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{
"from": "human",
"value": "Source: Patient: Hello. I keep having this stinging/twitich on my left side below collar bone area above the sternal notch. It brings me to my knees. I noticed it about three weeks ago. it comes and goes daily but lasts a few hours. The twitching lasts for a few mintues. Feels like stinging. I have been haveing chest pain as well (left sided) comes and goes. I do have Cong. Heart Dz (pulm vavle stenosis & murmur). I have a cardiologist but have been in great cardiac health. Last ECHO & EKG were fine. Any suggestions. It s worrying me. I am not sure if i shoudl call the doc. Doctor: A few questions I would like answered.Does it come on or increase by walking or doing any physical work or just while doing routine work?Does it seem to worsen every time it comes?Does it come for a longer duration every time?If the answer to the three questions is yes then you have what is called angina.Either way you should definitely have yourself checked out"
},
{
"from": "gpt",
"value": "Target: Stinging / twitch on left side below collar bone area above sternal notch"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, my son (age 6) received the flu mist today, he stayed up late. He woke up after about two hours coughing and had blood on his face! I used a wet wipe and noticed that the blood was chunky. Though, it didn t continue and he coughed a few times and now, asleep...Should I be concerned? Doctor: Hi...coughing up blood could be because of trivial reason like a simple upper respiratory infection or it could be because of serious causes like a Tuberculosis or a suppurative lung disease. I suggest you to take him to the nearest emergency room, just to rule out serious illness. Once serious conditions are ruled out you can be rest assured.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What could cause cough in a 6 years old child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I need to know what to do. My Daughter has be precribed prednisone she started at 1000 mg 12 tab aonce and has been decreasing bt 1 tab daily. My daughter has been told at 18 that she had assmas and she has been using her puffers flo vent ventlin folvent 250mg. She has sufferd with assma in the summer every year and has been to the hospital and blood work come back good. She has mamory loss confusion. Doctor: HI, thanks for using healthcare magicPrednisone is used in some cases of an acute asthmatic attack.To reduce the frequency of her attacks, she should identify her triggers for asthma and try to reduce them if possible.Some common triggers are common cold, reflux, sinus problems, exercise, cold exposure, extreme emotion.If she has reflux or sinus disease she should treat these.She should also use her preventer inhalor as prescribed by her doctor. If the present dose of the preventer is not enough, it may need to be increased to improve her control.I hope this helps"
},
{
"from": "gpt",
"value": "Target: How to treat asthma with memory loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was wondering if you could look at my MRI report and let me know if I should see a specialist. Also, could you let me know what it means? My doctor didn t go over it with me. He said to take some motrin and I would feel better. But, that does not help AT all. I was in a car accident a few months back and started having severe back pain that radiates down my legs. I have to bring a heating pad with me everywhere I go and it sucks because I am only 27 years old. Thank you very much for your time! Doctor: Hello, The symptoms seem to be related to sciatica pain. I suggest using painkillers such as Ibuprofen to relieve the pain. I also suggest gentle stretching exercises for relieve. Physical therapy can also be helpful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes severe back pain radiating down to legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a really bad pain on my neck i went to see the net and she said i have a swollen tissue on back of my tongue i took amocicilin for two weeks and nothing changed I m still in such pain please help my doctor also thing i might have acid refleks and hurt burn i also taking nexium Doctor: dear userabout your question i would like to tell you that these symptoms you mentioned refer mainly to have gastrooesophageal reflux that lead to irritation of the throat as gastric acid reflux reach your throat and lead to consequences of heart burn and throat irritation ..........your feeling of these symptoms should not make you worry as it is common problem.....heavy meals or fatty meals always cause increase acid reflux as there is maldigestion of heavy meals leads to increase gastric acid regurge that cause severe heart burn ....about treatment of that you can take rantidine as it has effect antagonist to gastric acid and ....also you should take omebrazole which decrease synthesis of gastric acid and relief of these symptoms and you should avoid stress and anxiety and heavy meals or fatty meals that may make your symptoms worse.......also avoid more drinking of coffee or tea......last thing you should do laboratory test to detect if you have helicobacter bacteria antibodies as this bacteria may cause these symptoms to be prolonged with no effect of antiacid treatment...... .......wish you healthy life"
},
{
"from": "gpt",
"value": "Target: What is the treatment for acid reflux , heartburn and neck pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor, iv been having lots of pain in my lower back for a while now, but on monday night my back just gave way and the pain was ten out of ten, the pain goes all the way up the left side of my back up to my neck and at the same time my back locks up causing even more pain, also when i try and move i feel grinding and rubbing noises in my lower back aswell the pain also goes round the the sides of my belly. iv been to see my doctor and he has given my three lots of tablets to take which are-diazepam 5mg, tramadol 50mg and ibuprofen400mg, some pain has gone but 80% is still there, i feel i dont have to strength Doctor: Hellodont take medicines vaguely by hit n trial method..u first need to find out THE CAUSE whats causing it in the first place...u seems to have PIVD i.e disc prolapse...get a urvent MRI OF LUMBOSACRAL SPINE and send me a copy of ur reports"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sudden weight gain. Have permanent illeostomy and tried to gain weight for yrs after chemo radiation (with 1st cancer onset) and 5 years later when cancer returned. Now in the last 3 months the pounds keep adding up. I am eating less than ever with no reduction in lbs. Have lymphedema and episodes of fluid retention and difficulty urinating. I feel very bloated a and even have foamy output from stormy. Doctor: HelloYou need to have your stoma examined by the surgeon who created it. The increase in weight can be a side effect of your chemotherapy medication leading to some hormonal imbalance. These symptoms may lead to a diagnosis of decrease in the activity of the thyroid gland. Kindly show an endocrinologist to rule out the thyroid disorder.Get well soon."
},
{
"from": "gpt",
"value": "Target: How to prevent the sudden weight gain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My sister has had heart problems since she was 44. Has had by-pass and laser surgery over the years. She is now 70 and has plaque in her aorta. Her heart is only working at 34% capacity. Her doctor told her that there is not anything more than can do. She also has COPD and is on oxygen. I m getting this second hand as my sister won t talk about her health with me. I m thinking it means her time now is very limited. I live in Ohio and she is in Dallas so am thinking I should visit her soon. Your opinion. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Since she is on oxygen, she is mostly having end stage COPD. COPD can cause cardiac complications. COPD alters lipid metabolism and cause excessive accumulation of lipids in blood vessels. So plaques in aorta is common in end stage COPD.Lipid lowering drugs like atorvastatin or rosuvastatin should be started in her case. And yes, you should definitely meet her soon because end is near. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes plaque in aorta with COPD?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has a fracture at l 1 he is 68 waiting for neuro appointment his buttocks has like a pimple on one side of butt, like it’s going long his outer crack, & looks dark in color has like clear drainage for several months, could this be from spinal leakage? Doctor: dear user brief answer is it could be spinal leakage if the site closer to vertebral column or suggested bacterial infection causing local abscessthse symptoms of lump oozing clear drainage should be clically examined and may require other investigations as local wound culture and pripheral blood culture may be needed...if any injury had been in the past few days of this area skin may cause bacterial invasion and formation of pus then drainage occur ....if the care provider doesnot wash hands and wear clean gloves and cleanse your hand and apply alcohol it will be risky to increase the bacterial infectionif your husband get feverish you should do pripheral blood culture and drainge examination to detect micro organism that causes thattill now the infection is localised and only topical antibiotic cream will be helpful simple investigations as x ray , mri ,blood culture will help alot to declare diagnosiswish you healthy life"
},
{
"from": "gpt",
"value": "Target: What causes a dark lump oozing clear drainage on the buttock?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor, I am 26 yrs old unmarried girl and have started using melcare forte since 3-4days on specific darkened areas of my face,that is,areas under the nose including chin portions.But my i have not yet marked any whitening symptoms rather severe burning and itching sensations are experienced on those areas.Kindly suggest what to do. Doctor: Hi. Thanks for posting your concern at HCM.Melacare forte contains combination of 0.025%tretinoin +4% hydroquinone +0.1% mometasone. It is a very effective combination for melasma but it can cause irritation at the beginning of therapy in a few patients because both hydroquinone and tretinoin are irritant by itself and can cause additive irritation when used in this combination (sometimes exacerbated by over-enthusiastic applications)If irritation is experienced by the patients, the cream should be stopped for a week and then restarted by using it every alternate days rather than daily OR only for a few hours daily and then washed off.Gradually tolerance develops and the patients can then tolerate daily applications henceforth.take careregards"
},
{
"from": "gpt",
"value": "Target: Why do I have severe burning and itching sensations on skin after using melacare forte?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My sister, age 43 has had IVF 13 days back and was advised to take Gestone regularly after IVF. She started having some side effects like rashes and swelling on face and body. Hence was advised by the doctor to change medicine to Naturogest instead of Gestone. I hope it is safe to take Naturogest. Also i hope the Gestone side effect and Naturogest will not have any negative impact on the IVF results.. I am worried for my sister. Please respond. Doctor: Hi,Naturogest contains progesterone hormone similar to Gestone. The drug can be used in IVF treatment in case of allergy to Gestone. Do not worry.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is there any side effects for taking Naturogest after IVF treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 52 yo male im a Type 1 diabetic I’ve been dealing with pain in left wrist for about 4 months saw my doc 2 months ago had blood work done, no arthritis,put me on prednisone 10 days it helped but after I stopped pain came back, the RN wanted me to see orthopedic specialist didn’t go because I didn’t injure wrist had ex rays done nothing found, now dealing with both knees, right wrist, and pointer finger and thumb, The pain moves around hand different fingers, left hand is more painful than right. Temp normal. blood pressure normal, A1Cs 7.2 , those are my symptoms any ideas...p.s. seeing my doctor later this month for full check up. Doctor: Hi, Can be related to polyarthritis. Needs proper X-ray and blood tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal"
},
{
"from": "gpt",
