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[
{
"from": "human",
"value": "Source: Patient: i am 35 year old with PCOD and blocked tubes , also overwight and going thru IVF and unfortunately with one failed attempt. I have 4 eggs preserved with my doctor , how sucessfull io can be with this preserved embriyo. what can i do to imporove my chances of getting pregnant. I at this point of time do not want to wait for wight lose as i have tried very very hard but was unsucessfull. My obesity is basically pear shaped. I am having fat on my thighs and hips Doctor: Hi, Thanks for your query, Chances of getting positive pregnancy with preserved embryo is around 30-40% in each cycle of IVF. You can practice some relaxation technique to remain relaxed. Avoid smoking, drinking and harmful drugs. This will help you a little. Best of luck Hope it helps.."
},
{
"from": "gpt",
"value": "Target: PCOD, blocked tubes, overweight, going through IVF. Chances of pregnancy with preserved eggs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, my 3 year implanon implant was due to be removed last week. As I am abroad the closest appointment for removal I can get is 1 month AFTER the expiry date. Is it dangerous? I do not have pregnancy concerns. What side effects will having the implant for 1 month extra possibly cause?? Doctor: HI..Dnt worry its not dangerous at all.you can get it removed when u get appointment.the only side effects u r going to have is that u can get pregnant as the hormone coated on implanon has been used up that was giving the contraceptive benefit."
},
{
"from": "gpt",
"value": "Target: What are the side effects of Implanon implant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello Dr. Prasad I am Sumit. I am an average looking guy of 24+ yrs. I have dry skin type and have little bit dark brown skin tone. I want to make my skin tone fairer. so can you please suggest me prescription/ medicine/ cream/ etc which help me out to sort out this issue.? I wail wait for your reply u can also mail me at YYYY@YYYY . Doctor: Hi sumit, to make your skin fairer you can use a sunscreen while going out with an spf more than 30. Use a hydroquinone 4% cream during day time and 10% glycolic acid cream for 3 months and you will be fair. take care"
},
{
"from": "gpt",
"value": "Target: Have dry skin and dark complexion. Any medication to make the skin look fair?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im 15, and 96 pounds. i went to the er last night for chest pain but was released after my ekg and x-ray.. not showing anything. this morning my docter called after looking at the results, and said something about a prolonged heartbeat or a lull? please explain... i have a appt tomm with a cardiologist... what should i expect. im really scared because i still feel pressure in my chest. thanks so much. Doctor: Hi,Probably it was decreased velocity it heart impuses. Whether it is dangerous depends on the degree. If it is first degree, it can be a normal finding in young people. Your doctorjust may want to have some extra examinations to be in the safe side. You should know, that such problems usually don't cause pain and most probably it is a muscle pain or costochondritis. If you have no previous syncope, don't worry, it shouldn't be serious.Take careCome back if you have any further questions"
},
{
"from": "gpt",
"value": "Target: What causes pain and pressure in the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I press the muscle on the side of my shin bone and it leaves an indent but eventually retracts. There is no pain. When I noticed it I had started walking about 3 miles and my shins were soar when I was done. When I was walking it would get to the pint where I could barely lift my foot because the muscle was so tight. Doctor: Hi, As there is leg pain after walking 3 miles and indentation I feel this is related to the over excitation of the neural fibers leading the muscles to contract. Also the fatigue is setting in after walking for 3 miles. So there needs to be an change in the exercise program to improve the muscle strength and improve the endurance. The best way to do this is to learn the maximum ankle toe movements while sitting and lying position. Also doing straight leg raise to the maximum number of counts should provide a good endurance towards the overall well-being of the muscle. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for leg pain and indentation in leg muscle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a moderate form of pruigo nodularis on my legs that is slowly healing but recently the skin under my fingernails has started turning a caramel color. I have read both may be a sign of liver dysfunction....is this likely? I am extremely healthy and fit...am never sick, do not take any drugs, do not drink alcohol and I do not even have a regular doctor. My dermatologist is all I have. I eat a Paleo type diet, get lots of exercise. I am 45 yrs. old and female. Doctor: Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.if you don't have jaundice and have normal liver markers then it is not likely to be related to liver. Prurigo is just one of symptoms of jaundice but it may be sign of various dermatologic disorders so you should look at this point.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health."
},
{
"from": "gpt",
"value": "Target: Am I suffering from liver dysfunction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my grandpa was admitted for a blood pressure of 200/150 and palpitations and got treated in icu.echo shows ischaemic heart disease with mild mitral regurgitaion and regional valve abnormalities.he has been prescribed calaptin,stamlo2.5,clopilet a,monit,nebistar h,aforsance. he suddenly became disoriented this evening,spitting tablets,speech also got slurred.may i know what is happening to him Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Cardiac patients are prone to develop hyponatremia (low sodium) and this can cause CNS (central nervous system) symptoms like disorientation, slurred speech, not following commands etc. So get done serum sodium level and if it is less then he needs correction by giving hypertonic saline (3%).Another reason is brain hemorrhage and infarction. High blood pressure can cause spontaneous bleeding from tiny vessels of brain and this can cause hemorrhage and infarction. They can cause similar kind of CNS symptoms. So also get done MRI of brain for the diagnosis of this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes disorientation in heart disease patients?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor! Good afternoon... Can u give the dosage of Lorinase syrup to my 5 years old daughter? She has a colds right now. And this medicine was a left over from my 10 years old son when he had a cold. I hope u can give me an exact dosage. Thank you. Doctor: Syrup lorinase contains LORATIDINE which is used in cough as an decongestants. It is also used as an anti allergic medicine. Lorinase syp 5mg per 5 ml should be given half teaspoon ie 2.5 ml once daily in the morning.This dose is recommended for 2to6 years of age. Side effects like sleepiness, dry mouth will be there but comparatively lower in Lorinase. It is always recommended to take medicine under Pediatrician guidance. If cough persists or there is fever then consult a Pediatrician."
},
{
"from": "gpt",
"value": "Target: Suggest dosage of Lorinase syrup for a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I'm a twelve year old and recently, what I think is sperm has been leaking out of penis, and I've recently been forced to excuse myself to bathroom almost every ten minutes. I don't masturbate or anything like that, it just randomly comes out during dinner, tv or even just when I'm playing soccer. Doctor: HelloThanks for query .What you assume to be sperm is not smen but a mucus secreted by mucosal glands located in urethra which get stimulated even with slightest visual or audial sexual thoughts and secrete excessive mucus .Do not worry this will get resolve spontaneously.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Is it possible to discharge sperm without sexual activity/stimulation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir my name is ankit i am 30 years old i have one year marry life i want a babby but i codnot get i test my sperms.sperms activation is 20 persent counts is 80 millions so i want to increase my activeness what i do my emailid is YYYY@YYYY Doctor: Hello Ankit, welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to see the complete semen analaysis report before advising anything. The most common cause in men for decreased motility is varicocele which is the abnormal dialatation of testicular veins which causes the blood to stay in the testis and causes elevated temperature in testis which leads to either death or deformity of sperms which causes decreased active motility of sperms. I would advise you to get your scrotal doppler ultrasound to look for testicular veins. In the meanwhile i would advise you to start cap.evion and tab.nacetylcystein once a day for 3 months and repeat your semen analysis as they are excellent antioxidants and helps to improve the health of sperms. Thanks"
},
{
"from": "gpt",
"value": "Target: How to increase the percentage of active sperms in semen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad had his knee replacement redone 21 days ago. After the first few days it started to weep ruby red blood at the bottom of the wound, this continued thru his week + stay in rehab. After 3 days at home ....the wound still leeking we returned to the dr. He decided to go back in and debreed/wash out the wound. After 3 days we are now told he has a e coli infection of the tissue! He hs been on antibiotics in the hospital for those 3 days. How did this happen...how serious is this...what kind of complications can result. Thank-you Doctor: He, Infection can spread through various routes,like through blood or contigous sites and not necessarily through outside. Implications of an infected replacement are many and can range from initial trivial infections to implant loosening and failure. Initial line of treatment is based on iv antibiotics for 6 wks along with wound debridement as and when necessary. In case infection wouldn' t resolve in long term last option is to remove the implant and wait for infection to subside as it is seen that it is not easy to wipe out infection in presence of foreign material. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr. Rohan Shanker Tiwari"
},
{
"from": "gpt",
"value": "Target: How can knee replacement surgery get infected with E coli?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had a small splinter on the bottom side of my foot a few months ago. i took a finger nail clipper and cut out the splinter but when my foot closed it made this hard scab on my foot. My foot only hurts when pressure is applied to the scab and the area isn't black or anything. It's taking forever to heal though, it's inconvenient some days I'm just wondering whether i should wait longer or have it looked at. Doctor: hi.i think you might need a surgeon to look at it cause there might still a part of a splinter left which might be the cause of the overscabbing of the wound.that might also the reason why its painful when you bear weight on it"
},
{
"from": "gpt",
"value": "Target: Need medication for splinter on the bottom side of the foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i was wondering what help we can get for a very small 4 yr old child with caeliac disease, we have just had him diagnosed. he has been very poorly with pneumonia with complications and various other conditions for the last year. He has further tests to under go. We are not sure what we can do for him now we have changed his diet . Is he entitled to dla ? Doctor: Hi, a celiac disease patient can lead a normal life if gluten containing foods are avoided. Celiac disease is a commonly found disease, i think that the only thing you need to do is change his diet to gluten free. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for caeliac disease in a 4 years old child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 14 years old and I have had this really bad lower back pain issue. Also, my feet have been in pain as well as my neck. Plus, I can t stop cracking my joints. I crack everything including my toes, feet, knee, arm, fingers, hand, neck, and back. Please give me advice on what to do. Doctor: Hello,I have studied your case. It is not common to have back pain at this age. I would recommend you to not to take it lightly and get some investigations done to make sure that you are not having ankylosing spondylitis. For this you need to get:1.ESR2.HLA b 27 3. Anti ccp antibody these tests will inform us if there is any serious issue with your back pain. Ankylosing spondilitis is a condition in which young male suffers from back pain and stiffness.I hope this answer will be useful for you.Let me know if there is any other followup questions.thanks"
},
{
"from": "gpt",
"value": "Target: What could cause pain in lower back, feet and neck with cracking joints in a teenager?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Do you accept Blue Cross Blue Shield Insurance I have a 22-yr old grandson with several issues Needs medication for anxiety and depression has other issues needs to t alk with someone other than family, Could you help him E. Redden YYYY@YYYY Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The treatment of anxiety and depression is often accomplished with use of medications and psychotherapy. As you might be aware no two patients are similar and often complete assessment is required before starting the treatment. As per my knowledge no doctor is supposed to prescribe online and I do not think we can accept insurance.Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can anxiety and depression be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had three wisdom teeth extracted alittle over a week ago. And it hurts to open my mouth and on my lower left side of my mouth i have stabbing aching pain in my jaw that goes up into my ear and also is causing me to have tension in my neck. Pain meds are not helping they just make me sleepy but the pain stays. I went back to the dentist to have them look at it and they took an xray of my lower left side where they extracted the tooth and they said that it doesn t look like i have a infection or dry socket. So what could be causing such horrible pain in my jaw? Doctor: Hello, It is normal to experience severe pain even after a couple of days of surgery. Sometimes, one has to take off a bit of bone during extraction of the tooth because the tooth can be impacted and deep seated within the jaw. In these cases, there can be severe pain especially with chewing. Go on taking the analgesics on a regular basis, the pain would take some time in coming down in intensity. If there is no other problem like infection then there is no need for worry."
