conversations
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{
"from": "human",
"value": "Source: Patient: Hi, my daughter had minor surgery on the underside of her foot 5 months ago that still has not healed. The cut is over 2 cms long, uninfected and the sides have remained apart for this time. She has been offered further surgery under a general anaesthetic but really does not want to go down this route after being told there is no guarentee that this will work either. She is fourteen, has been using crutches for this time and not been enjoying life. Her consultant just says come back in 6 weeks when we visit and suggested I take away a crutch, leaving her in agony when she puts weight on the wound. Please can I have any advice? Doctor: GreetingsWelcome to Healthcaremagic.Wound remaining open for 5 months is a very long time indeed and i completely understand how much pain you daughter much be feeling .Well here it is important to know here what surgery was done initially so that the underlying problem can be identified which could be causing the wound to remain open . Secondly to really find out if the wound is uninfected you will have to visit you doctor because infected would doesn't necessarily mean lots of pus . As far as the advise of you doctor is concerned to under go a surgery , i say it would be a wise decision because no matter what medication your daughter takes or how clean you keep the wound , the wound will not heal if the ends of the wound have not be approximated . This will quickly start the healing process with very good antibiotics with broad spectrum coverage . She might be reluctant ,but if you counsel her that surgical intervention again has good chances of healing your wound , i am sure she will be ready. After all its going to be under general anesthesia and she wouldn't feel a thing. I hope the answer was helpful . In case you have any further questions feel free to contact in writing . Regards. Dr Talal Hussain."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for a surgery wound after a surgery"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Occasionally I have felt a sharp stabbing pain in the top/side of my foot. After a few steps, it goes away completely. This has happened very occasionally. Today the foot aches in that same place, but seem like a muscle ache or the pain you d get from a turned ankle. Doctor: Hi, I have gone through your medical history carefully and understood your concern. The stabbing pain you feel in the top/side of your foot similar to a turned ankle is due to muscle sprain. Try not to move the ankle for a few days. Observe if it is swollen. Apply cold compresses locally and analgesic cream. Take oral pain killers. If it won't go away in a few days, consult further with orthopedic specialist and run X-ray of the ankle to evaluate the changes further. Wish fast recovery."
},
{
"from": "gpt",
"value": "Target: What does sharp and stabbing pain on the foot indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Two weeks ago I had a root canal on my back molar because a deep filling was causing pain. Today, I bit down on a chewy cookie and the temporary filling fell out, along with some cotton. It instantly became very painful. I can t get to the dentist till tomorrow. I thought that the tooth couldn t cause pain anymore because there are no nerves in it? What s going on? Doctor: Hello, Thanks for writing in. As you provided the detail,it seems that root canal is incomplete and your dentist had given you instructions not to chew hard objects from that side,which you did not follow properly so your temporary filling came out. Now i will suggest you for pain you can take pain killer,and do not chew and do not have food from this side till your treatment will get complete. Nothing to get worried. Take Care. Dr.Gunjan Gupta"
},
{
"from": "gpt",
"value": "Target: Had root canal done. Temporary filling fell out and is painful. Cause and cure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I VE BEEN DEALING WITH THE BELOW FOR 3 MONTHS. I USED TO THINK IT WAS ALLERGY RELATED BUT KNOW I HAVE MY DOUBTS. I HAD BLOOD WORK DONE 2 MONTHS AGO WHICH CAME BACK NORMAL.OCCASIONAL COUGHOCCASIONAL ITCHY SKINOCCASIONAL CLOUDY VISIONWAKE UP WITH CRUSTY EYES AND REDNESS IN EYESOCCASIONAL NAUSEAOCCASIONAL EAR FULLNESSSTUFFY NOSESTOMACH GROWLCHANGING STOOL Doctor: Hello.Thank you for asking at HCM.I went through your history and would like to know more details about you like - Do you have any of the symptoms 3 months before in the past? Do you have eye itching? Do you have itching in nose and/or sneezing?From your history, I would like to make following suggestions to you:1. Were I treating you, I would suggest you regular montelukast, levoceitirizine and an antacid like pentoprazole for at least 2 weeks.2. I would suggest you allergy testing which ay identify the substances you may be allergic to.3. Personally I would suggest you to wash your eyes with clean water at least 3-4 times a day. Please consult an ophthalmologist if no improvement.Hope above suggestions will be helpful to you.SHould you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards."
},
{
"from": "gpt",
"value": "Target: Suggest medication for an allergy causing cough & stuffy nose"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi good day am 28 year old, few days ago I went for a party were I took lots of alcohol but after 48 hour I noticed a pain on the right side of my stomach so I went for a test and then I discover that my Sgot/ast was valued as 60.4 and Sgpt/alt was valued for 108.0 and my total protein was 8.5gm/dl. So please I want to know how I can reduce my Sgot and Sgpt. But I also saw an ultrasonologist and my test report was that my liver is in size shape with a normal echo texture and that there is no significant focal lesion or dilatation of intrahepatic biliary radicles and liver span is 13.2cm but I really want to know how to reduce my Sgot and Sgpt Thanks bill Doctor: Hello,Although There can be various causes for high levels of AST and ALT,but in your case it is due to regular consumption of alcohol.The best treatment for reduction of liver enzymes is..Complete stopping of alcohol consumption for at least 6 months.Increased consumption of fresh fruits and green vegetables.Increased water intakeRegular exercisesReduction of weight.Thanks"
},
{
"from": "gpt",
"value": "Target: Have high SGOT, SGPT, AST and ALT level. Alcoholic. Liver report stated no focal lesion. How to reduce the levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i got given by the doctor northisterone to stop my period when i go on holiday wich is on the 24th, i was going to start taking them on the 21st but little did i know, my period has started today and i havent took any, so i have just took one just incase it might work, will it? Doctor: Hello, Once the period started already, it will not work. It has to be started a minimum of three days prior to the expected date of periods. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Does the northisterone work during periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: When I press on the bottom of my sternum (where my lungs meet), it pops/clicks. Not just once, but it will pop constantly (as many times as I push it). I ve read online this could be a possible hernia or arthritis. Any idea what this could be? (no pain is involved, nor did anything happen to cause this) Doctor: Hello, It is quite common and probably due to a ligament problem. Nothing much to worry and it does not have any clinical significance. You can plan for a CT thorax for further evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What could cause clicking of sternum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am anemic it hasn t been a problem until recently.. Over the last few months it has been going up and down. Ferretin 3 hemoglobin 8. But I ve had a high fever every time my iron drops. 103 toda. I know that s not normal. I take ferrous sulfate 2 times a day with vitamin c , folic acid and b 12. I feel better for few weeks and then sick for 3 or 4 days. What is going on? Doctor: HiHow is your general health? Are you losing blood from anywhere? Your low ferritin shows that there no iron stores. You need to take iron for atleast 6 months and also check under your doctor's guidance for blood loss,worms and other relavant tests."