"value": "Target: What can cause pain in the wrist, knees and fingers?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have very dry and rough hair. The problem has increased recently with the problem of hair fall. Having proper diet and also having sound sleep.. The hair problems has affected me a lot. Whoever meets ask me to take care of my hair. all they do not do is to tell me what shall i do to take good care of them :-( Doctor: Hi,I can understand your concern for hair fall.Probably you may be having telogen effluvium..in which you have excessive hair fall in telogen phase of hair cycle. It may be due to some cause. Most common cause is psychological upsets like anxiety,worries, tension or depression. Other causes may be thyroid dysfunction, vitamin and mineral deficiencies, anaemia, other internal diseases,drugs..etc.And please remember that normal hair fall in adult may be 100 to 150 per day.You consult dermatologist for firm diagnosis and treatment. Blood tests may be done to rule out internal diseases.I would like to suggest as follow...-You may take biotin 10 mg tablets daily for long time -vitamin E cap. 400 mg daily-Iron and minerals may be taken.-You may apply mild steroid lotion like beclomethasone lotion on scalp at night. -Mild herbal shampoo should be used to cleanse the scalp. -Hair oil containing vitamin E would be helpful.Have patience for the result. You may get good result after few months treatment.I hope you got my answer.Thanks.Dr. Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for severe hair fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife was never fully diagnosed with Alzheimer s but the consensus appeared to be the cause of her declining memory problems. This started about 5 years ago with 2 strokes affecting her left brain. There appeared to be little difference between left and right body strength and did not seem to suffer and typical body reactions. She quickly learned how to walk, eat, dress but it took much longer to recover memory and speak. Two years ago I retired to take care of her full time. In the last few weeks, she has had very rapid physical decline. She used to dance with me almost every day, could walk unassisted and mostly could dress, go to the bathroom by herself, brush her own teeth and feed herself. Now she cannot do anything at all without assistance. Her joints are very stiff and she cannot stand, walk or get in and out of bed by herself. She is also almost constantly shaking her hands and arms, sometimes quite violently. Is this a clear symptom or dementia with Lewy? Is there any correlation to stage 7 Alzheimer s. Beginning, middle of late stage 7? Doctor: Hi, I think she has multiple problems which probably stem from the strokes. You have mentioned that dementia started after stroke. So first and foremost I think it would be better to consider this as post-stroke dementia or multi-infarct dementia, and not Alzheimer's disease. As for the movement problems, this can be stroke related as well. The difficulty in getting out of bed could well be stiffness resulting after the stroke. Similarly, her tremors could possibly be vascular Parkinsonism. I would need the details of the treatment that she's on. But I would recommend a repeat MRI BRAIN scan. This may be followed by a PET scan. If it is indeed found to be due to further multiple small strokes, the medications need to be added and modified. Along with physiotherapy. If however, she doesn't have the multiinfarct state the PET will help confirm the type of dementia. Many centres are into different stages of study with use of PET. Enrolling her in one of the centres may help her further. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What are the early signs of dementia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a red Rash on my fingers and wrist that went down to my elbow; on my hands where the skin is broken is is oozing a yellow liquid.. It was EXTREMELY itchy. I went to my PCP and they gave me Methylprednisolone in a 6 day pack. It almost made the rash go away, but i could just barely see a feint outline where it use to be. Now, it seems to be coming back again! The itch and the redness. Should I go back to my doctor, is there any hope it could go away on it s own? I ve been icing my itchy spots, because the heat was making it worse and itch more. Doctor: HiIt could be skin problem with associated infection.Apart from prednisolone,you should use antibiotics like Clindamycin and Cefuroxime.You should keep that limb elevated.Please consult a Dermatologist or General surgeon and proceed accordingly.Wish you speedy recoveryRegards"
},
{
"from": "gpt",
"value": "Target: Pus filled itchy rashes on fingers and wrist which is spreading. Relieved on taking Methylprednisolone. Reappeared with itching and redness. Cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I needed to let my window down in my livingroom in which I had to strain to do it.About 5 minutes later I began having some pain and pressure behind my breastbone or center of chest area but no symptom of heart attack pain like pain radiating in arms, numbness or shortness of breath.How can I treat this pain?Or maybe it a feeling like food stuck in middle of chest.I had this same feeling about 4 years ago but forgot how it went away. it only lasted 2 days. This is my second day. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This is in relation with acute muscle spasm or ligament strain .* Suggestions for better recovery - Apply ice and heating pad alternately for fast recovery .- Local application of analgesic ointment or spray works best .- Tab. ibuprofen ( 400 ) mg 3 times a day after meals .Hope this will help you for sure .Welcome for further guidance .Regards ."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in breast and chest with shortness of breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had a PET/CT scan. I got to see the PET scan and it showed lots of dark spots. Are the dark spots just areas that hold moisture and are active? Such as brain, kidneys, liver, etc.? Only the back portion of my brain was black, what does that mean? Doctor: HIWell come to HCMThank for askingI really appreciate your concern, beside the radiologist it is not possible to read the radio imaging, and the most important is clinical history of the patients, the dark area may be normal or abnormal it is all depends upon the anatomy of organ and related pathological changes, without studying the image it is not at all possible to comment or predict or say anything hope this information helps."
},
{
"from": "gpt",
"value": "Target: What causes dark spots on the back portion of the brain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im 35yrs old now i dont have children... 8yrs of my married life... doctor gave me ATK-2 to take 1 tablet for 3 months...when im taking this tablet i feel like im having fever... shell i take this tablet or not... why shold i take this tablet... pls answer this question. Thank you Doctor: Hello, You should know that AKT - 2 is a combination antituberculous drug and the feverish feeling that you are having is not due to the tablet but due to tuberculosis itself it will gradually go away. So don't worry and have patience. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Prabhash Verma, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can intake of ATK-2 cause side effect like fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my doctor advised that I should take a hormonal pills because of my polycystic ovaries.. I should take it on the 2nd day of my period. unfortunately, my monthly period was delayed. Before she advises me to take duphaston if ever my period was delayed.. If I took the duphaston and my monthly period started, is it ok to take the 2 meds both in a day? should i complete the 5 days medication of duphaston or should i stop it as soon as i have my period? thanks Doctor: Hello, You should stop Duphaston since your period has arrived. You should take combination pills on the second day of the current period. It is not good to take Duphaston and the combined pills together so you should stop Duphaston. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olgeta Xhufka, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can the medicines, Duphaston and hormonal pills for PCOS be taken together?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is Ismael massa, I have a TBI but now have been rehabilitated for 26 years. How ever feel is my responsibility to help my exwife, that as a concequence of my accident, she's not mentally stable. Jenny my exwife name's, after 28 long years, I,ve accepted talking with her, that's when I confronted a double personality on her. we have a 30 years old daughter in common. I think her new husband has abandoned her , I will not abandoned her. How can I better help? Doctor: You know her problem of mental instability due to head injury.be compassio ate with her n speak to her n listen to what she speaks n if required take a psychiatrist help.now your main duty is to support ur wife n also daughter.give her confidence n assurance that u r always thereto help her in all daily activities n give her the required care."
},
{
"from": "gpt",
"value": "Target: Have a Traumatic brain injury and mentally unstable. Suggest suitable way to improve my life"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father is having open heart surgery Feb. 7th. I'm a massage therapist. I have been working for 2 years and studying for my national boards. my question is post surgery for my dad what, if any, kind of massage strokes would help him with his recovery? Doctor: HIWell come to HCMI really appreciate your concern, if this is the history of cardiac surgery (Open heart) then there is special program available called cardiac rehabilitation program and this can be tried only when it is being advised by cardiologist else no is there for any massage therapy, hope this information helps, take care."
},
{
"from": "gpt",
"value": "Target: Will any kind of massage strokes would help him with his recovery after the surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: can you tell me if the following could cause pain in a knee: 1) there is diffuse thickening involving the superior aspect of the medial collateral ligament 2) There is increased signal involving the medial epicondyles, patchy increased signal involving the lateral tibial plateau. These findings, most probably, foci of residual red bone marrow. 3) focal tendinosis of the dismal quadriceps tendon, focal tendinosis of the superior patellar tendon. what does all of this mean? Doctor: hi hope this msg finds u in good health u seem to have tenidinopathy n degeneration of knee ligaments there is nothing to worry bout it causes some pain. .but may subside eventually thanks Take care God bless"
},
{
"from": "gpt",
"value": "Target: What causes knee pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am Swadhin . My mother is 62 years old . She was operated thrice for Rt. sided Humerous fracture. First time the operation was done with a steel rod to fix the bone. But there was no success . Again the rod was removed by operationb. Then the third time again a rod was placed there again. Now it is about 6 months later , the hand is infected and the bone is still same as the earlier , no joinining . Doctor said that this is now a case of osteiomeliteus . What will be the result at last. I am hope less. The treatment is running for about 2 YEARS..Please give me suggesstion to overcome this. I am from India , West Bengal. Doctor: Hello,I can understand your concerns. It looks that your mother is suffering from infective non union. Looking at complete details the present treatment is Ilizarov fixation. The present implant (If it is there) have to be removed & bone should be cleaned of dead and infected part. Then this fixation can help very well. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fracture in humerus as rod didn t fix it"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My mom has high blood pressure Every morning she eats A Losartan pill (25) + And half Hydrochlorothiazide and every night she eats A Losartan pill (25) + And half Hydrochlorothiazide + An Atorvastatin pill Tonight he mistakenly eaten the Losartan and Hydro pills twice 40 minutes after that, her PB was 13 on 8 30 minutes later, her BP was 13 on 8 again Is it ok? Doctor: hello thanks for posting here.She has accidentally taken an extra dose of losar and hydrochlorothiazide. 130/80 is a good BP. she will be able to tolerate the extra dose well so you need not worry about that. only thing she may feel is dehydrated or thrist or increased urination due to hydrochlorothiazide component. you can give her some additional water to drink today. thank you"
},
{
"from": "gpt",
"value": "Target: What causes fall in blood pressure after taking Losartan?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir/Madam, I am from New Delhi (India). My wife was treated with relapsed Abdominal Tuberculosis in 2011 and she completed her treatment (Lasted for one year) in the month of Apr-May 11....and post which she gave birth to my second child in the month of Feb 12. Now suddenly she is complaining some sort of strain in the stomach early in the morning hours hhowever during the day there is no such complaints. Once we finished the treatment for lymphnodes in stomach all the nodes were vanished except one, to which the doc said this could remain there and harmless since it did not increase. Could you please help me identifying the further possibilities of treatment? In case the desease reccure. My blessings to you for having such portal. Thanks alot sir. Best Regards AAAAA Doctor: Hi, Thanks for posting your query. Recurrence of abdominal pain doesn't indicate recurrence of tubercular lymph nodes. Does she has fever/ loose motion/ vomiting/ spasmodic abdominal pain? She may have acute gastroenteritis. You should consult with physician and should go for repeat ultrasound imaging to detect status of lymph nodes. You should take proper treatment. Take care, Dr. Mayank Bhargava"
},
{
"from": "gpt",
"value": "Target: Strain in the stomach early in the morning. Was treated with relapsed Abdominal Tuberculosis. Is it recurrence ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doc....i frequently hav pail in my lower back with pain going in 1 or both legs.....docs say its because of spasm.....my xray shows loss of lordosis.....i work on daily basis after goin on NUCOXIA MR or ACCLOFENAC with PARACETAMOL but this time pain is not goin. i m 35yrs of female with a sitting job of 4-5hrs on compters. 1st time pain was on left side which setteled with anti spam medicine within 4 days......after 1 week, pain was on right side as if i got som muscele pulled....pain went to 1 leg.....again i got releved with MR within 6days........i again got the pain after 15days dat is now & i m not gettin relieved even aftr 15days.....HELP Doctor: Hello, Thanks for writing to usThe low back ache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation).Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time.Having said that, you might want to consult your orthopaedician for a detailed physical examination and appropriate investigations. It might help with few medications and physiotherapy for a few days. Physiotherapy particularly lumbar traction for a week and back strengthening exercises after pain relief work well.Hope this helps you. Let me know if you have any more concern."
