conversations
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[
{
"from": "human",
"value": "Source: Patient: I have a hard nonmovable lump behind my ear . What I mean by behind my ear is approximatley two inches from top of my ear, on my head, and about two inches above my lobe . From my limited understanding of anatomy , I believe the lump is located over my temperal bone. I noticed the lump a few weeks ago. My insurance will not be available for another 4-6 weeks, however. Does this issue require any immediate attention? Thank You Doctor: from the description it seems you are having some bony swelling or it maybe a dermoid most likely it is benign in nature if it is fast growing consult surgeon without delay if slow growing and no other complain except swelling you may probably wait for the insurance hoping early settlement"
},
{
"from": "gpt",
"value": "Target: I have a hard nonmovable lump behind left ear"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have major abdominal pain and back pain>i have had an endoscapy,the barium x ray tests,colonoscapy and an ultrsound that revealed cysts on my ovaries.My GI doctor said I have a bad case of IBS.Ive been prescribed a number of antacids and librax.I am in severe pain and it hurts to stand,move or touch my upper left abdomen.I am not sure what kind of doctor to see or what to do because the GI specialist did pretty much all he could do,and I am not improving,but getting worse.No blood in stool,no vomiting.Just nausea,pain,blurred vision,fatigue,cramping. Doctor: Hii appreciate your concern in my opinion it could be due to hormonal imbalance which is a common manifestation of ovarian cystplease visit gynaecologout for hormonal studies and thorough examinationmeanwhile have multivitamins like B1 B2 B6 B12 Vit D and mineralsAvoid fried and junk food have plenty of dietary fibres and fresh fruitsHope this helps you Wish you good healthtake care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe abdominal and back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...... hi i have slipped over and hit my whole back of body on concrete. i have a sharp pain in my sternum and at the joints of my shoulder. my chin is also locked up and i have a bad headache. is this serious Doctor: Dear patient you have suffered blunt trauma to chest, shoulder and lock jaw which I think is serious problem. Don't take this lightly and get yourself examined from emergency services personnel. I would like to advise radiograph of chest and skull to rule out bony abnormalities. Also lock jaw required urgent treatment and reduction. Also you are getting headache which might be due to head injury. If you get vomiting or convulsions kindly do CT scan of skull plain SOS contrast. All the best."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sharp back pain after hitting back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My family has a history of Digestive problems. Colitis, and Ulcers in their digestive system. The last couple years I've noticed similar symptoms with my digestive system. Today I've had a deep pain in my abdominal area and it seems to be a throb. I first noticed it last year and lately it's been almost constant. After I eat, before I eat, if I don't eat. Throb throb throb. Today it's a pain or Pinch on my left side right under my rib cage. I've read it could just be gas, I've had a little or it could be Abdominal Aortic Aneurysms. Or something else. I just want to have an idea of what's going on with my stomach and digestive system instead of always worrying about what I can or can't eat or even when I can eat. Please help I really want a normal stomach :) or just to find out what's wrong so I can fix it. Doctor: welcome to Health care magic.1.Fist you need to start getting investigations done to find out the cause.2.If you are my patient i would first examine you and ask for an ultrasound abdomen pelvis done - which will help me to narrow down my diagnosis.3.Furthere i might go for a endoscopy to see if there are any ulcers / erosions.4.Similar symptoms are seen in the ischemic bowel disease, colitis.5.After narrowing the diagnosis the treatment will start.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal pain and chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m a 34 year old male. Why would I have a popping or catching and popping in my lower abdomen right near my pelvic bone when I sit up in bed or try to get out of bed using my stomach muscles? It really hurts when it pops too and it s not in my hip but middle of my lower abdomen. Thank you Doctor: HelloI have read your query. There is possibility of muscle cramp or spasm. I will advise you clinical examination and further investigation like MRI .analgesic and muscle relaxant can be started consulting your doctor. Physiotherapy like IFT And TENS may help you. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care."
},
{
"from": "gpt",
"value": "Target: What causes muscle catch in lower abdomen while sitting up?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I suspect I have a epigastric hernia. A bulge often overlaps my rib cage,right side below breast. I tuck it back in ..with only moderate pain but much awkward discomfort. It would occur more often if I did not appy pressure while leaning or coughng. Doctor: Hello!Thank you for the query.Yes, this sounds like abdominal hernia indeed. Due to muscles and tendons weakness, abdominal cavity organs (fat most likely) can get out of it and cause a lump. Hernia lump is usually less visible when lying down and gets more visible when standing up or coughing.I suggest you to consult general surgeon and have physical examination. Hernia can be fixed with surgery.Hope this will help.Regards."
},
{
"from": "gpt",
"value": "Target: Could the bulge near rib cage be related to epigastric hernia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi... my son has been warded for about 2 mths++.According to the doctor that he is suffering from Anti-NMDA.He has been given a medicine called IVGV.(if not mistaken) So can my son be as normal as before?What is your opinion/suggestion on further treatment?Tq doctor. Doctor: It takes time to improve. But symptoms may reappear in later life.Other options of treatment are plasmapheresis, rituximab, cyclophosphamide"
},
{
"from": "gpt",
"value": "Target: What is the treatment for anti-NMDA?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my sister just had surgery to remove hernia had one removed 3 years ago so much scar tissue so hernia removed through abdomin due to scar tissue. Since surgery she has had an irregulat heart rate getting as high as 160. She has previously been diagnosed with atrial fibulation. Could that be causing irradic heat rate Doctor: HiAtrial Fibrillation is a condition in which there is irregular heart rate. This occurs as the electrical impulses are not occurring through the normal pathway. It is very unlikely that the hernia and surgery could trigger the fibrillation. Is she on medication for atrial fibrillation? Have they found the cause for the atrial fibrillation? Many times treating the cause of atrial fibrillation will relieve the fibrillation to a great extent. Depending on whether she has persistent or intermittent atrial fibrillation the treatment for her will vary. So I suggest that you ask her to visit her physician and get a complete evaluation. Hope I answered your question.I hope she is also taking blood thinning agents"
},
{
"from": "gpt",
"value": "Target: What can be the cause of high heart rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having loose motions daily. Have symptoms as back ache, slight stomach cramping, gas formation, incresed apetite, excess fatigue and tiredness, increased discharge.missed period that is due today although am on 28 day cycle. when should i consult a doctor? Doctor: Hi.Thanks for your query.You should consult the Doctor ''now'' as you are suffering from sp many problems of loose stools, backache, cramping, gases, fatigue and other symptoms including the so called late period. The cause of your symptoms may be due to severe intestinal infection with septicemia. This needs a proper evaluation and treatment with an antibiotic, probiotic and symptomatic treatment, investigations if required. Consult Doctor immediately."
},
{
"from": "gpt",
"value": "Target: What causes loose stools, back and abdominal pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, my mother is suffering from liver cirrhosis, we are giving her proper veg. diet and medication and she has started showing signs of improvement. She is vegetarian and our doctor has prescribed her non veg pretentious diet which she refuses. is it OK for her or we should obliged her to take non veg. Doctor: Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.Vegetarian diet is adequate. There is no need to take non-vegetarian food if she is a vegetarian.If she has developed complications like accumulation of fluid in the abdomen and legs, then she has to take salt restricted diet.I hope that answers your question.Regards."
},
{
"from": "gpt",
"value": "Target: What is the diet for a liver cirrhosis patient in vegetarian?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my brother is at his 11 class. he is very adamant regarding going to school, and he has few friends (Very bad who misguides him) in his last school which is at about 500 km from current location? what should i do? whom to consult a psychiatrist or a psychologist? please help me Doctor: You need to meet a Psychiatrist.When such a student come to me, I usually take a detailed history as why he is getting attracted towards his previous school. After finding out I try to discuss with him about his interests, talents and give him interesting activities to follow with the daily chart and make him to write down his goals. Later I help him to reach his goals step wise. Also I would put him on stress relieving tablets.Hope I have answered your questions.Wish you Good Luck"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for adamant and no social behavior in kids"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, while I was driving my scooter at night, had a fall from scooter due to a big pot hole filled with water, and fell on right side, was dragged a few metres, skin just below knee had deep abrasion, but appeared like no damage was done to bones. Even after 3 months, the wound on knee is not completely healed, shows swelling like mass of skin at the centre of wound below the knee. Also, I am not able to bend the leg fully , not able to squat (while going to Indian type toilet). but have no problem in walking or running. I have undergone physiotheraphy, I also got MRI scan done, which indicates thinning of anterior miniscus. Kindly advice me whether this can be cured by medicines or external application of oils Doctor: Hello,Thank you for using Healthcare magic.I read your question and understood your concer.I think you have meniscus tear ( antrior corn). we treat this problem initially with physical therapy and see if after that is not Ok we propose Arthroscopy surgery to trim the damaged part of the meniscus.I think since 3 months have past and you are not better and can not fully bend the knee even with physical therapy, then you can start to think about surgery.Hope you get well soonDr. Selmani"
},
{
"from": "gpt",
"value": "Target: Swelling like mass at the center of the wound below the knee being unable to bend the leg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hai ,i have headache and tooth pain last one week. it will start with headache and it turns to my teeth . my two upper teeth is filled with metal . i have hole on right side but i have pain on left side on upper teeth.headache and tooth pain came only on night around 11pm Doctor: Hi,Thanks for posting the query, This could be due to presence of secondary caries in the filled tooth.I would suggest you to take n x-ray of the tooth.A root canal treatment can be performed.Take a course of antibiotics and analgesics.Take care!"