},
{
"from": "gpt",
"value": "Target: Anemic, fluctuating Hb level. Fever every time iron drops taken. Why ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am wondering whether my son has worms. he is 2 1/2 years old and my husband noticed he has a really red anus after a bowel movement the other night. he has something redish in his bowel movements since. i have looked to see if they move thinking they may be worms or something. Doctor: many thanks. your child have either rectal prolapse or polyp. For rectal prolapse you do the following. 1.stool test for ova,parasite,ameoba etc. 2.Diet with high fat.Avoid spicy food. 3.toilet training with Itian commode and ask him not to sit for long and stain. 4.Cealiac disease profile. for rectal polyp needs Examination under anaesthesia and polypectomy and colonoscopy. Refer to pedaitric surgeon"
},
{
"from": "gpt",
"value": "Target: Can red anus in child be due to worms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: How likely is a UTI to go away on its own? I have one that came on suddenly yesterday. I went to the walk in clinic today but their list was full, and I have a heavy work week starting tomorrow. My symptoms have backed off considerably since yesterday; they are very mild today but still present. I am taking cranberry pills and drinking lots of fluids; last night I took 1 teaspoon of baking soda dissolved in water, which seemed to help. Could I fend it off this way? I'm covering shifts for my boss who is away this week so missing work is not an option, and the clinics where I live have really lousy hours. Doctor: Hi i do care for your concern. Most of the times the urinary tract infection requires medical intervention due to the nature of symptoms produced. The measures you are following will add to the help and prepares the mucosal lining to fight against the bacteria. However antibiotics such as fluroquinolones are required to completely cure the disease. I would advise To continue the measures that you are following and consult your physician as soon as possible and get antibiotic cover. Hope i have answered your question, if you have more feel free to ask. Thank you."
},
{
"from": "gpt",
"value": "Target: How can a UTI be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my mother is 75 years old, had a CVA last year. She has now become forgetfull since a month or so and the report of an MRI done yesterday says previously noted ischemic infarction in right occipital region now appears chronic with gliotic changes, rest of the report is same as was done last year....so what does these gliotic changes mean??? Kindly answer, thank u. Doctor: Dear gliotic changes are a report of brain hypoperfusion which in most cases is caused from chronic illnes such as arterial hypertension, mellitus diabetes or dislipidemia.So if you want to treat the brain problem first you have to treat those desease.Aspirin is needed at a dose of 100-300mg per day.Brain protector such as piracetam 1000mg per day or memantine 20 mg per day startinf from 5 mg per day and rising the dose each week.Don't hesitate to contact me for further advice, wishing you all the best"
},
{
"from": "gpt",
"value": "Target: Having memory loss. MRI showing chronic ischemic infarction in right occipital region with gliotic changes. What does it mean? History of CVA"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 6 yr old son went to the drs. last Thursday and had a urine test done. The dr. said that he might have something wrong with his kidneys, so next month he has to get an ultrasound of his kidneys. He drinks plenty of water and sense I m a diabetic they have the same diet as me should I be worried? My sister lost one of her kidneys when she was 2 yrs old. Doctor: Hi thank you for choosing healthcare magic.Lets not jump to conclusion before we get all the test reports, sometimes when the CUE is abnormal we get a screening USG kidneys done to rule out any structural abnormalities, and as it is not being done in an emergency basis I think you needn't worry that much. And your sister's kidney loss may not be related to your son's problem as it is very rare for kidney problems to be hereditary or running in families.Hope this has helped you. Your vote of thanks is appreciated,Good luck, Dr J Sravanthi, Peadiatrician and Neonatologist"
},
{
"from": "gpt",
"value": "Target: How to resolve kidney problem in child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello im 14 years old and i really want braces but im 14 and im thinking its not a great idea because i will be about 26 by the time i get them off. i seen this girl in youtube with this thing she used to straighten her teeth and she said to ask your doctor,.. she said you put them on before bed and sleep with it in? could you recommend anything to help get straight teeth? Doctor: HAI, u can go for teeth straightening. its not a messy process. depending upon yor teeth profile your [ORTHODONTIST] speacialist in teeth straightening will advice you. your age is 100 percent good for the treatment ,and it does not take u such long. yes the wires are fixed to ur teeth and u will be having them in ur mouth untill the treatment completes"
},
{
"from": "gpt",
"value": "Target: Could you suggest methods to straighten teeth other than braces?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: During a prostate massage and after ejaculation there wad seminal fluid on the prostate massager. No blood noted or other obvious issues. This happened just over a week ago. Since then my orgasms have been not as strong when I ejaculate however I can still ejaculate did I damage something? Other than my paranoia everyhing seems fine down there. No other leaking. We have not used a massager since then. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In case of prostatitis or retrograde ejaculation may present like decreased semen volume and force. I don't know your age but get urine examination done for sperms and urethroscopy for partial obstruction. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu"
},
{
"from": "gpt",
"value": "Target: Why is my ejaculation not strong after prostate massage?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my sister went into the hospital throwing up and having severe pain they came to the conclusion that it was her appendix and they did an emergency surgery to remove it. after the surgery she did not feel well the did not give her any pain medication and they forgot to turn her IV on. then the dr (12 hours after surgery) asked her if she thought she could go home she was screaming in pain. and said no please help me. she couldn t pee and they sent her home after giving her morphine . after she went home she later had to return to emerge her labia swollen 5 times the size and her stomach hurting so much. it has been two days and nothing has improved she is still in hostpital and they are saying they dont know what is wrong with her. do you have any suggestions please??? Doctor: It may be PID.Consult immediately a GYNAECOLOGIST,who will do PV to confirm,and if it is,he or she will start Antibiotics and proceed futher if necessary."
},
{
"from": "gpt",
"value": "Target: Vomiting, pain. Done appendix removal. Swollen labia, stomach pain. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been taking blood pressure medicine for about 16 years and I am only 36. When I relocated to XXX, I started having problems with allergies and noticed that I was really short of breath at night. My doc prescribed singular, it seemed to help short of breath, then about 5 years later, my short of breathness got so bad I was put on an inhaler . It now affects me during the day when I m working out and at night. I have seen a heart doc and he says my heart is fine, however I m concerned that I still am experiencing my short of breath during workouts and at night even while on asthma meds; sometimes it feels like the asthma meds makes things worse. I m considering seeing a differnt heart doc, already switched asthma docs (who is concerned about my shortness of breath at night). Doctor: sometime a salt of medicine donot suits you the body is able to resist in young age and as age grows body shows allergy to same salt in my experience if you cange salt to other family it might help you your cardiologist will help you to change the group of bp medicines along wiuth dont use brufen,paracetamol,disprin if taking stop for time and take antiallergic cough syp you can post after getting salt group of bp medicine changed by doctor"
},
{
"from": "gpt",
"value": "Target: Allergies, shortness of breath at night. On singular, inhalers, asthma medication. Treatment options?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have never broken any bones,and I have not fallen or been injured in any way. The past year I have noticed an indentation by my Shinn bone, I don t have any pain but my leg is beginning to look a little deformed. Do I need to worry? Thanks, Kari Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, painless indentation without history of any injury is suggestive of any abnormal slow growing growth, you should get yourself an x ray done to see any such possibility in the bone, but if its in your soft tissue, than you need to see your doctor and get investigated.I hope that answers your query. If you want any more clarification, contact me back.ThanksDr Narender Saini"
},
{
"from": "gpt",
"value": "Target: What causes indentation on shin bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear doctor. Yesterday I experienced a swelling like a small lump under the skin with bruising and tender to the touch and a bit of pain when walking on the right leg (side of shin) after stepping down from a foot high step stool. after about an hour and a half the swelling subsided but the bruise got darker. I am 51, menopausal and take medication for high blood pressure and cholesterol, omega 3 and calcium. What could it be? Doctor: Hi,Dear,Thanks for the query to HCM.I studied your problem in depth and I understood your concerns.Cause and Treatment for Painless lump on the shin-In my opinion you seem to have non-cancerous lump on the shin.Hence stop worrying about it but do check it up from ER Surgeon.In your case-the lump appears to be hematoma from a bruise with subcuataneous petechial heamorrhage giving dark patch at the bruise.For Final Diagnosis and treatment needs clinical data from a Doctor.and Hence for further treatment I would advise you to Consult ER Surgeon , who would treat it accordingly.This advise is based on the facts from the history you give and needs further clinical check.Hence I would advise you to check with ER Surgeon.So dont build up wrong concepts and create more psychic complications in you which would increase risks and costs to you.Hope this would relieve your problem.Welcome for any more query in this regard to HCM.Write good resume and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N."
