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{
"from": "human",
"value": "Source: Patient: Hi, I am Elina. I am 9 weeks pregnant. 2 days ago, i was in bed lying position. When i tried to stand suddenly i feel pain in tail bone area. Its been 3 days i cant sit and lie down properly. I feel sharp shooting pain in that area if its been pressured. Can u please tell me how can i recover from this? Doctor: Hi there, I have understood your concern and I will suggest you the best possible treatment options.First of all do not panic.The pain that you are getting can be due laxity or hurting of coccyx, the tail bone.This can be due to increased laxity of ligaments and joints as a result of hormonal changes during pregnancy.I want to assure you that it will be fine in few days.Please take rest.Use of cold fometation with ice pack will help.Tablet Paracetamol 500 or 659 mg can be taken for piano relief as needed.Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in the diet.Avoid refined sugars and deep fried foods and bakery products.Things will be fine in the due course of time.I hope this answer helps you.Thanks. Dr. Purushottam Neurgaonkar."
},
{
"from": "gpt",
"value": "Target: What causes tailbone pain during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, Earlier in the week (wed) my grandson started breaking out with little bumps on his face. That same day his daycare provider started placing sunblock on all the kids. The day before that (tue) he came home with a high temperature, which we thought was from being over heated while playing outside (the temperature outside was 90 degrees and he was running around on the playground when I picked him up. I treated him by removing his tshirt and giving him plenty of cool water. After 15 minutes of him saying he still didn t feel well I took his temperature which read 101.3. I followed up with a cold towel and removed his socks. the temperature dropped and he was back to a normal 5 year old boy running and jumping around. Days later he still has the pumps and the daycare provider informed me that several of the kids have the bumps and we assumed it was the large cheap bottle of sunscreen. Today (saturday) he woke up with a little stuffy nose but still acted fine and played in his baseball game and play date with neighbor just fine. Now about an hour and half ago the fever returned with running nose and he no longer wants to play with his cousin that came over. He is pretty lethargic and only wanting to lay down and sleep. This is VERY much out of his go go go character. I gave him V-C and Hyland s complete cold N flu for kids formula . It has never caused him to be drowsy before. There are no white bumps in his mouth NOR are the small bumps on his face red. what else can I look up to what this might be? The bumps came days before the symptoms. Doctor: HiThanks for posting your query on HCMI have read and understood your concern.Your description of symptoms and the fact that several kids have same bumps point to measles.I wish to find out if his measles immunization is up-to-date as unvaccinated young children are at highest risk.However, i will advise you see the Pediatrician for examination.In the meantime, i will advise you try the following:-Give the him an anti-pyretic like acetaminophen for fever-Plenty of fluidHope this will help.You may write back if more concerns.Best regardsDr Mbuomboh"
},
{
"from": "gpt",
"value": "Target: What causes bumps on the face and fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I am a 31 y/o currently seeing an infertility doctor for my husbands low sperm count. We know we have to do ivf/icsi and we've already paid for it. I went to my clinic for day 2 and 3 testing and they cancelled our cycle b/c they said that I have elevated FSH levels. They said it happens sometimes and that I could just be stressed. They told me to come back next cycle and try again. Could this mean I could be going through early menopause or premature ovarian failure? Are there other tests they could do before getting a definitive answer? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per history you are having elevated Follicle-stimulating hormone (FSH). Your doctor is right sometime stress induced hormonal imbalance can occur. But further work up needed in form of estimation of following; _Serum LH _Serum testosterone _Serum prolactin _Serum DHEAs Provide these reports for giving more comment Take care Hope this will help you"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for low sprem count"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a 72-year-old woman with arthritis. Sometimes, when I move my left arm sharply, I get a terrific pain in my shoulder. I raise my arm and rotate it around and out and around, and the pain usually goes right away. Could it be arthritis, or could it be a rotator cuff problem? Thank you. Doctor: Hello,Thank you for using healthcare magic.I read your question and understood your concern.I think this is arthritis of the shoulder joint. You may need some injection in the joint with cortisone and lidocaine.I wish you quick recovery.Dr. Selmani"
},
{
"from": "gpt",
"value": "Target: What causes shoulder pain when I move left arm sharply?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell off a 12 foot high wooden slatted wall during my 5k, landed on my back in mud. As soon as I knew I was gonna fall I let my body go limp. My left leg twisted under me, and now I have a raspy cough, my neck hurts, and I have some slight tingling in the leg. Doctor: hithank-you for providing the brief history of your fall. As you mentioned you had a fall what has to be understood here is the mechanism of injury. if you have by any chance twisted your neck and direct impact on the back than on a safer side to get an MRI done is advised. Also you mentioned your neck hurts and there is light tingling in the leg you should go an MRI so that the soft tissue Injury can be noticed.Also, undergoing a core strengthening, pelivc floor Strengthening, spine muscle Strengthening, lower limb strengthening, upper limb strengthening and neck muscle Strengthening will be advised. As you can become fit and avoid injuries if by chance you get a fall in future.Also for the cough , take steam first and then perfrom breathing exercises. there are types of breathing exercises like - deep breathingpursed lip breathingabdominal breathingcostal breathingdiaphragmatic breathingAlso, if you have any localized pain in the chest region, like the bones of the chest, ribs? then an x-ray will be recommended for a safer side to localize any fracture.Any injury taken care now can be helpful for the future safety.I with you a good health.for any detailed queries you can ask a direct question and I will be happy to help you.regardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Relief for tingling leg and cough after a fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have what can only be described as a blood blister on my gum. It started a couple years ago as a small red dot at the tip of the gum between teeth which sometimes bleed when I blushed. My dentist had never seen anything like it and referred me to the School Of Dentistry NZ, and gave me some hygiene tips. The head of surgery at the dentistry school said he had never seen anything like it and it was extremely rare. They could only call it Haemangioma of the Mouth . They were hesitant in any laser treatment for fear of major disfigurement and or massive bleeding so referred me to a Dermatologist for a possible low energy laser treatment (first appointment in 2 weeks). I guess my questions are...Have any doctors out there heard/seen of this before? Am I on the right path by going to a dermatologist and do their low energy lasers stop blood-clots without damaging the top layer of skin(gum)? Any info on my condition would be appreciated. Thanks. Doctor: hello, thank u for posting ur query here. based on ur explanation, ur case seems to be quite interesting. If the dentist u have visited has not seen such a problem before, then it could be a rare form of a Problem. Based on ur complains i would not call it straight away as a haemangioma. bleeding of gums is one of the common problems people complain off. i would advise u to take an opinion from a nearest Maxillofacial surgeon available at your place. Its not wrong for u to take a dermatologist's opinion regarding the same, probable he/she would definately though some light on ur problem and guide u further. The explaination that iam giving u is solely based on ur query alone and iam not addressing ur problem because i havnt assessed you. Thank U, regards. Dr. Manmeet"
},
{
"from": "gpt",
"value": "Target: <br>Blood blisters on gum, bleed when brushed, diagnosed as Haemangioma of the Mouth. Is low energy laser treatment safe?<br>"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 47 yr old woman, 135 pounds, 5'2. I woke up with severe back pain in uper back and chest. Turned on my side and felt like my chest was crushing. This lasted about 45 min or so. Should I be concerned, would this might have been a small heart attack? Doctor: HiThank you for asking HCMI have gone through your query.As you had chest pain and associated back pain a cardiac cause of it should be ruled out by doing an ECG and treadmill test if needed.If that is fine it is most likely due to spondylosis or osteochondrosis of spine.A x ray spine should be taken if needed after physical examination of spine.For my patients with such condition i treat with NSAIDs like Aceclofenac muscle relaxants like Thiocolchicoside and neurotropic drugs.I also send them for physiotherapy and muscle strengthening exercises.Hope this may help you.Let me know if you have any further query."
},
{
"from": "gpt",
"value": "Target: What causes upper back pain and chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am healthy 28 year old male. I am in in Hideous, HORRIBLE pain from a tooth abscess. I have Amoxacilin, how many days will it take for the infection to stop hurting, and what can i do for now to relieve this pain, Advil, and tylenol, even in high doses is doing nothing. I am about to bawl! Doctor: Thanks for your query, I have gone through your query.The abscess could be because of the gum infection or tooth infection.If it is gum or tooth infection You can take a course of antibiotics and analgesics like amoxicillin 500mg and metronidazole 400mg tid for 5 days(if you are not allergic). After taking antibiotics you can get the tooth treated with RCT(if bone support is fine) for tooth infection.if it is gum infection then get your teeth cleaned once and maintain the oral hygiene. If needed grafts can be placed to make the tooth firm. Do saline gargling. i hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for extreme pain from a tooth abscess"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: What does all of this mean? FINDINGS: There is mild scoliosis of the thoracic spine present convex to the LEFT. Thoracic interspaces are normal in height. There are subtle anterolateral osteophytes from several thoracic vertebra. No lytic or blastic changes are apparent on plain films. No fractures are seen on plain films. Findings: There are 5 lumbar type vertebrae. Incidental note is made of minimal spinal dysraphism/clefted-hypoplastic configuration of the L5 right posterior arch. There are minimal / mild degenerative changes of the lower lumbar spine - with minimal / mild facet hypertrophy most notably at L5-S1 L4-5. There are NO compression fractures, subluxations nor pars interarticularis defects. There are a few scattered endplate Schmorl s nodes. There are degenerative changes of the visualized bilateral hips. Doctor: Hi, I have gone through your question and understand your concerns. All this means there is degenative vertebral column disease, most probably arthritis.Scoliosis means laterally bending of vertebral column. It is mild so no need for aggressive treatment.Dysraphism means no complete occlusion of L5 vertebral arch, this is found occasionally.Shmol nodes are found occasionally too and usually don't cause symptoms or problems.These imaging findings need to be correlated to clinical findings.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for scoliosis in thoracic spine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello – my wife and I have been TTC for a little over a year now with no success. We decided to go to Fertility Center of IL; her results all came out positive, even tho she has one ovary (left one). My results came from the SA test were 47.7 Million (Count), 62% ( Motility ) and 2% (Morphology) – I was told my sperm morphology is low as the avg is 14%. I was also told to take CoQ-10 and Fish Oil. Would this really improve my Morphology? And if so, how long until we would be able to conceive? I would really, really appreciate some answers!! Thank you!!! Doctor: Hello Thanks for your query. Sperm morphology — the size and shape of sperm — is one of the things checked in a semen analysis for male infertility. Sperm morphology results are reported as the percentage of sperm that appear normal when semen is viewed under a microscope. Normal sperm have an oval head with a long tail. Abnormal sperm have head or tail defects — such as a large or misshapen head or a crooked or double tail. These defects may affect the ability of the sperm to reach and penetrate an egg. However, having a large percentage of misshapen sperm isn't uncommon; in fact, if your sperm sample contains only 4 percent \"morphologically normal forms,\" it's considered normal. Morphology is just one piece of a fertility analysis and, by itself, does not determine fertility. Other important factors checked in a sperm analysis are: Semen volume Total sperm number Sperm concentration Vitality of sperm Motility of sperm If a semen analysis shows irregularities in any of these areas, a wait-and-see approach is generally tried first. Another semen analysis is usually done after four to six weeks to see whether sperm quality has improved on its own. If there are still abnormalities, tests may be necessary to look for an underlying problem. Common causes include Infections High fever Usage of illegal drugs Alcohol consumption Congenital testicular abnormalities Varicocele – Enlargement of veins within the scrotum Toxin exposure causes reduced sperm motility Cigarette smoke causes abnormal morphology Organic solvents causes coiled tails An assessment by a Urologist is a must for diagnosis and treatment. Even with abnormal sperm morphology, motility problems or a low sperm count, it's important to remember that an abnormal semen analysis does not mean you are infertile. Many men with low semen analysis values are still able to father children. It just may take longer, a year or more. If you and your partner aren't able to conceive through sexual intercourse, assisted reproductive technology such as in vitro fertilization may be an option."
