conversations
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{
"from": "human",
"value": "Source: Patient: I have a urinary tract infection. I am due to take my last antibiotic pill tonight. But now I have pain in my right side and stomach and even in my lower back. I was doing better but now thee symptoms are a little different. I just took temp. And it is 99.9. Should I go to my doctor tomorrow? YYYY@YYYY Doctor: Hi dear. Welcome to HealthCareMagic. Thanks for trusting us. I have understood your questions. But before, may I know what kind of antibiotics do you use? How long have you consumed this drug? It's really helpful when I know surely the name of your drug so I can look for the possible cause of your condition.For urinary tract infection, the antibiotics which most given is from fluoroquinolone class such as ciprofloxacin, ofloxacin, levofloxacin etc. This kind of drug have several side effects especially in causing GI discomfort (abdominal pain, cramps, nausea or vomiting) like the symptoms you have. The others are dizziness, headache, fatigue, weakness etc.Another class of antibiotics usually used for UTI is cotrimoxazole (combination of trimethoprim - sulfamethoxazole). It also can cause nausea, vomiting and anorexia. Beside that, amoxicillin/clavulanic acid can be used for UTI and it minimally causes GI distress.The fever that you felt is called subfebris. If I were your treating doctor, you can take acetaminophen 500 mg for your fever. If any of your symptoms get worse, it's better to contact your local doctor.You should know that the goals of UTI treatment are eradication of infection, preventing complications and preventing recurrence. Take all the antibiotics like your doctor prescribed, because stopping it in the middle of treatment can cause resistence.For prevention of UTI you should drink plenty of water and drink cranberry juice. Some studies suggest cranberry can reduce recurrence of UTI. Keep your private area clean and dry.I hope this answer can resolve all your concerns. If there's anything else you need to know, feel free to ask me in HCM. I'd be glad to help you. Wish you get better soon. Take care.Regards,dr. Asti Yuliadha"
},
{
"from": "gpt",
"value": "Target: What causes stomach and back pain with fever while having UTI?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Yesterday, I noticed a reddish/pinkish, slightly raised rash close to my vagina also the bump is relatively tender to touch and a tad bit itchy. Now a couple days ago I also noticed a rash close to my ankle, but that went away before the rash like bump appeared on my vagina. I have also experienced a headache and some tiredness. I am very concerned that this might be herpes, I have been celibate for roughly three years and this is the first time I had something like this happen. I also know this virus can lay dormant for years....but I am really hoping it can be something other than herpes..what do you think? Doctor: Hello and thank you for your question. It does not sound like herpes. Herpes rashes are usually blisters and quite painful. People describe it as a burning pain. It usually takes a week or more to resolve. Unless you have had herpes in the past (first outbreaks are usually very severe) since you have been celibate you are very unlikely to have contracted herpes. It sounds like you just had some skin irritation.Regards"
},
{
"from": "gpt",
"value": "Target: Is reddish and itchy rash near vagina indication of herpes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a problem, between the clit and the lip there is a lump that s very painful to touch when I pinch at it, it looks like a spot I m not sure what to do or what it is, weather I should pick it or pit something cold or hot on it to get rid of it, I m really embarrassed to go to the doctors so any help you can give me would be a great help Doctor: Hi,From history it seems that you might be having infected Bartolin gland cyst giving this problem.There might be having some local infection giving this problem.Go for one antibiotic and anti-inflammatory medicines course for 3-5 days.If problem persisted, then consult Gynaec and get examined.Keep local hygiene clean, dry and airy.Apply antibiotic cream.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for a painful lump on my vagina"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 34 yr old male with MS. I am prescribed suboxone 12mg a day,Tizanadine 12mgs a day, metoprolol Er 200mg,lisinopril/HCTZ20/25mg, Doxazosin 2mg, and Ambien 10mg in the hs as needed. The BP meds susoxone and Muscle relaxer is everyday no if ands or buts. I recently (last 2 weeks or so) began using Adderall recreationally but turned daily quick. within days. I feel addiction in my mind as the night sweats/anxiety/and sleep probs began last night (my sayed I had an attitude from day 1). I took 4 mg of buprenorphine (Suboxone), 4mg tizanadine and 600mg of ibuprophen and one of my wifes .5 mg klonopin and seemed to be comfortable but awake with thoughts. Then this morning I took some addy and I was on my way. Im scared as I have an addiction to begin with and have just in the last hour flushed the remaining adderall I have which was 6- 30mg XR which i was taking by opening the capsules and swallowing the beads. I nevertook more than 50 mg a day though. Should I expect bad DT s. Im sure nothing like opiates but should I expect hell? I honestly think Im over worrying but I dont like the feeling. The first time usind adderall was awesome and now I seem to be wanting that same high and its not gonna happen and my mind argues that point. I can do the mental as long as I know Im not so far gone and the physical part will me manageable with what I have. Tahnks. Please do not judge me. Just honest advise or nothing at all. God Bless Doctor: Hello ceedubbya27 It seems that your are very anxious due to your problem. You want to quit the drug but there is a lot of anticipatory anxiety and beliefs associated with drug in you. As you have motivation to quit so it will be very easy to quit. In suboxone, buprenorphin and naloxone are in fixed drug form. I am not clear whether you are taking suboxone or buprenorphin plain. As in suboxone naloxone which is a anti drug so it counteracts pleasure effects of buprenorphin so its not so pleasurable. But buprenorphin alone is pleasurable and addicting so you have to quit it. Yes there is chance of withdrawal syndrome but serious Delirium Tremens will not occur. Quitting buprenorphin is easy if done with proper replacement like with naloxone combination and methadone replacement, and then gradual tapering so consult a good psychiatrist and take expert opinion. Secondly adderall is a stimulant drug which is highly addicting, it produces pleasurable effects but abuse potential is very high, but there is very minimal risk of withdrawal best you will suffer is flu like syndrome. So pal try to quit and you will improve, it will be very beneficial to you for management of Mitral Stenosis also. Thanks Hope I cleared your doubt. Take Care"
},
{
"from": "gpt",
"value": "Target: On treatment for MS. Can I get anxiety, night sweats, sleep problem due to medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For almost a year every time I cough up my spit I will see black cloudy stuff in my spit. It only happens sometime like whenever it wants to show up. I don t smoke at all. I am worried that it is something more dangerous. Please respond back as soon as possible. If you need more information please contact me at my email. Thank you. Doctor: Thanks for your question on HCM. In my opinion you should consult pulmonologist and get done chest x ray first. As black phlegm can be seen in1. Long standing haemoptysis. 2. Fungal infection.3. Coal particles in trachea etc.So better to first rule out with chest x ray.And if x ray is normal than get done bronchoscopy and lavage fluid analysis for above mentioned causes.So better to consult pulmonologist and get done chest x ray and bronchoscopy and discuss all these."
},
{
"from": "gpt",
"value": "Target: What causes black phlegm during cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello Doctor , i am from INDIA , my mother underwent MRI scanning we found a blood clot at spinal-cord ,the Doctors said no problem they can cure by medicines and today they asked us to check with Hematologist , is there any problem regd this kindly let me know wat to do .... Doctor: Hello, It depends on her clinical situation. A spinal cord stroke can lead to paralysis, if not treated at the right time (as early as possible). Regarding the hematologist, I agree with the doctor recommendation, as most of the time, spinal cord stroke is related to hematological disorders, which lead to increased risk for stroke. 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: Suggest treatment for blood clot in spinal cord"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir, I was examined by an urologist before 10 days(on 6/5/2013) for a lump attached to the upper part of my left testicle which was there since 11 years and he said that it is nothing but an epididymic cyst (also he saw the ultrasound report which was done on 26/04/2013 which is attached with this). But said that before seeing the ultrasound report he is sure about the diagnosis and he confirmed it after seeing the ultrasound report. He said that it is not harmful and can be left as it is. If it pains in future then it will be removed by surgery. Today(17/05/2013), when I saw my scrotum (during bath and also after bath) I saw that the skin on that said lump sometimes appears more smooth than the skins on other part of scrotum and some times looks more rough than skin on other areas on testicle. I don't know whether it is psychological or it is cancer ? The urologist said me that there is no cancer in my testicle but can it develop within this period of 10 days ? Sometimes I fell a mild pain for a while when I sit with streatch. During other times there is a mild pain on the testiclular area but it is very very less frequent. Can it be cancer or it is more psychological ? I am afraid sir please help me. What should I do ? My age -32 sex- male Doctor: Hellowelcome to health care magicThanks for your queryEpididymic cyst also called spermatocele is an abnormal cyst formed in the epididymis..which contains clear fluid or some times sperms..It is painless and non-cancerous..it won't cause any problems..But when it starts growing or causing discomfort like pain,,then you should go for its removal spermatocelectomy by a general surgeon..Normal scrotal skin is usually rough and thickened,,The swelling present stretches the skin and appears as smooth in that area..Consult general surgeon for more suggestionsThank youDr.siddartha"
},
{
"from": "gpt",
"value": "Target: Have a lump near the testicle. Diagnosed as epididymic cyst. Seems to be soft & hard. Sometimes pains. Cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My bf has been having pains on his right side stomach, his pain's sometimes occurs around the front side of his stomach and also his back, becuase of this pain, he often feels like he is stuffed and cannot eat, also when he does not eat he feels better but then feels hungry, now as his gf I have noticed that he does not eat enough to say that he is over eatting, if anything he may be under eatting, but because of his pain he always feels stuff for the majority of the time, now there are days where he will eat normal amount of food ( 3 regular meals aday) and then start to have his pains and such occur, and there are days that he will over eat and yet again still have these pains. I wonder if this has more so to do with poor eatting habits, but I'm also leaning towards there being something more so wrong only because he has had weeks of eatting normal (3 meals aday and sometimes a few snacks) Also he is pretty healthy and works out occasionally. However I'm curious as whether or not this may be caused from over stressing, he has periods of times where he does seem to over worry, and from personal experience know that can cause health issues to, but its usually a one week or 2 weeks thing. Is there anything you can tell me? Doctor: Hi,The symptoms point more towards stomach ulcer. The causes being poor eating habits and stress.You haven't mentioned since when he is having the pain and also how does it subside, spontaneously or by medication or by vomiting.Ask him to consult a medical gastroenterologist. He/she can subject him to endoscopy and plan the treatment. Do not neglect"
},
{
"from": "gpt",