},
{
"from": "gpt",
"value": "Target: What causes a painful bruised lump on shin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a pain in the right abdomen where I had been operated for appendicities 10yrs ago.I was advised to take an ultra sound.The result was normal.The blood test also was normal.I am presecribed Zenflox Nt and Rablet.But the pain stiil persist.What could be the problem Doctor: HIWell come to HCMThe symptom suggestive of some colicky pain and in my opinion this can be treated with Tab Dicylomine and Acetaminophen three times in day drink plenty off water if symptom dose not improved then this need to be ruled out for urinary stone, hope this helps."
},
{
"from": "gpt",
"value": "Target: Suggest medication for pain in the right abdomen"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i am 23 yrs old and want to concieve.I am trying for last 3 month and did intercourse during ovulation .My docyor Suggest me to have Fertly 50 md on the fifth day of my period as my periods are regular and i have done hormones test to which is normal.And Maintane tablet on the 16 th day till 10 days ..suggest me if i can concieve . Doctor: HI, As you are on taking treatment and planning intercourse at the time of ovulation there are high chances of getting pregnancy. you didn't mention whether your husband also undergone any investigations like semen analysis etc. if reports of both partners are normal, then there is high chance of success. so don't worry follow the suggestions of your doctor and continue treatment, you can conceive in near future. take care."
},
{
"from": "gpt",
"value": "Target: Trying to conceive, regular periods, hormones normal, maintane tablet"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The other day I hit my hand on the corner of a counter. The area I hit was on or around the knuckle of my pointer finger. Now my hand has some swelling, bruising, and there is a burning sensation through my hand when I move my pointer finger or thumb. I have full mobility in my fingers and everything, but the swelling, even though it isn t extreme, isn t just on my knuckle where I hit it. So I m a little concerned even though the pain isn t severe. The pain is pretty mild as long as I don t touch the spot I hit. There is some swelling up my pointer finger, as well as down from the knuckle to the area between my pointer finger and thumb. I get bumps and bruises all the time, but I ve never had some a simple one have such a spreading of swelling or have the burning sensation. Do you think it more than just a bruise? Doctor: Hithanks for writing to healthcare magicyes it can be more than just a bruise. you can have a fracture inspite of full mobility.you should follow these things:1. apply ice packs 4-5 times day.2. give rest to your hand by using a cock up splint.3. avoid hanging down your hand, you can also put it in a sling4. if pain is too much, you can take antiinflammatory like ibuprofen or naproxen.5. if doesn't resolve in a week's time you might require an x ray of your handtake care.hope i have answered your query. if found helpful please rate my reply.thank you"
},
{
"from": "gpt",
"value": "Target: What causes swelling and burning sensation around the knuckle after an injury?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: norethisterone 5mg. when will i ovulate and become pregnant , please help in april i was given norethisterone 5mg tablets to get my periods started after having a baby. i only took a few out of the pack and my period came. i had a period 29th may which seemed normal. i am trying to get pregnant and i am hoping i will concieve this month( june) is there anyway that i wont ovulate and get pregant due to taking them tablets in april, please help i am so worried now. Doctor: hello kate, welcome to HCM NORETHISTERONE tab is not for ovulation. its progesterone. your doctor may adviced you to take it for menstrual problems. once you have finished taking a course of Norethisterone, you will usually have a menstrual bleed a few days after taking you last tablet. so if you have problems regarding to your ovulation you have to consult your doctor about it take care"
},
{
"from": "gpt",
"value": "Target: Does taking norethisterone 5mg tablet affect pregnancy ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. I walked into a slider glass door Thursday night and hit my head pretty hard. I thought it was open and it was not. I got a nice egg on it but no other symptoms. It hurt obviously. Today I noticed a little darkening by my eye lid. Is that common 5 days later? Doctor: Darkening of the eye lid following an injury or trauma to the head or forehead area is called as black eye. Black eyes are the result of blunt injuries that cause bleeding beneath the thin eyelid skin, producing the characteristic black and blue discoloration. Most of the times may be nothing to worry about and might disappear on its own in a few days. A fracture deep inside the skull can also blacken both eyes, even though the eye area itself was not injured. If the darkening persists even after few days it is advisable to consult a neurologist."
},
{
"from": "gpt",
"value": "Target: What causes darkening of eyelid after bumping head on glass?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had what appeared to be hemroids to begin with that continue to grow and become very painful. Today I noticed a painful rashleasing up to my vagina but stoping just before with a large bump like the ones protruding from my anus. They don't look lime any stds I can find on the web. My chances of gettysts are low as well. Doctor: hi.it is best if you consult with a general surgeon with regards to your hemorrhoids, especially if there's pain and you noticed that it is enlarging in size. a complete physical examination done by your doctor would confirm if your vaginal rash is just an inflammatory reaction or needs further gynecologic evaluation. a proctoscopy may also be done by your surgeon to determine the severity of your hemorrhoids and to look if there are other lesions present in your perianal and rectal area.hope this helps.good day!!~dr.kaye"
},
{
"from": "gpt",
"value": "Target: What causes anal hemorrhoids with a painful vaginal rash?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my fractured L/L 6 Molar extracted by a dentist in Bangalore under open extraction method. He had not put any sutures to close the gums over the socket. I was prescribed Moxikind CV 625 1 tid, Metrogyl 400 1 bid, and Enzoflam 1 tid and Omez 20mg 1 OD on empty stomach in the morning. Now, even after a week of tooth extraction the wound is open and the bone is visible below. There is inflammation of gums around the socket and a few ulcers have developed. I have throbbing pain in my left lower gum. The dentist who did the extraction is not available now. Please let me know what I should do? Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have painful socket dont worry you should consult dentist and go for irrigation of socket and Zinc oxide eugenol pack. This is Dry socket formation thats why you are feeling pain and inflammation . Do warm saline gargle two - three times a day. Consult dentist and go for treatment early as possible. Hope this will help you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for gum pain after tooth extraction"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a bruised top knukle index finger. Yesterday it was swollen but now very tender and purplish in color. I didn t hit it on anything, but did do some lifting and mowing Saturday. Is this anything serious in which I need to see a doctor, or just let it be for a while? Doctor: hi,thank you for providing the brief history.As this bruised knuckle is looking an injury due to shifting of goods. As you did lifting I think do this the knucles are swollen and such. Which is nothing to worry about. In 3-5 days of time you should be fine.Regards Jay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: What causes bruised knuckle of index finger?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell down a set of stairs in high heels, as I fell my leg went under me at the knee as I hit my shin off the step, I can limp on it but it s a bit painful but most of all from my knee down my leg and foot is swollen and my leg is bruised and every now and again my toes are tingly and numb Doctor: Hi,Thanks for your query.From description it seems to be soft tissue injury over leg. Swelling might be due to haematoma formation(collection of blood).You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory drug like motrin to reduce pain and inflammation.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain,swelling and soreness from knee down the leg to foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Sir, my MRI says I have posterior disc bulge at L2-L3,L3-L4,and L4-L5 and L5-S1 causing thecal sac indentation. Mild extradural cut off at these levels, Bilateral neural foramina narrowing at L3-L4 level causinfg impingement on exiting nerve roots, mild disc dessication at few lumbar levels, Bilateral lateral recess stenosis with neural foramina narrowing at L4-L5 level and compressing the descending and exiting nerve roots, Mild narrowing at bilateral neural foramina at L2-L3 and L5-S1 levels. Dear Doctor Please help. I m a medical rep I need to drive bike atleast 60 km s a day. Doctor: Hi,Thanks for your query.It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation &spinal canal stenosis.The main treatment of such pain is bed rest along with pain killers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic.You can get the appropriate drugs prescribed from your Orthopedician after examination.Meanwhile you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist.