: me and my partner have been trying for a child and havnt concived yet and weve been trying for a while now so wot test can we have done to find out if we are able to have a baby and what test would it involve as we are both terrified of needles because of our past's Doctor: HelloWelcome to HCM.I can understand your concerns.Both of you should visit an infertility specialist.For husband, the most important is semen analysis. I hope he is not having erection problems.For wife, hysterosalpingogram to know the status of uterine cavity and tubes, Hormonal assays of FSH,LH, progesterone and androgens, Ultrasound scan of abdomen.Another important issues is to address irregular menstrual cycle. This is to know the ovulation status.The infertility specialist will guide you to go for specific tests based on complete history.Hope this helps."
},
{
"from": "gpt",
"value": "Target: Suggest tests to find out whether we are able to have baby"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: yes what can I do for pain in back and legs , I am 81 young now but I have so much pain since I was a little girl then doctor toke mom it was growing pains but now I don t grow any more I have seen a lot of doctors since then what can I do I do a lot of walking , Doctor: Hello,The causes for back and leg pain are:1. Injury2. Blunt trauma3. Sprain or strain4. Spondylosis5. Spine related problems6. Improper posture7. Peripheral Neuropathy8. SciaticaYou can take tablet Aceclofenac. Apply diclofenac gel or cream. Also, apply ice locally and do x-ray and MRI of back and hip region.Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shyam B. Kale"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back and leg pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have dark brown spots on my teeth, i have done leaching twice, but they seem to come back very soonthe dentist said it is normal and harmless but I dont understand y them come back.. i think i have some deficiency..i dont smoke or consume tobacco Doctor: Thanks for your query, I have gone through your query.The brown spots can be because of the coffee or tea stains or it can be because of flourosis. Nothing to be panic. Consult a good endodontist and get it treated with either veneers or crowns. It is not because of any deficiency as such.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes recurring brown spots on teeth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I almost always have pain in my lower calf, right side greater than left. I can t stand still for more that 5 minutes without having pain. I can walk ok. No one has ever given me an answer to my problem. I now take pain medication and live my life sitting down. Doctor: Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern. U seem to have compressed a nerve in the back somewhere that might be causing radiating pain in calf.Possibility of a lumbar disc prolapse or sciatica should be kept in mind.I suggest you get an Xray as well as an MRI to find out the exact cause.also get a scan and doppler of calf and lower limb to see for any signs of vein thrombosis.Physiotherapy,analgesics,anti-inflammatory drugs should help.another possibilty is of a lumbar canal stenosis. agood amount of back exercises should help but it should be done under the guidance of a good physiotherapist.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless."
},
{
"from": "gpt",
"value": "Target: What could cause constant pain in right lower calf?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 41 yr. old female in good health generally. (3 kids, 5 5 , 127 lbs.)I have a lump in what I think is my AC joint on my right side. It is visible and probably the size of a small grape. It is painful, but bearable. There is a constant pain there, but lifting and rolling my shoulder back definitely makes it worse. Rolling my shoulders back has always made them pop, but did not use to cause pain. It has been bothering me for a couple of months now and is getting worse. Is this arthritis? A bone spur? I am suspecting arthritis since I have mild guttate psoriasis...I returned to work last year and have been carrying a very heavy bag on this right shoulder... so originally thought the weight was bothering the joint. I noticed the lump last month. Your comments are much appreciated. Doctor: Hi,From history it seems that there might be having bursitis on shoulder joint producing lump on the part popping out while rolling shoulder on back.There might be having osteo-atheritis of shoulder joint precipitating this problem.Go for x-ray shoulder joint.Consult orthopedic surgeon and get examined.Plan of treatment can be decided after proper diagnosis.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a painful lump on the shoulder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got my wisdom teeth out three days ago, and since then, my tongue has been very swollen and numb. The left half of my lip and chin are numb as well. When I try to open my mouth, the left side of my tongue hurts. I can't eat anything solid, not even soft things like eggs. I haven't been able to call the dentist or oral surgeon because it's been the weekend and presidents day. What could be wrong with me? I know that it's possible that it could be nerve damage, but how could I go the rest of my life without being able to eat solids? I hardly eat because of this and I don't know what to do. Doctor: Hi..Thanks for the query..Numbing of the lip, chin and tongue occurs due to traumatic injury to the inferior dental nerve while removal of the wisdom tooth as many a times the inferior dental nerve lies very close to the roots of wisdom teeth..Many a times there can be slight injury leading to temporary numbing and the sensation will start recovering in a week..But if the nerve is split into two parts then unfortunately the numbing can be permanent..Pain and swelling after extraction is not abnormal and will gradually improve in next 2-3 days..So my suggestion is to consult an Oral Surgeon and get evaluated and a clinical examination and x ray only exact condition of the nerve can be ruled out.As of now take anti-inflammatory painkillers like Ibuprofen for pain and swelling and do cool compresses..Take Vitamin B complex supplements as it helps in nerve regeneration and repair..Hope this helps..Regards.."