},
{
"from": "gpt",
"value": "Target: Difficulty in opening mouth, stabbing jaw pain extending to ear, neck tension post wisdom tooth extraction. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: As an athletic woman, I have spent my entire life being physically active. I ate properly and was fit and strong. I played golf (13 handicap - top 1% of all female golfers in the country), tennis, cycled, hiked, walked my dog. That all came to a screeching halt when at 47 I got married. Three weeks into our marriage my husband committed domestic violence when he kicked me in my right rear while my back was turned to him. So many things happened when he kicked me that doctors have referred to it as the perfect storm. It gave me a labral tear, lumbar disc herniations, piroformis issues, ishial tuberocity issues, sciatica issues, ligament and tendon issues. It always hurts - alot! It never stops hurting, ever. I can t sit, stand, lie down, walk, have sex without significant pain. The lack of sleep is literally killing me. Physical therapy and pain shots have not worked. I can no longer endure this type of severe pain and loss in my life. We actually had to cancel our honeymoon because I was too injured to go. I just do not want to continue living like this. It breaks my heart to think about leaving my life in this way. Does anyone have any suggestions? Please? I am desperate. Doctor: Hi,I will suggest you to take steam bath, and do swimming in hot water. Along with do active exercises and light weight exercises to build muscle mass and muscle strengthening. It will prevent any direct injury to your joints and bones, have calcium and protein rich diet.Hope it will help you. Let me know if I can assist you further. Regards,Dr. Harsh Swarup"
},
{
"from": "gpt",
"value": "Target: Suggest solution for severe pain in back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rash on my waist area that I have had for over a month and it seems to be spreading. I can t seem to find any pictures on the internet so as to identify it. it sometimes itches, heats agrivates it, and it tends to cause very dry skin I also do not have any medicaql insurance at the moment for I am unemployed. I have tried a vitamin A&D ointment, a psoriasis multi symptom ointment, and a staphAseptic ointment with no result. please advise Doctor: hi..Thanks for the query you have not explained how the rash looks .There can be several possibilities. From the site and the kind of symptoms you mention, I would think about the possibility of a ringworm infection. Called tinea corporis,it is a superficial dermatophyte infection characterized by either inflammatory or noninflammatory lesions on the skin.A pruritic, slowly spreading annular plaque is characteristic of a symptomatic infection. Patients occasionally can experience a burning sensation.A potassium hydroxide (KOH) examination of skin scrapings may be diagnostic in tinea corporis. Topical therapy is recommended for a localized infection. topical creams having anti fungal components,eg, ketoconazole/ clotrimazole/ miconazole should be applied to the lesion and at least 2 cm beyond this area once or twice a day for at least 2 weeks. Hope this helps..take care!"
},
{
"from": "gpt",
"value": "Target: Rash on the wrist area spreading. Itching, dryness. Tried psoriasis ointment. Medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Please help.I just recently got a new tattoo.On the back of my calf .A bit smaller then the palm of my hand .I have over 20 tattoos,so this is nowhere near my first.However,this is the first time that I broke out around my tattoo.Little white pimples .OK,I figured that I overmoisturising/or allergic reaction to the lotion ...However,I also have some pimples on the front of my leg,and even one on my stomach.Id say about 15 in all.I just need to be reassured that I am OK.It has not gotten worse in 2 days,but freaked me out that the pimples are in other spots on my body then just by the tattooand some are red.And some have red around pimple.Thank You SO much! PS.No pus .No pain.The tattoo itself is perfectly fine,except a little dry because I put NOTHING on it yesterday.Still red around the tat.Been 5 days.Bumps itch like crazy Doctor: HI, U HAVE DEVELOPED ALLERGIC REACTION / INFECTED DUE TO CONTAMINATED NEEDLE USED. U NEED TO TAKE PRECAUTION ON SUCH ISSUES IN FUTURE, PRONE FOR INFECTIONS / HIV etc. ANYWAY AS OF NOW, TAKE Tab. AVIL= 25 mg [B.D, I-0-I * 5 days], TAB. AZEE =500mg [ONCE A DAY, this is antibiotic * 5 days]. if u still have any complaints go see ur doctor."
},
{
"from": "gpt",
"value": "Target: What is the remedy for itchiness and rash over the body due to a tattoo ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my hemoglobin 9 iron of less than 50. also low in B12 i went for internal scoop and blood specialist they told me at lease i don't have blood cancer. I have to have the B12 amd Iron shots every week some time when the blood work comes back . i have to increase my shots.for the last 10 years what is wrong with me? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Low hemoglobin means anemia and along with low Vit B12 means it is B12 deficiency anemia.2. Vit B12 is a important part of all the cells in body. It is required at the nucleus levels. During periods of stress, growth etc, it will be extensively used up. You need to increase Vit B12 shots.3. Also increase Vit B12 in diet through fish, eggs, lean meat and green leafy vegetables. Taking probiotics and improving gut bacteria will also improve Vit B12. Not to worry. 4. Decreased Vit B12 is not a features of blood cancer. Rather, it might be increased to two times, the normal range. You have Vit B12 deficiency anemia. Take increased supplements.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: What cause low hemoglobin and B12 levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been getting a bad cough about 3 hours into my 4 hour dialysis treatment. With pflim (spelling sorry). Today my chest was also hurting. These issues last for about an hour after dialysis. Dialysis nurses don't have an answer for me. any ideas what causing this? Doctor: Hi, Usually cough in such cases are due to fluid overload because of the renal dysfunction, which can probably lead to lung infection. Discuss with your doctor and get a chest X-ray done. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What can cause cough and chest pain while on dialysis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband is experiencing a pulsating blood pumping, twitching feeling under his left rib.It does nt hurt. We were kayaking over the weekend,so could be a strain. He is 45 and his dad died in his early 70 s of a AAA. Should we be worried? going for physicals 12/28/16 Doctor: Hello, Your husband's symptoms could be related to local inflammation or infection. Considering the fact that he has been kayaking, a strained muscle cannot be excluded. Coming to this point, I recommend consulting with his attending physician for a physical exam, a resting ECG, a chest X-ray study and some blood lab tests (complete blood count, PCR, ESR for inflammation). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes pulsations and twitching sensations under the left rib?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was asked by my employers for a cardiology clearance from my doctor and my ECG read sinus rhythm, left Arial Abnormality, my chest Xray is normal and my cholesterol level is within normal limits as well and my doctor told me that i dont have any problem, but am still worried cos i need to send the reports for my employment. i need explanations Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. I have gone through ecg report you have mentioned. No need to worry much for this ecg report. Left atrial abnormality can be seen as an accidental finding without any symptoms. So if you are asymptomatic then nothing to worry about this abnormality in ecg. But if you're really want to confirmed this then 2d echo is needed. So get done 2d echo to rule rule out all fear. If echo is normal then no need to worry for employment add other issues. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What does ECG: sinus rhythm ,left atrial abnormality suggests?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I,Kallol Purkait, age 54 years, suffering from pain at right heal,knee and right elbow and this pain moves at left toe,anklet and knee.I work in air condition room.Blood test (crp, anti ccp, uric acid and hb) is (2.59, negetive, 4.4 and 9.6) respectvely. My doctor prescribe me tablet ( SAZO 500) during 1 month but still I feel pain . Doctor: Hello, I have studied your case with diligence.When such patients come to our hospital I advise them blood test like ESR, HLA B27.Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? It may be seronegative spondylo arthropathy. NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are sometimes prescribed in more severe cases. These include methotrexate and sulfasalazine.Corticosteroid injections for severe pain and inflammation in a specific joint.TNF-a inhibitors, a newer class of biologic medication.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: Recommend treatment for knee pain in the elderly"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, for a year now one half of my face been feeling tight. I feel more on one half of my nose cheek bone and in front or around my ears. I have been to the E.N.T and Dentist. Im not sure if it my tmj or not. Dentist said everything look fine. Ent doctor said my hearing was fine but my deviated septum in my nose was crooked. At one point another doc said I had a sinus infection but what ever medication he was giving was not working. From the pill to the spray. At first (May 14 2013) it started as a very sharp pain to the point I couldn t go to sleep but happen to find out I had a ear infection at that time. The pain went on for a week after that my right side of my face haven t felt the same...it feel tight and my word have been slurring but I thought maybe it s bc of my overbite. Doctor: Hi,this concern of your indicate, either inflammation in the sinuses on one side of face, or could be sign of opposite facial nerve palsy, since you have already seen an ENT surgeon, I would advise you to now see a neurologist, You see causes can be multiple, and every specialty in now a days has to be ruled out."
},
{
"from": "gpt",
"value": "Target: What causes tightness in the face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2 year old daughters legs are very hot to the touch at nighttime. The rest of her feels normal temperature. No illnesses or allergies. She is below average height but she is in proportion and a paediatrician has confirmed she is perfectly normal and growing at her own rate. Can you tell me why her legs get so hot? Doctor: Hi...sometimes in a growing kid the basic metabolic rate or BMR can do this. But if she is otherwise normal and not having any problem regarding this issue, you need not worry about it. But if she develops any redness or pain or fever it could be skin and soft tissue infection and I suggest then you will need a pediatric consult for her.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What causes hot in legs of a kid at nighttime?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have severe depression that also accompanies alot of panic attacks and constant anxiety, its utterly crippling. I suffer from bloating and nausea whenever i eat and i also suffer from humiliating de humanizing stool leakage i guess and it never seems to get any better. i know it takes time when your working on it but really how long or is it something totally different Doctor: Hi To my patient I would have advised Drug by generic name Fluxatintn bd with Clonazepam bd see the response to come for a week and if no relief i would have advised to personally consult a psychistristDr LalPsychiatrist"
},
{
"from": "gpt",
"value": "Target: Suggest solution for severe depression, panic attacks, anxiety with bloating and stool leakage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HelloI have found a lump under my 11month old babys armpit. I took him to my GP today who doesnt know what it is. They have referred him for an xray, which he has had done, and he will be having a blood test aswell. I took him during the weekend to the walk in centre the other doctor thinks its is a lymph node, but I am feeling concerned. Doctor: Most common lump in armpit in this age group is a lymph node. It will be called significant if the length is more than 1 cm. So u should consult with ur pediatrician."
