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{
"from": "human",
"value": "Source: Patient: Hello doc i m having pain in my penis when its erect and there is some milky precum regularly from my penis.even m not able to mastrubation.i feel like my penis muscles is gonna b.....and one of the muscel is too hard that hurts a lot when erection or bending...plz tell me what i have to do....... Doctor: DearWe understand your concernsI went through your details. I can understand. You are worrying unnecessarily. The whitish liquid comes out through your penis semen itself. That is body's normal procedure and you cannot control it. Body produces sperm cells whenever you are sexually excited. The produced sperm cells are stored inside your body. Because it is a waste product, body needs to throw it out. Body naturally throws out the waste product through urine or through nocturnal emission (dream / night fall). There is nothing to worry about it.Please understand, bend penis are also normal. this is the scenario with most men. The bend is usually due to masturbation. Again there is nothing to worry.I suggest you to consult a psychologist for counseling and to provide you with essential sex related knowledge. Please do not ignore this advise. You need sexological counseling.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: How to treat painful penile erection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hie i was using triphasil now im on trigestrel my problem is that i menstruated twice in jan mid up to first week of feb then i stopped for 7days because i ran out of cash now im not menstruating is there a possibility that i might be pregnant or not,pliz help me my baby is an infant to have a sibling Doctor: yes, should do a pregnancy test. only then you can decide what to do next .The other suggestion is , please take your pill regularly every single day to prevent to be in this situation."
},
{
"from": "gpt",
"value": "Target: What causes stoppage in periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had sex 3 times, the first was with a condom and the other 2 times he pulled out. i have been on birth control for over 2 months. gildess fe 1/20 and take it within the same 3 hours every day. shoud i even be worried about pregnancy?i also feel slightly bloated a little crampy, and have had some vaginal discharge Doctor: hello user,If you r taking your birth control pills regularly on time,no need to worry about pregnancy.moreover,u had safe sex.and no need to worry about your symptoms as well,it will subside when your periods will come..thanks."
},
{
"from": "gpt",
"value": "Target: Having noticed slight bloating of stomach,cramps & vaginal discharge after the intercourse"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm 23 and have been experiencing tachycardia, often with shortness of breath, in the evenings and at night. There is no trigger with attacks occurring at rest. I initially put it down to anxiety but I've been 100% stress-free for weeks and yet the attacks have been consistent. My resting heart rate is about 68, and over 100 during attacks. I have no health problems, take no meds and avoid caffiene. What could possibly be the cause? Doctor: Hello,This can be arrhythmia like psvt or atrial fibrillation, where your heart rate suddenly goes up and BP falls. You will need evaluation like ecg, thyroid test and holter monitoring. You should also get one hemoglobin levels done. So visit nearby cardiologist for these investigation.Also, to abort such episodes you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg . If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tachycardia and shortness of breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I want to learn tailoring, but there are people saying that using a sewing machine (esp foot pedal) will have a negative effect if i am trying to get pregnant. is it true?? not able to find any details on net. I am planning to get pedal motor for my machine. for that also my friends are saying, that magnet of running motor will have side effect. Please guide me.. Doctor: Hi,There is no established relationship between using a sewing machine and fertility. It is true that any severe exertion during the early stages of pregnancy when the embryo implants into the uterus can cause a miscarriage. It is perhaps in this context that the notion of fertility being affected exists. A pedal motor causes vibrations and as such can cause miscarriages while it is used during early pregnancy. If you are trying to conceive now, it would be better if you can postpone your plans for the time being. Hope this helps."
},
{
"from": "gpt",
"value": "Target: Will using sewing machine effect the chances of getting pregnant ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I recently has a MRI and results were:There are a few tiny bifrontal white matter T2 hyperintensites which are non-specific. Should I be concerned?I am experience loss of memeory, balance problems, confusion and etc.. I am a 55 year old female with a history of Epilpesy in the past. Doctor: hithanks for using healthcare magicthese are non specific changes which usually seen at this age. there is nothing to worry about it. i think, u r towards dementia. All feature of put into mild cognitive impairment which if progress could lead dementia. u should consult a neurologist for proper evaluation and treatment. Ur problem may be at early stage, currently nothing to worry. Only for future aspect, consult a neurologist.Thanks"
},
{
"from": "gpt",
"value": "Target: Have memory loss, balance problems and confusion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: During my sleep last night I started having gradual stabbing pain in my mid back. My mid back felt like it was burning and that pain enveloped the sides and then my sternum/chest area. I was dbled over this morning and found out when I inhaled/exhaled the pain got worse. Now I do take meds for arthritis that travels down my lumbar/leg area; it is not back pain, I really know how that feels. I will tell you that my meds and my back brace has helped me with my pain; any ideas?..... Thanx Alot, Pati PS I m 55 yrs old and take very good care of myself Doctor: Hello, It looks from your details that you are taking medicines for arthritis. Most probably you are also taking pain medicines. Such symptoms can be due to gastritis or pancreatitis. At present, you should take an antacid preparation like zinetac 150 mg and avoid oily and spicy preparations. You should also avoid preparations containing excess of fat. If it continue to be there then you should consult to your doctor. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes stabbing pain radiating from mid back to chest area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey, I just wanted to ask whatbare the side effects of Coper t 380a ? I just had a dnc done and an Coper t fit in at the same moment, now I do have abdominal pain , pain in kegs, back . Feel really week,,, is it normal? Will I gain weight from this 5 year Coper t? Doctor: Hi,The intrauterine contraceptive device Copper T380A is generally safe and well tolerated by most of the women. However it may cause some of the following side effects like symptoms of pregnancy, period like cramps, abnormal vaginal bleeding, foul smell vaginal discharge, dizziness, cramps, unable to fee the strings of the device, and rarely perforation. It is unlikely to cause weight gain. Based on the history given in your query you seem to have mild side effects which may subside over a period of few hours or so. Take bed rest and plenty of oral fluids. You may please consult your doctor if the symptoms do not subside or get worse.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of Coper t 380a?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i have a bruise un my upper arm. it looks like a bruis that i get after giving blood but i havent given blood and it has like a little spot on the insid of the bruise and now there is like a little hard ball inside of it. like you can only feel it when you push on the bruis a little Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Possible injury has led to blood vessel damage.2. You are suffering from superficial thrombophlebitis, which is similar to after donation of blood for tests. Thrombus has formed inside, which feels like hard knot.3. Not to worry, it will dissolve on its own. The thrombus is too small, to cause any damage.4. Low molecular heparin cream application over the bruise could be helpful. No other treatment necessary. It will dissolve within a week. Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a hard knot inside the bruise on arm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For the past 6 years I have had recurrent lower right sided abdominal pain (which feels like a hot poker) which has got worse and worse. I am now on Oral morph and tramadol for the pain whichm doesnt really help when it is at its worse. I have had my normal appendix out. CT scan was normal except Polycystic Ovaries. Symptoms include yellow and sometimes green bowel movements which ranges from diarrhea to constipation very quickly, recurrent UTI s, back pain, extreme fatigue . I also have an Underactive thyroid which when tested several years ago was 81!!!! A colonscopy was normal except for mild colitis . Two laparoscopies showed nothing except PCOS. I am so desperate to know what is wrong, I can t live my normally active life :-( Doctor: Hi. I need to know a few details: - Age? - Do you reside in an area where urinary stone disease is endemic? - How long does each episode of pain last? - During the so-called pain-free interval, are you completely asymptomatic or do you continue to have some discomfort/indigestion? - Have you noticed any specific initiating/aggravating factor for the pain? - Have you noticed any factor which relieves the pain (apart from analgesic medicine whenever it works) e.g. passing flatus/stool etc? - Fever? - How about your appetite? - Have you lost any weight over this past period of 6 years? - Do you get bloating of the tummy? - Do you pass mucus (slimy fluid) / blood per rectum? - Are you allergic to anything? - Has you gynaecologist cleared you of any gynaecological problem being responsible for the pain? I will be able to attempt to get closer to your problem after receiving answers to the above queries. Thanks."
},
{
"from": "gpt",
"value": "Target: Recurring lower abdominal pain, PCOS, yellow and green bowel movements, recurrent UTI, back pain, fatigue, colonoscopy showed mild colitis. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have post inflammatory hyperpigmentation after tinea cruris infection.is there laser treatment or any effective depigmentation creams apart from topical steroids which helps. Doctor: Hi , the first question to ask here is if one has got rid of the Tinea infection entirely. It is worth having a prolonged application of a suitable cream for Tinea which your doctor will easily suggest. Try this prior to other treatments for hyperpigmentation. Take care."
},
{
"from": "gpt",
"value": "Target: What is the permanent treatment for post inflammatory hyper pigmentation after tinea cruris ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello i had a small blood red bum on my testicles i cut vessel doc , i acctidentially bumped or but it on the small vein the hole is the size a little larger then a pin hole but wow the bleeding form that small bump is crazy. i tried ice, putting pressure for 20 minutes still not stopping crazy Doctor: Hi, Rush to a general surgeon and get the bleeding point sutured. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How can bleeding from a red bump on the testicle be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dropped a heavy object on top of my foot. It is swollon on top it is sore to touch and it is purple and it is painful I limp because it hurts to walk. I HAVE TO WORK TOMORROW ON MY FEET 10 HOURDS. Do you think it is just brused and it will be ok in a few days. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The symptoms are suggestive of bruises or contusion. However get an X-ray to rule out fracture. No need to worry as it will resolve in couple of days with conservative measures. You can take analgesics like ibuprofen or Diclofenac for pain. Apply ice packs over the affected region for better healing. Immobilise the affected toe. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How long does a bruise on the foot take to heal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Last week I banged my shin on metal lawn chair didn t look serious, so I put some first aid cream on it....however, it has developed a red circle around the wound, just larger than a quarter...no streaks. Subsequently I hshouldave had a sharp pain in my foot (same leg) and now a little discomfort in my jaw and neck all on the left side. Should I be alarmed....I haven t had a tetanus shot in years. I am 75 Doctor: Hi therean open wound over the shin is to be taken seriously because they heal poorly and have potential for infection. Please visit a local doctor to have a look."
