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[
{
"from": "human",
"value": "Source: Patient: i am a twenty year old female and i have been suffering with lower middle pain in my belly for 3 years since i had my first daughter but it is progressing to get worse i have had stis tests and all come back clear i have this pain 2 weeks before i am due on and it gets worse when im on my periods are havey and the pain is makeing day to day jobs hard please could you let me know your oppinion thanks Doctor: Hi dear,It may be mittelshmerz (ovulation pain). One fifth females are having this. There are many factors that may cause this condition. At the time of ovulation follicular inflammation may be there causing this or ovarian wall rupture (which is a part of ovulation), or fallopian tube contraction may cause this. If your pain is from these causes you need not to take any special treatment, if pain is severe you can have an analgesic from your doctor. This type of pain will worsen at the time of periods only and will subside with in maximum 3 days.If your nature of pain doesn't match with this you may have to do an abdominal ultrasound scan to find out what it is.For mittelshmerz you can have the following medicine,1. Tab mahwari. 1 tab @ morning only during menstrual period.2. Syp masturin 10ml with 100ml of water two times daily (only non- menstruation days)3.lakshmanarishtam + ashokarishtam (mix with 50% each). 30ml twice daily after food(only non- menstruation days).4. If possible do a light purgation with 5 to 10 ml of castor oil one week before periods.This combination can manage the condition of chronic mittelshmerz. ( the above are Unani medicines)With thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, we are visiting India after a long time and my 2 yr old son is having some kind of allergy to the mosquito bites.it first becomes red and swollen and then it bruises and bleeds like he has been in some accident.In just 15 days his body is covered with these bruises,I am applying calamine which doesn t seem to help much.Plz suggest something anything i can do to help him..momto sunny Doctor: Hello, Insect bites on skin in little children can be quite bad. Zinc oxide helps such as the one found in nappy creams. You can use a mild steroid cream such as 0.1% hydrocortisone cream; and use antihistamine syrup such as chlorphenamine or cetirizine. You can also apply insect repellant cream on the exposed parts of the skin avoiding the face and neck. Best Wishes."
},
{
"from": "gpt",
"value": "Target: Mosquito bites becoming red, swollen, bruised, bleeding. Bruises all over body. Calamine not helping. Cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have seen my G.P. and been to physiotherapy. Since last october, 2013 my right hand has experienced pins & needles. It has now progressed to my collarbone, I am weak, tired, dizzy, need cane or two (some days) to walk, right foot and leg are also pins & needles. My facial skin feels itchy; I have severe hot flashes (full hystorectomy August, 2010 (I am 54 years). I was smoking marijuana mixed with tobacco for six and a half years but quit altogether this past january, 2014. My doctor has booked a nerve test for July 18 but my symptoms and tiredness are getting worse constantly. I am previously diagnosed with depression/anxiety (2002/2004), take Effexor (3x75mg/day) and literally feel like a 90 year old person. I drop things, can hardly hold my tea mug and dropped things in grocery store today and/or cannot pickup things in grocery store. Last night putting frozen chicken breasts from ziplock bag into roasting pan was difficult and almost dropped them. Not more than six inches to go. My doctor has a terrible reputation and spends the bulk of the year travelling. Doctor: pins and needle sensations along with weakness in hand might suggest Peripheral neuropathy. If it is asymmetric in onset, it can be mononeuritis multiplex.I advice you to get Nerve conduction study and EMG study done."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pins and needles sensation along with weakness in hand"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm not married.I`m 24 years old and 70Kg weight.With these results Is there a need for a varicocele operation?Scrotal Doppler (US) Report*Mild (left) varicocele (up to 2.7mm) with no reflux by doppler study under Valsalva maneuver*Mild (right) varicocele (up to 2.6mm) with no reflux by doppler study under Valsalva maneuver* normal size,shape,site,vascularity and echogenecity of both testicles.*normal both epididymis.*no hydrocele.Seminal Fluid AnalysisTest ResultesVolume 3 mlPH AlkalineLiquifacation 30 minColour Grayish-WhiteViscosity MucoidAbstinence 4 daysSperm Concentration 30 millions Doctor: Hello, Since its a mild varicocele no need of surgery, still this alone cant be a reason to define the need for surgery. If you have symptoms related to varicocele, symptoms related to sex and not related to accidental finding then surgical procedure needed. 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: Scrotal ultrasound: Left and right - mild varicocele upto 2.7mm and 2.6mm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A week ago I was hit very hard in the front of my shin. A large lump swelled up right away and a softball sized bruise. The lump is now smaller and hard. Im on my feet a lot and its a little painful when standing or walking but extremely painful once I sit down. Im on fixed budget and am unsure if I should get an xray or just give it more time to heal. Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.You are likely to be having hematoma which will gradually resolve. You can take analgesic such as ibuprofen for pain relief. Thrombophobe gel local application helpful in resolving it early. Vitamin B and C are helpful in recovery. You can get its x ray to rule out any mild fracture however I don't think that you have fracture. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes pain and swelling in leg after an injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Excruciating right side flank pain, was seen in emergency room.. 8 months pregnant.. history of kidney stones and common for me to get UTI often.. did three ultrasounds and no sign of stones but diagnosed with hydronephrosis .. tight kidney has extra fluid and now they think I have a kink in my ureter .. was doing well with pain.. now it is back and going down right leg.. any thoughts? YYYY@YYYY Doctor: You should take rest in Left side position on the bed.Consider starting Cap Cephalaxin if urine analysis reveals pus cells/bacteriaContinue to have plenty of fluids daily"
},
{
"from": "gpt",
"value": "Target: Right side flank pain. 8 months pregnant. Diagnosed with hydronephrosis. Pain radiating to leg. Solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2 year old starting being ill 8 days ago, she would vomit anything including parecetomol after a few days she stopped drinking and we took her to er. No fever at all, checked for diabetes (negative). Tiny rashes around nuckles which go away. We have been giving her electrolites and paracetomol posterior. However, she is still very tired. She is ok when wakes up but by noon all wants to do is sleep. Curls up as if in a bit of stomach pain. Will spend most of rest of day napping, wake up for an hour and then want to go back to sleep. This is day 8, and has never been ill before 8 days ago. She moans alot and appears to have some sort of discomfort. Doctor: Thanks for consulting at Healthcare Magic.As your daughter is suffering from vomiting, abdominal discomfort, drowsiness, loss of appetite since 8 days, you should consult pediatrician for detailed clinical examination and investigations like CBS, USG etc."
},
{
"from": "gpt",
"value": "Target: What causes vomiting and abdominal discomfort in a 2 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: a week and a half ago I was diagnosed with inflammation of the knee.I initially iced,rested and elevated it,and was given a compression bandage to wear,as well as being on anti inflammatory drugs. My knee has virtually gone down to normal now,but there is still pain from time to time,and it feels heavy when walking upstairs.What can I do now to help it to fully recover? Doctor: Hi, Its full recovery will take a long time. Keep on resting as long as you can and continue on your medication. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for inflammation and pain in knees"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain resulting from a bad accident in 1995. I have been taking hydrocodone oxycodone for quite a few years. It has gotten to the point that it isn t working anymore. I am taking 7.5/325 one or two every four to six hours. My leg pain is so bad that at times I take up to 12 a day. They say it is siatica. Is there any thing else available, maybe by injection or IV, that would have a longer term effect? I have COPD, emphysema, A-Fib, A-Flutter. Doctor: Dear patient chronic pain of such a long duration needs to be thoroughly investigated. prolonged use of analgesics has its side effects and you are taking maximum dose of it. xray of leg and lower spine needs to be done first. if needed Mri of lower spine is required to confirm diagnosis. you need to consult spine surgeon nearby you. please get back with reports.thanks."
},
{
"from": "gpt",
"value": "Target: What causes prolonged leg pain despite taking Hydrocodone and Oxycodone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 33, 5 7 around 130 lbs. I have developed severe headaches after started ADHD treatment with Stimulants. My pulse and blood pressure are elevated yet normal. I have had EEG, MRI, CT Scan, everything is normal. The pain radiates from the bridge of left side of my nose and is everyday. The pain persists even after stopping the Stimulants. However my pulse rate and blood pressure are still elevated. Could the cause be related to BP or pulse rate? Triptans did not stop the headaches. On preventative Elavil, Mobic, and recently added low dose of Blood Pressure med. My normal heart rate is around 55, currently running 75-95 beats/min. This has lasted over 6 months. Doctor: If you started taking a medicine and developed new symptoms, the first rule is to stop the medicine unless it has immediate, life saving effects. I counsel my patients after similar to exposure to stop stimulants and allow several weeks for their effects to wane completely. In coordination with the prescribing physician, I will try to stop as much as possible to avoid adding medicine to treat the symptoms brought on by other medicines. All should be done with knowledge of the doctor coordinating your evaluation for headache."
},
{
"from": "gpt",
"value": "Target: Can elevated blood pressure cause headache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My father aged 64 has got jaundice. Liver Functionality tests were done and his AST was 550 and ALT was 1024. Also his total bilirubin count is 8.9 now. His Hepatitis A,E & C tests were negative and ultra sound scan report show nothing abnormal. He has been prescribed udiliv 300 for one month every morning. After started taking tablets for one week, he is not having apettite and his urine colour has slightly improved from amber to dark yellow. Kindly let me know whether we should continue with the tablets or go for further consultation Doctor: Hi,As per his blood report, it is advised to continue with Udiliv. Along with udiliv it is necessary to give liver rest so it can heal itself. Diet low in fat and spices should be given. As appetite is not increasing, i suggest you to start syp. Sorbiline alongside.Do consider a positive feedback as a credit to my work. Let me know if you have any further questions."