},
{
"from": "gpt",
"value": "Target: How to cure frequent pain in the lower back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father has been diagnose with CHF. He is in the hospital now and had an agiogram. The result were that he had a very leaky valve and bypass/valve surgery was recommended as an option. He has had a pacemaker for about 10 years. He is pretty tough. What should we do? Doctor: Hi ThereI understand your concern for your fathers health and i would like to advise you that the leaky valves could be contributing to the CHF (Congestive Heart Failure) of your father. If you have any doubts with their treatment advise then you can go for a second opinion to another cardiologist personally as your father needs to be evaluated in person before making a decision.Wish Him Good Health"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for CHF"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello I had surgery a week ago to remove a softball size sterile abcess but im very bloated I fill full all the time and have nausea after eating or after having one cup of coffee I also have chills I was at the doctor a few days ago and he said I had no infection in the wound but im even more swelledand my stomach fills tight Doctor: Hello,The symptoms seem to be related to bloating. I suggest using Simethicone medications three times a day. I also suggest to avoid food that can trigger the symptoms.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for swelling"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My blood pressure has been going up and down. I’ve been recording it for the last 3 or 4 days but has been running anywhere between 94 over 51 to 177 over 101. Well tonight it was 189 over 101. I took an extra half of my blood pressure meds and I have an appointment Thursday at 12 pm should I wait or go to hospital Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is no need to hurry for the hospital as of now, As you have already increased the dose of your medicine by taking additional dose so you can wait for sometime and then record your blood pressure again. Also if you are not having any symptoms of headache or uneasiness then you can safely wait. Avoid having extra salt in your diet as that will further increase your blood pressure. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can blood pressure levels be kept under control?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For about a year, whenever I bump into something I get like a permanent dent in the area. I bumped by thigh on a table and now there is like a dent in the muscle. Same thing with my forehead. Seems odd, never been like this before. But I am 40yo now. Should I be concerned? Doctor: Hi, These dents following injury may be because of poor muscle tone. You must do regular exercises in a gym. Yoga-based exercises will perhaps help you more. Take a normal balanced diet rich in multivitamins and antioxidants. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: Why am I prone to dents on body after an injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a68 yr old female. I had a bone density test that showed liver cysts.My Dr sent me to a gastronologist who had me get an ultrasound. My DR told me a couple of the cysts were very big and called it a \"complex cyst\". He sent me for MRI. After the results he has scheduled me to se a liver specialist. That office scheduled me for an evaluation appointment. I am very uncomfortable about this. What is an \"evaluation appointment\" ? Doctor: Hi, thanks for writing to HCM.Evaluation appointment means subjecting you to thorough and complete clinical examination and investigative procedures to know the cause of cysts in the liver and to make an appropriate diagnosis. So dont panic and getting everything doneWish you good health. Regards"
},
{
"from": "gpt",
"value": "Target: Had bone density tests showing liver cysts. Diagnosed as complex cyst. Advised evaluation appointment. Meaning?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a healthy 53 year old woman who has just been diagnosed with a Klebsiella/Strep Group B oral infection. Treatment is 875 mg. Augmentin twice a day for 10 days. After only 5 doses, the white coating on my tongue has completely disappeared and I have energy back as well, but there is still some burning sensation on my tongue and roof of the mouth. I am not sure how the infection was contracted- perhaps a possible infected toothbrush that I used consistently for 5 days or so. Is this an overly serious infection, or will I do well on the Augmentin given that there has been significant improvement so far? I don't know much about these strains of bacteria, and everything I read on the internet is just rather scary. Thank you.. Doctor: hello and welcome to HCM forum,I would be glad to answer your query,I would like to inform you that continue taking antibiotic medications and the symptoms will subside.kindly see your dentist at regular intervals as sometimes along with antibiotics , nutritional supplements have to prescribed to hasten the healing process.do not worry you will be fine soon.i hope i answered your query.i wish you good health.take care."
},
{
"from": "gpt",
"value": "Target: Diagnosed with Klebsiella/Strep Group B oral infection. On Augmentin Is this medication enough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI SIR, I HAVE BEEN DIAGNOSED WITH HEPATOMEGALY ( FATTY LIVER ) AND MY LIVER ENZYMES ARE ELEVATED SLIGHTY. THEN MY DOCTOR ASKED ME TO TAKE UDILIV 300 AND RAZO 20 FOR 1 WEEK. AFTER 1 WEEK MY LFT REPORT SHOWS NORMAL BUT BILIRUBIN IS SLIGHTLY ELEVATED. I AM A NON - SMOKER AND NON-ALCOHOLIC. I AM TAKING UDILIV 300 AND RAZO 20 FOR MORE THAN ONE MONTH. PLEASE SUGGEST ME TO HOW TO PROTECT MY LIVER AND HOW CAN I MAKE IT NORMAL. Doctor: Increase the dose of udiliv .Take Essentilae L Cps and Lornit tabs alon with your prescribed medication,your levels will reduce."
},
{
"from": "gpt",
"value": "Target: Diagnosed with hepatomegaly, have elevated bilrubin even after taking udiliv, razo. How can I normalize it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Doctor suggested my father, age 82, tablet Levilip 500 (1/2 Morning and 1/2 Evening) for a fit (very occessional). But they feel weakness and Imbalance. In 2005 to 2007 Doctor advice them for Eptoin. I think this tablet is more suitable for them. Should I ask doctor to change the medicine Doctor: Hi,He seems to be experiencing from the undesired side effects of Levipil. You may ask his treating doctor for an effective alternate drug like Eptoin or dose adjustment of Levipil to overcome these side effects. Hope this will work and avoid the side effects.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Should i change the medicine after experiencing weakness and imbalance?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: medical history consists of anemia , irregular menstrual cycles, c-section, and tubal ligation I am currently 9 - 10 weeks past my last period. My periods have never been on a 28 day cycle usually 7 weeks apart at the latest. In 2007 I had a tubal ligation after the birth of my last child via c-section. For the past 4 weeks I have been experiencing several symptoms: Sickness (for 1 week), lower back pain (off and on for 4 weeks ranging from minor pain to fairly moderate pain), cramping (like menstural cramps off and on for 4 weeks), mood swings, headaches, and fatigue, bloating , and minor weight gain. I did take a home pregnancy test 3 weeks of go for fear of a tubal pregnancy but it came back w/ a quick negative. I ve been told that this could be PMS but is it possible to have PMS symptoms for over a month ? My medical history consists of anemia, irregular menstrual cycles, c-section, and tubal ligation. Thank you for any help you can give me. It is very much appreciated! Doctor: Hi well come to HCM. PMS symptoms can last even longer than a month if your Doctor has said it come out of anxiety that will help you a lot. Symptoms you have listed all fits in to PMS. Thanks"
},
{
"from": "gpt",
"value": "Target: Is it possible to have PMS symptoms for over a month ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Dr. kindly let me know ifi gave the sperm for test after 12 hours the result is 30million/cu.m.m sperm count motility is actively motile 5 slightly motile 50% dead 45 % abnormal forms 30- 40 % what are the chances of pregnancy if i have sex in my fertile days? Doctor: Hallow Dear,I do appreciate your concern. Though only one sperm is required to fertilize the ovum, it has to travel up to the egg. Lower the percentage of good motile sperms, lesser are the chances of conception. Your good motile sperms are hardly 5%; hence the pregnancy cannot be guaranteed though not impossible. I feel you may choose one of the following options if natural conception fails:1. Intra Uterine Insemination : The sperms after capacitation are directly instilled into the uterine cavity2. Intra Cellular Sperms Injection : The healthy single sperm is injected in to the ovum. 3. In Vitro Fertilization : The egg fertilized outside the body and then is instilled in to the uterine cavity. I feel one of the first two should be appropriate for you if natural fertilization fails. Best Wishes,Dr. Nishikant Shrotri"
},
{
"from": "gpt",
"value": "Target: What are the chances of pregnancy after sex in my fertile days?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi!i would like to ask about calcific density....in my medical the result of my medical (x-ray) is an irregular calcific density in the upper left lobe,what is it?they didn t xplain me bout that.and they said they can t give me a treatment for that matter.pls answer it.and i feel something to myself.i always felt a head ache and a weak body.thank u and god bless! Doctor: Hi, Calcified opacity in upper lobe is most commonly due to tuberculosis. Get your CT scan done to confirm the diagnosis. Do you have cough? Rise in temperature in the evening or weight loss? Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What does calcific density in upper lobe suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My almost 3 year old woke up yesterday morning and seemed to have weak legs. She said somethings g was wrong. She would go down on her hands and knees then get back up. She did the same this morning but when I asked her she said her feet hurt. She is just this way for the first little while after waking up. She has been having trouble sleeping lately and I often find her awake I. The middle of the night. She seems very fidgety and squirmy in her legs. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Diagnosis: Growing pains as children growing bones will stretch it causes pain during night times. rx: if pain severe just give syp.paracetomol( sos). Do some massage gently. No need to be tensed. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain and weakness in the legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: can kindney failure cause numbness in my right leg? im 44 5 11 175lbs and have had kidney stones in the past. Doctor: welcome to healthcaremagic you are too worried about your past renal stones numbness in right lower limb most probably not related to kidney failure you should consult physician and get yourself examined to find out the cause of numbness in one limb it may be due to some vit deficiency /some peripheral neuropathy proper diagnosis and treatment should help you get renal functions tests done to be tension free as regard to renal failure"
},
{
"from": "gpt",
"value": "Target: Can kidney failure cause numbness in my right leg ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been having severe sciatic pain for 4 months, mri showed stenosis and bulging disk L 4-5, have taken zpack whiched helped 3 days and having pain again, my doctor has ordered and epidural,,wondering if this is wise, or should i go for surgery. or will the epi be enough. will i eventually need surgery.. i have such spasms that i cant walk at times. Doctor: Hi,Thank you for posting your query.The pain is related to the slipped disc and pinching of the nerve at the lower back.Initial treatment consists of medications such as pregabalin and gabapentin. Physiotherapy is also helpful.If the pain does not improve with above, then epidural injections and surgery are the next options.Epidural is a standard procedure, and I think you should go for that now. Surgery can be reserved for last.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/"
},
{
"from": "gpt",
"value": "Target: Severe sciatic pain, MRI shows stenosis, bulging disk. Zpack provides temporary relief. Surgery ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been under treatment for chronic pain management due to 5 bulging disc in c spine with osteoarthritis and degenerative disc disease, also have fibromyalgia and depression from dealing with continious pain and fatigue, I am on oxycontin 10 mg four times a day as needed, mscontin 30 mg twice daily, flexeril 10 mg 3 times a day as needed, and prozac 40 mg daily along with diazide and potassium for hypertention, was on lortab, had elevated liver enzymes, then placed on oxycontin, liver functions normal now, but ultrasound of liver, and liver biopsy showed mild fatty liver, steaois. what should I do to prevent further damage, or what can i do to improve liver statis, I am 5 ft and weigh 133. Doctor: Hi. YOu should treat it by changing dietary and lifestyle habits combined with medicines you have mentioned. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated drinks. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If you dont have any symptoms then this is just slight and reversible liver damage.Wish you good health."