},
{
"from": "gpt",
"value": "Target: How to treat jaw and shin injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i recently found out my 3 year old son has blount s disease. The 1st meeting held with the doctor he suggests that we operate....I am not comfortable with this initial decision.....what are my options based on his age and the stage of his bowing? Doctor: HiWelcome to the HCMConservative treatment can be an option in early onset Blount disease and consists of brace treatment. Brace therapy should be attempted in all children younger than 2.5 years with stage I or II disease. Ambulatory bracing with an above-the-knee orthosis has been shown to prevent progression of disease. Bracing has been shown to correct both the varus deformity and the pathologic proximal-medial tibial growth disturbance.[18] If the disease continues to progress to stage III with brace treatment, it will no longer be effective. Other risk factors for failure of brace treatment include obesity, varus thrust, age older than 3 years at initial treatment, and bilateral disease."
},
{
"from": "gpt",
"value": "Target: What is the treatment for blount s disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi. i have a 6yr old. she constantly gets fever in her joints associated with a headache, stomach ache & vomitting. ive been back & forth to the doctor with her. they even prescribed her with glasses which hasnt really changed anything. would u happen to know what might b the cause? Doctor: Hi,Thank you for asking question on health care magic.your history suggests it may be urinary tract infection.Better get the urine tested microscopically and if possible consult pediatrician and follow his advice.Norfloxacin may be tried for a week or 10 days and it may help to reduce symptoms.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: Need medication for fever,headache,stomach pain & vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi I had a concussion ,broken nose , whiplash, rib pain left l3 transverse process and an undisplaced fracture of the left l4 transverse process. it was last year in sep at work and still lots pains at neck shoulder back butt to café all in left side. what I can do to get relif pains Doctor: Hello, I have studied your case and reportsTransverse process fracture will heal by conservative treatment.Facet joint arthritis can be treated with local steroid injection under C- ARM guidance.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in neck, shoulder and back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes l have these flat kind of watery scores I don t know how they started they are o n my back arms upper legs and ins,ice of vaccinations red itchy and sportier like New skin wants to come and itches like crazy .not sure if the scores have anything to do with the bottom part l m65 gems,me have had this for over two months tried triple anti but nothing works help Doctor: Hello, I have studied your case.According to your history possibility of urticarial dermatitis is likely.Biopsy may be needed for diagnosis. Urticarial dermatitis is an early sign of bullous pemphigoid in some patients. Eventually tense blisters appear.Usually treatment with tropical steroids gives reliefAnother differential diagnosis include Bullous pemphigoidBullous pemphigoid results in crops of tense, fluid-filled, itchy blisters. The blisters may be filled with clear, cloudy or blood-stained fluid. They may arise from normal-looking or inflamed skin.. In severe cases, there may be blisters over the entire skin surface as well as blisters inside the mouth.When the blisters heal up, they may leave brown marks or tiny cysts called milia .I will advise to consult your treating doctor for management. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for watery sores in legs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was told by the wife of my patient that after her husband started on topiramate that her husband experienced a nightmare of me in his dream ( & he no longer wants to come to me, despite I saved his life from alcoholic cardiomyopathy over the last 3 years; IS THIS A KNOWN SIDE EFFECT OF THIS DRUG??? Doctor: Hi, Topiramate can cause various CNS & psychological side effects like confusion, psychomotor slowing, nervousness, mood problems, may cause some people to be agitated, irritable, or display other abnormal behaviors, emotional liability, depersonalization, hallucinations, psychosis etc., but it is not known to cause any nightmare as described. The present problem may be alcohol-related encephalopathy (Wernicke). Hope I have answered your query. Let me know if I can assist you further. Take care. All the best. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What are the side effects of Topiramate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having swollen ankles. It is to the point where my ankles really hurt and it s hard to walk. I have been having leg cramps where my second toe will bend down and get stuck. I ve also had a feeling of burning in my calves and ankles. This is in both ankles. I am not sure where to start with trying to figure out what is wrong with me. What kind of doctor should I see and what kind of tests should I start with? Doctor: Go for physiotherapy treatment or occupational therapist. Go for ice pack n Ift machine. Rise ur leg 30 degrees from bed keeping 2 pillows under the heels n 1 pillow under the knee and go for stretching for TA muscle I.e; calf muscles."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for swollen ankles"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a question if someone can please help me, at age 17 I became pregnant off of the birth control yaz. at the time of my pregnancy I became very ill, getting dissy spells, fainting and losing my sight to spotty and blurred vision from a few seconds to a almost a minute. i never got checked out by a neurologist but my obgyn believed I had been experiencing episodes of epilepsy . after birth it stopped. now im 21, and when I have occasional drinks recently up to a certain point in the time frame while I am drinking I black out and am still awake and functioning to a certain limit but friends have said that s I complain of pain in my body like a major headache or telling them I feel exhausted and weak while im blacked out but they always thought I was just dehydrated. ive even thrown up and right after im incoherent, cannot speak or are not able to walk and a few minutes after thati fall asleep and I don t wake at all until the next morning they ve even thrown water on me and I would not wake up. my breathing and heart still beating they just assumed I passed out but the next morning Im completely confused because I can only remember up to a certain part of the night and after I cant recall anything at all. im wondering if maybe im having an episode of epilepsy which causes me to black out while im under the influence Doctor: Hello,The earlier episodes you describe of dizzy spells & greying of vision could be due to Syncope or pre syncope. The episodes are brief & lasting few seconds to a minute.The more recent episodes could be seizures or syncope.The prolonged period of unresponsiveness, lack of memory for the previous nights events and other accompanying symptoms raises the possibility of seizures. Visit a neurologist who will be able to perform an EEG, Brain imaging & other tests which can help in confirming the diagnosis. A cardiac evaluation for any cause of blackouts is also necessary.Hope this helps."
},
{
"from": "gpt",
"value": "Target: Got pregnant while getting off birth control Yaz. Getting dissy spells, losing sight to spotty and blurred vision. Epilepsy ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...I'm an 18 year old female.I had sex for the first time on November 15th and I started my period the same day.I did not miss my december period and both of them seemed normal except the december one seemed heavier.since my November period ended, I've been having constant, non stop abdominal pain, cramps and bloating. They never stay in one place.Sometimes it feels like menstral cramps.After I eat sometimes my stomach bloats and gets very hard and I noticed my bowel movements have somewhat changed.I do not have morning sickness, sore breast or snything like that.We used a condom and pulled out, it didn't last long at all and it only happens once. I've talked to 2 of my friends and they both described their symptoms they has when they had ovarian cysts. I also have lower back pain. I've considered pregnancy, ovarian cysts, IBS and other stuff.I also have a burning sedation in my stomach at times and I'll have a sharp stabbing pain to the left of my belly button under my ribs.My urine is also cloudy and has a strong odor.Please help me. Doctor: Hi,welcome to the HCMBrief...it could be URINARY tract infection and anxietyDetailed answer...since stress and anxiety can cause indigestion and acidity...first of all avoid from any kind of stress and have light meal for some days.To relieve from cramps you may gave tab.gelusil before meal or tab.omeprazole 10mg 1/2 hour before meal .Burning during urination and your other symptoms are more likely because of urinary tract infection.For that get urine test first , you may need 1 to 2 weeks of antibiotic course.You may discuss further about the reports.l and do ask if you have any quiry.Regards, Dr.Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for persistent abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I am a 33 year old female with vericose veins in both legs around the knees. I have also suffered injuries to both knees including the ripping of tendons and hyperextension. I am 5 6 and weigh 130-135 lbs. Besides the chronic knee pain, I have recently suffered from a bulging vein, beside my left knee, that has left a large bruise. Part of the bruise is healing while the other part is still a deep red. There was no trauma to the vein prior to the bulging, but it did become very itchy during the hour or so that I dealt with this. Given my knee history (along with osteoarthritis in my hips) are the problems I have related? Should I be concerned about the bruising left behind? It has been 2 weeks since this happened. Thanks! Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Varicose veins and osteoarthritis are two separate diagnoses and the literature I have read does not show any relation between those two. Bruising behind your left knee should resolve, but if its itching then you should moisturize it daily and also apply benadryl cream to prevent it from itching. Constant itching can cause ulceration which could expose you to a bigger issues. I would not be concerned about the bruising as long its resolving and you don't get infection because of constant itching and exposing to bacteria from your fingernails.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Samuel Parmar"
},
{
"from": "gpt",
"value": "Target: Should bruise left from varicose veins on legs and knees while suffering from osteoarthritis cause concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi just want to ask, my wife had a pregnancy test last feb. 15 ang then the result is negative!.and then last sat. feb. 26 we conduct again a pregnancy test and then the result is now positive..my question now is how many days did my wife having pregnant right now?and how can we safely abort it because were not ready right now specially my wife because she already give birth last year with a c.s delivery that was my 2nd child already, my first baby is now 2yrs old.i know it my sounds stupid but now were just want to spent more time with our 2 kids, there are many reasons why we want to do this,financially, mentally and emotional not ready.we know it is our fault and and it is a big sin from our god but we both decide it and we will take full charge of responsibilty whatever consequences will take....hope you ll help us on our problem..thanks and bestregards!.... Doctor: I can understand your situation. Usually pregnancy duration is calculated from last menstrual period or doing an Ultrasonography. pregnancy test usually becomes positive atleast 4 wks following LMP and 2 wks after fertilisation.from this calculation and from the information you have provided it can be said that on 26th February when your wife's pregnancy test become positive she has pregnancy duration somewhat between 4 week and 5 weeks 3 says as it was negative on 15th of February. 1st of all an USG has to be done to determine pregnancy duration and then abortion can be tried medically or surgically depending on the pregnancy duration."
