conversations
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[
{
"from": "human",
"value": "Source: Patient: hi,yes i have got some pimples on my face but for the same i believe in curing the same thru home made remediesas of nw i m using tomatoe juice and its pulp to fade away pimples n its marks,let me knw how much time it will take.my id is YYYY@YYYY Doctor: for a normal skin it will take 21 days to go off. so when you get a pimple the surrounding skin area will get dark. around two week it will take to get a fresh skin.you can use aloe vera and saffron oil to decrease the darken area created by pimples.keep your self hydrated.avoid junk foods and add more fruits and vegetables to be free from pimples."
},
{
"from": "gpt",
"value": "Target: How much time will it take for the pimples to go?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 4 year old has been complaining of a stomach ache for about 4 days now, she will be fine one minute and then will complain it hurts again. yesterday she puked and had runny bright green stool... now today she is crying her stomach hurts again and she just vomited, whats should i do? Doctor: Hi,Abdominal pain, loose stools and vomiting indicates acute gastroenteritis. If she don't have fever and stool does not contain mucus or blood, we need not worry. Give zinc syrup (20mg / 5ml) 5ml once daily for 2 weeks and ondansetron syrup (2mg / 5ml) 5ml 2-3 times a day for 2 days. Abdominal pain can respond paracetamol. Also give frequent sips of fluids like ORS solution after each stools to prevent dehydration. She will be fine in 3-5 days.If she develops fever, stool becomes blood stained or becomes lethargic with poor feeding, kindly take her to doctor.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stomach pain with loose stool and vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing intense pain in my lower stomach on my right side where I believe my liver to be. The pain has been persistent for three days and I experience shooting pains into my groin on my right side and into my right testicle. Wondering if it is liver or a blockage in my stomach or something else. Pain increases in intensity half way through a meal and during what I would consider my digestion period. Any thoughts? Doctor: HIThank for asking to HCMI can understand your problem, this is not because of the liver but this seems ureteric colic, and the chances of small stone is likely, right now you can manage the pain with antispasmodic drug and the best option is \"Tab. Dicyclomine with Acetaminophen three times in day, but you have to go for x-ray study to rule out this, hope this answer would help you, take care and have nice day. (Drink plenty off water)"
},
{
"from": "gpt",
"value": "Target: What causes severe abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have a small hard lump in my left arm pit which is sometimes a bit sore and sometimes not. I went to the doctors and was told that it was an insect bite and that it would go away, it did start to go away but now it seems to have flared up again. I also have a sharp pain in the upper left side of my back (which sometimes moves to my chest). It is most painful when I m laying down. I had the back pain for about a week and the lump in my arm pitt for about 2/3 weeks. Just today I have noticed that there is a very small lump forming in my neck (on the right side just under my jawline) which is a bit sore to touch. Are any of these things related? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have axillary and cervical lymphnode enlargement. It may be due to reactive hyperplasia, tuberculosis or lymphoma. You should take a course of antibiotics. If it doesn't respond to treatment then you should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes sore lump in armpit and neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has been having chest pain,a cold feeling in his chest he often complains that his medicine or food is stuck in his chest also,he is constantly coughing and choking even in his sleep,extreamily bad heartburn,blood in his sputum,not sure exactly where it is coming from,we are in the emergency room rather often,we have been told that the test / blood work is all normal. Any suggestions as to what may be going on. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query for husband thoroughly .* This is in relation with definite internal pathology which may be - bronchitis - pneumonia - tuberculosis - others .Hope this clears your query .Wishing you fine recovery .Regards ."
},
{
"from": "gpt",
"value": "Target: What causes chest pain and blood in sputum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lump on my left testicle, but show no other signs of testicular cancer. My left testicle is smaller than my right, been that way since I could remember. I am 28 years old. I also do not have health insurance as I lost my job a couple months ago. What are my options, and is there anything I can do at home to find out if it is testicular cancer? Doctor: Hi, dearI have gone through your question. I can understand your concern. Your lump in testicle may be due to inflammation, abscess, hydrocele, hernia or tumour. You should go for examination first and if needed go for ultrasound study. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What is the lump in my testicle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 24 weeks pregnant now. Was regularly having brown discharge (little thick), a quarter spoon - 2-3 times daily since 12th week. Diagnosed with complete placenta previa in 18 weeks ultrasound. Doctor told me to be careful but not advised bed rest. Brown discharge continued. At 22 weeks, discharge turned red with similar qty. and frequency. Again ultrasound revealed partial placenta previa (type 3). Doctor put me on bed rest since then. Baby movement is felt normal. I am really worried? What can I expect? Doctor: Don't worry Relax placenta Pravia is one of the complications of pregnancy. Treatment revolves around taking bed rest , medications and frequent fetal monitoring. If u r vigilant and take proper care u can have a successful pregnancy outcome"
},
{
"from": "gpt",
"value": "Target: How does complete placenta previa at 18 weeks affect the baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a 40 days baby and she is develop few pimples on her cheeks(face) what shld i apply? and doctor she has lot og hair on her body..what shld i do? mostly on her face. Is that of concern? Doctor: Can be acne or eczema.Go visit a dermatologist."
},
{
"from": "gpt",
"value": "Target: My baby has developed few Pimples on her cheeks, please suggest some remedies"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 72, female, not taking any drugs except occasionally pain medication for my osteoarthritis. I keep feeling dizzy on and off and my BP, when I am now feeling quite unwell, is 143/85, with 88 pulse. Is this okay or should I consult a doctor. In the past, I have had sudden BP rates of over 210/110 etc - thus happened about 4 times last year. Doctor: Hello Welcome to HCM Your symptoms of dizziness, readings of high BP and four times history of very high BP suggests that you have been suffering from high blood pressure for a long time. With your last 4 episodes of 210/110 known as accelerated hypertension, its unusual that the doctor has not started you on BP medications. Or either you took them for a short while and then stopped. Your BP remains consistently high and your symptoms are due to high BP. Such high BP can cause target organ damage which includes the heart, brain, kidney and the eye among other organs. The sudden BP rise to 210/110 can also cause am artery to rupture in the brain and cuase life threatening stroke. Long standing high BP can also cause heart chamber enlatgement, kidney disease leading to kidney failure and retina detachment of the eye. You must be started on medications for high BP . Please see your doctor an get it done asap. Wishing you good healthRegards"
},
{
"from": "gpt",
"value": "Target: What causes high blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been sick for about 5 days with bad headache and slight cough, very little fever. While coughing last night, I got a strange feeling in my lungs. It felt as there were hundreds of tiny needlles inside my lungs, both sides, kind of burning. Is this something I should be concerned about? Doctor: thanks for asking your questioni completely understand your queryin my opinion you have upper resp tract infection , infection is increasing to lower resp tract.excessive coughing can cause that feeling of burning sensation in the chest.mucous clearing and forcefull cough can cause the same symptomyou need to be started on broad spectrum antibiotics like cefexime and mucolytics like ambroxol.you need to take consultation from a pulmonologist and get a chest xray done and disscuss the above mentioned treatment ,so that he can prescribe as per his opinion.thanks /regardsfeel free to ask more questionsmay god bless you with good health"
},
{
"from": "gpt",
"value": "Target: What causes burning sensation in chest while coughing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,I have been taking the birth control called Microgestin Fe 1/20. I haven't had any problems with it since I began taking in December 2012, after the birth of our son. Well since then I always seem to have an issue getting my prescription refilled with my Doc. When I call my refill in my pharmacy, there is ALWAYS a delay. She seems to want me to come in once a month for a check up. I have been on different types of BC in the past, & usually after your first pap your in the clear for a year with BC, unless a problem occurs. Why do I have to go to the doc so often, when all she ever asks me is how are the pills agreeing with me? Is there any way I can purchase my pills online? I am so tired of going back & forth to the doc when it's not necessary. I'm healthy, not issues, please help! Doctor: Hi,Thank you for choosing Healthcaremagic. Ethinyl estradiol and norethindrone is a combination drug that contains female hormones that prevent ovulation (the release of an egg from an ovary). To buy Microgestin its always better to buy from pharmacy, if you want to buy online you need to google and find out if any websites offer you this drug in your country. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it.Thank you,Wish you good health.Regards,Dr ArifYou can consult me again directly through my profilehttp://www.healthcaremagic.com/doctors/dr-arif-n-khan/65133"
},
{
"from": "gpt",
"value": "Target: Having Microgestin birth control after child birth, no problems. Refilling getting delayed. Can be purchased online?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 26 and i brush my teeth twice a day but from past few weeks my gums keep swelling a little and sometimes bleed.Please help me understand what i could be. Thanks Doctor: hello,welcome to health care magic, you are suffering with swollen gums because of accumulation of plaque and calculus around your teeth. visit your dentist for scaling of teeth and use a soft tooth brush. do not apply excessive pressure while brushing your teeth. do warm saline rinses to reduce swelling in the gums.i am sure it will help.thank you"
},
{
"from": "gpt",
"value": "Target: Swelling & bleeding from my teeth after brushing twice a day, What would be the problem ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: iam suffering elergy from the last four months.spots also apeeared .after using citrazine itching was gone but the spot was like that only.after 4to 5 days again iam getting ellergy on the same spot and the spot is becoming more bigger.iam having those spots on my hips,thighs and onmy backplease suggest me. Doctor: HelloThank You for contacting HCM.As the rashes have reappeared so i would suggest you to visit a dermatologist for detailed examination by directly looking at the rashes. For recurrent allergy i would suggest you to take take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: How to get rid of spots due to allergy on hips and thigh?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im a female aged 39 years old. My left outer side of thigh hurts. For a few weeks/months. Getting worse. Cant bend my left leg for a long time or sit down too long either. Pain is continuously there. My buttocks also hurts, that is the same side of my leg affected. Doctor: Hello, The symptoms seem to be related to sciatica pain. I suggest using painkillers such as Ibuprofen to relieve the symptoms. I also recommend using Voltaren gel for local application. I also suggest stretching exercises for relieve. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes pain in the thigh"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my baby is 11 months now. he is not taking any food completly except some milk forcibly since 3days. he is suffering from constipation. daily he is going only one time only after giving him gripewater. what to do now? Doctor: Hi, Stay on gripe water as long as it is effective and you may try also glycerin supplement when needed. In time, he will be able to do it alone. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for constipation in a baby"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i just want to ask, my last period is jan 3 the firs day. and then i had a contact, i made the test using pregnancy test last february 11 2017 and it s negative then i tried again feb. 21 and now it s positive.is it possible it happened like this?? how i calculate the week of my pregnancy. please answer. thank you si much Doctor: Hello,First of all, do not panic. The reason for first pregnancy test negative and second pregnancy test positive can be as follows- 1. Delayed ovulation and conception.2. If the first test is not done on morning's first sample of urine, diluted urine can give false negative results.I will suggest you get an ultrasound done to know about the viability and exact gestational age. It will help you to get a clear idea about the number of weeks of pregnancy. Usually, expected date of delivery is at 40 weeks of pregnancy.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Purushottam Neurgaonkar"
},
{
"from": "gpt",
"value": "Target: How can pregnancy in weeks be tested accurately?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am dr Manik suffering from postural hypertension for the past 20 yrs not on any medication yesterday started with amylodipine 2.5 also on thyronorm 100 mcg for hypothyroid please suggest drug for hypertension as my stomach is very sensitive to alopathic drugs as I get severe reflux on taking medication Doctor: Hello Dr.Manik,I have gone through your query.Thnanks for using HCM.first of all i would like to know about your postural hypertension,usually one gets postural hypotension .kindly clarify and mention exact level of BP.It is surprising that you are not on medicine inspite of knowing that you have hypertension for last 20 yrs! If you are tolerating Amlodipine well then it is good medicine and you may increase the dose to 5 mg once a day.You should aim Bp below 140/90.If you dont attain that target you may add medicine from ACEI group of medicine.My best wishesDr.Rajesh Teli,MD."