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Done fertility test. Taking CoQ and fish oil. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: During a football match 26/6 I was kicked hard on the back of my right calf. Felt a bit sore and I carried on as normal. Thursday/Friday 30/6 + 1/7 I did a lot of gardening and the whole of my lower leg swelled up. There is now a hard lump in the area of the kick. Hospital reiewed an xray and on 3/7 one doctor said I had broken my fibula. Then on 8/7 a different doctor checked me over and said there was no break. What do you think my injury is ? Doctor: Hi I am doctor Fahim, and I will answer your queryBroken fibula would have been evident from the day one. Fracture doesn't present 4-5 days after injury. Possibility of infection leading to pus formation or hematoma which now got infected is more. You need an Ultrasonography of the lump to differentiate between the two. If such a patient walk into my clinic i will start with antibiotics and analgesics tablets. Will request USG of the lump and Blood complete picture.I hope it will help you. Do rate my answer if like it.Regards"
},
{
"from": "gpt",
"value": "Target: What causes hard lump in feet after getting kicked?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been having trouble with my breathing for the past year, my doctor thinks it might be asthma, but, I m not too sure about that because I keep having dizzy spells and sharp pain in my chest, ribs and stomach. I don t know, I guess I just wanted to know a second opinion. Doctor: HI, thanks for using healthcare magicAsthma is normally associated with dry cough (worse at night and early morning), wheezing, chest pain and shortness of breath. Some persons may only have the cough.It is not likely, based on the symptoms that you mentioned,that asthma is the cause.Chest pain can be due to any structure in the chest from the skin inwards. This includes the skin, muscles, bones, lungs, heart, esophagus.The dizziness may be related to different causes including- heart, anemia, ears, brain.This may also need reassessment.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes dizzy spells and sharp pain in my chest, ribs and stomach post breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi iam 18 year old and i have a black skin then i using softin plus lotio and fairlovely crem myskin is oily and after using these product my skin get brighter but a few year my face skin get dry and oily after wash my face in a few hour it become dry or oily my lips are also is black what can i do Doctor: Hello,Your kind of problems are quite common with young age group. It is not a disease part but a natural process of life.Eat the best of nutritious diet containing lots fruits and green leafy vegetables and try to avoid direct sun exposure. Meet a dermatologist for a proper personalized guidance. All the best"
},
{
"from": "gpt",
"value": "Target: How can dry and oily facial skin with black lips be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a skin graft procedure done on 3/1 on my outer right thigh. I know it takes months to heal and I expect some burning senstion on the site. But it is also very very itchy. I've been applying Aquaphor on it daily/nightly to keep it from cracking but there is no itch relief. I called my doctor's office and the PA said I was the first of all patients to call with this symptom. She advised Eucerin with an anti-itch cream in it. This doesn't work either. The site is very red and has a raised bumpyness to it. If this is an allergic reaction, what could I possibly be allergic to? I know its not the petroleum jelly. AAAAA Doctor: Hi, Thanks for writing to us. You seem to have developed contact dermatitis at site of grafting. This could have occurred due to use of any ointment or antiseptic solution like dettol, betadine or spirit application. To treat the area apply a steroid cream twice in a day and take tablet cetrizine. Avoid application of any product/ ointment/ cleaning agent over the site. Hope that helps Take care"
},
{
"from": "gpt",
"value": "Target: Itchy burning sensation at the area of skin graft procedure, red and raised. What could it be ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had a very sharp pain (sort of a sharp pinching feeling) in my lower left abdomen when I sneezed. It's happened similarly before when I cough or sneeze, but not for a while now. I think that it's sometimes on the opposite side as well. Is this my ovaries? Or what is this? Doctor: Hello,I don't think you need to worry about the pain at this stage. Just take antispasmodic for two days. If the pain is nonspecific, you will be alright. Whether there will be any bulging when you cough over the abdominal wall. Don't lift heavyweight. If the pain persists, you need an ultrasound scan. Anyway, hopefully, you will be alright.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Niranjan G"
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in lower left abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been scheduled for a CT Guided Liver Biopsy. My history is: diabetic, high blood pressure, angina, vascular disease. I am taking several blood thinners, Ranexa, Asprin, Isosorbide Mono, Prinivil, Zocor. I have not been advised to discontinue use of any of these meds prior to the procedure. Also have not been advised to take any antibiotics/diabetic, prior to procedure. What do you think? Doctor: Hi welcome to HCM...You have hypertension , diabetis and taking drug for preventing further attack of ischemic heart disease also ....Let me know you yes these drugs you have described should be taken ...and biopsy can be done as it might indicated ......But I would like to suggest you to check your coagulation profile by doing following investigations.......1.PT 2.APTT3.Platelet count 4.BT If they are normal biopsy can be done ....Hope I have solved your concern ...Take care ...."
},
{
"from": "gpt",
"value": "Target: What precautions needs to be taken before liver biopsy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my gallblader out 6 months ago and I still have slight pain on the right side under my rib cage, when I get the pain I usually have to go to the bathroom.. stool is always loose and as soon as I eat something I have to go..... I ve noticed that there has been blood in my stool but today i went to the bathroom and blood came out Doctor: hi.noted history of gallbladder surgery and post-operative pain. even those who have been operated on several years ago can experience post-operative pain, tolerable in character and resolving spontaneously. if it is persistent/progressive, a follow-up consult with your doctor is best, for physcal examination and clinical evaluation. you may include banana in your diet to lessen episodes of loose stools. re your blood-streaked stools, this may not be related to your gallbladder surgery. hemorrhoids and other perianal and colorectal pathologies must be ruled-out. a thorough clinical examination and evaluation by a doctor, preferably a gastroenterologist or a general surgeon, is best. diagnostics (such as fecal occult blood testing, proctoscopy, colonoscopy, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: How to treat pain on right side of the body after retrieval of gall bladder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir my son is having fitts by birth, when fitts start, it effects on his left side he gets paralysis attack on his left side but after half an hour he become normal...we r now started giving him valparin syp 5ml bd and tegretol syp bd 5ml...kindly suggest what to do so that he can be normal in further in life thanks Doctor: You have not mentioned if the child was born preterm and whether he suffered from any oxygen crisis after birth. Generally in case of preterm babies or in case of children suffering from lack of oxygen (hypoxia) soon after birth, there can be brain damage which could be a source of the seizures. Alternatively, some congenital structural malformations like corpus callosum agenesis can also give rise to such seizures. A ultrasonography of the brain needs to be done in order to evaluate the cause. Treatment depends upon the cause but you need to continue giving valparin and tegretol. All I can say is that in most cases the seizures come down with age and treatment but it depends upon the extent of damage."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for epilepsy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been in a lot of pain with my upper teeth . I have had a conebeam Ct and was diagnosed with residual periapical inflammatory lesion or maxillary mucositis . This has not been explained to me yet. Could you possibly explain what mucositis is and how it can be corrected. I believe the periapical inflammatory lesions do need surgery . Thanks for your reply. Doctor: mucositis is medical term describing the infection and inflammation in mucosa( inner part/linning of mouth,sinus,etc.) maxillary sinus mucositis- is what u have been asking for i think so..in it the mucosal linning of maxillary sinus is inflammed due to infection.. residual periapical inflammatory lesion- it indicates that any of your extracted tooth (may be rct treated) had some lesion most probably- a cyst or grannuloma which has not been removed during their extraction or has not resolved yet.. it typically is around the root region of tooth (periapical).. the treatment for both includes antibiotics both local and oral along with anti-inflammatory medicines, surgical excision/curretage of residual lesion.. and if tooth is present- repeat RCT and Apicectomy.. and in sinus also sometimes surgery is required if lesion extends inside its linning also. inshort- i think u had some periapical lesion in your premolar or molar tooth of upper jaw bone, which has infected your maxillary sinus.. and the size of lesion and tooth existence will decide treatment plan.. you must consult an oral maxillofacial surgeon for surgery... take care.."
},
{
"from": "gpt",
"value": "Target: Pain in the upper teeth, conebeam CT showed maxillary mucositis. Meaning and treatment options?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have breast cancer in my left breast .I had the breast removed in 1996 did chemo and I have ben a surviver recently I had pain under that arm and seem to go away now its back but I feel a lump on my chest wall above the chest .I am going to call my oncology dr. in the morning . I believe that came after painting the trim on my house. Doctor: i think this one is not a cause to worry much as it not likely a recurrence of the cancer after so long.it is possibly an inflammatory or reactive swelling due to collection of tissue fluids during strenous movements.all the best on this!"