},
{
"from": "gpt",
"value": "Target: How to calculate period of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am having problems with a upper tooth that I had removed 4 weeks ago. It all started when my tooth was damaged through a basic root canal treatment. I was referred to a specialist and 9 months later I was told it would have to be extracted, meanwhile I had faced a number of infections and 2 courses of antibiotics. At the time of the extraction the root was infected. After the extraction, dissolvable stitches were put in place as I was flying overseas and the sinus was exposed. Now, 4 weeks later, my dossolvable stitches are still in place and seem to be surrounded by a white gooey substance. When I touch with a Q tip the white substance moves about, attached to the stitches and is adding to some slight irritation of that area. Is this normal? Thanks! Doctor: hellooo...read through ur query....i must say that as far as u dont have any pain or problem with that area its healing normally....if any pain is there then u should suspect something abnormal...the stitch will resorb in few weeks along with the socket..so dont worry ..yellowish thing will be the clot and other cells working for healing....and i must say that dont touch that area with anything(brush,finger,pin,toothpick etc).ur hampering the healing process...dont bite that with that area...drink lots of water..dont spit hard...it can dislodge clot and hamper healing...do salt water gargle as many times as possible.....follow all this and be happy...stress free and cool that can heal anything...hope ur benefitted something with this reply..have a healthy day!!!"
},
{
"from": "gpt",
"value": "Target: What causes discharge around the stitches after tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: a few days ago on my left side behind the last tooth my gums were swollen. the next morning when i woke up it was really swollen. i was driving to work and chewing on gum and i felt the swelling go down. i dont know if it popped or what it did, but now i have a hole on my gum and it really hurts!! what do you think it is, or what should i do?? Doctor: Hello, thank you for consulting with healthcaremagic. It looks that your wisdom tooth is erupting, that is why firstly there was a eruption bulge and afterwards a hole to make space for tooth, so there is nothing to worry about it, but if there is pain in that area them you should consult a good dentist. Hope it will help you."
},
{
"from": "gpt",
"value": "Target: What causes swelling of gums?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, in the past few days I have been getting ball ache, I'm really conscious about myself so I really don't want to go to the doctors about it. The ache is a dull ache but it also feels like it's my top half of my legs as well. It is also worrying me so bad I feel like I am having anxiety problems as well. Doctor: Hello,You can take anti inflammatory medicine like brufen. Wear loose cotton underwear. Avoid tight clothing esp. Undergarment. If no improvement than investigate with ultrasonograohy of testes for further work up.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What is the cause of dull ache in the balls and upper half of legs ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been having an ache in my upper left back up by the scapula - it appears to be in the muscle because it is very tender to massage. the ache goes down back of my arm around to elbow it does not affect range of motion and does not hurt when doing activities it just aches sometimes more than others and i have been able to sleep fine should i use heat or ice on it also my neck is a little sore when i stretch it Doctor: Thanks for the query. Pain in scapular area and radiating along the arm usually indicate pinching of the nerve in cervical spine. Since how long you have this problem? if this is a long standing problem then it needs to be investigated. Ice or heat application along with anti-inflammatory and muscle relaxants will help. thanks."
},
{
"from": "gpt",
"value": "Target: Back pain, pain moving to my elbow, does not affect range of motion. Heat or ice for pain relief?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was in prison awhile back and they said I had hepatitis b and I never had sex and when I was there the doctor telling me when I went back to see him all my stuff was good, i dont kno was he responding to hepatitis b but I was having stomach problem and burning in stomach was that symptom or im over reacting or what, ,,, Doctor: hepatitis b can be silent in you body for years or you can have symptoms . It is important to see a liver specialist who can do the tests to determine if you have it and if so how to treat it"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of hepatitis b?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have suffered with pain in my neck back and arms for many years and have had multiple surgeries with out relief. I have researched for a long time and finally am positive I have found what is wrong. I believe with my my heart I have TOS. I have the symptoms, tense upper back and neck muscles, severe muscle spasm, shooting pain from my neck / upper back down my arms to my fingers. I have burning nerve pain on the left side of my face and ear, sharp shooting down my arms with pins and needles. If I turn my head to the sides I see sots send can feel light headed. I have pain in the artery in my neck a under my upper arm and arm pit. My hands will feel ice cold and dis colored, sometimes pale it here s deep purple.. I have reviewed my previous ex rays and believe I have cervical ribs on both sides with my left side being worse. I need to know an experienced doctor to treat thus in the quad city Iowa area. Please help it is getting worse and I m struggling to work. Thank you Doctor: Hi, you are having all the symptoms of TOS.You are advised surgery for this and advised to consult surgeon for this.Hope my advice will be helpful to you.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in neck and back with pins and needles in arm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have got this really irritating persistent, tickly hacky cough and have extremely bad coughing bouts. with a slight whistle each time I cough. Feel slight tightness during coughing but ok when coughing has seized for a while. It does help when I have either hot water to drink or cold water However it is most persistent at night. More or less at the same time each night It isn t as bad during the day time However first thing in the morning I do cough up Phlegm but I have also a nasty taste in my mouth only when coughing first thing. Had wisdom teeth out in march time also. I have been a smoker in the past but now I am an ex smoker for at least two years now I was wondering if this could be simply clearing my lungs out? Doctor: HIWell come to HCMAllergic bronchitis may be likely cause of cough, if this is more than couple of weeks then this need to be investigated for underlying cause rather than allergy, and x-ray study of chest and routine blood test is advisable, till then following medicine can be tried 1) Tab Loratidine with pseudoephedrine three times in daytry some pure honey at bed time, stop smoking, hope this information helps, have a nice day."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I had my lower left impacted wisdom tooth removed a week ago today.The appointment took about 3hrs and it was quite a complicated surgery to say the least! (also knocking out the neighbouring filling of another tooth).I was diagnosed with TMJ 10 years ago so I was quite sore afterwards and my body actually went into shock after an hour or so.I'm on my second course of antibiotics and pain killers, but the only thing I get relief from is tiger balm.I am still unable to eat solids of any kind, even a smooth cornmeal porridge causes great pain. I'm currently stuck with smoothies and milkshakes which provide little protein for my recovery. I need to know if there are any exercises etc that I can do in order to speed up my recovery? I live in the Caribbean and don't have access to all of these rinses etc that are rerecommended :(Also, I have family visiting a week tomorrow and really need to be able to eat before then! Doctor: Hi,Thanks for asking the query,I would like to tell you that wisdom tooth extarction is not a simple procedure and often associated with post extraction complications.A complete extraction wound healing takes about 3 months but pain goes off completely in 3-5 days.I would suggest you to take complete course of antibiotics and analgesics.Take lukewarm saline rinses and antiseptic mouthwash gargles to prevent infections and promote healing.Maintain a good oral hygiene.Take care!"
},
{
"from": "gpt",
"value": "Target: Had a wisdom teeth removal. Complicated surgery. Not yet recovered. Only liquid food. Speedy recovery possible?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I break out after taking a shower, sweating, and swimming. Hi. i recently went to the beach and jumped into the ocean, swimming for 45 mins. when i got out and dried off, i broke out into a rash with small bumps and red patches around them. I went in the water the next day, same thing. after that, I started digging a hole in the sand. i sweated a lot, and the same thing happened. It happens whenever i take a shower now too. i came back from the beach and every night when i take a shower i break out into this really itchy rash, like a form of hives! I tried taking a cold shower, not using shampoo or soap, switching soap/shampoo, patting myself dry, and using moisturizing lotion after i dry off and nothing has worked, i always break out. what is wrong with me!? This is really frustrating. Doctor: hello this is a allergic reaction may be from ocean water so you can use anti allergic medicine orally and lactocalamine lotion for application."
},
{
"from": "gpt",
"value": "Target: Have red rash, bumps after taking a shower, sweating or swimming. What is wrong with me?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was pushing down on a large cardboard box to get it ready for the trash my hand slipped and the inside of my right wrist got hit immediately there was about a one or one and a half inch circle raised and blue I have been putting an ice pack on it and pressure the swelling has gone down The bruise is still there but it does not hurt should I worry Doctor: Hello, It could be a minor contusion only. You can apply ice packs for faster recovery. Generally, it will settle by itself without any treatment. If symptoms persists you can consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is a bruise on the wrist after an injury a matter of concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel a lot week and hardly can do any physical work since 1 year... I am 31 years old and as an IT pro, my most common issue is health. I feel a lot week and hardly can do any physical work even as i lift my right arm or left, i feel the pain in the arms and feel like resting the arms somewhere. This is been happening since last 1 year. I must confess that I am working hard and have irregular work timings. Would like to know if my symptoms have any thing to do with my occupation... Your opinions please?? Doctor: 1. before prescribing any medicine make sure your hemoglobin,thyroid, blood sugar level are normal, otherwise no treatment will satisfactorily relieve your symptoms. 2. as you are working hard with irregular timings: definitely Exhaustion has set in, resulting in hyperactive brain,causing restlessness and lethargy due to constant fatigue. 3. any Addictions, are you over scheduling yourself for past 1 year?? 4. make a checklist of your work so that you don't have to think over and over again. 5. avoid multi tasking 6. Ayurveda ' Shiro Dhara' pouring of medicated milk/curd on head will be very much effective in your case, try to find a good Panchkarma centre near you."
},
{
"from": "gpt",
"value": "Target: I feel a lot week and hardly can do any physical work"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a stent fitted in august last year, because my resting pulse was around 70/80 per minute the cardiologist put me on bisoprolol 5mg daily. Since then I have lost 17kg. Just recently I have had dizzyness folowed by increased bp and pulse rate about 4/5 hours after taking the medication, I am concerened that my pulse is now being reduced to much. I have had readings of 54 and 47 at this time of day. Doctor: hi, so things are clear your heart rate is on lower side which causes all these symptoms. so asked your physician to reduce the bisoprolol.Otherwise healthy lifestyle and advised medicine should be taken regularly."