},
{
"from": "gpt",
"value": "Target: How can headaches and toothaches be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor,I have suffered from a knee pain for about three months. I bumbed into the seat of my walker, what resulted in a strong pain. The pain subsided after hours, but it came bask rising in strength every day. Eventually the pain became so strong that I went to the emergency of the town hospital to seek help. The firs help was the application of cortisone in my knee. There has been over a month since then but the pain is still strong. I am takin Naproxen every 12 hours to no avail. But I have noticed something else. I feel a little relief after peeing. Would that be a symptom of gout. Is it possible to suffer from gout and osteo-arthritis (I am 82) at the same time. I would greatly appreciate your opinion.Sincerely,Voitek Doctor: Hello, It is really strange to have pain relief after peeing. Podagra is not related to pain relief after peeing. Anyway, I would recommend checking uric acid plasma levels in order to exclude possible podagra. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Why do I feel relieved from knee pain after peeing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I had unprotected sex (without ejaculation) this past Sunday (so 3 days ago). It was on day 15 of my cycle (which is always between 24 and 28 days). So it was either the day after ovulation (or hopefully ovulation had already passed at around day 12 or 13.) I didn t think much of it since there was no ejaculation - but now I am worried about the possibility of pre-ejaculate. My partner had ejaculated within 12 hours prior but had urinated at least once prior to the sex in question - which was very short-lived and as mentioned - he did not ejaculate. I m now wondering what to do as prevention. I m still within the 72 hr window so could take plan b (but that s only effective to prevent ovulation right? I could either take ella or get the emergency iud (which I would like to avoid but would obviously do if completely necessary)... what do you think? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The effect of emergency contraceptive pill after ovulation, that is on implantation is controversial. Some studies mention that by irritating the uterine endometrium they will prevent the implantation and few other studies are telling that they are not having effect on implantation. Ella is also having same effect as emergency contraceptive pill according to manufacturers. So, as you are not sure of insemination and still in 72 hours period, you can go for emergency contraceptive pill. But here we can not completely eliminate the possibility of pregnancy. If you want to be very sure and do not want to take risk, better to go for copper IUCD which is expected to give around 99% of protection rate when inserted within 5 days of unprotected intercourse. Hope I have answered your query and I will be happy to answer any further follow-up queries. Take care."
},
{
"from": "gpt",
"value": "Target: How can pregnancy be prevented after unprotected intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How long does it take to get pregnant after only one depo provera shot. I got the shot in early December and never went back to get another one. I ve been feeling a little weird for about two weeks already, I am 6 days late for my period. And i m just wondering if its a possibly now that i might be pregnant after many months. Doctor: hi thanks for writing to usthe above contraceptive is not a good method for people planning to conceive immediatelysince it is a long acting hormone it may take long time around nine months or so to conceive after depoprovera use"
},
{
"from": "gpt",
"value": "Target: How long does it take to get pregnant after only one depo provera shot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , I am a 24 yrs old man . My blood group is O +ve and I am apparantely healthy . I voluntarily donated blood on friday morning . On saturday morning , I found a big patch of black and blue colour near the punctured area . I consulted the medico who carried out the procedure , she said it will go in 3-4 days . Now its monday morning and still there is no improvement . I am really scared .Is this something very serious . Please help me. Thanks , Suprotim Roy Doctor: Hi, Welcome to HCM It is very good that you donated blood,but black and blue colored pathch which you developed because of some blood leaked from punctured vein in tissue below skin,noramally a firm pressure applied for sufficient time can prevent any leakage of blood, now it will go away with time you can apply a heparin based gel Thrombophob locally to hasten the recovery it should not be a problem apart from it looks bad cosmotically for few days. Please continue to donate blood volentarily and next time just take care. Good luck to you."
},
{
"from": "gpt",
"value": "Target: Donated blood. The area is black and blue. Normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I’m wondering if you could help me. My dad suffers with depression, bipolar, anxiety, agoraphobia and alcholism. He takes a combination of tablets including lithium and drinks 11 cans of Carling every night. He doesn’t particularly eat until the evening and drinks water up until he starts his nightly routine of drinking. He previously had blood tests to check his liver every 3 months but due to changing doctors who won’t do home visits because he’s “not elderly” despite the fact he’s not left the house in 3 years means these have not been done regularly. He’s had his first one in two years recently and his Gamma GT reading was 160. As it was a councillor who found this reading, she was unsure what it meant and he’s getting a bit frantic about it. He has also recently had a change in tablets for his mental health problems and is also suffering with a bad chest and heart palpitations. Please could you shed a bit of light around the GGT reading and what it means? Thank you. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Gamma glutamyl transferase is an enzyme found in the body and is in high concentrations in the liver. Levels of GGT have to be corroborated with other investigations to give you an opinion. You have to focus on treatment of your father rather than on the levels. So try consulting a doctor who can provide the treatment. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes palpitations while suffering from depression and anxiety?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes I am have sever stiffness in my neck and shoulder s I m having burning when I m urinating and it s jello and I m having real bad stomach pains and lower back cramps back spasms in both sides of my back and my whole body is just sore I don t know if it s my arthritis acting up or if it s the test I ve recently done for my doctors or what I ve had a headache severe headache for 2 days and cannot sleep for nothing Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Common causes for stiffness may be due to sleeping abnormal position, Turning head side to side during activity or sloughing poor posture or cervical degenerated disc or cervical herniated disc or cervical osteoarthritis etc. Until examination is done it is difficult to say what it is. Wearing a cervical collar to immobilize a stiff neck is not advised. Rather, an individual with a stiff neck should try to stick to normal activity levels if possible, especially after the first day or two. cases where pain is significant, an individual may want to use an over-the-counter pain medication or apply ice and/or heat therapy. If a stiff neck has not shown improvement after a week, it should be checked by a doctor. Also, regardless of how long it has lasted, a stiff neck accompanied by any red flag symptoms—such as a fever, headache, nausea or vomiting, or unexplained sleepiness—should be seen by a medical professional immediately. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes stiffness in the neck and shoulders?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 12 and she had her spinal cord detethered on July 8. She has recovered well from it, but 2 weeks ago she because having what her doctor thinks are anxiety attacks. She has trouble breathing, rapid heartbeat, tingling in her hands, weakness in her legs, and some pain which she thinks is due to her severe scoliosis. She gets so freaked out and thinks she s going to die. She has Spina Bifida. Could this be chiari? or could her spinal cord have retethered? Doctor: Transverse myelitis with autonomic dysfunction need urgent neurology consultation an emergency she may need oxygen check for blood pressure if the hypotension causing tachycardia check oxygen saturation need assisted ventilation needs iv methyl prednisone for relieving inflammation of spinalcord"
},
{
"from": "gpt",
"value": "Target: What causes weakness in legs and rapid heart rate in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a itchy rash on my upper left butt and a callus like spot that itches on my left foot...and small spots on my legs that itch,,and i had to small bumps on my penis that went away..i also have a kidney transplant...But i haven t had sex in 2 or 3 years...Any Help Doctor: Hello and welcome to HCM.As an Urologist and transplant surgeon,i can understand your anxiety.In your post-transplant state,you're on immuno-suppressant therapy.So be very careful not to itch over any rash, over any part of the body.You should write your age and if you've other medical illness.Once B.P. is in good control,with low immuno-suppressants,sex is possible.Lack of details like age,drug schedule with dosage,it's difficult to comment.If you send all details to me,as a direct question,i can give expert advise.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Can rashes on buttocks be related to history of kidney transplantation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, My query is, perhaps, a simple one, but, to date, no doctor has been able to help me. I get anxious that I am going to fall and I am constantly up-tight when walking. I used to love country-walking and found it very relaxing, but not anymore. This has been gradually coming on for past 7-to-8 years and an osteopath whom I attended told me that the stress muscle in my neck was not relaxing and asked how was my walking in the house. It is ok in the house, but not on the public paths or even on the beach, although it is better on the beach because of the sand. I feel I should be able to relax more, but seem unable to do so, and every magazine I read advises one to walk. Is there anything at all you could suggest? Perhaps Yoga or Pilates, but I would have to travel by car for something like that as there are no classes in my locality. The swimming pool is within walking distance but even walking around the pool is very stressful for me, but the swimming is, indeed, very relaxing. Thank you, sincerely, Annemarie Malone Doctor: Hi friend, Welcome to Health Care Magic You may benefit from Psychiatric assessment and assistance... If there is no problem in swimming / if walking in certain areas like the beach is better - an anatomical abnormality is less likely to be responsible.... Take care Wishing speedy recovery God bless Good luck"
},
{
"from": "gpt",
"value": "Target: Feeling anxious and get stressed while walking? Suggest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, can super-vir oil work to increase length and girth to my penis? Or is there a any type of drug or anything that can work? I am 20 years old. My height is 5\"11 and I weigh 149 pounds. I have epilepsy and I take 400 mg of oxcarbomezapine every night. Doctor: Hi welcome to the health care magic If your penis is getting erected and if you don't have problem in election then Size of penis doesn't matter.... It's only 2 to 4 inch vaginal part that is sensitive and so help in reaching climax... So it's false belief that long and widther penis helps in more pleasure.. If you don't have erection problem, then no need to worry Take care Hope your concern solved Consult physician for examination if needed"
},
{
"from": "gpt",
"value": "Target: Can Super Vir oil aid in increasing the length and girth of penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MY HUSBAND IS 52 YOA AND HE HAS LUPUS AND CIHROSIS OF THE LIVER. HE HAD A COLONOSCOPY ON 4/3/2014.HE HAD SEVERE STOMACH PAIN FOR 3-4 DAYS ,TO THE POINT OF NOT SLEEPING. THEY DONE X-RAYS AND SAID ALL LOOKED GOOD,THEN HE FELL AND HURT HIS BACK,AND HAS BEEN IN SEVERE PAIN WITH IT.HE HAS RUN A LOW GRADE FEVER SINCE THE COLONOSCOPY,AND LAST NIGHT IT REACHED 102,AND TONIGHT HAS REACHED 101 WITH TYLENOL.CAN PAIN CAUSE THE FEVER BECAUSE HE DOESN T SEEM TO HAVE A COLD OR ANYTHING ELSE TO BE CAUSING THE FEVER? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your history, No, colonoscopy does not caue fever,it may be due to infection or decreased immunity. You may require antibiotics after consultation. Take balanced diet. keep yourself hydrated. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale"
},
{
"from": "gpt",
"value": "Target: Can pain after colonoscopy causes fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had un protected sex and used 2 marvelon tablets 4 hours later and another 2 six hours later. This was the first time i used contraceptive pills as an emergency pill. Will this help to avoid me being pregnanat? Doctor: Hi, Marvelon is an oral contraceptive pill which is to be taken regularly for at least one month before it will give protection against pregnancy. It will not give protection against pregnancy if used only after unprotected sexual intercourse. Marvelon will not help to avoid pregnancy in your case. You need a prescription for an emergency contraceptive pill which needs to be taken within 72 hours of unprotected sexual intercourse. Do consult your doctor for the same."