},
{
"from": "gpt",
"value": "Target: Having treatment for chronic pain management. Now biopsy showing fatty liver. Suggestions on how to improve this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 9 month old has excema, and it came to a stage where a strong steriod cream had to be used to help it. Im using it along side diprobase. I have been told to use the steriod when it gets bad, however, sometimes a period of only 7 or 8 days go by before i use it again? is that too soon? and is it ok to apply to the nipple area, as thats where she gets excema too? Doctor: Hi!there is no harm in using the steroid when your child eczema worsens; as it greatly controls the condition and relieves your childs discomfort. it can be applied in the nipple area too, but make sure you dont exceed the amount recommended by your doctor. steroids are better jus applied and not to be rubbed into. concentrate more on applying diprobase. apply liberally , jus after you give your child a bath with a mild soap."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for eczema in an infant"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I take a variety of medications for high blood pressure to anxiety meds. . My problem is in the past month my hands jump , it is hard to hold things like type on my i-pad Or hold a glass of water, I am worried. Doctor: Hi, It may be tremors related to anxiety. As of now, try to avoid unwanted stress and anxiety. If symptoms are severe, then consult a neurologist and get evaluated to rule out neurological causes. Once neurological causes has been ruled out, you might require anti anxiety drugs for further management. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes sudden jerks in the hands while on medication for anxiety and high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m 27 yrs old with 5 yrs kid. i m trying to conceive last 5 months n my ultrasound follicular monitoring is on 13th day 16,12,10,10,8,7,7 of rt ovary n 9,8,7,7,6,6 of lt. ovary n endometrium 4.8mm n my lmp 24/6/11 which time is gud for preganancy.my wt is60kg,ht 5'5feet no medical histroy Doctor: Hello, Thank you for your query. Would you clarify a few things for me please? *These numbers, do they indicate the follicle's sizes of each ovary on day 13 of your cycle? *how long are your cycles? *are your periods regular? *did you conceive naturally the first time? *have you been on any contraception in the past 5 years? If so, what? Your follicular study suggests Polycystic ovaries. Endometrial thickness is less for day 13 as well. (assuming you have regular 30day cycles) I recommend :-a fertility specialist consult -estrogen, follicle stimulating hormone, Leutinizing hormone levels on day 3 of your cycle. -ovulation induction to regulate & stimulate ovulation. -thyroid hormone levels, prolactin levels & complete blood count, if clinically indicated -if cycles are regular : basal body temperature monitoring & ovulation prediction kits to help detect ovulation date. This day and the 3 days prior to this are you most fertile days. Have regular intercourse (every alternate day at least) in the middle third of your cycle. -take a folic acid supplement for. -intra uterine Insemination may be required of ovulation induction alone doesn't work out for 3-4 cycles.. If your husband smokes, it would be advisable for him to stop ad it affects sperm quality Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health"
},
{
"from": "gpt",
"value": "Target: Which is the proper time to get pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just found out I m 6 weeks pregnant and I had smoked marijuana last week before I found out. I haven t went to the Dr because I m afraid if they do urine or blood tests I ll fail and lose my kid. What can i do? I drink lots of water and im sick alot plus I ve had the flu. Doctor: hi, though smoking marijuana or cigarettes is injurious to you and your developing baby but it should not cause abortion. If you feel you are pregnant then you should get your urine pregnancy and blood beta HCG levels done which can find if you have healthy gestation for your term. Also drinking water and Flu should not be factor in pregancy tests. You should not delay as you need to be started on folic acid tablets for the growth of your baby ASAP."
},
{
"from": "gpt",
"value": "Target: What can be done to remove Marijuana from the system during early pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had pain/pressure in my upper left chest area over my heart for two days. The right side of my abdomen is also very soar. (I have problems with IBS). Is this gas pain or something more serious? I am not sweating or have shortness of breath. I am not sick to my stomach either. But the pain radiates to my left shoulder and arm and my neck is a little soar (but on the right side), my heart fells like it s pounding and I ve been really tired. My bp isn t high, though I do have high cholesterol and family history of heart disease. I have taken 2 antacids but have gotten no relief. I have been under ALOT of stress lately and have not had much of an appetite. I don t want to go to the doctor unless I absolutely have to because I just went last week for a possible sinus infection. I was given amoxicillin (which I ve almost finished) and Nasonex to treat allergy symptoms. Besides the antacids, those are the only other medications I ve taken. Is this as bad as I think? I hope not. Doctor: welcome to hcm ..please see as you have taken two antacids with no effect so there is no point in taking repat antacid .as your heart is pounding and you have strong cardiac family history i suggest that you should go to emergency room and get yourself evaluated by ecg and repeat bp checking .please donot ignore if ecg is normal i would recommend paracetamoul 500 mg three times for pain and tab pentprazole 40 mg two times for gas like thing"
},
{
"from": "gpt",
"value": "Target: What is the treatment for chest pain and high cholesterol?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had ACL surgery 7 years ago and in the past week noticed a hard, painless, bone like lump on the outside of the knee I had surgery on. It moves slightly when I extend my leg but otherwise is very hard. It s about the size of a large marble. Sometimes my knee aches and swells up but it always has done that post surgery. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The lump on the knee can be related to bursitis or a fluid collection. This needs direct examination or MRI scan to find the cause. I hope this information has been helpful for you. Regards, Dr. Praveen Tayal"
},
{
"from": "gpt",
"value": "Target: What causes a lump along with pain and swelling in the knee?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my mother has parkinson disease/ dementia and heart failure she has recently been complaining of a spongy feeling under foot. Also she has had at least four occasions in which she struggles to breath turns blue around the lips becomes very weak and wets herself. I have reported this to our local GP and her mental health team all of whom seem puzzled she is due to see her neurologist next month but today she has said she is getting a very cold feeling down her body and a feeling of fluid trickling in her head Doctor: Hii understand your concern.Blue lips means cynosis and cynosis need to evalute in detail.Blue lips plus she struggles in breathing then respiratory illness or obstruction is most likely.Cynosis require immediate medical assistance. It is occur due to decrease oxygen saturation in blood.So do consultation to physician as early as possible and get help.Take neurologist or psychiatrist opinion there after but 1st priority is to consult physician for medical problems.I hope i have answered your query.Thank you."
},
{
"from": "gpt",
"value": "Target: What causes shortness of breath, blue lips and incontinence?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello there, I suddenly a few days ago when i was eating bread i noticed my jaw crooked while i was eating, when i try to open my mouth widely my jaw gose to the left side a bit , i dunno how this happen but any advise for that? it started to bother me with the sounds like cracking sound if open my mouth and close it Doctor: sometimes it may be due to impacted third molar. Make an appointment with your dentist . Your dentist may also examine head, neck, face and jaw to see if there is any tenderness. Eat soft food so you don't have to chew food too long. stop wide yawning ,chewing gumsnd biting nails .Stop any habits, such as clenchingyour jaw or grinding your teeth."
},
{
"from": "gpt",
"value": "Target: What causes crackling sounds while chewing food?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with a severe form of coxsackie virus. I am an adult and had the blisters everywhere including 100s of them on my head. I am on day 7 of my illness and my hands have started to peel. However, the tips of my fingers are numb. Will this numbness soon disappear? Doctor: Hi XXXX Thanks for your query at HCM! I am Dr. Sheetal Verma an Infectious Disease Specialist answering to your query! I went through your query and understand your concern. Most enterovirus coxsackievirus infections are usually mild and resolve spontaneously; however, intensive supportive care may be needed for cardiac, hepatic, or CNS disease. IV, intrathecal, or intraventricular immunoglobulin has been used with apparent success in some cases for the treatment of chronic enterovirus meningoencephalitis and dermatomyositis in patients with hypogammaglobulinemia or agammaglobulinemia. With time improvement will be seen. Be in regular follow up with your physician. Hope I have answered your question. If you would like some more information I will be happy to provide. It would be kind if you hit a thanks if found helpful. You can also write a review for me. Wish you good health Take care! Wish you best of Health. Dr. Sheetal Verma Infectious Disease Specialist"
},
{
"from": "gpt",
"value": "Target: How can a severe form of coxsackievirus and blisters caused by it treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started to workout for the first time in a while yesterday doing the elliptical machine and about 10 mins into my workout my bottom teeth started hurting. It got so bad that i had to stop my workout. The pain was a combination of sensitivity and throbbing pain. It has been 12 hours since then and they are still bothering me. I workout on and off again and have been for years and this is the first time anything like this has ever happened to me. I am concerned that it can be related to a heart issue. Can you please help? Doctor: Thanks for your query, I have gone through your query.The tooth pain and your work out is not related to each other, it might be a co incidence that tooth pain has started while you are doing exercise. Nothing to be panic, consult a oral physician and get it evaluated. The pain can be because of the tooth infection, secondary to decay or abrasion or attrition. Till you consult your dental surgeon, if i am your treating doctor, i would have suggested you to take a course of antibiotics like, amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic).I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What causes severe pain at bottom of teeth after workout?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my sister is 30yr old having pshycratic problem since 2003. after treatment of 5 yrs she got cured .since last 1 and half yr she was behaving abnormal as her marriage was not getting fix. so we started treatment. and doctor has prescribed RISDONE LIQUID .she got cured. A month before she got married . but she started behaving again abnormally immediately second day of marriage as she did not like the atmosphere in her law's home. now she is return back to parents home. she is not active,not showing any interest in anything, not cming out of home,using abusing language,forgetting things,all the time lying on bed,not finishing complete cooking, forgeting to cook n turn of gas,not talking properly,if smone calling not responding in 1,2,3 calling, laughing alone. not ready to consult doctor,please suggest smthing.we continued her with risdone liquid 20 days before but very less improvement. Doctor: HelloThe patient has shown good improvement in past with risdone liquid so i hope that it will help even now. In such cases i recommend the dosage to be increased. You have not mentioned what dose she was in having now but it is better to increase it by 1 or 3 mg till 8-10mg is achieved. Monitor the side effects and response. Try to keep a check on her so that she might not harm herself or other people.It is nit uncommin that after marriage the symptoms re emerge. Idealky the medicine s are nit stopped at such occasions till the patient gets adjusted to new set up.Hope this helps youDr. Manisha GopalMd Psychiatry"
},
{
"from": "gpt",
"value": "Target: What causes depression and memory loss in a 30 year old for which Risdone is not of much help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 year old had an upper endoscopy almost a month ago under general anesthesia. He had biopsies, and also a 20 hour ph impedance test. He has not been moving his bowels as normal since then. He is exclusively g tube fed, so since his diet is always the same, I wondered if the constipation could be a symptom of something hard during either of those tests Doctor: Hi,Thank you for asking question on health care magic.Exclusively tube fed baby usually have constipation as he is only on liquids.Calorie dense and fiber containing foos regularise the motion.You may try lactulose syrup 2 times daily to ease constipation.I do not think the tests have any relation to constipation.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: Is my child suffering from constipation after endoscopy and biopsy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last month I had carpal tunnel surgery with 2 pregnancy tests given both were negative. I have missed my period this month so I took a pregnancy test. It came back positive. My tubes are tied, so went to my dr. She gave me a pregnancy test, came back positive, then a blood test, came back positive. Got an ultrasound done, and it showed a cyst on my cervix. Don t see a OB/GYM until Monday. Is the cyst causing the positives or could I be pregnant. Wait is killing me. Doctor: Hello dear,I understand your concern.In my opinion the cyst in the cervix will not give positive test.The positive pregnancy test indicates pregnancy.But not finding anything ultrasound might be due to early pregnancy.So I suggest you to repeat the ultrasound after a week or 10 days.If still the ultrasound shows negative findings then the pregnancy will be ruled out and the cause for positive BHCG test should be ruled out.The other causes of increase in BHCG level are ovarian masses.So they need to be ruled out.The transvaginal ultrasound might be more accurate in diagnosing the pregnancy or any abnormality of uterus or ovaries.So repetition of ultrasound might help in diagnosis.Nothing to worry.Hope this helps.Best regards..."