},
{
"from": "gpt",
"value": "Target: What causes dizziness and an increase in bp after a stent procedure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: normal testostorone and LH but high FSH Started By: salmanqureshi24, Other, 1:41PM Jan 17, 2014Dear i have to ask one question, if you know plz reply.if some one( male) have normal testosterone level i.e; 6.15 ng/ml and LH is 1.33 mlu/ml , and FSH is 21.10 mlu/ml. whats that mean.?The problem is in pituitary gland or Testis..? Doctor: The problem is more likely to be in the sperm producing part of testes. I hope a semen analysis has been done, but this report is generally suggestive of severe problem in male gamete production with a normal pituitary -testis axis."
},
{
"from": "gpt",
"value": "Target: What does a normal testosterone and LH level but high FSH indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I have had a stiff neck for several weeks. I did something to it while driving one night. The neck, back and shoulder muscles have been extremely tight. I have had several chiropractic adjustments on a weekly basis as well as massage therapy. The condition has improved by 50 percent. Im a little confused because the chiropratic adjustment I received today made my neck feel more sore and more stiff, then eased up later. I had one serious migraine since this started but that was 3 weeks ago. I have fibromyalgia. This neck problem just wont go away. Doctor: Hello thanks for writing to heathcaremagic.I understand you are in severe pain and do sympathize with you.first of all , you should give rest to your neck by using a soft cervical(neck) collar.do hot fomentation 3-4 times a day take some combination of analgesic and muscle relaxant like ibuprofen and chlorzoxazoneAvoid Driving and avoid using too much of computer maintain proper posture , avoid using a fat pillow.hope this will relieve your painThanks.wish you a speedy recovery"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for stiffness in the neck , back and shoulder blade"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife s father came out of resection surgery alive but in great pain. After he was discharged from the hospital, he had a bout of vomiting in which he brought up dark brown liquid. The next day he had a seizure of some sort and died quickly. Does this suggest a clear explanation? Doctor: Hiwelcome to HcMclear explanation can be only with post mortem (autopsy)without autopsy we can only guessthe probable cause is erosion of an artery leading to Bleeding in abdomen which causes hypoxia due to hypoperfusion"
},
{
"from": "gpt",
"value": "Target: Does it make sense to die out of seizure after resection surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr. I have a progesterone dec\\ficiency that is my leutal phase is short.Inspite of taking miprogen200 i get my periods on day 25 or 24 even before I can do a home pregnancy test. Whats going wrong..... do i concieve and loose because of my low progesterone levels? Doctor: HAI WELCOME TO HCMDONT WORRY.OVULATION INDUCTION WITH FOLLICULAR MONITORING WITH PROGESTRONE SUPPORT WILL MAKE YOU CONCEIVE.it is a common problem.you have to take susten 200 me 1-0-1 from rupture of follicle to support your luteal phase.consult an infertility specialist to conceive soon."
},
{
"from": "gpt",
"value": "Target: Does low progesterone cause infertility?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son who will be 4 ( 35lbs) on the 20th has always had promblems with vomitting and it seems not to be getting any better. He will only do it sometimes once a week and sometimes several times a week its always greenish yellow and when he starts it last usually 6-12 hours and constantly complaining of this or that hurting. Should i be worried? Doctor: Hi...by what you quote this looks like cyclical vomiting syndrome. He will require evluation and an ultrasound abdomen as the kid is having green and bilious vomiting. I suggest you either consult your pediatrician or pediatric gastroenterologist regarding this.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes frequent vomiting in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 10 year old son complains of itchiness on the tip of his penis which causes him to feel like urinating every time after a swim. After the itchiness stop he will complain of pain when the tip swell. This will usually go off after 2 days when the skin will be very dry and start peeling. How can I prevent this? Doctor: you need betamethasone cream 1%. It will help with the itching.Please rate 5 Stars! I strive to provide the best answers to your questions."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for itching in the tip of the penis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a very nervous person I suffer from anxiety. I had a head pain located over my left temple that prompted a visit to my local ER there was 2 CT scans done the last with contrast because the Dr couldn't get a good look at the 1 st this prompted a MRI of the Brain which concluded everything was fine . The only answer I recorded was tension headaches also I had fluid behind my ear. The pain still is there at times and I do feel it is stress related but now I am having a runny/ stuffy nose, thick mucus drainage at times as well as coughing up the phlegm. This has progressed into me losing my voice now .. And I feel as if I may have had a sinus issue the whole time. Is there anything I can do to relieve the sinus drainage at home? I haven't noticed a fever, but my sleep pattern has been disturbed due to this. I would like to have my voice back and alleviate the sore throat .. Sorry this is all over the place I'm sure I just need some guidance . Thanks Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. As long as the anxiety associated with your temporary health condition is concerned, it is due to non understanding of the health condition. Temporary anxiety due to non understanding of the health condition is quite common with every body and that anxiety should go off within two or three days.For your sinus and other problems, please consult the physician who treated you. only physical examination can help doctors to come to a correct diagnosis and prescription.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: What is the treatment for anxiety, headache and sore throat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 24yrs old female facing infertility problem. 4 years back I got a baby girl in my first pregnancy, after that I have not conceived due to PCOD problem. Recently I had Laproscopy as per my doctors suggestion and I am using medicines to conceive. My questions is I am using Duphaston from 14th day and Dubagest from 16th day. I have stopped Duphaston 1 week back and Dubagest 2 days back., My last period was 8th Jan, Can you please let me know when can I get my period if I am not pregnant., and If I am pregnant when can I go for the test? Doctor: Hi,Thanks for writing to HCM.After stopping duphastone tablet if you are not pregnant then you may get periods within one week .If you are pregnant the test may be positive after 30 days /+ 1week of your last period. i.e after 8th feb irrespective of you are taking duphastone or not. Taking duphastone doesn't affect pregnancy test result.Hope I have been helpful.RegardsDr. Ashish Verma"
},
{
"from": "gpt",
"value": "Target: While under treatment for secondary infertility, when can I test for pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: iam 42years old iam suffering from weak erection and rapid ejaculation ifailed to do secual intercourse with my wife ihave no any chronic medical disease iam not alchoholic not smoker my wt 85kg height 160cm(not obese) ihave no any psychological proplem Doctor: Good day and thank you for being with healthcare magic!Your are still young and with no chronic medical disease. You need to eat right and get some exercise regularly. You may also need to relax during sexual intercourse. I hope I have answered your question satisfactorily and please consider a 5 Star rating for my answer. Thank you very much."
},
{
"from": "gpt",
"value": "Target: What causes weak erection and speedy ejaculation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I’ve been having difficulty breathing, chest pain, sore throat, I even noticed a lump on my butt, and the back of my neck that i hadn’t noticed before, my mom said my neck looked normal, and a doctor said my butt looked normal, just a little irritated and gave me ointment. I also had an inhaler and antibiotics for my lungs despite my oxygen level being 96% they said my lungs were kinda quiet and they saw post nasal drip. What could this possibly be? Doctor: Hello, As you explain the history I would recommend doing a chest X-ray and then the treatment. Please discuss with your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jnikolla, Pulmonologist"
},
{
"from": "gpt",
"value": "Target: What could be causing a lump at the back of the neck, breathing difficulty and chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 11 month old daughter fell over yesterday and hit her forehead...shortly after a bump and bruise appeared..she is doing everything like normal and actually started taking more steps but im still a little concerned. Im trying to decide if I take her to the dr or just continue to watch her. When she went asleep lastnight I woke her up every 15 minutes and woke up fine so I dont know. Doctor: Hello. I just read through your question. A bump on the head after a fall is normal and expected. It will last for several days before it begins to go away. Aw long as she is behaving otherwise ok, you don't have to do anything. You can let her sleep, waking her is not necessary."
},
{
"from": "gpt",
"value": "Target: What causes a bump on the head of a child after a fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have rheumatoid arthritis for past 12 years after the delivery of my child. I am on western medicines pednisilone, mtx and was also on ayurved treatment. My ra factor is been on increase from 130 to 250. I have deformities on fingures and feet over the period. Can u suggest and advise. Regards chitra . Doctor: Hello, As the RA you have been having from long I assume you have the full knowledge of the condition. As in this condition, there is inflammation of the joints and due to pain, there will be deformity of the joints. Like the one, you have in fingers. I will advise continuing medicine. Try to take medicine only when you have the pain or maximum try to avoid the pain killers as this may over long run trouble the kidneys. Also, I will advise keeping the body warm as much as possible so the pain does not increase. Taking help from a Physiotherapist who can help you to regain the muscle property by which the joint inflammation can be reduced and also the normalcy of joints is achieved. For finger deformity, we need to assess the grade of deformation if we can make it correct with the help of exercise and splints we should do it at the earliest. With medication, and Physiotherapy you should be benefited. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rheumatoid arthritis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with ebv 22 mths ago. My blood tests still show active infection with ebv. I have burning sensations in glands under my arms. Burning in shoulders and between shoulder blades. Burning nostrils and burning throat . Sometimes a salty taste in my mouth. Extreme fatigue , short term memory problems and a reduced level of previous activity. My glands under my arms are sore and burning. My eyes burn and sting and light effects them. Is this all in relation to ebv or could it be something else. I have high proteins in blood, gamma globulins etc which are indicative of chronic infection. Where could this infection be?.. Doctor: HelloThanks for the queryThe symptoms you are having is not directly connected to EBV. It sounds more like an allergic reaction probably to an anti viral you might be on for the treatment. Please approach your primary care physician to change the medication. I also suggest to send blood for eosinophils to rule out allergyI hope I was of helpRegards"
},
{
"from": "gpt",
"value": "Target: Epstein-barr virus infection, burning sensations under arms, shoulders blade, feels fatigued, short term memory loss"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I HAVE CIRRHOSIS OF LIVER , ALCOHOL INDUCED. mY ALPHA FETOPROTEIN IS 1000 AND CT SCAN SHOWS HCC with portal vein involvement. I am on Nexem. I know its terminal, but i want to live. All my other organs are fine. Can I undergo liver transplant? If no can i donate my kidney, eyes ... after my death? Doctor: HIThank for asking to HCMReally sorry for hearing that, of course you can go for liver transplant, you better have opinion from the concern department, whether you are qualified for this or not, think positive, hope this information helps you, take care and have best luck."