},
{
"from": "gpt",
"value": "Target: Can marvelon help me to avoid pregnancy ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been put on pristatins for high colestral but last night I had a very fast heartbeat and I stayed up untill 02:20 worrying about it. It sudenly increased and was beating like a machine gun for about 2 minutes then went back to just being fast. I managed to get off to sleep at about 03:00 and this morning my pulse was 84bpm will I be alright now or will it happen again? Doctor: Hello and thank you for using HCM.I carefully read you question and I understand your concern.I will try to explain you something.There are different reasons that might cause increased or faster heart beats.The faster heart beats have to do with rhythm issues. If the beats are fast and regular it might be just a simple sinus tachycardia meaning that your heart rhythm is ok but just beating over 100 for minute.If the rhythm is chaotic it might be a different arrhythmia like atrial fibrillation.The cause of this rhythm issues might be different.Physical or emotional stress, caffeine products might cause increased heart frequency so its mandatory to avoid them.All sow, there are different pathology's like anemia, thyroid gland problems like hyperthyroidism that might be the cause of fast heart beats. In very rare cases the usage of stains for high cholesterol might give rhythm problems, but im not sure if this is your case.It might be just an episode related to a stressed day or it might happen again.If it will happen again, If I was your treating doctor I will recommend some simple examinations.I will recommend an electrocardiogram, a cardiac echocardiography and of course a rhythm holter monitoring for 24 h. This is necessary to have a full view of your mean frequencies during day and night.After these, a full blood chek up to exclude anemia or thyroid problems.Doing this examinations helps us understand if it is necessary to treat this high frequencies or not.Hope I was helpful. Wish you good health.Best regards."
},
{
"from": "gpt",
"value": "Target: What causes faster heart beat and increased pulse rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 17 yr old daughter had a lumbar puncture performed over a year ago. The doctor that performed procedure was a resident doctor ( I think that s what you call it when they are first starting out) and she tried for along time unsuccessfully to complete procedure before the doctor had to step in and finish procedure. Every since the day she left the hospital she has experienced severe back pain. She has been told that she has deteriorating disk, arthritis and two cysts (all in the same exact area that she had the lb). She had been threw extensive physical therapy, injections and several medications. Today she was referred to more physical therapy and pain management doctor. Is there any possibility that the lb lead to any of these problems or severe pain that she has had since she was released from hospital. It has changed her entire life and attitude and we are desperate for resolution Doctor: Hello, No lumbar puncture is not known to to cause disc degeneration,arthritis or cysts,all these are age related degenerative changes. Usual complications of lumbar puncture are headache,infection or in some cases fibrosis and adhesions of the spinsl canal. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Rohan Shanker Tiwari"
},
{
"from": "gpt",
"value": "Target: What are the effects of lumbar puncture?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello my name is Janette age 41 I m experiencing quite a few changes in my health for starters I feel I mite have problems with my kidneys. My urine has been stronger in order and pain in my lower back. Also I have the iud which needs to be taken out soon plus I fewel I mite be experiencing a genital bump or pimple like on the upper lip of vagina?what to do? I have no insurance Doctor: Dear Janette, your problems are probably not related to your kidneys. The back pain is probably related to the IUD. Unless you have a simple blood and urine test i wont be able to absolutely rule out any kidney issues, but I feel its unlikely. With regards to the swelling in your vagina, its not my specialty and you best ask this question to a gynecologist. Re-post the question in women's health section/ gynecology section. Best wishes."
},
{
"from": "gpt",
"value": "Target: Pain in lower back and genital lump on vagina, have IUD. Problem in kidney?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am female, 51, 135lbs, normal to low bp, no aenemia, exercise 5x week. Have been experience intermittent pressure and fluttering on left side of abdomen (feels as though my heart is beating in my stomach instead of my chest) followed by feeling of throbbing on left side of neck and increased head pressure and lightheadedness (as though someone was squeezing my neck). Occurs daily, most often when lying down. Doctor: hello dear.your symptoms suggest abdominal aortic aneurysm but CT scan is required to diagnose that. you also require ultrasonography abdomen. however it can be some other pathology also. you should consult a clinician for detail examination.Regards"
},
{
"from": "gpt",
"value": "Target: On and off pressure and fluttering on left side abdomen, throbbing neck, increased head pressure, lightheadedness. Suggest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi... every so often i get marks on my breast... the only way to describe these are like tiny burns.. I also have a rash around my nipples and again the only way to describe this is like a borth mark its looks like lots of large but faint freckles all togeather.. I'm 31 so not sure if its somethng to do with age. Doctor: Hi.As per your case history you are having furuncles.My treatment advice is – 1. Don’t squeeze the lesions as it may worsen the condition.2. Apply a mild antibiotic cream like fusiderm cream twice daily on it.3. Take a NSAID like ibuprofen for 5-7 days.4. Other treatment options are oral levofloxacin, cefadroxil and azithromycin given only after consulting a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL."
},
{
"from": "gpt",
"value": "Target: What causes tiny burn like marks and rash on breast?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, i got my both the lower wisdom teeths extracted 2 weeks ago. after a week my stiches were removed. My both the teeths were horizontally placed so doctor had a tough time extracting them mostly the left one. Now i am facing numbness in my left side of the mouth. It feels like i have a frozen 5 teeth in the left side.And have pain in the gums i believe and lower left side of the lips.Wound dosn't pain though and healing. While eating i go through a tough time because on biting anything slight hard also my last molars and the one before that hurts a lot. I told all this to my doctor and she has given me 'Pregalin M75' and says there is a nerve injury and might take a month to recover. Please advice. Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have mentioned that you have undergone wisdom tooth extraction and now you are feeling numbness on left side of mouth , not to worry so much ,it can happen in wisdom tooth surgery, nerve injury can happen in surgical extraction , so not to worry so much as you have gone to your dentist and medications have given and you are taking medication nerve injury will heal , Do warm saline gargle two - three times a day. Hope this will help you. Wish you good health."
},
{
"from": "gpt",
"value": "Target: How to heal left sided mouth numbness post wisdom tooth extraction while on pregalin M75?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: its been 15 days after i last took my last clomiphene tablet and im getting a lot of abdominal pain more on my left side ovary , some bloating and Brest tenderness is this normal? could it be im pregnant or are those symptoms normal? Doctor: Hello, These symptoms are too vague as they may indicate pregnancy or even pre menstrual symptoms also.If you missed a period,then take a pregnancy test."
},
{
"from": "gpt",
"value": "Target: I am getting a lot of abdominal pain more on my left side ovary"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After I eat a meal, big or small, my heart rate goes up and I get a headache. Also, It almost feels like I'm choking like my head is swollen. I feel dizzy and short of breath. Within a half an hour to forty five minutes the symptoms slowly fade. What is this? It happens every time. Doctor: Hello,I think you have GERD (gastroesophageal reflux disease). You have to eat small frequent easily digestible meals and take Omeprazole with Domperidone for it before meals if needed.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Geeta Sundar"
},
{
"from": "gpt",
"value": "Target: What causes faster heart beat and headache after eating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ok so my husband was at work today and he was working with his coworker who he has worked with for over 15 years and while he was standing right next to him for some reason he didnt recognize his coworker and then later he said he was putting together an order and when he looked at the set up as he calls it, it looked backwards to him but someone else looked and said it was correct, he went to look it over again and the 2nd time it was correct and nobody had changed it. should I take him to the ER? Doctor: DearWelcome to HCMWe understand your concernsI went through your details. The given symptoms do not warrant treatment for memory loss. These symptoms simply correspond to disorientation which could be due to stress. You should talk to your husband regarding this matter. Take the hole one week history of your husbands work schedule at the job site. Note down everything, including stressful and non-stressful. You should get a pattern. When a person is too much stressed, it is natural to have disoriented feeling and illusions. That does never mean, he is having memory loss or some other serious problems.How ever, you should keep the log handy. Whe he has it again (possibly could happen again because stress is inevitable) note down everything again. You should consult a physician if the same symptoms appear for the third time. The physician will check allthe vitals and once he clears your husband, you should consult a psychologist / life trainer for stress management. Relaxation, breathing, physical exercises etc helps.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: What causes sudden memory loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good Evening, I had my first IUI 7 days ago. For the next 6 days i experienced pain in my left side, and the last two days i have had no pains but i have also had white dischrge, much more the usual. Are these good signs? Thank you so much for your time Doctor: Hi,Welcome to HealthcareMagic. Pain and white discharge are not good signs but also they won't harm you in any ways. These are minor side effects which are due to drugs you are prescribed after IUI. These symptoms subscide slowly . They are not indicators of fertilisation or implantation. Hope I have been helpful .RegardsDr.Deepika Patil"
},
{
"from": "gpt",
"value": "Target: Are white dischrge and pain in left side after IUI good signs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have chronic sinusitis (for 10+ years) that is often accompanied by a sticky, weepy eyes at night and a itchy, burning rash on my face and neck. My sinuses drain during the day and no significant blockage shows up on CT scans. My doctor thinks I may have allergies and has given me steroids and antihistamine nasal sprays that do not seem to help. I do get some relief from saline flushes, but they are not capable of curing the problem. My facial and neck skin are horribly aged due to the rashes and dry skin. I would like to get a biopsy from my sinus and figure out what this is once and for all. Doctor: HI, thanks for using healthcare magicIt may help if you can determine what provokes the allergic reaction. Allergy tests can be conducted. These can be in the form of blood tests or skin prick testing. The skin prick testing would have to be done by a dermatologist or allergist.If the allergen can be determined and your exposure reduced then it may reduce you symptoms.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes watery eyes, rash on face/neck when having chronic sinusitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mom was complaining of pain in her lower back, right side and not long after that she pooped a lot blood, twice in a day. The pain is still there, not sharp, but the blood has stopped. Should we go to the ER? Is is just hemorrhoids? Thanks for you help. Doctor: Hello, Thanks for your query.The pain in her lower back, right side could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done. It could be due to hemorrhoids.If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in lower back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what is bilateral medical renal disease? both kidneys are normal in size with mild increase in echogenecity suggestive of medical renal disease. no evidence of hydronephrosis or calculi. a 2.3x2.0 cm simple cyst in midpole of RK. no evidence of renal artery stenosis. pl advise what i shall do? Doctor: Hello Thanks for writing to HCMMildly increased echogenicity indicate renal parenchymal disease.Medical renal parenchymal disease are due to many causes like chronic hypertension,diabetes mellitus,glomerulonephritis etc.You need clinical correlation and complete renal functions test(RFT).Renal function test include serum urea,creatinine. Creatinine level in blood is very sensitive indicator to assess renal functions.Routine investigations like routine hemogram,random blood sugar,urine RE/ME should be done.Further investigations like GFR,creatinine clearance,serum electrolytes like serum sodium ,potassium,calcium,bicarbonate,chloride,bicarbonate etc can be done if needed.You should consult nephrologist for further management.Treatment depend upon renal function test reports.Simple cyst in kidney is a benign finding and it only require follow-up.Get well soon.Hope I have answered your question.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What does bilateral medical renal disease mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son had the flu a week ago. No fever now but very congested in his head. His throat is hurting all the time. He is taking mucinex d for congestion . Should I give him alleve or Tylenol for pain. He is allergic to ibuprofen. How long will he feel bad. He had a flu shot in November! He is 15 and also has asthma. Please help. Doctor: Hello, the influenza outbreak this year has affected even those individuals who received the flu vaccine. Asthma can worsen during the flu which usually is a self limited illness and usually should resolve within about one week. Tylenol for his weight can be given every four hours as needed. Fluids, rest and monitoring his temperature also are important for his recovery.If his asthma or respiratory status worsen, he should seek medical advice from your pediatrician. Inhalers such as albuterol and possibly steroids may be needed if he worsens. My pediatric pulmonary practice accepts telephone consultations. If you have more information or questions, this can be faxed along with a copy of his insurance card to 858 259 9689. I can then give you a call a the number that you provide to discuss his case further. Only the insurance will be billed, no bill will be charged to you personally. Thank you for your questions."
