conversations
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[
{
"from": "human",
"value": "Source: Patient: HI i have my cousin that has been biten by a mosquito he has DENGUE FEVER (HEMORRHAGIC FEVOR ) he was sick since tuesday he had fever also he is now in the hosiptal his platelats where 6 he had a tranfution on sunday it only went up to 12 he had a platelet transfution today again can u give me any help to get his platelet's up . Doctor: Hi thanks for asking question.For dengue treatment is symptomatic.Drink more and more water.Drink fruit juice and fruits more.Take semisolid diet.according to some study papaiya leaf extract juice is very helpful to elevate platelet count.Neem leaves , orange juice are helpful.Barley grass recentely in some study fount to be helpful in elevating platelet count.I hope my suggestion will help you most."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for low platelet count due to dengue infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im 64..had a triple bypass and corotid done 6yrs ago....iv lost 12 kilos lately and my blood pressure is now..95 /60/....i take pills for blood pressure and cohlestrol...have stopped taking p-lavix as it scares me...take asprin.....is my boold pressure a problem Doctor: Hello and welcomeWell. Your bp is coming down and the lowest value is 80/60 and is common in cardiac pro Lem's.As you have cardiac problem so up to 90 is a ceptable but beyond that you will go to hypotension and your body will go into trouble.If you are symptomatic like dizziness lightheadedness and even fainting then you should go to the ER at once.If you are stable then consult your doctor tomorrow to fully asses you"
},
{
"from": "gpt",
"value": "Target: Should I be worried about my BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father is having a small lymph node in his presacral region after CT Scan report doctor is suggested for biopsy test. His age is 51 with no medical history all the blood reports any sonography reports seems to be normal. Ho much chance is there that he may be infected from cancer Doctor: Hi,Thanks for writing in.Lymphnodes are present in most locations of the body and are a part of the immune system. These generate antibodies and increase host defenses during illness. Cancer also causes lymphnodes to enlarge and often a single lymphnode requires to be evaluated by biopsy to make sure it is not a sign of cancer.Lymphnode can also be enlarged due to infections in the region. A sacral area lymphnode might be seen due to bowel infection or any condition causing inflammation of adjacent structures. It is suggested that your father gets a cancer screening done with sacral lymphnode biopsy as recommended by his doctor. Please do not worry."
},
{
"from": "gpt",
"value": "Target: Could the lymph node in presacral region be due to cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 32 years old , married 1 year before.2 semen analysis did, both with zero sperm count as resultFHS =10.3 , reference range 1 ~ 14Prolactin = 7.2 , reference range 1.2 ~ 19.2TSH = 1.9, reference range 0.3 ~ 5.5Scrotal usg & Doppler:-Right testis measures 3.2*2.1*2.3 cmLeft testis measures 3.1*2*2.4both test shows e/o microcalcification, vascularity is normalNo e/o focal lesionBoth epidermal heads are normal in size and echotextureMild right hydrocelePampiniform plexus of veins :-Right at rest = 2.1mm , Valsalva = 3mmLeft at rest = 2.3mm, valsalva = 3mmImpression:-Both testes are slightly reduced in size with microcalcifications- Bilateral mild varicocele- Mild right hydroceleQuery: is this condition curable with treatment or surgery?Do I need donor sperm? Doctor: Hello there,Since both your testis are affected with varicocoele and hydrocoele respectively they have to be treated first . They require surgery. Depending on your doctor he may do them simultaneously or one by one. After the surgery we give some time for your testis to recover and again check if they are able to make sperm.If not we take a biopsy of your testis(Which does not damage them in anyway) and check if they are capable of making sperm.A short course of hormonal therapy may follow this.If still your sperm count does not restore then we will have to consider donor sperm.This is the protocol that doctors/surgeons follow. We go step by step and explore all options with you and ensure that you make the most of what you have.Hope this helps,"
},
{
"from": "gpt",
"value": "Target: Bilateral mild varicocele and Mild right hydrocele with semen count zero are curable?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I We just found out our 4 month old puppy has worms. My 4 year old and this puppy are inseparable. And now today my child has a stomach ache and diarrhea. I am petrified that she has worms. Someone told me today that people can catch worms from puppies. Help I am freaking out. Doctor: Hi...it is true that people can catch worms form puppies, it is called Echinococcosis and I suggest you get your kid examined by a pediatrician and rule it out. Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Could stomach ache and diarrhea be due to worms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yesterday afternoon I noticed the first joint of one finger felt sore on both sides of the joint. When I got up this morning the finger is swollen at that same first joint and has some fever in it. My finger has just a small red spot just behind my finger. The skin is not broken, I have not had a hangnail. Any suggestion? NO THANKS Doctor: hihope this msg finds u in good health u seem to jave some sort of infection or hyperuricemiaget ur detailed blood profile done start anti inflammatory and antibiotics thanks Take care God bless"
},
{
"from": "gpt",
"value": "Target: What cause sore and swollen joints in the finger?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i want to ask about my patient she is 36 week pregnant by date .her LFT r normal;SGPT raised in these two weks reports it was 300 range now in 600,,other LFT findings are normal PT APTT normal..hepatitis B ND HEPATITIS C NON REACTIVE .which is coommon in our side......wats the cause of increasing SGPT in Third Trimester Pregnancy.. Doctor: Hello and welcome to healthcare magicElevated SGPT is common in third trimester. The reasons are secretion of sgpt or similiar substances by placenta, increase of sgpt enzyme secretion by liver etc.If the raised enzyme is not accompanied by itching, raised bilirubin or any other clinical signs of liver damage you need not worry.Please do write back if you have any other queries."
},
{
"from": "gpt",
"value": "Target: What causes SGPT levels to increase in the third trimester of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes I have been having bad pain in the tendon next to the left shin bone for about 5 years. I went through physical therapy and everything else. I finally got an MRI and there is a cist in the anterior tibulis. My doctor told me to ice it and in a few weeks if it doesnt get better he would set me up with a surgeon. What do you think Doctor: Hello, There is nothing much to worry and there is only some soft tissue involvement. You can apply icepacks for faster recovery. No vigorous treatment is required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain on the tendon next to the shin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is 6' tall, weighs 225 lb, and is 49 yr old. His blood pressure was 190 over 110 when checked last week. RecentlyI notice a wheezing/whistling in his breathing (at rest) after sexual relations. I also notice that he gets swelling in his ankles from time to time. He is on no medications. He is unwilling to see the physician. Doctor: hi,due to high blood [pressure from many years , most likely his heart is affectedbreathlessness during sex and pedal edema indicate that heart in not fullywella 2 d echo should be done iimmidiately to see the hypertrophy of the left ventricle of heart and to see the pumping capacity of the heart called lvef donot neglect the symptoms and ask him to take blood pressure medications other wise he can land up in cardiac ailmentsthanks"
},
{
"from": "gpt",
"value": "Target: What causes increased BP levels and swelling in ankles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, Good day. I'm 21 yrs. old, 5' 2'' and 110 lbs. my query is about anti rabies vaccine. I was bitten by a dog last May 14, 2011 and had anti tetanus and immonuglubulin and had 4 shots of anti rabies vaccine. my last schedule is Aug. 22, 2011. I was scratched by our cat yesterday and was bleeding. My question is do I need to have another anti rabies vaccine for the scratch of the cat? Please help me and thank you very much Doctor. Doctor: HiThanks for posting your query on HCM.Yes it is necessary even for a cat bite.Now since you have been already vaccinated in 2011. In addition to wound cleansing & a booster dose of Tetanus toxoid injectionYou should take at least two doses of anti rabies vaccine in the deltoid region of the arm on 0 and 3 days.Hope this suggestion could be of help to you in getting the treatment at the hospital.Give your valuable feedback if convinced.Regards"
},
{
"from": "gpt",
"value": "Target: Is anti rabies vaccination necessary for scratch by cat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6 year old daughter ran into someone carrying a basket a week ago and bruised the area around her eye she also had a cut going right to the corner of the eye. A few days later her eye became blood shot and gunky, the G.P said it was likely she had scratched it and this had caused infection he prescribed antibiotic drops for infection and said they should kick in withint 24/28 hours, if they didnt work it was likely that something else was wrong but he didn t say what. The antibiotcs have not improved things, she now also has a white bump on her eye ball as well as it being bloodshot. Doctor: Hello dear.what you have tod seems to be conjunctival hemorrhage due to something that has hit the eye and it will settle on ots own ,you need not to worry,it will take some time but will heal on its own.I didnt understand the white bump?is it a swelling over eyelid?if yes then it will heal on its own too.you need not to worry.Hope it will help :-)wishing your child good health."
},
{
"from": "gpt",
"value": "Target: What causes white bump on the eye ball with blood shot eyes in a 6 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have this bump on my lower right front leg for the past 6 months. It has been getting bigger and when I look at it today it seems to be breaking off and 3 smaller bumps are forming. They all look glossy in appearance and I m worried that it might be cancer . I do feel an ache every once in a awhile, but it never itches. What should I do? Doctor: Hi, From this limited information it is difficult to comment upon the diagnosis. It is not clear to me what treatment you have received in the last six months. Clinical examination of the lump to assess the size, shape, consistency, margin, fixity to underlying and overlying structures are mandatory. A simple imaging like X-ray may be helpful. Consult surgeon."
