conversations
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{
"from": "human",
"value": "Source: Patient: hello doctor, IM Aparna,Age 23 ...actually im suffering with psoriasis skin disease from past 11 years ... Though now the scales are reduced but the patches of scales are still there ...patches are of black color ..can you please suggest how to reuce those patches ? that will be a gr8 help to me Doctor: Thank you for writing to us at healthcaremagicPsoriatic patches may resolve with post-inflammatory hyperpigmentation (PIH). I think that is what is concerning you at this stage.You may apply a moderately potent topical steroid e.g fluticasone propionate cream, twice daily for a few days. This would gradually fade them away.An Oral Vitamin C supplement once daily would also help with faster resolution of post-inflammatory hyperpigmentation.Regards"
},
{
"from": "gpt",
"value": "Target: What is the treatment for psoriasis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 40-year-old, 159 pound, white female. I only smoked when I was a teenager occasionally and as a an adult, I would only smoke when I drank (which now I do not smoke at all). I drink occasionally on the weekends but not much. My father had a history of heart disease, emphysema and diabetes. He had his first heart attack in his mid-30s and had a triple bypass in 1983. At age 72, he passed away due to a massive heart attack he suffered as a result of the stress of having surgery to remove colon cancer. Over the past year or so I have been experiencing chest pains almost every day either at rest or after some activity. Sometimes when I am leaning over, I can get the pain in the center of my chest which can feel almost like muscle pain. Sometimes I experience the chest pains with a feeling of shortness of breath yet when I take a deep inhalation, it seems as though my breathing can be restored to normal. Sometimes with the chest pains I also experience some upper back pain across my shoulders. My neck, jaw and arms never really hurt or go numb. Oftentimes, I can feel my heart racing or feeling as though it is going to pound out of my chest. I have had numerous EKGs done all of which have come back normal. I went to the ER in February of 2009 and was admitted due to chest pains. Upon arrival at the ER, I had bloodwork done including my cardiac enzymes tested (which were all normal), an EKG done which was normal, BP (usually maintains at 112/80), pulse and heart rate were all normal. They kept me overnight so I could have a stress done. I completed that the next morning. The stress test I had was where they took pictures of my blood flow while at rest, then they shot me with some dye, then I ran on the treadmill and then more pictures were taken after that. The results were that I had a heart of a 28 year old, and I was in the top 90% of women my age. Then that afternoon, I had an endoscopy done to rule/out any gastro problems. That, too, was normal. I was seen by a cardiologist while an inpatient and he told me that everything was normal and it is very unusual of a woman my age, even with a family history, to have heart problems. It definitely was not a heart attack nor did he feel it was heart-related. Then I had an abdominal ultrasound completed outpatient which was normal as well as which was normal. I also wore a heart monitor for 30 days which allowed me to record all of my episodes. Upon review of that monitor, they told me I had sinus arrhythmia and tachycardia but there was nothing for me to do about it because it was nothing to worry about. My cholesterol is 195 and I can t remember my exact LDL or HDL but I believe the good cholesterol level was 5 points lower than it should be and the bad was good. My triglycerides were over 300 but at my last blood check they came down to a bit below 200. I am still working on lowering those. I know I do not always eat right nor do I exercise very often. I have cut back on fatty, greasy foods and am losing weight little by little. I continue to have these pains either at rest or after exerting myself. Sometimes I take Prilosec and the pain goes away. I mentally make the pain and heart pounding worse because I start to think there is something wrong with me that my PCP and the tests missed. (My PCP is my cousin who is very familiar with my family history and I truly believe he is doing everything possible to find an answer. Yet he keeps telling me that he is 99.9% sure it is NOT my heart. The only other thing he could do is a catheterization. He doesn t want to do it because there is a 1% risk that something could actually go wrong and cause me a real problem. He did say if I had the catheterization, it would completely give me a 100% answer. I actually gave myself such bad anxiety this past weekend that I actually started believing that I am dying or will die soon. These episodes and symptoms are driving me crazy! I want to hope that it is all just stress or something else. I ve been crazily reading things where they say sometimes people can sense doom or feel anxiety right before something bad like a heart attack or death happens. Please! Any help or answer you could give me to lead me in the right direction to solving my problem would be GREATLY appreciated. Janel M. Doctor: Hi, In my opinion we should first rule out lung related diseases for your chest pain and shortness of breath. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry about lung diseases. Stress, anxiety and panic disorder can also cause similar symptoms. So consult a psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs (propranolol and flunarizine combination) too. Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kaushal Bhavsar, Pulmonologist"
},
{
"from": "gpt",
"value": "Target: What causes chest pain and shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'M 26 YRS OF AGE, 5'9\" HEIGHT, 135LBS. I'M SUFFERING LOWER BACK PAIN SPECIALLY RIGHT SIDE NEAR MY SPINE. MY URINE ORANGE IN COLOR. MORE WATER MAKES IT CLEAR. I THOUGHT TOO MUCH SITTING IS THE CAUSE BECAUSE I'M A CALL CENTER AGENT. IN ADDITION I' HAVE A BLACK SPOT ON MY LOWER BACK WHERE MY SPINE IS.. WHAT IS IT... Doctor: Hello, I have studied your case.Your flank and back pain on right side can be due to muscle strain or renal calculi.You may need x ray and Ultrasonography.And also check your vit B12 and vit D3 level.MRI spine may also help.Medication like methylcobalamine and analgesic will reduce pain.You can do yoga exercises and focus on spine extension exercises.You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case.Hope this helps. Wish you a speedy recovery. Take care"
},
{
"from": "gpt",
"value": "Target: What causes low back pain with urinary symptoms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there I have had a kitten now for eight weeks but have had a very itchy rash for the past week which is aggregated when I am hot. I had changed my wash powder to non bio and have recently changed back. My question is could I be allergic to my kitten? I ve had no probs for past few weeks its just developed recently. I have two dogs and I m fine with them but I have a severe allergy to rabbits which causes itchy red eyes and wheezing . Thank you Doctor: if you had no allergy before and the animal were there then chances of wash powder are more if allergy increases after cat came to your house itmeans allergy to cats you can think over it after changing back the powder or allergic substance 4 week are required to finish the effect so add antiallergic crelitin 10 mg od for 4 wk apply local antiallaergic application and antiallergic eye drops"
},
{
"from": "gpt",
"value": "Target: Itchy rash, gets aggravated due to heat. Previous allergy to rabbits. Allergic to kittens?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m diagnosed to have hashimoto s throiditis..i m 19 nw... i take thyronorm 100mcg on advice of a doctor.... but i m havin loose stools for the past one month on and off.... my weight is 46kg..... is the does high for me??? whether it is the side effect of thyronorm??? Doctor: Hi,If used in optimal dose thyronorm is well tolerated by most of our patients. However, it may cause nervousness, tremors, heat tolerance, increased heart beats, sweating, diarrhea, and weight loss. Consult your treating doctor for a possible dose adjustment so as to have TSH level in the range of 0.3 to 3 mIU/L.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: is there any side effect of thyronorm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i started to have lower back pain a few months ago with muscle spasms that went up the side of my spine and stiffness in my muscle and a pinching in my lower back and pain that went down my right leg and numbness. went to my doctor she put me on muscle relaxers. things didn t improve she said i have mid line back pain with right sided sciatica and sent me to physical therapy. i have been doing physical therapy for 3 weeks and have not seen much improvement. i have only a week left for physical therapy and i m starting to think that it might be something else. Doctor: Hi, Pain and stiffness in the lower lumbar spine can be related to a muscle spasm or a herniated disc. MRI scan is needed for proper diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes pain and stiffness in the lower and right-sided lumbar spine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 43 years old and i have pain in middle of my back towards the right. the pain intensifies when i swallow or take a deep breath. it also hurts more when i lay own on my back. i have a history of asthma and high blood pressure. its been 2 days. Doctor: Take calcium rich diet, u can also do light exercises under guidance of physiotherapist, using of lumbosacral support... walking under supervision of Physio doctor.."
},
{
"from": "gpt",
"value": "Target: What causes pain in lower back towards the right having a history of asthma and high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had chest pain and brown mucus the last 5 years. Been through numeroud tests from CT scans to Broncs and everything is clear however I do have multiple scattered 4 millimeter and smaller nodules that I am concerned about but they have been stable years. The chest pain is unbearable. Do you have any other suggestions of what this could be. I have seen numerous pulmonologists and others doctors.Also I have been a 20 year smoker and just recently quit and notice that the mucus has gotten browner with specks in it. Please help! Doctor: Thanks for your question on HCM. I can understand your situation and problem. In my opinion you should get done PFT (Pulmonary Function Test) to rule out obstructive airway disease like bronchitis. It is common in smokers. And symptoms are chronic cough with mucus expectoration. Chest x ray and CT scan, bronchoscopy etc are normal. It is functional disease, so picked up only by PFT (Pulmonary Function Test). You may need inhaled bronchodilators and antihistamines drugs."
},
{
"from": "gpt",
"value": "Target: What causes chest pain and brown mucus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I only had one depo shot in Oct, I was due for another Jan 12th , but did not get the injection. I have recently for the last couple of days had some mild cramping in my lower pelvic region, similar to menstrual cramps, also noticed today very tender nipples , as well as urinating frequently for a while now, some nausea, gas, and constipation. Could I be pregnant even though I don't even know I'd I ovulated? Doctor: Hello.Dose of Depo shot injections sometimes leads to amenorrhea.But if you have missed your second successive dose there is possibility that you've ovulated as ovulation follows menstruation physiologically.so do check your Urinary pregnancy test done to confirm our pregnant status. And follow management accordingly.Thanks."
},
{
"from": "gpt",
"value": "Target: Could i be pregnant as i have nausea, tender nipples and gas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 20 years old my weight is 44 kgs my height is 5.2\" but it is not increasing from 1 year. i am having 1 problem if ia eat heat items like chicken fish meat egg oats bournvita boost i am getting semen leakage in the night if i wat daily any of these items i am getting leakage daily what should i do is there any pill for the problem Doctor: Hi thank you for querry,As you mentioned your condition its actually not a semen when errection occur its secretion which is normal in every person though variations are there some secrets less some more.no need to worry about this and no any food cause semen or secretion leakage its just stigma.good nutrion,multivitamins helps to improve the situation.night falls are different thing when the vesicles fills with semen its natural phenomena which occur some time psychlogicaly effect also there,just reduce the sexual thoughts,avoid excessive sex or masturbating.hope the answer will help you.Feel free to ask any thing regarding your health prob.wish you good health."