- Avoid exercises in times of pain. - Improvise your posture while sitting.- Using an LS contour belt of appropriate size might be helpful in providing support to back muscles.Also, maintain a proper posture while working, sitting and standing. Keep your back straight. Physiotherapy plays a major role in treating such conditions.I do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: Suggest medication for a bulging disc"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dr sir, My wife 40 yrs old is suffering from joint pain in knees and shoulders and occasional fever for the past 25 days. We consulted an MD general physician in our town villupuram. He prescribed medicines, suspecting Infectious arthritis. But nothing improvement in her situation, she find difficulty in walking and using hands, with severe pain in shoulders and knees, Please suggest your opinion. Doctor: Hello,At your age the most common cause of pain at the knee and shoulder are:- Inflammation of covering of joint i.e. synovitis- Loss of cartilage at knee leading to arthritis There are also various other reason for such pain. I shall advise you following to have relief:- Avoid frequent up or down on stairs.- Avoid cross leg positions.- Start doing some exercises like quadriceps strengthening exercises.- Take a mild analgesic off and on like acetaminophen for relief from pain.If this all does not resolve your problem then you may consult to your doctor and get yourself investigated including X-ray and blood investigation like CBC, blood sugar, thyroid functions, serum uric acid etc. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes severe joint pain and occasional fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir, My age is 23.i m suffering from hairfall.i hv no hereditary baldness problem.no major trauma/illness..bt suffeting from hailess...hair is so weak if i move my finger across my head..definitely 2-3 hairs r on my fingers..i m confused abt the products to use to tackle ds prob..right nw i m using himalaya anti hairfall sampoo..bt its totally ineffective.suggest me smthing plz. Doctor: Hello, I have gone through your query and would recommend you to get your haemoglobin, serum ferritin levels, serum vitamin B12 and serum vitamin D levels and thyroid function tests done to rule out any internal cause of hair loss. Start applying minoxidil 2 per cent lotion on the scalp twice daily and take hair supplements containing biotin like tablet keraglo eva once daily. You need to continue this for 4-5 months to see significant results. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: Suggest better treatment for hair fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ok so i just got a lump in my underarm four days ago at first it wasnt much of a problem now its big, tender, warm, and hurts. it bothers me to lift my arm and sleep since i have hyperhydrosis and used a strong product after shaving i think it was an infection like a boil but mine right now doesnt have the white pus tip it just really hurts and is red it doesnt have red lines coming out of it. i am going to visit a doctor soon but i just wanted to know what are the possibilities of things it could be? Doctor: Hi,Good Evening.This is Dr.Savaskar from India,attending your query to my HCM virtual Clinic.-I studied your query in-depth and Understood your concerns.-You suffer from mostly-a unripe furuncle due to the infection of the sweat glands and the hair follicles of the underarm ,and is caused after shaving which got infected.-Hope this would help you to discuss with your doctor on the impending visit to doctor.Wellcome to HCM if you need more help.Wishing you fast recovery.With Best of Regards Dr.Savaskar M.N. M.B.B.S;M.S.(Genl-Thorasic-CVTS) i)Senior Surgical Consultant /Thorasic Super-specialist-CVTS, ii)Specialist in-Non-Curable-Diseases-like Cancer,Asthma,Psoriasis and Rejuvenation and Tissuefailure therapies."
},
{
"from": "gpt",
"value": "Target: How to cure a lump in the underarm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 68 female recently been diagnosed with high blood pressure. About 1 month ago, dr prescribed Lisinopril 10 mg. I took this for the 4weeks but I was not feeling great... coughing and tired. Yesterday, went to the dr; she was pleased with my blood pressure but changed the prescription to losaratan 25 mg. This afternoon I have been very dizzy with a mild stomach ache. What happens if I do not take the losaratan for a few days? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. All your symptoms will be okay as long as you BP is within the normal range . you have been started on a very low dosage. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Does skipping Losartan dosage while suffering from hypertension cause any harm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got ultrasonography in Oct 2010 and following findings : a) small GB polyp b) mild fatty change in the liver c) mildly enlarged prostate with significant PVT same time I got test of PSA and CEA, result were: total PSA 0.95 ng/ml CEA 1.10 ng/ml any risk for me ? pls let me know next course action from side. thanks and regards Doctor: Hello! Thank you for the query. 1. Small GB polyp - this one should not be left alone as polyps can be misdiagnosed with gallbladder cancer. That is why every gallbladder with polyps should be surgical removed. 2. Mild fatty liver - this can be caused by alcohol abuse or by obesity and fatty foods intake. Fatty liver is reversible condition, however it leads to liver cirrhosis (which is not reversible) and can cause liver failure 3. Mildly enlarged prostate is not anything to worry about, however it should be observed and consulted with urologist to have tranrectal ultrasound with biopsy if necessary Your PSA level is fine and so is CEA, however CEA is not a good way to check if there is colon cancer or not. It elevates in about 50-80% of colon cancers mostly in late stages. Better way to check colon cancer risk is fecal occult blood and the best way is colonoscopy. Hope this will help. Regards."
},
{
"from": "gpt",
"value": "Target: Ultrasonography showing gall bladder polyp and enlarged prostrate. What should be the treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lot of drainage sinus and more coughing the last few weeks, not really sick but around people who were sick with bad viral infections, all of a sudden my middle back muscles started to hurt and pain around the rib cage, can this all be a viral infection settling in my back? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.No, your back and rib pain are not due to viral infection. They are due to musculoskeletal pain because of excessive coughing.So take levocetrizine twice daily for cough.Apply warm water pad on affected areas of back and ribs.Take painkiller and muscle relaxant drugs.Avoid movements causing pain.Don't worry, you will be alright with all these.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes persistent cough and pain in the ribs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Kindly advise which course of chemotherapy to follow for the patient with following history: myomectomy-----2007 small rt. ovarian cyst was draind histopathalogical report-------no malignancy 6-7 months after surgery pt. felt rapidly growing mass in lower abdomen CT SCAN---CYST--10*9cm in diameter with 2-3cm irregular solid nodule inside mild hydronephrosis mild fatty liver CA125 62u/ml operated---cystectomy with Rt ovarotomy,cyst got ruptured during surgery Histopathological report--moderately differnciated adenocarcinoma of Rt ovary(grade II) Repeat histopathology report of same slide-----moderately differentiated adenocarcinoma of Rt ovary (gradeII)--at other institution CA125----decrease to 32 u/ml after surgery PET-CT---NO ABNORMALITY,nO PICK UP Scan---no abnormality Pt was reopened---oct.2009--Rt saphinggo-oopharotomy B/L PLND,supracolic omentectomy,RPLL,excision of node in sigmiod ,Bx from B/L dome of diaphram,peritonial washings were taken Histopathological report---moderately differentiated adenocarcinoma (grade 11)of rt ovary ramnent with sorroundig soft tissue involement omentum/nodes/nodules--- all free Chemotherapy----Received 3 courses of at 3 wkly interval with Paelitaxel 300 mg and carboplastin 400mg, last cycle on 19/12/2009 After 3 cycles--- Scan abdomen---lymphocele in rt side of abdomen.No other abnormality Scan lungs --Normal CA 125 ----88U/ml on 6/1/2010 CA 125----- 214U/ML------ 21 01 2010 USG Abd----solid nodule-2*3cm in lower rectus abdominus muscle No other abnormality FNAC---presence of malignant cells MRI Head and Neck-- insignificant 2010-22 jan.-----operated again panhysrtrectomy done and two nodules removed from anterior rectus muscle ,one on each side near incisiom. one node between uterus and rectum removed histopathological report----. Uterus---serosal deposits of 1.4 x1x0.4 cm deposits extends into myometrium Rt. rectus sheath node-- tumor deposits with tubuloglandular architechture.High grade nuclear cytology with focal mucinous differenciation.Tumour close to cut margin.cut margin is free Left rectus sheath nodule--- tumour deposits.Tumour abuts the cut margin Nodule on rectum----shows muscularis propria only CA 125 - 22.9 U/ mL Date 13.02.2010 (After Surgery) Please advise if we must follow the same chemotherapy or change the line? Thanks and regards, Doctor: Hi, As there the replase duration is more than six months, same chemotherapy is indicated. However I am not sure fromthe details provided that she received only three cycle or after the response evaluation further three cycle were completed."