},
{
"from": "gpt",
"value": "Target: What causes swelling and numbness in the tongue after tooth removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is a Command Segarent Major and has a temper which doesn't help/ His son is 14 and has and anger problem and gets so up set he goes into hyperventalating and shakes all over. He has to have his rest or it makes it worse. I have read where the seratonin is off and A2X a natural Herb can make a difference in one day instead of putting him on a drug. They think he is ADHD, I thought he maybe ByPolar, but He told me he needs anger management classes or medicine. I am not sure what to do for him, but he flips out on everyone when you tell him to do something he doesn't want to do and is kinda a slob. He won't clean up and I get kinda upset when he is here and I have him every time something goes wrong. What do you think? Doctor: Dear I understand your concern According to your description, your son may just be suffering from overwhelming emotional anger. That is all. Don't conclude anything. He knows wht to do. If he asks for anger management training, allow him to get it. Also consult a yoga therapist for relaxation techniques. ADHD and bipolar disorders are psychic problems which has many symptoms. Wait and watch. Wish him a good future."
},
{
"from": "gpt",
"value": "Target: Teenager. Severe anger problem, hyperventilating and shaky. Can use of A2X natural herb help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i was diagnosed of HBs(hepatitis) ,i did a test fro liver function and the results was ok like thisSGOT 2.6UI and SGPT 17.6.I NEED TREATMET.THAT IS HERBAL AND I WISH TO GET DRUG AIDS COS ITS DIFFICULT FOR US HERE IN AFRICA.iam on green tea,coffee enema,i dont drink Doctor: hi all diseases are curable except death . so do not panic . in yoga there are breathing exercises which will help you too much. you can see it on the internet. second press on your right palm on the line which is under your three fingers under the small finger. there will be pain [ press and leave for 10 second repeat for 2 minutes ] two to three times daily .......... do inhale daily [crush one full garlic and one tablespoon of black seeds] twice a day. morning and evening."