"value": "Target: Suggest medication for pain in the right side of the stomach"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father is suffering from Prostate cancer since 2007 and had a surgery for removal of prostate and using urine bag. Recentle we did PSA level test where PSA level is 1000ng/ml, but he is having good in apetite level as well as regular in toilet. please advice me on this condition. Doctor: HelloThanks for query.I think there is mistake in interpreting the report of Serum PSA ,I have not seen it to be 1000ng in 40 years of my practice .With good health and appetite it can never be so high . Please go through the report once again .I think it may be 10.00 ng and not 1000ng . Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What does a PSA level of 1000mg/ml suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My four and a half year old has a red pin prick like rash across his chest and on his face it is a bit more ruddy. He is 110cm and weighs 43lbs.He is rarely unwell although has had a history of convulsions which he has outgrown.Acting and eating normally with no fever, any ideas? thank you Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your child have symptoms of pin prick like rashes on chest and face which is due to allergic reaction, infection of hair follicles, hormonal changes, skin infection and overexposure to sunlight. Need not to worry. I would suggest you to exfoliate your skin once a week to remove the dead skin and apply vitamin E oil before going to bed. Apply cream containing azelaic acid. If condition doesn't get well or get worse then consult dermatologist for proper diagnosis . Doctor may prescribe antibiotics like clindamycin along with isotretinoin and corticosteroid cream . You should get hair follicle test as well and start treatment after that. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes pin prick like rashes on chest and face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello! I have beautiful teeth! never had a cavity in my life! but I do suffer from bleeding gums and my fron two bottem teeth have a darker line betwteen the teeth and gum line. im aware is could be Gingivitis and Periodontal Disease but before I go to the dentist (no insurance) what are some things I can do to help my situation and prevent tooth lose! thanks so much Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have bleeding gums because of inflammation and ulceration of gingival mucosa. Maintain proper oral hygiene. Do brushing and flossing regularly. You should avoid excessive use of tea , coffee as it will cause stains on teeth. Visit dentist once and get it examined. Go for quadrant scaling and root planning. Use listerine and betadine mouth wash. Do gargles after every meal to prevent bacterial accumulation. Go for curettage. Rinse mouth after every meal to prevent bacterial accumulation. you should Use 0.2%chlorhex mouthwash once daily half an hour after brushingHope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest treatment options for bleeding gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear doctor sir, My son having 13 years getting persistent dry cough having more than 10 months, there is no particuar time for that day full, his bolld AFC test done 980 is the count can you suggest any natural or harmless medicine for complete cure thanks thomas my mail id YYYY@YYYY Cell 0000 Doctor: Hi dear i read ur problem of ur son's persistant dry cough having more than 10 months.U also told that there is no particular time for that day or full coughingFirst of all u must go for investigation -GBP(GENERAL BLOOD PICTURE)MONTOUX TEST CXR PA VIEWCT SCAN CHESTPCRADA( ADENOSINE DEAMINASE)THESE INVESTIONS R NECESSARY SO MUST DO IT.TREATMENT-1- U CAN GIVE ONE TEASPOON TALISAADDI CHURANA WITH GHEE.2- U GIVE 40 ML SHIRISADDI QUATH TWO TIMES IN DAY BEFORE MEAL.3-GIVE LAXMI VILASRAS 200MG TWICE A DAY.4- USE BOIL WATER IN UR LIFE STYLE.5-TAKE RICH PROTEIN DIET.THANKS FOR QUERY"
},
{
"from": "gpt",
"value": "Target: How to treat prolonged dry cough in children?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small lump on the inside of my right hip bone. Its maybe 1cm by 2cm and tube like. It doesn t move its hard like a knot. Sometimes when I lift something both insides of my hips hurt or when I sneeze or cough there s a sharp pain in both hips but not all the time. There are no other lumps anywhere in my pubic region on either side. Doctor: HiWelcome to hcmMostly you are having hernia. You need to see a surgeon for confirmation. If hernia is present it requires surgery.Regards"
},
{
"from": "gpt",
"value": "Target: How to get rid of lump on the inside of my right hip bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a period on july 15th and then I had very light pink spotting to where I only need a pantyliner on the 8th of august now my breast and nipples have been sore and I get nauseous off and on and I have been very tired and drained also have been having headaches. can I be pregnant... I took a home pregnancy test like 3 days after I stopped spotting but it came out negative Doctor: Hi,Thank you for your query.A negative urine pregnancy test 3 days after you stopped spotting can be false negative. I suggest that you repeat the pregnancy test a week after the previous one as the symptoms suggested by you can be due to early pregnancy.I hope I have answered your query to your satisfaction.Wishing you all the best.Regards,Rajiv K Khandelwalhttp://goo.gl/SuCjl"
},
{
"from": "gpt",
"value": "Target: Delayed periods, light pink mild spotting, sore breasts and nipples, on and off nausea, fatigue. HPT negative. Possible pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was having toothace and in the night i took one pain killer and antibiotic, after take these pill and capule my body start itching and i was feeling like burning from inside couldnt sleep whole night, is this an antibiotic reaction or some allergy and i dont have rashes on my body? Doctor: Hello, It is quite possible that you are suffering from a drug reaction. Kindly stop the drugs that you are taking and start off with an anti histsminic like tab laveta 5 mg twice daily. Keep a note on the progression or regression of the rashes. RegardsDr Aditya"
},
{
"from": "gpt",
"value": "Target: Having tooth ache, took antibiotic, body itching. Is this an antibiotic reaction or some allergy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell on the ice and landed on my back kind of on the left side. Now the side and back and front of my lower right ribs hurt when I press on them or get up or down to sit or sleep. Also when I cough there is pain.Should I be concerned, or will it get better on its own in time. Doctor: HiWelcome to healhcaremagicAfter going through your query I cancluded that you got soft tissue injury to your chest, it seems to be mainly muscular injury. You need treatment as rest and analgesic such as ibuprofen for pain relief. It will heal in nearly 15 days. If you develop fever than you need to worry . You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link:https://www.bit.ly/askdrsudhirorthoWishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in back and ribs after falling on ice"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had nerve block on S1 and I believe L4. I have bulging discs that are blocking the nerve. the back seems some better still lets me know it s there but I am having pain, tingling and burning in the left foot which is the side I had blocks on. I had a echo and ABI done on my legs several months ago because of the foot pain but nothing found. Can this be coming from my back or do I have something is going on.. Doctor: Bulging disc can compress the surrounding nerve root. This can occur even after injection therapy. Such nerve root compression can produce tingling and pain. If S1 root is compressed, it will definitely produce symptoms in your foot."
},
{
"from": "gpt",
"value": "Target: Do bulging discs blocking nerve cause pain, tingling and burning in foot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm a 24 year old female, 200 lbs. A couple months ago I had a painful lump in my left armpit, which was also discolored basically like a normal bruise, it was kind of pink but also purple/blue like a bruise would be. At first I chalked it up to needing a new razor, I figured it was an ingrown hair. But after a couple days the pain was really severe, even when I was just sitting there not doing anything the pain would be pretty uncomforatble, and the lump was pretty big. I was going to make a dr. appointment, but after a few days the pain went away completely, and the swelling went down but the lump did not go away. Last week I started feeling the same pain in the same armpit, only a couple inches closer to the top of my breast. To be honest, I wasn't sure if the discomfort was from a new bra I had purchased that had an underwire, which I'm not used to, because the pain went away more quickly than it had before, and the only other thing that happened was it seemed like it made my entire armpit kind of hard. Like, when I touch my right armpit it feels relatively firm, but squishy (I'm 200 lbs!), but when I touch my left armpit the whole thing feels denser. The actual lump is relatively small, but it is hard. If I had to guess, I'd say it's probably the size of a pea or a marble. In addition, I'm not sure if this could be related or not, but I've been having dizzy spells, or vertigo I'm not entirely sure what the difference is. At first I experienced the dizziness before a meal, so I figured it was from being hungry (even though that's never happened before.. and I've had an eating disorder in the past, bulimia, so i figure my body's no stranger to being a little hungry!). But yesterday was the third instance of dizziness, and it occurred 15-20 minutes after I ate dinner, so there goes the hungry theory! Can you help me? Doctor: Hi ! Good morning. I am Dr Shareef answering your query.If I were your doctor, I would have advised you for a clinical examination of your both axila and breast followed by related investigations like a FNAC (fine needle aspiration cytology) of of the swelling and a bilateral mammography. Further management would depend on the clinical finding and reports of the investigations done. I would advise you to take an appointment with a general surgeon of your area, and seek his advise.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef"
},
{
"from": "gpt",
"value": "Target: What could cause a painful lump on the left armpit which looks like a bruise?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi Thank you for this useful site i want to ask a question about the kidneys and gallbladder ..my Mom went to the hospital to see the doctor because they have gallstones Disease ,When conducted rays discovered that she had the right kidney tumor with a diffuse So, The doctor decided to hold the process of removing kidney and gall bladder at the same time !! and removing kidney is not Laparoscopic surgery It's an open surgery .My question is,Is the process of removing of kidney and gall bladder Serious ??? I mean Effects after surgery?? it is 2 process difference in places !!Is it possible to take Placebos for pain and make the process of removing gallbladder Later ?? Is there any Serious ??Please I want an explicit answer and full \" I'm very afraid to do this process Doctor: HelloThanks for query .Your mother has been diagnosed to have tumor in Rt kidney and Gall Bladder disease and has advised two stage surgery first Laproscpic Cholecystectomy to remove gall bladder and after few days interval to go for open surgical procedure of Radical Nephrectomy to remove the kidney Now a days with advancement in equipments and expertise both the procedures can be done by Laproscopic approach in a single sitting ..You need to consult experienced laproscopic surgeon in your town or near by center who is routinely doing these procedures so that you can avoid treatment cost ,hospital stay and morbidity etc .Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for problem in kidney and gallbladder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have solar plexus pain with mirroring back pain. I also have some gas. I have been on pantoprozole for awhile (6 months or longer), and have just started zantac. This came about almost overnight after having a cold/allergies. The medicine doesn t help. It is usually worse when sitting in relaxed position. Doctor: Hello,Thanks for the query.You can take analgesics like Gabapentin which is considered as more effective in neuropathic pain as in your case.If symptoms persist, you can consult a neurologist and get evaluated.Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Need treatment for solar plexus pain with back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son is 17 months old and is having 102 degree fever and not interested in having either food or milk,demanding only water. fever will be high for few minutes and for few minutes his fever will come down. especially in the midnight fever will be very high and also early mornings whenever he wakes up from sleep fever will be very high. doctor has prescribed oflaxacin 100 mg,is it safe for him Dr. has also prescribed febrex plus and emeset. Doctor: Hello, 17 months old child needs investigation if a fever lasts more than 3-5 days. If the investigation suggests typhoid fever or urinary infection then you can give ofloxacin 100 mg per day (morning 50 &evening 50). Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Rajmohan, Pediatrician"
},
{
"from": "gpt",
"value": "Target: Is oflaxacin right medication for fever and low appetite in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, My child(son) is 17 months old and he is not gaining weight,not able to sit and stand independently , not even Learning the things, neither recognising the Parents . His Muscle tone is week, there is no stiffness in any part of the body,Clumsy Structure. Presently we are going for PHYSIOTHERAPY. So PLease do suggest me the good Doctors and Clinic in India, Delhi for this ...... Doctor: HiI understand your concerns. I would recommend you to visit tertiary level hospitals with complete pediatric care such as Lok nayak hospital, GB pant hospital, lady Harding or St. Stephens hospital. These hospitals have good panel of doctor in pediatrics, neurology, eye, ENT and physiotherapy department which are required for your child.Take care"
},
{
"from": "gpt",
"value": "Target: What causes developmental delay in baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 10. Had a fever of 102 on Monday with sinus drainage and light productive cough. Fever stayed low grade for until tonight. He is at 104, should I take him to the ER or just keep alternating tylenol and ibuprofen as it does bring down temp and see dr in the morning Doctor: Hi, At present, you need to continue tynelol and also do cold sponging of the child. Any viral fever takes time to subside. You need to give adequate fluids to the child and complete bed rest. You can go to er tomorrow. I hope this has helped you. Regards Dr Deepak Patel, MD Pediatrics"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for high fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir. My name is prem jaiswal i am from Kolkata-700012 West Bengal. i am 35 years old male. i am habbited of chewing gutkha and pan masala sinse 15 years from last year i notice that my mouth is opeing very short and right side of my mouth something like tumor, at present i totaly stop all the habbit of chewing gutka and consult with the doctor at kolkata cancer hospital thakurpukur after all test done like CT scan blood test biospy doctor advice for 2 cycle of chemo after that surgery at present i have completed 2nd cycle of chemo doctor advice for surgery on 05/03/2010 at present i feel very nervous about my surgery please give me a good advice Doctor: hi..there is nothing to worry about surgery.if you will not undergo through this cancer will surely kill you.if you will go through surgery even complete resection possible.don't worry."