},
{
"from": "gpt",
"value": "Target: What causes lump under armpit in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir, what is use of this tablet for a kidlney patient,patient is dibetic also.my brother is patient,therefore i am asking this for him. furtther, my brother is getting treatment from a reputed hospital in delhi but his cretinine cerum is still in rising stage i mean it has gone from 2 to 7.5 as on today. medicines prescribed by the doctor are : cilacar, nefita, clavix, lhd, zyloric, nodosis, alfalog, livogen,and to control sugar volix.2mg and glide althougu sugar is controlled, mail od YYYY@YYYY Doctor: HiThanks for the query.From your description the patient appears to be suffering from an advanced stage of kidney disease. The various medications you have mentioned are used to treat different complications of kidney disease.If the creatinine remains at this level the doctor may discuss with you the options of dialysis.Hope this helpsGood luck"
},
{
"from": "gpt",
"value": "Target: Diabetic, creatinine serum rising. Prescirbed cilacar, nefita, clacix. Sufficient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I am a 25 years old female I weigh 174lbs and am 5 foot 8. I keep getting little bumps on my hands and finger and on my right foot (the sole of my foot, top of my foot and some near the toes) they fill with fluid and I pop them, the skin around them peel off and a day or two later it repeats..is there something wrong with me? how do i get rid of these tiny fluid filled bumps or blisters..and sometimes while on the sole of my foot they do tend to hurt. The ones on my hands and fingers are very small but on my feet they can get to the size of a dime. Doctor: According to your history it is case of pompholyx which is a kind of endogenous eczema.You will have to apply local steroids and take oral antihistaminics along with it. It is a chronic condition and you have to take certain precautions like keep your hands as dry as possible, stay away from harsh chemicals like soap and detergents, avoid washing clothes and utensils or wear gloves while doing them. Also try to figure out whether you have developed allergy to anything and try to avoid it in future."
},
{
"from": "gpt",
"value": "Target: Suggest medication for little bumps on the hands & foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my niece is 14 she is overweight a little but she is always feeling weak and has constant body aches she drinks a lot of water and is not a big junk food eater she is pale and she had her iron and theroid checked before and was told ok what could be wrong for such a young person to feel so bad please have u s some help thanks Doctor: HelloWelcome to Healthcare magic.She may have iron deficiency or any hidden infection.Please re confirm with your doctor.May be due to overweight and not eating well due to that reason.Take care..."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for weakness and body pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi pls wat are my chances of geting pregnat wit dis result.... LH;26.MIU 15 ,FSH:22.4MIU 10 ,Prolactin:3.5ng|mi(2.39.15 . Tesosteron:2.0nmol|l(0.2---4.4. E2:287pg|ml(13-191 TSH:11.7 IU|ml(0.4-7.0. as it is now no menses since 6 jan 2012. drug taken now ....bromergon and carbiroid. age 38 by decmber tanks Doctor: hello Welcome to HCM From your tests - it suggests that you have a condition called hypothyroidism and require treatment for the same. As you did not get a cycle from jan 2012 - it will advisable to get a pelvic scan done which can give some idea on your condition Additional tests to look at the ovarian reserve can be performed and then a conclusion on the chance of falling pregnant can be decided your consultant will be able to help you with the same hope to have answered your query wish all the best Dr Nandita Thakkar"
},
{
"from": "gpt",
"value": "Target: No periods, LH 2.6, FSH 22.4, Prolactin 3.5 ng/mi. Chances of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 1 yr old female, on blood thin r 2 yrs from a clot in leg, have Lupas, not active, underarms and out about 5 inches toward elbow and inside top of thighs up around to my hips dark skin looks somewhat like buise. On a trip to see mom for mothers day... also on a anti depresant... do I go see vien Doc or Lupas Doc or Reg Doc when I get home on Tues? Doctor: Good evening. The skin lesion you are describing as a bruise could be due to the anticoagulation medicine. It can thin out the blood which can lead to leakage from the capillaries and which can cause this bruising. You need to check your INR once. Do see a regular doctor as soon as you can. Cause you may need to stop the medication temproary till the bruising disappears. Hope the information was useful."
},
{
"from": "gpt",
"value": "Target: Need treatment for lupus"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc, I'm 26 year old Indian female receding @ Singaproe , fr the past 1 year i have been suffering from severe hair loss. my frontal hair line has gone up by 1 inch, but no dandruff and i take hair wash daily, but the problem is my scalp is very very itchy only when i take hair wash and after that !! this prob. happened only when i tried some Chinese medicine. and now i stopped using it. Is this any hair root infection or what should i do now?? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your query you have symptoms of hair loss and itching on scalp well the symptoms you mention in query can occur due to many reasons like genetic factor, fungal infection, stress, improper hygiene and hormonal changes. Need not to worry. I would suggest you to start minoxidil 2% solution application twice daily for hair loss. Maintain complete hygiene. You should take oral finasteride and oral multivitamins. Consult dermatologist once for proper examination. Doctor may order skin patch test, blood test and prescribe supplements like Vitamin A, Vitamin E and Omega-3. Do massage with olive oil. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hair loss and itching on scalp"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have two teeth beside each other need route canal. I would like to know what is best to do. Extract the teeth and put a bridge or just do the route canal and put a crown. I am badly in pain and don't know what to tell my doctor. Please response ASAP, thank you for your time and support Doctor: Thanks for your query, I have gone through your query.If i am your treating doctor i would advise to go for root canal treatment and get the crown done. Because once you get the tooth removed, whatever we replace it with, it will not give the natural tooth strength. The other reason is, once we remove the tooth, to relace it we have to trim the adjacent teeth for taking support. So I suggest you to go for Root canal treatment and crown.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Is root canal procedure required for adjacently placed teeth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 3 weeks ago and still present I feel I have a bruise on lower back but nothing visible and yet very painful. 3 days ago and still present I feel the same thing in my right inner thigh. Last night I had a horrific headache, I took hydrocodine 325 mg. an hour into my pain 3 hours later the pain was unbearable I finally fell asleep, this morning woke up very weak and later in the day my nose and upper lip started to feel numb it is now 10pm the numbness lower back pain and inner thigh is still present...I have MS, high blood pressure, MVP and I’m hypoglycemic. Doctor: Hi Greetings from HealthcareMagic! Better you have to take Ayurvedic medicine which are safe and cure your all problems. Take Simhanada Gugglu 2 tablets 3 times a day and apply bala taila you will get result. Regards, Dr. Naser Jani, Ayurveda Specialist"
},
{
"from": "gpt",
"value": "Target: How can a painful bruise on the lower back be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having chest pains in the middle of chest for about a week that come and go. It is different from when I had them with anxiety a few years ago. This time it would spread to face some and down right arm specifically. Today I turned to look out car window and my chest had gripping pain in the middle that took my breath. Tonight I have a lot of pressure in the center. I do have gerd controlled by 150 mg zantac am and pm Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of worsening of GERD (gastroesophageal reflux disease) is more. But better to rule out cardiac diseases first. So get done ecg and 2d echo. If both are normal than no need to worry for heart diseases. You are mostly having stress and anxiety related worsening of GERD. It is because of laxity of gastroesophageal sphincter. Due to this, the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central chest pain, pressure etc. Along with drugs, you need to follow these lifestyle modifications for better symptomatic relief. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Avoid smoking and alcohol if you have these habits. Loose weight if you are obese. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe pain and pressure in the chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: CAN DIPHENHYDRMINE IN ZZZQUIL CAUSE MY LIVER ENZYMES TO BE HIGHER. I WENT TO THE DOCTOR BECAUSE I HAD SOME BLOOD WORK DONE AND MY LIVER ENZYMES CAME BACK A HIGH. THE NIGHT BEFORE I COULDN T GO TO SLEEP AND TOOK A LOT OF ZZZ QUIL AT 10 PM AND 3:30 AM. I WENT TO THE DOCTOR AT 8:00 AM THEY DID BLOOD WORK AGAIN AND THE RESULTS CAME UP HIGHER THAN THE LAST TIME. I HAVE T DRANK ANY ALCHOHOL IN A MONTH. AND EXERCISE REGULARLY AND AM IN A LOW CALORIE DI ET Doctor: Hello, tusher8604, Liver enzyme elevations are not an expected side effect of Diphenhydramine. You mention you drank alcohol a month ago. If you were drinking on a regular basis before, it is possible that your liver enzymes could remain abnormal especially ALT,GGT, not so much the LDH & SGOT. You also mention that you are on a low calorie diet. You must be doing this to lose weight. If you are 10-15 % overweight , it is possible you may have Fatty Liver (Non-Alcoholic-Liver-Disease). Get a complete liver profile, blood count,diabetes check, and also screening for Hepatitis B & C. If you are on any other medications such as Ibuprofen,Naproxen (NSAIDs) , they can cause liver damage. Hope this helps you so that you can discuss with your doctor. I wish you well."
},
{
"from": "gpt",
"value": "Target: Can Zzzquil cause elevated liver enzymes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,I am a 20 year old female who has smoked for a couple of years but just recently (the last 3 days) I have been experiencing something that has never happened before to me. I feel the need to burp and when I try like every other burp, it doesn't come out... All the time. There has been a few times that when I do I burp really little or I burp big, like loud. The other times when I'm forcing myself to burp it it feels as if it's stuck and won't come out. If I try harder I can feel something come up that's, I don't mean to sound disgusting but a loogie. It's king of thick and doesn't taste like anything. It feels like foam sometimes. I don't have pain anywhere and it doesn't hurt to burp. Although when forcing myself to burp it hurts very few times, perhaps with the amount of force I'm trying. Today it was bothering me really bad and so I just thought I would try and throw up. When I did it looked slimy and it had brown in it. Perhaps from food I ate before it. I was recently perscribed aderall to help in school and before I started taking it this never happened. I also take loratab 7.5 due to a tooth extraction done weeks ago that formed a dry socket. I get my wisdom teeth out 3 days with sedation. Will what's happening affect me getting my wisdom teeth out? Will they still be able to do it? Also a week or two ago when I got perscribed the medicine the doctor also perscribed me medicine for sinusitis that I haven't really taken at all. (I know I should have) the sinusitis problems have dissipated and now I'm left with this not painful feeling but very very bothersome feeling. Please Please help me :( Doctor: Hello, thank you for consulting with healthcaremagic. You should continue with the medications which the doctor had prescribed you , as they help to decrease the infection. And it will help in removal of tooth.This feeling which you are having can be because of infection only. Better you should go for removal of the tooth. Hope it will help you."