},
{
"from": "gpt",
"value": "Target: No appetite, dark yellow urine after taking udiliv 300 for jaundice. Should the tablets be continued?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi..both my legs are affected with Parapariesis (a form of polio) and my left leg is approximate 5 inches short ...in right leg there is curve at knee causing several pain at the time of walk..is there any possible treatment kindly suggest...Sunil Raghav Doctor: Hello,The main treatment in such cases is physiotherapy and therapy for the pain. In this regard, I would suggest treatment with gabapentine or pregabaline to help reduce the pain.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for Parapariesis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have two small holes in the back of my mouth where my wisdom tooth might be coming in it doesn't hurt and I kinda see a tooth like color in it also can feel it is hard. Could this be my wisdom tooth even though I'm almost 26. Also I've had an olcer on and off for the past year in the same spot. Please help. Doctor: Hi Dear,Welcome to HCM.Understanding your concern.Thanks for your query . The hard structure you mention in query is nothing but erupting wisdom tooth (as you also mention in query ) . But this wisdom tooth is impacted means partially erupted . This impacted tooth make space for lodgement of food derbies and bacteria , which make gum to swell on that site .That inflamed gum usually get bitten during eating which form ulcer . this condition is called 'PERICORONITIS' .iI would suggest you to :-- Do betadine rinses several times a day otherwise the pericoronal flap get badly infected .- Take Advil ( if not allergic) or paracetamole for pain and swelling .- Do hydrogenperoxide rinses mix with equal amount of water once .Consult dentist for proper examination . Doctor may take X-ray to see the root position and and relation to bone .Doctor may prescribe antibiotics (amoxicillin) , Surgically cut the pericoronal flap if it become problematic.Doctor may also recommend you to get the wisdom tooth extracted . If doctor think the it will be problematic in future due to lack of space in arch. hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes two holes in back of mouth with tooth like color?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sorry I had left hip replacement about five years ago however in the past year I seem to have a pinch nerve which causes sharp paindown my thigh area??? it is fine when I am sitting or sleeping but whilst walking as such find ti very painful. I have tried things like nurofen and the the like somee relief, have tried massage all around top side of thigh but to no avail.. I was told that the nerve could be deadened by steriod treatment???? Doctor: hi,thank-you for providing the brief history of you.A thorough neuromuscular and musculoskeletal assessment is advised.As you had THR few years back, there might be weakness in the hip muscles leading to increase the load on the spinal column. As per the biomechanical understanding the weakness in the hip region will give stress on the lumbar spine leading to pinched nerve.Usually in my clinical practice I see cases having similar complaints. Recommended physical therapy for strengthening the muscles of this hip and core provides optimum results.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for sharp pain down my thigh area post hip replacement surgery"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 5 year old daughter has been experiencing bursts of nausea since last night without vomiting. She has an appetite and has been eating and drinking. She suddenly becomes pink, then pale and feels like vomiting. It subsides after a few seconds. Any thoughts? Doctor: Your daughter could be suffering from a gastro intestinal infection. Give her ondansetron to reduce the nausea. There is not much to worry about since her feeding is normal. Give ORS if vomiting occurs."
},
{
"from": "gpt",
"value": "Target: What causes nausea and vomiting sensation in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife has a brain tumor which was operated on last October, followed by 6 weeks of chemo and radiation. Then for the last 7 months she is taking Temodar pills 5 days a month. She is to start this next regimen tonight but has a bad cough and her chest is tight. Should she take her chemo pills? Doctor: Thanks for your question on HCM.Yes she can definitely take chemo pills.But we need to rule out chest infection first because chemotherapy makes person immunosuppressive and more prone to infection. So chest infection must be rule out first.So get done chest x ray first. If this is normal than no need to worry for lung infection. Take antihistamines and simple antibiotic for her cough and chest tightness. Continue chemo pills."
},
{
"from": "gpt",
"value": "Target: Can chemo pills be taken during cough and chest tightness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor.am 21 years old and am doing masturbation .My penis is only 3\" long in normal condition and when in mood my penis is nearly 5\" longer.My masturbation time is max 10 mins.only.How to get longer time doctor..? weight-55 kg. Height-157cm. I was affected bu phnemonia when i was studying 8th standard. Doctor: Hello Thanks for writing to HCMYour problem is entirely psychological.Your ejaculation time is absolutely normal.You should avoid excessive masturbation and try to concentrate in your activities.You should avoid provocative literature and videos and try to keep busy yourself in your job.You should do exercise and take nutritious food.You are alright.Your problem is not related to history of pneumonia.Hope i have answered your query.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Can ejaculation time be increased?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been taking cerazette after having my first baby 4 months ago and have been bleeding almost non stop since. I had a uterine infection 2 months ago which was treated with antibiotics and the bleeding stopped for about a week but has since continued. Gp recommended doubling dose of cerazette which after 10 days hasn't made any difference what could be wrong? Doctor: Hello,Thanks for posting on HCM,At this stage, I do believe that the cause of this postpartum hemorrhage should be investigated further instead of taking cerazette (progsterone hormone). Most common causes of late postpartum hemorrhage could be uterine atony, retained products and unlikely tear. If you are taking cerazette and any of the above causes are responsible then it is useless taking it.I think you should have been referred to a gynobs a while ago as bleeding for 4 months could be very fatal. Having uterine infection could be as a result of retained products and will need to be evacuated with D&C. Hope this helps and wish you the best"
},
{
"from": "gpt",
"value": "Target: Continuous bleeding with intake of cerazette after childbirth. History of taking antibiotics for UTI. No help from doubling dose of cerazette. Help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my family recently caught the stomach flu (norovirus I believe) starting with our baby, then my husband, then toddler, and I. My daughters and I took probiotics during the flu and my husband didn't and we have either light yellow to mustard almost white colored stools,but he does not? Doctor: STOMACH FLU IS NOT A 'FLU'.IT MAY BE VIRAL OR PARASITIC INFESTATION,OR BACTERIAL INFECTION DUE TO UNHYGIENIC FOOD .YOUR FAMILY MIGHT HAVE TAKEN SAME FOOD.DO NOT WORRY.TAKE CARE FOR DEHYDRATION.GIVE PLENTY OF O R S WITH MINERAL WATER & COCONUT WATER.GIVE SEMI SOLD DIET IT WILL CONTROL WITHIN A WEEK IT SELF.GIVE CURD,BANANA.IF NOT CONTROLLED CONSULT YOUR DOCTOR.KEEP YOUR HANDS CLEAN WITH SOAP & WATER.WHITE COLORED STOOL MAY BE DUE TO JAUNDICE,CHECK IT ."
},
{
"from": "gpt",
"value": "Target: How to get rid of stomach flu?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HelloI recently got diagnosed with sever gum disease , I went to see my dentist because of a gum infection 3 weeks ago he put me on anti biotics , they not only did not work but the infection got worse I went to the ER for some penicillin also did not work at one point I had six abscess in my mouth not only did they not go away but they keep spreading ! , to add I've lost about 7pounds , lost appetite , nausea and blood (tar) in stool .I went back to my dentist today and he ask that I get a physical as soon as possible I'm very concerned !What could be wrong with me? Doctor: thanks for your query, i have gone through your query, the multiple abscess could be a multiple peridontal abscess it could be because of poor maintenance of the gums or it could be secondary to diabetes. consult a oral physician and get the radiograph done like OPG and blood investigation to rule out diabetes. if i an your treating doctor i would have put yu on penicillins, metronidazole combination. get your teeth cleaned and if there is a tooth infection it has to be treated. get the RBS AND FBS done. if its high then consult a general physician also. do saline gargling3-4times. i hope my answer will help you. take care."
},
{
"from": "gpt",
"value": "Target: How can gum disease be cured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i was diagnosed with mastoiditis along with vertigo in the emergency room and was given a 10 day prescription of omnicef. after coming home i read that mastoiditis is usually treated by iv antibiotics and now i am concerned that oral antibiotics wont be enough. it has been a little less then 48 hours since starting the antibiotic. when will i start feeling better Doctor: Thanks for asking in healthcaremagic forum They might have suspected mastoiditis for you not diagnosed you. So, trust your doctor and follow his advise and go for follow up again as per the advise. If your symptoms does not subside visit him at the earliest. Do not scratch your head by reading online data. All the best."
},
{
"from": "gpt",
"value": "Target: Is mastoiditis treated by antibiotics or by iv?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: can zinnat be used to treat brucellosis Doctor: Welcome to Healthcare Magic Brucellosis is a zoonotic disease in humans. Streptomycin injection is gold standard treatment. Doxycycline, Ciprofloxacin may also be used. Cefuroxime is not routinely used."
},
{
"from": "gpt",
"value": "Target: Is zinnat advised to treat Brucellosis ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im having severe pain and pressure in my chest n right arm, neck, and jaw. My arm feels heavy and my right shoulder hurts the most. Pain is also in my back mostly under my shoulder blade. I get dizzy after I try to fully exhale n it feels like I can't exhale all the way. Doctor: Your presentation shows u r having anxiety. try not to get too many tests. Do biofeedback, get busy with your work or studies. Try to avoid drugs. Do regular exercise. dont know ur age so i cant tell u your risk for ht diz"
},
{
"from": "gpt",
"value": "Target: What causes severe pain/pressure in chest, right arm, neck and jaw?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an athletes foot condition on my little toe, for the first time in my life... I thought I had a bug bite, but it is now swollen and has a blister on the inside. After reading symptoms, it looks as though it has a bacterial infection. Is there an over the counter treatment for this stage, or do I need to get an antibiotic? Doctor: thanks for posting your query to hcm. it is secondary bacterial infection .if there is no pus collection you can take antibiotics along with aniinflammatory drug like aceclophenc or diclophenac to relieve odema and cure infection . But if pus is formed it will require surgical intervention ."