},
{
"from": "gpt",
"value": "Target: Should i give alleve or tylenol for throat pain for a 15 year old having flu?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 26yrs unmarried female.I am suffering from back pain since last month.I did X-ray of chest and sonography of entire abdomen since i had history of TB 1.5 yr back.Reports are all normal.what could be the reason for back pain?Day time its bareable but in night i cant sleep peacefully?is it because of constipation?please reaply.. Doctor: Hello, I have studied your case.Gyaenacological reasons may also lead to back pain but first you need to correct structural problems if they are present.When such patient comes to my hospital we usually take x ray spine or if required MRI to see for any nerve compression.Medication like methylcobalamine and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done after pain has reduced include- Spine extension exercises, lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion.Take care."
},
{
"from": "gpt",
"value": "Target: What causes back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear doctor, i'am experiencing severe pain in my upper stomach...it started just 2 days ago....its getting worse by the time..when i breathe,it kindoff hurts ...and i have to sit or stand in a particular position in order to get some relief.i'am sixteen years old and i did some crunches 3 days back,has it anything to do with this??...or is it related to bad sleeping posture?? Doctor: Hi,From history it seems that your problem is due to crunches you did 3 days back.Initially after starting any exercises give stretching of muscles gives rise cramps and pain with any movements.Nothing two worry, within 2-3 days it will be alright.To start any exercise start for short time and then gradually increase the time.For pain you can take ibuprofen as needed.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Could severe pain in upper stomach be due to bad sleeping posture?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what is a better drug to take motrin,aleve or mobic for probable arthritis pain in the lower back that goes away normally within 2 hours after getting up what is the best medication to take for probable arthritic back pain that occurs mainly in the AM ? I am 72Mobic, advil or aleve? Doctor: Hello,Since your pain happens only during the mornings, I would suggest you to take Mobic which is a medication that is taken once a day and lasts for 24 hours.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Edvin Selmani"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for arthritis pain in lower back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doc ,i m 22yrs old nd married 4yrs ago i never conceived in between now i want to plan a family but i m suffering through pcods and because of that i have diabetes ,thyroid nd insulin resistance menstrual cycle is also comes late every month nd my hubby test r all normal last month my diabetes was 140 after lunch plc help me what to do ? Doctor: hello...thanks for trusting the healthcare magic doctors for ur health related queries.I guess ur concern is about .chances of getting pregnancy with pcod-diabetes...right.well..my answer is..YES..there is chances of getting pregnancy with pcod-diabetes.let us discuss about ur problem. as u told that u r having pcod with diabetes, thyroid n insulin resistance. YES..this are usually occurs in case of pcod( polycystic ovarian disease). in this condition patients usually having irregular menses. along with this some patients having insulin resistance n thyroid problems. these are all due to the hormonal imbalance.because of all these problems patients usually facing difficulty in conceiving.but DON'T WORRY...RELAX..EVERY PROBLEM HAVE A SOLUTION. patients with pcod-diabetes , thyroid n insulin resistance have chances of getting pregnancy. there several medications available, which can resolves or control these problems. so KEEP PATIENCE.as u told that u r 22years old, so r coming under reproductive age group(women from 15-45 years came under this group). in this group chances of getting pregnancy is high.so..RELAX..RELAX.with the above discussion u can try out my suggestions-1. try to do sex during the fertile period(it is from 10th to 16th day of menses) during this period chances of getting pregnancy is high.2. feel free to ask ur treating doctor regarding this matter. He/she can help u out.3. if u r in hurry then visit nearby infertility specialist. they are expert in this field. he/she can help u.I hope the above information is useful, informative and helpful for u.regards-Dr sudha rani panagar(i can understand ur tense-full situation. DON'T WORRY..RELAX. I pray the God that u will be blessed with a cute n healthy baby..hopefully TWINS)"
},
{
"from": "gpt",
"value": "Target: What are the chances of concieving in a PCOD-diabetic patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: had blood test my BUN 37, creatinine 2.2. prior to blood test, was dehydrated from drinking diet coke only, on a high protein diet, and used motrin about 2/3 times a week. i had a sonogram which showed no kidney abnormalities. going for a repeat blood and 24 hour urine, next week. could these factors made my levels rise?? can they go down?? i have been off motrin, eating little protein, no more diet coke, and drinking lots of water. Doctor: yes it can cause. specially dehydration can cause rise in urea and creatinine. repeat the parameters. it may come down."
},
{
"from": "gpt",
"value": "Target: Could a unhealthy diet have caused a rise in BUN and creatinine levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thanks for listening. I had an upper left wisdom tooth removed 6 days ago. I feel a flap of skin from the socket when rinsing with warm salt water. What is the distasteful taste in my mouth? I have aching in the jaw along with sinus-like headaches . Had no stitches and cannot sleep on that side of my head without pain upon awakening. Was referred to an OS as I was recently diagnosed with MDS and had lab work present for the doctor. I am on Hydrea (oral chemo ) and Procrit. I am 78 years old and wonder if I should be on an antibiotic . Doctor: hi and welcome , After extraction of wisdom tooth it take usually 7 to 10 days for complete healing and closure of the socket provided there is no dry socket or infection . the flap of skin you are feeling is the gum flap that is left unsutured after the extraction , this gingival flap will heal automatically with time . If you are feeling pain and discomfort after 6 days of exraction i suspect some kind of infection at the extraction site . i would suggest you to consult a dentist and get the examination done accordingly a course of antibiotic and analgesic will help you out in relieving symptoms. maintain good oral hygiene and use antiseptic mouth rinse. i hope this helps , take care."
},
{
"from": "gpt",
"value": "Target: Wisdom tooth removed, ache in jaw. On hydrea. Should i be on an antibiotic?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Three and a Half months ago I awoke to find my back feeling bruised over my Thoracic spine. The pain was localized over T12. It seemed to be aggravated and hurt to touch over that area. Activity or sitting for long periods in a car aggravated it and caused a raidiating burning sensation that woul go away with rest. However the bruised feeling over T12 remained constant and consistent. I went to a spine Dr. and he gave me a Prednisone shot, which helped for a month. Now the bruise like ache has returned. I have had x-rays and nothing seems out of alignment. Could this be a Spinousw Process fracture? Could it be an injury from lifting leg wieghts? What do you suggest to prevent me having to endure this the rest of my life? Please HELP. Thank You, Desperately Needing Answers Doctor: Hello, With history, it appears the pain is localized in the T12 region. That is the junction which gets more muscle weakness due to abnormal posture. During the time having weak muscles any exercise done for the lower limbs will provide a strain there. As this is the biomechanics of the spine. Leg goes up and spine goes down. If any weakness present there will be inflammation. Also, while sitting in the wrong posture, usually the relaxed position where the spine bends forward there will be over stretching of the paraspinal muscles which over a period of time goes weak and any strain applied to lower limb exercises will lead to pain there. As the X-ray turned out to be normal I do not suspect any kind of bone fracture there. If it was a fracture the symptoms would have been different. Now there is burning sensation which is radiating in nature taking an MRI will be on a safer side to know any soft tissue injury. Now coming to the stabilizing part of the spinal column. Why don't you try doing spinal extension and core stability exercise initially. Using ice packs over the painful area will reduce the pain as well. Having good stability of the spine will consist of the stability and strength of the para spinal muscles along with the posture correction will help with great benefits. In my clinical practice of over 12 years, most cases have been reported with the same complaints. Having doing correction of posture and core stability exercises have provided good outcome score. Will recommend you the same. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: Experiencing bruised feel & ache around the thoracic spine & over T12"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im 35 weeks pregnant. i have inflammation in my throat. my doctor prescribed zinnat 500 msg 2tablelts/10days. plus from the excessive coughing i have back pain and i think i sprained a muscle since i heard a pop so how to deal with that because the pain is unbearable. thank you Doctor: Myofacial pains are common in pregnancy due to excessive lordosis. Hot water fomentation,application of gels like flexabenz, oral analgesics like paracetamol thrice daily use of portable devices like TENS can be of great help.You can go for some physiotherapy setions for quick relief. Physiotherapist will also teach you ways for posture correction. Other drugs like tramadol,diclofenac, buprenorphine patches also can be use if paracetamol alone is not helping. Please visit a pain physician"
},
{
"from": "gpt",
"value": "Target: What treatment is suggested for back pain due to cough in pregnant woman?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Does Diabetic Neuropathy come on suddenly? My husband is diabetic and has been for over 25 years with type 2. Back in the first part of August he started experiencing weakness in his legs and arms, tingling and numbness in his hands and feet. He has been diagnosed with Diabetic Neuropathy but it sure came on quickly. Doctor: Hi thank you foe querry,Diabetic neuropathy is the most common complication of diabetes mellitus (DM), affecting as many as 50% of patients with type 1 and type 2 DM. Diabetic peripheral neuropathy involves the presence of symptoms or signs of peripheral nerve dysfunction in people with diabetes.If this develop alot of care is required to prevent the foot from amputation.Diabetic patients who develop diabetic neuropthy should care their feet more than their face.Tight glycemic control,diabetic neuropthy pain mangement,dietry and vitamins supplements.Patients with untreated or inadequately treated diabetes have higher morbidity and complication rates related to neuropathy than patients with tightly controlled diabetes. Repetitive trauma to affected areas may cause skin breakdown, progressive ulceration, and infection. Amputations and death may result.Hope the answer will help you.wish him a goodd health."