},
{
"from": "gpt",
"value": "Target: What causes pain under arm and lump on chest wall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I had sex about 13 days ago. He went in me for about 30 seconds without a condom, but the rest of the time he had a condom on. And he made sure he pulled out way before he came. My period is always usually 23 days apart. now i am 2 days late on my period. and the day i was supposed to get my period i had this light headache. how likely is it that i am pregnant? is it too soon to take a pregnancy test? Doctor: Hello dear,I understand your concern.In my opinion the chance of pregnancy according to your explanation is rare.Nothing to worry.Consider doing a urine pregnancy test a week after missed period for accurate results.The symptoms of pregnancy like nausea,vomitings,increased urination start usually 2 weeks after missed period ie around 6 weeks.The headache might not suggest pregnancy .So relax.Stress regarding the thought of pregnancy also delays the period.So wait and check for the period.Best regards..."
},
{
"from": "gpt",
"value": "Target: Does delay in periods indicate pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My hemoglobin is 8.7 g/dl but I am not losing blood except when urinating which is caused by have two JJ stents in kidney to bladder. I do not feel tried and do not nap during the. I need to get this level up top at least 10 or 11 to have a revision of hip. Is there something that I can do to help build my blood back up? Doctor: HiThanks for your query.I would suggest that you do the following investigations to determine the cause of anemia: Serum Iron, TIBC, Ferrtin, B12 and folate. I would also recommend urinalysis, USG Abdomen.Once we have the results we will be able to determine the cause and prescribe you appropriate medications.Hope this helpsGood luck."
},
{
"from": "gpt",
"value": "Target: Suggest measures to increase Hb levles"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am on lo loestrin fe , and had diarrhea approx 10 days ago. It lasted less than 24hours, but I had one or two episodes within a few hours of taking my pill . I take the pill at the exact same time every day. I am worrying myself into a state... What is the likelihood that such an episode would interrupt the effectiveness of my birth control? Doctor: Welcome to Healthcare-MagicGreetings of the dayPresence of diarrhea will not affect the efficacy of birth control pill . The pill would have been absorbed in sufficient quantity before getting passed in stools.I hope it helpedTake careRegardsDr T ShobhaMBBS MD"
},
{
"from": "gpt",
"value": "Target: Had diarrhea and on Lo loestrin fe, taking medication. Will this interrupt my birth control pill?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a pineal cyst and I have had siezures, headaches, blurred vision. I have passed out more times than I can count. I lost my job due to my health condition. I take meds for the siezures. I have other issues but I am having problomes with my grammer. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Anti epileptic drugs may cause drowsiness and dizziness in few patients. Eptoine may cause ataxia with gingival hypertrophy. Your not mentioned which drug your using for epilepsy?? pineal cyst may need to undergo surgery if it cause optic nerve compression and vision loss. Please consult your neuro-physician he will examine and advice alternate medication current anti-epileptic drug. Take care"
},
{
"from": "gpt",
"value": "Target: What causes dizzy spells while on anti-epileptic medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has had intermittent abdominal pain over the last year. She is 7 1/2 at this time. We have had every GI workup possible by several doctors. All labs were normal. She s gotten admitted to the hospital twice now. The only thing that helps is to roll in fetal position. We have tried diet changes such as no lactose, etc, to no avail. I am wondering if it is possible that she could be having GYN issues instead. What if she is actually getting menstrual cramps and since she is only 7, it never occurred to us to get that checked out? Doctor: Hi,The most common of abdomen pain is constipation, and there are kids that are contipated and goes to the bathroom all day, other did you read about irritable bowel? Another good diagnostic as abdominal migraine is. To be clear about GYN issues ask for a hormone dosage. Hope this helps you."
},
{
"from": "gpt",
"value": "Target: What causes intermittent abdomen pain in a 7 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Sir! I would like to know if cucumber is good to eat during loose motion. A family member of mine is having loose motion for the past two days. I have advised him to eat cucumber. Is is alright dr. or should I stop him from eating it. Plz advise. Doctor: **1. In diarrhea/loose motion one tend to loose lots of water from his/her body, so whatever that contain water is good. [Cucumber contain water.]2. but taking them now and then, can/may lead to gas problem [being rich in cellulose make them indigestible] with resulting bloating and loose stool [so avoid in excess]3. maintain good hydration: ORS [oral re hydration salt] is important part of treatment.. avoid fruit juice,wheat products, coffee, milk, raw vegetables/fruits, spicy/fried food. liquid diet or plenty of fluids are essential: electrolyte solution, coconut water, daal water, mashed banana, dry toast without butter, rice, cooked veegtables"
},
{
"from": "gpt",
"value": "Target: What food is best taken during loose motion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 22 year old male with acne all over (maybe not severe, but more than moderate), dandruff , and constant inflammation (especially in my nose). I also have hang nails and feel that I don t heal very fast. Am i deficient in something? Doctor: Hello, Thanks for writing in. You may be suffering from Seborrheic dermatitis. I think taking low dose isotretinoin (10 mg daily after meal) will help you. for dandruff use ciclopirox shampoo twice a week. as for not healing fast, it may just be your perception and not actually something wrong. nevertheless, it is prudent to get yourself tested..hemogram, lft, kft, blood sugar, vit B12, vit K."
},
{
"from": "gpt",
"value": "Target: Acne, dandruff, constant inflammation in nose, hang nails, Deficiency?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6 and a hlf year old son hjust started throwing up his meals after he eats... He is active all day and after his episode his activity is normal..He says his throat feel tight though when he had a medical checkup and consult the pediatrician indicated that his tonsil were normal stomach fine no temp..What could have contibutd to this sudden behavior...As a toddler he was super sensitive to smells...though no frequent complaints of smells noted....any suggestions? Doctor: Hi Thanks for writing to Healthcare magic.Can you please let me know the weight of child. Is there any element of forced feeding? At times overfeeding can cause this. As mentioned by you doctor has ruled out underlying serious problem. But I would like to know if child has any pain in yummy near stomach area and is there dark urine or yellow discoloration of skin.Thanks, in case you have more query I would be happy to answer else rate this answer and close the discussion."
},
{
"from": "gpt",
"value": "Target: Why does my child vomit every time he eats?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my 4 year old daugther has a barking cough that comes at night. There is no fever assoiated with it just a cough. She also gets congested at night. I would like to know what might be the cause? I notice that a warm room seems to help aliviate the cough. Doctor: I am a mother of a son that has severe allergies; at the age of two he started the same type of coughing spells as your daughter. It would be beneficial for you to ask you physician about childrens claritin. This is a non drowsy allergy medication for children. At night your mucus drains down the back of your throat causing tickling sensations that produce a cough, and if allergies are infact a possibility your child might be allergic to inside allergens more than outside ones. This will make her nose get stuffy or congested and a cough will adventually follow. Talk to her doctor about possible allergies making her cough and what steps for you to take in regards of providing her the best care. Best regards!"
},
{
"from": "gpt",
"value": "Target: What might be the cause of barking cough ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my 8 year old daughter has a red rash around lips. It just appeared while she was at school. She said it was sore and it hurt when she opened her mouth. This appeared yesterday, this morning it was still red especially under bottom lip and looked very sore and starting to turn into a graze. Can you let me know what it could be and suggest remedies. I've applied Vaseline so far. Doctor: Hello, Most likely it is a bacterial infection i.e. impetigo. I suggest you use a topical antibiotic e.g. either Mupirocin cream or Fusidic acid cream. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kakkar S., Dermatologist"
},
{
"from": "gpt",
"value": "Target: What is the red sore rash on my daughters lips?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 11/2 year kid has rashes on his forehead.when he scratches it liquid is coming from it.he has same problem with his scalp also. Is it dangerous? Doctor: Hi. Please consult a dermatologist so that he can have a proper look at the rashes. It is dangerous in a way as constant scratchin might damage the skin and result in skin infections, which might again lead to complications. Try to keep it clean by washing it with a mild antiseptic, and consult a dermatologist"
},
{
"from": "gpt",
"value": "Target: Why did my kid have rashes on forehead ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i Am 30 year old women. Last week i had insemination , coz we r trying for baby. Thats why i took medicine by injection. This was the First time that i took medicine by injection. Then last friday was My insemination. Now every night My heartbeat become really high that make me so tired. For example , now My heartbeat is 113. Then in the morning everything become normal. I Am really worried why this happening? What is the solution? Doctor: Hi,Welcome to HCM.High heartbeat is not related with insemination. It might be due to anxiety/stress. You can take some antianxiety medicine like diazepam/alprazolam & if same complaints persist, you need consultation with cardiologist.Wish you good health.Regards."