},
{
"from": "gpt",
"value": "Target: Suggest medicine for hypertension"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 17 year old, who has always had very clear skin, until recently, the past few months I have broke out in spots at each side of my face. My doctor has prescribed me with fucidin H cream, however I am reluctant to use it yet, as I am seeing mixed reviews online Doctor: Hello dear,Welcome to healthcaremagic.I have read your query and understood your concern.If your doctor has prescribed you Fucidin H for some spots on your face , you may start using it. It has to be applied in very small quantity over the spot only one to two times a day for 1-2 weeks.Any medication if used in excess or for long time may lead to side effects but if used judiciously is safe to use.If you have further query, you may ask me.Good luck."
},
{
"from": "gpt",
"value": "Target: Is fucidin H cream safe to use to cure facial spots in a 17 yr old girl with otherwise clear skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey I m 20 years of age,I feel like my brain is moving and I always feel dizzy and very weak. I feel like my Hand and feet palms are burning. I m feel nervous and i feel like getting away from everyone. Also sometimes i can t move/feel my legs and arms. Doctor: I can assure you that even though it is true that your brain does literally float inside the skull it is not moving the way you think nor can you feel it moving. There isn't (well, there shouldn't be) a whole lot of room up there under normal circumstances for such movement so that's one point. Although I am firmly grounded in the belief that a good neurological examination should always be done on someone with your symptoms I can also say with some degree of confidence that speaking to your physician about these issues may help them direct you to other specialists as well who may be able to help. I detect anxiousness and nervousness as well as an element of isolation that may have a lot to do with at least some of your symptoms. Bottom line, get a good neurological workup and see what the neurologist thinks of your case and then, be sure to talk things through with your primary doctor to see if other consultations may not help get some answers as well. All the best health to you."
},
{
"from": "gpt",
"value": "Target: What causes feeling like movement in brain, dizzy, tired and nervous?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 43 years old backpain last 1 year, I am not geting any dos for that purpuse what will be do Doctor: hi u have it for long time so we must find out the cause for it u must consult doctor and do x ray or MRI it may be due to bone ,disc ,ligament ,nerve problem rest is the best physiotherapy do wonder in case of pain pain killer help ,but not to be taken in excess"
},
{
"from": "gpt",
"value": "Target: What treatment do you suggest for a persisting back pain ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 6 months and started eatin solids 1 1/2 weeks ago. she has eaten carrots for 5 days no reaction. and now she is eating banannas for 3 days now however this morning she has grey stool and a really bad rash on her bottom. could this be an allergic reaction? he rash has little bumps and the ointment isnt helping and seems to leave white dots on the bumps after wiping way. should I stop giving her bananas? Doctor: Hi,Welcome to Hcm,I am sorry to hear about your child's condition. However I must assure you that it doesn't sound like reaction to banana and if it were then it would have started well on day 1. The rash can be due to stools or even diaper rash most likely. You need to use ointment containing zinc oxide as a thick layer. Keep area as dry as possible. Give plenty of liquids for him. He should get better. Take care."
},
{
"from": "gpt",
"value": "Target: What causes red rashes after eating bananas in 6 month baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recently I noticed almost like a rash on both my upper legs. . They look similar to mosquito bites but have heads almost like an ant bite would. They don t itch, but they are sore to the touch. . I have no idea what it is, but that is the only place they are. . Doctor: Thanks for your query, I have gone through your query.The soreness in the leg can be because of the hair follicle infection. The other possible cause can be because of the allergic reaction also secondary to insect bite. Nothing to be panic, consult a general physician and get it evaluated.Mean while you can take a course of antibiotics like amoxicillin and metronidazole (if you are not allergic). You can also take a course of antiallergic agents like cetrizine. I hope I have answered your query, take care."
},
{
"from": "gpt",
"value": "Target: What causes rashes and soreness on the legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have abdominal pain in my upper mid section and now my back left mid back. Been to the doctor and was told it was probably ulcers. I've had pancreatitis and it almost feels like that. The pain in my back is pulsating and a new symptom. I take medium, proposed, carafate and creon Doctor: Hello,This can be recurrent pancreatitis. Get an ultrasound and Upper gastrointestinal endoscopy done. Also, consult a gastroenterologist.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mahaveer Patil"
},
{
"from": "gpt",
"value": "Target: What does pain in the upper abdomen and back indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sprem count is 22mil/ml vol. is 6ml motility is 50% grade 3 motility is 30% grade 1 n 2 motility is 10% normal = 75% abnormal = 25% puss cells = 3-5 Doctor: hi, welcome to hcm thanks for the query your analysis appears normal few we pus cells in the semen are normal, many pus cells suggest the presence of seminal infection. This also can affect the viability of the sperm.if it is above 10 then it may be a concern you can go for repeating the test take care"
},
{
"from": "gpt",
"value": "Target: My Semen analysis report, please see"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, Am a 24 yr boy. Am having left hand pain for over a yr. Its nopt ver frequent but got pain at times. Yesterday suddenly my left leg started shivering, My right leg was firm only my left leg was shivering..Kindly advise on the possible causes Doctor: hi,it may be due to anxiety or depression factors. why don't you try doing some regular aerobic exercise and do meditation. I am sure you will be helped."
},
{
"from": "gpt",
"value": "Target: What causes shivering in left leg with hand pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an anal abscess that has come back (last year it burst and I was left with a fistula I needed surgery for) and I have been prescribed flucloxacillin but it is not working. If anything the abscess is growing and I am worried it will burst and I will need surgery again. Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should take the surgery done.Anal fistula is the indication for surgery it has no role for antibiotic treatment.You can take the antibiotics as per culture and sensitivity report until all your infection clears up.Once the infection is clears up please do surgery for your fistula.Unattended fistula can cause complication. This should be avoided.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist."
},
{
"from": "gpt",
"value": "Target: How to treat an anal abscess?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had hpv a few years ago that caused cancer cells and i had surgery to remove them. A month ago i had a pap that showed cancer cells and i have a follow up in three months. I was just wanting to know does this mean i just have cancer cells or hpv again? Doctor: It means that cancer is there and it is HPV induced. it is still in very early stage and with proper treatment it will be cured.Dr. Ticku"
},
{
"from": "gpt",
"value": "Target: Am I having cancer cells or HPV again?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 22 yr. old son has been experiencing high blood pressure which according to charts he is in stage 1 hypertension. The latest reading was 151 over 93. The last 2 weeks he s experienced something not right in his upper left shoulder/chest area. (uncomfortable or light pain) He did see his doctor (a family physician) and had a EKG done. His doctor stated that he has some constriction going on therefore the blood flows back. she put him on some blood pressure pills (I don t recall the name) to calm the vessels. Our history is as follows: His great grandfather died of a heart attack at age 49, his great uncle who was in his sixties died of a heart attack, his grandmother had Chronic kidney disease in her fifties (she had to go on dialyis) and she did have a stroke. I am the mother and also have Kidney disease like my mother. I am concerned about my son. My son has to go back in two weeks to have some blood work done. I m just wondering if this is enough testing. Could there be a blockage? Should he see a cardiologist? Doctor: Hi, Yes, it is better to see a cardiologist as this blocking could not be seen by normal blood tests and he should do ECHO imaging to the heart and stress ECG to be sure everything is going right. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high blood pressure and chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my daughter is 1.7 yrs old. she has been suffering of vomiting. doc advised me to give emeset and bifilaz sachet. but it didnt stop .anothe doc told its an acidity and advised me to give junior lanzol for 5 days and emeset for 2 days........ will it help her Doctor: Hi dear,I understand your concern . Lanzoprazol is only helpful for acidity ,but not for vomiting. I suggest add ofloxacin and ornidazole suspension 10mg/kg divided for 2 times for 3 days,because there are bacteria and their toxins will cause vomiting, you can give Charcoal 1 tablet to absorb toxins. If ondansetron is not helpful, then replace it with Domstal, it will stop vomiting.Hope it helps"
},
{
"from": "gpt",
"value": "Target: Will junior lanzol help in treating vomiting of 1 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I habitually wear sandals in the spring/summer with a strap between my big toe and second toe (thong type). I woke up Tuesday after wearing/walking in them all day Monday with a swollen big toe/foot and pain upon standing. What could be causing this. I have worn this type of shoe for years. Doctor: Dear patient Acute swelling of big toe without trauma mostly is due to gout. This disease is characterised by increased levels of serum levels of uric acid and deposition of uric acid crystals in small joints especially of big toe. This needs to be investigated with serum levels of uric acid from reputed lab nearby you. You need to consult expert orthopaedic surgeon with report. Meanwhile start tab diclofenac 50mg twice a day for pain relief. If serum uric acid levels are higher you need to take drugs to lower it. All the best."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen and painful toe"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a heart cath 1 week ago everything is fine the site of the cath (wrist) seems to be nearly healed... but now it itches and the opposite side or the wrist (top) is swelling (not red) and it is hard? WWW.WWWW.WW Doctor: Hi, To reduce the swelling, you can apply ice 4 times daily on the wrist, and use a wrist band for 30 days. Hope I have answered your query. Let me know if I can assist you further. Take care. Regards, Dr. Tanmoy Roy, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to treat wrist swelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a five year old daughter and she has to go to her dad's every other weekend, her dad has bipolar, he was very abusive to me, he drinks, and does not take his medication, should I be concern about her being there with him? could he hurt her? if so what should I do? Doctor: hiThanks for choosing healthcare magicAs u told that child's father does not take medication. In that case it is very risky to send her alone to meet her father. Bipolar patient could hurt anyone due to his mental illness. In that case u should go with her whenever she goes to meet her father and try to protect her in serious circumstance. Thanks"
},
{
"from": "gpt",
"value": "Target: Can an abusive person suffering from bipolar hurt a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi ive just found out that im pregnant.i last had sex with my ex partner on the 18th september before we split up.i met someone else and i had sex with him on the 25th september.i dont know when i would of concieved and im really confused.i done a pregnancy test last week which would of been 2 weeks after i slept with my ex partner and it said negative.i done another test about 2 days ago which was nearly 2 weeks after i had slept with my new partner and it said positive Doctor: HI, I understand your concern. - Urine pregnancy test is reliable after 8 days delay in periods/ 3 weeks after the sex. - You can calculate according to possible ovulation too. Usually ovulation is 14 days prior to expected date of menstruation....provided menstrual cycle is regular. & conception is possible 3 days before & 3 days after the ovulation You can calculate fertile days using above information & guess the possibility. - Chromosomal analysis is the perfect way to find exact father . Thanks."