},
{
"from": "gpt",
"value": "Target: Should I follow the same chemotherapy for adenocarcinoma of ovary?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6 year old daughter the other passed what at first I thought looked like a red kidney stone. Upon further exam it was soft and not stone like more like a blood clot. She said it hurt when she passed it and it sometimes when she urinates it hurts. She doesn t see blood when she wipes and has not had any other symptoms. Could this still be a UTI? I ve never seen clots pass like that it was small but concerning. I don t want to rush to the doctor if it s nothing because she does like to make up stories at times. But i did see this one. She says she saw another one today at school. I m just not sure what to do at this point. Doctor: Hi,It seems that she might be having urinary tract infection and it is common in girls where local hygiene is poor.Go for urine test for blood or pus or any other salts like albumin or phosphates.Give her plenty of water.Keep local hygiene proper.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What does kidney stone like discharge in urine of a child indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband suffering from round shape hair loss in beard and mustache from 3 months ago.he is 30 years old .5.45 feet high,75kg weight.he is worrying.he has consulted a dermatologist .he suggested to take steroid tablets.but hus worrying about its side effect.so is there any homeopathy or ayurvedic medicine for cure it. can you please suggest Doctor: HIThank for asking to HCMI can understand your worry I am not sure for other pathies but, form the history given here I could say that this could be fungal infection, and steroid won be helpful in this case, you better try any anti-fungal local application, it will give good result ( selenium ) is choice, or have second opinion from other skin specialist, one thing is sure it will go away, no need to worry, have nice day."
},
{
"from": "gpt",
"value": "Target: Suffering from hair loss. Suggest homepathic or ayurvedic treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My baby was affected by Viral fever. she was hospitalized for five days to test other fevers like malaria, dengue typhoid etc.. Everything seems to be negative. she was normal but again she is having fever now. they have given taxim-o and crocin syrup. is it normal? Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It looks like unknown viral infection.The treatment therapy for the current situation is right.Please maintian good hydration of the baby. Antibiotic prescribed to the baby is a prophylactic treatment and should be continued. If fever comes again you should give paracetamol to down the fever immediately.Viral unknown fever has short duration of illness period. So with in the week period this fever and infection will disappear. Till that time please continue your current treatment.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for viral fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ok my husband has been on and off stuttering and memory loss has gotten worse in the past 2 yrs .a few years ago he has extremely high blood pressure and was placed on medication for it since then has come down considerably but now suffers with these symptoms Doctor: Respected MadamThanks for your query.1. Yes, pathophysiologically a patient of high blood pressure can suffer from memory loss and stuttering of speech.2. However there can be other reasons responsible for these symptoms.Please visit your internist / neurologist for exact assessment and get proper investigations and management done.SincerelySukhvinder"
},
{
"from": "gpt",
"value": "Target: Could memory loss and stuttering be related to having high BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a small lump under my left testicles and it hurts lately when i applied small pressure on it, it bit hard compare to both of my testicles. i just found it a week ago...i am a sexually active person at the age of 46...i also take a sexual enhancer pill like Robust brand every time i make sex with my partner. it's like an oval shape as i touch it...i want to know what may cause this and how threatening this to my health? Doctor: HelloI share your concernAt the outset, I would like further information for better assessment of the conditionSince how long it has been thereany history of discharge or pain?complete medical history like diabetes or other metabolic diseaseIf possible upload a photographI would advise you for a battery of tests after physical examination to establish a diagnosisMeanwhile clean it with antiseptic solution and keep it moist.Apply antiseptic ointment if it is a open and dischargingPlease write back to me with these details so that I will be able to tell you more precisely.Best wishes"
},
{
"from": "gpt",
"value": "Target: What does small lump under the testicles indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there,i am starting to realize that i could possibly have Parinoid Skitz...i have been suffering 4 a few years now,also drink and drug abuse has been a problem on and off 4 about 15 years,i am 29 and find everyday tasks difficult,i can t communicate or express myself propperly sometimes and feel that others are always judging me as stupid or lazy,i have become very interested in human phycology as a result of trying to find out the cause and effect. Also i have taken a keen intrest in Buddhist philosophy and meditation practice. I go through very intense periods of straightness,no alcohol or intoxicants 4 days,weeks or months which do benifit amazingly,almost to a point of whethering mania and confidence only to come chrashing down into depression when i get bored,loose faith or get too intense and get smashed on a one night binge out with friends.and all that good work is wasted and onset of paranoid skitz.comes on. Drink and drugs trigger it off, where as when im straight,i still have deranged delusional thought patterns but i don t feed or respond to them,they are simply conditioned phenomina,coming and going,rising and falling,changing all the time.(i don t cling to them so much) Or my minds creation,if i believe the voice in my head,i can create my own heaven or hell creation and destruction. I generally believe that mental illness is just affliction with ones own ego and in Buddhist doctrine,the ego is not a real thing,it is a delusion, just ones own mental projection through ones perception of the 5 sense organs and as to how one inturprits and responds to that stimuli. Doctor: Hi, As you are already aware of your problem then schizophrenia become least probable diagnosis in your case. In schizophrenia person do not insight for being ill. For me your problem is closely related to substance use. Simplest way to help yourself is by stopping substance. If after that some symptoms remain then for assessment and treatment, you can visit specialist like psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal"
},
{
"from": "gpt",
"value": "Target: May have paranoid schizophrenia. Drinking, drug abuse problem. Episodes of confidence and depression"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i m 22 years oldi have cyst on my right ovary of 35.2*32.8*28.5mms with volume17.25ccs and fluid around it with probe tenderness,it is report of two months ago,now a days i have very severe pain in abdomen nd blotting abdomen,vomitting and weakness most of the time nd heavy flow during periods.wat is it in actuall............some says these are the symptoms of ovarian cancer is it true....... Doctor: Hi.Thanks for your query and an elucidate history...I do agree with your worry. This awareness only helps for an early diagnosis and proper treatment and may be saving the precious life. Well, By this time you should have undergone the following tests:Blood- routine and AFPCT scan of the abdomen and finding the composition of the cyst whether simple or malignant. It is 2 months. Get all these things done fast and be prepared for a surgery. The cause of pain in abdomen and bloating and all other symptoms can be due to intestinal obstruction secondary to twisted but not removed cyst. Let us get the things straight and get operated at the earliest if indicated."
},
{
"from": "gpt",
"value": "Target: What causes severe abdominal pain,bloating and vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a large oval shaped lump in my armpit. It is hard but blood mixed with pus wil come out when I squeeze it. I have used a drawing cream and hot compresses, but it is NOT going away. at first the pain was horrible but its better now? what in the world is this thing? Doctor: Hi,This is an axillary abscess. I suggest you see your doctor as you will need a course of antibiotics. If the infection does not resolve, you may need surgical excision. Regards,Dr K A Pottinger"
},
{
"from": "gpt",
"value": "Target: Cause for the lump in the armpit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a toothache and the next day the roof of my mouth had a swollen spot. It's not a hard spot. It hurts when I eat I have barely ate anything in 3 days now its hurts to drinks anything. The spot is getting bigger and it hard to talk now. How can I get rid of it before I go to the dentist in 3 days. That was the earliest they could get me in. I have tried whisky on the infected tooth and salt water but the spot keeps getting bigger. Doctor: Hello and Welcome to HCM, Thanks for writing to us. Tooth ache indicates bacterial decay or infection in the tooth that involves the exposed tooth nerve tissues . such infected tooth needs to be treated by a root canal procedure so please consider getting the treatment done by consulting a dentist. Formation of lump on the roof of the mouth indicates the abscess draining in the surrounding area. you may need an OPG radiographic examination done for your teeth to confirm the spread of infection or to rule out the exact cause of the pain and swelling. i would suggest you to start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the swelling and pain. Hope this helps you. Wishing you good health... Regards."