},
{
"from": "gpt",
"value": "Target: Is it normal to have high heartbeat after insemination?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is daniel i have a 8 month old daughter and i am worried about her because she has had watery eyes non-stop and very bad runny nose since yesterday. i have given her tylenol but it doesnt seem to help. we kno its not her tewthing because we seen how she was when she had her teeth come in. she has been sleeping alot and when she was teething she was calm and awake but now she is cranky all the time and sleeping. she has no fever though. Doctor: Hi, By what you say I feel that she is going through viral illness or allergy. At this age the only drug licensed is Cetrizine. But this is a prescription drug. I suggest you approach your pediatrician regarding this. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sumanth Amperayani, Pediatrician, Pulmonology"
},
{
"from": "gpt",
"value": "Target: What causes watery eyes, runny nose and drowsiness in infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I took a spill on my bicycle and sprained my shoulder. I now notice I have a stronger body odor coming from this armpit. I have showered but have a difficult time raising and drying my armpit thoroughly. Is the odor from the moisture or does the injury have an effect? Doctor: Hello, Shoulder sprain does not cause underarm odor. You can use good query antiperspirant for symptomatic relief. 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: Does a shoulder sprain cause strong underarm odor?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mom has been diagnosied with lupus just recently and i myself hasnt had great health during my life and im only 21 now that im reading up on it i see symptoms that i have been having or had that could be exsplained is it posable i could have lupus my symptoms are migrains my hole life cold hands and toes depression hair lose uti problems stomack problems and gaullblader removel ackyness and just becoming ill aLL TIME WITH no answers whyand tiredness digestion problems can u help me out Doctor: Dear Madam,There exists a possibility but ANA tests and ENA profile needs to be done . to confirm the diagnosis of lupus .Dr. Shruti"
},
{
"from": "gpt",
"value": "Target: What causes migraine, depression, stomach problems and tiredness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have IBS and recently had my gallbladder taken out. The dr said the gallbladder was not functioning. Upon taking it out he said it appeared leathery, hard, etc. Well a few weeks after my liver enzymes increased i had chills,rash,night sweats, delirium from this. GI doctors didnt know what was wrong with me. I dont drink, nor do i have any form of hepatitis. So im having an e.r.c.p done this week. Dr thinks its the sphincter of oddi. How effective is a stent, will this correct the upper right pain, nausea, vomiting im having? The pain is unbearable. Doctor: HiThe usual treatment for spasm of the sphincter of Oddi is a sphincterotomy--cutting one side of it--and not a stentThe surgery should relieve your pain"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for nausea and vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 31 yr old, and had been a regular football player in past, though from last 8-9yr i had not played that football, sometimes when go for a morning walk a feel that my knee joint has become loose and knee is not properly supporting body structure while walking or running though althere is no pain in my knee while walking or running but some time i feel a mild paing while resting or sleeping. What could be the possible cause of this problem. Doctor: Hello,Your symptoms could be related to arthritis or chronic vitamin D deficiency. For this reason, I recommend consulting with an orthopedist, performing a knee joint MRI and checking vitamin D and electrolytes plasma levels.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes mild pain in the knee while resting and sleeping?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: today I was sitting in a chair and something felt like it let go in my leg (below my knee in the front). It really burned and hurt. When I went to get up my foot hurts so bad I can t put any weight on it. What can it be? Do I need to go to the emergancy room? Doctor: Hello, It could be due to neuropathic causes like peripheral neuropathy. If symptoms persists better to consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What caused a burning sensation in my lower leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have the same question regarding lowering iron levels. My results show my iron is too high. I don't eat much read meat, mostly turkey and chicken along with a lot of fresh veggies and fruit. Are there some simple steps I could take to lower the iron? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have hemochromatosis. You should go for liver biopsy. Take treatment of that. You should go for repeated blood donation. That will help you. Iron chelating agent like desferoxamine can help you. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest remedy elevated iron level in blood"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 26 years old...I am diagnosed with PCOS. took Meprate to get my periods..and now took Siphene for days...how many cycles of Siphene required to get pregnent. and what % of chances r there to get pregnant with Siphene. I m also taking glyciphage and folic acid. Doctor: Hi, the chance of pregnancy in one cycle of siphene is 7 to 10 percent only. You can try 6 cycles of siphene along with trying naturally around the ovulation time. If it doesn't work then you can go for IUI. A total of 12 cycles of siphene can be taken. After that it increases chance of ovarian cancer. Hope I have answered your question. Regards Dr khushboo"
},
{
"from": "gpt",
"value": "Target: How many cycles of siphene are required to get pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I’ve been having almost constant chest pains for the past few hours. What do you think it is? The chest pains happen quite frequently, multiple times a month and it’ll get hard to breathe at times too. Also, I’ll get sharp pains in my left rib cage at times. Doctor: Hello, As you explain the history, it seems like a fibromyalgia. You can take painkillers and see how it is the pain. 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 can cause constant pain in the chest and ribcage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel disconnected from every one and everything in my life. I feel overwhelmed all time, I cannot sleepwell. I have racing thoughts. If I fall asleeep I awake with a start in an hour or so. I am always hungry. I am experiencing pain in several joints. I am diabetic and my sugars have been around 200 whether I eat or not. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Anxiety and body pains can co-occur with depression. As depression will improve these symptoms will subside.Depression can affect anyone and you can overcome it completely. Depression symptoms include feeling low all the time, loss of interest in previous pleasurable activity, feeling lonely, low in energy, hopeless, helpless, worthless feeling and sometime even suicidal ideas. Few of them or all can be present at a time. For diabetes you need to visit a physician or endocrinologist. Diabetes can be a reason for worsening depression symptoms. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes depression along with anxiety and joint pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: every morning when I am about to refresh my face I spit blood, it is not red but brownish, I imagine it is blood mixed with saliva. After 2-3 spits the brownish colour disappears and I spit white as usual and I am fine during the day. What is it? it is a sign of cancer? could it be the gums or the stomach? has anyone got the same? I am 54 years old, I do not smoke, I do not drink. Thanks for answers Doctor: Thanks for your query, I have gone through your query.The blood mixed saliva while spitting is because of the gum infection. Particular;y during night the salivary secretion will be reduced or almost nil because of the lack of stimuli, so there wont be any antibacterial activity, so there will be increased activity of microorganisms. Nothing to be panic, it is not cancer. Smoking can increase the risk of gum infection and bleeding, is better stop smoking.For gum infection, get your teeth cleaned and use topical gum astringents like stolin gum paint.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: What can cause blood mixed with saliva while spitting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have periodic episodes of suddenly feeling that am losing contact with reality. I have no energy and debilitating malaise. It takes a huge effort to get through the day. These episodes last for two or three days. Then as suddenly as it comes on I feel completely normal again. I have tried to determine a causal effect for these episodes by keeping a food dairy, keeping track of blood pressure and blood glucose. Nothing seems to correlate. I have even tracked the phases of the moon to no avail. That's how desperate I am to find a solution to this depressing problem. Please help. Doctor: What is your age and sex? Since how much time are suffering from the same? what is opinion of your family members and friends?If it is for 2-3 days, did you not consult any doctor yet? It can be a episode of derealization and depersonalisation.However it may be associated with your depression or if any brain pathology.You must consult a doctor personally to be examined, investigated and evaluated in detail."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for periodic episodes of loosing contact with reality"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, today is my 13 day of the month and my follicular study is going on. Today i had 2nd ultrasound and it shows that i am having 2 follicles 1 is of 16.7mm and 2nd is of 12mm. tomorrow again i ll be going for 3rd ultrasound. kindly suggest if i m having chances to get pregnant this month? Doctor: Hello...thanks for choosing healthcare magic for your query..Yes you are having a good chance of getting pregnant this month.Egg size is growing well.Once one egg becomes around 18-20 mm it can be ruptured with HCG Injection or can wait to rupture it naturally..At the same time it is important to note the thickness of endometrium that is layer of uterus and tubal patency and so many things...If you are asking about your chance of getting pregnant by looking at egg size then you definitely have...only other factors also play vital role...I hope this helps...Feel free to ask any further queries..Regards,DR TEJASHREE BHORGYNAECOLOGISTDHANORI,PUNE."
},
{
"from": "gpt",
"value": "Target: What does the following follicular study report suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I HAVE SLIGHT UP SGPT SGOT WHICH IS NOW IN NATURAL RANGE AFTER CONSUMING UDLIVE(ursodesoxycholic acid)300 MG FOR 16 DAYS , BUT I HAVE MUSCULAR PAIN IN MY LOWER BACK.. I THINKING IT IS SIDE EFFECT OF UDLIVE(ursodesoxycholic acid)I M FEELING MUCH UNEASYNESS IN MY STOMACH AFTER A CUP OF TEA or a glass og COKE etc i don't have constipation ......... My Gall Bladder in Constricted it is shown a detailed ........... what i have to do please SCANN Doctor: Hi,Welcome to healthcare magic.After going through your query in my opinion it is muscular pain as pain is mild. Rest and analgesics(diclofenac/ ibuprofen) is its treatment. Sometimes vitamin D deficiency can cause this so serum vitamin D test is advised if it is low than vitamin D supplementation will be required. Avoid long continuous standing.Sit in a straight posture.Eat milk, fruits and green leafy vegetables daily.You need to done MRI TO RULE OUT other causes. Consulting with treating doctor is advised. I think your query answered."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for muscular pain in lower back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a nephrologist that I see for my kidney disease; he diagnosed me with membranous gloumeriniprhitis; its not aggressive at all; he prescribed me to take Tekturna primarily for kidney protection (not necessarily high blood pressure) and he prescribe simvastatin for my high cholesterol..I am concerned is this normal protocol. Can these two medications be taken together without interactions? Doctor: Hello and welcome to HCM.As an Urologist,i can understand your concern.Tetkurna is given,to control B.P.(blood pressure ). Care has to be taken,if your creatinine is elevated.Your B.P. will be checked frequently. Your blood sugar must be normal.Statin is routine treatment for elevated cholesterol levels.Avoid taking alcohol and fatty foods,while on this treatment.So,there's no harm in taking the two together.If u've any other doubts,send it as a direct question to me.Dr.Matthew J.Mangat."
},
{
"from": "gpt",
"value": "Target: What is the normal protocol for Tekturna and simvastatin ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thank you. I have had a cough for 4 and 1/2 years. I have been to several doctors and had several test done. They checked my Thyroid, put a tube down my nose for 24 hours and monitored when I ate, drank, and was at rest. One doctor said that I needed to have surgery on my esophagus and then another doctor tells me that it is the cancer med that I take for my breast cancer that I need to take for 1 and 1/2 years more. Another doctor said it is allergies and puts me on shots and pills. I does not help. I cough so hard I through up, and I sometimes feel like I am going to pass out. They have done chest x-rays, blood work, and ultra sound on my thyroid and they did not find any thing yet. Is there any thing that I can do or any test that I can ask the doctors to run on me. Doctor: Thanks for your question on HCM.In my opinion you should consult pulmonologist and get done PFT (Pulmonary Function Test) to rule out bronchitis. As untreated bronchitis can cause chronic cough (dry).Breast cancer patient after chemotgerapy and radiotherapy can develop bronchitis. So possibility of radiation induced bronchitis is more in your case.You may need inhaled bronchodilators and oral antihistamine drugs."