},
{
"from": "gpt",
"value": "Target: What causes diabetic neuropathy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father is 81 year old and on his ct scan a black spot was seen on his hip, I do not know if the right or the left, what could it be? He is havng a procedure done right now to removed a mass from one of his kidney and when they did the ctscan for this, is when they notice the black spot. I do not much because am in California and he is in Texas. I got this information from my sister that is there with him right now. Doctor: HI, thanks for using healthcare magicI am sorry that your father is unwell.It is possible that the black spot that was seen represents a mass or defect in the bone.If the mass on the kidneys is malignant, it is possible that the black area on the bones represents spread to that area.The mass on the kidney would be sent to the lab for analysis to determine if it is benign or malignant.You and your father should speak to his doctor.I hope this helps"
},
{
"from": "gpt",
"value": "Target: A black spot on hip in CT scan seen on hip. Surgery done for removing mass from kidney. What might this be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My wife has developed some white spots and hypopigmented patches in her underarm and breast area, we went to a dermotologist, but doctor was confused about whether it is vitiligo or fungal infection, doctor priscribed fluconazole tablet with mometazone and terbinafine ointment. she applies ointment regularly but there is no improvement, what it could be ? Her mother has vitiligo covering her full body. Doctor: If her mother is having Vitiligo, then chances are that she will also have it.. did she not tell the doctor that her mother has it? get another opinion if in doubt and inform about family history of vitiligo."
},
{
"from": "gpt",
"value": "Target: Having white patches, fungal infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can you feel someone s gallbladder? I m a nurse and felt a swollen area in the RUQ on my BF, he is fairly thin with very little body fat and doesn t seem to have any S/S of gallstones. Naturally, he thinks I m being silly, but he is a 42 yo white male c hx alcohol abuse, smokes 1 pack x daily, BP 120/90, P-64, R-20, T-97.6. No complaints of pain, but has GERD 2-3 x weekly. Thank-you, ateal Doctor: HelloGall bladder calculus may present in many ways.It may be asymptomatic or may present as right hypochondrium pain,acidity,chest pain etc.You may need clinical correlation and ultrasound of abdomen.Ultrasound of abdomen is most sensitive to detect gall bladder calculus.Definitive treatment of gall bladder calculus is surgical removal of gall bladder(Cholecystectomy).Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What are the symptoms and treatment for gall stones?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i dr AAAAAA working as a professor inskin department in jamnagar in gujarat am suffering from anaphylatic reaction caused due to the biting of any red coloured insect like red wasp,red honey bee or red big ant. severe anaphylatic reaction develops within 5 minutes of the biting the sympoms are BP falls less than 40,angiodema develops,difficulty in breathing ,bronchospasm develops and severe abdominal pain occurs this hypersensitivity has developed since last 2 years and in the last two years it has happened three times please suggest some medicine or desensitization of this waiting for a positive reply thanking you, Dr.AAAAA(MD skin) Doctor: It seems like your prakruti is sam pittaj vata. This is giving some physiological problems with blood after bite.Solution= 1)Take Kaishore guggule 2 tab with milk twice(mor+eve) 2)Apply narayan/coconut oil on the infecteed area. 3) Avoid spicy things+hot beverages. 4)Take munnaka(10) at bed time. Your hyper sensitivity also relates with stomach.This remedy will help u out."
},
{
"from": "gpt",
"value": "Target: Severe anaphylatic reaction due to a red color insect bite. Medicine or desensitization procedure ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son 9 years old, no pee from this noon, now is 12:oo am, because he said it s very hurt to pee, so he has to hold it, can t pee. I m going to take him to see the doctor, now he is in sound sleep, it s OK to wait until tomorrow? How long usually a 9 years old won t pee, but still ok for the kidney? Thanks Doctor: Hi,Thank you for asking question on health care magic.It is definitely a matter of concern if the child do not pass urine for 12-24 hours.AS the child is sleeping probably there is no distension of bladder.You can safely wait till tomorrow.Kidney damage will occur if there is no urination for more than 24- 48 hours, inspite of drinking plenty of water.First of all there is distension of bladder and back pressure leading damage of kidney.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: Is it concerning if children donot urinate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MY 5 YEAR OLD GRANDSON WAS DIAGNOISED WITH SWINE FLU ON SATURDAY NIGHT. HE HAD A BIRTHDAY PARTY AT SCHOOL ON THURSDAY WHERE MOSTLY SPANISH AND ASIAN CHILDREN ATTEND. WHERE OR WHAT DO YOU THINK HE COULD HAVE GOTTEN THIS FLU. MY MOTHER LIVES WITH HIM AND NOW SHE IS IN THE EMERGENCY ROOM. HE ONLY GOES TO SCHOOL AND HOME. PLEASE HELP. Doctor: Hello, Look swine-flu is a Viral infection spread by air: droplet infection from one infected person to other healthy individuals. Close contacts of some cough - cold having a person to others. Symptoms of swine flu: Fever, Cough-Cold, throat ache. Difficulty in breathing. Throat swab samples need to be sent for investigation. Treatment: Antiviral medication Tamiflu. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ajaygupta009, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How a 5 years old can get infected by swine flu?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my 3 year old daughter s breathing seems rather quick -- 60 breathes per minute. She is sick right now (complains of a tummy ache and is on antibiotics for MRSA staph). She had RSV one year ago, and it seems that since then, whenever she gets sick, she breathes rapidly. Should this be a concern? Doctor: Hi, welcome to HCM. Can understand your concerns. - Rapid breathing rate of around 60 per minute is very high at 3 year of age. It suggests that child has pneumonia and she is not responding to antibiotics which you are already giving for MRSA staph infection.- Child needs to be hospitalised and blood culture and CRP levels should be repeated. - Further treatment will depend on above reports. I hope this will help you. Wishing your child good health. Take care."
},
{
"from": "gpt",
"value": "Target: What causes rapid breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi 2 weeks before dog teeth cut my finger but i start taking anti rabies and today my dog again sratch me but blood wont come out and i am already taking atni rabies and only 3 injection left out of five should i start both courses or not please helo me Doctor: Hellowelcome to HCM.You can continue with ongoing anti rabies vaccine course as scheduled.Complete remaining 3 dosesThanks"
},
{
"from": "gpt",
"value": "Target: How can a dog bite be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello! I am 19 years old, 5' 1\" and 130 lbs with no history of really anything out of the ordinary. I have a dry tickly cough that is starting to loosen but is not really that loose, and I cough so much my chest hurts and feels congested, I have a slight runny nose and I was sneezing for 2 days, and one day I got the chills so I took my temp and it was 99.5, and now my 3 month old has started coughing ... any ideas? Please and thanks! Doctor: HelloDry cough with congestion , running nose , sneezing , fever with chills from last 3 months may be due to these reasons , these include.1 Asthmatic allergic bronchitis , when such case visit my clinic I advise them to take monteleukast+ levoceterizine once or twice in day.But if symptoms are associated with breathlessness take monteukast+ bambuterole one or two in day.2 Tuberculosis , as cough is from last 3 months so sometimes dry cough also present in tuberculosis particularly PTB is also associated with allergy . Diagnosis can be confirmed by X ray chest and sputum for A F B . blood for C B C , E S R ( IF > 100 mm highly suggestive of PTB or any other chronic infection).3 Allergic rhinitis is another most common cause of of such symptoms due to inflammation of nasal lining membrane . Please consult a physician and get his opinion."
},
{
"from": "gpt",
"value": "Target: What causes constant dry cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is john williams, i had a procedure to done yesterday 17/4/2014 at box hill hospital at 6.30 am Rigid Cystoscopy/lithoplaxy/turp but this was cancled at 1.30 pm, i was told i will need 4 weeks off work, and i still have the stones witch are large and are painful,and turps. Doctor: Good Day and thank you for being with Healthcare Magic! After TURP you need to take it easy for 6 weeks. No heavy lifting and exercise. Regular activity like walking etc can be resumed after one week. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes"
},
{
"from": "gpt",
"value": "Target: How long after having cystoscopy, lithoplaxy and turp procedure can normal activities be resumed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got some pubic pimples with bad smell hi i am 23 male i have been getting these big and small pimples that form between my thigh and my penis and scrotum, bt I gt diz after islept with a manstruating girl during her periods, these are red for a while then they get bigger and the it looks like blood is at the top of the pimple and then it hutrs to try to pop it. then i just put a band aid on it and it pops on its own. it releases blood and what looks like puss. it smells awful and there can be a couple on either side. usual just one or two at a time. but after they pop. they still smell bad and leave kind of like a hole. its not deep, just like the top of the pimple is exposed. what is it? Doctor: Thanks for asking in healthcaremagic forum It is suggestive of boil. Boils are common over there and very common if you shave the pubic area. So, please apply oint soframycin/betadine locally for relief. Stop smoking/alcohol if into it to prevent boils. All the best. Consult doctor if recurrent for further investigation into the cause of it."
},
{
"from": "gpt",
"value": "Target: What causes pubic pimples with pus and blood?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im 29 and I've been having a high heart rate even just lying in bed today I have wat feels like heart burn and acid reflex should I be worried also I've been on pain meds for four years also what does mean if u can hear your heart beat through one of your ears Doctor: Hi Sir,I understand your concern.I advise you to get an ECG,2 D Echo of your heart immediately to look for any arrhythmias.Drugs like Anti arrhythmics will be helpful.Electro physiological study with or without Radio frequency ablation is the procedure of choice in your case.Avoid stress and anxiety.Avoid smoking and alcohol if any.Consult your cardiologist for expert management.Post your further queries if any,Thank you."
},
{
"from": "gpt",
"value": "Target: What causes high heart rate and heart burn?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am suffering from PCOD. I have been on medication to fight with infertility. My doctor has given fertyly for first three months then given me injections of 75 and 150 and in the last cycle doc tor even gave me 225mg injections and have even done IUI. All of them failed and did not help me to conceive. I am trying to conceive from past two years. My present age is 30 years. Now I am looking forward to reduce my weight by 25 kgs. Doctor ahs advised me Glyciphage and Ovaflo. I want to know the purpose of Ovaflo medicine. If you can guide me. Also this medication will be helpful. Please reply Doctor: hi... you have PCOD, and you are put on hormones and ovaflo, this tablet contains dehydroepiandrosterone, which helps in activation of dormant follicles, which help in getting maximum number of follicles in the future... continue to take those tablets and go for regular followup. all the best."