},
{
"from": "gpt",
"value": "Target: Experiencing sinusitis after a tooth extraction"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I sprained my ankle 12days ago. I still have a lot of stiffness, swelling, tingling in the foot. 2 days ago, my fourth toes ballooned( if I didn t know better i would think its broken), but I didn t do anything to it.....it hurts to touch. I also have bruising to my toes that developed in the last 48hours....is tis normal? Doctor: Hi you have sprained your ankle 12 days ago and now have bruising in the toes and 4th toe has ballooned. In my opinion , bruising is not very significant but ballooning of 4th toe ,s. I would recommend you go for an urgent x ray and use some splint / crepe bandage for the toes."
},
{
"from": "gpt",
"value": "Target: What is the treatment for sprained, swelling and tingling foot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently was diagnosed with Multifocal Artrial Trachcardia. I was put on Diltiazem 240mg er and Lisinipril 10 mg and Lipitor 10 mg. On 8-14-2013. I in the last month have had serious nausea and burning from my liver up to my chest. I was found to have 2 liver leisons on Catscan and MRI. Every time I eat even the smallest item it burns like fire. Its not heartburn , its right to middle just below my ribs. My gallbladder was fine and so was everything else. I am feeling its one of my medications. I have to get a liver biopsy nest. I am tired of the burning. Any answers? Doctor: HIThank for asking to HCMBurning sensation near right coastal area indicates many pathologies but you said that the MRI and CT has detected some lesions, the exact nature of these lesions not stated here, your symptoms and the suspicious pathologies does not correlated, other serology test are require to confirm the diagnosis, the problem must lies in stomach or in your stress area, functional condition,,, Multifocal Techycardia needs further studies, it is not given any thing here that on basis it is Multifocal Arterial techycardia, have nice day."
},
{
"from": "gpt",
"value": "Target: Diagnosed with Multifocal Artrial Trachcardia, nausea, burning from liver to chest, liver leisons"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: on antacid nexium for 15 years - bad cramps relieved by magniesium supliments - high dust mite allergy while in home for 6 months while I changed diet to eliminate meat and loose 20 lbs - result pain depressoin no endergy depression and low testoserone level. MOved to new home - much less mites - NOTE - very suseptible to mood swings with no sun - elevated heart rate , and 2 foot bowel resection for diverticulitus 18 years ago - starting to feel better slowly - - doctor started me on testosterone for 1 month temp short relief - then dropped off - going to new doctor - take off testosterone for 1 month - have moved to new home -Tile/low allergines - better sleep - eating meet again - getting better slowly mood etc -- but slow - expensive tests scheduled -?? - low digestion - lowered iron - fatugue - testosterone - could it be all environmental - what tests or waiting period would you suggest - Just put some of this together with internet search - but all fits - Please advise Doctor: what is your age.Your history tells about the digestive disorders for long.Might be milk or wheat allergy.you get blood serum tested for milk and wheat specific antibodies..I have so may patients treated with it.You can search net.or see my site .You will be positively getting result,after the tests you can ask again"
},
{
"from": "gpt",
"value": "Target: Taking Nexium, magnesium for cramps. Have dust mite allergy. Have elevated heart rate, depression, low testosterone level"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a \"base\" for cheerleading and have been catching my \"flyer\" by putting my chest forward to help break her fall --- I am now experiencing chest pain with movement of my upper torso. After cheer practice, turning the steering wheel is very painful. Deep breath hurt and there is is a sharp pain when bending forward. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with movements (bending forward). So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Apply warm water pad on affected areas of chest.2. Avoid movements causing pain.3. Sit with proper back support.4. Take painkiller and muscle relaxant drugs like ibuprofen and thiocolchicoside.5. Avoid strenuous exercise.Don't worry, you will be alright with all these in 2-3 days.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: How should chest and breathing pain be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I am having trouble with pain in my right abdomen, just at the bottom of my rib cage. I also have much bloating after eating. I am currently having a loss of appetite and nausea. There are times when I feel pain all though my abdomen. Along with this, I am having trouble urinating from time to time. Thank you Doctor: Hi.Thanks for your query and an elucidate history.The most probable cause of pain in the right upper abdomen with nausea can be due to:CholecystitisLiver abscessPancreatitisColitisI would advise you the following:blood tests - routine and liver and kidney function tests.Ultrasonography and CT scan of the abdomenUpper GI EndoscopyThe treatment will depend upon the clinical findings By a General Surgeon and the investigations"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in my right abdomen"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter had severe case of poison ivy on the back of her legs and a few small places on her arms. We were having success in treating it and it healed up completely before she took a tumble and sprained her wrist. The following day, she woke up with a rash on her hands and legs that has progressive gotten worse. The rash is raised, red, almost solid, warm to the touch and itches. Looks almost like a sunburn, but is a rash. The rash is only from her shirt sleeve down to her hands, and from her short line on her leg down to her feet. She also has blisters on the palms of her hands/fingers and on her feet. The hand of her sprained wrist has stayed very swollen. She has taken ibuprophen, for the swelling and then took benedryl for the rash which has progressively gotten worse over the past three days. She has no other symptoms. No fever, no nausea, no headaches, no shortness of breath, nothing. The rash is no where else on her body. Doctor: Hi, As per your query, your daughter has rashes on hands and legs which is mainly due to an allergic reaction. Need not to worry. I would suggest you keep this area clean and dry. You should apply warm compresses with a soaked towel and apply vitamin C serum at night. If the condition doesn't get better then consult a dermatologist for proper examination. The doctor will examine physically along with blood test and sample for a lab test. The doctor may prescribe immunosuppressants, antibiotics like clindamycin along with anti-inflammatory medications. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari, Dentist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for rashes on hands and legs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a back surgery two month ago but still fell pain in my back, i have visit my doctor after esr test he told me that the pain is caused by the high esr and gave me medicines of TB as well, so i want to know that does esr high level has any relation to TB and also the cause of pain in my back Doctor: Dear- thanks for using our service and will help you with my medical advise. ESR is a non specific test that give information related to inflammation, but does not help to identify what is causing this problem. Prior surgery can elevate it due to the inflammatory process that happens . TB also can bring it up, but it has associated symptoms as fever, prior exposure and abnormal CXR. Your back pain is probably from a disc problem, spinal stenosis or any scar tissue that can be pressing the nerve. You might need a new MRI to reevaluate the status of your back after surgery. I advise you to talk to your neurosurgeon about this.I hope that my medical advise has been helpfulDr.Sara"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: since my mvd I have been feeling so sick and weak. All smells of food gets me nausated ' my ears are filled and I hear my heart pounding. I cannot sleep at night Is this normal- Cant see my surgeon until middle of january -also my rt side of my face is numb Doctor: Hello!Welcome on Healthcaremagic!Your symptoms seem to be related to complications or adverse effecst of this procedure. For this reason, I would recommend starting carbamazepine or gabapentine, which can help improve your situation. A new brain MRI is necessary. Hope you will find this answer helpful!Kind regards, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: What causes nausea and plugged ear with numbness in face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: had hip arthroscopy 2 weeks ago and had stitches removed today. 30 mins after having stitches out it started to weep a clear orange sticky liquid. changed dressing , 10 hours after the nurse put iodine on and a new dressing its still weeping a lot more liquid.what do you suggest.thanks. Doctor: HiThanks for your query at HCM.It is okay to have some discharge post operation. I suggest that you must be on antibiotics. They will prevent any infection. But if after few days the discharge increases or bloody then get tested for routine microscopy and culture sensitivity test to rule out any possibility of infection. Get proper dressing if symptoms continue then get yourself examined again by your doctor.Take careHope I answered your queryDr Sheetal Verma"
},
{
"from": "gpt",
"value": "Target: What is the clear orange discharge at the site Hip Arthroscopy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor, I am 25years old male.I have hairfall problem since last few years and I have consulted a dermotologist for the same. He prescribed me with finepecia(propecia) 1mg daily and Minoxidil 5% topical solution twice daily. But, I heard that propecia has lot of side effects including sexual disorder. Please suggest me whether It's safe to continue with the prescription. I am really confused Regard's, suresh Doctor: Hi,I can understand your concern for side effect of finesteride related to sexual performance. Finesteride is wonderful drug for male pattern baldness. Any medicine is likely to have one or more side effects. So, take it easy. I use finesteride in many patients from many years. Not a single patient has complained until now any side effect of finesteride.So, do not be confused. Take it without fear for few years or till the good result.Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilyas Patel, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Is finpecia safe for hair fall problems?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 2 months I have experience a slight pain in my lower abdomen in my left side and its also associated with a more intense pain in my left testicle. The pain had occurred a couple of minutes later after I had picked up some heavy stuff. Is this related to hernia by any chance, since then I have not had any issues or experience any pain Doctor: Hi.Thanks for your query and an elucidate history.The pain had occurred couple of minutes after you picked up heavy stuff.This indicates few possibilities:commonest reason can be testicular torsion due to strong muscular contraction of the abdominal musculature with the muscles of testis attached to these. The pain in abdomen must have been due to referred pain from the torsioned testis. FORTUNATELY the torsion got derotated and the pain got relived.Another possibility as you said is about hernia, which would have been evident by this time as it is already 2 months."