},
{
"from": "gpt",
"value": "Target: What causes chronic cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello...my husband has liver cirrohsis. He checked into rehab at the Betty ford clinic for 30 days in June of 2014. He stopped drinking for about 2 months after leaving rehab. He now continues to drink 1-2 bottles of red wine nightly. What is the prognosis. He is only 41 years old. Thank you. Doctor: Hi there,Thanks for posting in HCM.Cirrhosis is an irreversible condition.He needs to quit drinking alcohol to prevent worsening of his health condition.The prognosis depends on the severity of the disease.CTP score is done to assess the prognosis. Information like presence of fluid in the abdomen, PT/INR, serum bilirubin, hepatic encepahlopathy are need to calculate this score.I hope that answers your query.Regards,"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for liver cirrhosis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son has been told thet he has protrusion of teh T7-T8 and T8-T9 discs ehich is distorting the thecal sac and possibly abutting the cord anteriorly especially at T7-T8 level. He had an accident at work 8 years ago and has been seeking help at his local GP ever since, A scan of his back finally uncovered the protrusion. What can be done for him Doctor: Hello, The treatment for this condition depends on the symptoms and neurological findings. Disc protrusions are treated in most of the cases conservatively. This includes avoiding weights, losing weight, physical therapy, NSAID drugs use, etc. Only severe cases are treated surgically. In my opinion, in your son's case, there is a need for an evaluation by a Neurosurgeon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for disc protrusion"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a question. I feel as though my heart skips a beat. I would be laying down and all of a sudden I feel my heart skipped a beat but when that happens its like I'm also gasping for air. Minutes later I feel light headed followed by a headache and I feel sick. Doctor: hello I have gone through your query .First of all I need to know your age to interpret your symptoms.but you should get one ECG and echo cardiography done to rule out any heart problemMy best wishes Dr.Rajesh Teli.MD"
},
{
"from": "gpt",
"value": "Target: How to treat irregular heart beat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My 5 year old has an infected molar. She has been living with pain for several days. Her cheek and gums are swollen and sore. She started taking amoxicillin 2 days ago. Although her pain level seems to have decreased some, her cheek and gums are still swollen and she is taking motrin and tylenol. Is removal of the tooth necessary at this point, or are there other options? Is it better to remove the tooth or access the infection through the gum? Any advice will be much appreciated. We live in Israel and it is very frustrating to get answers from the local dentist. We're seeing him today, and I'd like to be as educated as I can. Thanks so much! Doctor: hello.thank you for sharing your problem with HCM.To decide extraction is necessary or not I need X-ray. If infection is deep there can be option of saving it by a treatment called root canal treatment.but if it's more than enough deep and can't be saved then extraction is only the option.continue with antibiotics .and take pain killer if pain is unbearable. you can consult back for further queries.wish you good health"
},
{
"from": "gpt",
"value": "Target: What is the treatment for painful and swollen gums and cheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am female, aged 50 years. I exercise regulary and weigh 120 pounds.Today I have experienced significant pain in the left hand side of my chest that worsens with deep breaths or forward bending . Once I felt the urge to sneeze, and the pain become very intense. It has lasted now for 6 hours. I take daily hypertension medication (lisinopril-HCTZ 10/12.5 mg tabs), but otherwise am in very good health. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Your pain is associated with movements of chest wall, so musculoskeletal pain is more likely. But better to first rule out heart related pain because you are having hypertension and post menopausal age. So get done ecg and 2d echo. If both these are normal then no need to worry for heart diseases. Musculoskeletal pain is more likely in your case. So apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant drugs. Don't worry, you will be alright, but first rule out heart related causes. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Is it to be concerned about the pain in the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 97 yr old grandmother has been taking pain pills and stool stofteners for two months now for back pain . She is now feeling hot flashes, headaches and tired after she eats. She doesn t have any pain in her stomach . She thinks its something going on in her stomach since she only feels lousy after she eats just a little food. Doctor: Hello. Thanks for writing to us. Taking stool softeners for last two months continuously can cause fluid and electrolyte imbalances in the body leading to such symptoms. Try to decrease stool softeners intake and have a high fibre diet with lots of citrus fruits to combat this. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: 97 yr old taking pain pills and stool stofteners for back pain. Feeling headache, eating little. What's wrong?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I came off depot after 10 years (because of bad endo) in April 2012 because I want to have a baby and no periods as yet, had laparoscopy and dye test in my tubes - tubes patent, endo all gone but have congested pelvis . been given a 7 day course of Norethisterone which I finished last night - when can I expect a bleed and is this likely to jump start my ovaries back into action?? Next appointment not until end of May 2013 - feeling anxious! Any advice appreciated Emma Doctor: Hello Thanks for your query. After Norethisterone, you should have a period within 2 - 3 days, but maximum within a week. After depo, you should be having regular periods within some months maximum. Norethisterone does not jump start your ovaries into action :) Fertility depends on the tubes of course, which are fine. However, endometriosis itself affects pelvic blood supply, quality of eggs produced and also your uterine lining. Plus, you have to consider your partner's semen analysis, and your ovulation. Please consult a reputed Infertility practitioner, get all investigations done, and consider ART ( assisted reproductive technology ) if you are 35 years or more. Take care."
},
{
"from": "gpt",
"value": "Target: Came off depo. Trying to concieve. Prescribed Norethisterone. Will it jump start ovaries?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 20 years old I have a lump under my right rib cage it s the size of a lemon. It doesn t hurt and it moves around and it s soft it feels like it filled with liquid. I m 12 weeks pregnant. I have a family history of breast cancer my grandmother had breast cancer. I also recently had a premalignent melanoma ( mole ) removed off the right side of my. Back under my shoulder blade about 6 months ago. What could this be? All my bloodwork was good for the pregnancy. Doctor: u should get ultrasonography of that area and FNAC of lump to confirm the diagnosis rest of treatment will depend on diagnosis"
},
{
"from": "gpt",
"value": "Target: Pregnant, lump under rib cage, pre malignant melanoma, family history of breast cancer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Half right side of the head has ant crawling like feeling with lot of sneezing and watery liquid flowing out in drops sometimes. Face right side swollen ,both lips sometimes having swelling , giddiness feelings. I am heart attacked patient with LV failure and slow pulse about 55/min. EF 24%, Doctor: Hi, treatment of sneezing is not a big deal but as u are having IHD+ HF with bradycardia and low ejection fraction,u should first go to your cardiologist as u are also having other significant symptoms,so better to go to a doctor rather than taking self medication"
},
{
"from": "gpt",
"value": "Target: How to treat sneezing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve been dealing with a large kidney stone. I have a stint in the urinary track. I ve dealing with it about a month. Been catching my self four time a day. Just tonight it looked like a bright red color in my urine when I tried to urinate on my on. Should I be concern or wait to see if the next time it s the same Doctor: HelloThanks for query.The presence of large stone in kidney is the reason for passing blood in urine .The stone which is always spiky causes injury to delicate mucosa of renal collecting system giving rise to hematuria.However this can be confirmed by doing Ultrasound Scanning of abdomen Please consult qualified Urologist for proper evaluation and to explore whether you need any active intervention to remove the stone or it is likely to be passed out with urine Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes red colour urine while having kidney stone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: This past Friday I was in a motorcycle crash in which I broke 4 lower left ribs. I am told that is just going to take time and there is really nothing I can do... I feel like my abdomen is blouted... Is this normal and is there anything I can do for it? Doctor: Hi.Thanks for your query.This is not normal.The bloating of the abdomen with a history of an accident which has broken lower ribs indicate investigation to see whether there is any internal injury to the abdominal viscera.I would advise you the following:Be nil orally till you are declared OK on investigations. X-ray abdomen in a standing position to see any gas under diaphragm; this is the cheapest and the simplest investigation to see is there any perforation of the intestines, ground glass appearance of the abdomen in peritonitis or collection of blood.Ultrasonography of abdomen along with CT scan to confirm the diagnosis. Once the reports are there and the clinical / physical examination is normal- wait and watch. If there are positive findings , exploratory laparoscopy is then needed and proper surgical treatment instituted."
},
{
"from": "gpt",
"value": "Target: What causes abdominal bloating with broken ribs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I recently developed a really painful sore throat after having the cold..I went to my local health clinic, an i noticed my heart rate was 116.. Right now my chest feels alittle tight.Is something really wrong or is it just the sore throat causing all of this? Doctor: Hi, dearI have gone through your question. I can understand your concern. Fast heart rate and tightness in chest is not due to sore throat. You should check your blood pressure and go for electrocardiogram once. For sore throat antibiotics like azithromycin, amoxiclav or levofloxacin are useful. You should also take antihistaminics for symptomatic releif. CConsult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Could increased heart rate and chest tightness be due to sore throat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I ve had a small lump/spot on the above right testicle area appear, then it disapeared again, at first it seemed it couldn t be popped. It has just come back, slightly bigger and is poppable now, and has some pain when squeezed.Sometime it clearly seems and feeling pain and sometime it disapper and feeling noraml.it is spherical in shape. I am scared to go see adoctor so any help/advice would be helpful . Doctor: HelloThanks for query.You have palpable lump above testicle .This is mostly a Spermatocele ( Epididymal Cyst) .Do not worry this is benign cyst and has no significance at all.Please observe it for couple of months to see any change in size or becomes painful.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: Recurring lump above the testicle area, pain on squeezing, spherical in shape. How can I get rid of it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 9 years old, has had 4 episodes of passing out, stopped breathing and then had a seizure. The first episode was when he was 7, then another that year, one when he was 8 and then the last one was this last April. I ve been to a Neurologist and two Cardiologists to rule out the Brain and Heart. His Neurologist thinks it is his heart, but the last Cardiologist found a leaky heart valve but no activity on a Holtom Heart Monitor (24 hours). He has been getting dizzy and have had stomach aches along with his dizzy spells. He is often pale and his blood pressure low. His Pediatrician is going to run blood tests tomorrow because I called in and asked if there are any other signs we are missing. I need advice on whether a leaky heart valve could cause his episodes of passing out and causing the dizzy spells. Doctor: PALE AND HIS BLOOD PRESSURE LOW,this favours the cardiac couse for his symptoms low blood pressure may lead to less perfusion of brain and this leads to hypoxia of brain resulting in precipitation of episodes of seizure,and also dizzy spells."
},
{
"from": "gpt",
"value": "Target: Child has frequent episodes of passing out, breathing loss followed by seizure, low BP. Could leaky heart valve be causing this?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter had had a chronic dry cough for 6 months. At first we were told allergies. After a couple months on allergy meds, we were then told she could have a slight asthma problem. Now after 2 months, it seems the coughing has worsened and earlier tonight while looking at her throat there are petichae on her hard/soft palate and deep red veins on her tonsils. Any idea what to to do next? Thanks Doctor: I guess the information regarding Petechiae and deep red veins on her tonsils has been conveyed to you by your doctor. These findings could be because of coughing itself. Chronic cough needs investigation i.e. blood tests and Chest x-ray. Based on the severity of symptoms, physical examination and these investigations, treatment can be initiated. There is incomplete information regarding what asthma treatment has been tried so far? If doctor believes she may have asthma, she may experience ups and downs with her symptoms before getting better control. Doctor needs to see her regularly to adjust/add extra medicines for control of her symptoms."