},
{
"from": "gpt",
"value": "Target: Bump on the lower right leg getting bigger. Cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I have cough and chest congestion for the past 8 days and now it is down by 90% but need to check thoroughly to find the problem, whether it is bronchital, asthma or some allergic reasons. I had breathing problems in the first 4/5 days...the dry cough is still there...could you suggest me the possible answer and i need the appointment for consultation also. Thanks Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of post infectious bronchitis is more. Bronchitis is inflammation of airways and it is common after viral upper respiratory tract infection (URTI) like cold. Your symptoms like continuous cough, breathing difficulty etc are also seen in bronchitis. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You will need inhaled bronchodilator (formoterol or salmeterol) and inhaled corticosteroids (budesonide or fluticasone). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough and chest congestion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My pain started Saturday with pain in my right knee then went away over night. On Sunday my whole leg started hurting with skin sensitivity which went away after awhile. Then on Tuesday while at work the pain and skin sensitivity came back severe causing me to feel nauseas and I got dizzy. I visited the Hospital emergency and they checked my urine thinking it was a possible kidney stone. After an all clear on that I was given a muscle relaxer and sent home. I awoke around 11:00 this evening with severe pain in both legs and skin sensitivity. Doctor: Hello, First of all you need to tell your age. You need to tell if you started with any new medication before having this problem. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for knee pain, skin sensitivity and nausea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband if often light-headed; he wears a C-Pap; he jerks during the night while asleep; he if feeling numbness in his fingers and toes; though he was known in the past for his freakish memory , he is now often in a fog. His GP told him to set up an appointment with a specialist - neurologist for an EkG? MY QUESTION: We couldnd t get an appointment until the end of the month. This worries me. Is he in immediate danger? I would hate to have something happen whle we were waiting to get in. I am nervouse because my husband hates doctors, but seems anxious to see one now. This reminds me of my mother, who saw a doctor on her own volition when it was too late. Can I relax, or should I call around to get a docto sooner? Doctor: Welcome to healthcaremagic. Its not URGENT but essential to get him checked by a neurologist as soon as possible. No need of going into Panic, relax and find out way to take him to a neurologist. Hope this helps you."
},
{
"from": "gpt",
"value": "Target: Light headedness, wearing C-Pap, jerks while asleep, numbness in fingers and toes, mental fog. Immediate danger?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: last night i felt a little pain around the gum of my wisdom tooth, but i thought i just ate too much.. but this morning i woke up around 4 am because of the pain. I felt my gums kind of swollen in the back then my jaw hurts and can't really open my mouth wide, and whenever i swallow it hurts. what could be wrong? Doctor: thanks for your query, i have gone through your query, the pain in the gums or swelling could be because of the gum infection around an impacted wisdom tooth causing pericoronal abscess. if i am your treating doctor, i would have put you an a course of antibiotics and taken radiographs to rule out any pathology. do saline gargling and get the tooth removed prophylactically. i hope my answer will help you. take care."
},
{
"from": "gpt",
"value": "Target: What causes swelling and pain in gums?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, my husband is suffering from half conscious state of mind for the past 9 months. He has high BP and taking medicines regularly for 2 yrs and under control. Do we need to check with the dosages for this giddiness he faces? He is in business and hence is under a lot of pressure all the time and some times tend to miss his food. is it due to that or business pressure or tablet. kindly advice. which specialist do we have to consult upon this? Doctor: Generally, medicines for hypertension (high BP) do not cause drowsiness or impaired alertness or forgetfulness. It is possible that he was given an anti-anxiety medicine along with anti-hypertensives. Anti-anxiety medicines can cause drowsiness.You should tell your doctor about this problem and check side effects of medicines.If the problem persists, you should consult a psychiatrist.I hope this answers your question."
},
{
"from": "gpt",
"value": "Target: Suggest treatments for semi consciousness with high BP"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: If I eat certain foods, drink a beer, or even paint a wall, my face becomes very hot, feels like parts of it are pulsating around the eyes and ears, sometimes red blotches...I have been using a cream for rocasea and taking Oracea oral medication. Could these prescription drugs cause this? I ve never had it before. Doctor: Hi,I feel you have Rosacea, an automatic inflammatory process of skin triggered by alcohol, spicy foods or stress. The Oracea is a doxycycline preparation & is known to cause blistering or peeling of skin. Rosacea skin care is non greasy moisturizer supposed to be good for Rosacea skin condition. Still, allergy to it must be clinically established which can act as a trigger to skin inflammation. Please consult a dermatologist more personal assessment & specific advise of continuing the moisturizer. Other mode of treatment are laser therapy.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vasudha Jayant Athavale, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Could Oracea and a cream for rosacea be causing hot flushes, redness in face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am in braces (almost 3 years - just about done) and yesterday I woke up with my gums swollen on the front lower. In one spot the gum is up past the brackets (not over but in between). I went to my ortho and he told me I was not flossing which is untrue. I brush, water pick AND floss. 10 grand in braces...I am not skipping the routine. The night before I was sick, and I threw up once. Took tums for some severe acid reflux which is not common. The next day I had the swelling . By that night the upper gums were swelling and I had a bubble in the roof of my mouth behind the front two teeth . This morning after brushing, flossing, salt water rinses all day etc, the swelling has not changed. I have a doc appt set up, as well as a dental appt but I could not get in right away and I am worried. Doctor: The first thing for you to realize it is quite common when you are new to braces to see the gums swollen. This could be the result of a gum infection called gingivitis. The first thing to do is to ensure that your teeth are perfectly clean of all tartar and plaque before you go ahead and have the braces put on. Ensure that you have an appointment with the dentist who will clean your teeth thoroughly of all plaque and tartar. Once that is done you need to ensure that you do brush and floss well so as to make certain that teeth and gums have no thriving bacteria on them. Gum swelling need not be only because of the braces but other factors as well. It could even result from hormonal fluctuation and therefore, if the gum swelling persists it’s a good idea to rule all of these out."
},
{
"from": "gpt",
"value": "Target: Using braces, lower gums swollen after having tums for acid reflexes. How to reduce swelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The last few days I ve developed a awful looking rash under both breast. Very red and seems to be spreading. I think it s probably heat rash. What can I do to help it go away. It s very hot and humid for day. I m also a natural redhead with sensitive skin. Help Doctor: Hi, I would recommend you to apply topical steroid like Cortisone cream on the affected areas twice daily. Also take antihistaminic like tablet Cetrizine once daily at bedtime. Also keep the area open and dry. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for rashes around the breast region"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Kumar | 0 minute agoGood day doctor, I am kumar frm Malaysia,lately I find there is some kind of round thing like small small bearing inside my testical, and I too having eraction problem . And the quantity of sperm is very less compare to last time. I would like to get tr advice and allso would like to get the treatment frm u. Pls advice . Tq. My mail YYYY@YYYY Doctor: Hi, Abnormal sperm count can be due to hormonal imbalance, diabetes and stress. You have to regulate your blood glucose level and hormone levels by respective medication. Basically you can use antioxidants and zinc supplement , with that regular exercise and yoga can help you.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy to get better erection and increase sperm count"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...Hi it s come to my attention that my soon to be 1 yr old has never had an erection where as my sisters boys get them everytime u change there nappie should I be concerned about this or not? Doctor: Hello, It is not mandatory at this age and no definite treatment is required. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes lack of erection in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, yes I was hoping u couldd help mÉ. The prob. Is that I have a bum with a sac-like of air sord of. And I ve gone to a fam. Doc. But everytime I go in there and ask em about it all he says is that its prob. Just some inner bruise that may never go away. But I highly dodðubt that. Ithink it may be somethin else, please help me-Linda- Doctor: Hi Linda Welcome to Hcm It needs to be examined before one can diagnose it. Any bruise wil resolve in few weeks time atleast not more than a couple of months so it seems les likely.you can show it to a dermatologist or a surgeon who may examine and if needed investigate it for exact diagnosis.also notice if ther is any increase in size or change in texture our color, if yes then its best to visit the doctor early. Thanks"
},
{
"from": "gpt",
"value": "Target: What could be the reason for having sac like bum ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My baby boy is four months old. He had high fever and diagnosed with UTI .He was told that there are wbc s in his urine.He is on antibiotic and he had diarrhea Yesterday.but today he is passing very less urine and his frequency is also very low. Please advice Doctor: Hi, Diarrhoea with UTI can occur in children due to E.Coli infection. It requires good antibiotic coverage and continuous hydration and monitoring of vitals. Since the child has not passed enough urine, this could be start of hypovolemic state due to diarrhoeal state and excess water and electrolyte loss. I suggest you consult a pediatrician asap to rule out Pre renal AKI due to hypovolemia as the child might require admission and intravenous hydration and antibiotics. If he has blood in urine and and other sighs also, he might be having Hemolytic Uremic syndrome(HUS). His condition can drastically deteriorate. So consult a doctor asap.Thanks and regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever, UTI and diarrhea"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have exercise induced asthma. A few people on my team have it, too, and they describe it as their chest tightening up and their lungs hurting. With me, my throat airways close. I don't feel it in my chest or my lungs ever, it's all in my throat. Why is this? Doctor: Hi i read ur problem of asthma during exercise.I want to tell u that vigrous execise is imp cause of asthma. So do the exercise but not vigrously.But firstly u take precaustion for ur health.1-some drug like aspirin intake causes asthamatic attack so prevent to take these drugs.2-To prevent ur allergens 3-Prevent from infection by increasing immunity like taking healthy diet.4-Intake of ayurvedic drug like chavanprash,ashwaganda awahleha with milk in night.5-To prevent the constipation use Triphla churna in night with hot water.6-Intake of zinger and tulsi everday in boiling water.7-use til teil mixed black salt and heat it apply on chest. INVESTIGATION TO CONFIRM THE DIAGNOSIS BY USING FOLLOWING-PFTXRAY CHESTTLC,DLC,ESREKG THANKS FOR QUERY."