},
{
"from": "gpt",
"value": "Target: Suggest herbal treatment for hepatitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 60 yr. old African American female. For the past few months, I have noticed invountary movements (jerks) in my hands. Lately, I have start dropping things and sometimes when I drink my morning coffee, I will start to put the cup to my month and my hand jerks and I spill the coffe down the front of my blouse. What could be causing thi? Do I need to seek medical evaluation? Doctor: Hi,From history it seems that your case requires evaluation.There might be some problem in your brain giving rise to this involuntary movements in your hands.Go for MRI brain.Consult Neurophysician and get examined and investigated.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Jerks on hand, not able to hold anything. Consult doctor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i received a facial for the first time on April 18 and 3-4 days later i developed big welts that itched and blisters . I had to see a doctor , took cultures it was a bacterial staph infection that was affecting my glands and ear, had pain on right side of face. treated with antibiotics. Could that have been caused from unsanitary conditions of the place I had the facial Doctor: Hi, I have gone through your query and yes the staph infection could have been transmitted from the place where you had your facial. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: What causes bacterial staph infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning, age is 39, height is 6'4, weight is 235lbs. As far as medical history I have mitral valve prolapse. Last night I recognized I was sweating perfusely. I suffer from really bad allergies, and I think I am suffering from asthma. I have seen constant doctors because I also feel this tickling sensation in the center of my chest, and all I am told is to drink plenty of fluids. Can someone please cure me? Doctor: Hi,Chemotherapy per se don't effect the bp. But stress does, it can increase the bp.ThanksDr Sameer Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes tickling sensation in chest and excessive sweating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 35+6 days pregnant. It s my third pregnancy. Since last week having a severe pain just under my right side ribs. At first pain was felt while sitting. But now having all the time while lying or standing. Tried pain killer panadol tablets and spasfon tablets but no effect. Baby position is cephalic. My doctor suspects it a gal bladder pain. What to do? Doctor: hi.noted history of right sided abdominal pain, subcostal area. yes, it is possible that you have a gallbladder pathology (most commonly gallstones). costochondritis and pleuritic chest pain must also be ruled-out. it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. diagnostics (ultrasound, complete blood count, liver function tests, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. if it is indeed of gallstone disease, definitive treatment is cholecystectomy or surgical removal of the gallbladder. if it is not an emergent case, based on ultrasound and clinical evaluation, an elective cholecystectomy after giving birth will be advised accordingly. it can be done laparoscopically (goldstandard) or thru open technique. low fat diet is also recommended.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: Is pain under right side ribs due to gall bladder issue during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello... i bought canesten because i thought i have a yeast infection... and i havent consulted a doctor.. i used it yesterday but i have been suspicious that i might be pregnant , so i took a test today and it was positive... will using canesten affect the result ?? Doctor: Hi,Canesten is unlikely to interfere with the pregnancy test. It is commonly used to treat common fungal infections. Its use is not associated with causing false positive pregnancy test.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Will canesten affect the pregnancy test?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am female 26, i had a miscarriage nine weeks ago, had a period 4 weeks later. i done a test today cause of the way i feel and its positive, i have had unprotected sex since my period. am i pregnant or could the test be showing still from the miscarriage Doctor: Hallow Dear,Pregnancy tests are based on the raised titres of hormone hCG in the body. The titre starts falling down after abortion process and roughly after about 8-10 days it becomes undetectable in the urine. Therefore, the pregnancy test becomes negative about 8-10 days after abortion. Positive pregnancy test 9 weeks after miscarriage cannot be attributed to that pregnancy. You have to consider following possibilities:1. You may be freshly pregnant again. Ultrasonography after about a week can confirm the diagnosis. 2. Failed abortion last time. This also will be clear after ultrasonography. However, you had menses 5 weeks ago, hence this possibility can be ruled out. 3. You could have developed choriocarcinoma or molar neoplastic disease. You have to report to Gynaecologist to get quantitative estimation of the hCG in your body. If indicated, you may have to undergo curetting for biopsy of the tissue inside the uterine cavity. Ultrasonography is helpful in detecting or suspecting these lesions. However, this condition causes alarming bleeding which you do not have. Still, it is better to rule it out. Better to err on safer side. Choriocarcinoma can be completely cured with medicines if diagnosed and treated in time. I hope this gives you guidance for next step."