},
{
"from": "gpt",
"value": "Target: What causes pain in lower abdomen and intense pain in left testicle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is a very picky eater, does not eat fruits or vegetables. he will not drink milk , he use to drink Pediasure but I stopped giving it to him because it caused him to have very bad breath. He is 8 years old and weighs 64 lbs. I am noticing his teeth getting yellow and I want to know what vitamins or supplements should he take Doctor: Dear Sir/ Madam,Thank you for posting your query at healthcaremagic.comAs per the age the weight is appropriate. As per my opinion he does not require extra supplement in form of medication. However I suggest you to prepare variety of recipe with fruits and vegetable. Kids get attracted toward new taste.Source of nutrients from vegetables and fruits is much better than the extra supplements in form of pills.Hope this is informative to you. and your vote of thanks is very much appreacted!With best wishes,Dr. Vishwanath Patil"
},
{
"from": "gpt",
"value": "Target: Suggest vitamins and supplements for kids instead of milk, fruits and vegetables"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: On Acctuane, 30 mg each. Stopped taking 2 days ago due to headaches and nausea. nause is now gone and headaches are too, waiting to hear back from my doctor. However, past 4 days i have had sharp chest pains in the center of my chest like someone is punching me. it happens at random times. HELP Doctor: Hi. I can understand your concern. GERD (gastroesophageal reflux disease) can cause similar kind of chest pain. GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. You can take proton pump inhibitors. But along with drugs you need to follow certain below mentioned lifestyle modifications for better symptomatic relief. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Loose weight if you are obeseDon't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sharp pain in the center of the chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 37 years old, trying to conceive for the second time, i was on ATT for the past 6 months, the doctor has prescribed letrozole tablets for conception, are they safe? pls advise Doctor: welcome to healthcaremagic letrozole is used as ovulatory drugs and used now by many besides taking your own treatment your husband's semen also should be normal and sexual activity must be there arond ovulation day treatment to be continued till there is result hope for the best and best"
},
{
"from": "gpt",
"value": "Target: Are letrozole tablets safe for conception ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hii have pain in my left arm, it hurts when i take my arm backwards, when putting on cloths or when i try and do my hair. i t feels like my arm pings and i also get a burning feeling. it feels like the muscle where the pain is. can you please help me? thank you....jackie Doctor: Hello Jackie!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Your symptoms could be related to a muscle pain (probably a stretched muscle) or a pinched nerve (a cervical disc herniation can not be excluded either). Have you performed any straining physical activity lately?Coming to this point, I would recommend consulting with your GP for a physical exam and some tests: - a cervical column X ray study- a nerve conduction study- a shoulder X ray study for possible bursitis or joint inflammation- complete blood count, PCR, sedimentation rate for inflammation. Hope you will find this answer helpful!Best wishes!"
},
{
"from": "gpt",
"value": "Target: What causes burning pain in arms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had angiogram 3 days ago. My heart arteries an not clogged and are healthy. I am concerned about my groin area, how long does the punctured vain takes to heal? Does it ever heal in such a way that I don't worry about it?At present all look good from outside. Doctor: Hello. Thank you for your question and welcome to HCM. I understand your concern. The femoral artery is used to retrogradely go to the aorta and the coronary arteries to check them if there are blockages or not. The punction site can be considered healed in the first 48 hours. In our clinic's experience, the patient who underwent the angiogram via the femoral pathway is advised to assume a lying position, without moving the leg, for 12 hours. Thereafter he/she can stand up, and for 24 hours should ambulate by not giving angles to the leg of pucntion. After 48 hours, to be sure, even showering and light to moderate activity are allowed. Congratulations on the good news you had from your coronary angiogram. I hope I was helpful. Take care. Kind regards, Dr. Meriton"
},
{
"from": "gpt",
"value": "Target: How long does punctured vein take to heal after angiogram?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 26, married nov 2010, i dont try to concieve in first three months but after that from march 2011 i am trying to get pregnant but no results till present day. My periods comes 2-3 day early every time after sex. Plz help me hw should i get pregnant. Doctor: Hi.Conception and pregnancy are both complicated processes, and should not be taken for granted. I would recommend a doctors consultation, and guidance in order to conceive and have a health pregnancy and baby.Start with regularisation of your menstrual cycle if that has not already occurred, followed by fertility aiding medications, and then conception.Best of luck."
},
{
"from": "gpt",
"value": "Target: Any reason why I am unable to conceive three months after marriage ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Is pain in the right arm a sign of a heart attack? I have always heard that pain in your left arm is bad. What about pain in your right arm or numbness and tingling in your right arm? Asked by: yang On : Mon, 14 Dec 2009 Answers: 1 Views: 1385 Report Abuse Also find answers on: Myocardial infarction Paresthesia Chest pain Dyspnea Answer this Question » Write your answer here Post as: Anonymous Non Anonymous Keep me posted Share on Facebook wolfgang Answered: Mon, 14 Dec 2009 Current rating It is very unusual to have pain in your right arm during a heart attack. Most women experience pain in the back, jaws, chest area and left arm. Sounds like you could be suffereing from some type of tendon problem such as tendonitis. Check with your doctor to be sure. This is a brief, free answer. In case you need an immediate, more detailed response to your question and any follow-ups you may have, please use the premium Ask a Doctor feature. Report Abuse Comment on this Answer » Rate this answer: 12345 Are you sure you want to delete? Yes No Edit Answer here... It is very unusual to have pain in your right arm during a heart attack. Most women experience pain in the back, jaws, chest area and left arm. Sounds like you could be suffereing from some type of tendon problem such as tendonitis. Check with your doctor to be sure. Add your comment on this answer... Post as: Anonymous Non Anonymous Keep me posted Cancel Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician. For an immediate answer, try our premium service Other questions you may be interested inHow to get tips on flatuna tablets for curing... Missing periods, feeling cramps, tingling... Delayed periods, cramps, tingling in navel.... Flip-flop feeling in the chest right at the... Faced numbness, tingling in fingers and lips.... Pain on chest, please help Tired, short of breath. Ccf? What is the cause of mild chest pain with... I have Heart flutters randomly ,I feels short... Why do I get chest pain after lying on one side ? Side effects of reducing smoking I have been getting this chest pain for sometime Feeling numbness in the face and heaviness in... My heart is beating too fast & shortness of breath What can cause difficulty in breathing and... Having scalp and back head ache from 1 year, i... Is it normal to have pain in the abdomen and... Shortness of breath. Stomach bloats and... Tingling sensation in arm. Tested for high... I keep getting pains in the center of my chest.... Most relevant questions on Myocardial infarctionPremium questions Suffering from hyperacidity, diarrhoea and... Stomach discomfort, chest pain, back pain,... Dizzy, abdominal pain, nausea, hands shaking,... Long lasting cough. Blood tests stated raised... Persisting scar tissue and discomfort.... Chest pain, nasal congestion, no cough,... Has chest pain, tightness, shortness of breath,... Can I have sex with a stent in my bladder? Public forum questions My father has a heart attack, is there any... Can a 19 year old female have a heart attack ? Paranoid When I Smoke Weed? I recently suffered from a heart attack so I am... Why is my BP high ? How can heart attacks be avoided or reduced? Why my doctor increased the dose of ramipril... Can you have a Heart Attack and not know it? Doctor: pain due to cardiac cause can radiate to both the arms , region of epigastrium(upper abdomen), it can radiate to your back like in betwwen scapula or over scapulaif you feel numbness and tingling in right handit can be a symptom of stable anginamy advice is to geta 2d echoand tread mill test done as soon as possible"
},
{
"from": "gpt",
"value": "Target: Does right sided arm pain signify heart attack?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am Lorelei Punsalan from the Philippine. I am 45 years old. I just dont understand why my veins especially lower part of the legs (between the legs and the ankle) hurts espcially whet it touched. also , the bones on my fingers. Iam so nervous. Please help me ease my pain. Thanks you Doctor Doctor: Hello, As first-line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. 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 could cause pain in lower leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My child noticed yesterday a lump approximately the size of a bee bee... like in a air rifle. Behind his left nipple. It is tender to the touch or any pressure. He is 13 and starting for puberty. Does puberty have anything have anything to do with it? Or should I call his Dr.? Doctor: Hello Dear, Warm welcome to Healthcare Magic I have evaluated your query for your child thoroughly. *This is indicative of developing breast bud due to puberty changes most likely . Hope this clears your doubt. Wishing your toddler fine recovery . Welcome for any further assistance . Regards Take care Dr. Bhagyesh ( MS , FMAS - consultant surgeon )"
},
{
"from": "gpt",
"value": "Target: What does a lump on the left nipple indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...hi doctor im MALE OF 28 years age i have pkd my serum creatine level is normal n im healthy can u please tell any prevention from the progression of cyst i have to any diet i heard that regular taking of dhaniza diccotion will suppres the cyst devolopment my email id is YYYY@YYYY Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The goal of PKD treatment is to manage symptoms and avoid complications. Controlling high blood pressure is the most important part of treatment. As of now your renal function test is normal and you don’t have any symptoms also. So no definite treatment is required now. Do frequent followup with ultrasound and also check whether creatinine level rising or not. Diet and health supplements doesn’t got any major impact on PKD. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for polycystic kidney disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I returned from Ghana on 26 th march having taken malarone to prevent malaria. I had diarrhoea for a week after returning and was treated with cipro which resolved it. I now have flu like symptoms which started last Tuesday lasted two days and have now returned on Sunday till present. Do I have malaria Doctor: Hello welcome to the HCMBrief..This is less likely that it is malariaDetailed answer...since signs and symptoms of malaria are swinging high grade fever, there is periodicity of fever, low haemoglobin , headache , malaise and some time haematuria.Still if you want to clear the doubt you can get blood malarial parasite checked 3 times at least to confirm the result.Hopefully my answer is helpfull,Regards, Dr.Maheshwari"
},
{
"from": "gpt",
"value": "Target: Are symptoms of flu and diarrhea signs of malaria?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im recovering from flu, ive had it for 2/3 days now but i have really swollen gums, but i have to wear retainers at night. but only on the 3rd day i have discovered that my retainers cant fit around my teeth, i have to really force them in and it draws blood, what should i do? i dont want to have crowded teeth again Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have mentioned that you have retainers placed as you are under Orthodontic treatment what happened is when patient is under orthodontic treatment there is difficulty in maintaince of oral hygiene so there is bleeding gums now and as you said that you feel like retainer doesnt fits , for this you should consult dentist again and go for Examination , Do warm saline gargle two - three times a day Do chlorhexidine mouthwash 2 times daily Hope this will help you. Wish you good health"
},
{
"from": "gpt",
"value": "Target: Finding it difficult to wear my retainers as i am having swollen gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, I am 31 weeks pregnant and I had a really bad pain on my upper stomach to my belly button, it felt like a menstrual cramp but more intense and today i experienced it again in my lower stomach. the baby is moving like normal.. is this normal? or what could it be? Doctor: Hi! Good evening. I am Dr Shareef answering your query. If I were your doctor I would go for an ultrasound of your abdomen to rule out any intra abdominal pathology like a gall stone disease not uncommon in getting precipitated during pregnancy , and also rule out by physical examination any chances of an appendix infection which might cause pain higher up at this stage. Apart from this, the ultrasound would also let us know the position and well being of the fetus, and the placenta as well. Further management would depend on the results of the physical examination and the ultrasound report.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef"
},
{
"from": "gpt",
"value": "Target: What causes severe abdominal pain during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi ,, i am 22 year old .. i have pain in left testicle and i did radiology .. the doctor tell me that there is mild degree varicocele .. after that i did semen analysis .. it s result was normal but there are neutrophils 69% .. excuse me i ll ask you 2 questions.. 1) is the surgical intervention important for varicocele? 2) i ll take ceprofloxacin as antibiotic ,, is it enough for the infection ? .. all respect for you. Doctor: Thanks for asking in healthcaremagic forumIn short: Take antibiotics as advised by your doctor.Explanation: Surgery may not be required for you if you have mild varicocoele and semen analysis is normal(except for the infection part). For infection you can follow your doctor's advice with a review after few days. Good luck."