},
{
"from": "gpt",
"value": "Target: Ulcer in the mouth due o chewing tobacco, is this cancer ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, I am suffering from burning since one year in upper & lower left side of my stomach , as per doctors advice I have taken HP KIT, Geridys capsule, Pantop DSR and some GEL for 40 days, I was feeling better & good but after 2 months I was facing same preoblem again I have taken same course for 7 days as per doctor advice & feeling better, after 1 month mean to say 10 days earlier I found blood in my stool as I have taken spicy food in the last night and again I am adviced to take capsule Geridys, Pantop DSR, Mucaine Gel, so you are requested to suggest your opinion, according to the ultrasound it was showing fatty lever Doctor: Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You are suffering from burning in the upper and lower left side of the stomach. you have used H.P.kit geridys capsules, pantop dsr, and some gel for 40 days. you felt good, but again recured after 2 months, have taken the same course for seven days. feeling better, after one month you found blood in the stools, ultrasound suggests fatty liver. These changes could be secondary to the fatty liver. Liver is to be tested for hepatitis. Blood in the stools may be due to amoebiasis, colitis, or piles, I advise you to consult a gastroenterologist for diagnosis and treatment. Wishing for a quick and complete recovery. Best regards."
},
{
"from": "gpt",
"value": "Target: Suffering from burning sensation in abdomen. On pantop DSR, geridys. Had spicy food. Is that the reason?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what are the bacteria which cause tooth decay .I am doing project on tooth decaying baceria so tell me causes of tooth decay Doctor: Hello, Thanks for posting your query, Tooth demineralization refers to a process where an acidic environment leaches some of the mineral content (such as calcium) out of a tooth's calcified tissues The acids that cause the demineralization process are produced by specific types of bacteria (primarily lactobacilli and mutans streptococci) that live within dental plaque. The bacteria that cause cavities are living organisms. The acid that's most instrumental in causing cavities (demineralization) is that which seeps through the plaque and on down to the tooth's surface. I hope this information has been both informative and helpful Regards"
},
{
"from": "gpt",
"value": "Target: What are the bacteria which cause tooth decay ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have rash on thigh for two weeks, it itches, now feels bruised n is purple behind spots that ich. i have fibro, i am 36. have moved recently two months ago, water is from well, is brownish untill water softener instulled but now i have issues w getting soap off water is to soft. i became very sick a few nights ago, horrible headach and spine pain at the base of my skull . which passed w ice and sleep, i still feel lingering headach. any ideas regarding the rash/? Doctor: Hi,There can be possibility of insect bite hypersensitivity in yourself. Check for any bite marks or stings or any insects in your recent place.The only precaution you must follow is not to touch, pinch pop or squeeze any of them other wise it can get infected and can cause complications. You can apply hydrocortisone cream and can take by mouth the antihistamine benadryl."
},
{
"from": "gpt",
"value": "Target: Rashes on thighs, bruises, headaches, spinal pain. Icing reduced headache. Treatment for rashes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been diagnosed with Legionella, and have been through to regimens of antibiotics, and still have the bacteria in my blood, and filling negative consequences/symptoms from same.Symptoms of my most concern is that I am totally drained of energy, I know I am not well, I can feel it. I was prescribed amantadine, and when I read it was used for Parkinson s; with some of the contraindications, having serious consequences, I was concerned [if not somewhat freaked]; do you have any knowledge of utilizing amantadine, to combat the Legionella bacteria? Doctor: HiAmantadine is safe to be used for Legionella.Amantadine is an antiviral medicine that blocks the actions of viruses in your body.Amantadine is used to treat or prevent influenza A in adults and children. Amantadine may not be effective during every flu season because certain strains of the virus may be resistant to this medicine. Amantadine should not be used in place of getting a yearly flu shot. The Centers for Disease Control recommends an annual flu shot to help protect you each year from new strains of influenza virus.Amantadine is also used to treat Parkinson's disease and \"Parkinson-like\" symptoms such as stiffness or tremors, shaking, and repetitive uncontrolled muscle movements that may be caused by the use of certain drugs.You should not use amantadine if you are allergic to it, or if you have received a \"live\" nasal flu vaccine (FluMist) within the past 14 days.To make sure amantadine is safe for you, tell your doctor if you have ever had:daytime drowsiness (caused by a sleep disorder or taking certain medicines);a seizure;fluid retention, congestive heart failure;liver or kidney disease;low blood pressure, fainting spells;eczema;glaucoma;alcoholism or drug addiction; ormental illness, psychosis, or suicidal thoughts or actions.The side effects areextreme drowsiness, falling asleep suddenly even after feeling alert;a light-headed feeling, like you might pass out;shortness of breath (even with mild exertion), swelling in your hands or feet;painful or difficult urination;depression, agitation, aggression, behavior changes, hallucinations, thoughts of hurting yourself;a seizure; orsevere nervous system reaction--very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors.You may have increased sexual urges, unusual urges to gamble, or other intense urges while taking this medicine. Talk with your doctor if this occurs.Side effects may be more likely in older adults.Common side effects may include:dizziness, falls;dry mouth;swelling in your legs or feet;These side effects can be managed symptomatically. RegardsDR DE"
},
{
"from": "gpt",
"value": "Target: Is Amantadine safe to be used for Legionella?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My bedmate has a severe red blotchy itchy rash on his entire arms which he claims is from mechanics oil and harsh soap to clean........therefore causing this brutal infection. This irritant has spread now ALL over his body. Lil red bumps , flakey dry peeling skin cover most of his body now. Is this contagious? I wake up in the morning to find a bed full of yuck! Doctor: my dear i presume he has got psoriasis .it just appears from your description .however no treatment can be prescribed without visual confirmation . kindly show him to skin specialist .please dont worry ."
},
{
"from": "gpt",
"value": "Target: What causes red bumps with dry flaky skin all over the body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi sir/madamMy son(7 month) is having 101-103 feaver since last 5 days with cold , cough& vomiting.I had checked with my doctor its viral feaver only.But temperature is rising to 103 every now & then Please let me know cold water sponging is good or not to reduce temperature. I had done MP WIDAL DIARIA test also , all r negative. Please let me know how long it will take to cure. Doctor: thank you for asking querry.If frequency of fever increased,child is sick,not taking orally then get one xray done.If in between fever child is fine then no need to worry.Yes you can do sponging with leukwarm water for fever.Viral fever can take 5-7 days to cure.Hope you find this helpful.Rate the above answer if you like it.Regards,Dr rushikesh kute"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high fever,cold ,cough and vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 35 weeks pregnant and have just discovered I am deficient in vitamin B12. I am now worried that this could this affect my baby. 12 week and 20 week scan were normal and I am measuring normal for how many weeks pregnant I am. Could there be any side affects to my baby? Doctor: Hello, and I hope I can help you today.Vitamin B12 deficiency affects your red blood cells in your body, which can make you anemic. It can sometimes have other side effects you such as pain and tingling in the toes. Vitamin B12 deficiency during early pregnancy has been associated with increased risk of neural tube defects, but if all of your ultrasound scanning and prenatal testing was normal, there's no reason to be concerned about the baby. Treatment of your vitamin B12 deficiency may help to raise your blood count, which will put you less at risk if you lose a lot of blood with your delivery.I hope that I was able to adequately answer your question today, and that my advice was reassuring.Best wishes, and good luck with the rest of the pregnancy,Dr. Brown"
},
{
"from": "gpt",
"value": "Target: Will vitamin deficiency affect baby in the womb?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had a sore throat for only about 4 days now.. I woke up and hacked up a little mucus in the sink and realized it was bloody. So I took a flashlight and looked at my throat in the mirror. I was pretty shocked actually, to see what looked like a big lump of blood or some sort of sore behind my uvula? I went to my nearest insta-care and they sent me away telling me it was just a virus.. But I ve had strep, negative for TB, and everything s fine but my throat.. Was my health care provider right? Doctor: Thanks for your question on HCM. I can understand your situation and problem. By your history and description, in my opinion you are having severe upper respiratory tract infection. The most common cause for this is viral infection. So health care provider is right about viral infection. Viral infection causes severe inflammation of throat. This inflammation causes edema and redness in throat, specifically phyranx and tonsils. So the swelling you are seeing is edematous tonsils and phyranx. And this cause coughing and blood in cough due to friction. So better to start treatment for URTI, you will be alright in 1 week."