},
{
"from": "gpt",
"value": "Target: What is the best treatment to get pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2.5 year old son, has lesions/eruptions all over his arms and legs and neck area. this has been there for the last 20 days. He has acute itching sensation in those areas and this causes open wounds too.. He also has mild cough and chest congestion associated wiht this...wonder if these both can be related to some allergic reaction. Doctor: Hi, The possibilities here could be - 1. Eczema or atopic dermatitis 2. insect bite allergy with secondary infection 3. urticaria. Skin conditions are best diagnosed after seeing them directly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: Suggest cure for lesions and eruptions"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a mammogram on yesterday and was called back today to say that there was some asymmetric tissue in my left breast, with no sign of a mass. But, I was scheduled or another mammogram and an ultra sound on Monday. I also am on a maintenance chem regime because I was diagnosed with follicular lymphoma in 2013, but the disease is in remission. I have chem every 2 months. Can this also cause some changes in my breast tissue? Doctor: Hi,Thanks for writing in.It is rare to find two different cancers in a patient but this is not unheard of. The possibility of chemotherapy for follicular lymphoma causing breast cancer is less. However there is a slight chance of cancer in the breast if you have received radiation therapy for your previous cancer.There are studies which have shown that radiation therapy for lymphoma might put the patient at slight risk of another cancer. However, since there is no obvious mass in the breast refion therefore the likelihood of a cancer is less. Since there is a suspicious finding on mammography therefore confirming it with ultrasound is important. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What causes follicular lymphoma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: helo sir, this is shweta from mumbai, i wana ask u about my mother s health.........she has been suffering from severe cough n because of thta her lungs are paining.....khansi bohot hai.......n fever also... plz do tell me some medicine so that she will recover soon...thnxx Doctor: Hello Thank you for trusting HCM How many days your mother suffering from cough?? Getting sputum or not?? Tab. Paracetamol 650 thrice a day Tab. Azithromycin 500once a day×3days Tab. Amoxillinclvulinate 625 twice a day ×5-7days Syrp Ascoryl 2tsp thrice a day If symptoms not improved consult your doctor."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I Im hbv positive carrier. It was found on 28.1.2011. since then I underwent homeopathi medicine. Before diagnosis I had no symptoms except burning of palms,sole and warm air came from mouth. While getting treatment I have been experiencing some crap just bellow the right side ribs, fitigue,tired, ligh cola cloured urine and eyes were shrunken. I have been taking plenthy of water. less Nonveg meals and I had no other habits like drinking and smoking. When checked my wife she found hbsag negetive. Immediately gave her vaccination two shots were completed and third shot sheduled to be on 4.8.11. I have been participatinng sex by using condom. My children were also HBs ag negetive.( HBS ab not tested so far) They were vaccinated after their birth . I am worried about while treatment, is the virus activated? if so, the virus harm my liver? ( my previous SGPT-18 IU/L). I heard that hbv trasmitted through sweat, is it true? Doctor: Dennis R. Laffer, MD Gastroenterologist: There are a number of questions that need to be answered: 1. Are you experiencing liver toxicity from the homeopathic therapy? 2. Has your HBV reactivated which can cause constitutional symptoms and jaundice? 3. How much damage has the HBV done to the liver? This might require a liver biopsy to determine. HBV, untreated can lead to cirrhosis and with or without cirrhosis is a risk factor for liver cancer. 4. Do you drink alcohol or have risk factors for other viral hepatitis infections such as A, D and C? Finally, you need to be under the care of an experienced gastroenterologist or hepatologist to investigate the status of your HBV infection and would probably require anti-viral therapy."
},
{
"from": "gpt",
"value": "Target: I am hepatitis b carrier, can it transmit through sweats and will it harm my liver ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have fallen twice in the last month and injured the right side of my right knee. There is a good sized knot there now with some numbness and pain only if I try to kneel or twist. Otherwise I can walk fine again. Will it just heal by itself? I have no health insurance. Doctor: Hi, You seem to have injured your knee ligaments on the right side with possibility of some injury to the meniscus which is a cartilage disc inside the knee. Avoid any strain on the knee like kneeling, carrying heavy weights, and climbing more than one flight of stairs. Walking on level ground is fine. There is a good chance that it will heal provided you take the above precautions. Meanwhile, please do knee exercises to maintain the range of movement, strengthening exercises for the quadriceps muscles, use soft soled shoes. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. George Verghese, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a knot in the knee due to injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 11 year old daughter woke up and went to the toilet and had one epsoide of extremly bad explosive diarrea it has been gooing off and on all day Doctor: let it run its course"
},
{
"from": "gpt",
"value": "Target: My daughter had extremly bad explosive diarrea, kindly suggest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last night I ate some chicken alfredo from an italian place and later began throwing up and having stomach pains. I thought I might have gotten food poisioning, but through the night I kept having pains like I needed to go to the bathroom, but when I did blood just came out. The pain I m having is right below my belly button and is kinda like menstreul cramps . Also I had sex almost two weeks ago so I don t know if I could be pregnant or not. Doctor: Dear Denae, hello. According to your symptoms you are having severe intestinal infection. Blood in stool and pain abdomen are indicative of that. You should take antibiotic and antiamoebic treatment after taking consultation with your doctor. Please have your stool examined. For confirmation of pregnancy, have pregnancy card test or blood Beta HCG level. Hope this is useful to you. Thanks and take care."
},
{
"from": "gpt",
"value": "Target: Vomiting, stomach pain after eating, blood in stools. Pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, doctor i have an allergy in which i have a running nose and i sneeze every now and then. my eyes also become watery. i am taking medicines for it but no permanent results. i would like to go for surgery and i want to know is it safe and will it help me get rid of my allergy completly. i stay in mumbai could you also recommend me some good doctor for it. Doctor: I do not understand what surgery you are planning to undergo for allergy as there are no such surgeries available. You may take antihistaminics, a montair tablet, use flixonase nasal spray and cromal eye drops. Avoid any known allergens. If still symptomatic consult an immunologist."
},
{
"from": "gpt",
"value": "Target: Allergy causing running nose, frequent sneezing, watery eyes. Will surgery give permanent relief?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi have a couple questionsI'm 25year old female , i been have headache threw out the hole day for almost a month already i been having abdomen pain and sharp sting pain on my lower left side above my hip , I'm just try to get more of an idea why i'm feeling like this ? also I been taken antibiotics for 7 days already but today is my last to take them, that was due to my back wisdom tooth but my question for the antibiotics is being on that can it cause bleeding not heavy but just like a very light red when wiping only? Doctor: Hi welcome to health care magic forum. you have head ache and vomitings since one month.Pain lower left abdomen and hip. You also have wisdom tooth and pain, and used the antibiotic. All are different problems, abdominal pain could be due to the urinary tract infection or stone in the ureter near the bladder. Both the problems can cause the head ache and vomiting. I advise you to consult a physician for diagnosis and treatment.You may need to have MRI for diagnosis. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to develop resistance against such infections. Wishing for a quick and complete recovery.Thank you."