},
{
"from": "gpt",
"value": "Target: Should a surgery be undergone for varicocele?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi - I ve been on an assortment of blood pressure lowering medication for over 20 years; cozaar, diovan, losartan. Amlodipine bysylate. I m currently using amlodipine 2.5 mg.and have been for about two years. I ve about run out and should order a calcium channel blocker or an angiotensin blocker. I m 87 and in pretty good health. My blood pressure has been creeping up of late (144/90 on average). I m presently heavier than I should be (183 instead of my more normal 170) (I m medium frame Caucasion 5 9 tall). I have substantial left over supplies of both losartan and diovan. What s your recommendation? Did I give you enough information? Jack Wanamaker Doctor: Hello Diovan ( valsartan ) and losartan both are angiotension receptor blocker while amlodipine you are on is calcium channel blocker . It's not wise to change medication just because it's going to get over . I would suggest that you continue 2.5 mg amlodipine and if the blood pressure readings are still higher than 140 / 90 mg , Than adding a small dose of either losartan or valsartan would be an ideal . Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: Is calcium channel or Angiotensin blocker advisable instead of Diovan or Losartan?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my step son 17 now throws up most mornings 12 weeks now and down 25 pounds lots of test all came back negative - parasite - chrones he does not have an eating disorder as was healthy and normal two months ago.....I have heard about vagus nerve emtrapment could that be what it is??? Doctor: Hi, Welcome to HealthCareMagic.com I am Dr.J.Mariano Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.Early Morning Headache can be due to Raised ICT due to any cause To Proceed further, he needs to undergo Fundus Examination and Clinical ExaminationPlease consult a Neurosurgeon at the earliestHope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno Best Wishes for Speedy Recovery Let me know if I can assist you further.Take care."
},
{
"from": "gpt",
"value": "Target: Why my son is throwing up vigorously?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In trying to understand my MRI lumbar spine without contrast test it has a sentence that reads: No pars defects are seen. I cannot find what this sentence means. The previous sentence says: significant grade 1 spondylolisthesis L4-L5 is noted . I understand trhis sentence but not the 1st one. Can you help me out? Thank you! YYYY@YYYY Doctor: Than you for your question,A pars defect of the lumbar spine involves a part of a vertebra called the pars interarticularis. Roughly translated, this means \"the part between two joints.\" A defect in the pars is a break in this portion of bone. Since there is no pars defect in your case this part of your spine is normalKind Regards"
},
{
"from": "gpt",
"value": "Target: What does this lumbar MRI report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband went to the dr. and his blood pressure was 240/130. granted he was nervous but that is extremely high. they gave him bp meds and sent him for bloodwork and a sleep study and he is going back to dr. nexxt week after bp comes down from meds. in the meantime, he is stressing out b/c bp was so high and he thinks they should have sent him to the emergency room. he is having no other symptoms. Doctor: Hi, Thanks for your question. I can understand your concern. For better opinion I want to know more about your husband - - His age. - Family history of blood pressure, diabetes, cholesterol problem. - Height & weight. - His profession. - On what medicines he is on currently. With this high blood pressure level he may need evaluation for any cause of high blood pressure and it's bad effects on various organs of the. Following investigations may help - - ECG, 2DEcho of heart. - Renal function test - Urea, Creatinine, Electrolytes. - T3,T4, TSH. - Liver function test. - Lipid Profile. - Urine examination. - Blood sugar levels. - Fundoscopy to know any changes in retina due to high blood pressure. Depending upon detailed clinical examination and above test results appropriate medicines for blood pressure can be suggested. Hope this helps your husband."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high BP"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain at my left lower back since last 5/6 years. MRI diagnosis shows Dessication of L5.S1 disc with circumferential bulging & narrowing of left neural recess at L5/S1 disc level. Since last one year I feel at my left foot and palm nerve chords/veins are squeezed/twisted, not able to explain properly in medical terms, but those areas are agrvated due to back pain & graadualy weakening which affects my normal walking. Soughts opinion for medical remedy. Doctor: Hi,Welcome to healthcare magic.After going through your query I think you are suffering from chronic backache.Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as ultracet) is required.Consulting with treating doctor is advised. Sometimes vitamin D deficiency is the cause so get your vitamin D checked .If it is low then vitamin D supplementation( weekly with milk) can be taken.Avoid long continuous standing.Sit in a straight posture.Eat milk, fruits and green leafy vegetables daily. I think your query answered"
},
{
"from": "gpt",
"value": "Target: What causes pain in the lower back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son has a rash all over his legs and arms. I took him to his pediatrician. She said cortisone cream and time was the only thing to help because it was an allergic reaction. I gave him a bath and covered him in cream and it seemed to aggravate the rash and now (the next day) it s spreading to his stomach and face. Could my Dr have been wrong? Or is the rash spreading normal for an allergic reaction? And why did the cortisone make the rash swell and itch worse? Doctor: hi there.your kid concern may be atopic or seborrhoeic dermatitis.stop using cortisone all over body ,though it can be suggestible for limited areas and limited period.start using liquid paraffin lotion along with levocetirzine syrup.take opinion from a dermatologist after physical examinationthis will help your kid"
},
{
"from": "gpt",
"value": "Target: What causes aggravation of rash and cause itching after applying cortisone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been experiencing pain and stinging on the lower left side of my back for 8 years now.It gets worse when i walk a lot,sit down too long or stand to long.It also gets really bad when my period is due.It makes my stomach feel bloated and it feels like its deep inside my body.I also experience pain below my left shoulder at times too. Doctor: Hi Welcome to Healthcare Magic Forum Pain in this area can be due to a condition of kidney, uterus, spleen, intestines. A simple ultrasonography will clear the situation. And then you can visit a general physician for an examination. Takecare"
},
{
"from": "gpt",
"value": "Target: I have pain on the lower left side of my back. Can an online doctor help me ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had a sore throat/stuffy nose for about a week, with occasional coughing. Nose not as stuffy any more, but the cough is more frequent and ribs/chest painful when coughing. Throat soreness now seems to be primarily from coughing. Have only taken over-the-counter symptom reducers, vitamin C and zinc. Thank you. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Excess cough can lead muscular strain and so rib and chest pain present. Your viral infection my subsided and here cough could be as post viral bronchitis cough. Your Auscultation should be done and chest X-ray is advisable. Also check your CBC report. To suppress cough dextromethorphan syrup can be prescribed Take care Hope this will help you Consult pulmonologoist for examination"
},
{
"from": "gpt",
"value": "Target: How can cough and chest pain be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter had a serious accident on tuesday! she is only 2year old i m not sure how deep the injury was as i daren t look!! but it was adeep deep and large hole in her head, she s had her head glued and they have told me to leave it 4 day days but i m so scared of washing her hair, as it took them two times to glue it and i don t want to disturb the glue Doctor: Good morningThe wound should be first cleaned and proper aseptic dressing done.Systemic Oral antibiotics should be started along with an anti-inflammatory medicine.Antibiotics should be continued for 5-7 days. Local wound care should be done properly.Avoid contact with water. Maintain proper hydration and nutrition of the child."
},
{
"from": "gpt",
"value": "Target: How to cure wound on the head after an accident?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have a tramatic brain injury that happened in, October, 1995. My question is I ve been having major fatigue problems, but I take Ritalin for my speech and also my tiredness, but my question is, My fatigue has been almost unbarrable and getting worse latley. I take, 4, 20mg pills a day. I did some research on, phosphatidylserine, or PS, and have have some on order, do you think thats going to help? Doctor: Hi,Thank you for posting your query.It is unfortunate that your fatigue problems have not improved despite taking Ritalin.Phosphatidylserine (PS) has been researched and has been found to be effective in reducing fatigue symptoms, in people with post exercise fatigue. So, extrapolating the data to you, it is possible that it could help you too.Caffeine (commonly found in coffee) taken along with PS could also help you. Please keep me informed about your progress.I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in"
},
{
"from": "gpt",
"value": "Target: Major fatigue problems, taking Ritalin for speech after brain injury. Will PS solve fatigue issue ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the dentist today. She stated she used septocaine. While giving administering the septocaine, sparks were shocking me and burning my tongue . After the septocaine wore out, my tongue is raw and there are puncture marks on my lips . Are there chemicals in spectocaine which could possibly have similar signs affects? Doctor: hi, Septocaine is a local anesthetic which usually does not have any side effects until one is specifically allergic to it, which is a rare occurence. while giving any local anesthetic there is a burning senstation in the area where the material is getting deposited, which is normal. If your dental procedure took a long time then the cracking of lips and raw tongue maybe due to cnstantly keeping your mouth open. lips get dry and crack when the mouth is open for a long time, applying any good lip balm should solve the problem. if the discomfort persists or increases, i would strongly recommend that you consult your dentist. Regards"
},
{
"from": "gpt",
"value": "Target: Used septocaine. Sparks burnt tongue. Why is tongue raw with punctured lips?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell from my bike and sustained a few injuries on my hand. I cleaned them up and applied soframacin , covered them with gauge bandage for that night. I removed the bandage the next day i.e today and cleaned the wound again. My wounds are moist and a yellow layer is present on them. I am also taking antibiotic cefixine. Is it puss or natural healing way.Its not tender but a bit red and i am not feeling any high temperature. What should be my course of action now ?? Doctor: the yellow layer is consolidated necrotic pus which should be removed. You might not be having fever because of taking antipyretic medications. there is a chance that pus may get collected under th yellow layer. A healthy wound is red or brown when dry. kindly approach a doctor for removal."