},
{
"from": "gpt",
"value": "Target: How to control semen leakage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: So last month my girlfriend ended getting a yeast infection. She took the proper steps and medication to fix her problem. We thought the infection was gone so we countined on with our sex life. About a couple days after us having sex I noticed my penis was sore and chaffed. I thought nothing much of it because sometimes that happens but then it started to become crazy itchy and splotchy. No sores, no bumps, no discharge, no funky smell. Just very irratared skin. I went to a walk in clinic and they had given me a cream which was nystaten and bactrium to take oraly. I used these for about two weeks and no effect. Now the infection or whatever it is has spread to both my legs pits my stomach and under my armpits. The infected areas are so itchy. I went to another clinic a fee days ago and they prescribed and anti fungal which seems to have no effect as well. What's happening to me? Do I need to go to the er? The itching is driving me crazy! Doctor: Hello,The best antifungal cream for this is Lamisil (terbenifine) it is over the counter in most areas. If you are unsure that it is yeast then seeing a doctor is the best betRegards"
},
{
"from": "gpt",
"value": "Target: Suggest cure for yeast infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had open heart surgery 3 weeks ago. just this week i am having pain in my left arm. after the pain appears i get a pain in my side in my rib cage. i am being told it is possible muscular or skeletal aftermath from my surgery but i am not feeling this is the answer. Doctor: yes it may be noncardiac in nature .but if you eant to be sure then please go for ecg ..chest xray or echocardiography"
},
{
"from": "gpt",
"value": "Target: What causes left arm pain post open heart surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good afternoon. I woukd like to ask if it is life threatening. My father s sgpt result is 186. He s a harddrinker before and stopped for almost a decade. Then lately he has always a boil(bigger) and healed for almost 2months. Then after a month another boil. Doctor: Hi, An elevated SGPT in itself is not dangerous. It has to be considered with all the other liver enzymes, including bilirubin. I suggest he has these tests taken and possibly an ultrasound of his liver. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anders Mark Christensen, General Surgeon"
},
{
"from": "gpt",
"value": "Target: Are elevated SGPT levels life threatening?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I think I got bit by a spider a couple of days ago. It formed a blister on one of my toes, and now it is looking a lot worse. It is draining, itchy, looks bruised, and swollen, red, and stings. I am not sure what to do. I am also feeling fatigue. Any help would be appreciated. I am 32yrs old Doctor: Thanks for your query at HCM!I went through your query!I suggest you anti-allergic (Cetrizine) and anti-inflammatory drugs.Identify the spider.If your symptoms worsens then visit a physician for examination and appropriate advise.Take care!Dr. Sheetal VermaInfectious Disease Specialsit"
},
{
"from": "gpt",
"value": "Target: How to treat spider bite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a medical practioner in India. Several days back I had a patient who had a triveal truama and pain in the scrotum. I treated hm with antibiotics and analgesics. But after 10 days he was diagnosed with fornier's gangrene by another doctor. He asked me why I did not diagnise the disease earlier. Please tell me if I could have diagnsed the disease with the above said symptoms. Also kindly tell me how earliest can we be able to diagnise Fornier's disease Doctor: Hi thanks for asking question in HCM.Fournier gangrene usually present with prodromal symptoms like fever and lethargy for 2 to 6 days.In this gangrene usually pain is severe and examination of geniralia seems very tender.Pruritus may be present.With the advancing days pain increasing and redness also increases.The wound start purulent discharge in few case.So patient like in your case can be followed up after 4 to 5 days to see patients condition improving or deteriorating.I hope this is what i can advise.I hope my suggestion will help you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fournier's gangrene"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 month old daughter fell from stairs app 3.5 Feet height , she was In walker , Ct scan done ,initial Treatment done , she fell On 17th jan and Admitted to hospital On 18th Jan when she was Vomiting ,she was discharged on 20th And epitoin and Vomiting drop emeset recommended sos , she vomitted On 20th After coming to home and She vomitted on 22nd , please advise how Long it may continue And Should We start giving her normal diet like Ceralac, banana etc Jitender sharma Doctor: You should consult other neurologist also,because she still has neurological symptoms, she should not vomit."
},
{
"from": "gpt",
"value": "Target: Prescribed emeset and epiton to infant after falling from stairs. How long vomitings will continue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my blood test shows in test values cholesterol 198 mg/dl HDL-C 49 mg/dl LDL-C 130 mg/dl VLDL 19 mg/dl LDL/HDL RATIO 2.60 TRIGLYCERIDES 95 mg/dl LIPIDS 825 mg/dl glucose 96 Now problem is this the LDL_C is showing 130 wich is high when its normal values are between 30-100.I test it from zeenat lab lawrence road lahore as a pre-cationary measure.now i want to decrese ldl-c to normal valuei very keen to do it if you can help me i will appriciate your advice. thank you very much. regards Doctor: bhai ...reduce fast foods ...nonvegetarian foods .fried foods ...avoid ghee butter sweets ...and go for morning walk ...do these things for a month ...you will see results ...but if these donot give results nect option is statin drugs as atorvastatin"
},
{
"from": "gpt",
"value": "Target: How to reduce LDL-Cholesterol in blood?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have enlarged lymph nodes on the right side of my neck from under the jaw to the bottom of my neck. My Dr. Says we are just going to watch them. I have not seen any change in about 3weeks. Shouldn t some kind of tests be made to see why they are enlarged. This could be something serious and I am concerned. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. If you do not have any throat infection or no fever, then enlarged lymphnodes needs to viewed seriously.2. You can ask your doctor to get an Fine needle aspiration cytology of lymphnode done to rule out any non-infectious pathology.3. Lymphnode, once enlarged, will take time to reduce. However, if you are not on antibiotics for the same, further FNAC or biopsy may be essential.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: Need treatment for enlarged lymph nodes on the neck"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, about a week back, i had a small irritating sensation close to the bottom of right rib area, when i was feeling the area i did kind of feel a small bump, i left it alone of course, but i was having terrible abdorminal pains for the last 2 days and visited the medic, who prescribed some medicines for gastritise, and recommended i come see him after a week.... i have taken 2 days worth of doses of the medicine and dont feel any better, and now i seem to feel small bumbs in my stomach , many of them to be precise on the middle / upper stomach area, close to the left side of the ribs and there is a stiff sensation and when i run my fingers on the bumps it hurts slightly, it is not visible but can feel it when pressing down.... what could it be, do i need to get new medication or should i contunie for 01week like the doc prescribed and then later consult.... pls for your advise as i am really paranoid about this and cant seem to concentrate on anything else Doctor: Hi ! From your history, it is not possible to know whether the bumps you are feeling is in the parieties or inside the abdomen. I would suggest you to consult a general surgeon early, who with clinical examination may advise you for some blood tests and an ultrasound abdomen for diagnosing your condition. You should not wait for all these seven days.Wishing you an early recovery."
},
{
"from": "gpt",
"value": "Target: Bump near rib cage area, abdominal pain, taken medication. What could it be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have sevior pain in my lower back i have not been able to move for two days i cant sit up stand or walik and the pain is getting worse its ok when i lay down but it dose not go compleatly i have had blured vission and get pain in the bottom of my back in my hips groin and down my legs but when i do try to move the pain is escrushiating and i brake into tears Doctor: Hi, You can take bed rest and tramadol for pain relief.but be informed that you should get examined by orthopedics to know cause of your back pain."
},
{
"from": "gpt",
"value": "Target: Suggest medication for severe pain at the lower back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: got married 5 years, done laproscopy for choclate ovary cyst in October 2009. Till now, there is no conceivng. Doctor: Hi. Completely agree that the male factor has to be evaluated. Get your hormone profile done."
},
{
"from": "gpt",
"value": "Target: Why am i not able to conceive even after diagnosed with cyst in ovary ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My newborn son was born on 7-31-12. He s been in NICU the entire time . When we go to visit him he seems fine and is not hooked up on life support. The Doctors say he has low Plalets . Is this life threatening ? We are not getting much information for the staff. Doctor: Hi dear,I understand your concern. Low platelets can lead to any bleeding, that's why doctors are alerted. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and baby good health."