},
{
"from": "gpt",
"value": "Target: Can a miscarriage 9 weeks before still show a positive pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I AM HAVING MULTI GALL STONES MAX. OF 7 MM DURING THE SCAN. ONLY 6 GALL STONES. DR. ADVISED TO TAKE UDILIV 300 MG. GB REMOVEL IS NOT REQUIRED NOW AS PER THE DOCTORS ADVICE. NO STOMACH PAIN. ADVICE WHETHER GB REMOVAL REQURIED AT THIS STAGE OR MEDICINE IS SUFFICIENT. PLS ADVICE SIR Doctor: what is ur age?and sex ?give any presenting complian?if u have no complaint in your stomach so homeopathic medicine may help you,first you should take 1 tsp olive oil with 1/2 tsp lemon tds,calc carb 12x 4 tb bd for 15 days then contact me fo furthure treatment,dont worry about gall stone it will slowly desolve and come out with your stool."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for multiple gall stones"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: yes thank you. Ihave a rash on my face that is very very itchy, And there are lots of small bumps, they are some bundled and my skin is drying and it is leaving black marks in my face. this is new. but my hands has a old rash and I don t know if that is sprading or if this is something else can you please help me it is itchingnso bad! Doctor: you have to find out cause of rash and if you leave such it will increase leading to severe form with involvement it can be due to medicines taken for other diseasesoaps clothes shampoo oils cooking oils ointments creams body appliction materials like dyes henna etcit can be food or clothings you have to corelate and find cause to withdraw the allergen find out by corelating if possible and by tests if you do not come to conclusion temporarily you can use antiallergics tab and local antiallergic ointmentson the effeted part"
},
{
"from": "gpt",
"value": "Target: Having rashes on face, itchy, lots of small bumps, black marks on face. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell several days ago onto my bum. A couple days ago while sitting my tailbone popped. Now it is extremely painful to sit down directly on my bum and I cannot bend over without a great amount of pressure. When laying down in bed I have to lay on my side as the pain from laying on my back is awful as well. Is there anything that I can do to alleviate the pain? Doctor: hello....according to me two conditions can lead to pain in your tail bone...first is a coccyx fracture and second one is coccygodyenia....you should get a xray done of your tail bone get precise dignosis....however till the time avoid sitting on hard chairs...also you can use ring pillows to sit on...take painkillers for 7 to 10 days ...apply ice over the tailbone....feel free to discuss your xray findings...thanks and dont worry..."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in the tailbone"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: se type your query here...hi I have been tryin for a baby thru artificial insemination doing it myself at home with a syringe I get quiet far in but some seman sperm watever it is comes out so today I layed down nothin come out when I got up 30 mins later it all dripped down my leg is there a chance sperm still went to where it needed to? Doctor: Hi, I think it is very difficult to insemination sperms by yourself. Semen should be processed in laboratory and then it is instilled inside the uterus by using different instruments. Get it done by a gynecologist otherwise it will not be effective."
},
{
"from": "gpt",
"value": "Target: Can artificial insemination performed by self be successful?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My name is Geetha. when I was 13 years old(1992) I got my abdominal surgery due to twisted cyst in right tube. so there is no right ovary and tube. when I was 21 years old (2000) I got appendicitis operation.now I am 32 years old.Igot married one year back. I got regular periods. I conceived in last january.the 40th day I got severe stomach pain and bleeding then I got two injections. then there was no pain for two weeks.after that I got little bit periods continously for four days then we scanned and found that it was left tube ruptured pregnancy . it was bleeding from the tube,they cut the damaged part.It was operated on Margh 7th. I got periods on march8ththen april 7th. this month It didnt come . we scanned and we found that it isnot pregnancy.and they told that there is no natural conceive for me. only by test tube baby.that too 35 will get out of 100.my question is what is percentage for me to get a test tube baby? that is any other test is there for ladies to find about there conditions to get the baby? age 32 height 167 cm weight 61kg Doctor: Hi Geetha, The chances of conception after in-vitro fertilization (IVF) are around 30%. This means that 30 out of 100 patients undergoing IVF are likely to get pregnant after the procedure. The chances of conception are better before the age of 35 years. Based on your case history, IVF seems to be the only option for you. If you want to attempt IVF, it is advisable to do so before you reach 35 years of age. Do consult a good gynecologist who will advise you regarding appropriate investigations. Hope I have answered your query."