},
{
"from": "gpt",
"value": "Target: Cirrhosis of liver, alcohol induced, nexen. Liver transplant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed with Pyelonephritis on the 4th (one week a go) I was put on cipro,zofran, and percocet I went for a follow up appointment on the 7th and my white blood count was still high, and my urine still had bacteria and protien in it. Today I have no more Zofran or percocet and I am EXTREMLY queasy and my lower back (flank) area is cramping badly and radiates to my groin . I called my doctor earlier but she was not in and can not get back to me until friday should I go to the ER? Doctor: It appears that you still have significant infection.Ciprofloxacin resistence is extremely common.Therefore,I suggest that you immediately start Inj Piptaz 4.5gm 8 hrly IV daily at least for 7 days.Before taking first dose you give samples for Urine & Blood culture."
},
{
"from": "gpt",
"value": "Target: Taking Cipro for pyelonephritis. WBC count high, bacteria and protein in urine. Should I go to ER?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been losing my balance frequently, extreme fatigue, sweating profusely, my blood pressure is 100/60 I had chest pain today that lasted like 3 minutes I just don t feel right nausea and stomache feels extremely full feeling I have anemia and usually high blood pressure Doctor: Thanks for your question on HCM. In my opinion you should immediately rush to ER and get done 1. ECG2. 2D Echo. As possibility of inferior wall myocardial ischaemia is high in your case. Any hypertensive patient present with hypotension and chest pain, we need to rule out inferior wall damage first.Your sweating and not maintaining balance can also be explained by this.So don't wait at home. Immediately visit ER and get done ECG and 2D Echo and start treatment accordingly."
},
{
"from": "gpt",
"value": "Target: What causes chest pain, nausea and high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor Recently this month March 2018, my LFT showed the following values Total Bilirubin: 0.8 Direct Bn: 0.3 Indirect Bn:0.5 SGOT: 120 SGPT: 46 AL:67 I usually drink 2 pegs per day and started drinking 2 Years back. I was not drinking since past 10 days before the test. My LFT enzymes last month were normal but my Bilirubin total was 1.2 with direct 0.7 and indirect 0.5. I have been doing intense weight training in the gym to build muscles since last 3 months. Is my issue due to alcohol or recent weight training and healthy dieting wherein I know I have been having muscle soreness (microtears in muscles). Doctor: Hello, Stern's exercise can cause elevated enzymes. It may also be elevated in alcoholic patients. But it is difficult to say which is causative. You may get done at GGT levels, in which elevated in alcoholic patients. Avoid alcohol intake, avoid animal diet, take only plant based diet. If symptoms not improved, please consult your gastroentrologist; he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu , Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What does this LFT report indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i'm having a hyperventilation syndrome. i'm only 20. my heart would beat real fast and get dizzy even when i'm not that stressed out, just thinking too much about small matters would trigger the syndrome. how can i treat this and i'm worried it will worsen. thanks. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You are obsessed with your symptoms. It is obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Exercise and be active in games and physical activities. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for hyperventilation syndrome"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr my ESR level is 92 ,i get done my chest xray.its normal n ultra-sound of full body that si also normal.only ailment i have is my knee bones have enlarged with very less gap in them.no other disease history aso.please refer the reason n treatment or any test i may need. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. ESR is high suggesting sever inflammation. 2. However, possible osteoarthritis of knee wont cause such high level. Get a urine or serum examination of gamma globulin levels to rule out multiple myeloma.3. Also need to rule out any autoimmune disorders, if multiple myeloma is negative. Get serum anti-nuclear antibody evaluation.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high ESR level"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have never been able to ejaculate with my partner, and rarely have any desire to masturbate. I do get erections. Is there anything I should be doing to achieve an orgasm. I am 60 years, and otherwise is good health. I weigh 76kgs. My height is 1.75m Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I can understand your problem of retarded ejaculation. I think senile changes related to mind and genitals may be responsible for the retarded ejaculation. You may consult the psychiatrist,dermatologist or physician who practices sexual medicine. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Why am I not able to ejaculate while having sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi dr. i want to ask about my brother face probelem. his age is 36, 5\"2,& weight is 106 kg. he is overweight. in april 2011 he feels problem like.when he wake up in the morning& he feels he can't move his lips &after few hours he can't move his left eyebrow. suddenly his bp is so high. why is happen that to him. pls answer. thanks Doctor: it's a stroke. it's occurs due to damage to brain. either there is brain hemorrhage due to very high blood pressure or due to clot in brain arteries lead decrease blood supply brain and damage the which controls the face.Both problem can occur due to high bp. so blood pressure should be controlled. also other risk factors involve smoking, high cholesterol level etc.physiotherapy may help to recover patient."
},
{
"from": "gpt",
"value": "Target: What causes high BP and facial paralysis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 23 yo graduate student studying for my DPT with a decent amount of knowledge of basic medicine. I am having an acute episode of bacterial vaginosis. I am using OTC remedies that have helped in the past because I am broke and out of town right now and only have coverage at my student health facility back home. I'd prefer not to go on antibiotics unless necessary anyways. I will go to a doctor if the condition persists or worsens. I have pain in my lower abdomen, yellow-green thick discharge, foul odor, and severe itching and burning. I have had this on and off in the past. I am on NuvaRing, which I have been told can contribute to why I have this problem, but I do not wish to switch back to oral contraceptives and would rather use other methods to prevent this from happening. I am about to use medicated wipes and a rephresh vaginal cream to help balance my pH. Should I remove my NuvaRing during this episode even though it has a week left? What can I do to prevent having bacterial vaginosis problems in the future? Eat more yogurt? Take folic acid? Take vitamins or even prenatal vitamins? And what about acidophilus pills? I know all about how sex can affect this and how condom usage is important but I haven't had a sex in a while so that's not what brought this on. I shower twice daily and use hypoallergic non-scented Cetaphil soap for that area, so my hygiene is good too. Please help me ASAP! Thank you! Doctor: HiThank you for asking HCMI have gone through your query.If you are getting recurrent vaginal infection then it is wise to avoid Nuvaring.For bacterial vaginosis i treat my patients with combination of antibiotics like clindamycin or metronidazole with clotrimazole in the form of suppository or oral tabs.I also recommend them to use intimate wash regularly to normalize vaginal bacterial flora and PH and thereby prevent further infections.You can continue all other measures like using hypoallegic non irritating soaps taking Yogurt folic acid and vitamins also.Hope this may help you.Let me know if you have any further query."
},
{
"from": "gpt",
"value": "Target: How to prevent bacterial vaginosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had urine problem..i went for ultrasound 1 year ago and report came as ,left kidney-is normal in size 10.1cm and outline.cortical thickness and echogenicity are normal.cmd is maintained.mild pelvicalyceal system prominence is seen..no calculus is seen..same for right kidney only size differs i.e is 10.5cm. now i had ultrasound yesterday and it says everything is normal execpt,,there is mild prominence in renal pelvis ..ap dimensions of renal pelvis is 25mm.i am worried about the dimensions of renal pelvis.what should i do.i had this problem from 1 year can it cause scarring in kidneys.i had no protein or wbc in urine.my doctor did t say anything.plzz reply i m very much worried Doctor: hi, The size of the renal pelvis is variable, depending on age, anatomical variations. obstructed vs non-obstructed and individual variations.Mild pelvicalyceal dilation means the urinary system appeared to be slightly dilated. This is a very subjective finding. It cannot be the cause of any kidney failure because it only affects one kidney. The report gives no information on the potential causes of your kidney failure. The most common reasons would be a recently passed stone or an over-reading by the radiologist. You should talk to your physician about this. take care"
},
{
"from": "gpt",
"value": "Target: Can mild prominence in renal pelvis cause kidney scarring ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor ! once had seizuer attack last year in feb n i had no problem. since then i m having valprol cr 500 n i m fine.my concern is ,should i stop this medecine or decrease the dose of medecine as i m having no problem.my EEG report is ok my valprol leavel is 80%.my id is YYYY@YYYY Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If you have not experienced seizures in last one year dose can be tapered. you can reduce dose. Follow-up with your Neurologist. In case seizures recur,dose has to be increased again. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Can Valprol dosage be reduced when the occurrence of seizures stops?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Mother had a small stroke May 30th affecting her right leg. She is able to use a walker. After exercising she says her leg feels weak, muscles hurt and she will take days off from exercising. Is this normal. Should she exercise the following day if her muscles are sore? Doctor: Dear patient Stroke leads to weakness of one or both sided upper or lower limbs affection with weakness. This usually recovers with physiotherapy and exercise. And physiotherapy is must for early and complete recovery. So even if she feels sore she should go for exercise for speedy recovery and so that her muscles do not get wasted."
},
{
"from": "gpt",
"value": "Target: Is exercise advised for sore muscles in leg during a stroke?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 19,i am experiencing premature graying of hair, i am pretty sure its not genetic,i am under the diagnosis of an expencive tablet named cutimin forte could that be the reason, if yes how to reverse it,if no what could be the cause? and what to do to avoid it? Doctor: Hello, It is not related to cutimin. Consult a dermatologist and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain"
},
{
"from": "gpt",
"value": "Target: Could gray hair be due to side effect of cutimin forte tablet and suggest treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey after masterbating there is a small red mark on my penis it is round. It goes away after a while but comes back straight after I have masterbated. I wondered if it could be linked to an STI but I have no pain passing urine or ejaculating and it is not itchy. Doctor: Helloyou might have injured your penis while masterbating leading to inflammationif it appears only after masterbation than I would advise you to be gentle during the actyou can use antiseptic ointment like mupirocin to be applied locallyyou should see your GP for examination or upload me your complete medical history to rule out any chronic disorderHope this addresses your questionthanks for using our servicesregards"
},
{
"from": "gpt",
"value": "Target: How to treat small red mark on penis post masturbation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My fiance is O negative and I am O positive, so does this blood group are compactible for marriage Doctor: hi .if wife is negative and husband is positive,if by chance your future baby in womb is positive then second baby wil be in dangerous stage.i think i am clear for your question."