},
{
"from": "gpt",
"value": "Target: Can presence of cyst cause pregnancy test to be positive?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr, My problem is semen liquefaction time, it is more thanthan the reference value. And I planing to go vacation after one month, so please advice me to use what kind of medicine that solve this problem. Thanks Mukesh Doctor: Hi usually semen liquafaction time can be increased by evion lc tablet and taking balanced dite.actually there is no need for san liquafaction hass it is nill significant.we can also try vitamin c and neurokind plus tablets which also increases the liqufaction timed.many ortodox medicines are prescribed"
},
{
"from": "gpt",
"value": "Target: What medicine should be taken for semen liquefaction time being more than reference value?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have constant pain on upper right side of my back near my spine. It often feels like air bubbles. They often worsen with stress. I believe i either strained a muscle or pinched a nerve in this area about 15 years ago lifting something heavy. Now the pain is now accompanied with air bubbles that move around as i stretch or sometimes by themselves. Doctor: Hello, Thanks for your query.From description , it seems you might developed muscular or ligamentous strain over back .Now if pain is constant ,I would suggest getting this evaluated by an orthopedician for an accurate diagnosis and appropriate management. You may get the MRI of the area affected under his/her guidance.Meanwhile following measures will help with the pain• Lie on a hard bed.• Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required • Avoid forward bending.• Avoid strenuous activity & lifting heavy weights.• Apply diclofenac gel on the affected area. Warm compresses will also help.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: What causes constant back pain near spine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,j got bitten last week from some fire ants, I thought I had a virus for the 2 day wasn t able to do anything, had chills possibly a fever never checked. However, a week later I got up to walk and felt almost paralyzed and unable to stand properly on legs. Finally went to the CVS to let them pharmacist know my systems and she gave me some benedryl and cortisone which soothed the pain; however, my question is, will this do because from reading about the fire ants they say if you are bitten by them seek medical treatment immediately, their venom has been in system for 7 whole days without treatment only day and night quil with ginger ale and orange juice. Doctor: hi sir/madam,Thanks for your question on Healthcare Magic.When bitten, there are certain Do’s and Don’ts. Follow these, and you will be free of any insect-ridden problems.DO’s:-1. When you are stung, on the arm or leg, the first thing to do would be to lower that part of the body in order to prevent spreading of the venom. Later, to reduce swelling, elevate that part of your body.2. Whenever your body moves, the venom spreads faster and so, it is advised that you stay seated or rest on your bed.3. If the area is getting bigger, swelling rapidly and becoming redder, it would be best if you went to a doctor immediately for medical attention.4. If the person has been stung in areas such as the mouth or throat, or the person appears to be going through an anaphylactic shock, visit a doctor as soon as possible.DON’Ts:-1. The most common reaction to a bite is to scratch that particular area. Well, the truth is, you shouldn’t. It only worsens the problem and increases the risk of infection.2. If you try to experiment with the area where you have been stung, such as rubbing or squeezing, things will only get worse.3. If blisters are formed, do not break them.Home Remedies:-Tackling this problem at home isn’t difficult and there are a number of home remedies that one can adopt to help tackle insect bites and stings.1. Remove the sting and wash it with water using some soap or antiseptic hand wash.2. Soak a cloth in cold water and apply on affected area and press gently.3. Baking Soda – apply it on the affected area and it will help neutralize the acidic nature of the sting. 4.Crush Tulasi leaves and apply the paste on the affected area.5. Turmeric and sandalwood – apply half a teaspoon of each to the wound for healing and a soothing sensation.6. Neem – mix neem powder with water to create neem paste and apply it at site of wound for 15 minutes.7. Banana – the inner part of a banana, i.e. The inner skin when rubbed on the site of bite, helps reduce swelling and irritation.8. Coriander – take 2-3 teaspoons of coriander juice and apply on site of the bite. To make the paste, add and crush coriander leaves and mix with one-third cup of water.Ayurvedic medicines used are:-1. Somraji Tail:- apply over the affected part.2. Nalpamaradi taila:-Local application.3. Gandhakadya malahara:-Local application.4. Shatadhouta ghrita:- Local application.5. Bilvadi gutika:-1-0-1 with water after food.6. Kaishora guggulu:- 1-0-1 with luke warm water after food.Hope i was helpful.Stay Healthy,Believe in Ayurveda."
},
{
"from": "gpt",
"value": "Target: How can allergic reaction to fire ant bites be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: mass left lower abs and small heria in side mass is hard and breaks apart swelling across lower abs .had a kidney removed with a large mass 1998. lost all muscle left side in 2014 intestines all fell to lower abs.Mass is goes completely across lower abs .moves every breath taken pain all the time .mass is hard and breaks apart into small parts go into hips ,have hard time sitting .much pain DO YOU KNOW WHAT IS WRONG ? Doctor: Hello and welcome to HCM.As an Urologist, let me advise you to get examined by a Urologist.From your description, it appears to be a recurrence of the previous mass of kidney, or a similar mass. After check-up, you'll need to have urine and blood routine tests,including creatinine,sugar,LFT, ultrasound scan of abdomen, and most likely a contrast CT( CECT) scan of the abdomen, with a chest X-ray.According to reports,further treatment will be advised. You're welcome to send a copy of the reports to me,for an expert opinion.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Can any online doctor help me with the following results?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Am 27yrr old a student,for the past 3wks of so i developed some sort of do i say vomiting blood or.fresh non clotted,no hx of trauma,i never take alcohol.but i have experinced some sorts of night sweats for the 2wks.i suspected pulmonary tubeculosis but my worry is the amount of blood i produce.My ESR is 49mm/hr.what could be the diffrentials Doctor: Hi thanks for contacting health care magic...ESR is non specific measures ...It can be elevated in many inflammatory and infective condition as well in tumours.Your physical examination is necessary first...First it could be from tuberculosis e bronchitis or other respiratory pathology.Chest x ray can be done...If suspected TB , sputum examination done for it....For it AKT given .And for bronchitis antibiotic given..Vomitted blood could be from liver pathology.So palpate liver and investigate with liver enzymes study and PT plus serum protein.If present then variceal bleeding also can be there.Gastritis sever or bleeding peptic ulcer also can lead bleeding .For above two condition endoscopy needed.Take care"
},
{
"from": "gpt",
"value": "Target: What can cause blood vomits and night sweats?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My right big toe hurt when i touch it and to my surprise when I removed the nail polish the nail was dark green. I proceeded to file the area and upon doing that the colored section of the toenail came off. now the toenail itself doesnt hurt but the area around the joint of the toe hurts and if i squeeze my toe clear liquid comes out through the section where my toenail came off. Doctor: Hi,In my opinion this is a type of infection usually fungal or bacterial. Unless there isn't a cyst or an abscess under your toe or your skin. I don't think you have to worry about it. Try bandaging your toe properly after applying topical anti-fungal or antibiotic ointments (nowadays there are oints that have both with addition of steroid). Avoid moisture, keep your toe dry clean and dressing it with bandaging and oints twice a day for 3 to 4 days would be enough. If it persists for more than a week I would recommend a dermatologist. Hope the above information helps you. Any further clarifications feel free to ask. Regards,Dr. Ahmed Aly Hassan"
},
{
"from": "gpt",
"value": "Target: What is the solution for hurting in toe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently had blood work come back with very mildly elevated liver enzymes . I m scheduled for an ultrasound on Dec 18 but last Saturday I went to the ER with periodic sharp pain above the right groin area. I was concerned about appendix issue but I was released and since then I haven t had an episode as bad but still the odd pain. Also for the last month I have had a dull ache below the ribcage on the right side. I ve also noticed a lot of lower back fatigue on the right side and frequent urination . No fever or loss of appetite/nausea. No jaundice . Regular bowel movements, although there is sometimes some constipation. Any ideas as to what I might be experiencing? Doctor: Hi andrew ! You are saying frequent urination, go for diabetic test. If pain in groin area did you think it may be hernia. if both are not true as diagnose. Then eat healthy and consult the doctor. Bye be healthy. Bye."