},
{
"from": "gpt",
"value": "Target: Suggest medication for swollen toe with blister"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter developed a condition when she was about ten years old wherein the back part of her neck is swollen and painful to the touch. She has been checked at the Texas Children s Hospital but they could not diagnose her. She has no tumors but has constant pain which flares when she s under stress. Any idea on what she may have? Doctor: I have gone through your case history. The swelling over the wrist can be due to injury to the soft tissue ligament and tendons or a bone around wrist.Sound clinical examination is needed to get a better overview. You need to get a radiograph done to confirm the diagnosis of fracture. However fracture can be confirmed on a radiograph. So Better you consult an orthpedician at earliest and get an Xray Done. Can use ice or crepe and NSAIDS bandage to reduce swelling and alleviate painTake care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen and painful neck in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor am 2 months pregnant, am working and daily i have to travel in bus in the morning as well as evening. Most of the time i stand in a bus which takes 1 hour to reach office and while returning the same distance ,so i get back pain also. i am not able to take of my health since i got to office at 8.30 and reach home in the evening 8.00. how do i take care of my health and take care of myself . Doctor: Hi,Thanks for your query. After going through your query I came to know that you are having backache . It is related to your long standing in bus . I will advise you to avoid long standing in bus, requesting someone to give you seat . Medicines are not advisable because you are pregnant. However you can take calcium supplements which are safe. Sit in a straight posture.Take milk and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care"
},
{
"from": "gpt",
"value": "Target: Suggest solution for back pain and health issues due to traveling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what is the blood test needed to detect bacterial Pneumonia? I have had my son in and they did blood and urine tests. All negative. He is cold(freezing he says) He has CP and usually doesn t care about hot or cold. He had a fever last week that was peeking at 102.5 going up and down. He has loss of appetite (very unusual), and is tired. Doesn t even want to play his X-Box. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.There is no blood test per se to diagnose pneumonia. It can be diagnosed by an x-ray and the symptoms.Difficulty breathing and some amount of chest pain are common symptoms, along with the high fever. Treatment is simple enough, with antibiotics. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Pranav Balakrishnan"
},
{
"from": "gpt",
"value": "Target: How can bacterial pneumonia be diagnosed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Just completed an MRI of my brain, results came back fairly positive with a couple of questionable parts. Two phrases that stand out to me include; incidental arachnoid cyst or mega-cisterna magna and empty sella. Not a doctor, but does not seem good. Am I wrong? Doctor: It's a normal physiological variant and incidental findings. Don't worryHope my advice will help you. Take care. Don't forget to rate me."
},
{
"from": "gpt",
"value": "Target: What does incidental arachnoid cyst or mega-cisterna magna means?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About 4 months ago I had a filling done in my tooth. It was very sensitive for weeks and I even went back although the dentist said it looked fine when he saw it. Eventually the sensitivity went away. Then about 3 weeks ago my gum next to the filled tooth started shedding.. like if I'd burnt the inside of my mouth. I assumed it must have been something I ate, but now three weeks later it is an open space that I can actually feel my tooth through. There is no pain, but because of the holidays I haven't been able to get into the dentist. Will be trying to get in tomorrow, but I'm hoping someone here can give me an idea of what I'm looking at... Doctor: Thanks for your query, I have gone through your query.The space in between teeth can be secondary to the loss of supporting bone because of the gum infection. The other possible cause can be a fractured or broken filling or decay in between two teeth. Consult a oral physician and get it evaluated. You need to take a radiograph to rule out any bone loss and tooth infection. If there is a gum infection, you need to get the teeth cleaned(scaling and root planing with graft placement).If there is tooth infection, it has to be treated with RCT and crown.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes an open space in mouth after tooth filling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello happily with a place to inquire are my lungs injured at rest, since i ve been waking with maroonish phlegm for too many mornings to not wonder -- it takes some of the fun out of my strength in dancing to a good bruno song with daughter as we know that s his favorite color, however yellow isn t my calm if i saw it misplaced through liver problems to such discolored use; thus what spectrum is off for such consistent break of rainbow for breath perse~ i do have mercury issues that have extended to mcs complications and have tried aloe vera plant compensation overnight alternatively, it feels stimulating to release; so is this a healing of moving what got dormant? i don t feel as short of breath, therefore is it like a scab shedding which i was unsure of but for general stiff respiration before... hopin now for further natural instruction though i don t feel stuck with my ferments seeping, carolyn Doctor: Hello, According to the history, you provide first I would recommend you to do a chest X-ray and after having the result to discuss with your doctor about it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for phlegm with lung discomfort"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell on impact on my wrist and I heard a slight pop and wen I was observing what is happening my arm started to swell and it is hot to the touch I have no idea if I fractured my radius or just broke it I need exact answer if I should go to the doctors or or not? Doctor: Hello, The swollen arm that is painful and hot can be due to an infection or a hematoma formation. The exact cause can be determined only after a direct examination and an X-ray of the area. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Is a swollen arm indicative of a fracture?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was just wondering, at the moment I have a sore in my mouth on the roof, I am feeling nauseous, my eyes feel like they are burning a bit, a slight sore throat......I was reading up on symptoms of \"HIV\" and diabetes....which also include toe nail fungus with black marks on the nails......these symptoms last me about 7-8 days and then I feel fine. I also have a uncomfortable feeling on the outside of my perineal area. No sores or anything. I've been going through this for about two years. I've been tested numerous times for \"HIV\" and have always come up negative. I do not conduct my life inappropriate, nor do I do drugs. I am not permiscuous either......what should I be asking my doctor to look at? Doctor: Thanks for your query, I have gone through your query.The soreness on the roof of mouth can be because of the herpetic infection. This can result in ulcers over the roof of the mouth, conjuctivitis, genital ulcers. So nothing to be panic, consult a oral physician and get it evaluated. You can get a smear done and send it for histopathological examination. Mean while you can take topical anesthetic like lignocaine gel and topical analgesics like choline salicylate.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sore on roof of mouth, nausea and sore throat"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 58 yr old male. Been having a fairly constant flutter in what appears to be my upper left portion of my stomach. No pain or other gas related symptoms. It is just annoying. Usually I can even see the movement on my stomach wall. Been going on sporadically for about a month now. Doctor: Hi, Further details are needed to a better judgement: - does the fluttering sensation appears after eating or after doing any other physical activity?- are you also having shortness of breathe?- any other symptom (nausea, changes in bowel movements)?The constant fluttering sensation could be related to: - gastric problems (GERD, gastritis)- heart problems (arrhythmia)- neurological problemsFurther investigations are needed: - upper endoscopy- abdominal ultrasound- EKG- Holter monitoring- stress test- Ct-scan of spinal cord (thoracic and lumbar section)Hope it helped!Dr.Sejdini"
},
{
"from": "gpt",
"value": "Target: Could gas cause fluttering sensation in stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: StomachachesI'am a 15 year old female. Whenever I get my period I get strong pains in my stomach(the upper part of the tummy), and I can't get rid of them without painkillers;sometimes I take aspirin, and sometimes codeine, depends on how strong the pain is. But recently, about the last 6 months, those spasms came to me outside of my period time, especially before I go to bed... Shall I be worried? Doctor: Hi. Yes .Actually the pains of cycles are n the lower abdomen and never in the upper part. This indicates for a proper clinical evaluation by a Gastro Surgeon and investigations if needed.Never take aspirin.There is a possibility of other intestinal problems like enteritis/ abdominal lymph nodes/ appendicitis/ ans so on, which has to be diagnosed properly for a targeted treatment."
},
{
"from": "gpt",
"value": "Target: What causes spasms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, to my daughter 4 years it showed a brown stain on the face (as the thumb print) last Saturday In 2-3 hours has dimmed. The next day at lunch, appeared another spot on the right cheek and a little spot under the eye and a small trail on the left shoulder. The spots have disappeared without a trace in a few hours. We did blood tests (hemoleucograma) and blood values are slightly below normal. Mention that she ate a few peanuts on Saturday (which may have an allergy). Yesterday also appeared nothing. What do you think about? Allergy or something else? The skin is not changed, no blisters or anything. There was no itching on the spots. What blood tests should we do to her?Thank you Doctor: Thanks for your query, I have gone through your query.The brown spots on the cheek can be because of the allergic reaction to pea nuts. It can be a erythema multiforme. Nothing to be a panic, consult your physician and get it evaluated. Mean while you can take an antihistamine like chlorphenaramine maleate.I hope I have answered your query, take care."