},
{
"from": "gpt",
"value": "Target: Can sharp abdominal pains and lower left side pain above hip cause light bleeding ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi im sophie 18 years old and recently i went to the doctors with like lumps in my stomach and hurts lightly most days especialy the morning, i also 1year ago broke up with my partner of 3years and sufferd very bad depression and lost 2st im now 7st, i feel like my stomachs shrunk and i always wake up in the morning a feel like i have to wait for my stomach to go down, i also get very breathless and seem to feel dizzy most days i have a son of 1year and feel very ill Doctor: Welcome to health care magic. 1.There is no exact location or description about the lump you have given in your history, the symptoms are generalised.2.In this case what i would do if you are my patient, i would have examine you, abdominal palpation, an ultrasound abdomen and pelvis will be ordered.3.Ultrasound will give status of the all crucial organs and any infective or chronic process status, and pelvic causes can be assessed also.4.After that depending on the findings the treatment depends upon.5.Mean while have healthy diet, avid junk,spicy foods, plenty of water - that would help. Good luck.Hope i have answered your query.Any thing to ask do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful lumps in the stomach"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i just had my gallbladder out after a year of going through constant pain, vomiting, nausea. I had every rest done in the book finally they took out my gallbladder after being g told I needed a sphincter of oddi done, which was never done. Well im Darell in SEVERE pain, crying a lot because of it and the pain seems to be moving lower and towards my back. I've no appendix. And still get the pinching pain and nausea when I eat where I had the pain im the first place. They said it's was my ducts, mainly my CBD, said it was filled with sludge. Also the surgeon told me my gallbladder was extremely inflamed when removed. But that never showed on the tests. I guess mainly I need to know if I should worry. My incision on my bellybutton also keeps opening and bleeding, as well as the very top one. Should I go back to the ER?please help me. Doctor: Hello.Although having pain and nausea is common after gallbladder removal, if the pain is excessive you must go to an Emergency Service.Also if you have fever ,you should go to an Emergency Service.I wish you good health.(If the answer has helped you, please indicate this)"
},
{
"from": "gpt",
"value": "Target: Suffering from pain and nausea due to inflamed gallbladder which was removed"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 17 years old. I began my period at 11, I was diagnosed with chronic daily migraine at 13, I've never had good vision, and lately I have lost my balance. I had a CT scan done a few years ago and it revealed that I had a pineal cyst. I was wondering if maybe it was pineal germinoma? Thank you! Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Migraines don't cause any brain tumors including germinoma. The cyst you refer needs periodic follow up with MRI, if it increases surgery to remove it may be necessary. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Could chronic migraine with pineal cyst lead to pineal germinoma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: feb 2011, ast 36 alt 59. Didn t drink or take any meds, retested March 2011, ast 90 alt 142. ultrasound was 100% normal so rechecked enzymes today along with cbc, anti-smooth muscle test and hep a,b and c tests. what could be the cause if high again? Rhuematologist said if high again will need to refer me to specialist. Doctor: Hi Smith Welcome to Healthcare Magic. From your reports we can see that your enzymes are gradually elevated.This denotes a hepatic damage in progress.This could be due to viral infection or any drug. Do you have symptoms of jaundice like yellow urine or yellow sclera.Any features of breathlessness? Please mention if you are on any drug.Did you get your Hepatitis viral screen done? Please let us know these details and we can give you better advise. Take care."
},
{
"from": "gpt",
"value": "Target: High liver enzymes for 6 weeks, what could be the reason ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m looking for kidney transplant. how can i get it condition is really serious. kindly help? Doctor: hi,thanks for query.Kidney transplant is major surgery and need proper pre and post surgery preparation part of patient also.Usually it is a team work which include counselor also who will guide about things in detail.Do not worry.just do as per the advise of doctor. wishing you good health."
},
{
"from": "gpt",
"value": "Target: I am looking for kidney transplant"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, we just took my boyfriends blood pressure, he is on meds for high blood pressure already (was taking teva-metoprolol film-ctd 25mg am and pm but was changed to 50 am and pm), he has no doctor but saw a nurse practitioner. It is 147/117. I am worried, this is the same as it was before she increased his meds. Doctor: Hello!Welcome and thank you for asking on HCM!Regarding your concern, I would explain that his blood pressure values are still high. This means that his actual therapy is not very effective in controlling blood pressure. Besides, metoprolol's main action is on the heart rhythm. For this reason, I would recommend adding another anti-hypertensive drug to his therapy. In this regard, I would suggest adding an ARB drug (valsartan, telmisartan, etc.. You should discuss with her doctor on the above issues. Hope you will find this answer helpful!Wishing good health, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high blood pressure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 58 and have raised ALT (88) and raised bilirubin (28) with B & C as -ve. A kidney stone has been detected. I take 10 mg Narvasc daily for B.P and 1/2 tablet of Xolnox for sleep. My mother also had liver disease . However, I eat well, 4-5 kms of walk almost daily with no signs of fatigues but my stomach remains stiff. To defecate I have to use external pressure but never feel fully empty. Doctor: Dear sirIncreased bilirubin with kidney stones is always associated with gall bladder stones in most of the timesSecondly an ultrasound scanning of abdomen will reveal all the points necessaryIt is associated with increased liver functions tests too. To it may take some more invasive procedures to confirm the diagnosis..Thanks"
},
{
"from": "gpt",
"value": "Target: Difficulty defecating, stomach pain. Urine test shows kidney stones, high ALT, raised bilirubin. Treatment options?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my brother has end stage cirosses of the liver, he is to sick for a transplant. With just that diagnosis the doctors just told him to enjoy what life he has left. Now he is diagnosed with Esophageal varices. He is not bleeding or throwing up blood yet, however, he has a very bad infection in his stomach the doctors can not resolve. My question is how long can a person live with these illnesses combined? Doctor: Hi thanks for asking question.According to history he has end stage liver cirrhosis and transplant not possible.Stomach infection can be treated with antibiotic...For Your esophageal varices esophageal banding can be done....if need by doctor.Take low salt diet for avoiding edema.For portal hypertension if needed beta blocker can be taken.Take low fat diet.Give him more fruits.Avoid alcohol.One tsp cumin seed with milk can be taken.If tremor , slurred speech or bleeding occur immediately consult doctor.Five year survival rate poor for cirrhosis patient...Take care."
},
{
"from": "gpt",
"value": "Target: How long can a person live with end stage cirrhosis of liver?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes doctor for the past 2 days i am having severe pain around my abdominal its like poking with an needle ,and also my stomach was bloted up.So i consulted an nearby doctor she checked my stomach and said that ur stomach is not soft its hard,the causes could be due to ulcer,gastric and acidity.So she gave me 2 bottles of drips which included the medicines to control ulcer,gastric and acidity.And then when she touched my lower right abdominal the pain was severe except the other places .So can u please let me know what could be the problem.I am frigthned.Please help me. Doctor: Hi,It seems that you might be having acute appendicitis giving this problem.Consult your doctor and rule out any complication occurred in appendix.go for ultra sound for appendicitis or of having likely complications.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What can cause severe lower abdominal pain along with bloating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, i am in my 40 s and currently undergoing fertility work up for our desire to havea child. during one of my folicle monitoring particularly on my cycle day 13, the result read that i have an anechoic fluid collection within the cervical canal. what does this mean? would this hamper our efforts to conceive a child naturally? hoping for your immediate enlightenment. thanks in advance by the way prior to this on my cycle day 6 i have undergone HSSG ang everything is normal, clear and clean. Doctor: Hi, Firstly, you have to consult your doctor regarding this fluid collection in the cervical canal. It might be remnants of the HSG test collection. Definitely anything in your cervical canal can hamper your conception. So go for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Minakshi Biradar, Obstetrician-gynecologist"
},
{
"from": "gpt",
"value": "Target: Does anechoic fluid collection in the cervical canal cause a hindrance for natural conception?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i took my 16 year old son to the doctors with a temp and terrible sore throat she gave him antibiotics he took these all and suddenly got worse with his throat now with white spots on it, took him back and another doctor said he has a nasty infection in his throat and prescribed more antibiotics two in one 250 mg he took one and after a few hours started coming out in a rash by the morning was covered took him back to doc a different one seen him again and said he has an allergic reaction. he started taking antihistimines and by tonight the rash is absolutely awful he also has like ulcers in his mouth now and he cant eat im sure he has measels has all the symtoms too the rash is awful please helpx Doctor: Without seeing the rash it is not possible to be sure what is happening. Was he tested for mononucleosis? Did he have the measles vaccine? He needs to be seen again to sort this out."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for throat problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has had bad abdominal pain for 3 weeks. Can t eat, can t sleep and is nauseated. She was taken into the ER and they didn t see anything in her ultrasound. I m not sure what else to do for her. She was told her gallbladder is ok, her appendix is ok. We are not sure what else to do for her and how to get something done on getting her to feeling better. Doctor: Hi.Noted the history about your daughter suffering from pain in abdomen and nausea for three weeks.Ultrasonography is normal for gallbladder and appendix. Ultrasonography can miss on many disease as these can not be seen like colon, intestines.Hence I would advise her the following:wSend the stool and blood samples for tests.If there is any evidence of an intestinal infection then a prescription based course may help a lot.Add on antispasmodic and probiotic.If there pain still persists and additional CT scan of abdomen and colonoscopy along with upper GI Endoscopy may be required.Further management can be done as per the findings and thus get properly cured.If all the investigations are normal then a possibility of IBS that is irritable bowel syndrome to be kept in mind and treated accordingly.Also ask her to watch for the foods and beverages that cause problems and stop these altogether. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, General Surgeon"
},
{
"from": "gpt",
"value": "Target: What treatment should be done to cure abdominal pain and nausea?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My girlfriend and I have been having problems trying to conceive. We already have 2 kids and had a miscarriage in 2008. My girlfriend also thinks that she had 2 more miscarriages in Oct & Nov last year (2010). My doctor said that I should have a semen analysis done, and the results showed a Sperm Morphology of 93%. He referred me to a fertility specialist, who didnt sound like he knew what he was talking about. He advised me to stop taking Creatine and Protein supplements (which I m taking for weight training ), and then do another test. I m not sure that the Creatine and Protein supplements can cause negative Sperm Morphology issues, as everything I ve read suggests that they are actually beneficial to aid these types of problems, and because they are naturally produced by the body. So I was looking for a 2nd opinion. Also, I forgot to tell him I ve been using hair removing cream around my genitals, and was wondering if that could have affected the results at all ? He seems to think that my results werent accurate because I already have 2 kids and because my girlfriend had atleast 1 miscarriage, which means that unless I have suffered trauma to my genitals (which I havent) he cant think of any reason how the morphology could be that high. Also, in case he is right about the Creatine, how long should I wait after stopping my supplements before I should give another sample ? In other words, how long will it take for the extra levels of Creatine to leave my body and not affect my test results ? Edit: By the way, I forgot to mention that everything else was perfect in my Semen Analysis results. Doctor: Hello. Welcome to HealthcareMagic forum. Creatinine and protein supplements should affect the sperm morphology but here is no harm in getting a repeat test done after stopping the extra supplements. It takes at least three months after stopping the supplements to see if the effect on sperms has gone or not. Dr. Rakhi Tayal"
},
{
"from": "gpt",
"value": "Target: I have been having problems trying to conceive"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello my name is Shannon I m in a relationship right now with a male whose just turned 30 he has had diabetes pretty much his whole life I believe it runs in his family but, he has not been taking his medicine for over the past year I did not find this out until now ,,symptoms hes have been having include but are not limited to :paranoia ,delusions of things that aren t real and ideas of things that aren t going on indecisiveness, overeating but losing weight, excessive sweat ,lack of sleep or restlessness ,constant fatigue, muscles are always in pain swelling of the lower back area and calf muscles, obsessive compulsiveness, repeating stories over and over again,uncontrollable anger or aggressive decisions or outburst, I read that diabetes can lead to psychosis and even schizophrenia please help it comes and goes so often it s about every other couple days he ll be good for about 2 or 3 days if that and then for about a solid 3 Days To a week he ll constantly have uncontrollable relations to the symptoms listed above Doctor: hi madam.all these conditions are super exactly related to diabetes since he withdrawn medicines one year back,so that sugar levels might become abnormal. fatigue, weight loss ,confusions,uncontrollable reactions all these are due to uncontrolled diabetes. patients may be severely depressed if they have an uncontrolled sugar level in their body. there is the only one solution for this is to control diabetes.control sugar level in blood. if diabetes is under control he can lead a normal life all these symptoms wont persist. thank you"
},
{
"from": "gpt",
"value": "Target: Does untreated diabetes cause psychosis and schizophrenia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my uppper right inner lip has been swollen for two days. it red and when i put pressure on it it feels like its coming from my gums. i have a small red bump on top of my tooth were the gum is. but there no inflammed or swollen bumps anywhere else around my mouth only this area. it starts from the middle and goes right to the second to last tooth. Doctor: Hello,You may have a bump related to drainage from an infected tooth. Please schedule a visit with your dentist for an X-ray to evaluate for the source of an infection. Control the swelling with anti-inflammatory medication such as Tylenol or Advil. The antihistamine Benadryl can offer relief, but may make you tired. Rinse and continue piper daily dental hygiene. An abscess can spread and affect other parts of your body. Antibiotics can be prescribed by your dentist and with a diagnosis, proper treatment recommended. Abscessed teeth can often be treated with a root canal. Abscesses involved the surrounding bone may require periodontal treatment.Thank you for your inquiry."