},
{
"from": "gpt",
"value": "Target: Is low platelets of a newborn life threatening problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: This has happened to me before multiple times, but last night was really bad. I get this weird fluttering sensation in my hips and lower back where I can t stay still. It s really frustrating because I don t know how to fix it, and it keeps me up and gets me really uncomfortable/anxious. I can remember it happening all the way back when I was a kid. It doesnt necessarily hurt, it s just very very uncomfortable. What could it be? Doctor: Hello.. this could just be a muscle twitch. It does not hurt but is uncomfortable. Could be due to muscle dehydration or a low calcium in the body. Drink lots of water and also you can try some calcium tablets. If it is agonizing get it physically checked from a doctor. Take care"
},
{
"from": "gpt",
"value": "Target: Fluttering in my hips and lower back, causes discomfort. What is wrong?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , I am done with my hcv treatment 6 month ago and my blood test for the virus came negative but now I have body rash and my doctor gave me cortisone tablets to take 2 in the morning and 2 at night every friday but after that i heared that cortisone could reactivate virus c ,is this correct or not,please answer? Doctor: Thank you for posting query at HCM.noted that you have complete resolution from HCV infection after treatment.At present, your treating physician prescribed steroids.he maybe NOT knowing your HCV history.exogenous steroids decrease immunity and may cause reactivation of HCV infection.i advice you to take a second opinion from your treating hepatologist.though low dose steroid may not increase HCV RNA titer but its better to avoid taking steroids .you may take anti histamine medication to counter the rash,hope to answer your concern.wish you good health.any further queries are welcomed.Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health.regards,Dr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: Can 'cortisone' reactivate hepatitis-C virus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband was suffering from typhoid.Now he looks to be normal.I want to know what kind of food he could take in this course.can we take curd/egg? How long should we not take meat? How could i ensure if liver is not affected? In the blood report which attribute indicates the level of typhoid? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice. Typhoid fever is caused by salmonella bacteria (four type strains). This is an intestinal disease. As you mentioned that your husband recovered from typhoid, so need not to worry.He can start with curd and eggs but in limit (because this is an intestine disease, that's why advised light food).Once the patient is cured he can start normal food. From day 1, gradually patient can take heavy diet. At least for medical purposes avoid heavy food for 4-8 weeks time.Good luck!Regards,Dr. Het Ram Bishnoi"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for typhoid fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: two weeks ago i was bitten by a do on the arch of my foot. it did puncture the skin and did swell and bruise straight away, but the wound has healed but i have a lump that is under the skin on the inside of the arch of which the surrounding area is very tender. Doctor: Hi,It seems that due to dog bite there might be having some infection, swelling and induration giving this problem.Apply ice pack over the part for few days.Gradually it will be subsided.If swelling or pain increases then you might require one course of antibiotic for 3-5 days.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes lumps under the skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a spot on the inside of my left leg near my groin that keeps forming into a lump every couple of days. deep under the skin, not on the surface. but it has an area that is connected to the surface like a pocket where the skin has stretched from this continuing to happen. it fills with blood. sometimes gets to be about the size of a golf ball before i can t take the pressure any more and then squeeze it and drain it. there is no puss. there is no cyst. it is only a bunch of blood. it s been happening for over a year. my gp keeps trying to tell me it is an abscess. it is not. it is only filled with lots of blood. thick blood. clotting blood and fresh blood mixed in. I can feel it bleed into the pocket and fill with blood sometimes if i chafe too much while walking. recently there was almost 1/8 cup of blood drained before it was empty. and it continued to bleed for 3 days before scabbing over. could this be a tumor of some kind? it is not an infection. there has never been any puss or drainage of any kind other than blood. my gp says that it is not a vericose vein. and there is no obvious large vein close to it. under the skin (not the pocket part) when it is full it feels like it is several inches long. almost like a lymph node swollen and bleeding. and when i squeeze hard it will pop multiple layers of skin to drain lots of blood that is partly clotted. what do you think? and what do i do? Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This is in relation with definite subcutaneous hemangiomatous lesion .* Strongly recommended to get ultrasound with doppler report of the local part & co agulation profile of the blood .Thanks .Regards ."
},
{
"from": "gpt",
"value": "Target: What does a lump in the groin area indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 50 year old white male, who has received an elevated liver test result of: ALT - 88 and AST - 65. My doctor recommended I retake the test, the results were: ALT - 51 and AST - 67. I do not drink alcohol -- I stopped 14 months ago. I lift weights almost every day. Would the elevated AST be a result of exercising? I do ingest approximately 100 grams of protean each day as a part of my workout program. I take Lipitor, vitamins, and propranonol for migraine headaches.Thanks,Jeff Doctor: Hello Jeff,Thanks for posting on HCM,Well they are various causes of elevated liver enzymes (transaminases) which could be infection, drug, autoimmune related conditions. Stress factors are not known to elevate liver enzymes but dietary changes can affect. If you are not presenting with any signs of infection probably hepatitis or others then it will be wise to look at your medications. Lipitor is known to increase liver enzymes (adverse effects). You may indicate this to your doctor, who will probably ask you to stop using lipitor for a while so as to see if your LFT normalizes. If it does not, then lipitor is not the culprit. Your doctor will have to also do tests for viral hepatitis and do other liver enzymes such as alkaline phosphatase.Hope this helps and wish you the best"
},
{
"from": "gpt",
"value": "Target: Liver AST level high. Taking protein, Lipitor, vitamins and propranolol for migraine. Remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor I'm from India & I'm 32yrs, 5'9\", 60Kgs and never suffered with any kind of Diseases in my life before my Query is I ejaculate in less than 1 min after intercourse & after one Climax I'm not able to get the Hard Erection again to do Second intercourse even after 1 Hour, I'm married since last 4 years & I love my wife very much I want to satisfy her as well please help and suggest some names of the Tablets which I can get here in Hyderabad (India) and to get permanent relief from this problem of Premature Ejaculation and Erectile Dysfunction. Please Help. Thanks... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Premature ejaculation and erectile dysfunction at this age might have some other underlying pathology which include high uric acid levels, deranged lipid profile of diabetes mellitus. If you would have came to me I would have done some tests before starting the treatment which would include fasting lipid profile, serum uric acid levels and hbA1c levels. If everything came out to be fine than I would have started you on Dapoxetine 1 hour before sexual intercourse and Tadalafil half tablet one hour before sexual intercourse. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest medication to cure premature ejaculation and erectile dysfunction"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, so for about a week more or less.. ive noticed a bump on the inside of my lowered lip on the left side.. last week it was really big & right about now it has gotten a little bit smaller but its still there .. also it has a small purple dot in the middle of the bump .. not sure what it means .. HELP! Doctor: Hello and welcome to HCM,A bump on the lip is most commonly caused by a retention cyst.Retention cyst is caused by rupture of minor salivary gland duct and inflammatory reaction against the extravasated secretions.The central purple dot could be due to hemorrhage.However, clinical examination is required.Surgical excision is the treatment of choice followed by histopathological examination.Thanks and take careDr Shailja P Wahal"
},
{
"from": "gpt",
"value": "Target: Have a lump on the lower hip?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I stopped taking my birth control pills triquilar 28s a week ago and my period just ended 2 days ago, i have a normal 28 day cycle ranging from 4 to 7 days. i already have one child who is 2 years old. i am ready to have another baby. is it ok to start trying right away? or is there a wait period because i was on birth control? Doctor: hi, the bleeding you had is possibly withdrawal bleeding, during pill usage woman will usually have anovulatory cycles, so after stopping of the pills the ovulation has to return for fertility, this time will vary from 2 weeks to few months, so you better track your ovulation with kits and according to that plan intercourse which will increase the chance of pregnancy. take care."
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Taking birth control, stopped. Okay to start trying again?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My son of 13 year old has allergies and asthma related condition. it is been 5 months now that he has a chronic cough, I took him to pulmonologist and long doctors, we tried taking albuterol, allergy pills, it helps but nothing seams to be good enough to cure him from that cough. we live in Maui hawaii, he had to change his lifestyle, he was an outdoor boy and now he always has to stay inside......please can u help? I did some researches on line and came across sensory neurophatic cough, or cough-variant asthma how can be diagnosed? . What about Xolaris Omalizumab can it help? Doctor: Hello,Thank you for asking at HCM.I went through your son's history and can understand your concern.I would like to make suggestions for him as follows:1. There are many causes of chronic cough. I would like to know more about him like - a. Has he ever had wheezing/breathing difficulty? b. Has he ever required nebulization? c. Does he have nose symptoms like running nose, nose obstruction, sneezing, etc? d. Does he have regurgitation of sour fluids after taking heavy/spicy foods? e. Does he have headache, post-nasal drip, facial heaviness, etc? f. Does he have any family member with allergies/asthma? g. Is he routinely exposed to dusts, smokes or air pollution? h. Does he have weight loss, loss of appetite, etc?Above details would help me to think of possible causes of chronic cough. Further investigations could be suggested based on the details.2. As your current diagnosis is asthma, I would like to mention that asthma can be diagnosed by spirometry with post-bronchodilator reversibility test. 3. I would also suggest him allergy testing, which will help you identify the substances he may be allergic to and also to know the measures to avoid them.4. Based on allergy testing, an Allergist-Immunologist may prescribe him allergen specific immunotherapy which gradually improves allergy symptoms by working on immune system.5. For asthma, I would also suggest him taking montelukast regularly as a controller medication.6. Personally, I would not suggest him to avoid outdoor activity and restrict him life for many reasons - a. physical activities are very important for improving immunity and lung capacity, which help improve asthma control. b. Restrictions at his age of 13 could have psychological consequences. c. With proper use of controller medications and management of allergies, most of the asthma patients can live life without any limitations.7. Sensory neuropathic cough or cough variant asthma are better diagnosed by experts, usually pediatric pulmonologists. I would suggest you not to be confused by the ocean of information that is available on internet. Thorough history taking, physical examination and prompt use of investigations is required for making diagnosis of a chronic cough.8. Omalizumab can be helpful in some subsets of allergic asthma/rhinitis, but it is not the first drug to be used. It should be used only by experienced doctors when common drugs are not effective/cause side effects. 9. In general, I would suggest him to avoid exposure to dusts, smokes and air pollution as much as possible.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Need treatment for chronic cough with asthma and allergies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my three yr old child is squinting while watching the distant objects and television. he has developed it in the past month or two.what might be the reason? his anterio posterior head lenghth is more than the side to side dimentions as compared to the other counterparts ,other wise he is perfectly normal and intelligent.regards Zahid , pakistan Doctor: Hi, It's better to get him checked by an ophthalmologist. It can be cured if treated in early stages. It's common among children to squint. It's good that you observed early. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Yasam Lavanya, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes the toddler to squint the eye while watching distant objects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: at night I go to bed about 11 pm I hear a radio show channel 7 vintage radio I have a stand up fan if I turn it off I can t hear the radio - I don t have a radio and no one believes that I really hear it. It plays until 2:00 am driving me crazy and I don t know where it s coming from Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. In the mental disorder named delusions, such experiences are common. But in your case, I suspect that. This could just be a case of Obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Why do i hear a radio playing when nobody else does?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I noticed swelling in my left leg today. In the chin area and the side of the leg. I also have 6 or 7 bruises or skin discoloration below the skin...in the area when the swelling occurred. The bruising and skin discolorations almost form a C . Is this cause for concern? Doctor: Hello,It looks from your details that it can be due to following reasons:- Injury to your leg- Due to some medicines like anticogulant (like heparin)- Due to clot formation in your veinsI will advise you the following to have relief:- Check for any medicines you are taking for bleeding tendencies- Apply an ace bandage from foot to above knee- Consult to your doctor and get investigated for clot in veins if any other above reasons do not fits with your symptoms. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Are swelling in legs and skin discoloration a cause for concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My husband has had his left foot, toes, and ankle swollen for 10 days. It doesn t hurt. We went to the ER and they checked for blood clot and fracture. Both were negative. They told us because it was only one foot it wasn t his water retention as he was taking his water pill. It doesn t hurt to touch. It slightly goes down with ice and elevation. We ve tried ibuprofen, ice, elevation, soaking in epsom salt all with little improvement. Tonight we inspected it and found yellow spots with red on the bottom of his foot under his toes. What should we do? Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, there is a high possibility of infection in this case, as already vascular and traumatic causes have been ruled out, screen for infection, and provide appropriate treatment and see the resultsI hope that answers your query. If you want any more clarification, contact me back."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen foot, toes and ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good evening.. I am wondering why I get a lump under my chin.. Right smack in the middle of my jawline. I got hormonal breakout on May chin like crazy when this happens.. Yes my menstrual cycles have been irregular for years.. But what is his?? It s not where the lymph nodes or thyroid is.. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This seems most likely to be lymph node enlargement . Should be confirmed with high resolution ultrasound examination .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards ."