},
{
"from": "gpt",
"value": "Target: What is the remedy for exercised induced asthma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 33 year old male, has had consistent chest pains for 2 days right below collar bone, (not subject to one side or another). Fairly good health, overweight and a smoker however. Potentially stress related. Any home remedies? or ideas to help with pain? Doctor: Hi. I can understand your concern. Ideally ecg and 2d echo should be done first in your case. If both are normal than no need to worry for heart diseases. It would be advisable for you to get a chest x ray done. If it is normal then get a PFT done which will tell us how much your lungs are functioning and what is the effect of smoking on them. Consult a pulmonologist for the same. STOP SMOKING before it causes more harm to you.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Cause for chest pain just below the collar bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I recently travelled to Zambia and had to go to the hospital to treat an allergic reaction I had on my legs. They conducted a blood test and determined my white blood cell count was higher than it should be at a count of 10,400. They explauined it was unrelated to the allergic reaction and placed me on antibiotics for 5 days. I ve recently returned home and am wondering if I should see my family doctor to follow up with this. I m 28 female and otherwise healthy. Thanks, Kyla Doctor: tHERE MIGHT BE INFECTION IN THE BLOOD OR ANY HIDDEN AREA wBC COUNT HAS NO LINK WITH ALLERGIES IF THE CONDITION HAS SUBSIDED AND YOU HAVE NO PROBLEM THEN IT IS OKAY aLLERGIC REACTION CAUSES INCREASE IN EOSINOPHIL COUNT WHILE TOTAL COUNT IS NORMAL"
},
{
"from": "gpt",
"value": "Target: Allergic reaction on legs. Blood test shows high WBC. On antibiotics. Follow up required?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 40 year old man my wife is 29 years old , i recently had a sperm test done by my local hospital and it reads like this , Sperm count 75*10^6/ml Total sperm 150 million Sperm mortility 30% Sperm progression 30%-3 20%-2 50%-1 5% appear normal My question is , due to traffic problems and finding the right department in the hospital my sperm sample was over an hour old , a hour and a half maybe two hours before i gave them the sample . I know im clutching at straws here but could that be the reason why my mortility and morphology appear low , My wife and i have been trying to concieve now for about four months , im just stressed now that we wont be able to have a baby of our own if those results are correct . Doctor: Hello,As per your reports the sperm count is perfectly normal. The motility is slightly on the lower side but it might be due to delay in sending the sample. You can do repeat study with a fresh sample.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is sperm count of 75*10^6/ml normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m experiencing pain, just along the lower part of my left rib. No fever, no vomiting, no other symptoms. I didn t get hurt or anything like that. I m a healthy 45 year old female, with no health issues. There is no bruising or swelling either. The pain is like a balloon expanding and deflating. Doctor: Thanks for your question on HCM. In my opinion your pain is mostly musculoskeletal in nature.But since it is left sided chest pain we have to rule out cardiac and pulmonary causes first.So please get done1. ECG to rule out cardiac causes2. Chest x ray and PFT (Pulmonary FunctionTest) to rule out pulmonary cause.If all of the above are normal than it is most probably due to musculoskeletal in nature.Try to follow these1. Avoid strenuous exercise and heavy weight lifting.2. Avoid bad postures in sleep.3. Take good pain killers and muscle relaxant. 4. Apply warm water during bath."
},
{
"from": "gpt",
"value": "Target: What does pain along lower part of the rib mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 14 years old and have a painless lump in my right leg right above my knee it diesnt bother me at all and it isnt really large i dont know how to describe the size of it. It hase been there for a couple years now. I have told my parents about it and talked to them about it more than once but they havent taken me to a doctor. What should I do? Should I be worried? Doctor: HiWelcome to hcmThis can be a lipoma that means fat lump. This does not require any treatment. If lump is on back side of knee then it is called baker's cyst which may require surgery. I am not clear from the description whether lump is in front or back so told you both possible causes.Regards"
},
{
"from": "gpt",
"value": "Target: Should a painless lump above right knee be of medical concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor, My name is Dave, i m 25 years old, my height is 5.5 FT, my body weight is 29 KG only,and I m from India. I don't know why i m so skinny. Any person whoever looks at me comments me that I m the live skeleton.I had TB in 1991 and Chickenpox by 1993. My mom and dad tried lots of specialists, and I have had the lots of tonics by last year I went to GYM and there I gained about 3 kgs in 2 months but after 5 months my joins started paining so I quit from Gym. I don't know what to do. Please suggest me what kind of treatment will cure my problems, so that I can look like an average person atleast. Please let me know if any kind of tests I have to do to find out if any kind of virus is living me and that may be the bottleneck. Thanks Doctor: Hi,Welcome to HCM.You are underweight and need to undergo tests to rule out the reason for this weight loss.Weight loss is very common in chronic infections, any kind of cancers and few viral infections.You have had TB and have you got complete treatment for that?If you have not completed full course of treatment for TB, then you might not gain weight.As far as viral infections are concerned, the most common viral infection associated with weight loss is HIV.But getting infected with HIV is most commonly through unsafe sexual intercourse. If you have had any such episodes, you should get yourself tested for the same.For now, I suggest you get yourself screened for any malignancies and untreated TB.As for your exercise schedule, try starting with low intensity stretches and then later switch to muscle building exercises.Please do not put much stress on your body. Your body needs to get used to exercise.Do not expect sudden results.As for your diet, you need to gradually increase your protein and fat intake.Get in touch with a dietician for proper diet advice.Thanks."
},
{
"from": "gpt",
"value": "Target: What kind of virus teats should be done to test infections?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have tooth on my right lower mouth that a filling fell out of years ago. Its like the 3rd tooth from the back. It just started hurting about a month ago and now i have a large lump that has formed on my jaw just under the tooth. It is very painful! I have no insurance can you tell me what this is and if there are any home remedies to fix the problem Doctor: Hello Welcome to HCM I would like to tell you that you got chronic abscess due to faulty restoration in associated tooth.It means your infection has reached till pulp & has resulted in abscess formation.You need to get an IOPAR done of associated tooth & get it treated.It can not be treated by filling now & requires Root Canal Treatment or Extraction depending on condition of teeth. Meanwhile you start with Tab Zerodol SP thrice a day along with Tab Amclaid twice a day & a multivitamin once daily for 5 day. Consult your dentist as soon as possible. Take Care Regards Dr.Neha"
},
{
"from": "gpt",
"value": "Target: Have painful lump appeared on jaw. Any home remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my daughter is 10 is still wetting the bed almost every night and her wee smells putrid im at my wits end doctors give her anti biotics it stops the comes back coincidentaly she has bad bo but the bed wetting thing has been going on for about 6 yrs Doctor: HiThanks for writing to us.Bedwetting at 10 years needs complete evaluation.Urine tests, ultrasound abdomen, neurological evaluation are the basic steps.Just giving antibiotics without testing her completely will not help her.Consult a urologist soonWishing your child good healthRegardsDR Arun"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bed wetting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I do go a pain clinic for back and neck pain. Lately my insurance is fighting paying for my injections. Because they think I don't tried excercises to help. I do I went to a pt both cannot afford to pay the copay. I still injections every 2 to 3 months. Surgery apparently not an option for either my neck or back. Doctor: Hello, I have studied your case.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.Some exercises which can be done for back and neck pain.extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg.Now lift both hand and leg simultaneously, 6 inch off the ground and stayPosition for around 10 breathes. Core stabilizing spine exercises will help.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.Some life style modifications to prevent pain– Take break every 40 min from computer and do some lumbar rotation, stretches, walk and get back to work. Sit with taking support to your back, and do not watch television constantly.I will advise to check your vit B12 and vit D3 level.Hope this helps. Wish you a speedy recovery. Take care"
},
{
"from": "gpt",
"value": "Target: How can backache and neck pain be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i am currently taking pregnacare conception , which i have only recently started approximatley 2 weeks ago, my partner is also on them. We have been trying for a baby for about 12 months now, and last month i had a miscarriage at 5 weeks..I have heard that after having a miscarriage it makes you more fertile, is this true? also does taking the pregnacare conception(his and her) boost fertility? Doctor: Hi, No, what you heard is wrong. There is nothing like your fertility increases after having a miscarriage. In fact, you need to give more rest after having a miscarriage and then try again after some months. Ideally, you should have at least 2 months gap after having a miscarriage. Pregnacare is a Multivitamin; it boosts general health and not fertility in particular. Hope this helps. Regards,"
},
{
"from": "gpt",
"value": "Target: Trying to conceive. On pregnacare. History of miscarriage. Is this a fertility boosting medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: came in from out side & started feeling shaky, weak & sat down, then I went into a sweat. lasted quit awhile after drinking water, eating a banana, stomach started burning, burn has lasted for 2 hrs now feel weak & sick feeling. BP was 106/65-P-75-80 Doctor: You should get the fasting blood sugar level done by glucometer. you are suffering from recurrent attacks of hypoglycemia which may be secondarily to the diabetes."
},
{
"from": "gpt",
"value": "Target: What causes shaky and weak after walking outdoor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband 77 yrs old got shingles in left shoulder and hand1 yr ago. the shingles are gone but he has nerve ending pain in his pinky and the finger next to it. the pain is so severe it makes him cry. He takes gabapentin, and a pain pill with a sleeping pill if needed. Is there something else we can do to ease the pain? Doctor: Post herpetic neuralgia is perhaps the most treatable type of nerve pain. Any nerve drug has well over a 50/50 chance of really helping. Various drugs include but are not limited to, lidocaine patch, amitryptiline which has lidocaine like effects, any antiepileptic, and then other modalities that damage the nerve further like capsaicin, or surgical procedures."
},
{
"from": "gpt",
"value": "Target: What to do for the pain in the shoulders due to shingles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: yesterday on 19th april, evening I am in stress and masturbated very very heavily , while masturbating very hardly the nerve in back of my head is started pulling and started paining, now also it is paining and I am slightly feeling like slightly I am fearing a lot now what should I do ? Doctor: Hi,Developing throbbing headache after masturbation or intercourse is known as post-coital headache. Generally, if its only one off occurrence, you shouldn't worry much. However, if it is occurring repetitively, you should seek a neurological consultation. For very severe pain, brain scan may be needed. If the frequency is very low SOS medications in forms of analgesics like diclofenac might help. If it is very frequent, you might need regular prophylactic medicines like calcium channel blockers or tricyclic antidepressants.Hope this information was helpful. Best wishes."