},
{
"from": "gpt",
"value": "Target: What causes swollen inner lip and red bumps on top of tooth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had stomach pain off and on for the past two weeks in my upper abdomen. More on than off in the last five days. The pain was centered dead center in my upper abdomen but has now moved a bit to the right side close to my rib cage. It is not a sharp pain but painful nonetheless. Should I get it checked? Or just get some Tums? Doctor: Hi ! Good afternoon. I am Dr Shareef answering your quiery.If I were your doctor, after a personal physical examination of your abdomen, I would advise you for a routine complete blood check, Blood sugar, liver function test, serum lipase and would also advise you for an ultrasound abdomen to rule out any intra-abdominal pathology, one of the common ones with your symptoms being a cholelithiasis (stones in the gall bladder). Till then I would prescribe you with a proton pump inhibitor and an anti spasmodic drug for a symptomatic relief. Further management would depend on the reports of investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife had Shortness of breath and feeling very tired. is it related to any heart diseases?29yr, 67kg, 163cm. At the time of her delivery she had similar issue. That time doctor instructed to show it afterwards. Now it is almost 3 yrs. What all the test need to be done for the same. Doctor: At her age it is unlikely to be caused by her heart. However, if she is having chest pain with the shortness of breath then she needs to be checked out emergently. The most likely cause of her shortness of breath and fatigue is from a metabolic, endocrine, electrolyte, or reproductive issue. Therefore she should get some blood work to make sure she does not have any of these issues."
},
{
"from": "gpt",
"value": "Target: Could the shortness of breath and tiredness be related to heart?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son has been running a fever off and on all week. Worst day was Monday. The highest his fever went was 102. We saw a dr. Wednesday and ruled out flu and strep. He has a loose, productive cough but no other symptoms. Fever has been around 99-100 for the last two days. Today he had no fever all day until tonight when it went to 100.4. How contagious is he at this point? He feels fine and is an active 11-year-old. He is getting stir crazy and I want to know if he could go to the movie tomorrow or would he possibly pass this on to his grandmother still. Doctor: Hi, I understand that your child has a productive cough with a low-grade fever for almost a week. He is otherwise fine and active and has no respiratory symptoms. Flu and streptococcal throat infection have been ruled out. His symptoms go in favor of a viral upper respiratory infection and possible sinusitis. As long as he has a cough and a fever, he is contagious. I would recommend that you treat him with Paracetamol syrup for fever, an anti-allergic tablet like cetirizine, plenty of lukewarm fluids orally, a mixture of honey with ginger is also helpful. The cough can take more than a week to clear up. In case the fever persists or rises with an increase in cough or difficulty in breathing, you must consult your doctor again. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anil Kumar Bhatnagar, Neonatologist"
},
{
"from": "gpt",
"value": "Target: What causes on and off fever with productive cough in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My grandson who turned 2 in May has a sour smell in his mouth and mucus. I brush his teeth often but that doesnt help. I though it had something to do with milk, he drinks a ton, but I have experimented with that and nothing helps. Do you have any suggestions? Doctor: Hi,Thanks and welcome to healthcare magic.if there is regurgitation of milk due to reflux there may be sour odor in the mouth.Normally the reflux disappears by 18 months of age.Hope this answer serves your purpose .Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam."
},
{
"from": "gpt",
"value": "Target: What causes a sour smell and mucus in the mouth of a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im 27 year old male is 16 stone 5 foot 11 and have blood presure of 157 over 96 there is a family history of high blood pressure its reading this presure daily and this is the daily averag reeding can u tell me if this needs to be investigated by a doctor please Doctor: hello You being an young hypertensive you ll first need evaluation for cause of blood pressure. You should undergo test like kidney function test, renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. Also get lipid profile and sugars tested. Also, if your bp is persistently elevated above 140/90 then you should have medicine for it like Tab Amlodipine 5 mg once a day.Hope this helps you and get back if you have any doubts."
},
{
"from": "gpt",
"value": "Target: What causes an increase in the blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: On November 3rd I had a L4 L5 S1 laminectomy (left side of spine), my back pain seems to be just about completely gone. Ever since a couple days ago I have had excruciating pain in my right hip area, so painful I can barely walk and put my clothes on. I called my surgeon and since it doesn’t sound back related he is hesitant to get me in right away for a review… any ideas or should I just head to my local hospital… it a 10 out of 10 for pain… Doctor: Hello,Looking at your details it looks that it about more then 4-5 months after laminectomy. As the compression was on left side so it does not looks to be due to disc related problem.In that case this can be due to sacroiliac dysfunction. You should do following to have relief in this:- Use a lumbosacral belt to prevent abnormal movements at back- Apply an analgesic ointment over affected area- Do warm water fomentation with water bag over affected area- Take a good analgesic like aspirin,ibuprofen or paracetamol Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes pain in my right hip area post laminectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 36 weeks pregnant with our 5th child. I remember getting short of breath around this time, but yesterday I also was getting some constant mild-mod. pain between my breasts--especially if I take a deep breath. The baby is riding very high, right under my rib cage and kicks constantly. It probably doesn t help that I m only 5 2 , so all my organs are very squashed right now. About 6 weeks ago, I started getting mild tachycardia (resting heart rate around 98-104 and occasionally going up to 116-120 at most). The dr. had done an ultrasound on my leg veins to check for clots and nothing was found. A CT scan was supposed to take place, but the machine failed to work. I was hesitant about the safety of the CT on the baby, so when the ultrasound showed nothing, the DR. decided since I didn t have any other symptoms, we could wait. So now, I have this chest pain. Is this serious or is this just a late pregnancy, bothersome thing to put up with for a couple of weeks? I should also add that I feel constipated (have been taking stool softeners) and feel like if I could burp, maybe I d feel better. I took Gas-X five hours ago with no change. Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] Firstly do not panic.2] As such doctors are trying to find out if your chest pain was due to blood clots in leg veins.3] It was good that you did not undergo CT scan, even test like MRI will be of help.4] Simple test like 2 D echo will be of great help.5] i will suggest to be patient and calm. try to relax and meditate.6] In weeks time baby's head will descend down to relieve pressure.7] In the mean time Take Liquid Duphalac 15 ml every night for 5 days. Have plenty of liquids, fresh fruits and salads in diet. cap PAN D SR once a day for 5 days will help to relieve your gastric symptoms.I hope my answer helps you.Thanks.Wish you great health."
},
{
"from": "gpt",
"value": "Target: Are constipation and chest pain symptoms of late pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i am 36 and my wisdom tooth began erupting approx 2 yrs ago after the birth of my child. its partially out and has a piece of gum tissue at the top of it. i have been experiencing these weird symptoms as well with my head, neck and ear, and generally feeling unwell fatigued and weak. I visited the ENT he ruled out infection, my family doctor did cbc, HBA1C,b thyroids and urine all came back normal except the HBA1C came back 6.5. my dentist checked for infection but found none but he told me the tooth will have to be removed. i am interested in knowing whether a wisdom tooth eruption can make me feel so terrible. thank you Doctor: Thanks for your query, I have gone through your query. Thanks for your query, i have gone through your query. The erupting third molar may cause pain, swelling and discomfort. Secondary to these symptoms your nutritious status might suffer and result in generalised weakness, fatigue. consult a oral maxillofacial surgeon and get the wisdom tooth removed under local anesthesia. consume lot of liquid and nutritious diet. consult a general physician regarding HBA1C, and take an opinion from the physician for extraction. i hope my answer will help you. take care."