},
{
"from": "gpt",
"value": "Target: What does a lump under the chin indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently had 4 teeth pulled without any problems. About a hour and a half after I started getting really bad hunger pains, they fell intense, slight burning feeling, and I eat something it only just seems to calm it down but never goes away. This has only started since I had my teeth pulled. Is there any connection that would explain this? Doctor: Hi, Thanks for asking the query, As you mentioned you had four wisdom tooth pulled without any complications, i would advise you to follow the post operative instructions given by the Dentist properly to prevent any further conplications and promote faster wound healing. Stomach upset can be due to the antibiotics and analgesics prescribed to you. I would suggest you to take an antacid like tab Rabeprozole 20 mg twice daily half hour before meal for five days. If the antibiotics are causing discomfort, you can visit to the concerned Dentist and get it changed. Hope this helps out. Regards.."
},
{
"from": "gpt",
"value": "Target: Hunger pain after having wisdom teeth pulled out. Reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am 43 years old ( Femlae) I had a bad fall 19 years ago breaking my back in two locations... I have developed these large ( excrutiating painful) lumps in my lower back. I have had them treated with lidocaine and steriod shots which seemed to make them worse. I have been to so many Dr.'s over the years about my back pain and they all say Lipoma's shouldn't cause that much pain. I am certain that 90% of the pain I am feeling are coming from these large ( fist size) lumps near my spine. Am I crazy??? Or can these really be causing this much pain? My cureent Dr. say's he beleives me but is not sure what to do? any answers ????Thank you, Tam Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma. Or you may have some other tumour mass. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: How can the painful lumps on the back be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, I m ex paratrooper in the army and had back issues for 18yrs and in the last 5yrs my hips will go out.i took a 18hr drive from fl to mi a couple months ago ,and when I got back I started having major pain issues in back,hips,thighs, and now recently srotum, pins and needles, warmness... Doctor: Hi, Consult a urologist and get evaluated. That probably it may be due to neuropathic causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: What causes tingling sensation in the scrotum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, iam 33yrs old and single... i am having pain i My both breast and doctor suggested my to have meprate 10mg 15days after my period start and have it for 10days twice a day... i just want to know whats the use of meprate and is there is any side effect for this meidicine? please help me on this Doctor: Hi, Meprate is a synthetic form of female hormone progesterone. It is found to be useful in the treatment of fibrocystic breast disease as it reduces the pain and swelling before the periods. Its common side effects include spotting or breakthrough bleeding, vaginal itching or discharge, mood changes, and swelling of the limbs. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali"
},
{
"from": "gpt",
"value": "Target: Whatare thge uses and side effect of meprate 10 mg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am anaemic, have been for years, have been living in West Africa most of my life, Have recently just moved to the Netherlands, and have been having numbness and paleness on my finger tips, it feels like my fingers are dying, first time it happened I couldn t feel anything, my hands didn t feel like they were mine, I had to place my hands on the Heater and after about 20mins it came back to life, and this happens everyday, I have also noticed that the bones in my legs hurt so bad especially now I am here, What could be the problem ? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have diabetes or vitamin B12 deficiency. You should go for blood sugar level and vitamin B12 level. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes numbness in pale finger tips?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a nineteen year old female, and about three days ago I noticed I have a dime sized lump on my right mastoid bone. It is not movable and only causes me pain when I touch it. It is not red or irritated. It is not a bug bite, surely not a blemish, and is very hard, almost bone hard. I have had many ear infections as a kid and know positively that this is not a simple ear infection. I looked up a lot on mastoiditis and cysts. I am no medical professional but I can rule out both just based on the symptoms listed. I have been feeling very fatigued and my lower back/ kidney area has been hurting severely for multiple days. If it is any help, two of my grandmothers on my mothers side had cancer. One had ovarian and the other had breast cancer. I am running out of idea on what it could be and am getting quite frustrated. Going to see a doctor is the next step, but for now I am just looking for possible answers. Doctor: Sounds like an enlarged lymphnode. Painful enlarged lymph nodes are usually infectious in nature. It can be caused by a ear infection like you have guessed and 'ruled out' or it could be something as simple as acne/pimples in your scalp that has caused it. Based on your description, it is not suspicious for cancer. As for the lower back pain, it could be a lumbar strain. Is it associated with your period? Do you know what activities exacerbate it and what relieves it? Do you have pain when you move/ bend or when you urinate?"
},
{
"from": "gpt",
"value": "Target: Lump on mastoid bone, painful to touch, fatigued, lower back and kidney area pain, ear infection. What is it? Fear cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi I suffered a cut yesterday around 1cm long with a razor.i washed it and did the bandage yesterday.it is still red and starts to bleed if I don t cover it .can u please suggest any ointment or medicine to cure the wound as soon as possible .it even pains Thanks Rupali Doctor: HI Well come to HCM I really appreciate your concern, healing is process and may not need any medicine if this is the wound ointment can only be applied for prevention of infection and not for healing so care need to be taken for infection else it will be healed soon hope this information helps."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for red, painful and constantly bleeding wound"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just started taking blood pressre medication. Considering all the different categories of meds and the meds in each category, how does a doctor determine which med to prescribe? In my case, an angiotensin antagonist (losartan potassium) was prescribed. Thank you. Doctor: hi, doctors take many criteria in to account for prescribing anti hypertensive medicine. they are age of the patient, other co morbid condition, like associated obesity, lipid level, prostate problems etc.also tolerability of patient, fluctuaion of blood pressure and level of blood pressure is also taken into account. on the basis of all these factors doctors prescribe medicine for blood pressure.thanks for using health care magic."
},
{
"from": "gpt",
"value": "Target: On what basis do doctors prescribe medicine for blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctors, a very gd mng, I do suffer frequently from sneezing n cold, when it turns to cold n cough , I realise during cough there is discreet in breathing , I went for many test like TFT, CT scan , I dont exactly suffer from asthma but very much prone to cold, in cold place I start sneezing too much, very recently I got this sneezing and cold visited doctor, he gave me Azimax-500, it got cured bt again I got it, now am taking alerid tablet bf bed, I am very confused with this which hampers my daily activity, plz suggest Doctor: Hello Aziz, You have persistent rhinitis that could be allergic and a complete allergen (aeroallergen) profile needs to be done (by skin prick test or specific IgE blod test) to arrive at a diagnosis. House dust mite or animal dander allergy would be top on the list reading your symptoms and a long acting antihistamine plus a nasal corticosteroid spray for a minimum of 6 weeks is required as an initial treatment plan (even for non-allergic rhinitis). Thanks."
},
{
"from": "gpt",
"value": "Target: Suffering from frequent sneezing, cold and cough, have discreet breathing. Tests normal. Cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother has stage 3/4 esophageal cancer and has undergone radiation and chemo therapy . He t is 50 years old. He has one or two good days per week when he can get out of bed, but most other days he can t manage enough energy to get out of bed. A couple of my siblings who live in the same city as him feel that he should have more energy and think about the many people who seem to be able to function through treatments. He finished his treatments about 4 months ago. I think that treatment can affect people differently. Is it fairly normal for the exhaustion to affect some for this long. Certainly his pain and emotional worry are contributing. Doctor: how is his food intake- able to take solids or liquids only. if the thers is problem to take both he should consult surgoen for other ways of feeding. he should take high protien, high carbohydrate food. Many food formulas are availble. it is better he should try some of those , continue what he likes. soups either vegitable or nov veg can be give and they are easily digestable also. our aim with him is to give less quntity, frequent times , high caloric food . he should take small amount, of food in many times (not three times, large amount at a time , usually our habit of food intake)."