},
{
"from": "gpt",
"value": "Target: Compactibility of O+ and O neg for marriage"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor.. My mom has tuberculosis.. treatment is started 2 weeks ago... i.e from 9 may 2014. medicines taken are rifampin and isoniazid(R-Cinex) along with thynorm 25mg before breakfast, pyridoxine hydrochloride (benadon 40 mg half tablet) & prednisolone dispersible tablets (i.e wysolone) after breakfast but this wysolone tablet for 1st week 3 times 2nd week 2 times i.e after breakfast and dinner & 3rd week only after breakfast.. Then pyrazinamide (i.e pyzina 750mg) 2 tablets after lunch and at night after dinner ethambutol hydrochloride tablet i.e themibutol 800 mg.. before starting with this treatment i.e on 8 th may 2014 Tapping was done.. and now from 20 may 2014 pseudomonas aeruginosa was found so on 20 & 21 may doripenem 500 mg diluted in 10ml steriled water was given after that from 22 may ertapenem 1gm IH was given for 5 days till 26 may. Now doc told to stop this injection but didn t told us to do any test. And she still has fever around 102 to 103.. Doctor told to take crocin if it crosses 102 and maphtol if it crosses 103.. Her diet is also not proper. She don t feel like eating as she use to eat before.. She has loss her weight too.. She is still coughing & cough is normal white or water colour.. Sometimes she has breathing problem too.. Even stomach upset sometimes.. when there is fever at night she become wet due to sweat. Please doctor advice me.. Is this treatment going on is proper ?? And how many days will this fever & cough remain..?? When she will gain weight?? why is this stomach upset now.. is it because of medicine side effect or other disease like jaundice or something because some jaundice we dont come to know..?? what vegetable fruit should be eaten & which should not be eaten as she has cough too?? is it ok to have non veg ?? please specify name of fruits and vegetable to give & not to give.. please doctor reply soon.. i am worried a lot.. please please please Doctor: Dear Friend.Welcome to HCM. I am Dr Anshul Varshney. I have read your query in detail. I understand your concern.A patient with Tuberculosis on treatment doesn't have any special dietary restrictions.However, patient should avoid Spicy food, alcohol.Should be given lots of green leafy vegetables.Should be given lots of fruits.If on treatment develops any pain abdomen, jaundice, visual disturbances, it should be reported to your doctor.This is my best advise for you based on available details. If you have any further query please ask me..Stay Healthy.Dr Anshul Varshney, MD"
},
{
"from": "gpt",
"value": "Target: What is the diet to be followed for TB?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lump outside of my genitals, between my vagina and anus. I noticed it couple months ago and it doesn t hurt, it s just there and rather embarrassing. I thought it would be gone, but it s just there and it s not really hard just rubbery. What can it be? Doctor: Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts, You mostly seem to suffer from-Ano-Genital Warts caused from HPV virus of special strain.Treat by dermatologist with Imoquomid cream locally or by Co2 laser/ or by Cryo Surgery.Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical Specialist"
},
{
"from": "gpt",
"value": "Target: What causes lumps on the genital region?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor , i have a 28 days period cycle, this time i got my ovulation on 14th day(i get severe pain duing this time) and had sex on 18th day, please suggest me whether i will get pregnent Doctor: Hi Welcome to HealthcareMagic. If you are sure about your ovulation day , there are chances of pregnancy.Ovulation day can be detected accurately by ovulation kit. Ideally two days around the ovulation day can be fertile.If you cannot conceive this cycle , please get an ovulation kit and plan intercourse accordingly. Good luck & Take care"
},
{
"from": "gpt",
"value": "Target: Are there any chances of pregnancy since I had ovulation on 14th day and had sex on 18th day ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: if there is 1-3 pus cell range in the urine test of the children , what about the danger of children about 6 years . please reply Doctor: Hi well come to hcm. 2 to 3 pus cells in urine has no significance its normal. No any kind of threat to children. make him to drink more of water. thanks"
},
{
"from": "gpt",
"value": "Target: 6 years child has pus cells in urine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son has fallen in love with agirl whose brother suffers from choreia . Isn,t it dangerous for him to marry that lady? I mean the heridatery factor .IS IT POSSIBLE TO FIND OUT IT THROUH ANALYSES? DEAR doctor my son is 35 years old.he wants to mary agirl who has a slight problem in her right hand and also in speech. The thing is that the girl, brother suffers from vivid choreia on left side. What are we to expect if he really marries the girl? Doctor: DearWelcome to HCMWe understand your concernsI went through your problem description. You have nothing to worry, I feel.Chorea is an abnormal involuntary movement disorder, and is a neurological disorder. It shows genetical affiliation only with Wilson's disease, a genetic disorder that leads to toxic levels of copper in the body.You can have the girl checked for that. But it is better to give them permission if they are already determined. You cannot foresee what is going to happen in the future and therefore, don't try to foresee their future. That can cause unnecessary anxiety. They know how to live their life. Please understand.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Girl has problem in hand, speech, brother has choreia. Any problem in future?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, my mother 67yr old suffering suddenly itching 3day ago . I have given first aid for medicine of CETRIZEN control but again itching start.before I have suffering this problem and my wife also this problem but both of then take CETRIZEN cure the problem. My mother not feel so good above medicine.what shall I do or prescribe any good medicine .soap use continous use Dettol and not use any cosmetic item. Thanks for your kind co-operation. Doctor: HelloThank You for contacting HCM.From the symptoms i think you most probably suffering from scabies. It is a skin disorder in which there is itching spread in whole family. Is itching sever at night and between fingers? I would recommend you to visit a dermatologist to confirm the diagnosis so that treatment can be started immediately. Although it is not life threatening but may spread to people around you. Once again this disease would be confirmed by examination. I have concluded from the description you gave.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you all good health."
},
{
"from": "gpt",
"value": "Target: What is the best medicine to reduce sudden itching ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sirThanks for the response i am not under any stress or something ,i am worried due to the new once should i take laser or else prescribe some homeopathic medicines . Doctor: hello welcome to HCM there are many good medicine in homoeopethy so no need to go for laser therpy take homoeopathy medicine it really work .you start with thuja 30 thanks"
},
{
"from": "gpt",
"value": "Target: Should I go in for a laser or homeo medicines for removal of warts ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: We are trying to concieve last ovulation was 3 weeks ago i had a very light period that only lasted at day/day and half. I usually have tender breasts about a week before my period but they are still tender now, last week i suffered from quite a few headaches and for the last 2 days i have been feeling nauseaus on and off all the time. Is it too early to do a pregnancy test? Doctor: Hello dear, I understand your concern.In my opinion as the period is lighter than usual and you have symptoms like tender breasts, nausea the pregnancy is to be ruled out.I suggest you to consider doing a urine pregnancy test to check for the pregnancy.Usually a urine pregnancy test gives accurate results a week after missed period.As the test confirms the presence or absence of pregnancy kindly do a urine pregnancy test.Avoid stress.Hope this helps.Best regards....."
},
{
"from": "gpt",
"value": "Target: How to confirm pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i want to know whether chikungunya has got some relationship with higher levels of uric acid or not?my father, he is 57 years old now, he had chikungunya few days back, but the symptoms are still prevailing, and now he has got his uric acid level raised. its value is 7.4 in his blood Doctor: Hi! Good evening!Joint pains following Chikungunya is a common feature. However, it is not due to higher levels of uric acid. Gouty arthritis is due to increased uric acid level but high uric acid level need not be correlated with gout. The best intervention at this level is dietary restriction like your father must avoid the foods which are rich in purines ( the breakdown of which results in uric acid formation) e.g beans, red meat, organ meals, alcohol (beer) etc. He must take lot of oral fluids to maintain a good urine output so that the excess of uric acid gets eliminated from the body.Regards!"
},
{
"from": "gpt",
"value": "Target: Can chikungunya cause high level of uric acid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a discectomy 7 weeks ago so I m on medication . However, the query is regarding awful nausea . For about 3 weeks but getting worse. I feel almost hunger sick and want to eat kind of dry stuff. Once I start eating I m hit with serious nausea and abdominal cramps . Lasts hours but haven t felt without sickness in weeks! Any idea? Doctor: Hi magsmail! Here we go! If you have nausea take domperidone tab, for abdominal cramp and bloating take dicyclomine tab. Now you feel hunger sick take soup, juice or light food not at once but in small quantity and many times. If undigestion take gelucil or any antiacid like eno. Well do checkup for diabetes at once. Be healthy and safe. Bye."