},
{
"from": "gpt",
"value": "Target: Does wisdom tooth eruption cause pain in head, neck and ear?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Possible allergy , never a rash , just waves of all over severe itch causing racing heart, followed by a hot flash that eases the itch. I am a young looking, petite 54 yrs of age and post menopausal. The itch can be brought on by bathing (not exclusively) mostly on legs. One itch can trigger a full blown attack from head to toe including the scalp, eyes, nose, face, especially the ears inside and out. Talking or thinking about it can cause flare-ups. When a right extremity itches, the left may itch in the same place. When an attack is really bad, my heart races and it seems as though the itchiness is could be running through my blood and the itch will come from the inside out to the skin. Rubbing the skin w/without lotions or creams or both, unscented, etc. helps and is very time consuming. I also have a raised blue vein that runs across my left forearm above the elbow that severely itches from time to time. What in this world is going on and how can I treat and cure it without man made drugs? Doctor: As discussed earlier, itchy skin can be the result of fluctuating hormones during menopause. As estrogen leaves your body during menopause, it will stop the production of collagen, a youth hormone that keeps us looking young. Therefore when the production of collagen stops, itchy skin begins. Estrogen also is responsible for maintaining moisture, so dehydration can occur as a reduction in estrogen production occurs, which can cause extreme itchiness. Unfortunately, itchy skin can become extremely disruptive and the more one itches, the more one scratches. During menopause, many women find itchy skin to be more of an annoyance than a debilitating symptom, but there are many treatment options. It is advised to see your healthcare provider immediately if your menopausal itching is extremely severe, affects your entire body, has lasted for over a week and doesn’t improve with lifestyle adjustments and/or is accompanied by weight loss, changes in bowel habits, fever or redness. it might be allergic problem too. byeeeeee"
},
{
"from": "gpt",
"value": "Target: Passed menopause, have spells of severe itch from head to toe with racing heart, hot flashes, raised blue vein along the arm with severe itching. Tried rubbing skin with lotions. Effective remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got stung by a bee yesterday on the side of my foot at about 2 pm it made sure the stinger was out but it was still very painful for a good 30 mins after hours later the pain is just gettin worse hurts to move or touch my foot and very awollen but its the top of my foot above the sting that hurts and swollen it doesn t hurt where I got stung also I m 32 weeks pregnant what should I do? Doctor: Hello,Welcome to HCM,The sting can result in an allergic reaction due to the secretion of venom. Allergic reactions can be immediate or delayed, though immediate reactions are more common.The treatment varies slightly according to the severity of the reaction. In severe reactions (decreased blood pressure, increased pulse, hives, difficulty breathing) hospitalization is required for treatment.Where there is only swelling and rash, you can treat at home by the use of oral antihistamines such as benadryl. In addition, if the area is painful, you can use paracetamol.If the severity of the reaction worsens, then you would need to seek medical attention.If you haven't had a tetanus shot in the last 5 yrs, you also need to take a booster dose.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest medication for a bee sting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had my gall bladder and appendix removed quite some time ago. But this last week have been having real sharp pains feels like someone is sticking their finger in bellybutton from inside and pushing it out. At times it really takes my breath away hurts so bad. Is happening every day some days more than others. When I lay down can feel pressure there and hurts to touch or push there. Am recoverin from neck surgery so it s not that s I m doing or lifting too much as I m on a 10 lb restrictions Doctor: Hi.Thanks for your query. Read the history of removal of the gall bladder and appendix.This must have done by the Laparoscopy approach.The pain in the belly button where you feel like someone is sticking his finger in the belly button from inside. Hurts bad sometimes and now you have undergone a Surgery for neck problem. My probable diagnosis is :You have got a primary or secondary umbilical hernia. And I would advise you the following:-First of all get investigated and clinical / physically examined by a General Surgeon. If the hernia is present you have to undergo the formal surgery for getting the problems solved."
},
{
"from": "gpt",
"value": "Target: What causes sharp pain around the belly button?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I recently got a sharp pain on the left side of my abdomen, from my belly button area to my lower left hip.. I haven t gotten my period since The beginning of January and I m irregular.. I ve been try to get pregnant but I don t know I should worry about the pain. Not sure if cramps or something else? Please help. Doctor: In ur situation it is important to know after how many years of sexual life, u can't becum pregnant ..the pain in your case either due to renal stone or gynecological problem. Simple ultra sound help u to find out the cause.hope I am help ful..if u had any problems please let me know"
},
{
"from": "gpt",
"value": "Target: What causes pain in left side of abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I get a aching sensation in my chest after eating something cold... Almost like in my boobs if you don t mind my saying so... anyway it feels kind of strange sometimes. And sometimes it causes them to become very sore and slightly uncomfortable. Like on a scale of 1-10 probably a 2 or 3 but it s still rather strange to me. Is there a reason for this? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You have problem of chest pain esp in breast area after eating only cold If symptoms related only by eating cold things than allergy might be the reason. You can investigate with CBC and AEC along with auscultation. If no allergy and by auscultation, if needed then chest x ray can be done for further work up. For allergy decongestant like cetrizine can be prescribed. Consult a pulmonologoist for examination and Auscultation and accordingly work up will be needed.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Parth Goswami"
},
{
"from": "gpt",
"value": "Target: What causes aching sensation in the chest after eating cold stuff?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My name is zahid. My problem is that some 13 years ago i developed fear of death because of which i got severely depressed. Over the year my problem seem to have bulgeoned. I have negative thoughts . I feel i will die if i meet people, do this or that. For past two months i am also having nightmares which has wrecked havoc with my life. I was taking bupron, clonezepam for some time. i ve gained some weight also. Please suggest some remedy Doctor: Hello and welcome to Healthcare magic. So as far as I can see, you seem to have thoughts and symptoms of severe anxiety that come on and off. Do you have other symptoms like drying of mouth, sweating and increased heart rate those times?Bupron and clonazepam are good medicines which will bring down your problem with regular review from your psychiatrist and follow up.There is nothing in you that you should be extremely worried of. Anxiety symptoms are very common in young and middle aged people. Maintain good food, adequate hydration, ensure sleep hygiene, and do some relaxation techniques for improvement. Stay away from alcohol and nicotine.I would recommend you to continue your treatment from a qualified psychiatrist with regular follow up.Hope I have answered your queries. Feel free to write if you need further clarifications. Get well soon."
},
{
"from": "gpt",
"value": "Target: How to treat crippling fear of death?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just started a new job on the weekend and I'm on my feet for 6 to 8 hours a day. The past few days my feet have been hurting really bad and today I just noticed a bruise over one of the knuckles but I did not bang it on anything. What could this be? Doctor: Hi,If feet hurting badly due to standing then it may be plantar fascitits, other wise its due to shoe impingement.Nothing to worry in both cases, just avoid prolong standing.Have tab.aceclofenac+serratiopeptidase thrice a day by prescription of your family doctor.Thanks,Dr.CHANDER MOHAN SINGH."
},
{
"from": "gpt",
"value": "Target: What is the bruise over one of my knuckles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: wat is the reason of finding an ascetic fluid in abdomen? my mother is suddenly losing weight and apatite.. we got some of the tests done and found the ascetic fluid in the abdomen. Dr. cultured the fluid and said its becoz of TB but simultaneously asked to consult at Rajiv Gandhi Hospital for further expert advice. So can you tell me the actual reason behind that? Doctor: Common causes for Ascitis includes : 1 Cirrhosis of liver 2 Tuberculosis 3 Malignancy ( metastasis in peritoneum) Ultrasound abdomen,SAAG ( Serum ascitic albumin gradient), ADA and malignant cytology of ascitic fluid help to detect the exact cause."
},
{
"from": "gpt",
"value": "Target: What is the reason of finding an ascetic fluid in abdomen ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im curious if all my symptoms ive been going through are lupus related my list of symptoms fast weight gain then loss then gain severe constipation hair loss dry skin rash on face neck n chest weird heart beat and fast rate sweaty hands and feet new body odor underarm sweating,running low grade fever for months non stopnow blood in urine menstural cycle is messed upsevere constipation,bloating severe flatuencehard muscle cramps and burning cramps like labor painspurple toes and fingerslow back pain Doctor: they could be lupus symptoms, however it needs further investigation in the form of ANA by indirect immunofluorescence."
},
{
"from": "gpt",
"value": "Target: Blood in urine, persisting fever, hair loss, constipation, altered heart rate and cramps. Are these lupus symptoms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My fiance is 44 years old, she thinks she had tuberculossis at 4 years old she was never hospitalised, she stayed at home and would play with her brother and was with her mother and Father and has never had problems, she has no scarring of lungs. Could this have been something other than Tuberculosis. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Tuberculosis of childhood almost always produce Scar lesion on chest x ray. Since she is not having having any Scar lesion on chest x ray at present, no need to worry for childhood tuberculosis.She might be having pneumonia which was healed by antibiotics.So no need to think too much about old disease as she is having normal chest x ray at present. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of tuberculosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a healthy active nonsmoking 49 yr old female with no parental history of heart disease, i recently went to the er with chest pains, blood tests showed slightly elevated troponin as did a 2nd test. Chest x-ray, ekg, echo and finally cardiac cath showed no damage and normal heart function I still have ongoing chest pain.What shall i do now? Doctor: Hello Ma'amfirst of all i want to thank you for an adequate information.Cardiac cath is the final test to rule out if there is any cardiac issue gooing on and as in your case it has come out to be normal even after a positive trop you are quite lucky.For youur information trop can also be slightly raised in some other senarios also and as a cardiologist we always preffer to summaries things instead of just going with trop reports.Now coming to your question wat to do is, first of all relax as you are not having any cardiac issue, secondly take a hot water bottle and give hot fomentation and use mild pain releif meds like paracetamol twice a day for just 3 days, hopefully ull be relieved.Good Luck"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chest pain due to elevated troponin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi dr i had a deep cut in my foot i steped on smthg sharp got surgey and its the third week now i still have inflamation not directly on the wound but in the upper region and much pain i visited 2 drs they give me some anti inflametory and vitamins but im not getting any better whats is ur advice ? Doctor: HI THANKS FOR ASKING THIS ON HCM, THE INFLAMATION PERSISTING AFTER TAKING ANTI INFLAMMATORY DRUGS SUGGEST THAT THE WOUND MIGHT HAVE GOT INFECTED AND THE DOCTORS YOU CONSULTED WOULD NOT HAVE NOTICED IT. SOME ANTIBIOTICS WOULD CURE THE SWELLING.YOU CONSULT WITH THE SURGEON WHOM YOU MET FIRST FOR THE CUT."