},
{
"from": "gpt",
"value": "Target: Child with chronic dry cough, has spots on hard palate, deep red veins on tonsils. Treatment advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! My fiance recently had an ECG and was told she has a left anterior hemiblock. She has recently complained about numbness in her wrists and hands, as well as some other symptoms. Could these be caused by the LAHB? Also, what will the LAHB mean for her going forward? She is 22 years old btw. Doctor: Hello! Thank you for asking on HCM! Regarding her ECG findings (LAFB) it is impossible to find any scientific correlations to those complains (numbness, etc). LFAB is many times normally found in healthy people, and no pathological significance could be drawn by its presence. So, I exclude any pathological indication of LFAB regarding that young girl. Regarding her recent complains I would recommend a medical check up by an internist for a comprehensive physical examination coupled with some blood tests. Hope to have been helpful! Greetings! Dr. iliri"
},
{
"from": "gpt",
"value": "Target: Could numbness in wrists/hands be related to LAHB?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My fathers blood test shows reduced RBC and hemoglobin slightly below normal range, and elevated MPV. He had a heart attack 6 months prior. He is a non smoker, non drinker, average weight, and actively exercises. What could this blood test indicate and what should he do? Doctor: Hello. Thanks for asking on Healthcaremagic. The blood report indicates mild anemia. Kindly look up the Mcv mch indices in the report. In case of iron deficiency these are low. In case if folate or b12 deficiency these might be high. You might have anemia of chronic disease in which these indices are normal. You can get serum iron folate and b12 tested. Increased mpv implies that the average size of your platelets is slightly high. It is no concern to worry and indicates an active bone marrow producing platelets. So I think nothing very serious with the report. Can take haematinics to improve hb though. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes low hemoglobin levels in a heart patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have stomach pain in the upper part. I had a heavy feeling initially about two years back , now i can feel the pain very often. I have done two times endoscopy , 2 normal scans one normal x-ray and even one MRI scanning . results are normal. BUt i still feel the pain . I now for sure its not a gas problem . I have a feeling that it might be a ulcer or stomach cancer . PLease suggest me a cheap and best hospital where i can undergo stomach cancer diagnosis Doctor: Hi Welcome To HelathcareMagic forum. Since you have already done few tests in which endoscopy is one among them, it is good enough to diagnose an ulcer or cancerous changes, a biopsy would be generally done when they do endoscopy. I would suggest an ECG also, if not done get it done for a good hospital, can we know your in which place? Regards"
},
{
"from": "gpt",
"value": "Target: Suffering from stomach pain but all the reports are normal. Can it be stomach cancer ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i'm vani and my son is 2yrs old today we took him for scanning the report said small mesenteric nodes and my doctor suggested an antibiotic called avent .. & also zentel but my son is suffering from severe stomach ache please suggest me some solution for the same than you. Doctor: Hi,Thank you for asking question on health care magic.Severe stomach pain in children may be due to urinary tract infection,Amoebic colitis, indigestion.Try metronidazole syrup 2 times daily for 5 days along with Cyclopam syrup for immediate relief.Rule out UTI by examining the urine.Syrup containing digestive enzymes may give relief e.g., Neopeptine syrup.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 treatment for stomach pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i have developed numbness in the little finger fully and in the ring wearing finger in the right arm and in the toes of left legs, occassional feelings of a catch in the heart as iam a dieabatic and heart patient.now the numbness have spread to right toes also, scanning shows a block in the smaller veins to brain, suggest the medicine to dilute the block Doctor: Hi, you are developing multiple acute infarcts of brain .In this antiplatelets aspirin and clopidogrel are started .But before this you should do Mri brain and consult neurologist .You may also require admission depending upon Mri report.Thanks."
},
{
"from": "gpt",
"value": "Target: Developed numbness in hands & legs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i was fooling arnd with my bf on 23rd february. we were naked. but there was no penetration at all. no ejaculation either but some pre ejaculate myt have been there. it was not around the vagina though. i was due for periods on 2nd march. I am now 8 days late. I had taken a hpt on the 6th day after my missed period and it was negative. i have no other symptoms. im really stressed. my periods last month was also delayed by 5 days. im on medication for hypothyroidism fr the past 1 n half years. i am also overweight. please tell me what are the chances that i am pregnant? or is the stress keeping it away? Doctor: The chances that you are pregnant is virtually zero based on the information you provided in your question. The fact that you have a negative pregnancy test is also reassuring. It is much more likely at this point that your stress is contributing to keeping your period away."
},
{
"from": "gpt",
"value": "Target: What are the chances of getting pregnant without penetration?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I suffered from typhoid fever before one and half month. I was admitted in a hospital and got cured after 2 days.I took the blood test after three weeks(after i discharged from hospital) and the Bacteria count was still 160. I am still feeling tired and having leg pain. But do not have fever.How long it will take to completely cure from typhoid and whats the symptoms of relapse?Kindly answer me Doctor: Thanks for posting your query to healthcare magic. Typhoid is a baterial disease and the test you have undergone indicate antibody titre in yr body.this elevated titer persist after recovery and gradually decline so declining titer indicate recovery .If u are still suffering from febrile illness you sholud be investigated for blood culture and sensitivity testing to microbology lab and then take the complet treatment accordingly. Hope you are satisfied with my answer. Feel free to contact.RegardsManish purohit"
},
{
"from": "gpt",
"value": "Target: When will typhoid get completely cured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had dental disease and all my teeth were removed and know I m waering dentures. I thing that from that point on I have been fatique, coughing and lost lots of weight. I had a blood work done in the hospital and it came back that I have Iron deficiency . I m taking Iron Vitamens and for my cough, cough sirup Doctor: Hi,Krystyna Mcknight, Thanks for query, The fatigue you feel is due to anemia and may be due to have not having full diet due to new denture. For cough you go for blood CBC to find out the cause,if any infection go for antibiotic course and cough syrup. For anemia you are rightly taking Iron tab. Take some nulti vitamin supplements. ok and bye."
},
{
"from": "gpt",
"value": "Target: Have been feeling fatigue and also have lost weight after wearing dentures"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I AM SUFFERING FROM multiple kidney stones on my both kidneys. amazingly all are size of below 10 mm. pls suggest me what treatment i have to take. How i could control my diet i am using CYSTONE tablet 2 nos daily twice. pls advice..... thank you... Doctor: Does your urine show crystals? That will give us an idea of what diet to prescribe.Cystone is good.Also take lemon barley water twice a day.How old are you? What other medications are you taking?Please revert back--regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for kidney stones"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, For the last two days I have been suffering terrible dizzy spells. The first time was yesterday when I was getting gas for my truck and almost passed out. I became extremely shaky and couldn t walk straight. I went home and had my roommate drive me to the ER. There they did a blood, and urine test while checking my blood sugar and blood pressure. When I saw the dr he said that I was dehydrated due to having a very concentrated urine sample. Today I have been drinking plenty of water and have also eaten food. I however am still getting terrible dizzy spells and it seems like when I have to do a bowel movement these spells come on. I have to work in a couple days and cannot afford to loose my job, please help me understand what s going on. Thank you Doctor: Hello!Thank you for asking on HCM!I read your question carefully and understand your concern. Your symptoms may be related to an inner ear problem. Are your dizzy spells triggered by the head movements?As you refer all your lab tests have resulted normal. I would recommend to consult with the ENT specialist and perform an electronystagmography and labyrinthine test to exclude the inner ear as a possible cause of this symptomatology. Another issue is your blood pressure. An orthostatic hypotension would cause lightheadedness and dizzy spells, exacerbated by standing up. A head up tilt test would be useful to rule out this possible disorder. Meanwhile I recommend betahistine twice daily for some days. Hope to have been of help!Best regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes severe dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my father is not well from past one month , earlier we were thinking that it can be dengue but after testing it came as viral fever , he is been visiting Docor regularly , but nothing is working, his body temprature is incresing and dicreasing regularly , his hands and feet are Swellen and not able to move his body can you suggest some thing???????????? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your father is having viral fever since last one month which is due to poor immunity and increased susceptibility of body and making prone to getting infected. It seems infection has already spread. Need not to worry. I would suggest you to take proper antiviral medication course such as Acyclovir in combination with Ibuprofen/ Acetaminophen. Visit general physician once and get it examined. You should take proper rest as body pain is due to viral fever. You should get routine blood test done and start treatment after proper diagnosis.Do tepid sponging for immediate relief as you having high degree fever. Normally viral fever take 7-10 days duration to get recovered. Avoid oily and sharp food. Drink plenty of fluids.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: Suggest medication for viral fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a small hard lipoma directly above my navel that is causing extreme pain. Dr s have determined via ultrasound that it is not a hernia and have prescribed antibiotics for infection. Will this break down the lipoma or will it just relieve the pain and swelling? Doctor: HiThere are no medicines for lipoma. It has to be removed surgically. Medicines may reduce the infection and associated inflammation. Hope I answered your query. Regards"
},
{
"from": "gpt",
"value": "Target: Do antibiotics cure lipoma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am around 6 weeks pregnant. My last menses came on 5th february. My problem is that on 9th of february i started having blood spots. on 10th February i started bleeding but stopped on 11th february, but I am still having the blood spots. is there any anything serious, do i need to go to emergency? I didnt have any appointment before 2nd march. Any suggesstion would be helpful. Doctor: Hi dear, I have gone through your question and understand your concerns.Bleeding or spotting in early pregnancy can be due to ectopic pregnancy, subchorionic haemorrhage or threatened abortion.I will suggest you to get a ultrasound done to confirm the diagnosis and get appropriate treatment.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma"
},
{
"from": "gpt",
"value": "Target: What causes bleeding during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HiI broke my fibula a few days ago and am waiting for the swelling to go down before it is casted. I've been advised to keep my leg elevated and only get up every hour for a short period. I have ongoing lower back issues and laying down this much is causing severe back pain. its hard for me to get comfortable in any position. Any suggestions?Thank you Doctor: dear patientIf fibula is fractured weight bearing is to be avoided on the affected leg till it is casted. If you're getting back aim because of rest you mobilize yourself with the help of walker support. Limb elevation Is must till swelling is reduce. You can take tab Ibuprofen 400 mg twice a day for pain relief. If swelling is reduced Early visit to your doctor an be done for casting."