},
{
"from": "gpt",
"value": "Target: Severe nausea after getting discectomy done. Abdominal cramps. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my body has been over-run by yeast. I had steroid therapy about 4 months ago. Now i have thrush that I cannot get rid of and acid dumping from my butt and a low grade fever. I suffer from chronic pain which now has seemed to worsen. what is the best way to get rid of this yeast, quickly Doctor: Hello,Welcome to HCM.I understand your concern.Taking steroid for long time decreased the immune response making individual susceptible to yeast infection.But, fortunately treatment of oral thrush is easy and effective. You need to apply antifungal gel (like candid V gel which contains clotrimazole) in the mouth over affected area. Yeast will be cleared off within few days.Also focus on oral hygiene.If it is not cleared off by local treatment you may take oral anti fungal drugs.If you have recurrent thrush, than you should get yourself check for immunocompromised state.Hope this will be helpful.Do ask if any further question is there.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for thrush and pain due to yeast infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When Im sitting down my left knee hurts so bad i want to cry! In order for it to feel a little better i can pop it on demand but the pain comes back shortly. Its happened before but only for a day or so. This time its going on two weeks and Im hurting. What should i do for pain while sleeping and driving ? Doctor: Hi, there!You can start with local pain killer - Ibuprofen based gel or the same drug pill.The best will beto make MRI scan of the knee joint to figure out further tactics/treatment.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe pain in knee"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 44 year old men with lower back pain and right leg is numb. I also starting to wet the bed. I just had a physical 2 mouths ago. my prostate was fine. I was injured on the job in july of 09. I have not work since then. I had a head injury. my spine burns and I am unable to walk because when I put presser on my left leg my back hurts realy bad. I am scared because of the bed wetting Doctor: Please get an urgent MRI of lower back to rule out cauda equina syndrome. it is an emergency. You already have numbness, weakness and severe low back pain. Consult a neurologist or neurosurgeon soon"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, few weeks ago I noticed a strip of red/pink rough skin on my pubic area, right where the edge of underwear goes. It isn t itchy or sore, but it s grown a bit and I noticed similar kind of patch of skin on my neck. It looks somewhat like psorias but not sure how to treat it. Doctor: Hello. Thank you for writing to us at healthcaremagicThese red, scaly/rough patches could be either tinea or patches of eczema/ psoriasis.Itching is a subjective feature and may vary between individuals.A visual inspection would be more informative.I suggest you to go for a KOH wet preparation, by scraping a small amount of scale from the surface of patch and visualizing it under the microscope to look for fungal elements.If fungal elements are positive treatment with an OTC antifungal e.g clotrimazole 1% cream, twice daily for 2-4 weeks would suffice for a limited involvement such as this.However, if KOH comes out negative for fungal elements, these patches are most likely eczematous in nature.Topical steroids would be helpful for ezcematous patches.I suggest you to visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate treatment.Regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for rough patches of skin on neck"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: dear sir, is there any heart problem that you can not safe with marriage, because i have planned to marry a boy who is supposed to have a heart problem, but he is normal now. will he suffer anything after marriage? and also his mom is having a heart problem. i cannot ask him what is the actual problem. all i want is can he live a normal married life after marriage as he is now?. Doctor: Hello, After going through your medical query I understand your concern and I would like to tell that with extra precautions in the lifestyle you can prevent some of the heart diseases and most patients with heart disease live a normal life. You can go ahead without any hesitation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Does heart problem cause any problems in married life?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 29 female, recently My Dr has prescribed me AKT4 and with that she has askes for Lever function test. the result of LFT is Bilirubin total: 1.62. I have not felt any health problem rercently. Only when I went for some general tests in advance before family planning I came to know that I have got Microbactarial TB and this liver disorder. what should I do now. Doctor: Hello, Thanks for using Health care magic . I had gone through all the details posted. many details about your current problem are missing in the question. AKT 4 is for Tuberculosis. But where is the site of infection in you. you could have told us about the entire LFT report. only by taking a look at bilirubin which is slightly high we cannot tell anything abt status of your liver. so kindly mention your total details like where is the site of infection tuberculosis and upload full LFT report. we do LFT periodically to monitor side effects of anti TB drugs. as if there is problem with LFT we may decide to change the medications if required Hope this helps.."
},
{
"from": "gpt",
"value": "Target: Is it to be concerned about the liver function test?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my child vishal, 2 year old, he attacked fever->at a time temperature raised 105 degree celsius. Doctor advised to take CBC blood test. Blood test shows WBC Parameter result shows 18.8 parameter(H), PLT: 512(H). Doctor says, it shows infection. what can I do? Doctor: Hello,Welcome to HCM,History and lab report of your son suggest me that he is having bacterial infection.Your sons symptoms require treatment, I would suggest him to follow1.Cold pack and mop entire body with water2.Antibiotic Syrup (BACTO CLAV 375 mg)3.Syrup Dolo 125.The symptoms should come down by these remedies, if the fever is not coming down by these remedies, i suggest you to take your son to pediatrician.Thank you."
},
{
"from": "gpt",
"value": "Target: What is the remedy for infection showed by blood test?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello there, I have been feeling sick since 9/23/10. I wasn't sure if there was anything wrong with me until later that night my body started to become fatigued and my energy levels were down. I ignored the symptoms at first because I thought there was nothing really wrong with me, but then on Wednesday I started to get headache's and my throat began hurting...I wasn't getting to much sleep that week as well so I wasn't sure if it had to do with my lack of sleep. Once I found out that my body was getting sick I started drinking vitamin water, taking night quill, and day quill. Those didn't do much for me and a week later I am still undergoing the same pain except worst. My symptoms are; nasal congestion, chest congestion, cough (often), fevers (on and off), very fatigued, headache's (on and off), as well as recently dizziness...I been taking Mucinex for my congestion and cough but I don't feel that it's been working. Can you please help me find what's wrong with me and the possible medication I should be taking? Thank you. Doctor: Hello,For such chronic symptoms, you should first visit your doctor and definitely get investigated like complete blood count, chest x-ray, and then a diagnosis can be achieved properly.These all symptoms may be due to numerous diseases and proper evaluation is must. Kindly, get investigated for the same.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vishal More"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for nasal congestion,chest congestion,cough and fevers"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: yes, my son is 10 years old, was diagnosed with pheumonia after having a chest xray in emergency room friday night, what they had him on was nt working, amoxicillan and prednisone so they gave him a shot yesterday at dr s office and started him on a z-pak last night and continued the prednisone, he took 2 zpak pills last night and supposed to take 1 a day for 4 more days, i gave him the 1 tonight about 8pm, he is now itching bad on his hands, chest and back, a few red welps on all. Is there anything i can give him to offset this if he is having an allergic reaction to the zpak until i can call the dr back in the morning?? Thanks, dana Doctor: Thanks for your question on HCM. I can understand your situation and problem. In my opinion, your son is having allergic reaction due to either of the following. 1. Immediate allergic reaction to azithromycin (z pack). 2. Delayed time of allergic reaction to amoxicillin. He is having allergic reaction for sure. Allergic reactions are of two kinds. 1. Immediate type of reaction occurs within minutes to hours. 2. Late (delayed) type of reaction occurs after 2-3 days. So better to consult dermatologist and start appropriate treatment. Treatment of allergic drug reaction is 1. Stop the suspected drug. 2. Start antihistamines and anti allergic drugs. 3. Apply steroid cream on affected areas. 4. Drink plenty of fluids orally. Since all these drugs are prescribed medicines, better to consult dermatologist and start treatment accordingly."
},
{
"from": "gpt",
"value": "Target: What causes itching in hands and chest after pneumonia treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son is 20 and he was diagnosed with tb in the lining of his lungs. He was ok for acouple of months then all of a sudden started to get siezures, then he was diagnosed with tb in the brain (tubacoloma). But after 4 weeks of treatment he is still getting seizures his left arm is feeling numb and lifeless all the time. Please can you tell weather this is posssible if so how long will it take to recover Doctor: Hi,Thank you for posting your query.I have noted the details of your son and he is suffering from brain tuberculosis (tuberculoma of brain) causing seizures.I would like to reassure you that it is fully treatable with medications. Tb medications should be given for at least one and half years. In addition, he should also receive anti-epileptic drugs to control the seizures.Good drugs for seizure control are oxcarbazepine, lamotrigine and levetiracetam.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/"
},
{
"from": "gpt",
"value": "Target: Treatment for seizures and numbness in arms when suffering from tubacoloma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I live in Tucson AZ and had valley fever about 15 years ago. One of my symptoms was vertigo. I now am having symptoms of vertigo (if I look up on straight down). I also had a red, bumpy rash (not itchy) on the front of my legs below the knees. I also feel fatigued, and malaise. Could I have valley fever again? I've heard you can get it again. Doctor: Hi I did review your concern. Tucson AZ is place where valley fever can occur. It is caused by Coccidiodomitis fungi. It generally presents as respiratory disease with fever.Vertigo is generally not seen with this infection. If you are experiencing vertigo I would recommend you to get yourself evaluated. Vertigo can occur due to inner ear or cerebellar or heart issues(light headedness). A neurologist needs to investigate your condition for that. The bumpy rash below your knee can be a manifestation of valley fever known as erythema nodosum. It can be confirmed by a punch biopsy.I hope this helps.Let me know if you have any more questions or concerns.wish you a very healthy life ahead."
},
{
"from": "gpt",
"value": "Target: Can red rashes on knee and vertigo be symptoms of valley fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have a rash on my arms that has lasted for 2 months. I ve been prescribe Triamcinolone Acetonide cream and Clobetasol Prpopionate Emollient cream and still having this problem. I have allergy s and receintly move where there are a lot of trees. Do you have any suggestions. Thank you Doctor: Hi, I have gone through your complaints and would recommend you to apply topical steroid like cortisone cream on the affected areas twice daily and take antihistaminic like tablet Cetirizine once daily at bedtime. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Suggest medication to replace Triamcinolone Acetonide and Clobetasol Prpopionate Emollient"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small lump on my right testicle about 2mm across. I have had this lump since i was about 12-13, and i am now 17 nearly 18. The lump has enver grown in size and is usualy not there. It only apears once every few weeks (5-15) and only apears for about a day or less. It is a little painfull as well but not unbearable. I have also found it is more common when i wear tighter jeans and/or underwear. Should i worry? Or is it more than likely just a cyst? Doctor: Welcome to Health care magic.1. The history suggest me that its an inguinal hernia - on and off swelling in the scrotal sac which disappears after some time.2. And clothing do effect the swelling which means pressure effect also favours in terms of hernia.3.Possibilities of cyst can not be there, because if there is cyst there will be for all time not fluctuation in size.4.In this case i would recommend to get an ultrasound scrotum done when you have the swelling.5.It will exactly help to find out and differentiate actual pathology - weather mass, cyst, hernia - where its existing from and where its extending to - its a good tool for scrotum and testis.6. You should worry until you find out cause - but nothing is scary in your history.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lump in my right testicles"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi I have a hole in my tfcc its not a tear but a hole I had an mri done and was wondering if there is a surgery procedure that would help my ortho surgeon says there would be no point she say think of it as a trampoline and if you cut the centre out and repair it it would be tighter ??? Doctor: Hello, I have studied your case. For TFCC hole which is symptomatic ,ligament reconstruction can be done using graft.Till time you can start analgesic and crepe bandage support.Physiotherapy like ultrasound and TENS may help.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for TFCC"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 35 year old woman with no medical history of bad periods or lower abdominal problems, for the past 3 days i have experienced lower abdominal pains, which are dull, aching and intense. I don't wake up with them but after 12pm I start to experience really bad pains which last the rest of the day and night unless i take a pain killer, I am on day 20 of my menstrual cycle and am not on the pill and have regualr intercourse, could this be related? Doctor: The pain in the lower abdomen may not be related to your Gynecological history. This can be enteritis and try a course of an antibiotic and anti-spasmodics."