},
{
"from": "gpt",
"value": "Target: Suffering from PCOD. On medication fro infertility. Cannot conceive. Advised Ovaflo. Recommendations on the medicine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For around 5 weeks I have had a bulge behind my right collar bone. When my arm is relaxed by my side the bulge is not very noticable and seems to be inside the gap between my collar bone and the muscle from my shoulder to my neck. But when I bring my arm up the bulge appears clearly and becomes much firmer. It does not cause any pain, but I do notice slight twinges in that area. My only other symptoms are an off balance feeling that I have had for around 5 months now, which started after a flu like illness. Doctor: HI,Welcome with your query to HCM.Based on the facts of your query,you seem to have Lymph adenitis post Flu like illness 5 mths back and which has caused this bump behind the collar bone.Possibility Reactive adenitis/ or TB adenitis with focus in throat or in the lungs around need to be examined.FNAC biopsy with histopath study would give you the exact cause of it.Hope this would help you to plan treatment with your doctor.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: What is causing a painless bump behind my collar bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: good day. im abit concerned about my health. i chewed tobacco for 5 years and i just quit not to long ago, i say 6 weeks ago is the last time i chewed. the inside of my mouth has a lot of white patches and my throat burns. is this a sign of oral cancer? also is there a way to get rid of the white patches? Doctor: White patches may indicate Leukoplakia, a potentially malignant condition. Trismus (limited mouth opening) can be due to submucosal fibrosis due to prolong exposure to tobacco or due to a tumor which may have infiltrated the muscles and joints responsible for mouth opening.You need to see a oro-maxillofacial surgeon for a biopy of white patches and a CT scan imaging from base of skull to root of neck.Please discuss it with your treating doctor."
},
{
"from": "gpt",
"value": "Target: Dose white patches in tongue suggest oral cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor.. Could you please guide me about the Travel in Preganancy?.. Actually, I am in 3rd month[10 week] preganancy now...But I want to travel to my parents house which is arround in 14 hrs train journey... So please advice me the correct time to travel? Doctor: Generally we advice avoid long distance travelling . But yes you can travel by train. No harm in that."
},
{
"from": "gpt",
"value": "Target: Is train journey advisable during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having a sharp pain behind my left breast. It started yesterday ( and I have had it occasionally over the years) but not for this long. I determined that the pain only occurs when I am drinking liquids? Just not sure what it is? I am a 48 yr old woman, in great health and 5'4' 130lbs. Doctor: Dear- thanks for using our service . This pain when drinks liquids could be from local esophageal irritation. You didn't specify if it was related to cold or hot liquids but most likely doesn't happen with room temperature liquids. I recommend you to have a gastroenterologist evaluation with an upper endoscopy to see if there is any ulcer or lesion giving you this problem.I hope that my advise has been helpfulDR.Sara"
},
{
"from": "gpt",
"value": "Target: What could cause sharp pain behind left breast after drinking liquids?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an episode today while sitting where it felt my heart stopped. I felt as if I might faint and then it passed. A couple hours later I took my blood pressure which was 145/85 and pulse of 93. I walk about 45 minutes a day with no problem. What could it be? Doctor: Hi,Missing beats are usually an extra beat followed by long gap. One or two are usually normal things but if have many such then you should get your cardiac check up with simple ECG FIRST then With Echo or if necessary holter monitoring to check for frequency and duration of episodes. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Deepesh Agarwal"
},
{
"from": "gpt",
"value": "Target: What is the treatment for high blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... MY SON KEPT VOMITING AT NIGHT DUE TO SOME UNKNOWN REASOSN. HE HAD ALREADY SUFFERED WHEN HE WAS JUST SEVEN MONTHS OLD. NOW HE IS A YEAR AND FOUR MONTH OLD. HE IS SLIM BUT ACTIVE. DURUNG SLEEP HE KEEPS ROLLING IN BED AND FREQUENTLY FOR MILK. HO SHITS NEARLY THREE TIMES ON AN AVERAGE DAILY AND HIS STOOL IS RARELY HARD, BUT SEMI SOLID. HE IS TEETHING NOW. Doctor: Hi, If the weight gain is adequate, you can wait and watch. If you are not gaining weight, you can get ultrasound scan done to rule out some upper bowel pathology. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Rajmohan, Pediatrician"
},
{
"from": "gpt",
"value": "Target: What causes vomiting in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had four angioplastys and eight stents. I am 65 years old, in very good to excellent health, do not smoke and only occasionally have alcohol. Do the stents return me to a \"normal\" life expectancy schedule or should I expect to be compromised? Doctor: Hello. Thank you for your question and welcome to HCM. I understand your concern.It is my opinion and my in my experience, you can live a completely normal life after stent placement. It is a safe and effective treatment for coronary artery disease. However, there are some things that should be taken into consideration. First, you have to be regular in taking your medication. There are certain drugs that are added to your therapy especially to keep these stents patent (such as, clopidogrel, prasugrel, ticagrelor, one of these added to aspirin). Second, there is always a probability of intrastent re-stenosis (a phenomenon that is produced by the innermost lining of the coronary arteries, which is charachterized by narrowing the stent). This phenomenon's probability to happen is 16-20% in cases when a bare metal stent is used, and approximately 4% when a drug-eluting stent (a bare metal stent plus a anti proliferative medication coating) is used. This probability applies to all people. Third, a body of studies has shown that the more stents are used, the greater the probability of re-stenosis is. Also, the narrower the artery and the smaller the diameter of the stent, the greater the probability of re-stenosis. In the end, I would like to say that stents are remedies for coronary artery plaques and can be considered, with simple precautions taken afterwards, cure for coronary artery disease. I hope you live a long and healthy life.Best regards"
},
{
"from": "gpt",
"value": "Target: Can I have normal life expectancy after inserting stents?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am thinking I may have a kidney infection...I have been dehydrated and have corrected that part, but for about a week now I ve had a dull pain in my lower right back and my urine has been cloudy for about 3 days. I ve never had cloudy urine before..I have a doctor s appt in one week, but are these signs of a kidney infection? No blood in the urine.. Doctor: HiThanks for your queryA cloudy urine with backache could be a sign of UTISo I would advise you to do a Urine R/M and Urine culture.Based on the results we could decide the further course of action.Meanwhile drink plenty of fluids.Hope this helpsGood luck"
},
{
"from": "gpt",
"value": "Target: Are lower back pain and cloudy urine signs of kidney infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I woke up two days ago with MAJOR tailbone pain. It hurts to the touch and hurts to move my legs or bend over. I did nothing to injure it; I didn t fall or sit any differently. I went to the doctor and they said it could be a number of things but herpes and shingles were what I remembered the doctor saying. It s gotten worse the past couple days. I m 45 with no recent sexual partners. What could this be?! Doctor: Those are some of the possibilities. A disk is less likely because the area is below where the disks typically hit. An irritation or injury can occur in that area just from sitting on it without good cushioning. but you say that is not the cause. There can be turmos that can hit there or with osteoporosis bones there can collapse."
},
{
"from": "gpt",
"value": "Target: What is the treatment for severe tailbone pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes I had 2 hip surgerys last year and im still in alot of pain. My family doctor can t percribe me my pain management meds any more. I went to the hosiptal this morning and tjey wont help. Is their a place or doctor. I can see today so I can not be in so much pain Doctor: Hello, The pain after hip surgery can be due to many causes. There can be a hematoma formation or due to soft tissue injury. This needs direct proper examination preferably by your operating surgeon for proper management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain due to hip surgery"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Sir, I am 31 yrs old male. I have a symtom of anxiety and mild palpitation (not increased heart rate but increased amplitude) from last 2 years. I had got full heart check up in Aug 2011 and everything was found OK. I went to the doctor again in May 2012 and complained about my existing problems of occassional palpitaion and anxiety. Doctor precribed to take prolomet xl 25 mg . Since then till October 2012 I was on the same medicine untill I started having a symtom of shortlessness of breath. I complained this to another doctor and he asked me to taper the dosage to 12.5 mg. Since then I am on Prolomet 12.5 mg. I tried to quit it somedays back but it resulted in increased BP (140/95). I am scared with continuing this medicine as I have read it has adverse effect on heart. Although I feel better with this medicine, I want to quit it because of the known side effects. Is there any alternate medicine which doesnt have an affect on heart or kidney . Or could you guide me as how can I quit this medicine. Also I have mild Mitral Valve Prolasys. Thanks and regards, Anupam Doctor: Hi young man, thanks for the question. People with Mitral Valve prolapse are known to have heart rhythm disturbance (leading to palpitations) and heightened anxiety (related or unrelated to palpitations). Beta blockers are the treatment of choice for this and has beneficial effects (and not deleterious) on the heart. It does not affect the kidneys. I hope you have also had 24hour or 7 day continuous monitorinsince you are ong of your heart tracing to look for heart rhythm disturbance in the past. If you dont have any symptoms now (since you are on prolomet) you dont have to have heart trace monitoring now if not already done).You are young with high BP and hence would require a through investigation for secondary hypertension. I hope this has been done by your physician. If you have had a kidney scan I would be keen to know the result.Most important for you is to have your BP under control and see a cardiologist regularly. Trying to come off a medicine which is going to help you is not advisible.Let me know if I can be of any furthet help.Best wishes"
},
{
"from": "gpt",
"value": "Target: Palpitations, anxiety, increased heart rate, high BP, mitral valve prolasys. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was wondering how long after consumption of a food you are allergic to does it take for you to have a reaction? I had some egg by accident an hour or so ago, and I feel my throat getting tighter, I took two reactine but I was wondering if it will go away with this? Doctor: HiWelcome to healthcare magic.The symptoms you described are definitely of food allergy, this time to an egg. It generally takes minutes to few hours to get symptoms of an allergy. You have taken an antihistamine drug which might not help you that much. I would advise you to reach a nearest doctor and check your present status properly and get treated. I would also ask you to do an allergy profile test, to know what other food or things you are allergic to and be aware in future.Hope my advice helped. Have a good life."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tightness in throat after eating egg"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 17 years old, about 160 pounds and I have a tingling in a few of my fingertips on my left hand. It's not constant, it only happens every once in a while and it's happened about three times. It only tingles when I touch them, and very mildly. I do have heart problems from when I had surgery when I was 9. The anesthesia messed with my heart and I have an arhythmia. Just about two months ago I had two EKGs and I had a 24 hour heart monitor and I got cleared by two different cardiologists. I still have an irregular heartbeat and a palpitation every now and then... but it's something I have to live with. I was just wondering if the tingling has to do with the heart... or if it possibly has to do with the fact I use the computer so much. Doctor: Hi,It could be related to a heart problem very rarely, when there is a serious problem with aortic valve, otherwise it can't be related to heart. In most cases it is related to a nervous system, also it can be caused by excessive use of computer bottoms.Take care"