},
{
"from": "gpt",
"value": "Target: Is there something to be worried about the the yellow layer in my wound?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am weak and shaky a lot, not cold nor undernourished. Also, I do not have a fever. My sugar levels seem to be good. When I reach to pick up something, sometimes I knock it over or drop it after picking it up. My sleep apnea is being treated and my c-pap machine was just updated by the doctor with the amount of pressure he recommends. The shaking had started before this change, however. Doctor: Hello ! I read carefully your question and understand your concern. I would like to know your age and if you have a family history for tremor. There are different causes of tremor. As far as I understand from your description, yours is an intentional tremor, which gets worse when you try to reach for the target. In a young patient I would think about a metabolic cause like hyperthyroidism. While in older patients I would think about essential tremor, a degenerative disease or a stroke. But the gradual beginning of your tremor rules out a possible stroke. A positive family history for tremor would be in favor of essential tremor diagnosis. Sleep apnea can cause tremor in the hands during the day, but it would improve with the good treatment of apnea.So I would recommend you to consult with the neurologist and have a full blood work and the thyroid function tests. A brain MRI may be helpful if the above tests result normal. Hope to have been of help!Greetings!Dr. Abaz Quka"
},
{
"from": "gpt",
"value": "Target: What causes shaking of hands and weakness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started with my period on Thursday after months without because of the birth control pills. (Because of hard training I skipped it). It chose to have my pill free week since my boyfriend is on vacation. On my period, I had a lot of pain (still have), it was hard to walk, wasn't up for food, and was also very nausea.. Now I'm finished after four and a half day which is very normal, but it still hurts a lot! And specially on my right side. So, I read on the internet about appendicitis, since I have a lot of the syntomps. Also afraid I can be pregnant, but I had my period,and also use birth control pills. Can it also be that I just waited to long with the period. Maybe more than my body could handle? Since the period started the same day as I started the non pill week? Doctor: Hello!Thank you for the query.Appendicitis is an urgent condition. It is not an issue which can last weeks or months. Without treatment patients either die or get heal by theirs own. So even if the symptoms are similar to the appendicitis, I dont think this is your issue.Pregnancy or ovarian cyst is much more possible. Urinary tract infection or inguinal hernia should be also considered.Please visit your doctor, have urine analysis, pregnancy test, blood work and abdominal ultrasound. Gynecologist should be also visited and transvaginal ultrasound done.Hope this will help.Regards."
},
{
"from": "gpt",
"value": "Target: How to treat appendicitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 11 year old daughter was diagnosed with strep and Flu A&B on Thursday. She has been taking her medicine since then. She really perked up yesterday and seems fine, at what point can we send her back out into the public again, without putting other people at risk or herself? She wants to go today. Doctor: Hi thanks for asking question.She is suffering from influenza.Usually first 7 to 10 days can be infective for other people through airborne transmission.So for approx week it is better not to go outside and taking rest.Whenever sneezing , use handkerchief for sneezing.Drink more water.eat more fruits and fruits juice.Maintain immunity to counteract influenza infection.I hope I have solved your query.thanks."
},
{
"from": "gpt",
"value": "Target: For how long are strep and Flu A and B contagious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a uniformly echogenic 3.6 x 3.5 x 2.9 cm lesion is seen in the right hepatic lobe. Echogenicity of the remainder of the hepatic parenchyma appears unremarkable, but have pain and stomach issues along with the lesion, is it something I should have looked at? Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.In most cases these spots are benign growths such as cysts or hemangiomas. Hemangioma is very small and this cant cause such symptoms unless larger than 10cm. He should do MRI scn or liver biopsy to find what type of lesion it is. Less common this may be malignant issues such as hepatocellular carcinoma . His abdominal pain may not be related to liver spots at all. It may always be sign of some other issues such as IBD or gastritis. If these are just simple liver cysts then I dont think this is causing his symptoms.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health."
},
{
"from": "gpt",
"value": "Target: What causes stomach pain from around a lesion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes, i was just wondering if say your born with a heart murmur (i think my mom said i was born with 2 but they closed up.I was wondering can this you athleticaly in the future?Ive noticed that sumtimes my chest will hurt really bad after some work outs to the point i have to sit down and relax till it stops. Doctor: Hello, You are having chest pain and murmur due to congenital defects you were born. You should visit a doctor for stress echocardiography and chest X-ray for complete evaluation and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Varinder Joshi , General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can heart murmurs cause chest pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI, (from philippines) my son got accident last april 2012 and undergo surgery to put a titanium on his left jaw. Everything was ok...but 3days ago I got a call frm my son that his jaw is like a new again meaning swollen with pain...do u think it s because of to much heat/hot in qatar where he is working? Do you think, what medicine would you recommend? Doctor: Hello,I can understand your concern. Swelling after healing of a fracture most often indicates towards a muscular problem not as a complication of fracture as the patient was all symptom-free for some time. I would advise him to do intermittent hot compressions in the area. In addition, muscle relaxant medicines such as Dan-MR (Paracetamol 500 mg + Diclofenac Sodium 50 mg + Chlorzoxazone 250 mg) or Hifenac-MR twice a day for 5 days will help.If the swelling and pain do not improve after 5 days, then he might need to visit a maxillofacial surgeon for physical examination and x-ray of the previously fractured area to look for possible complications in healing.I hope this information helps you. Thank you for choosing HCM. Let me know if you have follow up questions.Best,Dr. Viraj Shah"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swollen and painful jaw"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 3 months pregnant. I had my last ultrasound after 9 weeks which showed everything to be fine. After that i have started feeling sexually excited. Its been 13 weeks now. I didnt have my ultrasound after that. I masturbated many a times after that. Please suggest if there is anything wrong in masturbating and if my babay is fine ir not? Doctor: Hello, and I hope I can help you today.Changes in libido, due to the hormonal fluctuations during pregnancy, are very common and many women report increase sexual desire during pregnancy, especially in the second trimester. The reason for that is that nausea and vomiting have largely resolved by this point, and yet you are still not large enough to feel physically uncomfortable.Sexual contact, by intercourse or by any other means, is safe and healthy during pregnancy. Masturbation itself is just one form of sexual activity and therefore will not hurt you or to your baby during pregnancy. Some women occasionally feel uterine cramping after orgasm, but this is normal and usually goes away in a short period of time and is not harmful.So in summary, masturbation is not a health risk for you or your baby during pregnancy.I hope that this adequately answer your question today, and that this advice was reassuring.Best wishes for the rest of the pregnancy, Dr. Brown"
},
{
"from": "gpt",
"value": "Target: Is it safe to masturbate during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is claire and i have a lump on my eyebrow. i really dont know what it is...and it swelled up one morning and it got better at night. The next day, I didn t feel any pain at all...but my sister told me she could see a lump on my eyebrow. Do I have to surgically remove it? If yes, how much would it cost and will it hurt? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some oedema due to insect bite. You should wait for few days. If it disappear completely then nothing to worry. If it remains persists then you should go for examination and if needed go for biopsy. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump on eyebrow"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im Having alot Of Pain in the Lower Right Side Of My Stomach . ANd Im ALso Poopin Green, I Had Thanks Giving Yesterday.. The Onlything i Ate Was corn, Stuffin With Rice Witch Was Mixed With A Chicken Whe It Chicken Was Half Cooked. Umm Patatoes And BBQ Chicken,And Wings.. Should I Go To Er?? Also I Have Had A Colonoscopy Last Monday.. I Also Have Alot of Probelms With My Stomach For a 2 Yrs.. So Im Wondering If Anything Have Busted??? Thanks Jesss Doctor: hi jess, your symptoms could be related to gastro enteritis due to food poisoning and needs to be confirmed. Yes, you need to visit the ER and get yourself checked and stool sample examined. All the best"
},
{
"from": "gpt",
"value": "Target: Lower stomach in pain. Had corn with rice. Emergency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a severe urinary tract infection after embryo transfer two days after took one flagyl and purmycin as advised by my GP following day went to see my Gynae and he prescribe one sachet forgot the name of it had to drink it immediately and he said I must drink a lot of water I discontinued the other medication am now in day 6 and I have thrush my test is due on Thursday 9 October should I be worried and what medication can I take for thrush Doctor: When you say thrush, do you mean of the mouth or the vagina? In the mouth there are oral rinses that can be prescribed by your physician. In the vagina, thrush (or a yeast infection) can be safely treated in pregnancy by both oral and topical vaginal preparations. You do not have a developing baby yet so these medications are all likely safe. Consult with your GYN on the proper choice of medication, but there are over the counter antifungal creams for the vagina that do not require a prescription."
},
{
"from": "gpt",
"value": "Target: What medication can I take for thrush post ET?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir my age is 25 year but i have very weak mind power please help me in increase the mind power by natural or herbal supplyment Give me suggestion about ginkgo biloba and ginseng is uesed for increase of brain power. tell me at [email protected] Doctor: Hi, welcome to health care magic forum, Who said that you have weak mind power? you thought that you have weak mental power and you confirmed it ! Do not feel inferiority complex,develop self confidence. Mental power is relative term and so do not confuse. You cultivate your mind and give some mental exercise to brain. See tv channel give more information,question answers and debate. Read books of lives of big celebrities and know about ups and downs came in their lives. No medicines,Alopathy or herbal will you give high mental power. Do healthy exercises and Yogas."
},
{
"from": "gpt",
"value": "Target: What can i do to increase my mental strength ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor, I am suffering from IBS and I have problem of loose stool. Can it be treated by diet & yoga? I have already taken IBSET, TRYPTOMER for a month. symptoms of IBS is less now but still having loose stool problem. shall I continue the medicine or shall I maintain it by diet alteration & yoga. I am also not gaining weight. pl suggest. Doctor: hi, IBS is a difficult to treat condition. you need a trail of drugs before you succeed. My suggestion is, use both medication as well as high fiber diet with yoga for 3 months. If those two medicines don't work for you, there are other options like clidinium and chlordiazepoxide. As far as weight gain is concerned, you need to be examined for any problems like thyroid before suggesting weight gain methods as high protein food will worsen your IBS symptoms.all the best."