},
{
"from": "gpt",
"value": "Target: Has esophageal cancer, undergone radiation and chemotherapy. What treatment can give energy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have had psoriasis since birth i am 40years old and it is affecting my life everyday ihave 2 small children .t is very painful to walk and all other things i have to do everyday even bending down to pick something up i have big patches which are allways oozing and bleedind even after putting creams on everyday which just calms it down for afew hours but the patches are allways there and they will never go there is no treatment for this my doctor is not supportive at all she says you have to live with it and there is no point going to see her agaian and only get repeat prescriptions i have no choice but to suffer in silence because this is affecteing all my movements cooking looking after my kids icant even take them out because i am suffering so much afriend advised me to claim dla which i had never heard of before i made a claim and they have refuse what should i do please advise me i am in a lot of pain every day and my 2 kids are affectet by this Doctor: Hi,As you said you suffer from psoriasis vulgaris. It is an autoimmune skin disease. Your kids are also suffering from same disease. There is genetic tendency. Certain factors might exacerbate the disease. Stress,anxiety,dry wheather,injury..etc might increase the severity. You consult dermatologist for firm diagnosis and treatment. Methoraxate 15 mg in a week in devided doses for long time may improve the disease. Antihistaminics might reduce the itching. Moisturising cream like liq.parraffin or urea application in the morning and steroid with salicylic acid oint at night would be helpful. For kids, hyrocortisone cream may be applied. I hope you got my anser.Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for psoriasis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i am getting treatment for acid/ heartburn which i was taking omeprazole for i have had this for 9 months now and i have just started getting nausea which doesnt seem to go away what ever i take! i havent lost weight or have had any red flag symptoms but i really have bad cancerphobia through watching family and friends with it Doctor: Hi Instead of omeprazole go for Rabeprazole and Domperidone. Avoid spicy foods,outside foods. Eat plenty of fresh fruits and green leafy vegetables. Stop smoking and alchohol if you are taking them. Please get an upper GI endoscopy.A small cancerous lesion if at all present will be seen by this procedure.Get this test done and be relieved. Hope it will come normal. Nothing to worry Wish you good health Regards"
},
{
"from": "gpt",
"value": "Target: Have acidity, heartburn, nauseated. Taken omprazole. Cancer related?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 2 month old is transitioning from breast milk to formula. I was feeding him 1 bottle of similac advance for about 5 or 6 days and the last 2 days after feeding him the bottle he broke out into a bad red rash with white bumps all over his back, arms, face, neck and legs. What could it be? Doctor: Hello.Thank you for asking at HCM.I went through your son's history and would like to make following suggestions for him:1. He may be reacting to any of the contents of the baby food. Personally I would suggest you to withhold the baby food for a few weeks and then reintroduce under your pediatrician's guidance.If apart from rash, your son has any other symptom like fever, cold limbs, vomiting, diarrhea, not feeding well, lethargy, etc, it may indicate an infection and please consult your pediatrician immediately.2. For prevention of allergies & infections, only breast feeding up to 6 months of age and introduction of other foods only after 6 months is the best strategy. So unless necessary, I would not suggest you to introduce any food/formula before 6 months of age.Hope above suggestions will be helpful to you.Wish your son the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: what causes bumps all over body after intake of baby food?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hii iam suvarna by the 5thday of my mensural cycle my doc prescribed me siphEne and regular follicular monitoring .I had a dominant follicle it was ruptured on 14th day and my doc advised me to take susten 300after 4 days. Actually I had regular mensural periods, is there any chances to get pregnant???? Doctor: Hi,Welcome to healthcare magic. I have read your question.I would like to reply as below:1) Yes.2) There is chance of getting pregnant if you have a dominant follicle.3) The susten would have acted as pregnancy support.4) Get serum beta hCG blood test done to confirm pregnancy if missed periods.If you have any further queries, let me know so that I can help you much better.Wish you good health.Dr. Soumya"
},
{
"from": "gpt",
"value": "Target: Are there chances of getting pregnant with a dominant follicle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi me and my boyfriend were haveing inter course the other night and all of a sudden i felt a very very sharp pain in my lower abdomen, we immetedtly stopped and the pain wouldn't go away for about 30 minutes, but now it hurting again and were not even having sex, but i am going to be getting my period soon in a couple of days, is it just cramps or something worse,I'm 20 yrs old and my boyfriend is 24 Doctor: hi and welcome to healthcare magic...dear with out a proper examination it is difficult to say some thing with 100% confidence....some time during sex...uterus get excited and start contractions,which causes pain....it is temporary....and need no consultation...."
},
{
"from": "gpt",
"value": "Target: Lower abdominal pain while having sex. Is it cramps?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having a problem and not sure if I should go to the doctor. I have been having abdomen pain usually on my left hand side it is always sudden. The pain goes away after I go to the bathroom and poop. But I usually only go once every week or two. Also most of the time when I do go I have diahrea. Doctor: welcome to Health care magic.1.It looks like for me as there is some thing related to bowel pathology.2.It could be colitis / ischemic bowel pathology, Irritable bowel syndrome.3.Get an ultrasound abdomen pelvis to rule out the positive findings and come to conclusion.4.For bowel pathology one may need CT with contrast for better evaluation.5.Get an appointment with your doctor and get needful investigations got done.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes pain in the abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I landed directly on my back several months ago and still have point tenderness. I had some x rays taken during a physical and my back looks like it has a little scoliosis in that same area even tho I have no history of that. When an x ray from the side was taken the vertebrae in my thoracic spine looked a little bit of deformed compared to the others on either side of it. I do have an appointment to see a doc next week but was interested if there were any thoughts for what it might be or the treatment associated. Doctor: Hi,Welcome to healthcare magic.After going through your query I think you are suffering from post tramatic chronic backache.Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as ultracet three times a day after meals) is required. Sometimes vitamin D deficiency is the cause so get your vitamin D checked .If it is low then vitamin D supplementation( weekly with milk) can be taken.Avoid long continuous standing.Sit in a straight posture.Eat milk, fruits and green leafy vegetables daily.You are having point tenderness.Consulting with treating doctor is advised. I treat many of my patients by local triamcilone injection .You need to done MRI TO RULE OUT other causes. I think your query answered"
},
{
"from": "gpt",
"value": "Target: What to do if having point tenderness since falling on the back few months back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my one year old has watery diarrhea and white mucus in his stool. He has had only two bouts of it. The first one was SEVERE. It leaked through the diaper forcefully. He was gassy and cramping most of the evening. Should I take him to the ED? Family doc in the a.m? Doctor: Hi dear, I understand your concern . I recommend you start antibiotic therapy:-Syrup Taxim (Cefixime) 4mg/kg/dose twice a day for 5 days.-Enterogermina1 sachet oncr a day for 5 days-Keep your baby hydrated with plenty of water, ORS.Wishing speedy recovery."
},
{
"from": "gpt",
"value": "Target: How to treat watery diarrhea with white mucus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have been unable to find an orthopaedic doctor in the San Bernardino area that WILL accept the new Anthem Blue Cross/Covered ca insurance plan. Brother was operated on previously in anle and had pins put in. Pins have now moved and he is in a whole lot of pain. What di I do now, I am his sister trying to find him immediate help. thank you YYYY@YYYY Doctor: hi..if d pins t causing pain..its high time u need to remove d pins at d earliest so that it does not cause any harm to any other soft tissues..thanks"
},
{
"from": "gpt",
"value": "Target: What should i do for having pain due to pins?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a. Rash for + 2 weeks now started on arms and belly and has moved round to my upper legs then lower legs and now my back and chest. It is extremely itchy particularly at night I have been to gp four times and they don t know what it is. Tried various antihistamines but get no relief from the itching. My legs are now really badly bruised and I have no explanation for this Doctor: Hello, Your symptoms seem to be related to an allergic reaction. I suggest using antihistamines such as Cetirizine. I also suggest using Hydrocortisone cream for local application. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest medications for itchy rashes on arms legs & chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have a 4 month old son who has a welt like bump on his spine, on closer inspection i noticed that it is hairy, i have concerns due to the fact that while i was pregnant with him during an ultrasound the noticed that i had an increased risk of nueral tube defect - in particular spinal bifida was wondering if i should be concerned about this lump it is about 4cm long and 2cm wide not raised too much?? Doctor: HI.Thanks for your query.Yes, the hairy lump on the spine is a telltale sign of a neural tune defect. In your case suggestive of an underlying spina bifida. Please confirm this by X-rays. Also get confirmed his movements of the lower limb. Consult a Pediatric Surgeon or a Neurosurgeon.And if the nerve supply to the lower limbs is unaffected , you have to observe for any further development as your child grows to adulthood.In later age he may need surgical interventions if there is development of neurological deficit."
},
{
"from": "gpt",
"value": "Target: Should I be concerned about a hairy lump on the spine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: respected doctors.. i am 22 year old.height5.11&weight 85kg.i am using inhaler for more than15 years. from last 2 months i am using inhaler more than 10 puffs of asthalin per day(sometimes24 puffs per day). my body is highly reactive from some foods and some medicines especially anti-biotic medicines&my body is very reactive from cold drinks,foods&environment. is my inhaler (cipla asthalin)will give any side effects to me? Doctor: get your food allergies test done you start with tab montelucast 10 mgm tds along and after finding allergiers go for low dose sublingual immunotherapy dont use paracetamol,brufen,disprin analgin etct"
},
{
"from": "gpt",
"value": "Target: Using asthalin inhaler daily. Highly reactive to anti-biotic medicines, cold drinks. Safe to take cipla asthalin inhaler?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Am a retired person & got bye-pass heart surgery in 2004.Now I feel numbness in left side body.My Dr asked me to get MRI SCAN BRAIN test.Pl give reply which center can approach to low cost @ Chennai city Doctor: hi welcome to healthcaremagic.. mri brainscan will cost u between 5000-10000..if u go to apollo, definately it will be higher.. i would suggest u to get it from bharat diagnostics because even the radiologists opinion are important.."
},
{
"from": "gpt",
"value": "Target: Having numbness after a by pass heart surgery"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is suffering from a viral infection. He has seen his doctor but this morning he woke up he had a vile body odour. This odour is not due to lack of cleanliness and he had a similar odour two nor three mornings ago cdoming from his breathe. We have been married 40 years and I know this is not normal. Doctor: hello mam,Your husband is suffering from Viral Infection.The doctor you have consulted must have given antiviral drugs.this medications sometimes have side effects of bad breath & odour.he might be having this side effect.Still confirm with the doctor whom prescribed medication for viral infection.wish a rapid recovery for your husband.thanksregardsDr.Ravin Shah"
},
{
"from": "gpt",
"value": "Target: Can viral infection cause vile odour in body and breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I have a red lump on my face that is filled with fluid. It is very soft and is not painful or itchy and I don t know what it is. It is about 6mm in diameter and pokes out about 4mm. I am 32 years old, 168cm tall and 90 kilos. I am generally healthy and had a baby 2 months ago. The lump appeared while I was pregnant, about 8 months ago, and has recently started growing. Doctor: Hi Dear,Welcome to HCM.Understanding your concern.Brief answer - CarbuncleDetailed answer - As per your query you have symptoms of red lump on face filled with fluid which is mainly because of infection in that area and that infected mass gets filled with fluids, pus and dead cells. Infection occurs mainly because of hair follicle or oil gland gets blocked and started filling with cheesy material.I would suggest you to apply ice pack on it repeatedly to suppress swelling.Apply topical skin ointments and creams may contain salicylic acid or benzoyl peroxide, as these help reduce local infection and bacteria and acid help to decrease the amount of skin that has built up around a wart.Corticosteroid injections are best treatment option to reduce red lump.Antibacterial ointments and medications such as Amoxicillin will prevent bacterial breakdown.Drink alot of water and fluids. apply cotton dipped in tea tree oil and apply on face.Take probiotics such as yogurt in diet.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What does red lump on face filled with fluid indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My 15mo old started with a fever today. Tmax 102.6 tympanically. No runny nose or congestion. I have heard her cough twice. Dry. I gave her Tylenol at 12p, temp still 102.2 at 2pm and she was shivering with chills. So I gave her Motrin at 2p. Temp still 102 at 3p. I verified correct dosing with her most recent weight this past Monday. She is drooling a little and also keeps sticking tongue out. She does not want to eat food. Ps she does already have ear tubes. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The most common cause of fever in an infant are viruses. Respiratory symptoms are produced by viruses. However, fever may be the only sign of a viral illness.Some physicians feel that giving an infant two different medicines for fever is not any better than using just one. Tylenol dosing is every 4 to 6 hours; Motrin is given every 6 to 8 hours. It can be confusing when using both medicines.Luke warm water sponge baths can also be effective in reducing fever.When any infant has fever, it is important to see they are drinking enough fluids so as not to become dehydrated. A good sign that she is not dehydrated, is that she is wetting diapers with the same frequency as when she is well.If your daughter is taking fluids, is alert, allows you to comfort her, and not vomiting, then it should be safe to continue watching her condition for the next several days even with fever. However, should her condition not improve or fever persist, then the best would be to have her examined by a physician.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Arnold Zedd"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever despite taking Tylenol"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My sister-inlaw aged 65 is experiencing a sudden onset of speech impairments ie slow halting speech with med to long gaps between words. Results of MRI is nad. Dr has suggested she has? unresolved grief issues following several deaths over recent years (say 12 years) ie parents/husband & sibling. Her brother, (my husband) suffered a dibilitating stroke 18mths ago and is in a long term care facility. Would an inability to cope with grief cause such an affect? Speech therapy over the last 5mths has done little to improve her condition. Thanks Doctor: is it really sudden onset? or you noticed now?There is entity named \"primary progressive aphasia\"in which language is primarily affacted and it is a neurodegenerative disease. and in early stages MRI Brain can be normal or show some strophic changes. But before labe;;ing such doagnosis, she need full investigations, including psychiatric assessment."