},
{
"from": "gpt",
"value": "Target: What does lump of blood behind uvula indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had dental treatment almost two weeks ago and thought that the carbon-treated paper used to check for the fit of a replace filling was responsible for the black marking at the back of my tongue. But it s still there! Now I m wondering if it s linked to the stringy slime I ve been experiencing in my mouth over the last few months, which I never used to have. Some days I find that there is skin-like stringy dicharge in my mouth. Never had this before and haven t changed my usual toothpaste or mouthwash recently. Doctor: Hello, thank you for consulting with healthcaremagic. Actually this kind of allergy is not caused by carbon paper, but it can be possible that the filling which has been done, is not suiting you.So better that you should visit your dentist and get the filling replaced. Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What causes a tongue black mark with a slimy mouth discharge?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my name is vikki and i recently had a baby on october 28th 2010 i recently took a home pregnancy test on february 17th and it came back positive. I went through my calendar and seen that my last period was on the 24th of january which means i am not expecting my period till about the 24th or 25th of february. is there any chance that i could of got a false positive due to the circumstances or is it more than likely that i am pregnant again? Doctor: Hi, Thanks for the query I understand youe concern. There are two possibilities. -Mostly it's rare to conceive after delivery... specially when you are breast feeding. At the same time spontaneous ovulation can occur.. if you are not/irregularly feeding your baby -At the same time false +ve pregnancy test is also possible with Contaminated urine sample or contaminated cointener in which urine was collected *Better way to repeat the test with careful collection of sample in sterrile container... for confirmed result. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes a positive pregnancy test without missing a period?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How serious is Mitral value Repair operation?Is it mandatory to perform on a 25yrs old girl, Who has MVR?MVR is categorised as severe by few doctors and moderate by few more. EF is in range of 56-65%< Again Mitral valve repair is suggested by few doctors and few tell its not needed now... Please suggest how to finalize is a surgery is needed or not?. Doctor: if it's mod MR then surgery is definitely not needed and even if it's severe and she is having symptoms then surgery should be done.if surgery is deferred then 6 monthly echo should be done to monitor EF and it's falling then clearly surgery is indicated.so if she is having even severe MR and she is not having much symptoms then can be monitored with regular echo."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for heart ailment"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have some cuts on my penisI have these cuts from masterbating to much I was wondering what kind of cream I should buy at the store for the healing process. the cuts are around the head at the start of the shaft and some lite cuts on the shaft. I was just going to get some neoisporian I bought gold bond and thats for itching im not sure what to but becuse there are so many diffrent things to buy at wallgreens. what do you think ? Doctor: DearWe understand your concernsI went through your details. How can cuts happen when you masturbate? Were you using some obsolete material to masturbate? Please whether the cuts are deep are in the shape of deep wound. You may use anti septic ointments as an interim relief. These cuts could also happen due to dryness. Keep the whole area clean and dry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: What is the medication for cuts on the penis after masturbating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have chronic abdominal pain with constipation and diarhrea that comes and goes. The pain never does. Its not IBS because they ve seen inflammation on scans. I can t do this anymore. I need answers. I have a baby and I can t pick her up because of the pain and my doctors won t give me any medicine Doctor: HI.The alternating constipation and diarrhea needs further evaluation in the form of colonoscopy, CT scan of the abdomen, routine and relevant blood, urine and stool tests.The Chronic abdominal pain always have a reason to be found out. Only if all the tests are negative for specific diseases like Gastrointestinal Cancer, Tuberculosis , Crohns and so, then only you can be labelled as having Irritable Bowel Syndrome, IBS. You certainly need a medical treatment for this, and to treat the stress, which is the most important reason of IBS."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for abdominal pain with constipation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: From past 3 months i am suffering from cold and cough, i undergone as per doctor advice and taken course. But if i stop mediciens then the cold and cough will start. I taken all the PFT test too and results looks good and also did all other tests lile Urine and bllod test too. But my reports says good. While cough i get lot of flume. Please advise how i need to control my cold and cough. Doctor: Hi thanks for asking question.Noted your pulmonary function test normal.You are suffering from repeated cold.CBC done to look for eosinophilia .Suggesting allergic infection...Antihistaminic taken for allergic infection.If needed prophylactic montelukast like drug can be given by your physician..Avoid exposure to allergen like dust , mite , pollen etc....If you have acid reflux disease then it can lead cough by irritation...Dextromethorphan can be used for dry cough.Take care.Dr.Parth"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for cough & cold"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: am 37 yr old male weight 76kg height 185 cm, i was reported in general medical check up as i am having fatty lever. even before that checkup i feel some pain in that particular area after taking food. still i have not started any treatment for that. i was thinking for a specialist in this area. give your opinien Doctor: HelloThanks for writing to HCMFatty liver is a very common disease among young adults due to changing life style.Most commonly it is due to obesity and sedentary life.It is also related to alcohol intake.You need few other investigations like routine hemogram,Random blood sugar(RBS),Liver function test(LFT),Lipid profile,Renal function test(RFT).You should try to lose your weight if you are overweight.Fatty liver is a reversible condition and it can be reversed by diet and life style changes.You may need some medicines after full investigations.It may take 10-12 months to reverse the findings.You should be active in your daily life. You should avoid red meat and high fat milk products.Cook food in olive or canola oil.You should take limited salt in your diet.You should also avoid fried and junk food.Take lot of fruits and vegetables.You should also increase your physical activity in the form of walking and exercise.You can also do meditation and yoga.It will help you a lot. Don't take stress in life.You will be fine.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What is the treatment for fatty liver?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello my name is Patricia I have a four year old boy he has been sick with fever and coughing and throwing up..his doctor saw him today and prescribed him medication but rught now he is sleeping and his breathing fast his heart beat is 96 beats per minute is that normal? Doctor: Thanks for queryHello Patricia.If the child is having fever and cough along with fast breathing (consider breathing rate > 40/minute as fast breathing in a sleeping child), possibility of chest infection (pneumonia) has to be considered. You said that heart beat is 96 beats per minute, heart beats can be high in fever, but we need to be more cautious about the breathing rate.If the breathing is not fast or labored, then domperidone for vomiting, paracetamol for fever and any antitussive (cough syrup) would suffice. But if the breathing is fast, kindly consult a specialist immediately.Thanks. keep in Touch."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever and vomiting in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My ring finger on my right hand hurts to try to make a fist and if i do get it closed a little it snaps when i open my hand. I think i jammed it a while ago but am wondering if it should be immobilized more so it can heal or just keep waiting? its been about 3 or 4 weeks now. Thanks Doctor: Hello, Immobilize the finger for few days. Ice packs can be applied for faster recovery. If pain persists better to consult an orthopedic and plan for X-ray. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Would keeping my ring finger immobilized alleviate the pain I am feeling upon movement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my son is k/c/o Thalesseamia major. He has fever since Monday, it keeps on fluctuating 20 Oct 2014 his HB was 9.6, wbc 4600, platelets 181000 Fever ranges between 99 to 102° f 22 Oct HB 8.8, wbc 3000, platelets 136000 Dengue ns1 was negative Psmp negative Sgpt was 182 Yesterday full afternoon he was normal, no fever, but at night 102°f Today also 102°f I m scared for the following reasons 1 blood can t be transfused coz his fever is still there, how much will the HB drop from 8.8 on 22 Oct till today 2 he is feeling very sleepy 3 his motions are lose since last night, total 2 motions 4 has is wbc fallen more 5 has his platelets decreased further I have been giving him crocin D s 8ml and ibugesic 13 ml Please guide me and also guide me if I can transfuse blood in such condition Doctor: child having high grade fever, a case of Thalassemia, with deranged LFt(SGPT - 184), with loose stools with decreasing platelet count goes in favour of either Enteric fever or Viral hepatitis(could be transfusion induced). Dont transfuse blood at this point, the child might have to be admitted and might require antibiotic therapy. Take a pediatric consultation asap as the child might develop sepsis later on."
},
{
"from": "gpt",
"value": "Target: What does my blood test indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just got out of the hospital , I got a knee replacemnt ,ive developed a small infection and the doctor put me on amoxicillian and im very worried that it will cause me to develop a yesat infection, how many yogurts do i need to consume to avoid this? Doctor: Hello,Thanks for your query. After going through your query I came to know that you got infection after knee replacement. This infection iis not related to how many yogurts do you consume.Now continue with amoxicillian and advise of your doctor.You can discuss with your treating Doctor about it.I do hope that you have found something helpful.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."
},
{
"from": "gpt",
"value": "Target: What causes infection after knee replacement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had unprotected intercourse friday night and me and my boyfriend were both not mentally there, alcohol. i dont remember if he came inside me and he says he doesnt think he did, but i do remember him pulling out and ejaculating. I dont know if he did inside as well though and im concerned. I took the morning after pill about 12 hours after and again about 70 hours after. I know thats bad but im just so scared. Can i still be pregnant? I've been feeling sick lately as well. Im not sure if thats due to the plan b or pregnancy body changes. Doctor: Hi, I think there is very little chance of pregnancy. So don't get stressed too much. If your periods delay, do a urine pregnancy test at home. If positive consult a doctor if you don't want pregnancy. If negative wait for your periods. Symptoms can be due to emergency pill also. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: Can having unprotected sex followed by intake of pill cause pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm a 17 year old girl who had her blood test recently. I'm 5'4 and around 115 pounds. My Lymphocyte count is higher by 0.04. The ideal Lymphocyte differential count is 0.25-0.33, mine is 0.37. I had a test to check if I'm anemic. I've been having tingly/numb arms, legs, feet and hands recently; I easily get cold too. My mom and sister have anemia, but not a severe case. What could this mean? Thank you. Doctor: The symptoms described by though nonspecific can be caused by anaemia. Considering age and gender u should go for Hb level, and TSH. Don't bother at lymphocyte count. It's normal. Increase green leafy vegetable in dietHope my answer will help you. Take care. Don't forget to rate me."
},
{
"from": "gpt",
"value": "Target: What causes tingly/numb arms, legs, feet and hands?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 61 year young female. I have been waking up with tingling in the chest radiating to both arms. This started about two months ago. I wake up often during the night and have this going on. I do not have pressure, just the tingling. I do not have any major medical problems. I do take a blood pressure pill daily. 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.This tingling sensation has to do with a rhythm issue.There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm.They cause a premature heart contaction that you feel like a tingling sensation, you might experience palpitation,dizziness,difficulties in breathing deeply.This rhythm issue might happen for different reasons like stress,pathologys like anemia,hyperthyroidism,electrolyteimbalances,ischemic heart disease , cardiovascular anomalyes ect.So, to better understand what we are dealling whith, if I was your treating doctor I will recommend some examination like anelectrocardiogram, a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia,hyperthyroidism and the most important one a holter rhythm monitoring to evaluate your rhythm tendency and a strees test if it is possible to exclude ischemic heart disease.Only after this we can understand what is this tingling sensation and how to treat it.Hope I was helpfull Best regards,Dr.Ervina."