},
{
"from": "gpt",
"value": "Target: What causes tingling in fingertips while having palpitations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm out in the Philippines for vacation for 6 weeks and the other i was bitten and it swelled upwards quite a lot and today i accidentally squeezed it, then blood and pus started to come out, I've put medical alcohol on it and then wrapped a bandage over it, what should I do next? Doctor: Hi, dearI have gone through your question. I can understand your concern. Treatment depends on bite. If it is dog bite or any animal bite then you should take tetanus toxoid and rabies vaccination. If you are biten by fly or bee then you should take anti inflammatory drugs like steroids. Antibiotics are needed because you have pus formation. Consult your doctor and 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: Suggest remedy for bites"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 30 yrs old and when I was in high school I had pretty bad eczema for about 3 years starting from my ankles all the way up my thighs. It never spread anywhere else but my legs. After visiting a dermatololist and using many different creams perscribed by him, nothing worked excepted the sun and going to the tanning bed. It disappeared for very long time until recently. For about a week and a half now, I having been having uncontrolable itching all over my body. I figured it was an eczema flare up, even though I haven t had one in years. I bought the Aveeno oatmeal bath, Shower gel, and lotion. It relieves it for a couple hours and starts right back up again. There are little red dots on my feet that itch (do not look like mosquito bites but feel like mosquito bites) but anywhere else I itch doesn t leave a mark or show bumps anywhere else but my feet. Now I have other symptoms to add to it that just started yesterday. Body aches, headache, really tired, weak all over, dizzy, and still itching. No fever, sore throat, throwing up. I have no idea what this is. It feels like bodyaches when you have the flu. Doctor: Hi, Oh... Dermatologic conditions are hard to discuss without seeing them and tanning effect is typical for PSORIASIS and not ezcema. Psoriasis is usually very localized and eczema is not. There's pills for either/both that work all over. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: suggest remedy to cure eczema and flu like bodyaches"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter in law was admitted to the hospital 2 days ago for a kidney infection. She is 30 weeks pregnant, and they said she has e-coli in her kidneys now. They are doing another test today, because her cervix is also shortening. If this test is positive, then they said the baby will come early. She is also on methadone, 35 mg daily. What can we expect with this baby now that she is probably going to deliver early? Doctor: Hello and welcome to HCM. As an Urologist,i can understand your anxiety.A kidney infection can be treated by a course of antibiotics.It has no relation to delivery time.It has no bearing on the health of the fetus either.So don't worry at all. What's the reason for the opioid ' Methadone '.It's given in case of pain,as an analgesic. If you've any doubts,send all the reports and medication,as a direct question.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Will a pregnancy female with kidney infection delivery early?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have primary immunology deficiency with the main problem being hemolytic anemia,i do weekly plasma infusions but my problem is everytime i'm taking off my steroids i turn yellow .the doctor has now introduced new drug to help wean me off steroids and will i be on this treatment for life Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Primary immunological deficiency or primary immunodeficiency disorder being you are genetically having a weak immune system. At present it seem you have more of a autoimmune disorder.2. Due this autoimmune disorder, antigen antibody reaction and complement activation and hemolysis is occurring.3. Cause of hemolysis needs to assessed and particular antibody needs to be removed through apheresis. 4. steroids or other immuno suppressants are necessary to reduce further antibody production. Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: What is the treatment for primary immunological deficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am just over 6 weeks pregnant and have been feeling nauseous for the past 5 days, as well as the usual sore breasts. Last night I had a headache before I went to bed but then woke in the night shaking with chills and sweating. Today I feel cold all the time even though I have 2 sweaters and a duvet on me (mainly my upper body). I do tend to feel the cold but should I be worried? I am 39, weigh 57kg. Had an early scan last Friday and there was a heartbeat, CRL 1.7mm. Doctor: Hi welcome to hcmI understand your query and concern.Your symptoms are suggestive of Malarial fever.I advise you to get a complete blood picture,QBC for MP,widal test,ESR immediately to confirm the diagnosis.Drugs like Artensuate twice daily for 14 days ,Tab.Dolo 650,Tab.levocet will be helpful.Consult your physician for expert management and follow up.Hope I have answered your query at the moment.Post your further queries if any,Thank you"
},
{
"from": "gpt",
"value": "Target: What are the causes of chills and night sweats?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When I go to sleep my blood pressure rises from 115/75 to 210/105. Why does this happen? I just recently had CABG. But I seem to dream and when I wake up my bp is very high. After being awake for 15 to 20 minutes it goes back down and during the daytime it is fine. Doctor: hello,I have gone through your query.Basically after CABG many a times sleep cycle is disturbed and the disturbing dreams may raise BP and it may not be serious.However if you have frequent spells like this you should get Ambulatory BP monitoring done to confirm shooting BP during sleep and then work up for secondary hypertension if needed,My best wishesDr.Rajesh Teli,MD."
},
{
"from": "gpt",
"value": "Target: What causes BP to rise while sleeping?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I m a 33 year old female. A recent CT scan done before I had pulmonary vein ablation surgery for persistent afib showed a calcific pulmonary nodule and a juxtapleural noncalcified nodular opacity on my lungs and a subcentimeter hypodensitites in right hepatic lobe. This info was given to me by my cardiologist s PA. I was told not to worry about it and it needed no follow up. Should I have more tests/scans done to watch for any changes in these? Doctor: Yes.Although the nodules look benign due to calcification, it is quite possible that the nodules in the lungs, liver and the heart arrhythmias be related. Sarcoidosis is a condition that can cause all the three and you being completely asymptomatic. Do a serum ACE levels and a mantoux test to rule out or confirm sarcoidosis.Speak to a pulmonologist/cardiologist regarding the same"
},
{
"from": "gpt",
"value": "Target: What does this CT scan of lungs indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am on my second month of Claravis. I have noticed in the past 2 weeks that when I ejaculate my right nut goes into my body and comes out shortly after. I was wondering if this is related to the medicine, because I am 19 and this never happened before. Doctor: Hello,I have gone through your query and understand your concern.No. This is not due to Claravis ( isotretinoin).These testicular movement is due to Retractile testis.In this there is a movement of testis to groin from scrotum and vice-verse.This is due to action of the muscle called Cremaster muscle in scrotum surrounding testis.The contraction of the muscle causes the testis to pull up to groin.You may have short Spermatic cord or failure of disintegration of some structure attaching abdomen and testis.First you have to watch, how frequently it moves and what are all the factor which cause the movement of scrotum up.Note down and consult a surgeon.As you are above 14, My recommendation is for surgery and fixation of testis in scrotum.This can be corrected by surgery - Orchiopexy- in this testis is fixed into the scrotum and regular annual follow up.Hope this helps.Please write back for further queries.Wishing you good health."
},
{
"from": "gpt",
"value": "Target: Can claravis cause strange observation during ejaculation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: If I walk very far I get a pain in my lower back and start getting short of breath and sometimes get out of breath and stay very tired most of the time. And yes I could loose 100 lbs. If I do the least little thing in the house like use a broom it makes my back hurt. Since 2003 had surgery for a ruptue, 2006 knee surgery, 2008 2 knee replacements, 2009 car wreck and broken wrist operation 2 plates 10 screws and 2011 rotator cup surgery, just had blood check numbers are pretty good, but Vitamin D is very low and liver emzeyes are up slightly. Doctor: HIThank for asking to HCMIf you are Vitamin D conscious person then you can have extra supplement of Vitamin D which is available on counter, but I would advise you to have such diet which can fulfill your demand, like dry fruits, milk see food fresh fruits, these can help you a lot, even for better management, consult nutrient, have nice day."
},
{
"from": "gpt",
"value": "Target: Back pain. Ruptue, wrist, rotator cup, surgery, knee replacements done. blood test done low vitamin D. Suggestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 40 years male. I have been suffering from acne ever since my teens and this just does not seem to end. My son who too is 15 now has the same problem. I have taken everything even Microdox DT (now Microdox LBx) . The problem still persists. And the acne leave marks on the face too. Is there a solution which you would like to advise. Doctor: dear sir , acne in male is a part of genetic effect upon sebaceous glands of the body and as you are telling, your son also gets it. Have a zero oil diet, use salicylic acid face wash and do not pick your nodes. they give you scars. and the scars which are on ace would need plastic surgery in form of excision or fillers or dermabrasions depending upon their status. hope you move in right direction now."
},
{
"from": "gpt",
"value": "Target: Acne, Microdox LBx, scars"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had laproscopic supracervical hysterectomy a year and a half ago. Following surgery I had a lot of pain along the incision on my left side but I didn t follow up with the surgeon. Since then I ve had repeat UTI, Yeast and eColi infections, problems with edema and generally feeling unwell. Last summer I developed heat intolerance, and periodic purpuric rashes and worsening edema and painful inflammation. Then everything went over the top a few months ago after a yoga class - after hte first class I developed severe Pelvic pain and and severe inflammation then severe low back pain. I developed breathing problems and a CT showed scarring, mild hyperinflation and collapsing of previously healthy lungs. A PET showed increased uptake in spinal column. A PAP showed candida again, and obscuring inflammation. My urine output has quadrupled since last summer. My blood tests are going off the normal scale, high hemacrit and hemaglobin and I m told that inflammation shows in my liver (equal ratio in liver blood test) Now I have awful chronic diahrea, nauseau and stomach pain. I can t sleep on my lift side due to torso pain. An MRI of my pelvis raised some questions so I had a pelvic ultrasound. The radiologist reported a hydrosalpinx but the technician performing the ultrasound also showed alot of concern over something high up past fallopian tubes close to my (now irritated) scar from lap surgery. I ve been on one antibiotic after another and get some releif immediately after, but then everything comes right back worse then before. The gyn I m seeing wants to perform a salpingectomy and describes it as a small swollen watery mass in my fallopian tube. I can t imagine this tiny little mass can cause all this disturbance in my body a year and a half after my partial hysterectomy. I m very reluctant to take time off from work as my boss is irate over my being absent so often due to sickness and my gyn want me to take a week off followig surgery. On the other hand if this is the cause of all the problems I know I SHOULD DO IT! I keep questioning if this can be possible though? Doctor: Welcome to HCM. Probably I agree with her. Only thing is can she do this laparoscopically? That would be nice decreasing the recovery time so that you can go back to work soon. All the best."
},
{
"from": "gpt",
"value": "Target: Suggest cure for multiple ailments"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Is that true shaving arm anus is can cause cancer ? Doctor: What a doubt man? I have really not heard of it till now. Vague thinking I guess. How did you get that though by the by? I think that shaving does not cause cancer at the most it can cause an ulcer thats it."