},
{
"from": "gpt",
"value": "Target: What causes brown spots on cheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 1 year old has been having 6 to 8 bowel movements a day for almost 2 weeks and has horrible diaper rash. She was treated successfully for thrush a few months ago, but I don t see any obvious white spots in her mouth. Plus, I don t recall her having frequent BMs the last time. Doctor: Hello,Your baby having loose stools for 14 days along with diaper rashes is suggestive of lactose intolerance. It is seen in babies that have some infection in their gut due to difficulty in digesting lactose and sugar in milk; this makes them pass stool with acidic pH which leads to diaper rashes.Apply Siloderm Mixi cream or any zinc oxide cream on the affected area after cleaning the area, each time after passing stool. Get a stool examination for pH levels done; reduce and change milk to a low lactose formula.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sachin Kumar Agarwal"
},
{
"from": "gpt",
"value": "Target: What causes frequent bowels in an infant with diaper rashes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: helo sir, my 2 year old daughter have constant blocked nose from about 2 months now, i feel she constantly have some mucous which is the cause of nasal congestion . I am giving her Nasonex from 3 weeks, in vain. Her Paed told me that she has allergy to something and she doesnot seem to have any other problem. Today he prescribed Singulair too. She is otherwise healthy without any other symptoms but she always keep on breathing from mouth which make me feel miserable. Please help Doctor: Hello Fatema , Welcome to Healthcare Magic forum. Your history does seem to resemble that of allergic rhinitis which is common in children especially if there is any family history of allergy or asthma or there is frequent exposure to dust, pets or birds, pollution etc. I assume your pediatrician has ruled out any infection and completed a course of antibiotics to treat if any. Singulair is an appropriate prescription if the cause is confirmed to be allergy.The mouth breathing is definitely due to nasal blockage and congestion which commonly occurs due to infection or allergy or an ENT problem like tonsils adenoids hypertrophy or deviated nasal septum. A complete Ear nose throat examination, chest auscultation and blood tests like complete blood counts and blood smear and erythrocyte sedimentation rate(esr) can mostly differentiate between them and give an exact diagnosis . So it is advisable to discuss it with your doctor if they can be done and then treatment with singulair can be given if allergy is confirmed. Meanwhile steam inhalations and warm salt water gargles thrice daily may provide relief if acceptable to her . Also please avoid the possible allergens like dust, pets and smoke. Wish her a speedy recovery. Regards"
},
{
"from": "gpt",
"value": "Target: Nasal congestion, nasonex, singulair, breathing from mouth, allergic reaction ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Very sore left leg where Verrucous veins are. Pain left there and started in the chest, esophagus and went up into the jaw. Now all pain is gone except for some pain in the upper back between shoulder blades. Feeling very worn out and tired. Could this be associated with the heart. Mother died of hardening of the arteries email address is YYYY@YYYY Doctor: Hello and thank you for using HCM. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion.This kind of pains that you explain might be generated from heart. The first think to take in consideration is ischemic heart disease.This means possible problems with heart coronary arteries. Ischemic pains have some characteristics. They in general are retro-sternal pains like heaviness, tightness. They irradiate to one or both arms, to the neck, jaw or between shoulders. They last from 5 to 30 minutes. Usually they begin during efforts. Other heart problem that might give pains like these are aortic problems. They might give pains between shoulders like you explain.So, if i was your treating doctor i would recommend you to seek medical attention. Your hereditary history all sow makes this mandatory.Of course this might be nothing but it is better to make a simple chek up with an electrocardiogram, an echo-cardiograph, a blood analyses. After these your doctor will decide what to do next.Hope I was helpful. Best regards"
},
{
"from": "gpt",
"value": "Target: Could the upper back pain between shoulder blades be due to heart issues?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My child has tiny white worms in her vaginal area. I saw one about 3 months ago but I thought it was discharge. Today she complained of burning and itchiness again and I saw two worms moving around. What it is and what could be the consequence of not treating it 3 months ago? Doctor: HelloIt may be pinworm infection. Pinworm infection mainly occur in intestine.But worms come out of anus and travel to the vagina causing itchiness.Giving deworming agent helps here.Regards"
},
{
"from": "gpt",
"value": "Target: What do white worms in the vaginal area of a child indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My leg from the knee to the ankle has swollen the laat couple od days. It goes down at night. I have been driving for 4 straight twice a day with a 5-10 hour break in between for about 3 weeks. Could this be causing the swelling. The edgee of the sweat is at the back of my knee. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Swelling may be due to dependent edema seen in chronic sitting work patients or drivers. It may be due to infection or anemia or heart failure or renal failure etc. Until examination is done it is difficult to say what it is.Use calf compressor or DVT stockings, do daily walking, avoid cool'drinks and freeze water. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes swelling in the lower legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir, my mother feeling depressed from last 18 month.now she doing abnormal activity from last 6 months.she is under treatment of local consultant of our area.she fearing a lot from unidentifieng &identifing object,relatives & ghost. plz. give me the suggestion about this as early as possible.taken the matter seriously. thanking you manish kumar raipur,chattishgarh YYYY@YYYY Doctor: In layman's term everything in psychiatry is depression. It would be really nice of you if you could elaborate on her abnormal behaviour and what treatment she has been receiving from your local doctor."
},
{
"from": "gpt",
"value": "Target: What is the treatment for extreme depression?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have Neuropathy in both feet ,don t have diabetes, what can I do at night to ease the the burning and the aching from numbness, Also is there any progress for this condition. YYYY@YYYY Doctor: Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Considering your clinical situation, I would recommend starting pregabaline or gabapentine to help relieve the burning sensation. You should discuss with your doctor on the above treatment options. I would also recommend performing further tests to investigate for the possible underlying causes (thyroid hormone levels, complete blood count, blood electrolytes, iron levels, etc.). Hope you will find this answer helpful!Kind regards!"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for burning sensation in the feet at night"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been getting blisters on my upper left jaw teeth gums. I can't even chew on that side of my mouth! My dentist took x-rays and said they did not show anything and that I did not have any decay in those upper jaw teeth. He gave me a prescription for antibiotics and told me if they help then I might need a root canal. Well, they helped but I am still puzzled by this situation. My dentist said he would have to refer me to an oral surgeon in another town as he didn't perform that type of surgery. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of blisters on upper gums which seems to be due to blood dyscrasias, gingivitis/ periodontitis and due to poor oral hygiene. Need not to worry about it. I would suggest you to visit oral physician once and get it examined. Go for complete examination and start treatment after that. Go for blood tests as well. You should take care of oral hygiene maintenance. Go for scaling and root planning it is due to deposition of deposits. Use antiseptic mouthwash. Brush and floss twice a day. Avoid intake of sharp and spicy food. Do warm saline gargles several times a day.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes blisters on the upper gum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, in diagnose we found my son have adenoid he is 4 years old, he use to breath from mouth and snoring while sleeping. Our Doctor advice for the surgery i heard it will come back again in few cases is it true.. and surgery is the only option for it.. please advice Doctor: I have read your question and understand your concerns.Adenoids are part of protective system around our throat. They may be enlarged in some children and can cause cause snoring, growth failure and heart disease even.Only cure is surgery if they are causing infection time and again.If properly removed, they can never come back.Hope, I answered your query.Regards"
},
{
"from": "gpt",
"value": "Target: Is adenoidectomy surgery the only option for adenoid problems?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had what was diagnosed as a panic attack. I started with back pain thinking i was having a heart attack. Then started vomiting and lost the feeling in my legs. I couldn t walk for a few days without my knees giving out and falling. Now I don t have much feeling in my right leg and have burning from my buttocks down the back of my leg bottom of foot to top ot foot. Could give me any anwers to my problem? I ve seen a nerosurgen & a nerologist and still no answers? Doctor: Welcome, after going through your problem my opinion is that firstly you should be confident, beleive that nothing wrong can happen with you. Visit a psychiatris. Mean while take rest for 2to 3days. Hot fomentation at back,avoid forward bending, lifting heavy weight,take analgesicsalong with antacids. And please have an mri get done.Hope your query get solvedsolved.Welcome for future problems"
},
{
"from": "gpt",
"value": "Target: What is the treatment for panic attack and back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: okay, so yesterday i was returning home from a long trip and i lsightly urinated myself trying to wait as long as possible to stop and i had no change of clothes. so i had to continue my 2 and a half hour trip in these now \"wet\" clothes. this morning when i awoke i had a small rash underneath my vaginal lip (like towards the side) there was a slight infalation arounfd the sight but that was it. there was no rash or inflamation anywhere else. i am curious to know what this could be Doctor: Hi.It can result in irritation, and yes possibly a rash or fungal infection not more. I would recommend keeping the region clean and dry at all times, and the use of clotrimazole cream over the region twice daily for 10 days, if required. Nothing more is required really.Best wishes."