},
{
"from": "gpt",
"value": "Target: Mildly elevated liver enzymes, sharp pains in groin area, dull ache below rib cage, frequent urination. Any ideas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my self Narendra, My son 4.5 months old, he is quite growing good and does not cry or some thing in day time. But when it comes in night times, He normally sleeps for one or one and half hours and gets up and then his mother has to feed him milk and then he sleeps for one or one and half hours and that s how night goes. I am really not understanding why it is happening to him. Also when he gets up, he rolls himself on stomach and tries to sit and starts crying until unless him mom does not feed him milk. I just want some suggestions whether he is OK or any thing wrong that we are not able to understand that he is probably feeling or so. Even we went for his vaccines today and consulted doctor about the same and doctor says that it s OK and baby does not have any problem. But only question I heard that if baby does not take long sleep in night than it affects babies growth. Is that correct? Looking for some good response on this. --Narendra Doctor: DearWelcome to HCMWe understand your concernsI went through your details. The sleeping behavior your child shows is quite normal. Your doctor said this is normal. \"Sleeping through the night\"is not achieved by babies almost before 12 months. The sleep pattern you here is the ideal one for the child. Because the child is sleeping almost for around 15 hours day, because the child is taking liquid diet and therefore it digests fast and it needs replenishment etc the child often asks for food and then the sleep breaks. Nothing to worry about this.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: Is it normal for 4 month old to wake inbetween at nights?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is twleve years old. He normally takes Zoloft 150 mg for depression and anxiety. Alavert 10mg for seasonal allergies. Folic acid and melatonin and a probiotic. This evening he took equate motion sickness 50mg and has been upset crying and still nauseated. He is allergic to codeine. I m just wondering if this is an allergic reaction or a drug interaction? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I do not think that this is an allergic reaction. By what you say I feel that it could be a drug interaction rather than allergy.I suggest you get back to his pediatrician or psychiatrist regarding this please. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes nausea post Equate motion sickness relief tablet intake?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 38 year old male. I am 5’ 10” tall and weight 230lb. I have a very large tubular lump going down the center of my stomach. It only sticks out when I am lying flat on the floor and trying to site up right. It rises up about a 1” and a half inches about 8” long and 2” wide. Please help.. Doctor: Hi,From history it seems that there might be having weak abdominal recti muscles producing bulging while getting up.This might be due to abdominal hernia.Consult surgeon and get examined.Avoid constipation and cough reflex.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for large tubular lump on my stomach"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am doing hand practice from last 7 to 8 years. Now i am facing a problem of discharging very soon while mastrubuting and i am also very skinny. The point is i am going to get married in 5 months so is there any way by which i get my self improve. What if i stop mastrubuting for 5 months? Will it help? Plz give me helpful answer i am very worried about my married life. Thanks Doctor: masturbation is not dangerous for health .associated guilt is more damaging ..masturbation does not affect marriage life ..just relax .even married men masturbate and enjoy sex with wife and produce children ...donot worry ."
},
{
"from": "gpt",
"value": "Target: How can premature ejaculation during masturbation be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, this is nishant here.my HDL CHOLESTEROL DIRECT IS 27 MG%, my LDL CHOLESTEROL DIRECT IS 73MG%, and triglycerides is 532 mg%., my uric acid level is 9.5 mg/dl, and my sgpt level is 108 U/I, SGOT IS 99 U/I & GGT IS 418.8 U/I. WHAT should i do, what diet should i follow. my age is 27 and weight is 82. i am 5 10. my blood pressure is 201/90. please help Doctor: Hello Nishant and thanks for writing.I can understand your concern and would try to help you in the best possible way. Your reports suggest raised triglycerides, raised uric acid levels, deranges LFTs, overweight and hypertension.All these are potential problems and need to be taken care of. These problems put you at risk of metabolic syndrome.I need to know your complete medical history before i can start any medication. I suggest you consult a doctor immediately and undergo a complete medical evaluation and start a management plan.Have you have checked for blood sugars and thyroid profile, if not then you may have to get it checked too. Your management plan would consist of medications and lifestyle changes, which you should follow religiously.In the mean time you should try following advices:1. Do not take stress, practise yoga and other techniques or stress reduction.2. Avoid smoking and alcohol.3. Take a low calorie, low fat diet.4. Avoid fast foods and soda beverages.5. Start a regular activity programme like walking, jogging, gymming or swimming.6. Keep a target weight and work towards achieving it. Reduce your weight by 2 KG per month at least."
},
{
"from": "gpt",
"value": "Target: Suggest diet plans for high cholesterol"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I fell down the stairs from top to bottom with my daughter in my arms who is fine but I couldn't use my hands to save myself and have excruciating pains in my lower back and I keep getting a shooting pain in my right bum cheek I haven't slept all night I work with primary children as a play worker. Where do I go from here? Doctor: Hello and Welcome to HCM, Thanks for writing to us. From description , it seems you might developed muscular or ligamentous strain over back and buttock area. Meanwhile following measures will help with the pain • Lie on a hard bed. • Anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required • Avoid forward bending. • Avoid strenuous activity & lifting heavy weights. • Apply diclofenac gel on the affected area. Warm compresses will also help. Hope this helps you. Wishing you good health... Regards. Dr Saurabh Gupta. Orthopaedic Surgeon."
},
{
"from": "gpt",
"value": "Target: Pain in the lower back and buttocks after a fall. Need to get checked?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started to see the NHS in 2006 for a minor pain on my right lower rib cage, they mistreat me for kidney stone , (which i didn t need treatment was only a little 0.25 mm plaque) and as the years progressed the pain has become more intense and unbereable during ovulation , the pain will travel up to me leg with severe head acheI also suffer from terrible shoulder pain right hand side (The NHS has been incapable of diagnosing the problem they have tried steroid injection, didn t work. Could you please, many thanks in return. Doctor: Let me start by saying that from the information you have provided the cause of pain does not appear to be related to kidneys.As it is related to ovulation i suspect you may be having endometriosis & Menstrual mIgraine.I suggest that you get in touch with a Gynecologist & do not use any other medication except for Paracetamol/Tramodol for pain WITHOUT Proper diagnosis."
},
{
"from": "gpt",
"value": "Target: Minor pain in lower rib cage, mistreated for kidney stone, unbearable pain during ovulation. How do we diagnose ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father is suffering from chest pain for last 1 week, he went to cardioligst in my home down and he done x-ray, ecg and all necessary tests. he said the heart function is normal and it is normal pain. He has given medicines for 1 month. but still my father is finding pain in his left chest Doctor: Hi thanks for asking question.Usually with chest pain we think about ischemic heart disease and we do ECG for it.Your ECG is normal so IHD chance are less.Second this could be because of musculoskeletal pain.heavy exercise , heavy weight lift or improper bed posture can be the cause.simple analgesic and hot compress helpful for that.Prolong acid reflux also lead to such pain.omeprazole taken for it.Here you have symptoms since 1 month so better to rule out respiratory cause by doing chest x ray if cough,fever also present.Take enough rest.I hope my suggestion will help you"
},
{
"from": "gpt",
"value": "Target: What causes persistent chest pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son lives in Florida and just called me telling me he has developed an inguinal hernia and is being told heprobably needs surgery. He is very stressed about it and worried about losing time at work. He is not overweightworks out every day he is off work, is in great shape. Goes cycling on his bike up to 20 miles a day so it makesa person wonder why he has developed this problem. But could it be he is stressing his body by working outtoo hard on his days off? He is a Respiratory Supervisor at a hospital walking a lot on his job of 12 hr shifts.What are the best suggested ways of repair for his inguinal hernia? Reply to YYYY@YYYY Doctor: Hi,As he is having inguinal hernia, he might require hernia repair surgery.His nature of work is like this that he is cycling 20 miles a day might have given this problem.consult surgeon and get examined.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Inguinal hernia. Suggested surgery. Options other than surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: This morning when I opened my mouth wide I noticed an area white--not the tonsil but the skin next to it--no white areas on tongue, or anywhere else on mouth--do not smoke or drink--however, have used listerine mouthwash---age 39, height 5\"7 weight is 68 kg--what could this be Doctor: Its nothing to worry..its a type of keratinisation(thikkened mucosal skin) due to so truama like cheek bite. Keep on checking for any dramatic change on it.and consult a near by dentist . Stop listrin mouth wash.not adviced for prolonged use"
},
{
"from": "gpt",
"value": "Target: What is white area in mouth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m a 17 year old girl, and whenever I lay down before bed, most of the time the back of my shoulders pulse. I don t feel any pain. It just feels like it s throbbing. I m kinda worried so any information you might have on this would be appreciated. Thank you! Doctor: Hi throbbing in back of your shoulders is not normal unless you do heavy exercises before going to bed or are very thin. If you do not do any heavy exertion and are of normal weight , then I suggest a medical / cardiac check up, else you can wait for few months to see any other development"
},
{
"from": "gpt",
"value": "Target: How to treat pulsating shoulder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 21 years old VIRGIN girl. I have three questions: I am getting married next month, My period is due 7-8 days before my marriage date. Can I start taking Saheli (OC Pill ) pill before my marriage; on 1st day of my period (I mean before having First time sex) ? Is is mandatory to take OC pill on 1st day of period ? OR Can I start taking in NON-PERIOD days (before start of period) ? Is this tablet protect from pregnancy from 1st day of taking pill ? If not then how many days after taking FIRST pill it takes to protect from pregnancy ? Doctor: Hi Welcome to HCM Saheli is a weekly oral contraception pill but has to be started twice weekly for 12 weeks and then onward it is once weekly. After the periods end, during the next 7 days, there is no ovulation and hence conception do not occur. The week after these days are the ideal days for conception and then again the week before the cycles not for conception. As you are having you wedding at the time of your periods have ended, so you can have a safe intercourse without taking any pill however on the 6th day you can start taking it. fix two days a week for atleast 12 days for pill taking days. Best of luck for your newlife. Thanks Regards"
},
{
"from": "gpt",
"value": "Target: Need dosage information on the use of oral contraceptive pills"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i dislocated 2 fingers over 7 weeks ago. 1 still has an enlarged knuckle and purple discoloration around the knuckle. i still have alot of swelling in the knuckle and still can not fully bend it. i dont have insurance and dont know what my options are. Doctor: U might be suffering from anaemia i.e, decresed haemoglobin in u blood or else some enzyme.deficiency. . Kindly go general practioner a.d get complete haemogram to roule out anaemia and consult physicin.for further evaluation. ."
},
{
"from": "gpt",
"value": "Target: What should I do for swollen and purple knuckles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor This monday I have recently been diagnosed with bronchitis . I have been taking a inhaler amd antibiotics . More into the week I have been feeling worse like my lungs more heavier and my heart is racing so fast. I am also reallt shaky and sore. Following that I have been getting really hot out of no where. Lastly I feel im not getting enought air all the time. Is this normal symptoms or bronchitis? I am a 16 year old female Doctor: tHESE ARE SYMPTOMPS OF BRONCHITIS AND MEDICINES USED CAN ALSO CAUSE THIS"
},
{
"from": "gpt",
"value": "Target: Been diagnosed with bronchitis, been taking inhaler and antibiotics, heart races, shakiness and sore. Are these symptoms normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been super tired, like when I wake up from a good nights sleep it feels like I haven t slept at all. I was taking the Gummy version of HAIR, NAIL, SKIN with Biotin 4/day and was wondering if something in those are doing this to me. I am not on any other meds except hormone replacement which I ve been on for 10+ years and have had no symptoms ever from them. I just checked my blood pressure and it s 129/65 (the first number being higher for me than normal). I exercise regularly and have had a suspicion of kidney probems but saw a dr and he did urine tests twice and said everything was fine yet continue after 1 1/2 years to have pain in that area front and back. I m worried this tired, sluggish, hazy feeling could be related - any thoughts? Doctor: Hello!Thank you for asking on HCM!I understand your concern, and would explain that your symptoms seem to be related to a metabolic disorder. A comprehensive differential diagnosis between different disorders like chronic anemia, thyroid gland dysfunction, adrenal gland dysfunction or a vitamin deficiency should be done. Depression could also mimic this clinical scenario. I recommend consulting with the GP for a careful physical examination and perform a resting ECG, a chest x ray, an abdominal ultrasound and some blood lab tests: - complete blood count ( for chronic anemia)- inflammation tests ( fibrinogen, PCR, sedimentation rate)- thyroid hormone levels- cortisol plasma levels- blood lipid profile- fasting glucose- blood electrolytes- kidney and liver function tests, etc. You should consult with your GP on the above issues. Hope to have been helpful!Best wishes, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes elevated blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i m a 60 yr old male. i m in fairly good health, my main problem is high blood pressure that s controlled by medication. My current symptoms (continuous headache, brainfog, fatigue) seem to point to non-celiac gluten sensitivity but i don t have any intestinal problems. What else could be causing these symptoms? Paul Burgman Doctor: HIWell come to HCMI really appreciate your concern, headache, fatigue, could be due to infection apart from the brain fog, actually brain fog could be due to cerebral pathologies but it need to be confirmed without this it can not be said for sure that it is the brain disease, headache, fatigue are not due to sensitivity of anything related with diet not even due to gluten. If the headache and fatigue are the most concern symptoms and it is not associated with any other symptoms then it may be functional kind of symptoms, so try to come out of the stress, I would even advise you to take better care of hypertension hope this information helps."