},
{
"from": "gpt",
"value": "Target: Can shaving arm cause cancer ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 3 years old.she is suffering from chest phlegm and runny nose for the last 3 days.she has fever on and off.my doc has prescribed phexin redi syp,ambrodil s and crocin paediatric.but the chest phlegm is making her cough a lot.food intake also is poor.pls help. Doctor: Hi, since you have already taken antibiotics for 3 days but fever, cough is persisting, so in my opinion, the antibiotic needs to be changed like linezolid. However since all medicines are given according to weight so you should revert back with exact weight of child. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chest phlegm and runny nose"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Im 18 years old and I had been diognoise scroliosis when I was 16 (but I think ive had this since I was 14). The orthopedic doctor took xrays from me and basically said that theres nothing they could do. So a year later I went back to see the orthopedic doctor for a check up and she said that nothing has change, but when I asked her about the degree of curve she could give me a define answer. All she said was at the age 17 I wont grow anymore, so the curve will also stop growing. So my question is there any other treatments other than surgery I can get inorder to correct the curve of my spine because I dont really like the look of my back and shoulders. Doctor: HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that the surgery is the best option for the scoliosis and no other method would give the best result than the surgery, nowadays this surgery being done with most advance technic with the minimal side effect, hope this information helps you, have a nice day."
},
{
"from": "gpt",
"value": "Target: Teenaged, have stuttered growth, curved spine due to scoliosis. Is there any treatment or surgery to rectify this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother is 70 she is suffering haemoglobin loose problem, she is also asthmatic patient and presently her haemoglobin is 8.9 which is now constant maximum low haemoglobin will be 8.5, doctor suggest to take injection renerve plus every alternet days and required 5 doses. How it is benefited? Doctor: Hi, dearI have gone through your question. I can understand your concern.Renerve plus injection contain vitamin B12. Your mother may have vitamin B12 deficiency anemia. So she should take injectable vitamin B12. It will help to increase hemoglobin. Consult your doctor and complete the course of vitamin B12 injection 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: What is the use of Renerve plus in an anemia patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: If someone wakes after being in medical induced coma for approximately three days, is it normal for her to not be able to speak, she seems angry, making loud sounds, looking past me ,and flailing arms to try to pull tubes out. Is this a sign of permanent brain damage? The patient had a heart attack in the hospital, and left unattended for an uncertain amount of time before being found in bathroom floor, among other health issues. Doctor: loss of memory after coma is very normal it is known as delirium in which patient is having self muttering and irrelevant talking. so do not worry she will be fine after correction of electrolyte imbalance. hope you got the answer. tae care. and do not forget to rate my answer."
},
{
"from": "gpt",
"value": "Target: Is loss of memory normal after waking up form medically induced coma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doc.i had my period on 12 nov nd after that i had sex with my husband on 21 nov..im nt sure he left it inside or wat?so for that i went for a pregnancy test nd it was negative.according to periodical cycle im going to hv my next period on 12 dec bt i missed my period..m i pregnant?bt im nt having any pregnancy symptoms..pls suggest me m i pergnant or wat.if im going to take cyclenorm tablets for my regular periods then m i going to hv my periods or nt?please helpme.... Doctor: hello and welcome to HCM,its good that u took a pregnancy test, but as u have missed your periods , u should not start with any tablets even if you are not having any pregnancy symptoms until you consult your concerned doctor. i hope it helps you.thank you"
},
{
"from": "gpt",
"value": "Target: I am not getting periods but not having pregnancy symptoms, and hpt is negative"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had stomach problems 3 days ago with severe nausea, stomach pain, muscle cramps and fatigue. Everything is now better except now i have chest pains, difficulty breathing, leg cramps and fatigue. i am not sure if it is part of what i had or a whole different problem Doctor: Thanks for your question on Health Care Magic. I can understand your concern. I don't think your stomach problem and current breathing difficulty are connected. In my opinion, you are mostly having bronchitis (inflammation of airways). Bronchitis causes similar symptoms like difficulty in breathing, chest pain and bodyache. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (Pulmonary Function Test) to rule out bronchitis. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes chest pains with difficulty in breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Roommate was sick for the past week with a severe sinus infection. I wasn't around when this happened but I'm back now after he has been on amoxicilin for 3 days. Anyway he was talking to me and coughed by mistake and I think i felt a droplet of spit or w/e land in my eye. I have two questions! One am i going to get sick now? and two if he was sick and had a herpes outbreak in his mouth(I cant see any on the outside) Could I get ocular herpes this way? I'm extremely , extremely scared right now. Doctor: Hello Welcome to Health Care Magic.Don't worry much. Stay calm.if he has herpes active lesion than you can get herpes by this way. you are going to get disease or not depends upon your immunity level. if you have good immunity to resist the disease than you will not get infection.Hope this information helps you.Best wishes."
},
{
"from": "gpt",
"value": "Target: Can ocular herpes be contracted through spit from coughing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 13yr old male and today i got up and got this sharp pain under my rib on my lower right lung. I tried to stretch it out and it just made it worse. My mom rubbed it but it didn t do any thing. And now every time i take a breath I get this poking feeling under my rib on my lower right lung. And I laid down for about 25 minutes and that did nothing at all. i am crying because it hurts so bad. Doctor: Thanks for your question on HCM.In my opinion it seems muscular pain only.But better to rule out lung disease as pain on breathing can be seen in lung infection too.So get done chest x ray first. If this is normal than no need to worry much. It will be only musculoskeletal pain.Try to follow these for relief in musculoskeletal pain.1. Avoid heavy exercise and weight lifting. 2. Avoid bad postures in sleep.3. Take good painkillers and muscle relaxant. 4. Apply warm water pad to the affected area."
},
{
"from": "gpt",
"value": "Target: What causes rib and lower lung pain with breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sir, i am using metasone plus cream for brigher my skin for a few days i have seen that i have small white patches below neck so what should i do sir. Doctor: Hi,Sadhanaji, Thanks for query, If it is used for short time there is no problem but used for long time you may get problem of furunculosis,atrophy of skin,urticaria,bacterial infection on local area. So better to stop. Apply moisturizing cream and if require take antihistaminic. Ok and bye."
},
{
"from": "gpt",
"value": "Target: I have small white patches below neck so what should i do ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was wondering if this is something that will go away on its own or if I should see a doctor. I have what is either a boil or a insect bite on my butt cheek that I noticed on Saturday. It s full of pressure and I did some hot compresses and green puss and blood came out. It still hurts as bad as it did before the compress and is still pressurized. I have taken SMZ-TMP DS** tab antibiotics twice daily for 3 days now and still no progress. What should I do? Doctor: HI, thanks for using healthcare magicFrom your description, you have an abscess.This is a localized collection of pus. The definitive treatment of an abscess is incision and drainage.Even though there was drainage, pockets of pus would still be present. These would have to be drained as well.This is an in office procedure.Additional antibiotics would also be needed.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for a green pus filled boil on my buttock"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been reported by a radiologist tht i have grade 2 renal parechymal disease in my right kidney and im searching for a good nefrologist in hyderabad. The right kidney measures 86/26 mm while my left kidney is normal with measrement of 108/40 mm plz advice me to the best nefrologist in hyderabad. Doctor: Hi, dearI have gone through your question. I can understand your concern. You have renal parachymal disease. You should go for complete kidney function test to search the exact cause, if needed go for kidney biopsy then you should take treatment accordingly. Consult your nephrologist and 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 does this kidney scan report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a solitary kidney and an ultrasound scan revealed it is swollen. My gfr has dropped from 87 to 61 in four months. I have hydronephrosis symptoms sonce july 2012 and I am waiting for a cystoscopy in may. Do you think this is too long to wait? I m so worried about my only kidney but my gp doesn t seem bothered. Thankyou Debbie Doctor: Dear Debbie Any kidney that shows hydronephrosis, suggests that there is an obstruction lower down, in the urinary tract. Long standing obstruction can lead to some extent of irreversible damage to the kidney. Since you don't have a second kidney to compensate for the damage to this one, it is all the more important that the problem be evaluated as early as possible Warm regards"
},
{
"from": "gpt",
"value": "Target: Swollen single kidney. Suffer from hydronephrosis. Waiting for cystocopy results. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I think I have a cyst and I'm very scared. It's very swollen and pops frequently with puss and blood. My biggest fear is that it's gone into my leg, as it hurts, I can hardly walk and a particular long vein on my left has is popping out and is red, not the typical green my veins usually are. Please help!!!! Doctor: Thanks for posting you query to health care magic.cyst are fluid filled sac and formed below layer of skin or in the internal organ . usually they produces symptom depend upon compressive effect on neighboring organ . Cyst are filled with blood or pus only when they become secondarily infected .if you are having any pulsatile swelling it will not be cyst but somethig else .treatment of cyst is surgical removal so you should contact to General Surgeon for local examination and then take treatment accordingly.Hope you would be satisfied with my answer . Feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of cysts?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Four weeks ago I noticed a couple of small red bumps on my arms and thought they were mosquito bites. I then developed a sore throat for 4-5 days and an upper respiratory infection thereafter. I felt lethargic but was able to continue my daily routine. Then more bumps on my arms and then very quickly a large amount on my thighs and down my legs - even on my feet and the backs of my hands. My torso had very few at first but then a week an a half later started getting them on my chest, stomach and back - smaller and fewer than on my arms and legs though. The older ones have dried up and started to heal (although the skin is still bright pink where the spots were) but I continue to get new bumps - even a few on my face (forehead and bridge on my nose). I have seen two doctors who think it is some sort of virus but were not able to provide a conclusive diagnosis. One gave me a course of Prednisone. Other than that I take lukewarm showers, apply calamine lotion every night and try not to scratch. The itching is not terrible - more from the bumps drying out than anything else. From what I have read on-line I believe I have PR even though I don't recall a specific herald patch. I sent photos to YYYY@YYYY . Do you have a recommended course of treatment? Doctor: Hi,Dear,thanks for the query to my HMC- virtual Clinic.I studied your query in depth.IN My opinion -the read itchy lumps,mostly are due to the bacterial infection of some sort-which appears to be missed in your case.Antibiotic treatment would take care of the non-responding itchy lumps on entire body.If no relief after 5 days, then I would start-\"anti-scabies treatment\" with caution on the face and nose bridges.This would need expert cover by skin doctor.Hope this would resolve your query.I would love to help you for more queries.Good day."
},
{
"from": "gpt",
"value": "Target: How can red itchy lumps on the entire body be treated?"
}
]
|
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