},
{
"from": "gpt",
"value": "Target: Have toothache and swollen spot in mouth. No medication till now. What is the remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi: My daughter has pain on the right hand side from her belly button down in a diagonal line . It extended to the waist of her back. She has had her appendix out. She also lost about 30 pounds in the last 3 months as she is a little over weight. She took 2 IIbuprofen and water and it seemed to help, Slightly noishes. She was very stressed this week. Kindly Advise. Thanks, Roslyn Doctor: hi, the type of pain you are mentioning looks like a kidney stone pain as its radiating to the back and waist. i think tell her to drink lots of fluids and juices and especially oranges and citrus fruits."
},
{
"from": "gpt",
"value": "Target: What causes pain in right side of belly button?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor, my sisters daughter is 5 year old. a thin girl. from the last one month she is not well. she had stomach infection but thts treated now. she had earlier the complain of creamy in stomach which was also treated. she is very bright girl. now some time she complains stomach ach and headach and tears in her eyes. what could be the reason? she stay in India Doctor: a little 5 year old in India ,thin .with stomach pain and headache ,we have to have a better look at this --poor child may be having some parasites in her gut you have not specifically spoken about her stools --note the following ,frequent stools ,stomach bloating,blood in stools ,mucus and write down ---there has been no fever from what you say .She must see a pediatrician ,check the stool for worms ,as they call it (!!)and also some blood testa for enteral infections like typhoid and jaundice ---i am sure this bright young girl will be better soon if given the correct deworming treatment."
},
{
"from": "gpt",
"value": "Target: What causes headaches and abdomen pain in a 5 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 21 year old male. I sometimes get these pains right below my bellybutton and maybe right where my bellybutton is. It hurts to stretch it ( like when i lean back) but it goes away when i curl into a ball. If i stand straight up it hurts but kinda goes away until it goes away...only to return when i stretch it on accident. Worst part is when I pee. It feels as if my bladder is tightening up or pulling down or something. hard to explain but it hurts and sometimes makes me stop peeing. This has happened before but not for a few month. Can t remember how long it lasted last time. Also just in case it helps, it hurts to push on where the location of the pain comes from. Not horrible though just reminds me that its still there. To clear up other questions. I haven t had sex in a 2 1/2 months. Obviously not pregnant since I m a male. Also not sure if this is related but sometimes randomly i get a pain inside my guts somewhere and it hurts really bad for a few seconds and then goes away completely . No clue what either of these things could be. Doctor: Hi Welcome to Health Care Magic Most probably u have one of three problems: 1. Spastic colon: u can test urself if these pains are related to certain meals or after meals or not 2. GIT Inflammation: if u have continuous pain, vomiting, bowel changes & if u can have CBC test u will have high WBCs level. 3. Abdominal muscle inflammation: this may come from sleeping in A/C or with direct cold air with not enough clothing, this may go alone with some pain relief tablets, Muscle relaxants & removal of the cause Thanks"
},
{
"from": "gpt",
"value": "Target: What can be the reason for sharp pains near the belly button ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i am 31 yrs old, 5'3\" tall, and weighs 54 kls. i had an insect bite on my left foot but dunno what insect it is. i went to a dr. and she injected me antihistamine solution and an enzyme w/c i am not sure what it is but she blurted it pepti...what are this injections for? Doctor: Hello,Welcome to HCM,I can understand your concern for insect bite. After reading your query it appears that you have developed insect bite hypersensitivity. This basically caused by hypersensitivity to the insect bite which can cause acute aggravation of the problem and flare up of the lesions.As you are not getting relief from the steroids an antihistamine so I suggest you to meet a dermatologist and get your skin examined to get proper best treatment. You can apply steroid creams of higher potency for the early resolution of the lesions. You can take oral anti histamine like loratadine or levocetrizine under medial advice.If you have pain and irritation then you can take a tablet paracetamol or diclofenac.Do not scratch or rub the skin as it can lead to further aggravation.Despite above measures if the problem is not getting better then it is better to consult a dermatologist.Thank you."
},
{
"from": "gpt",
"value": "Target: What are the treatment for insect bite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Due to increase in weight for past 1 year i am getting irregular periods.. Before that for me it was 32 day regular interval cycle.. Went to doctor: Suggested to put Folic Acid and Livogen for 30 days.. can i use regestrone to regular the periods..Now i am in Weight loss diet program too.. Doctor: Hello, Regestrone is a synthetic progestin. It works by mimicking the effects of natural progesterone. It helps regulate your periods. You can use Regestrone along with your weight loss program. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Prabhash Verma, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is regestrone advisable to control weight gain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi , I have problem in erection , I could have a hard penis during , but by stopping physical stimulation the penis shrinks quickly specialy if I stands up , I haven t morning ercection for a very long time , is it venous leakage , and if it is , is the over masterbuation is the reason Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Most of the erectile dysfunction and lack of interest in sexual matters come out of anxiety and lack of knowledge. You are anxious or rather apprehensive about what might happen sexually after marriage. You are worried about your sexual performance. Such worries, rather apprehension drive you anxious. Nothing wrong shall happen. Have faith and confidence. Stop worrying about future. Masturbation cannot have any adverse effect on your erection, but anxiety regarding health due to masturbation can affect.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes erectile dysfunction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: YES YOU MAY.. MY LEGS ARE WEAK, UNSTEADY, FEEL LIKE A LOOSE WAGON WHEEL.. WITHIN 10 TO 20 STEPS THEY TIGHTEN SO I CAN HARDLY BRING THEM FORWARD FOR A STEP.. AT NIGHT... JERKING, CRAMPING, STIFFENING.. INVOLUNTARY MOVEMENT. I CANNOT WALK... GETTING WORSE.. IF I PUSH IT AND TRY TO SHOP OR WHAT EVER... IT MAKE IT MUCH WORSE AND I CAN HARDLY CONTROL MY STEP... I HAVE HAD BACK SURGERY.. LEGS AND VEINS CHECKED OUT COMPLETLY.. I THINK THIS BETWEEN THE MUSCLES AND BRAIN... I DO HAVE FIBROMYALGIA AND LUPUS AMONG OTHER THINGS... PLEASE HELP NO ONE HAD BEEN ABLE TO FIGURE THIS OUT AND IT S GETTING WORSE. Doctor: Hi, You should have the habit of some general conditioning exercises daily. Start with normal walking. Increase distance gradually over days and target is 4 km. When you are able to walk 4 km with ease then start brisk walking. As far as medications are concerned, you need to message me privately and I will tell you some medications. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes weakness and tightness in the legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have this intense pain in my upper stomach close to my rib cages after drinking cough syrup.i just ate my dinner before drinking my cough medicine and this happens all time when i drink cough syrup and i running to the bathroom to throw and can't stand up straight, i also have cramping around my lower back with my intense stomach pain. what could it be.thanks Doctor: Hello!Thank you for the query.Such reaction for cough syrup can be caused by gallstones. It is quite characteristic for this condition to cause upper abdominal pain which radiates to the back. Nausea and vomiting are very often present. Sometimes pancreas irritation by some syrup ingredient can cause such symptoms as well.I suggest you to visit your doctor and have abdominal ultrasound done. If nothing will be found, please consider gastroscopy.Hope this will help.Regards."