},
{
"from": "gpt",
"value": "Target: Suggest medications for inflammations in foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a circular rash on the palm of my hand which is now on the sole of my foot. They come and go but are very itchy. I have now found a raised rash in the pubic line which is not itchy. The rash seems to be like an insect bite and is more yellowish in the middle. Im male 28 and have not had any problems of this klind in the past and have not yet tried to treat this problem.Please help thank you. Doctor: Hi,As per your descriptions, it could be due to eczema,tinea,psoriasis, insect bite etc.You will require topical corticosteroid like beclomethasome or clobetasol or mometasome with antifungal cream like itraconazole or miconazole with oral prednisolone and fluconazole with antihistamines.This type of skin itchy rashes are required to be seen by naked eye of a doctor for confirmed diagnosis.So,better you consult dermatologist and start the treatment.You will be alright after that.Thanks."
},
{
"from": "gpt",
"value": "Target: What causes itchy rash on palm of hand and sole of foot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my uncle`s both kidney is damaged he is under dialysis and doctor said to transplant so please give me address for hospital where free kidney transplant is done for poor people because my uncle cannot afford it.His age is 45 and height is 5.10 and weight is 50 Doctor: HelloThanks for your query,based on the facts that you have posted it appears that your uncles both the kidneys are damaged and in need of kidney transplant.You have not mentioned where you stay,But normally Renal transplant is carried out at free of cost in almost all State Govt medical colleges in our country provided you have related kidney donor.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Where does kidney transplantation take place for free ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a question. I have a pimple like bump on my labia. It hurts like crazy. I don't see a place where i got bit. It looks like a big pimple but I dont know. Its read and swollen and hurts really bad. Do you know what it might can be and what I could do for it. Doctor: HI,Welcome with your query to HCM.Based on the facts of your query,you seem to have Boil of the labial hairs,presentiing as big red painful bump on labia.Its due to furunclulitis of the hair follicle of the labia majora.Remedy-Cold compressTab Motrin Tab Amoxycillinx 5 days.Surgeons opinion if does not respond,and would need surgical treatment by Incision and Drainage.Welcome for any further query in this regardWill appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: What causes swollen bump on labia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI I AM 28 YR OLD I HAD DONE SOME REGULAR BLOOD TEST AND FOUND MY GPT LEVEL WAS 39 (ACC TO LAB IT SHOULD BE LESS THAN 33) SO I AM BIT WORRIED IS THERE ANYTHING TO BE WORRIED ABOUT? OTHER LIVER TEST ARE NORMAL, ALSO I TAKE MINI PILL CAN THAT EFFECT THE GPT LEVEL . PLEASE LET ME KNOW WHAT IS THE CAUSES OF THESE ELEVATED GPT LEVEL. WAITING FOR THE REPLY Doctor: himild increase in the liver enzymes is usually not indicative of the liver damage especially if only one enzyme is raised.oral contraceptive pills can cause transient increase in the liver enzymes .please recheck the levels in 6-8 weeks if it is increasing , you may need to go for further investigations to rule out liver damage.Thanks."
},
{
"from": "gpt",
"value": "Target: Noticed elevated GPT levels in the blood. Blood and liver tests done. On mini pill to normalize GPT level. Cause and the best cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sometimes out of nowhere I feel my heart, instead of going baBUMPbaBUMPbaBUMP, go THUMP....... THUMP..... THUMP. Its like it beats harder slower, but only for a couple of beats. I feel it in my chest and throat. I don't want to go to the doctor because, it doesn't happen that often, so if I go there, and nothing happens, its kinda like I'm making it up... Does anyone know whats going on? Has this happened to anyone else? Doctor: Hello and thanks for writing.I can understand your concern and would try to help you in the best possible way. Your complaints seem to be due to palpitations, the common causes of which are:1. Anxiety2. Sleep disorders3. Overactive thyroid 4. Heart conduction Problems5. Coronary artery disease6. Idiopathic, without any causeIt is advisable for you to get yourself evaluated for these conditions. You may need a few tests like CBC, thyroid profile, ECG and others. If your problems are transient then a 24 hour holter study may be useful to detect any subtle cardiac conduction problems. You may consult a physician for the same.In the mean time you should have a sound sleep, avoid stress, take regular exercise to reduce your symptoms."
},
{
"from": "gpt",
"value": "Target: What could result in sudden increase of heart rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m suffering from lower abdomen sevior pain last night . and hestyroctomy from last 2 year.i hav done sonography..no stone found in my stomach. is dat adhesion. my gyne dr. and sonography dr. told me this pain is due to adhesion. Is that ryt.?plz give me suggestion and help me. Doctor: Hi. One of the common cause can be due to adhesions. A simple x-ray of abdomen in standing position would have diagnosed as it shows the gas-fluid levels. Go for this during pain. If this is negative other options can be considered."
},
{
"from": "gpt",
"value": "Target: Could severe pain in lower abdomen be due to adhesion after hysterectomy 2 years ago?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, After i sneeze it smells like honey or sweet oatmeal. the smell is not always present. I'm 34 male, the first time i ever smelled this was next to a co-worker who sneezed very strong oatmeal time smell. Note. at that time i never had this smelly sneeze if you will. i noticed it about six months later and now it comes and goes. thanks Doctor: HiWhen we sneeze, the secretions of our nasal mucosa are expelled out. So this smell comes from her nasal mucosal secretionsHow our secretion smells largely depends upon two factors:-Our diet-Any underlying medical condition we are affected withYou need to be investigated. Are you taking any thing sweet, smelly in diet on a regular basis? May be a certain wine etc. Just as an example, people who smoke expel a smoky smell when they sneezeTypically, diabetics have an ammonia like smell in their breath or sneeze. Patients with liver disorders or kidney problems may also smell similarSinus problem/ENT exam is suggested. This is so because, sinus problem is the most common cause of smelly sneezesDo meditation and regular exercise which will help in increasing the immunity and limit allergic episodsWish You Good HealthRegardsDr Sridhar K"
},
{
"from": "gpt",
"value": "Target: What causes sneeze to smell like honey or sweet oatmeal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 75 years. I have BP since last 35 years. I regularly take Amlodac AT and BP remains135/85 and pulse 74 per minute. Since last one mongth I have shouder pain which pains more in inght. My blood report of biochemical test result is higher LDH---477.1 u/l against reference range 230---469 u/l. I have no any other problems except LEFT HAND SHOULDER PAIN AT NIGHT Doctor: Hi,Thanks for writing in to hcm.I understand your problem and will try my best to help you out.Since you have a history of hypertension and on medication, i would definitely suggest you to promptly get a 24 hour holter ECG done along with Echocardiography and Lipid profile. Kindly consult a cardiologist to rule out any cardiovascular causes of left shoulder pain.If these tests are normal then the doctor may refer you to an orthopaedician to rule out orthopaedic causes of shoulder pain which can be treated with non steroidal anti inflammatory drugs along with physiotheraphy.Hope this answered your query.Get well soon.Dr.Riyanka"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for shoulder pain with high LDH value"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my dad is 86yrs old and suffered a fall with some swelling to the left part of the brain and scar tissue to the rt temporal loeb. he has depression and is taking lithium and sertraline. He was treated in a hospital, and transferred to a rehab center. He was discharged to a nursing facility for therapy. What is the best treatment for this type of injury as I want to be sure he is receiving the best care for his recovery. Doctor: Hi,Thank you for posting your query.In most cases, the swelling of the scalp would subside on own in a few days. However, anti-inflammatory drugs may be taken to hasten the recovery process. If there is brain swelling (as seen on the CT scan of brain), then, medications such as mannitol and oral glycerol would help. You can discuss with his neurosurgeon regarding that.Good physiotherapy and rehabilitation would also help.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/"
},
{
"from": "gpt",
"value": "Target: What is the best treatment for swelling in brain and scar tissue in temporal lobe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there! :) I m having an issue with getting my head round conception dates. Had a scan on 7th Sept (couple of days ago). Scan Results: Gestation age of: 11 weeks 2days EDD: 27 March 2018 I ve been doing research and I think that puts conception date around 4th July? I know there s a bit of wiggle room, but I did sleep with someone else on the 14th June. Is the scan accurate enough that I can rule that person out? I was careful with them and I did sleep with someone else on the 30th June and 1st July (which I wasnt careful with), which I m thinking (and hoping) is more likely. I m really just after ruling out the person from the 14th, it s really causing me a huge amount of stress :( (Sorry for the ramble but it s driving me crazy!) Doctor: Hi, It cannot be determined for sure with calculation of conception date. Only DNA test is truly reliable. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can the paternity of the fetus be confirmed through the conception date?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello dr.samuel,I would like to get pregnant and my gynicologist suggested me to take clomid for 5 days from day 2 to day 6 of my period.I am afraid to do so because I have heard that there is a big chance for twins while taking clomid.Is that right?are the chances so big? Doctor: Hi,The chance of having twins while taking Clomid is only around 8-10 percent. So it does increase a woman's chances, but not that much. Less than 1 percent of Clomid pregnancies result in the births of triplets or higher order multiples.So there is no big chance of twin. You can take it for few cycle to increase fertility. After taking clomid ovarian follicle study should advisable.Follicle size of 18-21 mm release best quality egg and have high chance of pregnancy. You can also take progesterone pill in second half to support implantation and pregnancy. So take clomid under advise of gynecologist. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Let me know if I can assist you further.Best regards,Dr. Sagar"
},
{
"from": "gpt",
"value": "Target: Does taking clomid increase chance of having twins?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Since more than six months I am having this pain at the opening of my penis (where the urine comes out from) and iching and dryness at the ring where penis head is joined with rest of it (the place where the foreskin rests when retracted). It feels like some nerve or veins has dried up at this ring and putting pressure. I feel the pressure more while sitting. I have been tested for STI and reports are clear. I have also taken medicines to treat UTI (bacstol and flotral) and fungal infection with no result. Could you please help as regards identifying the desease and possible treatment. Also, whom should I in terms of medical specialists. Does lower back or muscle spasm have any co-relation? Doctor: You are probably suffering from a condition of inflammation of your head of penis and inflammation of foreskin. It is known as balanoposthitis. Try to find out what exactly is the reason for this condition. Find out if it is bacterial in nature or fungal? Also see to it if you have allergy to condom or any soap or cream you use.Consult a dermatologist and s/he will do the needful, and you will be alright.TC"
},
{
"from": "gpt",
"value": "Target: What causes pain/itching at the opening of penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was given medrol back in sept. Didnt realize it was given but never took it later a couple months later i was hospitalized having a stone working its way out , because of that hospitalization i found out i have kidney disease stage 3 moderate what does this all mean Doctor: Hello, It is divided in to stages by glomerular filtration rate. means how much ml of blood passes in each minute through kidney. Normal gfr is 125 ml/min. But in stage 3 it may 35-45ml/min. Means kidney function is reduced. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu"
},
{
"from": "gpt",
"value": "Target: What does stage three kidney disease indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I found a hard lump in my breast. It is high and towards my arm pit. It is tender to the touch but otherwise no pain. I have also had a variety of other symptoms regarding my breasts at one time or another over the last 6 months. I dont even know if one has anything to do with the other. Those symptoms are, swelling, tenderness and warmth, also a itchy red rash looks like heat rash but doesn't feel like one. Its not prickly just itchy. I also have 2 skin tag like spots that appeared underneath my breast. do you think these are all related and possibly breast cancer. Doctor: Hello!Thank you for the query.Yes, this can be a breast cancer. You should not wait any longer with it. Please consult gynecologist and have an ultrasound of this lump. In case of solid mass, biopsy should be done to check under a microscope if its a cancer or not.If is also possible that you have some inflammation or just a cyst in your breast. But cancer needs to be ruled out at first.Hope this will help.Regards."