},
{
"from": "gpt",
"value": "Target: What are the chances for me to conceive with a test tube baby ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I’m having chest pain on the left side of my chest I’ve been to the doctor and had an x-ray on my chest for Long and heart problems my heart size was normal and my lungs looked fine I was prescribed muscle relaxers which helped but now the pain has returned Doctor: Hi, The left side chest pain has to be ruled out for cardiovascular disease. If this is not the pulmonary disease then it has to be looked for cardiac disease now, and for that EKG is the test. Besides this, the symptoms of chest pain can be due to acid peptic disease (hyperacidity). On an empirical basis, Omeprazole can be taken in tablet form, but EKG is a must. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Akhtarhusain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How can pain on the left side of the chest be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have upper left abdominal pain, does not interfere with activities, had X-ray and blood test done, nothing came back abnormal, could it be a strain, had pain for 2 months. Feels good with rest, then comes back has day goes on, it feels good to stand upright. Doctor: Hello.Upper left abdominal pain could be because of spleen injury.But as you mentioned you got your X ray and blood labs done and it is normal.I would like to suggest you to get an ultrasonography done.If the USG comes normal then you don't need to worry unless you get fevers .With the normal USG reports ,you can ask your family physician to prescribe to a muscle relaxant to cure this strain.I hope this helps you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor....I have been taking Fertab, clomid, euthyrox tablets since two and half years. Dr. Also prescribed Gonal F injections for 3 months,but have not been able to conceive .. Can u please suggest me some thing??? Can I go for IVF??? Is it safe to do IVF? Thanks Doctor: Hi it is quite safe to undergo IVF. It will increas3 chances of your pregnancy. So if you have already tried so many things, you can try IUI also before undergoing IVF. talk to your doctor regarding this. But don't worry IVF is not going to harm you. Hope I have answered your question."
},
{
"from": "gpt",
"value": "Target: Is it safe to have IVF?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My fiancee is a 44yr old male--just had a valve replacement last Friday...he has been VERY bloated and in extreme pain ever since the surgery. He has been given laxatives and now has the drainage tube through his nose---he is getting no relief at all. What could be causing this SEVERE pain and swelling? He has had 2 x-rays to check for an intestinal blockage but none were found. He needs a pace maker now as well but he can t have that placed until the bloating is corrected. I am very concerned---can you offer any insight please? Doctor: Hello, He may need an angio CT scan of the abdomen to exclude any possible serious problem like mesenteric thrombosis or something else. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anila Skenderi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes swelling and pain in drainage tube through nose after heart surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had sex with my husband on 25 oct and my periods date is 8 and periods will start on 8 november then when should i start taking mala d ? can i start taking mala d tablets from 25 oct ( the day when we had sex) ? And advice me that MALA-d table can be used and on how many days i should continue taking this tablet? how many times i should take this tablet if i have sex after every 1 week in one month ? I want to know proper about safe tablets / medicine process which i eat after sex with ym husband and sex without condom. please advise me urgent. thanks. Doctor: Hallow Dear,You had unprotected intercourse in fertile period. You should have taken emergency contraceptive pill or two tablets of Mala D within 72 hours of unprotected intercourse. Now you have to wait for the menses to appear. If they appear, start Mala D tablets from second day of the menses. If menses do not come, get your urine pregnancy test or/and ultrasonography done for detection of pregnancy 8-10 days after missed period. Tests done earlier may be inconclusive. If you are pregnant and do not want the pregnancy you can get aborted by medicines. Report to your Gynaecologist for that. After abortion, you can start the Mala D tablets immediately. I hope this answers your query."
},
{
"from": "gpt",
"value": "Target: When should I start taking Mala-D? Had unprotected sex"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have a level 3 malocclusion underbite. Both my parents do not have this trait. My grandpa did, my grandma didn't. Is this a autosomal recessive trait with homozygous alleles? I am hoping so because I do not want my kids to have such a disorder Doctor: Hello, thank you for consulting with healthcaremagic. Actually according to different studies it has been proved that this class 3 malocclusion compared to class 1 and 2 is an autosomal recessive trait, as if it is present in the dominant gene it will transfer. But there is nothing to worry about it, as now a days there are many new treatments which can resolve the problem. Hope it will help you."
},
{
"from": "gpt",
"value": "Target: Is class 3 malocclusion an autosomal recessive trait?"
}
]
|
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