},
{
"from": "gpt",
"value": "Target: How to manage severe back pain while suffering with a broken fibula?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi ...i am 21 years old female and i was infected with TB 14 years ago when i was at 7 years old and i was treated completly,regularly and successfuly within months .I remembered... i was suffered for some symptoms like (bloody sputum, reddish orange urine, weight loss, night sweat).Is change of urine color mean the Disseminated TB to kidney??Is it cause infertility??Now If I do tuberculin skin test become positive or not?? I was vaccinated with BCG when i was baby because i am from KSA.Is there any possibility of return to active TB when my immunity suppressed?? Is the bacilli completly killed with treatment?? Doctor: HiThanks for your query.I appreciate your concern for the after effects of TB.Here are the answers for your query:1. Orange red discoloration of the urine was the side effect of one of the drugs ( Rifampicin) used in the treatment of TB, it is a harmless reaction, it is not due to disseminated TB to the kidney, neither it can cause infertility by itself.2. Tuberculin test if done now may show a positive reaction indicating the past infection or BCG vaccination.3.TB may occur if you are exposed to an open case of TB or if your immunity is suppressed.4. Yes the bacilli are killed during the course of treatment if taken properly.However, infertility may occur if it affects the fallopian tube (salpingitis)..Hope I could answer your queries.Rate this answer, if you are convinced."
},
{
"from": "gpt",
"value": "Target: What are the after effect of having TB?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I an a 51 year old female and I have had back, shoulder & chest pain for a few months now. I have has chest X-rays, spinal X-rays, ultrasound scan and bloods taken. I also had to do a treadmill workout, all test have come back clear, (GP was checking for gallbladder problems). As everything came back clear, the doctor has put it down to stress/anxiety and panic attacks. I am on 50mg sertraline & 20mg omeprazol. I occasionally have paratheisa all over my body. Would a neck, shoulder & back massage help me? Thank you, Moira Doctor: Since you are in the early menopause, please get your vit D levels checked. This could all be some simple osteoporosis. Yea rehabilitation through physiotherapy and massage always helps,but it's only helpful to curb the immediate pain related issues. so for long term betterment a healthy diet and exercise are a must."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in back,shoulder and chest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my father is diabetic and chronic kidney failure patient.taking medicines.controlled now.he had done angioplasty and taking aspirin.now he is affected by jaundice.liver enzyme levels are increased.bilirubin also elevated.sugar level is also high.what will be the progress.how long it takes to get cured?how to control sugar levels? Doctor: Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.First,jaundice is just as symptom of some disease and this should be established. It can be cirrhosis,bile duct issues or hepatitis and it can be treated only when right cause is found. Blood sugar should be treated with appropriate insulin dosage. I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health."
},
{
"from": "gpt",
"value": "Target: What is the treatment for jaundice and high liver enzyme level?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Blood pressure is 190 over 105. I was taken off Xanax a few weeks ago, was taking it at night to go to bed for the past five years. Went to emergency room last week. Ekg and bloodwork came back normal. Filled with anxiety. I have been in touch with my GP. He only says to keep him in the loop with my numbers and doesn t seem to be too concerned. I however am in constant fear and panic. Help? Doctor: Hi welcome to HCm Dear , high BP, post Xanax withdrawal is a is no doubt , a matter of concern . Five years is quite long time for habit formng . It is not medically advised to just stop taking this medication without having slowly tapered down the lighter dose ,over an extended period of time .Gradual Reduction is Best For Coming Off Meds: But not In All situations .Most people will fully recover from their Xanax withdrawal, but it may take months or years . It is good that your Ekg and bloodwork came back normal . It is wise to be in touch with your GP. If He says to keep him in the loop with numbers , he seem to be concerned . you should approach him whenever in need of help . So I would like to suggest you not to be in constant fear and panic. The Best course of action would be to take the time to focus on engaging in healthy activities : Do things that are good for your mind and body such as: Bharamarri ,Omkar Naad ,Deep breathing ,Anlom- Vilom in Slow Breathing Meditation Getting natural sunlight, Socializing with others, Staying busy at a job or at homeExercising, Yoga Assanas , Shavasan (corpe posture)Eating healthy balanced diet andSufficiently hyderating and gud night sleep Avoidance of fried fast foods too much of sugar, tea, coffee ,alcohol , smoking ,stress ,constipation is right rule to boost immunity to lead a healthy life . Hope this helps solves your query .Take care , All the best .Wish Get well soon .Don't hesitate to get back tf have any further query ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high BP post Xanax withdrawal"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my child is having fever from the last three days i have given calpol continuously for every four hours and then went to doctor as he the kid is not getting temperatures down the Dr. prescribed meftal syrup and the Nice DT tablets to give immediately as he is not getting the temps down.. i am giving the medicine as directed for the last one day but for every four hours he is getting the temps with chills what medicine should i give.. no hospital is nearer to my living place please prescribe any effective medicine for my kid the Dr. also given the antibiotic of cefpodoxim-100mg syrup and the kid is 5 years old Doctor: Hi, I can feel how worried you are, as your child is suffering from high fever and chills. Common causes of fever with hills in children are: 1. Urinary tract infection 2. Malaria 3. Any abscess or serious bacterial infections 4. Thrombophlebitis (inflammation of veins). I would suggest you give paracetamol every sixth hourly and meftal syrup twice daily (follow the dose as advised by your paediatrician) for fever. Also, give plenty of oral fluids, so that your child will not get dehydrated. I would recommend you to meet a paediatrician for further care. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nirubhan Bharathy, Pediatrician"
},
{
"from": "gpt",
"value": "Target: What causes high fever with chills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 4 & 2 Yrs old. Both are often getting cold & soar throat, what is the reason ? If i give any citric fruits they are allergy of it. Often they put on to antibiotic if they get cold. 2 yrs girl get severe cold with sound in the chest like wheezing. 7 to 8 times in a year. what is remedy to overcome ? cold Doctor: Hello,Welcome to HCM,The history and the symptoms of your daughters sounds that they may be having some bronchial hyper responsive condition, which is leading to all these problems. This hyper responsiveness is may be due to exposure to the triggering factors which may release mediators of allergy and produces the symptoms.As both of your daughters is having these symptoms they should be evaluated completely by subjecting them for all the lab investigations and the proper reason for the symptoms should be found out before suggesting appropriate remedies for your daughters.If they are any infection of the respiratory tract the antibiotics will help to control the infection but if there is any allergic manifestation it should be found out by proper physical examination and lab investigations.Thank you."
},
{
"from": "gpt",
"value": "Target: What is the remedy for cold, wheezing and sore throat among children?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had asthma for many years. Tapered prednisone normally works very well. i am having severe trouble breathing for the first time in about 6 years and the prednisone isn't working. had negative chest xray. this is my second, higher dose series of roids in a week and i dont feel a change. do i head to the er? Doctor: As per your complaint of asthma you should consult a pulmonologist and sholud do pulmonary function test PFT , to diagnose asthma. For asthma treatment you should taper steroids after consulting your doctor.Get well soon..."
},
{
"from": "gpt",
"value": "Target: Suggest possible treatment for Asthma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have high blood pressure and kidney disease. the blood pressure meds I m on is Dilacor 240mg 2times a day and labetolol. My blood pressure hasn t come down from 150 / 80 since is stopped taking coozar. What do you suggest I talk to my Dr. about this? Doctor: hello sir/madamu defenitley need to consult a physician because the drugs u r taking and dose is not correct and u require evaluation further for.hypertension.complications...thank you"
},
{
"from": "gpt",
"value": "Target: Should a doctor be consulted for high BP with kidney disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have pain in my upper and lower canine teeth on the left side of my mouth for the past 5 days, I saw an emergancy NHS dentist and he summerised the pain is being caused by my top left wisdom tooth or molar i cannot exactly recall he fixed the teeth that could been causing the pain, but the pain remains in the 2 canine teeth. I waited a day to see if the pain would stop however it has not I made another appointment with NHS emergancy service they got me a visit to another dentist who coudnt see anything else wrong that could be casuing the pain. The only thing he could is clean my teeth. The only thing that seems to relive the pain temporary is cold water or cold enviorement. I tried Paracetamol and Ibuprofane but they have no effect. Doctor: Hello, Does your pain increase if you try to chew from that side? Do you have pain while eating sweet food or hot food? I would suggest you to get a full mouth x ray done of your mouth that is OPG to rule out the root cause of the pain. The pain in canine region could be because of wisdom tooth or could be cracked tooth syndrome or any other cause which can be made out in the OPG. In any case intentional root canal treatment might be required. Visit an Endodontist once you get the OPG done. Hope I have helped you. Wish you speedy recovery. Regards,Dr. Dhwani Mishra"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in upper and lower canine teeth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, My father had difficulty in passing urine today morning for 3 hours. later was admitted to hospital . Doctor advised it is because of Hernia and he ahs some Stones at Kidney. Suggetion was get Hernia operated today and may be 10 - 15 days later concentrate on Kidney stones . Issue was He was under High Blood pressure 188 by evening and Doctor advised not to get operated and has been postponed to tomorrow. what are your comments on this ? His ECG report also showing a bit of unstability. My question is it due to the pressure is he going under Bad ECg report ? He never had any issues except he is a HiGh BP patient . Appreciate your comments. Thanks , Appreciate your Doctor: HelloThanks for writing to HCMYour doctor has done the right thing by postponing the surgery.It is always safe to operate in controlled blood pressure. operation in done in elevated BP in emergency conditions only. ECG irregularity may be due to anxiety.so, anti anxiety drugs are always given in pre-operative directions. Antihypertensive and antianxiety drugs can be given to him.Take Care Dr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: Hernia, kidney stones. Advised hernia surgery. Postponed due to high BP, bad ECG report. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m suffering from spinal paralysis for past 12 years and use a foley s catherter to drain urine from my bladder . i cannot pass urine without using a catherter. for past one year i ve been facing problem of Orchitis in the testicle , my doctor suggested to take Taxim - o 200mg, i took the drug for 2 weeks, i completed the course and then stopped the drug, and continued niftran 100 mg. its been now 3 weeks and again facing the problem. my left testicle pains a lot. i ve started taking taxim o 200mg again. is this the right drug for me ? how do i get a permanent solution from this problem ? plzzzz help Doctor: The cause of testicular pain is ascending infection from the long standing indwelling catheter. The most optimum treatment in your case would be the following. 1. Insertion of a suprapubic catheter which drains urine better and will reduce the infection spreading to the testis. ( the perurethral foley's catheter should be removed) 2. Regular bladder washes with saline till the effluent is clear. 3. Urinary antiseptic such as norflox in dosage of 400mgm twice a day for 10 days. I am sure this will help in preventing further damage to your urinary system."