},
{
"from": "gpt",
"value": "Target: What causes speech impairments with long gaps between words?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my sister has ovarian cancer which has spread to her liver. She is in the care of a nursing home. what do you suggest to recommend to her dietian for foods to eat. I have read that sugar is the main fuel source for cancer. she is a fan of spaghetti, pancakes, etc... Doctor: Hello and thank you for submitting your question.I am sorry to hear about the health of your sister. It is true that sugar/glucose is the main source of fuel for cells, malignant or benign. Unfortunately, in the case of malignancies, the cells' growth is more influenced by other factors (mutations in growth genes, response to chemical signals). In your sister's case, she would very likely benefit the most from a consultation with a medical professional (nutritionist or physician) who can assess & balance her needs for carbohydrates for normal physiologic functioning."
},
{
"from": "gpt",
"value": "Target: What are the apt diet for an ovarian cancer patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is breaking out in hives, and I m not sure why. She has no known allergies, but i am suspecting her diapers because of where the hives are located. I m not sure if i should take her in, or try to treat them at home first. If i was to treat them at home, is there something i could use instead of calamine lotion, or do you have any other suggestions? Doctor: Hello.Thank you for asking at HCM.There are many causes of hives. I would like to know other details like duration of hives, any other allergic diseases, any relation to food or drugs, etc.At present, if you don't want to use calamine lotion, I would suggest you to give her an antihistamine like hydroxyzine or cetirizine for 3-5 days. You can use both calamine lotion and an antihistamine drug, that will be better.As they are related to diaper areas, I would suggest you to change diapers more frequently and also change the type of diapers, if possible.If this does not help, I would suggest you to consult a pediatrician, who will ask in detail about her problem and can examine her hives/rashes and can come to some conclusion.Hope this will be helpful to you.Wish your daughter the best of the health.Regards."
},
{
"from": "gpt",
"value": "Target: How to treat the hives on my daughter?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a bad cough. That I can t get rid of. So their home R.E.M. that I can to help me I have been going to a lung dr and ear and nose dr. The lung only know how to shake his head and scrap his I have had this off and for years no body can help me What can you sujust Doctor: HiYou should do some examinations as follows:Chest x raySpirometryDiscuss with your doctor for thisRegardsDr.Jolanda"
},
{
"from": "gpt",
"value": "Target: What causes recurrent chronic cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got Recently Semen Test.. My Report Analysis is.Volume:- 1.1 ml Ph 09 Appearance whitishSprem Count 56 Million Liq. Time 20 minMottility Active Sluggish DeadAfter 30 min 60% 20% 20%Morphology Abnormal Heads 10% Abnormal Necks 03% Abnormal Tails 07%Pus Cells 2-3/HPF RBCs NIL/HPFKindly Sir i woorled Please Reply me on my E-mail or on Forum. YYYY@YYYY Doctor: Hello Thanks for writing to HCMAbnormal head means sperms with abnormal morphology.Normally at least 16 % sperms should have normal morphology for successful fertilization.You have sufficient number of sperm with normal morphology,so you shouldn't be worried.But your semen analysis report suggests infection .Infection is indicated by the presence of pus cells in semen. Normally there shouldn't be any pus cells in semen.Infection may be due to prostatitis,UTI etc.You need antibiotics for infection.You need few more investigations like routine hemogram,Semen culture and sensitivity,RBS,Ultrasound of pelvis should be done.Trans rectal sonography of prostate can be done if needed.Proper antibiotics should be prescribed after culture and sensitivity report.Other factors like count and motility are within normal limit.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What does abnormal heads mean in the semen analysis test?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 14 year old daughter had a small lump on the base of her skull a year ago. Now it is the size of a quarter and when I touch it she gets a fever. She has had a headache now for the past 2 days with a slight fever and feels like she is going to get sick. And earlier today she felt off balance. Is the lump on the back of her skull causing all these other symptoms? What could the lump be? Doctor: Hi, dearI have gone through your question. I can understand your concern. She may have dermoid cyst, some soft tissue tumor like lipoma or neurofibroma or some skin adenexal tumor. She should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes lump on base of skull?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir My hand Shivvers when I am in crowd with many people in Home or with my friend - when I lift a glass of water / spoon . My mind starts thinking different & suddenly hands shivvers - I will try to avoid this situation. i went to family doctor - they gave me Nuerobion forte tablet to use for 1 Month - but of No use . Pls advise Doctor: hi,the issue you are facing is due to lack of contraction between the different groups of muscles. I will recommend you to do some gripping exercises and upper limb strengthening exercises. even focus on doing some fine motor activities like opening a scree and closing it. opening a bottle cap and closing it. squeezing a towel or a blanket. once you regain the strength and co-contraction between muscles your precision level will improve and you will get rid of the tremor kind situation you are facing with.thank you"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for involuntary tremors in hands"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 63 year old disabled vet, have been disabled since 1987 by broken vertibrea in lumbar spine,I have pad,pvd, arthritis, 3 kinds, have had 12 surgerys, I am 5 8, 175lbs. I grew this lump in the back of my tongue. with a few other smaller bumps, all filled with puss. about 2 months ago. I tried to get my doctor to look at it and he didn t even try. Was just wondering if someone else might know what it might be. Doctor: Hi,Dear,Good evening from INDIA.Thanks for the query to HCM.I studied your query in details and understood your concerns.@My impression of your case -is-mostly palatine and lingual tonsillitis.So Consult a ER ENT-Surgeon who would-do FBS and PPS and would do the needful treatment.@Hope this would resolve your worrisome query.Welcome for any further query in this regard,and would love to help you to resolve this problem till it is solved to your satisfaction.@I would take opportunity to request you to Write strong recommendations promoting my services for the benefit of my new and old patients at HCM clinic.Wishing you fast recovery..!!Have a Good Day.With Regards ,Dr.SAVASKAR M.N.Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures."
},
{
"from": "gpt",
"value": "Target: What could a lumps in mouth mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my brother in-laws son died last week, he was 8 months old. My husband went for the final rights and he said that the body of the baby did not look healthy. He said he had a big head and a very small thin body. He said they have a name for it in Hindi that translates to dry stick. I wonder if you could tell me what this illness is? I am British and wondered if it was an illness that could have been treated. Thanks. Doctor: Hi...by what you quote I feel that it could be congenital hydrocephalus (as you say the boy had a large head with a relatively small body). Assuming that it is congenital hydrocephalus - we need to take an MRI brain and see how the internal structures are and based on that only we can decide whether it is treatable or not.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes an infant to have big head and a thin body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My name is Tammy 54yo. I m having back pain. It s on my right side middle of back. Has been approx 2 weeks, like most people I thought it would go away. I am not an active person and have several medical issues. I m on several medications as well. On 12/29/16 I had diney stones removed, stent placed. 2 weeks later another surgery for a stone they missed. No blood in urine, no cramping. I m just not sure if it could be another stone ( I did not hurt like this the last time) or a kidney infection. Any thoughts? Doctor: Hi Tammy, After going through your history my first step would be rule out a urinary tract infection,Firstly since you've already had stones earlier, secondly that women are generally more prone to get infection of the urinary tract. So i would start off with doing a urine analysis. Also get an X ray of your lower back. It could be possible that your back pain may be mechanical in nature due to any spasmodic pain of your back muscle,also that in your age many women suffer from osteoporosis as well. But, i would treat you for that only after doing appropriate lab investigations and x rays. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes right-sided back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hai Dr. i am 25 years old male person .i am an epilepsy patient. my doctor prefered feliz s 10 tablet and lamitor dt 100 tablet. i have eaten this 4years continue and also this time. is this any problem in our body in future... dose is one table each daily Doctor: hithanks for using HCM.Lamitor DT100 is good drug to control future episode of epilepsy, and as such there are no long term serious side effects ( other then skin rash ). preventive therapy for seizure should be continued till your doctor advise you. However there is no direct role of Feliz in management of seizure as this is an antidepressant drug , but it is helpful if you are having depressive symptom as well. thanks"
},
{
"from": "gpt",
"value": "Target: How safe is taking Feliz and lamitor for Epilepsy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am having pains around the waistline on the left hand side when I sit down in a normal seated position, this is not a problem when standing or laying down or during exercise. It has been ongoing for about 3 weeks. I have taken co-dydramol as prescibed by my GP but this has not helped. Age is 36 years, height 5 11 and weight is 15 stones and am generally healthy. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you are having nerve compression in sitting position which is causing you pain especially in sitting posture. You should first try below mentioned non pharmacological measures for pain relief. 1.Avoid heavyweight lifting and strenuous exercise. 2. Avoid sudden jerky movements like bending, side movements etc. 3. Apply warm water pad on affected areas. 4. Avoid bad postures in sleep. You will mostly improve with all these in 1-2 weeks, if not improving then consult orthopedic doctor and get done x ray of lumber spine to rule out compression. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes pains around the waistline?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the er and told them I thought I had a kidney infection cause my lower back was hurting and thought I had a uti they tested my blood and Urine and blood came back OK but urine was infected they gave my bactrim and it made me deathly sick now I m on cipro and not getting any better urine in dark brown now and both sides of my back hurt and I m feeling worse Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems like urinary concertion. You can take Cefadroxil twice daily for five days take Omeprazole twice a day for five days take proper amount of water. Go through ultrasound abdomen and pelvis consult urosurgeon. Cystoscopy is helpful for you. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes lower backache and blood in urine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey, My friend has been diagnosed with angieodeama and has had a tattoo for over year. But tonight there seems to be itchy lumps appearing round the lettering of the tattoo. Just wondering if this is an allergic reaction or should i have to do anything bout it tonight?? Doctor: HI, thanks for using healthcare magicIt is an allergic reaction. An oral antihistamine should help to reduce the symptoms.These can be obtained over the counter. Examples are: benadryl, claritine, zyrtec, allegra.A mild topical steroid such as hydrocortisone should also help.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Is angioedema an allergic reaction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. i'm 18 years old. i was outside today and i pricked the bottom of my foot with a little nail. it's been outside for a week or so. I've been hearing that there are side affects of a nail going in your foot such as becoming Jaw-Locked, is that true? But, id like to know if i should go get a tetnis shot or not. Its a little tender when i touch it , and its hard to walk on sometimes. I only did it about 4 hours ago, and i just didn't think anything would effect me. Can you please let me know if i should go see a doctor or not ! Thank you. Doctor: Welcome to healthcare magic! Is your tetanus vaccination as per vaccination schedule? If you are properly vaccinated ,then no need of vaccination. But if you are not sure about vaccination, you better get vaccinated. Nails might penetrate deep. if the wound is deep and dirty, then chances of tetanus are higher. So depending on your vaccination status your physician will decide about tetanus dose."