},
{
"from": "gpt",
"value": "Target: What causes lower abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just came from ER with pain to my right side under rib area. Gullbladder out 2yrs ago. They said I had gastritus. But my alt/sgpt was 74 and my ast/sgot was 38. This pain comes and goes after alcohol. But I have not had a beer in 3 days and it was the worst pain ever at this site. I am worried about liver damage. What do you suggest to get a diagnosis? Doctor: Hi,Thanks for posting your query.I am Dr.R.K and I am pleased to assist you.ALT of 74 is on the higher side and it indicates the liver cells are damaged. Alcohol might not be the cause as in alcohol induced damage AST will be more than ALT.I would advise you to get an ultrasound scan of the abdomen done and also get tested for Hep B and Hep C.The pain you get after drinking alcohol could be due to alcoholic gastropathy or acute pancreatitis. An upper GI endoscopy and serum amylase and lipase test may be done if you get the pain again.I hope that answers your question.Regards,Dr.R.K."
},
{
"from": "gpt",
"value": "Target: What are my possibilities of having a liver damage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 44 (male). my weight is 82 and hight is 5' 10\". Blood sugar fasting 92 and blood pressure never raised to the normal level. my total cholestrol is 204 (Trigloycerides 124, HDL 44, LDL 135) Before the test I used to take one egg daily but now I have stopped eating yolk of the egg. I do I hour daily walk. Do you suggest any medicine or care? Doctor: Hi,It would be better to try lifestyle changes for 6 months, if it doesn't help then you can try medication. Eat low cholesterol and carbohydrate diet, exercise much abd you may have very good results.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest medicine for blood sugar,pressure and cholestrol"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a white hard dime sized bump on the side of both my big toes, I don t know if its the steel toe boots I m required to where at work or the fact I m standing and walking throughout my work shift. I would like to know what they are and what I can do to get rid of them. Oh and they Don t hurt or anything just feels like dead skin Doctor: hi you have a dime sized bump on the side of your great toes both sides which do not hurt. In my opinion these are called Bunions- Callosities formed on the sides of big toes usually due to deformity at the big toe called Hallux Valgus. Sometimes they can also occur irrespective of toe deformity.I suggest you get an X ray both feet APView and post it .The treatment is generally operation which is done along with corrective surgery for deformity."
},
{
"from": "gpt",
"value": "Target: How to cure the bump on toes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hey doctor first of all the disease which im talking is an itchy black mark on the palm of hand which is spreading slowly slowly day by day. MY GRAND MA has faced it first then now my dad too. they dont feel any pain but the itching always there with that spreading black mark, we dont know what it is? even medicine from doctors not yet affect much...so plz guide Doctor: hi...myself Dr.joshi from india a dermatologist.I hope i can help you to solve your problem. Spreading itchy black mark not responding to treatment is a sort of fungal infection tinea nigra is the scintific name for it.Just try to keep your hands dry,apply clotrimazole cream twice daily for 2 wks,I hope this will solve your problem."
},
{
"from": "gpt",
"value": "Target: Itchy black mark on palm of hand, spreading slowly. Family history of same condition. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband has been taking contiflo xl MR capsules tamsulosin hydrochloride. when he went to the chemist with his repeat prescription he gave him Pinexel PR tamsulosin hydrochloride which are a different colour. The chemist said they are the same. Can you tell me if that is ok for him to take them. Many thanks Doctor: Hello, Yes, both of these listed medications are the same. Contiflo XL and pinexel PR contain the same active ingredient medicine tamsulosin hydrochloride 400 micrograms which can be safely and effectively used for the control of symptoms associated with benign prostate enlargement. It is OK for your beloved husband to take either of them. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Are contiflo xl MR tamsulosin hydrochloride and Pinexel PR tamsulosin hydrochloride same?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a pimple outside of the anis opening. It has been there for over a year. I had it checked by two gastroenterologist and and they said its nothing. It hurts and when I push on it , it seems hard. I also have terrible hemmeroids. They flare up when I eat certain foods. They itch terribly...the pimple just hurts like a cold sore. What is it? Doctor: Hi, A pimple annoying you is external hemorrhoid in form of sentinel tag. If severely symptomatic, I recommend getting it removed via laser therapy for permanent cure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon"
},
{
"from": "gpt",
"value": "Target: What does an itchy lump near the anus mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im a 36 yr old female, i really could do with some new suggestions.... i was diagnosed several years ago with ibs, i have been having severe constipation, bloating, stomach pains, night sweats, itching, lower back pains and a general feeling of unwellness on and off for several years, i have had the usual, colonoscopy and scans which were clear, (apart from gallstones - gallbladder removed 2 yrs ago) ive tried many medications which havn't worked, including many laxatives from my doctor, i can go weeks without bowel movements, when things are that bad the only thing that helps is picolax from the hospital, although im scared even that is not as effective as it once was ( had 1 sat morning another sunday morning and didnt work untill sunday evening!) ive just got back from seeing my gp again and although he's sending me for another scan, i really feel like he just said it to fob me off as he said i should try hypnotherapy, im fed up with constantly feeling so rubbish, its getting me down and its seriously impacting on my life, is there anything you could suggest that may help, i feel like im just being told oh its your ibs get on with it and that im wasting peoples time ....... many thanks for any suggestions you may have Doctor: Hi,Thanks for your query, an elucidate history..Since you are a known patient of IBS- C meaning constipating form, the treatment has to be directed accordingly. You may try Cremaffin plus at bedtime- the dosages to be adjusted as per your requirements. I would suggest you the following ::: Treatment:''STRESS'' = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle.I think 'may be' you are not coping with something. Vacation outside of your area, mobiles phones to be off.You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Getr into the hobbies which make you forget the world around you. Life comes only once, boss.If the change of routine helps, the necessity of medicines is drastically reduced to almost nil.Medicines :: You need to have a prescription of a Doctor, please discuss this with a Gastroenterologist to get a prescription. I would like to know which medicines have you taken in the past and in which dosageVit A and Vit D in therapeutic doses,Multiviatamins , probiotics, anxiolytics help a lot.Remember the simple dictum in IBS : you have to undergo necessary investigations before you are labelled as a patient of IBS. Secondly IBS is easily treatable, controllable and within the ambit of your psychological set-up.The moment the instigating or precipitating factors come into play the problem may re-start."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe stomach pain & constipation"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am struggling from shortness of breath after walking 3-4 meters. Once seated and trying to take deep breaths i start losing the shallow breathing, slowly after1 minute. This happens regardless of what i am doing. This has been getting worse since the weekend. Doctor: Thanks for your question on HCM. By your history, in my opinion you are having dyspnoea on minimal exertion. Common causes for this are1. Cardiac causes like heart failure, ischemic heart disease etc.2. Pulmonary causes like COPD ( Chronic Obstructive Pulmonary Disease ) , fibrosis, etc.So get done ECG and 2D Echo to rule out cardiac cause. Get done chest x ray and PFT ( PULMONARY FUNCTION TEST ) to rule out pulmonary causes. So consult doctor and discuss all these."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for shortness of breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 56yrs male. My Bp is 85/140 taking olsar 10 once a day. Sugar leverl is 116 fasting and 120/140 pp. Mild cholestral but no medication . Practice yogasana and excercise daily for one hr and walks a lot. Have problem of premature ejaculation . Is musli power extra suites me and benefits me. What are side effects if any. Thanks. Doctor: 1. the company claims it to be the new herbal viagra, and looking into your problems, it will thus exert more pressure on your heart (being a aphrodisiac), which can be dangerous. 2. is PE associated with performance anxiety or any psychological trauma. 3. diabetes, BP,cholesterol are the aggravating factors, so apart from sexual Counselling also try to bring these profile to normal levels."
},
{
"from": "gpt",
"value": "Target: High BP. Diabetic. mild cholesterol. Practising yoga, exercises. Premature ejaculation. Try Musli power?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my dad died 2 days ago, he had cirrhosis but i want to know what was it the took his life? in about a week things went really down hill, he slept all the time, then couldnt even get out of bed, went from eating and drinking to not being able to, then his tongue became swollen and he was having a hard time talking and staying consiouse, and the last two days of his life he couldnt move, talk or blink. he was in a coma. when he died foam was coming out of his mouth? and fluid was leaking from his left eye? i just want to know what might have takin his life? Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. I covey my sincerest condolence to your family for such a big lossFrom your description it suggest that he was having decompensated cirrhosis and he was in hepatic encepahlopathy at time of death which was worsening. It has many precipitating factor like dyselectrolytemia, infection, worsening kidney function etc. So any one of these may be responsible for the death. Also as he was having foam from his mouth it may be seizure leading to deathI hope I have answered your query and this will help you . Wish you a good health"
},
{
"from": "gpt",
"value": "Target: What could be the cause of death in a person having cirrhosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my name is cliff,my question is,i have a case of bloating and at times find it hard to breath,sometimes awakening casping for air.I have pain in my back and if i lie down on my back i get severe pressure just under my shoulder bades and then also find it hard to breath,can you help me find an answer,thankyou. Doctor: Do you have diabetes or any other disease. Bloating may be sign of either having digestion problem, eating high protien diet leading to abdominal distension. You can take carminative agents such as soda to relieve that bloating. Also pain in shoulder can be a different issue and might not be related with this. Try avoiding over head activities and apply local gel and warm saline for it. I hope this will relieve your shoulder pain."
},
{
"from": "gpt",
"value": "Target: What causes bloating, breathing trouble, back pain and pressure under shoulder blades?"
}
]
|
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