},
{
"from": "gpt",
"value": "Target: Can passing urine in clothes cause infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have spondylolysis and play football and wieghtlift, i was wondering what weightlifting exercises may i conitue to day, im 16, male well built, and i am getting ready to start physical therapy, its been about 5 weeks since the fracture was brought to my attention and ive done little to nothing since Doctor: Because you are not above the age of emancipation in the state from where I am answering your question I am not permitted to give specific medical advice without parental or guardian permission. Please have someone proxy on your behalf to reask your question and submit to me at: www.yyyt.yy/yyyyyyyyyyyyyyyy As a general statement of fact, spondylosis in a 16 year old is an ominous diagnosis and should be aggressively looked at for other problems. In general, weightlifting and contact sports are not recommended until you have a good reason as to why you have this condition. Please click THANKYOU and write to the above address with more questions."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for spondylolysis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr. my mother 52 yers old, is near to menopause and is suffering from heavy bleeding.her abdomen pelvic scan shows that endometrium is 15.5mm thick and has cystic lesions.her right ovary has 28mm thickening with minute cystic lesions.Is there any chance for cancer ?she is suffering from diabetes from past 22 yers. now her fasting & ppbs sugar is 148 &238 .is surgery necessay ? is there any chance of complications ? is the surgery a minor ? Doctor: Hi my mother also had bleeding and a thickening of the endometrium lining. she was diagnosed with clear cell carcinoma which had spread from the ovaries into the uterus and into the bowel, she has had a full hysterectomy and a colostomy and is now waiting chemo, the prognosis is not good for this type of cancer....get it checked out!!! good luck"
},
{
"from": "gpt",
"value": "Target: Uterus problems at menopause. Is surgery necessary & is there any chance of complications ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor i have been prescribed loette for birth control last month.. i ahve finished half the pack and noted there is an arrow mark... but i had taken in the reverse direction.... i have asked my doctor she told no problem... is there any problem?... Doctor: Hello and welcome,If the pills that you have taken are not sugar pills [ instead of the active pills] then the arrows do not matter as all active pills have the same drug. The arrows are provided for our convenience so that pills are not missed and taken regulary and if a pill is missed it becomes easier to detect.So please do not worry. There is no problem. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist"
},
{
"from": "gpt",
"value": "Target: Can wrong arrow direction in the pills cause any problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My hemoglobin continually drops and is currently at 67. In May it was at 61 and had a blood transfusion to help. I have had a endoscope (through the mouth) and a colonoscopy and both can back normal. I am on supplements but it seems my hemoglobin continues to drop. I don't have any other weird bleeding. I will admit, the odd time (maybe only once a week) I forget the suppliments. Is forgetting my suppliments why it keeps dropping so drastically or could it be something else. I am finding myself so tired and wore out that I am having difficulty working and living a normal active life. any suggestions? Doctor: Thanks for contacting HCM. Dear patient when hemoglobin keeps falling it means the cause for why it is happening has not been determined which could be as simple as bleeding gums to kidneys not making enough erythropoitin. You need to find out what is responsible for it. Also need to eat iron reach foods like spinach,dates, red meat,jaggery etc. Also check iron contents of your iron supplements, as it should contain at least 100mg of elemental iron per dose to be take 2-3 times a day for the hemoglobin to rise. Regards"
},
{
"from": "gpt",
"value": "Target: Why does the hemoglobin continually drop ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my husband has been having pain n his left hip joint for about three to to four months.. we went to the doctor they gave him pain meds. but didn t work. the pain has gotten worser.. so I took him to the er. they took xrays.. and it showed nothing. the pain was so bad .so they gave him a pain shot. and told us he may have bone cancer. he is now taking radiation for prostate cancer. this is his last week for that . what I want to know by any chance that he could have cancer n his bones Doctor: hi,thanks for writing to healthcaremagic.since your husband is having prostate cancer , there are chances that it might spread to his bones.(known as metastasis)in initial stages , xrays may be normal though.you might require a bone scan or mri to pick up initial metastasis.in the meantime, he should:1. take rest2.do minimum physical exertion.3. avoid walking or standing for long duration as much as possible.4. take mild antiinflammatory like ibuprofen or naproxen.5. he can even apply ice packs 3-4 times a day.hope i have answered your query.thank you"
},
{
"from": "gpt",
"value": "Target: What could cause pain in hip joint?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rash that started on my buttocks near my thigh and has spread in 2 other places on my leg. It doesn t really itch as much as it is tender feeling. Like a bruise , but it is not purple in color. It looks pink and the spot on my buttocks is one large bump with a bunch of little ones around it. The ones on my leg are a little group of maybe 3-5 bumps. Not feeling ill or fevered. It s just irritating. I ve been putting neosporin on it since I realized it was there, which was yesterday. Doesn t seem to be helping at this point. Any idea what it could be and how I should treat it? Doctor: Hello,Thanks for the query,You might be suffering from a fungal infection,In this area it is called as Tinea cruris.It usually as itchy rash but soon gets infected and develops pain.Only neosporin wont help.Treatment with anti fungals might be requiredPlease meet a dermatologist for final diagnosis and treatmentLet me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818Wishing__;!!Mih3wA!SBzm6_kI6hCZ58EPH6N_05MFfiPbxWXT0a2TJCdFQObRWm5mV5ur7hUOMa8clQ$ you a good health.Thank you"
},
{
"from": "gpt",
"value": "Target: Tender rash that started on buttocks near thigh spreading onto legs. How to treat it ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am Fortunata Candelario, 70 years old. I have cough and cold 4 days already and i have hips sour I don't know what is the cure, I take many different medicine but still I fill the same. please let me know what is the better medicine that can cure my illness. thanks Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Most common cause for cough and cold is viral upper respiratory tract infection (URTI). And viral infections take minimal 7-10 days complete improvement. They are usually self limiting in nature. Follow these steps for better symptomatic relief. 1. Avoid oily and spicy food. 2. Avoid hard to chew food. 3. Drink plenty of fluids orally and keep your self hydrated. 4. Do warm water gargles and steam inhalation 4-5 times a day. 5. Take antihistamine and anti inflammatory drugs. Don't worry, you will be alright with all these in 1 week. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: How to cure chronic cold and cough despite medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am feeling pain after haveing a spermatocelectomy on Monday 6.13.2011. I was wondering since the pain is on the left side six inches to the left of the belly button and about 2\" left and up 3\" from the penis. Is this normal after surgery. I am on my 5th day of recovery. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Nerve supply to the testis and vasdeference may come from abdomen during the descend of the testis any injury to the testis or vas feel like pain in the abdomen or in inguinal canal. So please give support to your testis take antibiotics, if symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain near belly button after having spermatocelectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is 53 years old. She is not diabietic and her BP is normal. There was burning sensation in her food pipe for two weeks we met gastro and asked to consult cardiologist. Her rest ECG and ECHO test result was normal but TMT test showed positive. Angiogram is required? Is she likely to have any block or CAD? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If TMT is positive, CAG is required to confirm or rule out CAD. Why don’t you trust your doctor?Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. RS Gulati"
},
{
"from": "gpt",
"value": "Target: What causes burning sensation in the food pipe despite a normal ECG report?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father in law suffers from high BP and almost everytime we take his reading it stays around 155/104. It is usually equal to or above this reading. Throughout the day he has a habit of lying down on the couch getting up only when necessary. Is this related to his high BP readings? Doctor: hello.I'm Dr Arshad.Hypertension isn't really related with not doing any thing and lying on the couch.First u have to make a chart and check whether his BP is same throughout the week.Then ask him do some physical exercise.And also control his diet.Avoid eating salty and oily food and focus on vegetables.thanks"
},
{
"from": "gpt",
"value": "Target: What causes high blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , I have married for last 16 months trying to conceive, but not able to . after consulting my Gyna , some tests done & reports revaled that my left Ovary is enlarge in size. Dr refers me some medicine & treatment continues, But still no positive results have been shown.I am very much tense now what to do, how i will be able to conceive ?how long it will take me to be mother ? Doctor: Hello, There is no problem in enlarged ovaries and thus just get ovulation induction drugs and follicular monitoring done after which you can try naturally or follicular monitoringIn case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain"
},
{
"from": "gpt",
"value": "Target: Is it possible to conceive after treating an enlarged ovary?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a two small lumps on different part of my legs, they are like ingrown hair but there isn't any hairs when I try to poke at it, it feels like there is something inside but nothing comes out is just hard, when I shave my legs they bleed as i cut them with the razor, but once it heals it returns to it's original soze.I'm 35yrs old female 167cm tall weight 75kilos Doctor: Hi.Thanks for your query.As the lumps are small and a hindrance as you explained, the best way is to show this to a surgeon and get them removed.You get the following benefits:It is better to get this removed (excised) for 2 reasons.1> your get rid of the disease and 2> you get the histopathological diagnosis- makes you tension-free that it is not 3> there will not be cuts and bleeds again."
},
{
"from": "gpt",
"value": "Target: How to get rid of lumps on legs permanently?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I awoke yesterday morning, after having an unusual night of very sound sleep. When I awoke, I couldn t remember how to do my job, what I was supposed to do normally or anything. I had an aneurism fixed a year ago and have had no problems up until now. Any suggestions? Doctor: HIWell come to HCMChances of cerebral pathology need to rule out if this was the history of aneurism in my opinion better to get done the CT brain, you have not mentioned your age and gender this is matter here, hope this information helps, have a nice day."
},
{
"from": "gpt",
"value": "Target: What causes forgetting things after sleep?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: good evening doctor, My mother is having Acute and severe pain on right side of the body extending to the back of the body. I got the xray report of the region done which says everything is normal. Ultrasound report says a simple cortical cyst on pole of right kidney . Kindly explain me the findings and give me the your possible diagnosis. Thanx in anticipation Dr. Anuj Doctor: Hello. Thanks for using HCM. Simple renal cysts are an incidental finding on ultrasound and usually do not require much treatment. Cysts are collection water like fluid inside a wall of a sac, lying close to the kidneys or sometimes forming a part of the kidney, like in your case which means the cyst is lying in the cortical part of the kidney. Xrays will be unable to reveal such cysts because of this consistency. Simple renal cysts are usually without any symptoms, however some cysts can cause pain on the right side of the abdomen when such cysts compress on adjoining organs. If the cyst continue to cause pain, your doctor can decide on aspirating the cyst. Feel free for further queries. Regards."