},
{
"from": "gpt",
"value": "Target: Is tetanus injection required after foot pricked by nail?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m quiet heavy body want trying to conceive I had on year back 2 miss carriages in 6 mths gap now again I want to conceive fast I had gone to many gynac but all with different views I m confused now, some say to reduce some say I have infection in torch test . Plz suggest can I go for my plannings I m scared of DNC now thanks. Farida Doctor: Hi,Welcome to healthcare magic. I have read your question.I would like to reply as below:1) The reason for infertility as well as miscarriage in you probably is obesity.2) Please reduce weight.3) Weight reduction will solve both problems for you.If you have any further queries, let me know so that I can help you much better.Wish you good health.Dr. Soumya"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for infertility"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr! I am 25 yrs old and married before 2.4 years . Trying for concieve from 1 year 5 months and my tratment is under MD gynac but not succeed yet. My period is not regular its take 30 days or whenever 50 days also...I am takind Bigomet SR 1000g & Folic Acid & Fetile tab) ...but sience no effect..and i have done my HSG test it s normal also follicular monitoring but no result . I want baby........pls sujjest me....now my dr sujjest me IUI tets is it good for me? Kindly advice...thanks in advance. Doctor: Hello. I'm sorry you're having difficulty getting pregnant. If you're taking Bigomet, I presume you've been diagnosed with polycystic ovary syndrome (PCOS). Without treatment, it's usually difficult for women with PCOS to conceive and carry a pregnancy to term due to the hormonal problems and metabolic abnormalities associated with this disorder. With treatment, however, your chance for conceiving and having a baby is quite good if you're under age 35. The question that must be answered for each patient is which treatment is most likely to be effective, and this is an issue that only you and your doctor can determine. Some women respond to metformin (Bigomet) alone, others conceive with the help of medications that enhance ovulation, and still others require in vitro fertilization (IVF) or intrauterine insemination (IUI). If you have questions about why your doctor thinks IUI would be best for you, I suggest you talk to him/her. Good luck!"
},
{
"from": "gpt",
"value": "Target: Trying to concieve, periods regular, on medicines, no effects, suggested IUI tests. Second opinion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor my grantmother is suffering from juindce.doctor advised for lft .reports are given below bilirubin 8.69mg/dl, aspartate amino ast/ sgot 138mg/dl, alanine aminotranferese 68u/l alkaline phosphatase 1857u/l total protiens 8.20g/dl , albumin alb 4.00g/dl. is my grandmother ok or having chronic lft dieases. tell me solution .plz thanks Doctor: Hello, Thanks for using HCM plateform for medical advice. According to blood reports, it seems that your grandmother is suffering from obstructive jaundice. Normally liver form the bile (juice for food digestion), it flow via tube (bile duct) to intestine and there its mixed with food and help in digestion of food. In obstructive jaundice, there may be blockage anywhere from liver to intestine in bile duct (bile flow tube). Ultrasonography is helpful to know about obstructive jaundice and it also tells about cause of obstruction. Consult your gastroenterolgist for further investigation to know more about the disease and treatment. Depending upon underlying cause, it can be treated with either Endoscopy or Surgery or by both. If this remains untreated, then it may progress to complications like high grade fever, liver damage, yellow coloration of whole body, severe itching, loss of desire to eat... Meanwhile ask her to take plenty of water and high carbohydrate diet. I wish for speedy recovery of your grand mother. Dr Avinash Tank"
},
{
"from": "gpt",
"value": "Target: Suffering from jaundice. LFT done. Having any chronic LFT disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 year old eyes hurt in light, even dim light, has fever body id all red but not a rash. He said he feels his brain moving and it hurts...(headache). He has black circles around his eyes.They day before this all happened he shoved a ear swap in his ear.Could this be the problem Doctor: Thanks for the query.I think it may be ear infection.You should see a doctor.You might need course of antibiotics like amoxycillin and some antibiotic ear drops.For fever and headahce you can give him brufen.Redness may be due to fever itself.Hope i helped you."
},
{
"from": "gpt",
"value": "Target: What causes redness in body, fever and headache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has Sickle Cell Anemia. He recently had a kidney transplant (January) at Emory after being on dialysis for almost 12 years. While the kidney is great, his hemoglobin has continued to be low. He has Iron Overload as a result of so many transfusions (his first one was at six weeks of age and now he s 41). His hemoglobin is always between 6-8. His doctors say he need the transfusions, but I m really worried. His brother died in 2011 at the age of 34 from Iron Overload. Could the transplant drugs be the culprit? He takes Hydroxyurea (to increase his RBC) and Exjade for the IO. Doctor: Hi, dearI have gone through your question. I can understand your concern.Iron overload is very common in multiple blood transfusion patients. He should take chelating agent like defiperone to control his iron levels. Oxygen is the main treatment in sickle cell crisiis. If needed go for blood transfusion. But take chelating agent also.Consult your doctor and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for low hemoglobin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr, Since the day of birth to 10-12 days my baby was very fair and after that gradually she is getting dark complexion, why so? I dont use soap or any cream for her, for bathing i use chickpea flour + chandan powder + wekhand powder +ambihalad+ milk,. Will she get her clear complexion or does she has any side effect or allergy? Pls give your suggestion Thanks, Vrinda Doctor: Hi, welcome to HCM. Can understand your concerns. There is no medicine for improving complexion in children. You should avoid other methods also."
},
{
"from": "gpt",
"value": "Target: Is usage of flour while bathing for infants safe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had orthospec for my plantar fasciitis 3 years ago and now seem to be having problems in my toes possible mortons neuroma- going to dr tomorrow for that! Same foot seems crazy what are the odds that something different happen to my foot-AND I have nerve been a big hig heel wearer/ not overweight and I have always tryed to wear the proper shoes! I wear ASIS which my foot dr said were great shoes plus I ended up getting inserts for them from the dr after healing from planter fasciitis - any advice at all so appreciated Doctor: Hello,Thank you for using healthcaremagic.I read your question and understood your concern.I think you can do physical therapy with shock wave and stretching of Achilles tendon and plantar fascia and use night splint to sleep with.Cortisone shots in the heel help in most of the cases also.Wish you all the best.Dr. Selmani"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for plantar fasciitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Four years ago I had endometrial cancer stage 2B. Five weeks external beam and 3 weeks internal radioactive seed 9 weeks after hysterectomy was completed. I am now 56 years old always non smoker with normal weight. Now my ESR and CRP are elevated and I am having headaches and some joint pain. No other symptoms. Should I be concerned about c Doctor: hithanks for your queryi can feel your concerns Actually ESR and CRP are nonspecific tests and they are raised in various conditions like infections, inflammations and malignancy.They may be raised because of joint pains you are experiencing. i advise you to take calcium and vitamin D supplements after consulting your doctor.You should get your eyesight examined by your doctor.you can take painkillers like brufen.if your symptoms persist and you experience weightloss,anorexia ,sweating ,or anyother unususal symptom ,then have a complete checkup by your doctor to rule out any evidence of malignancywishing you a speedy recoveryi am available for your helpregardsdr.imran"
},
{
"from": "gpt",
"value": "Target: Treated for endometrial cancer stage2B. ESR, CRP levels elevated, headaches, jointpain. Matter of concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my wisdom teeth pulled this morning and had to wait til the numbness to go away before I can eat. Well after eating I noticed white stuff in the hole and around. It is food or something else. I tried rinsing my mouth out with water but it's still there. help please?!?!??! Doctor: HIWell come to HCMChances of fragment of teeth may be likely and this need to be ruled out, without the clinical examination difficult to say anything it could be any thing right from the fragment of teeth to food particles, cotton swab, in my pinion better to see the dentist to clear the doubt, hope this information helps, take care."