},
{
"from": "gpt",
"value": "Target: What causes persistent headache and fatigue while having high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been sweating while sleeping. I broke a fever. It seems like it is a chest cold. when I breath out i can here a little gargling noise. Lastly, My back was in severe pain and I could not breath well, after some medicine and rest I have this persistent dry cough. Doctor: Hey there,Get done EKG and Chest X-Ray to rule out cardiac or lung related problems.Mostly it looks some cardiac issue."
},
{
"from": "gpt",
"value": "Target: What causes sweating while sleeping, fever and dry cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir,I am 33 years unmarried male. Problem I am facing is rarest one. I am suffering from OCD (Obsessive Compulsive Disorder) and anxiety since last 15 years. I am under treatment for this problem since May, 2008. I am taking tab. Pari 10 (2 tabs in morning only.) and equilibrium (1 tab each morning and evening). For OCD and anxiety problem I visited nearest Patanjali Clinic I am taking their treatment.( Makar Dhwaj, Praval Pishti, Moti Pishti,mahavast vidhvansan vati, medhavati)I always have constipation and digetion related problems. Also, I was mastrubating from 10 years (from the age of 15 to 25). My problem is, when I look at any woman, many times, I look at woman's breast. This is very embarrasing. This has create many problems and misunderstading in my life. Please help me. Doctor: helloYou are trying to ride on two boats simultaneously. I should not comment on what ever Ayurvedic pills you are taking but certainly these are not helping you. This symptom is an obsessive symptom and you should raise dose of Pari CR to 75 mg slowly, under supervision of a good psychiatrist. Masturbation is harmless and other problems will be taken care of when you meet psychiatrist.DR SAATIISH JHUNTRRAA"
},
{
"from": "gpt",
"value": "Target: Reason for unusual behavior when looking at woman?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am 23 years old girl, 5.5 height, and 44 kg weight. two months ago i got typhoid fever , i took antibiotics and recovered. few days ago i suffered from abdominal and gastric pain. i went to doctor and starts taking acid reducer syrup, appetite stimulant syrup, medicines containing salt of esomeprazole 40 mg,domperidone maleat 12.72 mg. After taking medicines my stool got pale yellow color. now i want to know, is it due to medicines or there is any serious problem? what sort of food should i eat? Doctor: is hepatites cureable?"
},
{
"from": "gpt",
"value": "Target: Suffering from abdominal and gastric pain, is it due to medicines ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello i am an 19 year old male who has just recently been told i have carpal tunnel, two weeks ago i started getting unbearable in my wrists and went to my GP and was told that i have carpal tunnel and i have looked alot into it and i m very scared, i am only young and don t want to have wrist pain for the rest of my life. Currently the pain isn t that bad i m not having trouble sleeping or anything and have been using wrist splits while sleeping and resting and also been using panadol extra as pain killers for when it is bad. I know that i caused it from using to much computer and not being very ergonomic but i am trying to not use the computer too much now. Is there anyway that i will ever be able to restore my wrists back to normal without having to get surgery? From this test i did at http://www.carpal-tunnel.net/diagnosing/questionnaire apparently the severity in my left wrist is 1.8 and in my right its 2.0 out of 6. I would really like some help if at all possible. thank you Doctor: There are many causes for pain in wrist other than carpal tunnel syndrome.It must be investigated, particularly when you are just 19 yr.(male). kindly ruleout diabetes Or any othr metabolic disorder.For the time being you may take paracetamol 250mg along with SOME MULTIITAMIN TAB. FOR 4-5 DAYS.Kindly contact me again, if you need further assistance."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe wrist pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I m a 31 year old woman and have came out in a rash all over my body for the last 6 days. The rash is extremely itchy and any cream or medication that I have used is not helping at all. I have tried to self diagnose it myself but can t seem to find exactly what it is, hope you can help me Many thanks Donna Doctor: Hi,Have you taken any drug recently? Extensive itchy rash could be a feature of Drug induced Hypersensitivity. Another possibility is Viral exanthem. I request you to consult a Dermatologist as soon as possible to arrive at a final diagnosis and to get treated accordingly.Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for itchy rashes on the body"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My name is Netra and I am 16 years old. I think I may have depression but im not sure if its actual depression or it's just a mindset. I feel sad lots of times and do get bursts of low esteem and start crying but I have no one I can ask this sort of this about. So what should I do? Doctor: Greetings !Well the symptoms that you have enumerated above are suggestive of depression which you have slipped into so i reckon that you get yourself evaluated for the same by a clinical psychologist who after confirming your diagnosis shall start you on therapy/ counseling. CBT ( Cognitive Behavior Therapy) is a specialized therapy which is effectively used to manage this condition of depression and it shall help you to learn coping skills to fight against depressive emotions and feelings in the future.I hope this helps.Wish you all the best.Regards"
},
{
"from": "gpt",
"value": "Target: Reason for frequently feeling sad, low esteem, and crying?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had anthroscopic distal resection surgery back in may my doctor prescribed melixicam for the swelling because my bicep tendons were swollen I have been take ng the medication for three weeks now and my arm is still swollen what do you think is wrong Doctor: Hi, Consult an orthopedics and get evaluated. An MRI scan is required to rule out possible tendon or ligament involvement. 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: What does swollen bicep tendons indicate despite taking Melixicam medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is type two diabetic and slightly overweight. She is taking metformin for diabetes and amnitriptolin for IBS. She has had her gallbladder out. My question is: she has tried to give blood and they won't let her because her pulse rate runs between 107 and 116. What may cause this. Before she was on the meds. it was fast then too. Doctor: Hello!Thank you for asking on HCM!I carefully passed through your question and would explain that it is important performing some tests to investigate for the possible cause of her elevated heart rate: - a complete blood count for chronic anemia- blood electrolytes for possible imbalance- thyroid hormone levels for possible thyroid gland dysfunction- a cardiac ultrasound to examine her heart function and structure- a cardiac stress test to investigate for possible coronary artery disease (as she has coronary risk factors like diabetes)- an ambulatory 24-48 hours ECG monitoring to exclude possible cardiac arrhythmia. You should discuss with her attending physician on the above tests. Hope you will find this answer helpful!Greetings!Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes high pulse rate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my daughter is 8 years old. She has been coughing a lot the last week but no other symptoms until yesterday. Since then she has been running a fever of around 100 degrees. Just now she said if she bends her pinky finger it sends numbness up her arm. Any thoughts on what it could be? Doctor: Strong coughing can lead to muscle spasm and pinching of nerves. It is possible that the coughing lead to a pinched nerve which shows itself when the finger is moved. This is likely indirectly related to the coughing and low grade fever. Those are likely to be an infection and a visit to the doctor is indicated."
},
{
"from": "gpt",
"value": "Target: What causes fever and arm numbness in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: first of all physically ASTHMA & ALLERGY . hello sir i used to do handbeaten with bad thinking til now, and also do homosex now i try to stop but icant stopt that feelings insteat of that i develop negative thoughts that makes negative feeling now iforgot things easily with ina sec for example i think do somthing but i do other withiut my knowledge afterwads i realise . now i face big problem i lost confidence forgot my talents before i strat study my mind becomes very torchered so i leave out that studies partly. another thing ialways depent on sombody i dont know my duties & responsible overlife, i feel shy for show myself to others simply i live as a animal because of my father s hope he is a former he spent lot of money for my studies now im doing mba finish bsc. doctor these are my problem pls help me sir i want to live but there is no metured mentality so now am i in fear sir i am 20 years old Doctor: Hello. Thanks for writing to us. It seems that you are mentally depressed and are very anxious due to the overexpectations of your parents. You need not worry. There are medicines like fluoxetine, sertraline and escitalopram that can help you. You need to grow confidence in yourself. I encourage you to meet a psychotherapist for proper treatment. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of depression ? Which specialist can help with my problem ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was told by my GI doc to have my gallbladder out 4 yrs ago, even though normal hida scan and ultrasound. I chose to wait because I have MS and wanted to avoid surgery but am having pain, nausious, gas, bad taste in mouth, lost 10 lbs, still can t eat for past 5 weeks. Went to ER who referred me to surgeon, who doesn t want to take it out because recent hida scan and ultra sound are normal. I scheduled an appt with GI, but not for 10 days. I am at my whits end, should I go back to the ER and beg to have my gallbladder out? Doctor: hi.thanks for posting your query at HCM.i recommend to:- undergo \"endoscopic examination\" as soon as possible as your symptoms with weight loss are an indication for upper GI endoscopy.furthermore: 1. H.plori test ( Urea Breath Test - UBT) . If results are positive , you may need to repeat the eradication therapy2. use a proton pump inhibitor ( omeprazole, pantoprazole 40mg)once daily before breakfast for atleast \"one month\".3. avoid fat meals and use less salt4. eat fresh fruits 5. eat dinner atleast 3 hours before going to bed6. include plain yogurt in your meal7. loose weight if overweight or obeseHope to answer your concern.Wish you good and sound health.Regards,Dr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain, nausea and gas along with weightloss"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I AM DIZZIE WHEN i GET UP AND I HAVE BEEN TOLD I DO NOT HAVE VERTIGO. THE EXERCISES THAT DR. COHEN GAVE ME TO DO DONT SEEM TO WORK. IS THERE SOMETHING ELSE I CAN DO ? I STILL GET DISSY DURING THE DAY BUT NOT AS BAD. I HAVE HAD A MRI BUT NOTHING WAS FOUND. IT HAS BEEN 6 MONTHS. Doctor: HiWelcome to health care magic.If your local clinician is pretty sure that you are not having vertigo and the brain MRI has also turn out to be normal then there may be some reason for your dizziness related to your cardiovascular system.Please get yourself checked by a local physician for postural hypotension and also get a 24 hours ECG monitoring that is called Holter monitoring to analyse if you have any cardiac arrhythmias.Also get fasting and postprandial blood sugar levels to detect whether you have any blood sugar levels abnormalities because frequent hypoglycemia can also lead to such dizziness spells.All these problems will need to be ruled out.I hope the advice will be helpful for you."