},
{
"from": "gpt",
"value": "Target: Why did I have stinging feeling at the back of my head while mastubating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...i need serious help trying to find out why my teeth are all going at once?i never had a cavity or any problem with my mouth until i was like 19..im 23 now &basically all my top teeth seem to b getting ready to fall right out.ive been doing daily rituals cleaning&caring for my mouth.seems like theres no end in sight.a few days ago a top front tooth split horizontally and then i swallowed the whole thing.my stomachs been hurting,but no signs of blood..?how is it possible thati could have such extreme tooth decay&loss in such a short time? thanks,rachel Doctor: Thanks for your query, I have gone through your query.The problem you are facing with looks like you are suffering from acute necrotising ulcerative periodontitis(ANUG). It will not be associated with any other causes but the teeth will become loose and exfoliates. The decay can be because of the improper oral hygiene or secondary to any systemic conditions that affect the salivary secretion(xerostomia). Consult a oral physician and get these conditions ruled out. If it is because of the ANUG then get the teeth cleaned and we can place graft(bone like material) if needed. The decayed teeth can be restored with silver amalgam or composites. If it is pulpallly involved, then it can be treated with RCT. I hope my answer will help you, Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for an infection in the teeth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i m Otgonkhuyag,40 year-old. Today i had gone for checkup of LFT and my SGPT was 201, SGOT was 199, which is already over the normal. I want to know what are the effects, and what will be the results if it is getting even higher. what should i do and can you help me explain about the steps of results of higher SGPT and SGOT Doctor: Hello, welcome to HCM, I am Dr. Das Look, the SGOT and SGPT are very higher in amount. It indicates hepatocellular injury. You have to do the followings 1. stop drinking alcohol. 2. Try to avoid fatty meal. 3. Take some liver protecting drug like sorbilin. Consult with a gastroenterologist for further management. Regards."
},
{
"from": "gpt",
"value": "Target: LFT done. SGPT, SGOT high. Reason for high levels and its effects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am about 52 year old lady having sever edema on leg with pain at feet and heal right now , i was diagnosis for gout and i m having xyloric, twise a day Doctor: Hi.. It could be arthritis itself that could be the cause for the swelling.. Avoid physical exertion.. Dietary modifications and regular medications should help in preventing these events.."
},
{
"from": "gpt",
"value": "Target: edema on legs with pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m a 57 year old female. 5 8 132 lbs. Exercise vigorously daily. Only prescriptions I take are ambien or occasionally klonopin. Both are for my insomnia. 7 months ago, I developed horrible stomach pains that lasted for about 3 weeks. These were accompanied by occasional low grade fever, aches and rarely vomiting. Tests for giardia came back negative. Though he original problem disappeared, I m now plagued every 6-8 weeks with a bout of fever, stomach upset, headache and body aches. These recurring episodes last about 2 days. What can this be? What can I do to make it stop? Doctor: Hello,You really need to get a firm diagnosis in order to get appropriate treatment. I can give you some suggestions to try in the mean time but you really need an upper endoscopy and a colonoscopy to make the diagnosis.Try avoiding all dairy, wheat, caffeine, alcohol, sodas, soy and nuts.Add a probiotic dailyDrink plenty of waterRegards"
},
{
"from": "gpt",
"value": "Target: What causes stomach ache, headache and body aches while taking ambien?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am 19 years old, I am sexually active and currently on the ortho evra birth control. I have been using ortho evra for 2 months and on the 1st of august I had sexual intercourse. We did it 2 times on the same day and on e behind the other. The first time he used a condom, the second time we started with a condom and ended without one even though he didn't ejaculate inside me. I am not expecting my period for another week, it's supposed to be on the 17 of august, for the last few days I have been feeling lower abdominal pain and frequently urinating which relieves the pain for quick moment and then it comes back. I was treated for UTI last month. I guess my question is do you think this symptoms are related to a pregnancy or is it just another UTI? I an so terrified to do a pregnancy test. Doctor: Hi,To confirm about pregnancy at this stage is difficult to say.At present it seems that this might be due to recurrence of UTI.If you do not get period in time then go for pregnancy test after 7-8 days passed of your expected date of period.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am taking 10 mg of lisinopril at 6 PM daily and 50 MG of metoprolol ER in the am. I enjoy having 1 - 2 Michelob Ultra beers at night and read someowhere that (Toprol) tends to prevent the liver from breaking down the ethanol which can leave formic acid build up in your body and that can be dangerous. Is this tru or am I ok to have 1 - 2 beers in the evening? Doctor: Good morningToprol is beta blocker used in management of hypertension and it reduces chance of you having heart attack. TAKING ALCHOLOL WORSENS THE SIDE EFFECTS OF TOPROL.you should stop taking alcohol completely because alcohol affects your liver and interacts with many drugs."
},
{
"from": "gpt",
"value": "Target: Read Toprol prevents liver from breaking down ethanol which can leave formic acid build up in body. True?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am a 46 yr old femal i just had a cath done because i have been having ome issues with chest pain and breathing it said i had no blockages,my ? is my echocardiograms that i had done i am having trouble understanding my dr said everythings ok,what is regional wall motion abnormality,basal inferoseptal wall hypokinetic,inferior wall hypokinetic,anteroseptal wall hypokinetic ( lvh ), Doctor: Hello,The echo suggest than the heart valves are not moving as expected and heart has very pump capacity.It may be mild or severe depending upon the degree of involvement.This is the reason for chest pain and difficulty in breathing."
},
{
"from": "gpt",
"value": "Target: Chest pain and breathing issues. What does echocardiogram show? Serious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 40 years old and have recently dscovered a lump at the bottom of my tailbone. The pain is greater when I sit or ride for long periods of time. Do you know what this could be or why all of a suddn I am having so much pain. Thank You, Penny Jackson Doctor: Hi,The bone at the base of your spine is the coccyx and is quite sensitive if damaged. You may have inadvertently bruised your coccyx. Paracetamol and ibuprofen will help the pain. With rest the pain should subside.Alternatively, you may have a pilonidal cyst which has become inflamed or infected. This is a small cyst commonly found at the base of the spine which can cause pain when inflamed. I suggest you see your doctor who will be able to examine you and confirm the cause of your pain.Regards,Dr K A Pottinger"
},
{
"from": "gpt",
"value": "Target: What is lump in the tailbone that causes pain while sitting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, for about 8 months now, I have been suffering from brain fog . I have tried almost everything to cure it, from vitamins to counselling to mood stabilizers, but nothing works. I m not exactly sure what caused my brain fog, but I remember I got it during the winter, and I was very stressed because I had a lot of things going on at the time. All of these events have passed now, but I still have the brain fog. Everything in my brain is numb and I feel like I m in a dream. What chemically causes brain fog, and what can I take to help reduce it? Thank you Doctor: I understand that you seem to be worried brain fog. However it would be better if you could elaborate more about what exactly has been happening to you and what are the practical difficulties faced by you in past 8 months. A clear account of your symptoms and treatment details can help us to guide you to take correct treatment"
},
{
"from": "gpt",
"value": "Target: Suffering from brain fog, stress, numbness, dream like feeling. Used mood stabilizers, vitamins. Cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an 18 week ultrasound for my unborn son today. The doctor found a cyst on the brain and an enlarged muscle in the heart. I sent the blood work off for the DS test today. There is no genetic abnormalities in either my family or my husbands. I know the cyst will probably go away on its own god willing but if the DS test comes back negative what will the enlarged heart muscle mean for the baby? Doctor: Hi...by what you quote I feel that it could be a tuberous sclerosis. It is TS and not DS. Hopefully God willing everything will be alright. But if it is TS, then the heart muscle enlargement needs to be followed by regular echocardiogram. But it might not be life threatening.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What does enlarges heart muscle in a fetus indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my dog jumped on me and when i pushed him down with my right hand i felt the top of my right hand crack, not like a bone crackling, and then it was sore.... i can use it fine just very sore on top of it in center of top of hand... when i try to use my right hand such as open a soda bottle it feels like it hurts and loss of strength in it. Doctor: Hello,I read carefully your query and understand your concern. The symptoms seem to be related to a hand strain. A hand strain is a stretching or tearing of fibers in muscles or tendons, the tissue that anchors muscle to lbone. Strains often occur in tendons that connect the muscles of the forearm to bones in the finger. I suggest using anti inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: What cab cause the pain in the hand?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Well i might aswell be honest,I'm now 19 and i think the last time i properly cleaned my teeth i was about 9 or 10 years old but By some miracle i still have all my natural teeth i.e. no false ones or any fell out.. And the only thing i do is mouthwash every 2 days,Silly i know..Any advice as to how much damage i have actually done? I still go to my dentist twice a year and they have yet to actually do anything with my teeth,all they keep doing is this spray type thing and the usual poke around.. Doctor: Hi, Brushing properly is very essential to prevent plaque formation. You have been getting your teeth cleaned by scaling procedure every 6 months which is actually helping you. Mouth wash is an aid to prevent plaque formation. There is no substitute for brushing teeth. Develop the habit as early as possible. Chlorhexidine mouth wash should not be used for prolonged period of time as it results in side effects."
},
{
"from": "gpt",
"value": "Target: Any advice as to how much damage I have actually done ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son has cerebral palsy and recently had bilateral femoral, tibia and fibula osteotomies about 3 weeks ago. How long does it normally take to start seeing results. He is 23 yrs old and in good health. I am afraid he is getting depressed because he is not able to left his legs and still not able to bare any weight. Doctor: Hi,Thanks for writing in.Cerebral palsy is a chronic lifelong condition that can be improved by providing good rehabilitation services. The femoral, tibial and fibular osteotomies will take at least 6 months to heal and then the results can be seen. It is a surgical procedure and in bones such procedures requires the patient to be in recommended rehabilitation for proper healing. After about 6 weeks of the surgery the bone ends which were cut will form a soft callus and at 3 months the callus becomes more mature. After six months and after taking guidance from the doctors and rehabilitation experts he can start bearing weights as per his recovery. Please do not be in a hurry as this can cause damage to the healing areas and lead to complications. Please do not worry."