},
{
"from": "gpt",
"value": "Target: What causes tingling in chest radiating to arm with BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor My name is abhi. me and my partner is planning for a baby. curently my sperm count is 38 million per mili litre and active 45% Morpholgy- normal-40% abnormal-60% forms seen. Impression shows as-Oligozoospermia. Can you let us know what is the required percentage for me to have a baby? Doctor: Hi,I read your query and I understand your concerns.Following is my reply:1) Your sperm count is good enough to conceive naturally.2) Impression is wrong. It is not oligospermia.3) Please take opinion from an infertility specialistLet me know if you have anymore questions.Regards,Dr. Mahesh Koregol"
},
{
"from": "gpt",
"value": "Target: What should sperm count be to conceive while suffering from oligozoospermia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have terrible lower abdominal pain. When I am on my period I m perfectly fine but within a few days it starts up again. It will wake me up 4 or 5 times a night and last a good 7-10 minutes. Sometimes if I poop it relieves it, sometimes it is what starts it. It happens after masturbation as well, that is when it is at its worst. I am a virgin but im assuming it will happen during sexual intercourse. It is really affecting my day to day life and I really dont want to go see a doctor. What is wrong with my stomach? also i have some vaginal discharge and it pains. Doctor: Hi.Thanks for your query.To recapitulate: young unmarried virgin girl with painful vaginal discharge - pains 3 days after the periods - relief or start with poop - wakes up 4 or 5 times in the night - lasts 7 to 10 minutes - worst with masturbation and now worried about pain during sex in future. The most probable cause is severe PID- pelvic inflammatory disease / salpingitis / IBS . I would advise you the following:Gynecologist's opinion.Per-rectal examination by a Gynecologist or a General Surgeon for see for pelvic tenderness. Ultrasonography and CT scan of the abdomenColonoscopyTests of blood, urine and stool.-Therapeutic trial of a 5 day course of an antibiotic and metronidazole. all the tests and clinical examination will lead to a diagnosis and gives a plan for further treatment."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 3 year old had to have tubes put into his ears last year. Today he has came to us several times holding his right ear. This evening we noticed that same ear has a lot of discharge with light pink in it (blood, is my first thought). Is there problems with the tube? Should I take him into the ER or wait till in the morning and call his pediatrician? He is acting normally with no fever. Doctor: Hello. I just read through your question.This happens from time to time. it is generally not considered emergent as long as he is otherwise ok, which you've observed he is. So an ER visit is not necessary and it can wait until you are able to see your pediatrician in the morning."
},
{
"from": "gpt",
"value": "Target: Does ear discharge with bleeding need ER admission?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I was prescribed Morr solution for hair loss which has Minoxidil 2% and i just want to know can I oil my hair and is it necessary to take head bath daily and doctor what kind of shampoo i should use through out this course. at present i'm using dove dandruff care. please help me out with my query.thank you Doctor: Hello,Welcome to healthcare magic,Morr ( Minoxidil 2 %) solution is a treatment for female pattern baldness. If you are having female pattern baldness, then it is appropriate. If you have dandruff it is better to avoid oil, otherwise you can oil your hair. As minoxidil solution dries up and forms like crystals on scalp washing hair daily is useful to wash the crystals off, but it is not compulsory to wash hair daily.You may use a mild shampoo like Triclenz or volumizing shampoo like X-gain.Hope this helped,Take care."
},
{
"from": "gpt",
"value": "Target: Is being prescribed with Morr solution for hair loss appropriate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! 6 yr old son is recovering from gastroenteritis, just started eating again yesterday after five days without food. He s eaten banana, ham, grapes and peanut butter (all usuals from before he got sick). This evening he s come out in hives on face, back, legs, arms but not stomach. Mildly itchy. Not feeling nauseous again. Possible contact reaction to lying on a leather sofa which he vomited on yesterday and was cleaned with hot water? Any other ideas? Thank you! Doctor: Hi....By what you quote it should be an urticarial or a simple skin allergy. You can use Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 7-10 days. But, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. 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: Suggest treatment for gastroenteritis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello docter my mother is suffering from rheumatoid arthritis her esr is 65 and crp is 48she is taking ayurvedic medicines from one month her esr levels got down by one month but her crp doesn't changeher heamoglobin level is also low so what to do to make her crp low and increase haemoglobin Doctor: Hello, Thank you for your contact to health care magic. I understand your concern. If I am your doctor I suggest you that CRP will decrease automatically as you continue with your treatment. To increase haemoglobin your mother should continue with the iron treatment. You should think of taking livogen z as per your doctors guidance.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment to increase hemoglobin and lower crp level"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been vacationing in 8000 elevation and temperatures in mid 80 and 90 s. My ankles and feet have doubled in size with pitting edema. I am not a smoker, nor have I ever been. Though I will have some isolated episodes of SOB. I am female and am 60 pounds overweight. I am walking in the mornings with little discomfort. I am wanting to know what is causing this? Should I follow up with my pcp? Should I be concerned? Thank you. Doctor: Hi, The discomfort during walking and edema of the feet may be due to heart failure and or as a cardiac sign of ischemia. Other causes of edema are thyroid or kidney problems. Your symptoms are important and you should be concerned. Visit your primary care physician and after a physical exam and history taking he may refer you for lab test and echocardiography and ECG. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammad Mostafa Ansari Ramandi, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What can cause pitting edema in the ankles and feet along with shortness of breath?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: DEAR SIR, I AM 34 YRS OLD AND HAVE 2 KIDS. I HAD A HISTORY OF IRREGULAR PERIODS FROM THE ONSET OF MENSTRATION. I WAS DIAGNOSED FOR PCO AFTER MY MARRIAGE BECAUSE I WAS NOT ABLE TO CONCIEVE. BUT AFTER CHIL BIRTH MY PERIODS BECAME REGULAR. I DID NOT HAV ANY PROBLEM.BUT RESENTLY I MISSED MY PERIOD AND I HAD BROWN DISCHARGE FRM MY VAGINA WITH SOME BROWN RESEDUE...I WENT FOR CHECK UP AND WAS ADVISED FOR SCAN...THE RESULTS WERE NORMAL. MY DOCTOR GAVE ME TABLETS TO GET PERIODS AND WAS FINE TILL 2 MONTHS. NOW I AM FACING THE SAME PROBLEM BLOOD SPOTTINGS AND BROWN DISCHARGE WITH RESIDUE INSTEAD OF PERIODS . PLEASE HELP IA M WORRIED Doctor: Hello,Thanks for posting your query.You are again facing same problem of PCOD.First line of treatment is weight reduction by regular exercise & avoiding fast & heavy food.If still problem persists consult your doctor for further evaluation.Take care"
},
{
"from": "gpt",
"value": "Target: Diagnosed PCO. Irregular period. Brown discharge from vagina, spotting. Done scan. What does it show?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, iwant to ask i done my ultra sound of any follicle size n endomertial thickness n it found to be follicle size 2.4,2.2.1.4 on 12th day and endometrial thickness is .7 cm,i intercousre on 14thday, is there any chance to conceiving or i missed that time? Doctor: Hi,The time to have intercourse to conceive depends on your cycle length as well as the size of follicles. Generally a follicle ruptures around a size of 18 to 20 mm. After rupture egg remains for 24 hours to get fertilised. Sperms has the ability to fertilise egg for 72 hours. So there may be a little chance for you to get pregnant this time. I think you should try every 2 to 3 days after your periods stop to get a good chance of pregnancy.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Khushboo Priya"
},
{
"from": "gpt",
"value": "Target: What is the best time to conceive during the menstrual cycle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got sick on monday, just sore throat and really heavy head, with a terrible headache. The headache is getting better and I don't have congestion in my head too much, I can still breath out of my nose. But I just sneezed and red and yellow mucus came out, and I have been coughing up yellow mucus today. What does this mean? Doctor: Hello,Welcome to HCM,The history and symptoms are suggesting me that you are having upper respiratory tract infection. This infection is may be due to viral or bacterial infection.The symptoms are in favor of bacterial infection, which is leading to yellow mucus from the respiratory tract.For the symptoms I would suggest you to follow1.Steam inhalation with Vapocaps.2.Tab Augmentin, 625 mg, twice daily for 5 days.3.Oral Montek LC, once in a day in night.4.Syp Ambrodil S.The aforementioned measures will help to reduce the symptoms and improve the condition.Thank you."
},
{
"from": "gpt",
"value": "Target: What causes sore throat,headaches and red and yellow mucus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a 35 year old female who was recently diagnosed with peroneal nerve palsy in my left leg (about two weeks ago) since then I am loosing feeling in both hips. Numb yet very painful... I haven t eaten in two days bc the pain is beyond what my meds can control. If I bend my legs for more than a minute I m in sever pain and need someone to move them for me. My groin area hurts. My ankle on my left side is sometimes swollen but painful when pressed. What should I do bc I can t see a neurologist until October 7th Doctor: Hello!My name is Dr. Aida and I am glad to attend you on Healthcaremagic!Considering your symptoms, I would recommend performing a lumbar spine CT scan to exclude a possible disc herniation. It is necessary to investigate for the possible causes underlying peroneal nerve palsy (trauma, disc herniation, metabolic disorders, etc.). A nerve conduction study is necessary too. Meanwhile, I recommend taking gabapentine or pregabaline for the pain control. Hope you will find this answer helpful!Best wishes, Dr. Aida"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe pain due to peroneal nerve palsy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Would this combination of herbs and essential oils be helpfull in treatment of atopic dermatitis (eczema) . Please could You tell me if any of these herbs are contraindicated in case of eczema. Herbal combination is as follows: Evening Primrose OilGeranium Oil Tea Tree OilClary Sage OilHelichryzum italicum OilAvena sativa colloidal powder Calendula officinalis ExtractHypericum perforatum OilChamomila recutita extract Nigella sativa Oil Doctor: Hello and , Thanks for writing to us. Evening primrose oil also has not proven effective in treating atopic dermatitis. While chamomile is used worldwide to treat many conditions including atopic dermatitis Blends of Chinese herbs have proven effective in controlling atopic dermatitis. New ways to treat atopic dermatitis can be appealing. Before trying another therapy, be sure to consult a dermatologist. Over-the-counter products and alternative therapies should not be a substitute for a dermatologist’s care. These should not be tried before seeking medical care for atopic dermatitis. Hope this helps you. Wishing you good health... Regards."