},
{
"from": "gpt",
"value": "Target: Have pain in right side of body. Ultrasound shows cyst in kidney. Diagnosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a medical transcriptionist and all of a sudden I have pain in my right foot, along the top left part of my foot. This is the foot that I use the pedal on. Can we get conditions in our foot, similar to carpal tunnel in the wrist from repetitive motion? It feels really tight. I am a 38 year old female and I have been doing this for 12 years. Thank you in advance. Steph Doctor: Hi,Based on the history you seem to be suffering from tarsal tunnel syndrome. It is quite similar to carpal tunnel syndrome, which occurs in the wrist. Both disorders arise from the compression of a nerve in a confined space.An injury, such as an ankle sprain or repetitive may produce painful swelling in or near the tunnel, resulting in compression of the nerve. However, other possibilities may include ganglion cyst, swollen tendon, arthritis or diabetes. Advised orthopedic consultation for further evaluation and treatment.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: What causes pain in foot of a medical transcriptionist?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hai, I am kiran and 22years old,iam suffering from pimples for last three years, after recovers of pimples at that place wrinkles are formed. I think it is side effect for creams,so, please help me to recover Doctor: Dear Kiran ji Ayurveda recommends blood purifiers and advocates proper hygeine and nourishing diet. In many cases the cause can be abnormal cycle. Avoid excess of local applications as they offer temporary result and a harsh chemical application can leave a permanent spot. Have tab Radona 2 bd with mahamanjishtha arisht.2 tsf bd. [email protected]"
},
{
"from": "gpt",
"value": "Target: Pimples for last three years.help me to recover from this"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I had a 24 hours stomache bug. I threw up a few times, and the past 48 hours since i has massive pain in my stomache. I would describle the pain as a contraction. I have had two kids and the pains remind me of this.. its the best way to describe it. I get a low grade fever at night the past two nights and i have been eatins (hurts alot after i eat) and have trouble getting arouns and sleeping the pain is that uncomfortable. Doctor: Hello.Viral gastric and enteritic infections are problem since they make patients nervous. You should take lots of fluids, ORS, eat boiled patatoes, rice on salty water and nonfatty bisciutes. In 3-5 days simptoms should resolve. Also you can buy some probiotics.Take care about hygiene. Get well soon."
},
{
"from": "gpt",
"value": "Target: How to get rid of stomach virus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: the condom broke and i took the morning after pill like 12 hours later and it said something about have 72 hours to take it. well i got my period a week later for only 3 days and i was suppose to get it yesterday and i havent got it yet? but my body is acting like im pregnant..is this normal? Doctor: See these morning after pill contains progesterone which disturbs the normal cycle of menstruation. So I dont think there is any need to worry unless you had any further unprotected Sexual Intercourse . If you don't get periods even after 1 weeks get tested for Urine Pregnancy test ."
},
{
"from": "gpt",
"value": "Target: What causes vaginal bleeding after taking morning after pill?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a lump that is the size of a pea on the very, very tip of my foreskin, this lump is moldable (i can flatten it, move it around a little, squeeze it) and does not hurt at all. I have had it ever since i can remember and used to think all males had it until i saw a picture of an uncircumcised penis at the age of 14 and was confused. When i get an erection and the foreskin slides down a little the lump/bump is then on the underside of my penis on the shaft about halfway down. The lump appears to be IN the foreskin, which is why i can move it around. It is really bugging me and im about to just poke a hole in it and see what happens when i squeeze it. My doctor doesnt totally know what it is but it definitely isnt harmful. He told me to just not worry about it but i really want it gone and i hate it. Im 16 and would like to know what this is and what my options are. Doctor: HI,Dear,Welcome to HCM.Based on the facts and data of your query,you seem to have foreskin Sebaceous Cyst of prepucial skin glands./or could be a fibroma in healed boil/furucle of the prepuce.FNAC Biopsy prior to surgery would confirm it.Don't worry such tumors are benign and you have good chance of recovering after -Circumcission -a planned Surgical Procedure done under local anaesthesia ,done by Surgical Specialist or Urosurgeon.Second opinion from your doctor on this would help you to plan treats in future.Hope this would help you.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!! Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: What causes lump on the tip of foreskin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is one, 2 days ago she lost her appetitw and isnt interested in milk or water. Iv getten her to eat a little today but shes constantly screaming. She occasionally has a slight temperature which dissapeara quick enough but thus morning she was all wobbly/shakey. Im just a bit concearned (lots concearned!) shes losing her voice through crying and now sounds rattley... Doctor: Hi...by what you quote I feel your kid is having a upper respiratory infection or laryngitis. That's why the kid is losing voice too. Because of upper respiratory inflammation the kid is finding it difficult to swallow.I suggest - 1. Rapid streptococcal antigen test. If its positive - go ahead with antibiotics - Amoxycillin for 10 days.2. If it's negative - do a throat swab cultures and start antibiotics... If culture is negative stop antibiotics. If positive continue antibiotics for 10 days.3. Treat fever and pain with oral Paracetamol.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What type of fever cause loss in appetite and sore throat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Just got done having my period on a Monday its now Friday.. recently started feeling nausea sometimes once a day but not everyday and it goes away. I recently just got some lower back pain n now I feel kind of bloated n a little cramping. I had sex with my boyfriend at the being of my period n he pulled out and Thursday I had sex with him we used protection n then did it again without protection and he pulled out. Could I be pregnant Doctor: Hello,Unprotected sex with pulled out method just before and after period is very much safe and chance of pregnancy is extremely rare.Some women feel weakness after period or sex. Other reasons are pelvic or vaginal infection, indigestion problem, stress etc.Take balanced diet, drink more water, avoid stress and take adequate rest. Practice safe sex in future. Good luck."
},
{
"from": "gpt",
"value": "Target: Lower back pain, nausea, bloated, cramps. Had intercourse during periods. Pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have noticed about a month ago, a dark vein at the back of my 6yr old son s leg, just below his knee joint, right at the top of his calf. He has been diagnosed with environmental asthma and is on a daily medication called Singulair. Is this vein normal or could it be a side effect of his asthma meds, or could it be something different all together. Kind regards, Worried Mother Doctor: Thank you for posting your question.The location on the leg that you have mentioned does harbour a major vein. It is most likely that this prominence that you have noticed is a normal occurrence. Also, the drug that you have mentioned is not known to cause any such side effects. Having said that,I would suggest you keep a watch for appearance of any new symptoms like swelling of the legs or appearance of new prominant veins. If so, consulting a doctor would be necessary. If you have any more doubts regarding this case, do write back."
},
{
"from": "gpt",
"value": "Target: What does a dark vein on leg below the knee indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what are the dosage schedule for glucosamine sulphate(500 mg) + chondroitin sulphate(400 mg)? What is the drug supposed to do? some websites say it is an AMA but I have serious doubts. as far as I know, these are GAGs and have no function as AMAs. Also how does it help in OA or RA? Doctor: Hello, This drug will basically help you to reduce the inflammation of the joints and will secrete the fluid between the joint space. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Haleema Yezdani, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the dosage schedule for glucosamine sulphate(500 mg) and chondroitin sulphate(400 mg)?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Bug spray poisoning. 2 days gone. 1st day vomited once after 4 hours of ingestion and had loose stool 2 times.Amount was less. 2nd day nothing happened except right side chest pain. People are calling it gas problems? Today is the 3rd day and I still have the chest pain but very less, only when I move/breath deeply. Am I okay?? I went to the emergency two times and they told me I am fine. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes this is absolutely fine. No need to worry or be panic. Chest pain is due to muscular strain caused by coughing. Nothing should be done except warm water pad application, gentle massage, avoidance of heavy exercise etc. You will definitely improve in 1-2 days. You can take simple painkiller like paracetamol or acetaminophen if pain is more. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is chest pain a matter of concern after exposure to an insect repellent spray?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with Stage 1a type 3 (clear cell) endometria cancer. I have had a complete hysterectomy (there was only one polyp containing the clear cell cancer and it was removed. Now I am having radiation (irredeum seed) for sessions) Next they are recommending some chemo. As a preventative. Should I follow thru with chemo?? will lemon juice therapy help?? Doctor: Hi,Thanks for writing in.Many times cancer cannot be completely treated by surgery alone. That is when a patient is recommended to have chemotherapy and radiation therapy. During surgery, microscopic invasion of the cancer to the surrounding areas might persist and this can cause seeding of the cancer. As a result the patient can have recurrence even though she has got hysterectomy done.It is best to suppress the cancer cells with the help of radiation and then giving chemotherapy. There might be small lymph nodes with disease spread and invisible at the moment. Treatment with chemotherapy eradicates the disease completely in early stages. Please do not worry."