},
{
"from": "gpt",
"value": "Target: What could be the reason for having intense pain in my stomach and cramping around my lower back after drinking cough syrup?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor my friend drank harpic toilet cleaner 2 days ago .then after she puked immediatly but some part of it goes inside her stomach .. now after 14-16 hrs her stomach hurting badly plz tell me what should i do or what medicine should i gve it to her .. she dont wanna go to the doctor Doctor: welcome to hcm, short answer: immediately take her to the emergency department with the ingested toilet cleaner.detailed answer. counsel her and get her to emergency department as early as possible. any delay will make her worse. ingested substance is a corrosive poison most probably. corrosives are poisonous substances. now it is 14-16 hours before so the corrosives might have entered your intestines. don't give anymore food. milk and liquids could be given. acids has to be neutralized with alkalies. if you are taking him with the ingested toilet cleaner it would be of much help to your treating phyiscian to decide the antidote. this is not the funny thing to be treated at home any time he or she might become sick. each and every sec. counts."
},
{
"from": "gpt",
"value": "Target: How can stomach pain due to toilet cleaner ingestion be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello dr.i am married 2 years back and i have not conceived.all my tests are normal but recently i got a polyp which i came to know about in my follicular study this month.as far as this study is concerned m i had 2 mature follicles each on my 2 ovaries but they didnt ruptre rather they turned into cysts .i got periods few days back & these cysts ve reduced in size. my dr has put me on ovgral g for 20 days.but i came 2 know that its a contraceptive. i am taking it as per the advise of my dr bt i want 2 conceive .vt should i do Doctor: Hi, I think your doctor has put you on ovral g to resolve the cysts. So, don't worry about it. Regarding the polyp, it needs to be removed if it is intrauterine. If it is cervical polyp and not interfering with the internal os, it can be left as such. Discuss with your doctor regarding this. You can track your follicles growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards"
},
{
"from": "gpt",
"value": "Target: Medical advice for getting pregnant"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: shortness of breath,hardly breathing with my mouth.feeling chest pain while inhaling.no sleep at all at nights.i cant even lay down.doctor says its nothing more than little infection.all this z happennig before 5 to 6 days to my periods.its like something is stopping my breathing in my throat. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. You are having chest pain with sudden onset breathlessness. These are commonly seen with lung infection, bronchitis and pulmonary embolism (PE) . So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray to rule out lung infection. 3. PFT (pulmonary function test) for the diagnosis of bronchitis. 4. CT pulmonary angiography to rule out PE. You may need antibiotics, inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of these reports. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes shortness of breath with chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My boyfriend is complaining of serious chest pain, his heart hurts a lot and the pain comes and goes but its starting to become more consistent. He also can't feel his arms and he feels sleepy but the pain won't let him sleep. He's seventeen and he's fit. What could he be having? Doctor: At such a young age, he may not have something related to the cardiac part. However you need to take him to a physician who can examine and fond out what the chest pain is due to. There can beany possibilities for pain like pneumonia, anxiety, asthma and pleural effusion"
},
{
"from": "gpt",
"value": "Target: Need medication for serious chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am rashmika.i got a marriage on 2007.my hubby sperms r nil.so my dr.suggestted me to go to donor sperms method.till now i did 5 times iui method.but no success till now.in between i did laproscopy too.in this it shows tubes r unhealthy.wat is the next procedure? Doctor: Hi, In this situation i would suggest you that go for IVF(In vitro fertilization). If IVF is not worked then go for a Surrogate Mother option. Discuss with your primary care doctor to achieve these. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr. PRAMOD KOKARE"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for infertility in men?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was always against mixing drugs, but my doctor said it is better to use amoxicillin and Tylenol in combination - he thinks i have lung infections. How safe is it and is it really necessary to use both at the same time? I can bear the pain, it is not that strong Doctor: HelloAmocillin and tylenol can be used concomitantly without any drug interaction in lung infection ( as your doctor is right ).But as these both drugs causes nausea and vomiting ( side effect) so if concomitantly pantaprzole to be taken along these drugs ,there will not be any nausea ( of if , less than expected ).So before use of these drugs , you can consult your treating physician about the use of pantoprazole .Good luck."
},
{
"from": "gpt",
"value": "Target: How effective is amoxicillin and tylenol in combination for lung infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Thank you for your free services. As it was written briefly there is no cure for herpes simplex virus. If someone has been stayed with herpes simplex for 24 years, what is solution for that person except praying to God ? If infants or children below 5years caught by this disease infection associated with skin and eye itching, What you say about it? sorry for my poor English language. Is there free medication and support as HIV virus? Doctor: Hello,Unfortunately, there is no medication that can cure herpes simplex infection. Antivirals like acyclovir can decrease the duration and severity of illness. Recurrent flare-ups can be suppressed to an extent by long term acyclovir therapy. Herpes simplex lesions in infants especially in the eye require immediate treatment as it can cause blindness. So always avoid contact with children when you are having active lesions.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Lekshmi Rita Venugopal"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for herpes simplex viral infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello my husband has no coughing, shortness of breath, wheezing phlegm etc, and no back/shoulder pain. but had a chest xray b/c of some touch only prompted tenderness of right lower rib. It revealed an \" opacity\" (diff area than pain) and the doc ordered a CT scan. His grandfather died of lung cancer. His father a survivor of prostate cancer, his sister a survivor of Colon cancer. he is 40 yrs old and has smoked for 20 years, quitting a month ago. We are very concerned. Outside of pneumonia, are there other non-cancer causes of an opacity? Thank you very much Doctor: This could be due to a pleural effusion, it could be due to scar tissue or fibrosis, or it could be due to TB (unlikely but possible)."
},
{
"from": "gpt",
"value": "Target: X-ray showing tenderness in the lower rib, opacity noted. History of lung cancer and colon cancer. Worried"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good evening. I am on my 6th day of my period and two days before it started I began to get sharp pains in my lower abdomen and my uterus became very tender. It would hurt a little to put in a tampon and I could feel the tenderness by simply pushing on my lower abdomen. I am 48 and still getting my period on a regular cycle. I am slender and fit. I usually only have a dull aching lower abdomen pain for the first two days of my period and this is the first time I have ever had these symptoms. Doctor: Hellothanks for your health query.You could be having abnormally heavy pre menstrual symptoms.Also, a pelvic infection, specifically, a uterine infection ( endometritis ) could also cause such a picture.Women who have endometriosis also experience such symptoms.I would ask you to wait for your next cycle, and if the same amount of pain and tenderness recurs, then definitely consult your gynecologist for internal examination ( per vaginum and per speculum ) and pelvic ultrasound scan.All the best."