},
{
"from": "gpt",
"value": "Target: Which combination of herbs and essential oils will treat atopic dermatitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just been told my son who is 12 years old has a iron level of 18.0. This is the second time. He has just come off a 3 month course of iron, with no change and then this count. The doctor has just put him back on the same tablets. Do you think i need to have further tests done? Doctor: I just saw your query. If the iron levels are getting down again and again then I would strongly suggest you to get his haemogram done. This blood test will help us to know why the iron levEl is getting low in body. Also try to see if he is experiencing any kind of bleeding from his body..may be it can be with stools, urine, any tooth infection, nose bleeding etc.I hope this helps.Thanks"
},
{
"from": "gpt",
"value": "Target: How can low iron levels in a child be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have started taking propanolol but i am still experiencing dizziness headaches hot face flushes and palpatations. it was prescribed for anxiety but it hasnt stopped the symptoms. since ive taken them i have freezing hands and feel freezing but only at night.whats wrong? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, your anxiety is not controlled with propranolol. Your all symptoms are due to poor control in anxiety. Along with drugs, counselling plays very important role in control of anxiety. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Along with propranolol, you should also start flunarizine. It is having excellent effect in relieving anxiety symptoms. So don't worry, you will be alright. Consult psychiatrist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for headaches, dizziness and palpitations"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi a few days ago I was sleeping and woke up because of a nightmare,at the moment of waking up I heard a pop on the left side of my skull followed by a sharp pain that ran to the back of my head ! It s been a few days and I still feel somthing a slight pain discomfort! Doctor: Hi, If it's been a few days since you heard the pop which occurred while asleep and there was no nausea, vomiting, double vision, slurred speech, or other constitutional symptoms then, you may have heard an auditory phenomenon associated with the nightmare but it is not clinically concerning or relevance. If you are having headaches that are not going away then, you should see your doctor for a more detailed story on the symptoms of the headaches which are likely treatable with simple measures. However, what you describe does not likely involve any blood vessels, aneurysms, or strokes should any of those entities be of concern to you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist"
},
{
"from": "gpt",
"value": "Target: How to reduce pain in back of head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a TB test last Tuesday and Friday got it tested. There was a red painful rash a few inches from injection and my arm was swollen. The doctor prescribed keflex and I've taken it twice a day Friday, Saturday and today. The rash and swelling is still present and I have soreness in my neck and red blotches on my cheeks.Should I return to the doctor or just keep taking the prescription?Thanks Doctor: Hello, Welcome to healthcare magic What you could be having might be Tuberculin injection side effect. Rarely some will have rash, myalgia, fever, sore throat etc. Injection site red painful rash might suggest a highly positive mantoux test but you mentioned the rash being few inches away from injection site which is unlikely. Continue the antibiotic prescribed by doctor. You should be fine in one or two days. Hope this helped Take care"
},
{
"from": "gpt",
"value": "Target: Painful rash with swelling in the arm after getting a TB test done. Reddish blotches on the cheeks. Need to go to the doctor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, me & my husband is 32 & we both are trying for baby since 14 months......... complete hormonal profile is done, Ovulation studies and follicular monitoring is done, my husband's semen analysis is done &Also HSG, Hysteroscopy and laparoscopy is done.........and doctor said everything is absolutly normal..........try on every alternate day from 8 day to 26 day...........can we take Fertisure F for me & Fertisure M for my husband. Doctor: Hi,Welcome to HCM.As all of your investigations are normal, your case fits into the definition of unexplained infertility. Most effective treatment for it is superovulation (stimulating multiple follicles with tablets/injections) with IUI. Fertisure tablets may help in conception but how much they will, is unknown. Better option as I told is superovulation with IUI.Wish you good health.Regards."
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Normal test results. Can i take fertisure tablet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a traumatic tooth extaction of my last molar Wed. and I am in pain. I did my salt rinse tonight and our came brown and white stuff and then it left a giant black hole in my mouth. I am hurting very badly and I can tell I have a little swelling in my cheek. What could this be??? Doctor: if it was last molar in the lower jaw then dont worry this is expected. u need to continue your warm saline gargles. dont talk much or try to open your mouth wide so as to give some rest your oral muscles. also spray jet of betadine solution from a syringe. if your pain continue more than a week post extraction then you need to visit a dentist."
},
{
"from": "gpt",
"value": "Target: What causes swelling in cheek after tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m addicted to handpractice from last 2-3 years too much becoz of that my whole body affected my eyes goes too mch inside it looks very dull face now days like m very sad n my hairs also from front little white n internal weakness also..... can u suggest me wht to do n wht i have to take in my meal m vegetarian so i can t eat non-veg i wnt to ged rid as soon as possible plz suggest me Doctor: Hi,Your problem might not be due to masturbation so do not worry about masturbation.It seems that you might be having Mal-nourishment giving rise these problems.As you are vegetarian, take high protein diet like milk butter, ghee, cheese, panier, puddings, cereals, pulses.Take fresh veggies and fresh fruits.Take some dry fruits.Take some multivitamin and Iron supplements.Avoid stress.Ok and take care."
},
{
"from": "gpt",
"value": "Target: How to stop addiction to hand practice which has affected whole body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Feb 2010 I suffered heart & lung failures caused by blood clots for which I take Warfarin 4mg everyday. I used to take Aerius for my allergies, but was told in the Spring (by my pharmacist) to stop. My Cardiologist now tells me I should be able to safely resume the use of Aerius. Also, I do have a hole in my heart. As well I have asthma (brincanyl & symbicort). I also take crestor, coversyl, el troxin & percocet (1 per day). I would sincerely appreciate your best advice to my dilemna. P.S. My respirologist bows to my cardiologists decision & tomorrow, March 30/11, I will be consulting with my GP & pharmcist. Thank you again. Doctor: I don't see a reason for your dilemma sir,,take aerius tab as you wish,,there is no contraindications between the drugs you take...the most important thing that you don't stop the warfrin and crestor....."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for heart and failure caused by blood clots"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello...... bilirubin was 1.3 this week....All other Liver tests normal. my last physical 12 months ago was 1.0 and my labs 6 months ago were .9. Again all other over tests normal, no symptoms. Dr said I have Mild elevation. I was also sick with bad cold at blood draw , silight fever........ what is consider High vs Mild, as I m heading for a retest monday. I also had my gall bladder taken out due to tones when I was 43. I m 51 now in good health, active and take Crestor, Benicar . I friend of mine is a GI Dr and said I had a fatty liver about 5 years ago but not to worry as he saw on CT. Again just wondering how high is 1.3 since my lab report says mile elevation. FYI, my blood counts were normal 12 months ago, so doing a retic count monday. thanks Doctor: Hi, If your other liver enzymes are normal then you need not worry . You need to start a course of liver tonics for a period of 4 weeksand the repeat liver function tests and ultrasound of the upper abdomen. Gall bladder surgery may not affect the bilirubin after such a long period without associated symptoms. I hope this answers your querry. Regards"
},
{
"from": "gpt",
"value": "Target: Had gall bladder removed previously. having slightly high bilirubin levels. Serious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes. I am a dental Hygienist and have a patient experiencing some changes in her mouth. she is currently taking mycobutin, clarithrimycin, and clofazamin. Today she presented with severe staining and heavy facial caluus build up all acroos her teeth. Very different for her. Could this combination of meds cause this? Doctor: Hiyour staining is due to mycobutin so don't worry.Scaling and polishing is the treatment for staining and calculus.Afterwards maintain oral hygiene.Use mouthwash daily for twice a dayTake care"
},
{
"from": "gpt",
"value": "Target: Facial calculus and staining on teeth. Taking mycobutin, clarithromycin and clofazimine. Will they help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have been taking tenoric-25, for the last more than 5years. My BP remains 128/78. Now feels some gain in weight & headache including inflammation in body. Is , this the side effects of taking this regularly , and what should I do now to feel healthy . My age is 64. Doctor: Hi,It is unlikely to cause weight gain or inflammation in the body. Tenoric-25 is a combination of beta blocker atenolol and water pill cholorthalidone commonly prescribed to treat high blood pressure.Its common side effects include decreased heartbeat, fatigue, cold and clammy skin, decreased blood potassium, increased uric acid and lipid levels. It does not cause weight gain. Weight gain could be due to other causes such as hypothyroidism for which you need to consult your doctor for further evaluation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does tenoric-25 cause weight gain,headache and inflammation in body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having a series of leg muscle spasms in my calf. It is the same leg where I had a PSEUDOGOUT attack this past Wednesday! My doctor gave me an injection of steroids. This took care of my attack within 5 minutes.i have been stretching my leg which relieves them only to return a few hours later. I just took a meloxicam pill which I had taken before for a shoulder operation aftermath of leg cramps in the same leg. What else can I do. I have been getting the for the past several days and nights. Doctor: Hi welcome to HCmI have gon through your query regarding leg muscle spasms in calf and can understand your concern Dear , your problem may be the result of a sedentary lifestyle. Any amount of medication will not help cure unless you modfy your life style and food habits . Cramps often result from vigorous exercise, trauma to the muscle, or keeping the leg in an awkward position for too long, Other causes can include medications such as birth control, diuretics .A lack of potassium or calcium can also be the underlying cause, as well as cold weather.\"I would like to suggest you to modify your life style and food habits to boost your immunity.Alleviate muscle cramps in your legs by making simple lifestyle changes. Drinking plenty of water is essential, since cramps are often caused by dehydration and eat a well-balanced meal before heading out for a long run. Eating fresh fruit ,potassium-rich banana ,fresh green veges ,nuts ,Turmeric powder in a cup of hot milk at bed time , Aloe vera juice 30 ml will help alley pains and assure good health . Best method to relieve pain , is movement, either walking around or simply jiggling or shaking your leg,In addition, things like pumping your ankles up and down or rubbing the muscles can help as well .Stretching and strengthening is the best way to make your body flexible to lead active healthy life . Homeopathic Cuprum 30 /twice a day /3 days may give relief from cramps .Hope this helps solves your query .Take care , All the best .Wish Get well soon .Don't hesitate to get back tf have any further query . ."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for leg muscle spasms in calf"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a persistent cough for over two months with drenching night sweats for about a month and a half. Within the past few days I have noticed a small lump in my armpit. It doesn t bother me other than itching constantly! I ve had two clear chest X-rays, negative ppd test and been on two rounds of antibiotics and a steroid ... What could possibly be the cause of these symptoms??? Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have tuberculosis of lymph node or reactive lymph node enlargement. You should go for fine needle aspiration cytology or biopsy. It will give you perfect diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes consistent cough, night sweats and lump in armpit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I do not get a full nights sleep, I am exhausted daily. I wake up shacking. Approx. 6 years ago my Dr. said I was pre-Diabetic so we scared me and I lost 35 lbs. and placed me on Metformin half daily. I watch my food intake so scared do not want to be placed on insulin. Now he just placed me on half Crestor pill due to cholestrol being elevated 219. I am taking control of that also. WHY am I so tired, depressed and stressed, PLEASE PLEASE advise me. Also he puts you on a medication he will not take you off. Doctor: HiThanks for using healthcare magicAfter that diagnosis, you have become too conscious about yourself. That is the reason, you are not enjoying your life and always remain in stress. You are too protective about diet and your health. Just stay relax and enjoy your life the way you were enjoying. Do regular exercise and plan some dietary tips. If yo always remain worried about health, you would not stay calm.Thanks"
},
{
"from": "gpt",
"value": "Target: Why am I so tired, depressed and stressed?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, I am suffering pain in my testicular. As well, I feel pain in the area under the stomach and a feeling to defecate and sickness with vomiting but nothing happens. The pain goes after a long time of sleep and comes back when I start a movemenet. Sometimes the pain is less and sometimes it is really painfull. The testicular are Inflamed. Please I require advice and guidance and If any medicine is needed. Thank you Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Detailed evaluation is needed to find out what exactly causing the pain. Get a scrotal ultrasound with Doppler at the earliest. As of now you can take analgesics like Ibuprofen or Diclofenac for pain. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes pain in my testicle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was at the hospital the other night with severe side pain and I have indometreosis so I thought maybe it was up to something, they told me my licopene was up too high and it was either my gallbladder or my pancreas, they did a CT and said it seemed ok. So I go home and took the meds they gave me its been a week and my side up under my ribs still really hurts, I have some gallbladder symptoms because I've had them before, heartburn, pressure in my chest, feels like Im having a heart attack sometimes even into my arm. So I believe it may be that. But while at the ER my heart rate was at 121 Im on blood pressure medication I thought that would take care of the problem, but I have a blood pressure cuff of my own that also tells your heart rate, even on my meds my blood pressure can sometimes get to 170 over 112 or higher and Im only 25 years old! my heart rate stays in the general area of 120 I dont know what to do, no one seems as worried as me! please help! Doctor: The pain itself can accelerate your heart rate. It is a physiological response.Other than that stress, anxiety and panic also send the heart rate shooting up.Only certain classes of blood pressure medicines e.g. beta blockers , control the heart rate, not all of them.You need better blood pressure control and a beta blocker if your not already on one.Also get your thyroid function checked since hyperthyroidism can also cause tachycardia."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rapid heartrate"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have for quite a few years now how pain and swelling in my neck jawline and cheeks. I got the Epstein Barr virus when I was 11 years old and am now 21 years old. I also have enlarged lymph nodes appearing over the last 2 years. Do you think this is all connected? Doctor: Thank you for your question. I am Dr Asanghanwa Carlson. Your conditions could be connected as well as otherwise. Epstein Barr virus infection could lead to a condition could Burkitt's lymphoma which manifests itself by swollen and sometime painful lymph nodes in the head and neck region. I would however advise you consult a physician so that a biopsy of one of the lymph nodes is done and pathological analysis carried out on it. Persistent enlarged painful lymph nodes lasting for over two years are an abnormal finding so my advise is you seek medical attention. Good luck"
},
{
"from": "gpt",
"value": "Target: What causes pain and swelling in neck, jawline and cheeks?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When I go to washroom for potty blood comes with it ? plz tell why is it so? and wht i should do Doctor: Hi, many thanks for the query!You should get physically examined for P/R examination & Proctoscopyby your doctor.You haven't mentioned about pain during defaecation that means most probably you may be having internal haemorrhoides.Also, you haven't mentioned your age.Do- Stool (R/M) & CBC.Eat high fibre diet, green leafy vegetables, drink plenty of water.Wish you a good health.Take care.Regards."