},
{
"from": "gpt",
"value": "Target: Is chemo required for endometria cancer after complete hysterectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have a bumpy pink rash that appeared on the right side of my abdomen that stings sometimes spontaneously without me even touching it. It is itchy around it but not on it. So far its been over a week and a few other rashes have appeared throughout the abdomen. But the first one has bumps which are beginning to turn black. What do I have and what can I do about it? Doctor: Hello, Thanks for the query to H. C. M. Forum Red bump with stings with mild pain that too from one week are suggestive of Herpes Zoster or simplex. This is contagious and infectious disease. No w you mentioned that they ( bumps) are turning into black i.e. one more step that indicates that it is herpes. As this is in localized area, same thing happens in herpes. If it is only in one half of abdomen than sure herpes. 2 nd remote chance is that it may be Chicken pox ( it spread all over body but more over abdomen and thorax) Only physical examination can reveal , what is this. Good luck. Dr. HET"
},
{
"from": "gpt",
"value": "Target: Bumpy pink rash on abdomen, stings, itchy, bumps turning black. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have itchiness all over my body especially at night and the only visible sung is small scab like places in random spots on my legs, back, buttocks, arms and stomach. They are neither red nor raised. I have Lupus. Could this be related? YYYY@YYYY Doctor: Dear Madam,There is a possibilty of development of cutaneous involvement in Lupus which is leading to itching .Dr. Shruti"
},
{
"from": "gpt",
"value": "Target: What causes itchiness on body when suffering from lupus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 5 and is having green mucousy foul smelling stools afebrile no ABD pain it's formed however I'm hoping its not c diff she is a poor eater at times we struggle with her. I'm not sure what else it could really be she doesn't wipe properly either we struggled with this as well. Doctor: Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What could cause green mucous stool in a 5 years old child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... My three year old son has had a rash under both arm pits for two weeks now. He seem to be in good health, running laughing and playing with his 2 year old brother he is eating well. This rash looks like many little red pimple like bumps that have gathered into several blotches. It seems to subside under one under arm for a couple of days(looks like it almost gone) then it gets worse, switching back and forth from underarms right now it s bad under both. He is not scratching at all, he says it doesn t hurt at all. Can you please help? Doctor: Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What causes red Bumps on 3 years old babies face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, I am 27 year old male recently got married. after the 3rd time of intercourse, i had a pain in my stomach which stayed for a day but next stay its getting calm..still i am feeling the same pain sometimes. Can you please suggest me why it happened? Thanks, Doctor: Hi Bhupinder, Do you have any problems with urination? Sometimes this can happen with urine infections after marraige with the intercourse which is called as \"honeymoon urethritis\". Get a urine check done and tak eadequate treatment. Drink lots of water. All the very best. Do not worry."
},
{
"from": "gpt",
"value": "Target: Stomach ache after intercourse"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... my baby is 10months old, the eye specialist say his right eye has astigmatism something like 300. im very worried about his vision. he said the baby may grow out it when he gets older. he asked us to bring the baby back to him when he is three years old. is this very serious for my baby? Doctor: Hello,Astigmatism causes blurring of vision and usually not a serious disease. Astigmatism may go away with age as the cornea becomes more spherical and in most of the cases will not need glasses. Astigmatism in only one eye has slightly higher chances of visual problems than astigmatism in both eyes. You should continue follow-up and visual monitoring with your ophthalmologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad"
},
{
"from": "gpt",
"value": "Target: Is astigmatism serious in a baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter was diagnose with lithium toxicity----silent and told she will have dementia. She is 41 years of age and in the middle of a terrible divorce and has two children ages 12 and 7. Her long term memory is ok, however, her short term seems affected right now. They claim this will only get worse. Please we need some assistance on this terrible diagnosis!!! Thanks for any help you can give us. Doctor: Hello,I understand your concern and would recommend stopping Lithium at first.A balanced diet can help slow the progression of the disorder. I would also recommend also taking supplements containing GinkGo biloba, ginseng, L-carnitine and omega 3 fatty acids.If her memory problems deteriorate, I would recommend consulting with a neurologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Aida Quka"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lithium toxicity"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: autistic child that wont sleep my 10 yr old son has autisum and just dont sleep. i am scared that he is going to seriously get hurt. i give him Melatonin but it just dont seem to help much..is there something over the counter that i can give him that is safe Doctor: Hi dear,I understand your concern. I suggest him aurvedic medicine - Ashwagandha 1 capsule for night.It will calm down him and he will sleep,you can give at 7 p.m.Also use milk with honey, 2 hours walking before sleep.Hope it helps.Wish you and child good health"
},
{
"from": "gpt",
"value": "Target: Suggest medicine for sleep for autistic child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father is 66 yrs old having diabieties since 35 yrs.He also has hypothyroidy.He has been detected ostopenia since 2005.His back pain hasbeen increasing day by day.doctors have given supracal 1000mg since 2005.Since a few months he is also having remylin d.His vit D 25 hydroxy lately is 89.03.Lately in ultrasound his pancreas are little swollen.Kindly advise. Doctor: Hi, welcome to health care magic. after going through your father's problem. My opinion is that your father may be suffering from pancreatitis. its pain appears in abdomen and referred to back. for backache visit orthopedician and for pancreatitis visit gastroenterologist. please have MRI of spine done, serum amylase done. ask your father to avoid forward bending, lifting weight. apply hot fomentation to back. hope your query get solved. welcome for further queries."
},
{
"from": "gpt",
"value": "Target: What is the treatment for severe back pain and swollen pancreas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Suffer from depression (difficulty getting out of bed, isolation) and anxiety (overwhelmed by regular activities of daily living). Flat affect, lack of interest in social interaction, sex, eating. Difficulty in sleeping. Feelings of worthlessness. Experience panic attacks. Have diabetes type2 (in tight control), hypertension, CAD. What antidepressant would you suggest? Doctor: Welcome to HealthcareMagic T. Bupropion SR 150mg once a day can be taken.take the medication for 3 days if you start feeling better than consider increasing toT. Bupropion sr 150mg twice a dayRegardsDr Varun"
},
{
"from": "gpt",
"value": "Target: Suggest an effective antidepressant for lack of interest in social interaction"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr. Samuel. I am Michael. I have been experiencing itchy nasal especially when I am asleep during the night. Due to this I often sneezes the whole night depriving me of sleep. When I start sneezing my nose gets blocked and sometimes clear mucous runs from my nose. Could this be a case of sinus or are they parasites in my nasal? Please help. Thank you. Doctor: You could be suffering from allery or it could be even sinusitis. As you sleep, secretions accumulate in your nasal cavity and irritate the nasal mucosa which causes you to sneeze. Take a monteleukast tablet, a loratadine tablet and flixonase or duonase nasal spray-one squirt each nostril twice a day. This should help."
},
{
"from": "gpt",
"value": "Target: Itchy nasal when asleep. Sneezing depriving of sleep. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got married 8 months ago and my wife is still not conceived, I have contacted the doctor and they tested my wife and gave this consevel capsuel and asked her to take this every day morning and night. We took this for a month and now there is no result of pregancy . After taking this capsuel she is becoming fat day by day. Can I know the reason why she is not yet conceived Doctor: Hi,It is a nutritional supplement and cannot compensate for any hormonal disorders or other causes for the failure to conceive. In the current scenario, you should see an infertility specialist and get through the complete protocol of investigations. Couple evaluation is mandatory. All of this can be postponed for a couple of months until you reach one year of marital life; this would allow for natural conception and avoid unnecessary investigation. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Gaining weight. Given consevel capsule. How are they connected?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I want to sale or give free spam for pregnancy who need possitive spam some women are faced the problems forms biological spam of male prob want to donate my spam Am I donate my spam or not If yes then give me contract Doctor: Get in touch of any fertility clinic with your family doctor guide"
},
{
"from": "gpt",
"value": "Target: Can I donate my sperm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 2 1/2 and has been hitting his head on everything for about 1 1/2 yrs. everytime he gets a little upset about anything, even something as simple as dropping a toy can cause him to do it. His Dr. said to ignore it and he will stop but that is not working. Why would he continue to do it? Doctor: Hello, The child has possibly found a way to express his anger. The best way to react to it is just to ignore it. It doesn't necessarily show a problem. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes a child to hit his head when upset?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been ill for over a week and am half way through a course of antic-biotic meds. I have been eating and exercising all along. I am wondering how long will I be contagious. My illness started with a cold and low grade fever and developed into bronchitis. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Most common cause for bronchitis is viral infection. And it is contagious through droplet infection. It is highest contagious in first week of the illness. And afterwards chances of spread are decreasing. After 2-3 weeks of illness, it will mostly heal completely and you will be non contagious. So wait for 1-2 weeks more. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bronchitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,I am 21 year old male and I have had not swollen but kind of tingling lymphodes in my groin, and have had pale stools and very dark urine, every time I go to the toilet. As I say this has been going on for the past 6 months now. I have had a LFT and total blood count and all my results came back normal. The only thing my doctor pointed out was that my white blood cell count was down but only by such a little amount that he would not consider it abnormal. Along with the pale stools and dark urine I have also been having pain in the upper right hand side of my abdomen. Can there be a connection between the stools, urine, liver area pains and the lymphnodes? Could it be gallstones causing the sensation in my lymphnodes? As I say, they are not swollen they just cause slight discomfort. Thanks Doctor: Hi, If you had unprotected sex - need to rule out sexually transmitted infection. If not, doing a peripheral smear can help diagnose blood related issue. Doing a ultrasound abdomen can help diagnose gall bladder issue / any abdominal pathology. Share old reports. 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: Could low white blood count cause swelling and tingling lymphodes in groin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello Doctor, My mom is 46 years old.recently she told me she had some pain like symptoms and she told me she feels water fountain like symptoms in her head.we check our family doctor,he get Xray and Ecg and he checked blood pressure. the BP is 80/200 and mom told to the doctor like stomach and chest burning symptoms . after this test he says high pressure and heart weakness.then he gave some tablets then today BP comes normal but he says the bad cholesterol lever is higher . please tell me about is it serious situation or the cholesterol tablet will cure and enough?we are from india. and one more question doctor what foods my mom avoid for BP and cholesterol? thank you Doctor: Welcome at HCM I have gone through your query and being your physician i completely understand your health concerns.For how long u are suffering from it? Any other associated problem? like diabetes ? do u have a family history of heart problems? Based upon your history it appear she has got systemic hypertension. Which drug she is taking? You should make a chart and document her BP reading four times a day . It will help your doctor to decide about the titration of the dose If i am ur attending physician i will definitely look for the other associated problems. i will get her ECG along with ECHO. I will look at his kidney function tests as well as lipid profile. Drugs for decreasing cholestrol will help to decrease the sequelae of the conditions since high cholestrol precipitates coronary narrowing. She should have yearly baseline ecg echo along with kidney function tests and lipid profile to elicit the extent of disease. As far as food are concerned she should avoid added salt along with fatty and oily food. Meanwhile stay calm and continue with your medications Get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan"
},
{
"from": "gpt",
"value": "Target: What causes high BP and burning sensation in stomach with weakness in heart?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a cold sore about two months ago. I treated it with abreva. It healed but left a red mark (bottom lower lip). About 3 weeks ago I was bitten by a venomous spider and went through an antibiotic treatment. During the time I was being treated for the spider bite, the area where the previous cold sore raised again. I now have a bump in the area that is pink and raised. It is not painful but does not seem to be getting better. Should I be concerned? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No, you need not to worry.It will go with its own. Redness in the wound is probably because of infection. If you continue with the antibiotics taken for the spider bite the swelling will go with its own. Please maintain good hygiene as it is equally important for constraining the infection as equally as drugs do.Applying antibiotics ointment like polysporin can help you prevent infection. Taking cetrizine can help you from getting itching.I will be happy to answer your further concern on bit.ly/DrArun.Please hit thank you for me if you are helped.Thank you,Dr Arun TankInfectious diseases specialist."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cold sore after bite by spider"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a red swollen painful rash on both palms of my hands, does not itch but burns and stings. My daughter contracted it on Thursday - I woke up w/it this past Saturday - mine has gotten progressively worse. Where it is spreading around the topside of my hand (by my thumbs) is blistering. Doctor: Hello, It could be an eczematous rash or a drug rash. I would recommend you to upload the pictures of the affected areas under the premium section of the site so that I can have a clearer picture of the condition and can guide you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: What causes swollen painful rash on the palms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, im having intact uterus is it possible that i can still get pregnant? what should i do to get pregnant im only 36. Doctor: thanks for choosing health care magic.I under stand that you are having intact means normal uterus and you want to become pregnant.Yes you can become pregnancy if your periods and ovulation is normal you have got all the chances of getting pregnant.Keep trying and have relation with your partner after 4-6 days of period for next 4-5 days during which ovulation occurs and chances of pregnancy are more.for any other assistance please see a gynecologist."