},
{
"from": "gpt",
"value": "Target: How long cerebral palsy and bilateral femoral takes to get cured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m having mouth problems. Just got wisdom teeth taken out like a month ago . Had a partial thing done for a root canal like two weeks ago. My left side (where I got my root canal) huuurts. Jaw hurts. Teeth hurt. Pain in my cheek, jaw, all the way to my ear. I have not chewed anything on that side either within these two weeks either because it hurts that bad. Doctor: Hi. Thanks for the query. Pain is due to incomplete root canal treated tooth only as there can be re-infection in the root canal treated tooth causing pain. It is causing radiating pain in jaw and ear. So first of all you should consult an Oral Physician and get an X-ray of the tooth done and you should get the root canal treatment procedure re-done followed by capping of the tooth. For now take a course of antibiotics and painkillers and do cool compresses over the cheek. Hope this helps Regards"
},
{
"from": "gpt",
"value": "Target: What causes left-sided pain in the jaw radiating towards the ear after tooth removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What is a right central pneumonia? My diagnostic x-ray report states there are hazy densities in the right perihilar and paracardiac areas; trachea is midline; cardiac sillhouette is not enlarged; hemidiaphragms, costophrenic, sulci and bony thoracic cage are unremarkable. I don t understand it. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to the chest X-ray results, this is an infection of the lung tissue. Don't worry. In this case, antibiotics are given. Consult your doctor. Regards."
},
{
"from": "gpt",
"value": "Target: What is a right central pneumonia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have had an internal examination of bowel with ultrasound and was advised may feel a tingle down my legs suggesting nerve involvement in the event only sensation I experienced was the throb of heart beat could this be indicative of nerve damage? thankyou Doctor: Hello!Thank you for asking on HCM!I understand your concern, and would like to explain that it is normal to feel a throbbing heart beat during this examination. It is not related to any nerve damage, and all the healthy persons experience this feeling. It may be related to anxiety and to the abdominal pressure during the examination. As far as you didn't feel any tingling in your legs, it means that your nerves are not affected by any disorder (or compressed). So there is nothing to worry about!Hope to have been helpful!Feel free to ask any other questions, whenever you need!Greetings!Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What is the cause for the throbbing heart beat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, I have since yesterday a sensation as if the back of my tongue is dry, or as if there's a hair in there. I realized today that the tongue is yellowish. I have been taking medicines lately: norfloxacin and metronidazole.. does it have to do? what should I do to solve this? Doctor: helloo...read thru ur query...and accordingly i must say that hairy feeling can be due to inflammation of taste buds and coating of tongue is due to fungal infection(candidiasis)which can be caused due to the medicine intake..but nothing to be worried..be cool and follow this..do tongue scraping daily after brushing ur teeth...then use chlorhexidine mouthrinse..apply nystatin antifungal gel on the tongue..do salt water gargle...drink lots and lots of water...besides all these be cool and happy...follow this regularly for few weeks and still if it continue meet a dentist and get it treated based on clinical presentation...nothing to be worried..be happy..happiness can solve every problem in life..hope ur benefitted something from this reply..have a healthy day!!!"
},
{
"from": "gpt",
"value": "Target: What should i do for dryness in my tongue?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: So one day randonmy a bump appeared in my groing area. It was small and then got bigger. I squeezed it and poked it and it kind of hurt and some puss came out. Then it got smaller but never went away. Then more showed up and same thing happened. Expcet this one right above my penis did end up going away completely. The first one to occur just recently got big again. I want so say its been there for 3 months. It usually only takes a couple of days for the bump to go down. Should i get it checked out? Doctor: Hi,Skin infections sometimes end up in pus as boils or furuncles that will end up giving inflammatory signs. Once the infectious agent has not been removed the process over and over with extension to other parts of the body. So go diagnostic screening for which infectious agent is responsible is gold standard. Most often it is skin bacterial infection with hygiene as etiologic origin thus specific antibiotic for most skin germs is necessaryThanks"
},
{
"from": "gpt",
"value": "Target: What could recurring, slightly painful bump in groin area oozing out pus when squeezed indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir i have been in a relation but she dumped me for some reasons and it is affecting on my mind i cant sleep i cant focus on anything even not on my career. iam ok when iam with my friends or out form my home but when i come to my home i get depressed sometime in take relaxation pills for sleep and sir let me tell u about my personality iam not an emotionally stable person i get serious on tiny things plz tell me how can improve my self ang get out from this breakup condition... Doctor: Hi,u have symptom of depression. u have to consult some psychiatrist and u required counselling and medication both. thanks"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for loss of concentration and sleeplessness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is Loretta. I have had these symptoms all my life and I would like some answers. When I was 11 my head got smashed against a brick wall, and ever since my face, hand ( I think it was my left side), goes numb, get a headache, blurred vision, see double and I can only see in front of me not the sides of my eyes. I can t function I take pain pills and go to sleep. I got this all the time, it has gotton less and less but I want to know what this is. Doctor: Hi,Thanks for writing in.Symptoms such as numbness, headache, blurred vision and double vision should be investigated in detail. If you had an injury to the left side of your face then certain nerve injury might be suspected. However, for the eyes, getting examined by the ophthalmologist is essential. You should not ignore the problem with eyes. There are small muscles around the eyes and these help in moving the eyes in a particular direction so that you can see properly. These small muscles are supplied by specific nerves and damage to these nerves can cause problems like blurred vision or double vision. Clinical tests have to be done to make certain any problems with the nerves. Since you also complain of headaches and numbness therefore a clinical neurological examination is also suggested. After examining your your doctor might ask tests which might include CT scan of MRI scan of brain and orbits which will show details of the eyes also. Treatment depends on clinical findings. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What causes numbness on left side of head, headache and blurred vision?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has been having what starts out shaking and has cold chills and then changes to sweats and then dizziness and the final step is dry heaving. This has happened to her once she has gotten to work the last three days she has worked which are Sunday, Monday & today. I took her to our family physician Monday who said she thought it was the flu although she is not experiencing any other symptoms of the flu. She can eat and then dry heave but not vomit up what she has eaten. Our family physician prescribed her some anti-nausea medication and said she take 2 days off. There have been no episodes at all the last 2 days. She returned to work today and only an hour and a half after being there, I just got a call from her 15 minutes ago. She said the chills and shaking has started again. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.I suspect a allergy in your dear one.I suggest you to search for the possible allergen. Once you find the possible allergen you will be out from such a attack. This is only probable diagnosis confirmation can be done only you visit to speculaist doctor.You can take cetrizine and prednisolone for this possible allergen. This medication can clear all your possible allergy. But please take it under your doctors guidance.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: What causes shaking, chills, dizziness and sweats?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, can I answer your health question? Please type your question here... Hi I m 26 weeks pregnant I m having pain in the right side of my lower back. It s not a lot but slightly uncomfortable. Wanted to know if it s normal. And moving a little makes a weird sharp pain in my lower abdomen. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Lower back pain in pregnancy is due to calcium deficiency and stretching of the ligaments.Take calcium supplementation and do prenatal exercises to get relief.Abdominal pain on stretching is because of the ligaments.I hope I have answered your query. Let me know if you have any further questions. Regards, Dr Deepti Verma"
},
{
"from": "gpt",
"value": "Target: What causes lower back pain during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm a 18 year old and have been taking a pre work out supplement called c-4. I've been on it for a while now about 4 months and had no problems. But today for the first time I was unable to get an erections and I noticed that my main vein on top of my male reproductive organ would move and it normally never does. I'm a bit worried. Doctor: Thanks for contacting HCMYou are concerned about having erectile dysfunction after taking C-4 supplements. In looking at what is in C-4 it has large amounts of nitrates that is supposed to help amp your energy levels up. This is can cause erectile problems and I recommend that you stop taking C4 supplements and stay with high protein supplements. The erectile dysfunction will resolve once you stop taking the C4Hope this answers your question. Please contact us again with your medical concerns and questions"
},
{
"from": "gpt",
"value": "Target: What causes erectile dysfunction after having C-4 supplement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 13 year old daughter that was born with the Prader-Willi syndrome. She had been experiencing sharp shooting pain in her chest, sharp shooting pain in the back of the head and now her left leg has gone numb. We have been to the ER but they were not able to help and sent us home. Any idea what could be causing her issues? Doctor: Hi Dear Welcome to the HCM,This could be because of the stiffness of the neck muscles causing such pain.Muscle relaxant should be tried.Thanks"
},
{
"from": "gpt",
"value": "Target: What causes shooting pain in chest and back of head of a 13 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, i would try to explain this as if you are right here with me. i am a male 27 yrs old. i drink and smoke. i have like a lump at the left side of my chest, just 2-3 centimetrs below the nipple, and just beside that it feels like there is a hole in my rib cage. I have constant cold and honestly feels like i am not breathing well. the way i should be. thank you so much anticipating your immediate response Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Since you are smoker and drinking alcohol, we should definitely rule out lung diseases (lung infection and bronchitis) for your symptoms.So consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test).Chest x ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotics, inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) depending on the reports.In any case, you should quit smoking and drinking alcohol as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: How can a left chest lump with breathlessness be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I'm trying to get pregnant for 2years now but i'm facing irregular periods.Can u please suggest me what to do? my age is 28 now and i'm having my regular checkups. doctor told me that i have hypothyroidism and gave me thyronorm which i'm having for the last 1year.But nothing is happening.I'm also trying during my ovulation period,every alternative day but no result.Please help. Doctor: Hi,In the current scenario, you also need to get tested for other associated hormonal imbalances and also regular ovulation since you have irregular cycles. Also, patency of the tubes should be tested for and so is the male factor. A trans-vaginal sonogram to see the condition of the ovaries and the uterus is a must. Maintenance of a healthy weight, regular exercise, proper diet and mental status are also essential for conception. Once the cause is defined, management would be very easy. You may need ovulation induction or Metformin. Hope this helps."