},
{
"from": "gpt",
"value": "Target: When I go to washroom for potty blood comes with it, please help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir,nasaste.recently fot 6 months,I couldn t have sufficient sleep at night due to mental pressure.now,when I move my hand over my hair,I observe,losses of hair in my hand,specially from the front portion of head?sir,what treatment should I take? thank u, taposh, batanagar Kolkata. Doctor: hi, welcome to HCM,you are suffering from telogen effluvium most probably.start taking biotin 10 mg tab daily it is a effective supplement for hairs.rinse your hair with volumizing shampoo.you can also apply capixyl serum once daily.hope this will help you. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for hair loss in my crown region"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My PCP told me that I have a pinched nerve. Now, I ve been feeling this pin prick pain on the upper left part of my chest . It will come and go. I had an EKG and a stress test last March. Everything came back normal. My PCP requested to see a neurologist but the insurance denied it. What could this be? What should I do? Doctor: Dear friend, if heart work-up is normal, your description fits neuralgic pain, and as advised it is better to see a neurologist. simple pain killers do not solve the problem."
},
{
"from": "gpt",
"value": "Target: Have pinched nerve. Feeling pain on upper chest. EKG and a stress test done. Should I go for neurologist advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thank you. I had a doctor give me cortisone shorts in my coccyx and sacrum. I ride horses. The Doc didn’t give me an MRI and put me under general anesthesi. When I awoke the pain was awful and walking was almost impossible. If I turned, more pain. I have been in very bad pain since injections and sometimes just sit on the floor. This Doc said pain would go away but it has been 7/8 months. What can be done to reverse this terrible problem? I can’t ride now and this is most discouraging. Do you know of a way to help me? Thank you very much. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion, if Cortisone shots have made your pain worse then diagnosis has to be reassessed. To reassess diagnosis I would suggest complete blood count with ESR , MRI of pelvis to rule out any intrapelvic pathology like a swelling, abscess or pilonidal sinus (closed). In the meantime start pain killers and muscle relaxants. Hope to hear again with reports. Thanks."
},
{
"from": "gpt",
"value": "Target: How to relieve severe lower back pain post Cortisone shots?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had my kidneystone removed through lithotripsy two weeks ago and no stent was necessary. When is iit safe to go to gym/ workout like treadmill/ elliptical, light weights? when is it safe to have sex? I m 53 years old,, male, 5 ft 6 in talk]l, 157 lb, general health ok but for cholesterol Doctor: HiYou can resume normal work and normal activities including sex after 2 weeks after surgery. However keep drinking adequate fluids to avoid dehydration."
},
{
"from": "gpt",
"value": "Target: Is it safe to exercise after kidney stones removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I the last two months that I have had my period I have bright orange blood lately feel so tired groggy feeling I have ovarian cancer that runs in my family I m just curious if this is a symptom I have two kids and had c sections for both and had my tubes tied could that mean I have a infection Doctor: Hi,Thanks for writing in.There can be many symptoms of ovarian cancer and some of them are non specific. The symptoms of suspected ovarian cancer are listed below.1. Mass in the lower abdomen or pelvis with or without pain2. Fluid collection in the abdomen3. Generalized weight loss4. Weakness and fatigue5. Lymph node enlargement in the groin or neck6. Pain in the pelvisYour symptoms of bright orange periods are not a feature of cancer ovary but if you have family history then getting screening tests is important. Please consult your doctor for screening test of ovary cancer which might include CA 125 and ultrasound scan abdomen and pelvis. Please do not worry."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of ovarian cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, so today my boyfriend and I messed around. We did some genital rubbing, there was no penetration, no ejaculation. He fingered me but before that he didn't touch himself at all. My period was irregular last month so I don't know if im fertile or not at the moment. Can i get pregnant? Doctor: Hi, Thank you for choosing Healthcaremagic. Usually its unlikley to become pregnant by just rubbing of genitalia. If you are in doubt kindly get a urine pregnancy test done.Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!"
},
{
"from": "gpt",
"value": "Target: Can i be pregnant by genital rubbing and without penetration and ejaculation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi It s my 5th month of pregnancy..Dr. told me that there is some issue in both kidney of my baby.. According to radialogist report both fetal kidney shows mild fullness and fetal bladder is empty..i am much worried.. plz tell what to do..whats the reason? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. While development of kidney, utters & bladder in fertal body development. The reading of full kidneys &empty bladder can be seem while the things are yetto fully matured. So one finding is not to be considered for final diagnosis. Repeated readings after some in feral are taken before such diagnosis is made. Many a times normality is found in subsequent readings. So be cool. In case the repeated readings have same findings. Certain specific tests are done before coming to final conclusion. So just be positive and follow your doctor's advise. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes mild fullness of the kidneys in the fetus during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Im65. Ive been ssooo tired and sleeping in the afternoon after a seemingly have very sound sleep. Ive been having all my testing for everything done, and check out ok. My arms and upper back have been a broblem, so mri for neck tells me i have a buldge disk in neck. That explains the tingling in arms and upper back. Why Im I so very tired and weakness. Dont feel well either. head feeling light also. Doctor: HelloI have read your query. There is possibility of deficiencies of vitamin D. Vitamin B 12 or hemoglobin. Take physiotherapy like ten and matrix for cervical disc bulge. If required you may need epidural injection. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bulge disk in neck and tingling sensation in the arm and upper back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm 26, I was hospitalized at the end of Oct2010 with Lobar pneumonia after having 2colds in a row and very bad cough. I have felt better until recently i got a cold. the cold symptoms have mostly gone now after 2 weeks but i have a stiff,tight chest pain when i breath in sometimes, but i have had no cough, is this normal, should i get some meds or see my doctor as i am worried because of the pneumonia i had last time. also i have noticed mould growing around the windows in my home and i cleaned the mould a few days before i was hospitalized last october and have just cleaned it again now and my friend said you can get infections from mould, please can you help. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, we should definitely rule out lung infection (pneumonia) and bronchitis (inflammation of airways) in your case because both these are common after recurrent cold.So consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test).Chest x ray is needed for lung infection. PFT is must for the diagnosis of bronchitis. You may need inhaled bronchodilators (formoterol or salmeterol) and antibiotics based on the reports.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest medication for tightness in chest and breathing problem due to cold"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir/Madam, I have been suffering excessive hair loss for the past 3 weeks now particularly while shampooing or applying oil. I have very thick hair but prematurely gray so I dye it regularly. I live in London where it has been very cold for the past 3 weeks. Can you please advise me? Thanks Doctor: Hi.As per your case history of hairfall.My treatment advice is – 1. Take good nutritious diet full of green leafy vegetables and milk.2. Use a good herbal shampoo and coconut hair oil for regular use.3. Take an iron supplement once daily and vitamin b12 supplement once daily for 3 months.4. Other treatment options are topical minoxidil, oral finasteride and mesotherpy done by a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for excessive hair loss"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 28 years old and I experienced chest pain after drinking for the first time last year. It happened after I had a couple rum and cokes. It starts at my breast bone and goes up through my shoulders and into my upper back. It feels like a muscle spasm through my shoulders. I want to curl my shoulders forward to relieve the pain as well as have someone pull them back. Its horrible and only lasts for about 15 to 20 minutes then I am ok again, with only a faint ache for a few hours afterwards. Tonight it happened again after drinking white alcohol. I had 3 white wine coolers and 2 beers in a 5 hour period of time. So, its not like I am intoxicated or binge drinking. Help!!! Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.By your history and description, possibility of alcohol induced gastritis and hyperacidity is more likely.So better to avoid alcohol for 2 weeks.Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals.Take pantoprazole (antacid) on empty stomach twice daily.Don't worry, you will be alright with this drug.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I fell in the shower 5 days ago and hit my shin pretty bad. My entire leg has been swollen and bruised but seems to be getting better slowly. But today I have had pretty bad swelling and bruising around my both sides of my ankle. Is this normal? Should I be concerned about a blood clot? I don t have any new pain and I can walk just fine. Doctor: Hello,I read carefully your query and understand your concern. Your symptoms seem to be related to the ankle injury .I suggest to:-Avoid activities that cause pain, swelling or discomfort. -Use an ice pack or ice slush bath immediately for 15 to 20 minutes and repeat every two to three hours while you're awake. -To help stop swelling, compress the ankle with an elastic bandage until the swelling stops. -Elevate the ankle.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for swelling in ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello. I just want to know what the best depression/bipolar/anxiety medicine you think there is. I cannot seem to find one that really helps. I've tried effexor. which was good for a while, but my body gets so use to it it will stop working. i have a doctors appointment in a week. I'd just like to know what the best choice is to ask for. Doctor: HiThanks for using healthcare magicI think, you are already on one of the best antidepressant. In case, you are not getting response with it, you can try paoxetine or add another antidepressant like mirtazapine or bupropion on effexor. Sometime, combination works better than single tablet. Rest, you can discuss with your doctor. In case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for depression, and anxiety?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am facing excessive hair fall, about 600 strands a day. I always had thick hair, but within couple of months I have lost it all. I touch my hair and bunches come out. I have not been sick/stressed or anything. Only to delay my periods I took Primoult N in december for 2 days just 1 tablet each . And my periods have been regular after I stopped taking it. Else what can be the possible reason and how do I solve this? I did not change my water (drinking and bathing), I am living in Delhi for 4 years.im really in tension and don t know what to do.please help Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Hair fall is always multifaceted: genetics / hereditary / poor lifestyle/ poor diet / stress/ weather changes / usage of poor hair products/ dandruff/ hormonal changes to name a few. I suggest you get a panel of blood works done to assess your Hb, ferritin, Vitamins D, B12, etc to name a few. In the interim, you can start Minoxidil 5% once at night daily, for a minimum of 7-9 months. This will stimulate new hair growth. Also you can do PRP (platelet rejuvenated plasma) treatment where your own blood plasma is injected into your scalp once every 4-5 weeks, which further stops hair fall and stimulates new hair growth. Subsequently, start with multivitamins with biotin in it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Smruti Pevekar"