},
{
"from": "gpt",
"value": "Target: Can I get pregnant with intact uterus ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: for 3 years now I have been getting infections in my breast above my nipple and have had a lump in the breast with the infection and no one knows what is causing it have been back and forth to the doctors and am now dealing with another infection n the same breast had ultra sound sone and had fluid taken out that was thick dark and like paste and had bacteria growing in it and still don't know the cause of it please help me Doctor: Welcome to health care magic. 1.The history and ultrasound procedure finding suggest - breast abscess with features of complications.2.It looks like there was an abscess - which was drained through ultrasound guided but it has reinfected again / complicated.3.In this case the next step will be - a small incision and drainage of the collection / pus under all aseptic conditions. 4.Followed by a course of antibiotic treatment will be definitive treatment for your recurrence. 5.Mean while do not disturb the lump by pressing - as you will delay the healing process and you will complicate it in that way. Good luck.Hope i have answered your query,any thing to ask ? do not hesitate to ask.http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888"
},
{
"from": "gpt",
"value": "Target: What causes lump and recurring infections in breast?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,i m 20yrs old.on my 15 i ve undergone an operation for removing a lump in my breast they said that it was a collection of harmons nw also i ve the same pblm at present there are more than 5 cyst.Is there any other remedy apart from operation.And my breat is too small i feel depressed how can i enlarge my breast Doctor: Welcome to healthcare magic for your health concernsI am Dr Fahim and I will looking into your problem I have gone through your question and understood your concerns. Breast cyst are collection of fluid in the localized area forming cyst. These are usually benign. Aspiration of fluid is the non-surgical option available with fluid sent for cytology. If its blood stained or malignant cells seen on cytology, you will need a surgical removal of the cyst. Even aspiration for benign cyst is also associated with high rate of recurrence. For breast enlargement, you again have to resort to surgery. There are many implant available which can be used in breast augmentation, for which you need to see a plastic surgeon.I hope my answer will help. Do rate if you like it.Regards"
},
{
"from": "gpt",
"value": "Target: How to remove cysts from breast without operation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had mid back pain on my right side yesterday....the pain seems to be more in front today. I also feel bloated, and have had some dierrha. Right now I have a little naseua. I thought maybe it was a Kidney stone, or an UT infection so I drank about 30 ozs of cranberry juice. Doctor: Hi did review your concern.yout pain can be cause of a kidney stone or ureter stone as they tend to shoot from back to front.However it could be coz of other comditions too. I would advive an usg of abdomen and xray kub for stones.I hope it helps."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for mid back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am getting waves of pain just below my chest and just above my stomach. It feels a little like a clamp clamping down and squeezing, and lasts for a few seconds to a minute at a time. I have had kidney stones in the past, and it kind of feels like that pain, but instead of being on my side/back, this pain is right in the middle of the front of my body. Any ideas? I am 43 years old, 5' 6\", approx 205 lbs, and don't have many medical issues, although I do take Omeprazole (sp?) for heartburn. Doctor: Hi thanks for contacting HCM....You have squeezing chest pain....For that first cardiac cause has to be ruled out ....For that blood pressure monitoring and ECG need to be done ...Stress test also useful....If no cardiac cause present then pain could be by simple muscular pain or reffred pain from acid reflux....Avoid excess spicy food ...Take proper sleep posture with head elevation while sleeping ...Avoid strenuous work. Consult pulmonologist for physical examination and auscultation ....and subsequent work up...Hope your concern solved."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? My 13 year-old daughter stays tired all the time. She has even fallen asleep in school. She does get 7-8 hours sleep during the school week. She sleeps on the weekends at least 10 hours and wants to nap during the day. She is active in sports and has alot of friends, so it is not depression. Doctor: Hi..... I understand your concern. I too agree that this does not look like depression. I feel that it could be hypothyroidism. I suggest you get her evaluated for this and get her thyroid profile checked.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes tiredness and falling asleep in school?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have inflamed foliate papillae on back of my right tounge it does not hurt much but I feel burning sensation some time. I had abscess ulcer on same side few weeks ago for which I took augmentin( antibiotics) and got it resolved but these tongue is making me nervous and scared. I m 29 year old women. Doctor: Hi..Thanks for the query..Pain and swelling of papillae at the very back of tongue is commonly due to inflammation and swelling of Circumvallate papillae..One thing you should keep noted that Circumvallate Papillae are already larger in size as compared to other papillae present on tongue, so you can mistakenly think that the papillae are swollen, so to confirm an expert checkup is a must..It occurs due to Infection in the tongue and throat, burning with hot foods or chemicals like concentrated mouthwash solution, acid reflux etc..So my suggestion is to consult an Oral Physician and get evaluated..For now do warm saline gargles..Take Vitamin B complex supplement..Avoid irritant and spicy foods..You can also suck ice pops and do cool water rinses so that inflammation can get reduced..Hope this helps..Regards.."
},
{
"from": "gpt",
"value": "Target: What do inflamed foliate papillae on the back of the tongue indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What is the matter with my right foot and ankle? My entire foot is swollen and aching- sometimes it feels like it is burning . It hurts to touch parts of my right foot and ankle . Prior to this I was experiencing almost no feeling in either foot. i have had both x-rays and a bone scan done - no diagnosis available. Any ideas ?? Doctor: Hello,I have studied your case and I think that it might be nerve compression in the foot. I would recommend you to get MRI of the spine to see if there is nerve compression is present in the spine due to disc herniation. I would recommend you following.1.Tablet Pregabalin M one daily.2.Avoid forward bending and weight lifting.3.Elastocrape bandage is also good for swelling.I hope this answer will be helpful for you. Let me know if there is any other followup questions.thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen and painful foot and ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, 5 months ago I fell on my back awkwardly while playing basketball and ever since the center of my chest has been hurting whenever i do activites, i can reduce the pain by popping my chest but it never goes away, what do you believe may be the problem? Doctor: Thanks for your question on HCM.In my opinion it seems muscular pain only but since it is chest pain, we have to rule out cardiac causes. So better to get done ECG first.If this is normal than it must be musculoskeletal pain only.And chances of musculoskeletal pain are more as you are having trauma history.Try to follow these for musculoskeletal pain.1. Avoid heavy weight lifting.2. Avoid strenuous exercise. 3. Avoid bad postures in sleep.4. Take good painkillers and muscle relaxant.5. Apply warm water on affected part.6. Wear chest belt so that minimal movements occur."
},
{
"from": "gpt",
"value": "Target: What causes persistent pain in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, I have just started taking primolut today to try to get a period as we want to try for another child and I have not had a period in a while, however I have very sore lower tummy cramping and lower back cramping, tender breasts as well and thought maybe my period might already be coming? My question is will my period still come if it was already starting to while I m on primolut? Or will primolut delay it and it will come after my 10 day course? Thank you :) Doctor: Hi ! Good evening. I am Dr Shareef answering your query. All the precautions including birth control pills are not 100% fool proof in protection against a pregnancy. If I were your doctor, I would go for a serum HCG determination to rule this out in view of your tummy cramping and back pain with tender breasts before labeling it as a premenstrual symptoms. An ultrasound of the abdomen would also be helpful in ruling this out.Usually it is not normal for the periods to occur when you are on hormonal preparations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe stomach and lower back cramping pain"
}
]
|
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