},
{
"from": "gpt",
"value": "Target: What should I do to conceive when I have irregular periods and hypothyroidism?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a teen and have had chronic severe burning pain for about 3 years. It is mostly in my upper back though sometimes the burning travels into my lower back and down my arms. I have been to chiropractors, physical therapists , acupunture vistits, trigger point injections , and many more doctors. I have had X-rays and MRI s which have shown nothing. Any help would be much appreciated! Thanks. Doctor: It seems to be some neuropathy. Please take tramadol tab after dinner for 10 days. And tab gabastar m or pregabalin or gabapentin tab daily one for 3 months. It is strongly advised to get Nerve Conduction Study of neck as well as affected upper limd."
},
{
"from": "gpt",
"value": "Target: Having severe burning pain in the upper back radiating to arms. Normal X-ray and MRI"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 6m0nths old baby has cough and catarrh,i gave her augmentin with emzolyn but she vomitted it twice,so i took her to a peadiatrician who now recommended dexamethazone with sporidex and he asked me to discontinue with cough syrup that it is bad for her age Doctor: Hi Yes sporidex can be given with dexamethasone , there is no contraindication is there is indication of there usethanks"
},
{
"from": "gpt",
"value": "Target: Can an infant be given dexamethasone with sporidex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Having problems with blood sugar, the nurse at my endo’s office was supposed to call last Friday morning to get my readings so she could talk to my doc. Today my readings have all been in 300,s I take humilin R U500 using a sliding scale.is there anything I can do? Doctor: HiThank you for your query . I have read your query and understood your concern.Treatment of high blood sugar varies from individual to individual as there are different modalities of treatment . Since you are on insulin and take dosage according to sliding scale I would suggest you follow the dose recommended by your doctor according to your blood sugar level. If still your sugar level are not getting corrected you should visit your treating doctor and discuss with him addition drugs ( OHA's) along with insulin to control your blood sugar.I hope I have addresed your concern well . If satisfied please close this query with a good rating.Thank you wish you good health"
},
{
"from": "gpt",
"value": "Target: How can elevated blood sugar levels be managed while on Humulin R U-500?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I am feeling something stuck in my mouth while swallowing saliva for the past 2 weeks. I am able to eat well but I fear of cancer.. When I consulted the doctor, I had been told that it might be due to acid reflux and provided me ulgel-A, Pantocid (before food in the morning) an Phlogam/disperzyme/bidangen forte in the morning and night. Now I am feeling more saliva at mouth after starting to take ulgel from today morning.. Will this be a symptom of any cancer? Please reply. I am working in IT company and so always at desk for almost 8hrs a day.. female - non-smoker but a bit over weight Doctor: helllo there, thanks for the quiery. im an oral diagnostician, i reviewed ur symptoms, i could think of 1) elongated uvula?--did u have in past week, any cough and cold 2) enlarged tonsils? 3)any lymph node enlarged in your neck?? if ur symptoms dont cm dwn with the medicines ur taking..try some luke warm or salt water gargling... too much saliva is nothing to worry.. if your fear doesnt subside, plz consult a local dentist or ent surgeon ... to check ur throat.. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Any suggestion for feeling something stuck in mouth while swallowing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: well i have chest pain or tightness and a really bad headache and i started my period so my abdomen hurts and i hurt in my back legs and shoulders, my mom says i am a little warm, i am tired alot i slept for almost two hours yesturday, my chest hurt so bad yesturday i was in tears, i have the inchy neck and my eyes have been red and ichty at school but not as much at home, my nose is stuffed and i just dont feel good, Doctor: Hi I can understand your concern...Noted you have runny nose, red eye with headache and chest discomfort....So you have acute viral infection like that of flu like symptoms.Sympmatic management done...Drink more water..Take benadryl like antihistaminic drug to relieve inflammation...As you have red eye and runny nose I would like to suggest you to use azelestine or fluticasone nasal spray for 3 days....Steam inhalation with eucalyptus taken...Humidifier in home good if you are living in cold climate...Avoid excess spicy food....Hope your concern solved...If still your symptoms increasing then we will do further work up with chest ray to rule out bronchitis like condition..Take care....Dr.Parth goswami"
},
{
"from": "gpt",
"value": "Target: What could cause pain and tightness in chest with headache and stuffed nose?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what does grade 1/2 anterolisthesis of L3 and L4 mean? Had fusion at L3, L4 and L5 in 2012? And mild straightening of lumbar spine? What does mild intervertebral disc space narrowing mean? And moderate bilateral neural foraminal narrowing? And pseudo disc bulge secondary to anterolisthesis..with moderate bilateral neural foraminal narrowing. L4-L5 diffuse disc bulges seen here which indents upon ventral aspect of thecal sac..thecal sac measures 7-9 mm in AP dimension..moderate bilateral neural foraminal narrowing here. I am having pain in hips, and lower back in SI joint and had MRI with these results. Injections have not helped, and I do not understand language of this report. Thanks very much Doctor: Hi,Thank you for posting your query and sending the MRI report.I have read the report in detail, and would like to reassure you that there is no need to worry about them.They mainly represent degenerative changes in the lumbar spine (lower back area). This has resulted in bulging of discs (soft tissue located between the bones of back). These bulged discs cause pinching of the nerves that emerge out at those area. This results in back and leg pain. In some cases, tingling and numbness of legs may also occur.You would benefit from using pregabalin or gabapentin capsules.In some cases, surgery may be needed if medicines and injections fail to relieve the pain.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: what does anterolisthesis of L3 and L4 and mild intervertebral disc space narrowing mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I got my wisdom tooth taken out this past Wednesday. The blood stop like the second day. However right where the wisdom teeth used to be there's a piece of skin but it seems to be connected to my cheek. It's weird it's like the skin is coming from my cheek but it's sort of covering my extracted wisdom tooth. It's sort of painful when I touch it with my tongue. I 1st noticed it a couple of days ago Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The flap that you are talking about that is also seen covering your extraction site seema to be the gum flap only..As the gum in the extraction area is very close to the cheek therefore it looks like coming from the cheek. Slight tenderness is not abnormal after few days of extraaction.You can also consult your Dentist and get checked. You can also send me images of the flap and extraction site so that I can advise you more appropriately. Do warm saline gargles and apply Lidocaine gel over it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: What causes a flap of skin over a wisdom tooth removal site?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an ache in my right elbow. I can t isolate it when I press the area but it feels like I have a bruise but I don t see any redness or swelling. It doesn t seem to be a bone or muscle pain. But I feel it even when I m not doing anything. It comes and goes. What is causing it? Doctor: dear sir/ madami would like to know is lifting weights or washing clothes painful,i would liketo examine your elbow for looking any bony tenderness and range of movements of your elbow,and do some maneuvers for testing fore arm muscle origins . then i could come for diagnosis in your case,"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in the right elbow"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: at the bottom of this paper it says make powerful healing water. what is this. we are taking flor essence herbal tea. how long do you have to take it until you will feel results or that you should check with your doctor for results. can a person double up on the recommended dosage? my husband is a prostate cancer survivor, will this product help him, he has a PSA test done tomorrow, it is on the rise Doctor: Hi,The herbal tea might contain anti oxidant extracts. This is not a medicine specifically to treat prostate cancer but is meant to provide micronutrients for the general health. It will not suppress the cancer cells and is not a medicine against cancer.There is no benefit in doubling on the recommended dose and taking the usual dose is recommended. The antioxidants in herbal tea when taken for many months to years will keep the person in good health and prevent certain conditions. Please get the prostate specific antigen levels done and discuss with his doctor should he require more chemotherapy and radiation therapy. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What is the importance powerful healing water in a prostrate cancer patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My granddaughter is 4 y 5 m and is being given duolin and flohale50 inhalers and montair 4mg tab for chest congestion and wheezing. Also, nasonex nasal spray in the mornings as she also grinds her teeth in the nights. Sometimes she is restless and has nightmares. Is it because of these medications? Doctor: Hi, Levosalbutamol in duolin that acts as a bronchodilator can cause tremors and reduced potassium levels in the blood. The dose of the drug can be reduced and the frequency of inhalation aerosol should be restricted to every 4 hours. Steroids in the above-mentioned drugs do not cause such side effects. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Saranya Ramadoss, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does medicines duolin and flohale causes restlessness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi. I ve premature twins aged 3yrs now.the eldest baby girl still unable to walk n even stand while the 5mnts younger boy can walk/run like a normal kid. She is 3years now, normal baby height, 9.5kg weight. MRI n all other test r normal.doctors advised for physiotherapy is d only treatmnt for such kids. Im confused n do not know what can b done to get her a normat life. Plz advise. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.A baby who is aged 3 years old and doesn't walk means that may have a serious problem and it is needed to find the cause. Normally, a baby begins to walk in 1½ years. I suggest you to visit a pediatric doctor. What analysis have you done? Does your baby have other sings? Have you done an electromyography?Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Emilda Belortaja"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for delay in walking of baby"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: After 2 failed IVF cycles (secondary infertility ), my husband & I had extensive infertility testing, including FULL immune testing. All normal except... HLA-C match: 07, 07 (me), 07, 04 (husband) HLA-DQa match: 4.1, 4.1 (me), 4.1, 1.1 (husband) MTHFR A1298C: homozygous mutation What would be the optimal treatment for the above??? Doctor: Hello. Thanks for writing to us. The mild mismatch on immune testing cannot be treated with medicines. It suggests the degree of incompatibility between you two. Going for a repeat IVF is the only solution left with you for conception. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Failed IVF cycles. Extensive infertility testing done. Homozygous mutation in immune testing. Optimal treatment options?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My baby is 1 month a a week old he keeps on weeping for whole night...........after so much checkup with doctors it is observed that he is having gas in the stomach how can we cure it and we are giving him dexolac beside his mother's milk......is it is safe to give dexolac or we shall go for lactogen Doctor: Hi welcome to healthcare magic,I understand your query and concern.Your symptoms are suggestive of Acute gastro enteritis.I advise to give him Syrup.orni o,tab.domistol for 5 days.Avoid spicy foods.Give ORS sachets,buttermilk,coconut water regularly.Maintain adequate hygeine.Consult your peadiatrician for expert management.Hope I have answered your query at the moment,Post your further queries if any,Thank you."