},
{
"from": "gpt",
"value": "Target: Suffering from spinal paralysis. Used foley's catherter to drain urine. Is taxim okay?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi my name is bennie and i have a question i have these bumps on my penis and they been ther for some while now and when i got tested they were suppose to give me cream for them. it started when i shaved down there with an razor and ended with a small cut on the penis and now a few months later they have grown all over my growning area. i want to know what to do Doctor: dear Sir, bumps after shaving are probably due to ingrown hair.. you can get rid of them by natural remedies like aloe Vera cream or by using medical treatment as hydrocortisone 1% ointment.. apply any of them overnight until bumps disappear"
},
{
"from": "gpt",
"value": "Target: What causes bumps on penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lot of back issues I was going in for a spinal epidural procedure I have had one before in another worked very well. But a week ago I started wetting the bed every night. Just once a night but every night never when I was sitting or walking. I do not feel anything from there to the middle of my thigh. No pain. If I am in bed and I get up for anything as soon as I get up oh my no matter how hard I try I don t make it more that three steps then it s Mt. Rushmore and I just can t stop. So my Back Dr will not do my procedure he said it sounds like a emergency to himwanted me to go to ER or Call my Primary Doctor asap tomorrow. It s been two nights without going at all at night but I m probably dehydrated instead. Would u consider this an emergency? Doctor: Hello,Yes, I would consider this an emergency. Please visit the emergency room as soon as possible.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Fahim Sheik"
},
{
"from": "gpt",
"value": "Target: What causes bedwetting in adults post spinal epidural procedure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I am almost 18 years old and I think I may have COPD because I feel short of breath. It all happened at a friends house about 5 years ago and suddenly when I came home an hour later I lost my voice and got a chest infection. then It never stopped I still feel short of breath. Back then all my friends parents pretty much smoked. Ive had this for a long time. I do not feel fatigued or had any chest pains. I went over there everyday after school. Stayed for a few hours and left. Will I die? I m rather worried. Doctor: Hi COPD/chronic obstructive pulmonary disease has 2 main forms: emphysema or chronic bronchitis.Emphysema occurs when there is enlargement of air spaces due to destruction of the walls of some of the air passages in the lung. Chronic bronchitis is diagnosed if the person has a productive cough for at least 3 months in each 2 consecutive years with all other causes having been excluded. (You would need to have a mucus producing cough for 3 mths out of each of the last 2 yrs). Symptoms may include productive cough, breathlessness and wheezing.. It is diagnosed based on history of smoke exposure and symptoms, physical examination. Blood test and imaging studies will need to be done if it is suspected by your doctor.COPD is not normally seen in young persons There are other causes of shortness of breath and your doctor will check for these. They include: anemia, asthama, lung infections, heart disease, inflammation of the lung, blockage of the upper airway such as the nose. You need to see you doctor to determine the cause of your symptoms I hope this information is helpful to you"
},
{
"from": "gpt",
"value": "Target: Lost voice, chest infection, feel short of breath. Is there any problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: someone punched me in the lower back where i think my kidneys are and i have been hit before but this time it was a worse pain. i instantly fell to the ground and almost two days later now it still hurts very much. Is it possible one of my kidneys are damaged? Doctor: Hello and welcome to ask a doctor service. I reviewed your query and here is my answer.Is it localized to lower back or the pain radiates to other location as well? Were you hit on the flanks or center of back? There are almost minimal chances of your kidney injury, if your kidneys were damaged, you would have problem in urine as well. It looks like your muscle or bones have been causing this pain. You can use pain killers for that. But you need to consult an orthopedic specialist for this.Hope i answered your question. Feel free to ask more if you need further assistance. Thanks."
},
{
"from": "gpt",
"value": "Target: Does persisting pain in the lower back after an injury indicate kidney injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yesterday, I had a feeling in my head like cold air was going to my sinus on right top right of my head for several hours yesterday. I narowed the pain or weird feeling down to taking in air in my right nostrel. I eventually fell asleep and I do not have that sensation this morning. Doctor: Hi, Glad that you are better now. There is no need to worry. It could be mild paresthesia due to minor nerve inflammation. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes cold sensation radiating from the head towards the nostril?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 11yo daughter had mono last April, an appendectomy in Dec. and is still experiencing fatigue. We went to physical on Wed. (had 3 vaccines) and her WBC is lower than last time and they want to recheck in 3 weeks. She is at 8% for her weight, fairly tall and active. Over the weekend, a pea sized superclavicular node appeared and is very tender. They said to wait and not come in. Should we be seen for this? Doctor: Hi...this could be a viral associated lymphadenopathy. But at the same time, I will explain you the danger signs when you need to get back to your doctor. Sudden increase in the size of the node, suddenly becoming extremely painful, persistent fever, loss of appetite, sudden and significant weight loss and bone pains. If these are there, I suggest you see the doctor immediately.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Is it concerning if there is pea sized superclavicular node in children?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have asthma. I was diagnosed in 1996. I have coughing fits at times. I don't cough so much laying down if I have a fan on me, more so without a fan. I am around a friend who smokes (I do not smoke). Hear Failure came up once from a friend, but some of the symptoms fit and others just seem like normal asthma. I'm 31 yrs old (32 soon), 5'2, and roughly around 205 lbs.. I am a type 1 hypertension candidate. I am over weight, but I'm working on losing it. I guess my question is, if I lay down, flat on my back with the fan and I'm not coughing or not coughing much (as apposed to without the fan on), is this just my asthma? Doctor: you need to know that there is an entity called Passive smoking. and you need proper evaluation as per the available scientific data, it is clear that, it is not just who smoke gets diseases but the person next to him also suffers the same.so seek a chest physician or an allergist opinion and get a spirometry done. and get rid of this.and may be the fan is pushing out smoke, than it entering into your nostrils and lungs. so when fan is off you tend to inhale the passive smoke fully into your lungs hence you get this typical smokers cough."
},
{
"from": "gpt",
"value": "Target: What causes coughing when not laying down?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is suffering from AIH. She is on steroid for some time now. On noticing depression, doctors have suggested her daily dosage of Zapiz. She has developed this continuous regurgitating kind of action. Is it because of steroid or side effect of Zapiz? Whats the olution to come out of it? Doctor: hello, your mother is on steroid and has developed depression and was put on zapiz. then she developed regurgitation. Now you suspect zapiz for the same.First- steroid, when given for longtime - can cause depression and many other psychiatric disorders. ( it is seen very commonly in clinical practice).second: zapiz is not a drug which she should be given, for it is just a sedative and not an anti depressant. Your mother should revive something like~ sertraline/ escitalopram etc.Third- the egurgitaion appears to be due to reflux, which is most probably related to steroid use and not zapiz. Zapiz dose not cause this thing commonly. However, another psosibilty can be beacsue of depression/ anxiety.So, I would sincerely advice you should talk to a psychitrist in detail about your mother.Hope the reply is usefulplease feel free to ask more questions Dr. Manisha GopalMD. psychiatry"
},
{
"from": "gpt",
"value": "Target: Does steroid causes continuous regurgitating kind of action?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi im jessica im taking duphaston hav been advice to take it for 10days. pls how it it help me? Doctor: Hello,Duphaston is a progestin medication which is used for a variety of indications, including:- Recurrent miscarriage during pregnancy- Dysfunctional bleeding- Infertility etc.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What is the use of duphaston?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife is 8 weeks pregnant and she had spotting twice after conceiving. Doctor suggested susten tablet and sono scan for 6 weeks and there was no yolk sac seen then doctor increased the dose of susten by twice a day. After 15 days again we followed sono scan as suggested by doctor and results are pretty good that showed 8 weeks 3 days gestation with proper sizing and 152 hearbeats but radiologist found some particulate inside and thought it is due to previous bleeding. Our gynaecologist suggested Paused 500 tablet to remove that particulate. Is it ok with this consultation?Please consult and suggest me.. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Pause 500 is safely used in pregnancy to stop bleeding. Everything seems normal in this consultation. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Is it safe to take Pause 500 during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 36 yr old. i had one miscarriage before 3 months. at present my rubella igg level is 1.75 and my rubella igm is .30 and cmv igg is 1.87 and cmv igm is .47 and all toxo igg igm , hsv igg igm is negative. now i want to be pregnant please suggest me should i go for pregnancy. my weight is 65 kg.. Doctor: Hi , How are you doing ? Let me start by clarifying a misunderstanding. TORCH infection , results of which you have mentioned, never causes recurrent abortions. Just forget these infections. If they come once, their antibody level will be there in body, it will stay life long . IgG means infection was there sometime in past & IgM means fresh infection now. In your result IgG level is always higher than IgM, so it mean you had infection in past. NONE OF THESE INFECTIONS WILL AFFECT YOU, I ASSURE YOU.You can try pregnancy any day. Most common cause of pregnancy is blighted ovum or genetic cause. This is like accident, any healthy lady can have it any day. You cannot diagnose it or treat it. Have Blood sugar ( Fasting & Postprandial) , Thyroid profile , both can be treated Just pray well & give it your bestHope I have been of use to you, do write back if any more queriesAll the bestDr.Balakrishnan"
},
{
"from": "gpt",
"value": "Target: Should i get pregnant if having rubella IgG level of 1.75?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ive been on abilfy and celexa for almost three years i havent taken either medication for about three to four weeks, lately ive experienced a sort of tunnel vision and mental detachment thats grown worse. today its worse. i feel as if im loosing my sanity, please help Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are going through a difficult time due to your problems. The symptoms that you have described such as 'tunnel vision' and 'mental detachment' are unlikely to be due to the direct effects of the medication.It is possible that you may have developed a relapse of your previous psychiatric symptoms (since you say that you have not taken your medication for 3 to 4 weeks). Other medical causes for your problems also need to be ruled out. It is not advisable to stop or alter medication on your own without the advise of your doctor. So, please review with your psychiatrist to report your symptoms and have a detailed evaluation.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: What causes tunnel vision and mental detachment taking Abilify and Celexa since 3 years?"
}
]
|
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