},
{
"from": "gpt",
"value": "Target: What could be the reason for having a hard lump in my breast?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , I am suffering of bad aching back bones and thighs since I lifted and moved some decks about 20 days ago . Despite taking pain killers, the pain is still there and does not leave my aching body . Should I visit a doctor , or will it hopefully get better if I wait some more days . Thanks Doctor: HI, thanks for using healthcare magicIt is likely that the pain may be related to spasm of the muscles. Muscle relaxants combined with anti inflammatory pain killers would result help to decrease the pain and spasms.Examples of anti inflammatory pain killers are ibuprofen, cataflam, naproxen, voltaren, aspirin.You may need a prescription for the muscle relaxant. Examples are baclofen, valium, methocarbamol, metaxalone.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest better treatment for back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had some really severe stomach attachs for years. The pain starts at my belly button and goes to my stomach. I have no gallbladder and I have about 5 sec until Im hurting and bloated like Im 9 months pregnant. Alls I can do is walk and cry, sometimes I throw up and other times I get severe diarrhea. I feel like I m going to blow up and pop. It can last from 15 min to a hour or longer. I can not lay down I m in such pain, alls I can do is walk with my arms up and cry, I walk fast back and forth and move side to side. I have alot of problems with my bowels I have to take meds (Linzees 290) to use the bathroom and it is either watery or rabbit pellets. without the medicine I can go up to weeks with no bowel movement. I have had an upper and lower GI and all was good. They even did a biopsy of my stomach and colon and all was good. But I m still having the problem. It may hit once a week or more or only once a month. Any suggestion on what this can be please! I also have alot of gas no matter what I take. Read more at Buzzle: http://www.buzzle.com/articles/twisted-bowel-symptoms-and-causes-of-twisted-bowel-syndrome.html#comments Read more at Buzzle: http://www.buzzle.com/articles/twisted-bowel-symptoms-and-causes-of-twisted-bowel-syndrome.html#comments Doctor: Hi ! Good afternoon. I am Dr Shareef answering your query.If I were your doctor, I would advise you for some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food and also to avoid any alcoholic beverages and smoking if you do. Also a regular routine exercises like morning walk depending on your medical fitness would also be helpful.In addition, I would also go for a CBC, serum amylase and lipase, and an LFT to rule out the chances of this being a chronic pancreatitis. An abdominal ultrasound would rule out the pathology in the liver, and a recurrent stone in the common bile duct (CBD). Till the reports of all these investigations along with the result of a clinical assessment are available, I would advise you for an anti spasmodic and a proton pump inhibitor drug for a symptomatic relief.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What causes severe abdomen pain from belly button to the stomach?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Please I had in protected sex,and I took postinor 2 pill,now I was suppose to take the other pill exactly after 12hrs but I forgot so I took it exactly 15hrs later. Now my question is ,is there a possibility of me getting pregnant? Wat do I do to save the situation Doctor: Hi, I think there is no problem in taking the pill at 15 hours also. Chances of getting pregnant are little. So, if your periods delay, do a urine pregnancy test at home. If positive consult a doctor if you don't want pregnancy. If negative wait for your periods. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Can a delay in the intake of Postinor-2 dosage regularly cause pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m 45 years old a smoker, this week I have had my heart beat faster and skip a beat when I check. It started on Thurs. at work it lasted about 10min mid day then again late that night as I was sitting and relaxing. the next couple of days it started again while sitting and getting ready to eat and just after drinking water it seems to be lasting a little longer each time. does the skip of a beat damage your heart, cause it stress? I have read that stress brings it along is there anything you can do to help calm this down Doctor: Hello, I passed carefully through your question and would explain that some skipped heartbeats are quite normal during physical activity and anxiety. They do not cause any harm to your heart. For this reason, I would recommend having some rest and practicing Yoga. If this situation persists, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to investigate for possible cardiac arrhythmia. Some blood lab tests (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction and blood electrolytes for possible imbalances) are needed. 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: What causes recurring faster heartbeat with missed beat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My friends platelets are low and was advised 7-10 hospital stay starting today due to alcohol consumption . At admission, he and the Dr. concluded that he would receive a medical referral to detox following a Monday MRI for his back and bypass treatment until this is finished. Hoping he will decide to go ahead with treatment this Tuesday, after MRI, what to do if he refuses is the scary question. So, not sure how long his body will be able to survive all this drinking and still go another 4-5 days without treatment.. Your thoughts? Doctor: HIThank for asking to HCMI can understand your worry but the way you have asked the question it is difficult to say anything for the survival of the patient without knowing the complete clinical history and clinical examination, here we can just gives the guide line for treatment and positively encourage the patient for their rapid recovery trying to brig the confidence back, I think you are just with your friend you could do the same thing for his life instead of thinking about his survival period, I hope this answer would be helpful to you, take a good care of your friend, have nice day."
},
{
"from": "gpt",
"value": "Target: How long can the body of an alcoholic survive with low platelet count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor my father has got a chronic infection (a hard rash like) ar his left foot.it was not spreading over the years but just 10 days back he sees its spreading. His glycemic profile is fine.dermatologist hast recommended inj excst 40 .tenovate.shall we go ahead . Doctor: Hello, And it seems to be lichen simplex chronicus which is a chronic type of eczema. You can go ahead with injections and Tenovate cream. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hard rash on the foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am 28 years of age,i had unprotected sex,with a lady friend after wards i have been have some mild irritation when i urinate or when about to.i took the following medicine metronidazole 400mg,doxycline 100mg and prednisolone.when i closely checked at penis urethra,where is close to the tip,it has some funny colour.what is your advise? thanks Doctor: Hello, You can have a urinary tract infection or some sexually transmitted illness. I suggest you investigate with urine routine microscopic examination and culture for primary workup. You Can be prescribed antibiotic course according to culture report. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is metronidazole 400mg safe for mild irritation after unprotected intercourse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I am 38 years old. I made 10 IVF failed attempts. Last one was 75 days ago and I have a very light period 10 days after the pregnancy test then I dont have period. I test estradiol and progestrone after 42 days of the last period and estradiol was 89 while progestrone was 0.1. My Doctor presceibed me progyluton after 55 days of the last period. My question : does this mean that i am in premature monopose? and is progyluton useful in my case and does it have a side effects? Thanks a lot Doctor: Hi, I think it's due to medications side effects. Kindly consult with your infertility specialist and discuss. Otherwise consult with Dermatologist for detailed examination. It may be due to dandruff or fungal infections. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hair fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: History: I am a 70 year old African-American woman, 5ft/9in who weights 155 lbs. I have high blood pressure. For this, I take one diovan HCT 320-12.5 tablet and one Crestor 5mg tablet daily for cholestral. (I was first diagnosed with high blood pressure in my mid forties.) It runs in my family. I also take two over the counter Calcium 600 +D usp tablet daily. I am not a diabetic and have not been treated for any heart problems. I have had to take a tablet every day when my potassium was low but I do not remember the name of the drug. But my potassium may be low again because sometimes at night I get terrible pain in one of my legs. I am not a diabetic and do not have heart problems. You should know that I started back walking in the early morning 5 miles daily three weeks ago. I have been doing this off and on since 2005. My question: I have been experiencing pain in my chest area just above my right breast for two days. It started yesterday about 30 minutes after I completed my 5 mile walk. The pain is not constant and feels more like stings when it occurs. When I touch or rub the area, it stops for a while but still comes back. It may stop for even an hour or two before returning. On each return, I repeat the touching and rubbing. It is not the first time I have experienced this. It happened some months ago but I do not remember the exact time before iit finally stopped. What could this be? Thank you very much. Doctor: Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with muscular ache , still needs to confirm by clinical examination and EKG to rule out any other cardiac issue .Hope this clears your query .Wishing you fine health ahead .Regards dear take care ."
},
{
"from": "gpt",
"value": "Target: What causes pain in chest above the breast?"
}
]
|
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