},
{
"from": "gpt",
"value": "Target: What causes numbness after wisdom teeth removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was taking paroxatine 30 mg for anxiety and depression. Was changed to citalopram 20 mg because paroxatine wasn t working. Now paroxatine is not in my system and citalopram has only been taken for 4 days so it s reall not working either and very emotional. What would happen if I took 1/2 paroxatine in the am and citalopram in the pm. Only till it gets in my system Doctor: Hello,I have gone through the details mentioned in the question. I believe that your prescribing doctor must have shared with you that majority of antidepressant medicines take 2-4 weeks to respond. So I believe it would be too early (in just 4 days) to expect the response.Regarding doses of citalopram, it may go up to 40mg per day but only after consulting your doctor.Hope this would be helpful to ease out concern and in case needed you may get back to forum.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest dosage for Paroxetine and Citalopram while treating anxiety and depression"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had shooting pain on left abdomen just nearby ribs for about 2 minutes.The pain was unbearable and i couldn t find a proper position to sit or sleep during these 2 minutes.Afterwards the pain relaxed and i slept for the whole day i felt a slight pain in the same area.The next day again same happened with unbearable pain for 3 minutes.Again the pain relaxed but this time pain the was getting more intense by body movements.whenever i walked or moved my body the pain was more intense.i consulted a physician who treated me normally by giving a pain killer an anti inflammatory drug.But for safety sake he got me sonographed which revealed 3 stones in left kidney of 3-5mm size.The doctor said it is normal drink plenty of water they will pass out.I took the medicines and after 5 days i was fine no pain at all.it has been now more than 45 days i have no complaints. Kindly suugest should i take kidney stone medicines and how will the stones pass out. Doctor: HI. Your Doctor was absolutely right . The best therapy for small kidney stones is to drink plenty of oral fluids. This helps in diluting the urine so not allowing enlargement of stone and forceful kidney flush-out can force the stones flow down with force of excessive urination. If you are talking about herbal medicines for stones , you can definitely take them if suits you."
},
{
"from": "gpt",
"value": "Target: What is the remedy for the shooting pain in the stomach near the ribs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 70 + and am still having hot flashes. I started them in my mid 40s and have not stopped except for a few years when I took premarin. I stopped that when medical studies warned of breast and ovary cancers. I have them maybe 5 times during the day and also at night. Any info would help. Doctor: Hot flashes are typically caused by hormonal imbalance. When a woman hits menopause and her body starts to make the transition, production of estrogen and progesterone is disrupted. This change causes the hypothalamus to think that the body needs cooling down so it sends signals to the rest of the body, which in turn causes a hot flash.The most effective treatment for hot flashes is estrogen. Medications such as antidepressants and anti-seizure drugs also may help reduce hot flashes. For most women, hot flashes fade gradually within a few years.RegardsDR DE"
},
{
"from": "gpt",
"value": "Target: Why am i having hot flashes for years?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have stage 3 ckd could 5 years of lisinopril have been a factor? would switch be wise to replace lis. with amlodipine? Thanks in advance...Mike If i have to pay for this please cancel because I have no money.....do not answer my questions if i have to pay....thanks Doctor: Hello, This time there is no payment fee. Yes, sometimes the use of lisinopril is associated with kidney disease, however, we should consider other causes like hypertension itself, associated complications or so. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Albana Sejdini, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can 5 years of lisinopril cause stage 3 ckd?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My five year old son has been throwing up since 11pm, about once an hour. Bile has been coming out the last few times with a very dark brown blob. This last time was lol dark brown. Should I wait to take him to the doctor in the morning or go to the A&E? Doctor: HI...it is a medical or surgical emergency and I suggest you rush him to the emergency room immediately. It could be intestinal obstruction or an intussusception (though rare at this age).regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for throwing up of bile juice in a 5 year old"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir i am suffering from juadice for three months And days before i tested my liver function then ny total bilirubin was 0.8 and sgpt 45 u/l and my urin is in dark yellow Hv i juandice? If it is juandice even it passed three months why it dont come to normal? Doctor: hi.it is best if you consult with a physician, preferably a general surgeon or a gastroenterologist, for thorough physical examination and diagnostic assessment of your condition, other than those liver function tests mentioned above. your signs and symptoms seem to be persistent and there might be a pathologic cause somewhere in your biliary tree or periampullary area. management (medical and/or surgical if indications are found) will be directed accordingly.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: How long does jaundice take to get cured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father is over 60 years old, he has been suffering from severe waist pain for many years, it is so severe now that the pains sometimes goes down to his laps and so deep. Recently someone said it was acute rheumatism and mentioned ASLO, please I wish to know if this severe pain is related to ASLO and what exactly is ASLO. Please what is the most effective medicine he can take to relieve him of the pains? Doctor: Hello, Waist pain may be due to lumbar spondylosis or disc prolase or disc bulge with nerve compression or back muscles spasm. Many other possibilities like ankylosing spondylosis. ASO is associated with rheumatic arthritis but it is common in younger age group not with back pain it may present like large joint pain. During old age it may be rheumatoid arthritis which may be associated with rheumatoid arthritis. It may affect back but more commonly small joints of hand and foot. Please get it done ANA,RA factor, ESR,X-ray of lumbar spine etc. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu , Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: How can chronic severe pain around the waist be treated and is it due to ASLO?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a bladder infection that I'm taking macrobid antibiotic for, the burning feeling has gone away but last night I had sever stomach pains and I keep getting pulsing headaches around my ears. I have also had bright red vaginal bleeding for 3 days, I'm not sure if its coming from where I pee from or from my uterus. Its different than my period, as the blood is usually darker red, and im not supposed to get my period until the 15th. Should I be worried about anything? Doctor: THERE IS SOMETIME RACTION TO MEDICINEMACROLYTES SOMETIME DONOT SUIT AND THRE IS ALLERGIC REACTION CAUSING THISTHE DRYNESS OF MUCUS CAUSE SINUSITIS ATTACK CAUSING HEDAXHETHE SWELLING OF BLADER CAUSES BLEEDING IN VAGINASTOP THIS ANTIBIOTICTAKE DOXI 100 MG BD FOR 10 DAYS TO CLEAR SINUSESLOT OF WARM WTERTAKE ANTIA;;ERGIC EBASTINE 10 MG BDTAKE FLUNARAZINE 5 MG AT NIGHT FOR 3 WKDICLO SOS FOR PAINCITRALKA SYP 1 TSF BD WHICH ACT AS LOCAL ANTISEPTIC FOR URINARY TRACT AND BLADDER INFECTIONYJESE WILL COVER BOTH SYSTEMS SINISES AND BLADDER MAY TAKE 3 WK"
},
{
"from": "gpt",
"value": "Target: Stomach pain, pulsating headache, red vaginal bleeding. Had bladder infection. Anything to worry?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2 yr old son has had a bump on his head near his temple for 3 months now. It is about the size of a quarter. It doesn't really bother him unless you keep on touching it. It hasn't changed in size but I am just worried because it hasn't gone away. When I called the nurse after it was there for over a month she asked the doctor and he said it could be a bone bruise and to just keep and eye on it and let them know if it changes in size. Doctor: Hi and welcome to HCM.Well it can be any subcutaneous mostly benign lesions such as lipoma,fibroma or cyst. If there is no rapid growth or pain you hsould not be worried,you can do ultrasoud if there is any concerns or it can be surgically managed and sent to patohystologic analysis.Thanks for the query. Wish you good health. Regards"
},
{
"from": "gpt",
"value": "Target: What could be the reason for a bump on the head near temple , which is about the size of a quater ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 16 year-old daughter, Natalie, is a soccer player. She is very sensitive to heat; experiences rising bdy temp, sweating and headaches. She has occasional chest pain and palpitations. Was given an EKG three years ago - normal. She has exercise induced asthma and takes Cingular and Albuterol which control it well. Her family doctor does not seem particularly concerned as she has had these symptoms for years and is otherwise very healthy. Can asthma and/or its treatment produce some or all of these symptoms? Would you recommend another EKG? or any other diagnostic exam? Many thanks, Natalie's dad Doctor: hi welcome to hcm,most common symptom of asthma is dyspnea means shortness of breath,chest tightness,coughing,Still, not every person with asthma has the same symptoms in the same way. You may not have all of these symptoms, or you may have different symptoms at different times. Your asthma symptoms may also vary from one asthma attack to the next, being mild during one and severe during another.thank you"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of asthma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have been diagnosed with Dysphonia and mild asthma. I have been diagnosed moderate to severe asthmastic for 50 years. 2 emergency situations have used adrenaline, the relief was immediate. Do you think this would be asthma or dysphonia related? Doctor: hello,thanks for your query, asthma is lung related, dysphonia is related to voice box(larynx). any patient with asthma, which gives productive sputum, which comes through vocal cards(part of voice box), can inflame vocal cards leading to hoarseness of voice, or difficulty in speaking(dysphonia).asthma which will not respond with steroids or bronchodilators, adrenaline is drug of choice to control its sevearity.hope i have answered ur query.all d best,take care."
},
{
"from": "gpt",
"value": "Target: Is the emergency related to asthma or dysphonia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i am fahd and i have a very bad problem of hand practice! i am doing it since i was in class 5 and now i am in class 10. i really want to get rid of it but i cant and nowadays when i do hand practice less semen is released! what is the reason? is it getting finished please tell me i am very worried Doctor: Hello, The semen fluid is combined secretion of testes fluid, seminal vesicle fluid or prostatic fluid. It is constantly get secreted in genital tract and it cannot get finished until pathology is present in that organ. The excess masturbation frequently can lead less semen sometime as it's secretion take time up to three to five days. To get rid of masturbation habit you need to avoid excess porn watch. Yoga, meditation and breathing exercises can be helpful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment to get rid of masturbation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been having some strange symptoms the last few weeks. feeling of lump or frog in my throught , odd chest pains liht twinges near left shoulder, pressure in head and ear on right side. a few heart palpitations, and an odd feeling of anxiety for no reason almost like a panic attack, these symptoms come and go \\ Doctor: Hello, Regarding your concern, I would explain that your symptoms could be related to anxiety. Nevertheless, I would recommend consulting with your attending physician for a physical exam and some tests in order to investigate for other possible causes: - a resting ECG - complete blood count for anemia - blood electrolytes for possible imbalance - thyroid hormone levels for possible thyroid gland dysfunction. You should discuss with your doctor on the above tests. If all the above tests result normal, you should consider anxiety as the main cause of your complaints. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes a feel of lump inside throat,heart palpitations and panic attack ?"
}
]
|
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