},
{
"from": "gpt",
"value": "Target: What causes gas problem in infants?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ive gone through 5 IUI's totally. On my 1st IUI i had conceived, but lost it by 5 weeks. I did D& C and 6 mths went to an infertility specialist and did 2 iui's before and after laproscopy. Scopy finds everything in perfect condition. Then we tried ICSI twice. On 1st ICSI 3 follicles responded out of which only 2 eggs were received and 1 follicle was empty. Both the egss were abnormal. On second ICSI my injections dosage was increased and 5 follicles responded and showed good sign through blood tests and scanning. But all 4 follicles were empty and 1 egg was retrieved with M2 quality. The egg fertilised but failed to cleave. Later, my karyotyping was done , which was normal. My AMH level tested was normal. Initially my antra follicle count was 4, now after having DHEA and herbal meds it ranges between 5-7.Docs. told me that i am a poor responder. They have scheduled another ICSI, next mth where im asked to have oral contraceptives before the treatment. What do i have to do now? will this icsi work? YYYY@YYYY Doctor: ICSI Chances are good. Go to a good IVF centre. You will have better chance than IUI anyday. All the best"
},
{
"from": "gpt",
"value": "Target: What are chances of success of ICSI after 5 failed IUIs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir , my husbands sperm count is very low it is reported as first, 16million /ml and only 7% are active motility and scan report says that bilateral mild grade 1 vericoceole. and one doctor said surgery is best, and no alternative. another doctor said suggested drugs are coQ efort , venex and semento, after one month by using these drugs his count goings to 40millions /ml and 50% active. my husband stopped these medicin after onemonth now his count report says oligozoospermatozoa and scan report says same as above. now my gynacolagyst given ayurvedic medicine is Bangshil and Fortege. dear sir which one is best method to increse sperm count , how much time taking to concieve Doctor: Hai, your husband sperm count comes to normal after one month of medication.so medication responded to your sperm count nevertheless grade one varicocele.as bangshil and fortege together will be effective for increasing sperm count.both are effective medicine as far as my practical experience.i prefer your earlier medication as it already taken and got effect in regards to your sperm count.as soon as your husband sperm count becomes normal chance of conceiving is more. hard enough to comment on time.thank youhope i answered your query"
},
{
"from": "gpt",
"value": "Target: How can sperm count be increased?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mother in law is suffering from high blood pressure which shoots up to 200/120 some times and she also had stroke due to this in last 8 years. somebody has suggested her to take Amtas* for controlling it. I was wondering whether it is a right option or it has some side effects presently she is taking Olmesartan H 40 mg Doctor: Olmisaetan and thiazide drugs (which is u r taking right now) are dieat choice of drugs for hypertension in patient with stroke. Amlodipine (Amtas) is second choice, which can be added if not controlled with olmisartan."
},
{
"from": "gpt",
"value": "Target: Is Amtas advisable for high blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...hi iam 28 yr women and i am married i ve a daughter she is 7 yr old and she is going through strange desease i don t know whether its a desease or not but by birth she has everything like talking to walking she is unable to walk properly coz she doesn t have balance in her walking plz advice Doctor: Hi, The possibilities here are - 1. Cerebellar degeneration2. Neurodegenerative disorder3. Charcot Marie Tooth disease.May I suggest you discuss these possibilities with her pediatrician or neurologist and get her evaluated. 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: What causes lack of balance in a child while walking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I hyperextended my knee 5 days ago. It has been swollen very bad the past few days. Last night my big toe started hurting with extreme pain and still hurts this morning. My foot is also swollen. Any suggestions before I go to the emergency room. Thank you Doctor: Hello, The commonest cause of swelling feet, ankles & leg is obesity, water retention due to excess salt intake, deep vein thrombosis, OA, RA, venous insufficiency etc. You are suggested to get clinically examined, get blood & Imaging test done & treated at the earliest. Your treatment will depend on the pathology detected. Presently cut on salt intake, maintain low BMI, do walking & exercises. For pain take Naproxen or Ibuprofen, one SOS when needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for swollen toes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My brother had 4 stents put in. Then had to have pump in femoral arteries put in they flew him out. Pump removed. Now staph infection. He still needs defib installed. How bad could he be affected by this and defib delay. So far no more v tach since arrival there Doctor: wellcome to health care magic and thanks for posting you query .Staphylococcus having tendency to colonize over implanted tissue so you need to be careful about this organism but no need to be worry as apppropriate precaution and treatment can cure infection.if you are suspecting infection you need to send your blood culture and sensitivity to microbiology lab to confirm diagnosis and getting sensitive antibiotic to treat it .Staphylococcus are resent in environment and can be found in skin flora and frmo there it can entered inside blood stream to cause infection so any breach in skin should be treated properly with antiseptics.Hope you would be satisfied with my answer . Feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for staph infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi ! This is the second time im having prolifen capsules . Last month I had 2 times a day for 5 days and had a folinis injection on 13th day . Now my dr recommend to have prolifen 3 times a day and folinis injection on 7th day . Ive a 4 yr old daughter and had a d&c on 31st oct 2012 . Please let me know what can be the reason for not getting pregnant ? My cycle is of 31-33 days sometimes goes till 36. Thanx Doctor: Hello. Thanks for writing to us. You are taking the treatment for infertility for a second tine only. the success rate per cycle is not more than 20% even with best of medicines. Be patient and continue with the treatment.I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal ,[email protected]"
},
{
"from": "gpt",
"value": "Target: Why not getting pregnant when having prolifen capsules and taking folinis injections?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, I have 1 year 11 months old daughter. she is having high fever since yesterday....no other symptoms like cold nd cough are there...urine test is also normal...what can be the reason for this high fever(103 degree Fahrenheit). we also did her blood test but report has not come yet...Also can a child less than 2 year have typhoid? Doctor: High fever can be due to viral or bacterial .....any infection. And if you have introduced your child with some unhygienic food then yes it may cause typhoid but fever will be low grade"
},
{
"from": "gpt",
"value": "Target: What causes high fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 9 year old daughter has red rash like thing on her lower leg and arms since yesterday. before today also i have seen such rash on her which vanishes within 2 days. a week before this she was quite breathless while running during her kidsfit class (sports class). this has never happened before. kindly reply. Doctor: Hello, The symptoms seem to be related to an allergic reaction. I suggest using antihistamines such as Cetirizine 10 mg daily. I also suggest using Calamine lotion for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Regards, Dr. Dorina Gurabardhi General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes red rash on leg and arms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , My daughter is 1year9months. She is suffering from severe cough and cold. Our doctor told it to be infection and prescribed Amoxicilline syrup but after giving syrup the coughing has increased severely .Is it normal course of action of the medicine. Can I nebulize her with budecort .5mg respules? Doctor: Hi, I'am Dr Suresh K Yadav MD (paediatrics), I had gone through your question and understand your concerns,Congestion is common after 1 or 2 days of respiratory infection, leading to more cough. It is not related to amoxicillin syrup . If there is component of congestion you can nebulise her with budecort along with bronchodilator like salbutamol but under guidance of your doctor.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questionsTake care."
},
{
"from": "gpt",
"value": "Target: Is budecort respules .5mg safe for cough and cold in children?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a crown placed about 3 weeks ago after having a root canal. Before the crown was placed, I advised to the dentist that I still had pain there. He took an x-ray and said he saw nothing and everything was fine. I still have a lot of pain when i drink something hot or cold and the gum where my crown is feels itchy and irritated. What should I do? Doctor: Hi..Thanks for the query..I have gone through your query and can understand your concerns..As per your complain it looks like either the Infection in the tooth has not yet subsided or there is any missed root canal that is left from being cleaned and filled and is causing the presence of the pain symptoms..I would suggest you to consult an Endodontist and get evaluated and a thorough clinical evaluation and x rays from different angles has to be taken to rule extra canals or Infection..In case if any canal is missing then location the same and filling it up will resolve the symptoms..In case of Infection a course of antibiotics like Augmentin and anti-inflammatory painkillers like Ibuprofen can help but if still pain persist then Re- Root Canal Treatment or extraction can be advised..Hope this information helps..Regards.."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tooth pain and gum sensitivity post root canal"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi so I have a wisdom tooth that grew in on the upper right side of my mouth. I've found a hole that seems to be from my wisdom tooth cutting into my cheek right beside my jaw. I know a lot of people say that they have the same issue and that they have a pain there but I don't. I'm going to make an appointment next week to see a dentist even though they scare me. I was just wondering if it's a huge issue? Doctor: Hello and welcome.Thanks for sharing your concern.My advise to you would be please get the wisdom teeth extracted if it gives you trouble.Until then you can relax.But since you have mentioned that there is already a hole(cavitation) developed,then this may damage other teeth too,due to food lodgement there.Lack of accessibility makes it infection prone.Therefore please speak to your dentist and take a x ray after which it can be comfortably extracted.Thanks.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hole in cheek due to wisdom tooth growth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: if I drink to much water my sodium level gets low, but I need to have more liquids for the Zepatier I am taking. it was suggested I drink gateraide. I am 65 yrs old, have type 2 diabetes, take two meds for the diabetes, and water pills.i am 5'1 and weight 120 lbs. Doctor: Hello,the water pills also may be contributing to fall in your sodium levels. Gatorade does contain significant amount of added sugar. It may raise your glucose levels. You may need to look for a sugar free option."
},
{
"from": "gpt",
"value": "Target: Is Gatorade safe to drink when diagnosed with diabetes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I believe that I have enlarded circumvallate papillae and I wanted to know what could be some possible causes, if this is normal or should I be concerned. I have also noticed since they have been in larged it hurts when I swallow. Thanks for your time Doctor: Thanks for using Health care Magic.Read your query.Enlarged circumvallate papillae usually occurrs due to few factors including hot and spicy food,gastro oesophageal reflux and some infection,excessive smoking and canker sores.You should not worry as it is a not a condition which is dangerous.Maintain a good oral hygiene , reduce hot and spicy food.If you smoke excessively reduce smoking.Use saline water gargling.If still worried consult a oral surgeon and have it checked.Hope this was helpful.Thanks and regards."