},
{
"from": "gpt",
"value": "Target: Suffering from IBS and loose stool"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my B/P was 142/122, pulse 40 last night, shoulder sore, very sleepy, arms dead weight oh & lower lip tingling. I thought about going to the ER, but take care of mom who had major stroke & depends on me for ALL her needs. Respite will be starting in a week or two and then I can go for testing. This morning my B/P was 114/90, pulse 54, left arm funny feeling and real tired feeling, still sleepy. Can this wait till I get respite for Mom? Doctor: Hello,Your actual blood pressure values are indicative of diastolic hypertension. Besides your heart rate values are really low, indicating bradycardia. The funny feeling in the left arm could be related to a pinched nerve caused by a wrong position during sleep or a stroke. Coming to this point, if the numbness persists in the left arm, I would advice going to the ER for a physical exam, a brain CT scan, and some other tests: a resting ECG, a cardiac ultrasound and blood lab tests (complete blood count, blood electrolytes, etcetera). If the numbness and tingling improve, it can wait until consulting with your doctor and performing a cardiac ultrasound, a resting ECG and some blood lab tests: - Complete blood count- Thyroid hormone levels- Fasting glucose- Kidney and liver function tests- Blood electrolytes- PCR, ESR for inflammationHope I have answered your query. Let me know if I can assist you further.Regards, Dr. Ilir Sharka"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for high BP,low heart rate and tingling in my lips?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I badly bruised the inside of my calf near the shin bone when a gate blew against my leg ( strong winds) It developed into what I believe may be a hematoma. This was several weeks ago. The hematoa is smaller but still there and now I have severe edema on my foot and ankle- not painful , kind of numb. I went to emergency because the swelling is so severe. They have ruled out a blood clot , ( did an ultrasound ) which is good but I my foot and ankle are very big stil. Doctor: While bathing pour hot water over leg and ankle, apply muscle relaxant, while lying keep keg/s raised.It's always better to adopt naturals when you can. Take little turmeric powder say 1/2 tsp in hot milk/ water and drink slowly. It is tasteless, so no problem. Alternatively Haridra capsules of Himalya's pure herb series 2 bid for a week or so ( its also turmeric inside). It's natural antiinflammatory, analgesic and bacteriostatic spice. You can even apply on swelling by mixing in warm clarified butter and cover with crepe bandage. See miracle in few days. But it stains. Wear clothes accordingly.No side effects.Hope it helps you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling of foot and ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 19 year old daughter was bitten by something a little over 24 hours ago. The bite is on her lower rib cage and has swollen to maybe the size of a golf ball? It is sensitive and painful as well as warm to the touch. She is taking Advil for the pain and some Benadryll - the site has been cleaned and treated with neosporin. Is there anything else she should be doing for treatment or relief? Doctor: hi thanks for asking this on HCM, AS of now the steps you have taken is right just consult with a local physician mostly she will be kept in observation for sometime since there is no knowledge of what bit her. if she does not develop any other symptoms she will be sent home. she might need a dexamethasone injection. take care no need to worry she will be alright."
},
{
"from": "gpt",
"value": "Target: What to do for the insect bite and swelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am really wondering why my cleavage is black or rather darker than my complection. it started when i was 18y/o. i am now 22. it is not itchy nor scaly. what can this be? and what can i use to lighten my complection on that part? my underarm/armpit is also really dark because when i was young i used a deodorant and i didn t know that it already expired. after i used that deodorant it started itching and became really red. then after few days i became so wet and itchy to the point that i can t stop scratching it. now it is so dark that it s like a shade of dark brown but my complexon is like khaki/light brown/peach. Doctor: Hi, I understand your health concern. The cause of this is a fungal infection or Tinea in medical terms. You have had a past infection in your younger ages and it has continued to the present state. The mere dark complexion suggests it is a fungal infection. Follow these measures: 1. Dry yourself thoroughly after bathing. Then only put on your clothes. 2. Use a simple antifungal cream like clotrimazole on the darker areas on a routine basis. You should feel better soon though 100% cure is not possible. Wish you good health. Regards,"
},
{
"from": "gpt",
"value": "Target: Dark complexion over cleavage, armpits. What can I use to lighten the tone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: This evening my husband was just walking down the hallway and felt a snap in the back of his right knee. Immediately the vein in the back of his knee became swollen and the skin became bruised. this was several hours ago and the swelling has gone down but the bruising looks a bit worse. He is complaining of tenderness to the touch and soreness when sitting or bending at the knees. What could this be? He was not doing any abnormal activity - just simply walking from the restroom to the kitchen! Doctor: Hello, His symptoms are suggestive of a local hematoma, probably a ruptured artery. It is quite normal for the bruise to look worse now, as the blood has come to surface and it changes the skin color. Anyway, if the problem persists, I recommend performing a Doppler ultrasound of the leg vessels and checking coagulation tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ilir Sharka"
},
{
"from": "gpt",
"value": "Target: How to treat swollen knee back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I just had a ruptured ectopic pregnancy, lost half of my blood supply and received a blood transfusion. Emergency surgery was performed and I am now home. I've been having very frequent heart palpitations every time I sit or lay down. They make me cough and feel very uncomfortable. I am slightly short of breath and have a fever of 100.8. Also my stool has become orange/yellow in color. I'm not sure if I should seek medical treatment immediately or wait until normal office hours as it is a Friday night. I would greatly appreciate any help. I am 36, and do not take any medications. I've had palpitations here and there but never this frequent.Thank you for your help. Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern.I will try to explain you something and give you my opinion.Palpitation has to do whith rhythm issues.It might be a sinus tachycardia meaning that the heart beats over 100 beat for minute.It might be an extrasistolic beat or other kind of arythmia.All of this cause palpitations, shortness of breath, anxiety sensation.Rhythm issues might have different causes like anemia, hyperthyroidism, electrolyte imbalances, cardiovascular disease, active infections or just stres.In your case, as you have lost blood you might have anemia causing this symyoms or an active infection.So, if you experience palpitation once a while you can wait, they're not an emergency.But, if you feel irregular, chaotic heart beats and important shortness of breath than I will recommend you to seek medical treatment directly to emergency room.You might have an electrocardiogram there, have a fool blood analyze and a cardiac echo.After if this result normal hou can take time to have a holter rhythm monitoring to see your rhythm tendency day and night.Hope I was helpfull.Best regards,Dr.Ervina."
},
{
"from": "gpt",
"value": "Target: What causes cough and palpitations after a surgery for ectopic pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: We are in Florida. Our 8 year old daughter have a couple o rashes on her leg, looks like bug bites. Further she has a blister clear to light yellow, size of top of my tum. She developed this 1.5 days ago while in Florida. Right now a bit of fever as well. What should we do. Worried! Doctor: Hi...I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other exanthemas which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use Hydroxyzine at 1-2mg/kg/dose (Maximum 10mg) every 6th to 8th hourly for 7 days. This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rashes and blisters of a 8 year old"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sometimes I have a sharp twisting pain on the right side of my abdomen. It generally occurs when I am sitting on the floor but can occur in general. I am 57...189 lbs..,walk 2 miles a day and take yoga 4x a week. Overall health is good. Recent annual exams all good. Doctor: Your pain is a kind of visceral pain. It might occcur due to gall bladder involvement. You should get an Ultrasound of abdomen done."
},
{
"from": "gpt",
"value": "Target: Experiencing sharp twisting pain on the right side of my abdomen"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My daughter who is 21 years old was suffering from abdominal pain and her test results showed two abnormal results. gamma gt: 73 U/L ( which in our country says it should be -31) and SGPT: 43. Should I be worried and what to do next.Please am worried Doctor: Hi welcome to hcm.Elevated GGT and SGPT indicates any liver abnormalities like auto immune hepatitis.Get auto immune screening done.Get an ultrasound abdomen to find any liver pathology.consult your doctor immediately and review with reports.thankyou."
},
{
"from": "gpt",
"value": "Target: What causes abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have constant belching, RUQ pain, and sternum/midback (under bra strap) pain. Was off/on for a few months, now constant. Had abdominal ultrasound (normal), two liver function panels (normal), chest Xray (normal). Take 40 mgs of Prilosec twice daily. Am getting endoscopy next month (already know I have a hiatal hernia from a previous endoscopy). Had chest CT scan which showed lungs clear, but a 4 cm liver mass. Then had contrast enhanced CT scan of liver only and no mass (reviewed by 3 docs, nothing there, think it was \"fat infiltration\". Getting liver MRI next month to double check). Also had AFP test (neg) and Hep tests (neg). Totally confused now. GI doc thinks I am exaggerating RUQ/back pain, but it is daily and getting worse. Could this be liver, gallbladder, GERD, hernia? Doctor: hiYou may be having GERD which gives many varied symptoms.all that is to be done is to take prilosec and have light diet ,small frequent meals, avoid fats,spices,alcohol,take foods which are easiy digestible.However have an upper GI endoscopy done to confirm hiatal hernia current status and follow all precautions for GERD.You gastroenterologist doesn't consider liver, GB, then trust him,He may rule out Pancreatic disease also by serum amylase levels and endoscopy for GI symptomsBest wishesregards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son of 15 years old caught viral fever since Sunday night. Doctor has given medicine and advised to be indoors for next three days. Attended school for test on Thursday. Today again he is feeling very weak and is not able to standup also. please advise Doctor: Hi,welcome to HCMViral fever is generally associated with generalised weakness, body aches, malaise, etc. Therefore feeling of weak during or post infections, esp. of viral origin is common.Adequate nutrition with enough calories, proteins and fluids will help the body to fight organisms and restore the strength quickly. A judicious and as required use of anageslices like diclofenac drugs or paracetamol to combat the fever and body ache is suggestible. In case, the condition of your chid appears to be critical a consultation of a local general physician is always helpful and safe. With a good supportive care the symptoms should recover by a week.welcome for further suggestions.Regards,Dr Pankaj Borade"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fatigue and weakness due to viral fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi...my daughter is 9 months old. she got some ear infection. ENT Doctor told that there is some infection in the outer layer. The paediatrician told that since I am giving her milk from bottle, it has caused her this infection. Is it true? For ear infection, the doctor prescribed clavam bid 200mg, ibugesic syrup and nutrolin-B syrup for 5 days. Today she is getting loose motions. I had started giving her medicines since friday. Are all these medicines necessary for such a small kid? Doctor: Hi Chances of ear infections are more in bottle fed babies( it can occur in breast feed babies also) ,For control of infection these medicines are necessary so that infections can be controlled timely , and complications may not occurHope I answered your query thanks"
},
{
"from": "gpt",
"value": "Target: Does bottle-feeding cause ear infection in a baby?"
}
]
|
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