},
{
"from": "gpt",
"value": "Target: Suggest medication for hair fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For about 4weeks I have had painful burning pain under my right shoulder blade. I had my gall bladder removed dec, 10, I have been to my pcp and been on muscle relaxers for 2 weeks. The meds relieve the pain but it always comes back. I feel like a branding iron has been put on my back. Thank you for your help. Doctor: the pain is the back is caused by the irritation of the nerve. the distension of the diafragm during the operation lonked to the creation of the work chamber (pneumoperitoneum) can cause the neurological pain. usually the pain can last to 6 weeks and the painkillers are advised"
},
{
"from": "gpt",
"value": "Target: What is the remedy for the pain in shoulder blade after the removal of gall bladder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: please mine wife got pregnant in 3 month. But now a days she has pus cell ( Numerous) in urine and aslo sometime come blood in urine and kidneyy pain So please suggest me this dangerous situiation and can transfer pus cell in me during the intercourse. Doctor: Hello, and I hope I am help you today. Sir, the white blood cells (called pus) and blood in your wife's urine are an indication that she has a kidney infection. It it important that she takes all medicine prescribed by her doctor as a kidney infection sometimes needs to be treated in the hospital to prevent complications with her and the baby's health. An infection of the urinary tract is not sexually transmitted and is not contagious to you or any household contacts. Again though I want to emphasize that it is important for your wife to take antibiotics prescribed by her doctor as directed, and please bring her to the hospital if she develops a fever or feels weak or short of breath. I hope that I was adequately answer your question today and that your wife gets the medical care she needs. Best wishes, Dr. Brown"
},
{
"from": "gpt",
"value": "Target: What causes urine pus cells, hematuria and kidney pain during a pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi Im 36 weeks pregnant. Ive noticed a strange lump on the lower far left side of my back close to my hip .. the lump feels like its inside , it doesnt hurt but it does concern me a bit.. however it seems to disappear then reappear is there any cause to worry? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some soft tissue tumor or some other lesion. You should wait till your pregnancy. After that you should go for excision biopsy and histopathological examination. No need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes lump on the lower back in a pregnant woman?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is Miss. subha. am 28 years old. Am using lomela for past 7 months. it shows good result to my face. but when i stop using it, my face becomes dark. After continuing with lomela i got a clear skin again. whether it is good for continuous use of lomela. Doctor: Hello,Welcome to healthcare magic.Lomela cream contains a mid potent steroid mometasone, hydroquinone and retinoid and it is not an over the counter preparation. It should be prescribed by a dermatologist who knows which condition to start it for and when to stop. We do not recommend it daily for more than a month following which we taper it and stop and add on a non steroidal lightening cream. Moreover it is used in pigmentary disorders like melasma and not for improving skin tone. Long term use can cause steroid induced rosacea, acne, thinning of skin, redness, rebound skin darkening and increased sensitivity to sunlight. Please stop using this cream.Use a sunscreen with SPF 30 or more every 2-3 hrs during the day even if you are indoors. Avoid sun exposure as much as possible. Apply non steroidal lightening cream containing kojic acid at night. Hope this helps you.Take care."
},
{
"from": "gpt",
"value": "Target: Why does discontinuing lomela result in darkening of skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have had a really bad cough for four weeks now. It started with long coughing fits in the day and these have reduced but have been added to by coughing fits at night which feel like they go on for ever. Also during these I cannot breathe in which initially caused me to panic but I found I could breathe in if I calmed down but this took some time. Chemist gave me a Ventolin inhaler to open airways during attack which helped a bit. Also I have an almost constant tickling sensation in the back of my throat and at night for the last week my chest has felt tight - ventolin inhaler has helped relieve this. Finally I feel like something is stuck in the right hand side of my throat but cant normally cough it up as cough is generally unproductive, except first thing in the morning when I am able to cough up some clear phlegm but also tend to vomit as well. Occasional dry mouth at night doesnt help. Really getting fed up with this now - went to doctors two weeks ago who thought I had the after effects of a viral chest infection and thought it would all clear up within a week - now two weeks on there is no sign of this. Can you advise? Thanks Doctor: Hi and thank you for choosing H C M to post your health concern.I read carefully your question and my opinion is as follows:From what you describe it seems to me that all these paroxysms of intense coughing lasting up to several minutes, the tendency to vomit after cough(postussive vomiting) and the duration of cough(4weeks) match with the clinical presentation of pertussis infection.I dont know about your vaccination status (incomplete or absent pertussis vaccination)Pertussis is a respiratory infection that lasts about six weeks ,starting with a catarrhal phase followed by a paroxysmal phase and convalescent phase.Vaccinated adults usually develop only prolonged bronchitis.Treatment usually involves an antibiotic but it only helps if administered in the first or second week of symptoms.In your situation Ventolin inhaler that your doctor prescribed helps reducing the paroxysms and would help also if you start antitussives such as dextrometorphan,codeine.etcAnother less possibility of your health problems is even the beginning of an asthma since very frequently it can be precipitated from a viral infection.It would help me to support this if i would have a well given medical history(allergies,familiar history of asthma)and physical examination Spirometry is useful for diagnosis and the treatment need to be guided by its value.I hope my opinion is help to you.Wish you good health.Kind regardsDr.Dushi"
},
{
"from": "gpt",
"value": "Target: What is the cause for bad coughs with breathing problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had a spell where my hearing became very dull, my heart beat fast, my eye sight was going in and out and i became very dizzy and had the urge to sit down and pass out. I experienced this a month or two ago at work during a hot and busy day and assumed i was over worked and dehydrated but it happened again not 10 minutes ago, and I havent been at work today, although I did just come back from the pool and took a shower. After sitting down and drinking something i felt a bit better but Why does this happen? Doctor: HI Well come to HCMMost common cause of these symptoms could be hypoglycemia and this need to be ruled out because diabetes could be the reason for this, second would be some cerebral pathology and for this CT brain is the option, you have not mentioned your age and gender else something more could be taken into consideration, have a nice day."
},
{
"from": "gpt",
"value": "Target: What causes recurring dizzy spell with palpitations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife s face especially the cheeks are thinning, falling in? She is starting to look a bit like Abe lincon? My name is graham Oosterlaak and my email is YYYY@YYYY a problem is she is an American but we live in south Africa. Thanks graham OosterlaakNo Doctor: Hello, It could be an ageing effect. Do breathing exercises. morning/evenly walks should be a good exercise for you. Take a normal balanced diet. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nirmal Chander Gupta, Orthopaedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What could cause thinning of cheeks?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got stung by something...although I'm not sure it was a bee...under my arm kind of at the top of my armpit. It itches really badly sometime and is quite red in about a 2 inch radius. The immediate area looks kind of bubbly. It has also caused a lymph node in my armpit to swell. What is it and how can I treat it? Doctor: HIThanks for posting your query to Healthcaremagic. Quite obvious it is a Insect sting and it is going for Infection as the lymph node enlargement indicates that. You need to be started on Antibiotic medications along with a Tetanus Shot . So kindly consult your doctor and get these medications for your self . Hope this information was useful to you. Any clarifications feel free to ask . Regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for insect stung and lymph node"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 14 year old teenage girl, who is underweight. Height:5 Feet 5 inches and weight is 46 kg. I have been facing stomach ache since my childhood, a very severe one. So severe that I always had to be taken to the hospital in emergency. When I was small I did thumb sucking and nail biting. So my parents always thought that this pain is because of germs that I take in through these bad habits. But it has been up to 6 years now , and I haven't engaged myself in any bad habit. Yet I still have pain. Doctors have done ultrasounds, blood tests, CT Scan, stool tests, LFT, urine tests... but all of my reports are fine. They don't seem to find out the cause of it. The pain is like, twists and turns in my belly, literally very swear, that can make me scream in pain. yes I have consistent constipation on extreme and face hematochezia since the past couple of months. And so, have developd anal fissures also... that are painful. First, I want to find out the root cause of such a stomach ache. Secondly, sir/madam... lately, from a year I have had constant headache, that doesn't go away at all. It just stays in place. Yes I admit I have a bit tight schedule, I sleep a little less and eat less and speak less and use laptop a a lot. This headache doesn't go away with painkillers. And distracts me from stuff. What to do for this? If you have any medicine that can work, that you advise (except antidepressants, as they don't work at all) I could take that. Just need an advise on my daily schedule, and diet chart. Sir/madam, third thing, whenever I am stressed, I feel a sudden sharp pain in my chest... it’s in the middle more like in the chest bone. X rays have been fine.. and there has not been any major injury there that could cause the pain but I assume whenever I am stressed which I usually am... and it gets over me, or I take it to my nerves, then I face this sharp acute pain just left to my chest bone. Why does it happen? And how to prevent it? Doctor: hi, how r u now? see this pain in my opinion can be because of inflammatory bowel disease with small intestine partial block, u need to undergo CT enteroclysis, followed by capsule endoscopy if required, to pick up any lesion."
},
{
"from": "gpt",
"value": "Target: Severe stomach ache since childhood. Blood tests, ultrasound, CT scan, stool tests normal. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello Dr. my name - ankit khandelwal age - 39 year heigh - 5'9'' weigh - 65 problem - i have long time OCD diseases for exm - again to again wash hand Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I see your problem. OCD is common in simpler terms. Every person has some compulsive behavior and they carry them throughout their life. What you should understand is OCD is certainly curable.Washing hands over and over is due to the hygiene sense you have developed. Such a behavior is not bad unless it hinders your normal activity. Such behavior goes on only when you do not have any other activities. Fare enough, that means, keeping yourself busy and ignoring the behavior, more or less, can reduce the incidents. Over and above, do not worry about your obsessions. Take them as just part of life.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for chronic OCD"
}
]
|
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