},
{
"from": "gpt",
"value": "Target: Should I be concerned for enlarged circumvallate papillae?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had an ultrasound at 27 weeks of pregnancy. My AFP came bck normal and echogenic foci & chorionic cysts had resolved. A good ultrasound altogether. now i am 31 weeks pregnant and my friend (who is an ultrasound technician) noticed a possible duodemum atresia. Is it possible to have this after a good ultrasound at 27 weeks. She does not specialize in OB but does occasional ulrtasounds on pregnant women with issues earlier in pregnancy. should i be concerned? Doctor: Hi,If the technician suspects duodenal atresia, better to get a second scan done by a fetal medicine specialist. She will not only confirm/rule out the atresia, but also advise you the next steps if problems are identified.And a normal scan will definitely decrease your anxiety.Since you have also has echogenic foci and chorionic cysts which eventually resolved, but they are considered to be soft markers for Downs, these with a present finding, if at all of Duodenal atresia usually warrants for a amniocentesis, to check for fetal chromosomes, and to rule out Downs.Hope this helps.Regards."
},
{
"from": "gpt",
"value": "Target: What causes possible duodenum atresia in fetus on pregnancy scan?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir I am diabetic and take alchol too. My sugar level is 150 -170 fasting , although in night before alchol it is around 150. In my recent routine health checkup by employers , doctor found pus cell in urine and wanted to examine more . But then i got transfered to XXXX. Doctor in XXXX has given me antibiotic and combiflam tablest for 7 days . I am bit relived now but i can see white foam in pot after urination . Is it prostrate cancer . I m worried and not going to doctor ........ please advice Doctor: Hi!welcome to HCM!The presence of pus cells in urine is also called pyuria, Increased pus cells reveal some INFECTIVE process in the urinary tract, anywhere from kidney to the bladder. Foamy urine is likely nothing to worry about if it happens only occasionally and isn't getting progressively more noticeable. It may just mean that you urinated rapidly, maybe with more concentrated urine as in mild dehydration. You could drink more water to see if it goes away. However, persistently foamy urine can be a sign of protein in your urine (proteinuria), which requires further evaluation. If you're concerned about Prostate cancer,neither pus cells nor foamy urine suggest prostate cancer.You are suffering from UTI and being diabetic infection takes long time to control,keeping your blood sugar under control helps.I hope I have answered your query.take care!"
},
{
"from": "gpt",
"value": "Target: Pus cells in urine. Taking antibiotics, white foamy urine. History of diabetes. Prostrate cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... Iam 21 aged 160 and59kg .dog bite me before 1 month before and i taken 3 injection aswell,since last 3 days i am having cold .whether any relation with dog bite and what is the starting if infected Doctor: Hello, Welcome to HCM and thanks for asking your question. I will do my best to resolve your query. I would like to tell you that as you had dog bite 1 month before and at present you are having cold, so in that case in my opinion, there is no any direct or indirect relation between dog bite and cold. Also you had taken rabies vaccine, so it will never cause cold after 1 month, so get that point. Your cold might be due to any viral or allergic reaction, so take plenty of fluids, avoid spicy and outside food, take antihistaminic drug. You can also consult your local doctor, if cold does not go away within a week or so. Hope this answers your questions and let me know if you have any further relevant queries, i will be happy to guide you in right direction."
},
{
"from": "gpt",
"value": "Target: What causes cold after the dog bite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HELLO SIR I AM 26 YEARS OLD. RECENTLY I WENT TO DOCTOR FOR WEAKNESS AND STRENGTH LESS. HE GAVE SOME MEDICINES AND TONIC. FROM THEN ONWARDS I AM FEELING LITTLE BIT UNEASY IN THE RIGHT SIDE AREA ,BELOW RIBS(LITTLE BIT INCREASES AFTER EATING FOOD). I WANT TO KNOW WHETHER THERE IS ANY PROBLEM WITH THE LEVER FUNCTION OR ANYTHING ELSE.. Doctor: why would you suspect something with your liver? usually the first abnormality that is picked up in patients regarding the liver is an abnormal liver function test on routine bloodwork in an asymptomatic patient. And unless you have a genetic liver disease such as Wilson's disease, hemochromatosis, etc or a viral hepatitis that you got when your were born transmitted from you mother, I would NOT expect that you have any symptom at such a young age. Even if you drink everyday! The other option is an \"acute hepatitis\" (either hepatitis A,B or more rarely acute hepatitis C and beyond), however besides feeling sick, you would turn yellow, specially your eyes (jaundice). Weakness is a very broad symptom, but I would start by checking your hemoglobin and making sure you are not anemic."
},
{
"from": "gpt",
"value": "Target: Weakness. Why? Uneasy. Is it due to wrong liver functioning?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: We have an appointment with a Rheumatoid specialist in Nashville TN at Vanderbuilt. My issue is the fact that his Doctor has done all kinds of blood work to check for JM. He suspects JM because a lot of my son s symptoms mirror the symptoms of the Doctors own daughter, who died from JM. This all started after a tonsillectomy when he was 3 year old. He came to me and said my heat beeps funny we told his Pediatrician and he was referred to a cardiologist. We began to notice the palpitations seemed to be accompanied a fever. She examined him and done a lot of test, and said his heart was fine, but his Blood pressure is high. She also stated that according to his records his BP had been running high for a while. He began passing out and becoming very fatigue around age 4 1/2, and the Cardiologist saw him again. She ordered a stress test and my son couldn t complete the test ( he got too tired ). the Cardiologist still insisted his heart was fine but it was abnormal for a child to get tired that fast. She later gave another stress test and he couldn t go as far as the previous test. She referred him to Neurologist, and they couldn t find anything. by age 7, along with the chest pains, heart palpitations, fatigue, and syncope, he began having extreme pain in his neck, arms, hands, back and legs, that were accompanied with migraines. By age 7 1/2 his joints began to swell, and looked red, and were hot to touch (at times). By age 8, he started having problems with chewing and swallowing food, because of pain ( this is also about the time the red rash began to appear on his cheeks). His frequent fevers have been present since we first noticed them, but his blood work is often, but not always, fine ( no abnormal WBC) We can t remember when we noticed, but his hands are always in a fist position, and he can t coordinate his fingers to tie his shoes. Attached is a picture of the rash on his face. Notice how it spreads from his jaw, across his cheeks, and up the bridge of his nose. it also has small bumps. It looks like my lupus butterfly I get. The doctors suspect I developed lupus while pregnant with my child. Doctor: Yes there is a possibilty of lupus from the history thst you have given . You should get ANA , ENA profile done for your son to see whats going on ."
},
{
"from": "gpt",
"value": "Target: How to treat lupus during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yesterday, I pulled the foreskin on my penis back for the first time, the knob of my penis was of a slight purple colour and there was little white things stuck to it, in the shower today, i tried cleaning them off, but it hurts too much when i did, i did my best and got as much of the white stuff off, will it take a bit of time to get my penis fully cleaned from the white stuff if i never have cleaned it before?And also will the purple colour of my knob go away as the area is cleaned up?This is serious, please help ASAP! Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have noticed while deposit on glans penis on retracting your foreskin for first time .This is called smegma and is dried deposits of mucus secreted by mucus glans in glans penis .Please observe proper personal hygiene by retracting foreskin while taking bath and cleaning the entire glans and penis with warm water .The purple coloured glans penis is a natural and nothing to be worried about,Dr.Patil."
},
{
"from": "gpt",
"value": "Target: How to treat purple colored penile knob?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Yesterday evening I got a pain in my chest. More to the left. I thought maybe it was a pulled muscle but I haven't done anything strenous or lifted any heavy objects. I can feel a large lump on my collar bone. It hurts to move in certain ways. Any idea what this could be? Thanks, Sarah Doctor: Hello!Thank you for asking on HCM!Facing your current clinical scenario, I would strongly recommend performing a medical check up by your internist (GP), to investigate the reason of your neck lump (a lymph node, a lipoma, abscess, any other inflammatory process, etc.) and a possible association with that left sided chest pain.A careful physical exam, chest X ray, ultrasound of that lump mass, and possibly a biopsy may be necessary for the differential diagnosis.In addition, an ECG, complete blood count, PCR, etc.will be helpful.Hope to have been helpful! Greetings! Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i am a male 24 years old.i shaved my pubic hair scrotum area and around and now it itches like hell continuously and i scratched it causing it to swell on scrotum region where i specifically scratched.the itching doesn't go away.i wash it with dettol or savlon and the itching stops for a while like an hour or two then gain it starts.please help. Doctor: DearWe understand your concernsI went through your details. Itching can happen due to irritation and inflammation or certain types of skin allergy.You should check the razor with which you had shaved that part. There could be some allergens. May be the allergens were already there and it got agitated when you shaved the area. in any case, to treat itching for the time being, you can use warm water. Clean the area with warm water twice or thrice. Fix an appointment with a dermatologist and consult him.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: What causes itching in the scrotum after shaving?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor,frank here ,i have this terrible flu for the last two weeks , being treated with antibiotic but it still lingers on i now have spain in the lower side of my back and it gets worst when i cough , is this pain due to cough or kidney problem , could you please advise me cheers Frank Doctor: Hello and Welcome to HCM,I had gone through the case and found that it might be due to most probably by cough because some time long duration of cough causes swelling of interstitial tissue of rib.So for precaution you go for some investigation-Kidney Function Test.Urinalysis and culture.If required then ultrasound of lower abdomen.Hope everything will be normal and take any decongestant cough syrup.Regards,Dr.Soni VermaHomoeopathic Physician and Nutritionist"
},
{
"from": "gpt",
"value": "Target: Is the pain in the lower back pain due to cough or a problem in kidney?"
}
]
|
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