},
{
"from": "gpt",
"value": "Target: What is the reason for having dizziness while getting up?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a cervical cancer patient. In 2005 they were unable to operate and inserted 2 stents. In 2012 my kidneys went in to 80% failure. I was never told the stents should have been replaced or removed, they were totally black when they were removed and now I am told I need to have them replaced every 6 months. My question is did my doctors fail me by leaving the stents in for so long and did it contribute to my kidney failure? Thank you. Doctor: Hi, cervical cancer has a tendency to spread horizontally, probably it may involve the ureter causing hydronephrosis. then long standing hydronephrosis can damage the kidney of that side leading to non functioning kidney. so stent placement is mandatory. what your doctor has advised is correct. in case of stent placement chance of non functioning of kidney diminished, consult your doctor for better guidance."
},
{
"from": "gpt",
"value": "Target: Cervical cancer patient with stents, kidney failure. Could leaving the stents for long have caused kidney damage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi sir, I am 39 year old man and recently i checked my Eosinophil count which comes to be 14,would rquest you to please suggest, can is it possible to lower down this to a normal value and how much time would be required. thanks Regards klk.l Doctor: ESINOPHIL has a protective job in our immune system , it respond to strainge materials (allergen) and trigger hypersensitivity reaction .antihistamine preperations can help to reduce esionphilia,"
},
{
"from": "gpt",
"value": "Target: How to reduce Eosinophil count?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sometime at night I would wake up and see my left jaw swollen and painful. then in the morning about noon swelling is gone but sometime it is still painful. My dentist thought it's from my grinding my teeth, but I am wearing splint or night guard to present the grinding. I still have the swelling even if I am wearing my night guard. Nobody can tell me what is causing it. the dentist nor my primary doctor can't tell me.I need help to find out once and for all. Thank you. Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain it seems that if the swelling in jaw can be possibly due to grinding of teeth but some other causes can be a :1. A dental abscess in which there is pus formation below the root tips of a deeply infected tooth leading to pain and swelling as well as pain and swelling can increase on lying down due to increase in blood flow on upper body and face which can increase the hydrostatic pressure..2. Other reason can be some pathology related to the Submandibular Salivary Gland on that side which is one of the major salivary gland..I would advise you to get a full mouth x ray that is an Orthopantomogram [OPG] done.Also MRI of the salivary gland has to be done..Complete blood count [CBC]..All this has to be done under advise of an ORAL PATHOLOGIST and proper treatment can be planned according to the diagnosis..As of now you can take anti inflammatory painkiller like Ibuprofen to relieve pain.Do cool compresses over the swelling..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.."
},
{
"from": "gpt",
"value": "Target: What causes swelling of jaw?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning, My friend has Stage 4 Cirrhosis related to taking Rx medicine as prescribed. What can we do, nutritionally and physically, to help the good parts of her liver regenerate? In addition to sedatives and pain killers, what Rxs should she avoid. What other things should she avoid? Thank you for your time. Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).For nutrition :1. High protein diet like pulses cheese, soyabean, eggs after removal of yolk that is only white part2. Low salt diet around 2grams per dayPhysically: He should do regular aerobics exercise at least 30 minutes /dayHe should avoid all the medicine that have effects on brain like antianxiety, antidepressants, tranquilizers, any other hepatototoxic drugs like antibiotics but all are not hepatotoxic. So i will advise him to discuss with doctor before taking any medicineHe should avoid dehydration, constipation by taking lactulose.He should also decrease weight if he is obese or overweight by cutting down his caloric intake and low fat dietI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon."
},
{
"from": "gpt",
"value": "Target: Have stage 4 cirrhosis. What diet should be taken? What medicine to avoid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When i was going to the store last week i slipped and fell on my right side but i also landed on my shoulder.......My shoulder started hurting five days ago after i was done mopping the floors on my hands and knees....But tonight i took a bath and i looked in the mirror and saw a big bruise on my right armpit its making my shoulder hurt a lot what can i do? Doctor: Hi,In my opinion I recommend some hot fomments and topical anti-inflammatory with an extra anti hematoma effects will be effective if the pain persists for more than 10 days I recommend you give a visit to you physician for proper evaluation. Do foments twice daily with gels and the bruise will disappear. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan"
},
{
"from": "gpt",
"value": "Target: What is the remedy for the bruise on the armpit causing pain in shoulder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I am a male 35 years. I recently get my LFT done and my SGPT is high to 69 ... i was on medication for last 40 days \"LIV52 DS\" as suggested by my doctor as my last LFT hd both SGOT at 47 and SGPT at 92 on 28th Feb but even after my medication for almost 40 days my SGPT has not become normal surely it has reduced.. Plz suggest sir Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Increase in SGPT levels has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you drink.I hope I have answered your query and this will help you . Wish you a good health"
},
{
"from": "gpt",
"value": "Target: What causes increased SGPT level even after medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i m 22 years old, i m suffering from right varicocele since i m 19years old.. The pain is tolerable, about 4 out of 10 (10 is the most painful).. My doctor (general surgeon) suggested me that i can have surgery next time, after marriage if fathering is delay. My doctor also told me that surgery is NOT NECESSARY as of now, so i can wait for more than 5 more years before having surgery. is my doctor right? thanks! :) Doctor: Hi,Yes, surgery is not always necessary immediately. Take paracetamol for the discomfort if needed. Also, wear supportive underwear and this will reduce the pain.Regards,Dr K A Pottinger,MBChB FRCA"
},
{
"from": "gpt",
"value": "Target: Suffering from right varicocele, pain. Is surgery only solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a slew of undiagnose symptoms that have my doctors scratching their heads. They are mostly unilateral on my left side but some pains are also on my right. Started out with single symptoms that were far apart like chest pain(mostly musclskeletol), headaches, numbing left arm, stiff left neck, numb painful left leg, burning hip pain, painful ribs(left) and back between the the shoulder blades, nausea. These symptoms continued and became more frequent to the point of almost daily. Also seem to get attacks/flares/episodes that seem to be aggravated by most foods and afternoon naps or extreme stress. I can only eat fruits, fruit juices, cottage cheese and flaxseed oil with symptoms of attacks. Anything else... literally anything else would give me the initial sensation of a attack. Description and pattern of Attacks: They start with a slight floaty, woozy, and slowed down reaction that gradually increase. If i continue to eat or keep up the activity that aggravates it. It will go full blown to the point it renders me immobile because of super muscle weakness(body and limbs feel like lead) and fatigue that causes you not to be able to function mentally and physical sometimes with nausea. This full blown attack can last anywhere from an hour to 6 hours. Once the attacks wears off it is simutaneously replaced with chest, ribs, back, hip and head aches and pains. Testing and Imaging scans: -MRI of the head with and without contrast(2 weeks ago) -Neck MRI of cervical neck without contrast(3 weeks ago) -Chest and Lumbar spine X-rays (3 months ago) -CT scan of abdominal (6 months ago) -Multiple blood work all coming back good Only thing that was abnormal was POSITIVE ANAs which most of my doctors don t think is a problem. Lumps: I have also recently within the last month discovered a Hard Bony Rock Lump on my lower left rib. The very lowest part of the rib nearest my left hip. It is connected to my rib and immovable and is currently size of large peach pit and over the last month it has noticiably grown about 10 percent in size. It never bothered me until i found it and as i prodded it start to give a dull ache. Not it is a constant pressure and ache at the lump. It seems like I have one on the exact same location on the right rib but it is mobile and movable but not as hard but seems to aches very rarely and also has slightly grown! I have been managing my attacks by only eating Juices, fruits and cottage cheese and some bodyaches diminished from accupunture. But the only pains that are constant and seems to get worse are the lump on the lower left rib(dull aching pressure) and left hip(burning nagging pain) that has caused my buttocks to be numb. Help! I was told if it was bone cancer that my calcium and alkaline phostatase would be elevated and also if it was luekemia or a blood cancer it would show up in my extensive blood test. I have a appointment with rheumatologist soon and am requesting a bone scan. Do you have any idea what this could be! Should the the lower rib lumps be a concern? The lump is smooth and round and there is always a dullache that increases if i push or press on it. Stretching or movement that are quick in the are causes the aches to increase. I am very weak and need help with daily normal activities. What could this be and what direction or next step should I take to help diagnose this? Doctor: I would like to examine you in detail & investigate.There seem to be an element of periphral neuropathy which could be associated with with diabetes or any other metabolic disorder.Endocrinal disorders like hypoadrenalism should also be kept in mind.A biopsy from the lump could clinch the diagnosis."
},
{
"from": "gpt",
"value": "Target: What causes left side hip, neck, leg and shoulder pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i applied veet hair remover yesterday on my back. After application i had burning sensation and found red rashs all over. i couldnt sleep whole nite as red rashes are still there and if i pour water it gives burning sensation. i have applied it earlier also but this reaction happened first time. I have taken citrizen in morning. please advice further course of action. Doctor: Hi, The rash could be an irritant reaction to the Veet cream. I advise you to stop applying the cream. You could continue Cetirizine tablet for itching. But, do consult your dermatologist for management of cream. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How to relieve red rashes and burning sensation after applying hair remover?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter had her nose cauterized after severe nose bleeds and now has black marks on the outside of her nostril . I think these are burn marks from the nitrate. Will this heal quickly? Also if there are any scabs on the inside of her nose in coming days should we just leave it until it falls out by itself. We don t want it to bleed obviously. Doctor: hi dear and welcome to HCM....stain or mark due to nitrate is neither harmfull nor permanent.....there is no way to wash off or remove the stain by any way ,except the natural process ...this mark will completetly disappear with time when the dead skin is replace by new skin ..... wish you good health ...."
},
{
"from": "gpt",
"value": "Target: Nasal cauterization done after severe nose bleeding. Black marks outside the nostril due to burn marks from nitrate. Will it heal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 3yr and 7 months old, by-birth they have meningomyelocele hyprocephalus E- arnoid chiari - II . but we bonot operate them. so what we can do for his better future. should we operate or left its. my email id : [email protected], [email protected] Doctor: You should leave the decision to the Neurosurgeon and others cannot have an opinion on this speciality. It is of very high level to comment on a public forum I guess. So make and do take wise decisions for the same."
},
{
"from": "gpt",
"value": "Target: Treatment for meningomyelocele hyprocephalus E- arnoid chiari - II"
}
]
|
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