},
{
"from": "gpt",
"value": "Target: Have pain in the lower abdomen. Uterus became very tender. Painful to put in a tampon. Have regular cycle. Cure for symptoms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: doctor has wrote me maxifol but i am not sure to take this medicine or not,i am not pregnant jet, i am afraid of over weight ad have heard a lot about over weight, Doctor: Hi pregnancy related wt gain is normal n u need.not b scared of it. I guess the doctor has given u some iron folate medicine which wont cause u to become overwt but before taking any medicine it s deficiency shud b documented.so if u ve done bloodtest n doctor has d u hav anemia/low hemoglobin.u can take medicine. If not then a nutritious diet us better than any pill.hav lots of green veg n apples n.dates thnx"
},
{
"from": "gpt",
"value": "Target: What is the use of maxifol ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was packing my bag for a trip was folding clothes bent, suddenly I got a severe back pain, terrible pain, couldn t move. I just somehow lied down on the floor and waited for a while. Now managed to get on the bed and lying down. Sever pain and punish feeling. What do I do? Doctor: Dear sir, The symptom that you are explaining is called para spinal muscle spasm. This happens when your back muscles are involved in some unaccustomed activity. They go into a spasm and this gives rise to the pain. I suggest you rest the part by lying on your back and mucle relaxants with analgesics will be helpful. Local analgesic creams and local heat will also help."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sudden back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been waking in the morning with swelling noted to my hands and feet. I drink water all day and into the evening thinking that i need more. Then I questioned that it might be PMS . I exercise everyday, either walking, weight training, or yoga . I am on Vytorin and have been for 6 years. I do take Spirolactolone 100mg daily. I am noticing some heavy feelings in my chest areas at times and an occasional cough, but no other symptoms. I have seen the scale increase almost 5 lbs. and I have not increased my diet or snacking , because I dont. I need some help. Doctor: 1. as you haven't mentioned your age, it is not possible to answer about PMS, is it PRE or POST menopausal syndrome? 2. you are just catching the fluid level which is wrong, instead check with your Doctor about your Renal function (Blood urea,Serum Creatinine,BUN,GFR) to make sure that kidneys are working properly. 3. Vyotrin (Ezetimibe and Simvastatin) is used to lower high blood cholesterol level (please mention about your current Lipid profile)? 4. for how long you have been taking Spironolactone and for what symptom did your Doctor prescribed the same, any h/o hypertension? 5. because you are taking spironolactone daily, please check your potassium level as it causes dangerous Hyperkalemia, along with any noted acne,hirsutism,alopecia in you?? 6. side and severe effects of spironolactone are persistent cough, muscle weakness, and drop in heart rate, consult with your Attending Physician about the same who will/may recommend for ECG,Chest X-ray, Echo, potassium level, and necessary medicine and life style modifications. 7. since you are on spironolactone which is a potassium sparing diuretic avoid other sources of potassium as (tomato,potato,cheese,banana,coconut water,fruit juices, soya bean, papaya, grapes)."
},
{
"from": "gpt",
"value": "Target: Swollen hands, feet, on vytorin, spirolactolone, chest heaviness, weight gain, alternate medicines ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Sir/Madam, I am having 7 yrs old boy and I have been trying for 2nd kid from past 2 yrs but i had recurrent miscarriges at 5 to 6 weeks. My doc did all test and came out normal and i dont have any health issues( am 33 yrs old). Please advice. Thanks, Mohana Doctor: Hi, Thanks for writing to us. You should consult some other gynaecologist for your problem and get your husband investigation done simultaneously. Your torch test done? Take folic acid. Go for progesterone and HCG support in first trimester of pregnancy after your gynaecologist consultation. I think I have answered your query If you have further questions I will be happy to answer you. Regards Dr. Richa"
},
{
"from": "gpt",
"value": "Target: Any advice for recurring miscarriages at 5/6 weeks in a healthy woman?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HI, I HAVE A VERY DEAR FRIEND WHO HAS BEEN EXPERIENCING EXTREME FATIGUE FOR SEVERAL YEARS. TRADITIONAL DOCTORS TELL HIM THERE IS NOTHING WRONG, HE HAS HAD A MENTAL/EMOTIONAL EVALUATION SHOWING ONLY SLIGHT IF ANY DEPRESSION . WHEN SEEING A BIOFEEDBACK (SCIO) PRACTITIONER IT SHOWS DEPRESSION, (ATYPICAL) . THE PRACTITIONER FEELS IT IS A GENETIC DISORDER . HIS ENERGY SEEMS TO BE MUCH IMPROVED WITH CYMBALTA, HOWEVER THERE ARE MANY SIDE EFFECTS. HIS IMMUNITY IS VERY LOW AND IS SICK OFTEN EVEN THOUGH HE EATS HEALTHY AND TAKES MANY SUPPLEMENTS . HE HAS BEEN SUFFERING WITH THIS FOR YEARS. ANY IDEAS WHERE TO START? Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. Fatigue and decreased energy can often be the predominant complaints in depression. You have mentioned that you friend has been diagnosed to have depression by two different practitioners and that he has shown significant improvement on Cymbalta. Now, Cymbalta (Duloxetine) is an antidepressant medication, which has been found to be more effective on the 'somatic' symptoms of depression. Another possibility for your friend's problems could be Chronic Fatigue Syndrome, which is also classified as a psycho-somatic disorder and is also treated with antidepressants. However, you have mentioned that Cymbalta is causing him many side effects. I would advise your friend to consult a Psychiatrist for a detailed evaluation and psychological assessment. Depending on the diagnosis, further treatment options can be planned. If he needs anti-depressants, then there are other classes of medication which can be tried. There are also effective psychological and behavioural therapies which can help deal with his problems. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist"
},
{
"from": "gpt",
"value": "Target: Suffering from extreme fatigue. Using cymbalta. Any side effects? Have mild depression"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Well I feel in a hole and twisted my ankle. I went to the er and they did xray and said it was sprained, so that was 2 days ok and today I have been having sharp pains in the side of my leg right above my ankle. I m not swollen and am just wondering is this a ligament that could be hurting? Thanks if someone could help Doctor: Hello,Sprains certainly take days to get significantly better. A sprain is a literal tear/rip of a tendon or ligament. If the tear is big enough sometimes it needs more than just rest.Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sharp pains above ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: why is it when I do something as simple as comb my hair or pick up a trash can, my muscles feel like i ve been working out. it s like a burning soreness type feeling or i could hold my arms out in front of me for ten seconds and the burn of like i was doing weight exercises? what is going on? Doctor: Hello, I have studied your case and your report. Due to cervical stenosis burning soreness may remain persistentDue to compression of nerve root there can be tingling numbness in your arm and pain.Also there can be large disc bulge which is compressing over spinal cord.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes burning soreness in arms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Doctor,I am trying for baby and getting fertility treatment.Last one week I felt slight pain in the lower abdomenBut after I have taken greens (Sesbania grandiflora) yesterday, no such pain in my abdomen.What might be the reasonIs it safe for my conception?Waiting for reply Doctor: Hi. slight pain lower abdomen can be due to urine infection(UTI), constipation, or PID(pelvic infection). Don't be very anxious.Sesbania helps in reducing oxidative stress. So even if you become pregnant this time, no worry.Thanks."
},
{
"from": "gpt",
"value": "Target: What could cause lower abdominal pain, that subsided after taking greens? Is it safe to attempt pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am married for 4 years. We are planning for a kid from last two years but failed . I have pcos and I am hypertensive too but all other levels like sugar blood thyroid are all normal.early in starting doctor gave me siphene ( 1 year back) for ovulation , which resulted positivelyl.i got an egg of 18.3 mm on 12th day, then she gave me hcg inj. On 13th day and told us to have contact. BT the result was negative. We tried the same three to four months but the result was negative. Then we had a break due to some problems but had a treatment for pcos in which I had taken herface tablets for three cycles. From Last year s end we again started the treatment when I was diagnosed having chocolate cyst in my left ovary.for this we had laproscopy done in march and had the three doses of leuprodex after it. My tubes are patent. Last month doc gave me fineova on third day of my cycle along with xfert and persinal hp 75 I.u. On 7th & 9th day.bt ovum size didn t increased. It became static on 9mm. So doc told us to try next month. This month she gave me ubiphene 50mg & sitrodyn hp 75 iu from 3rd day of my cycle but ovum size didn t increased from 6 mm. Then she gave me persinal hp 150 I.u. On 7th day I.e. On 22/8/14 but still it is same. I want to know what is going wrong. Ovulation is not happening. It s getting depressing for me. Kindly suggest what to do. Doctor: it happens some timebtime that ovary does not respond.seeing your history in my opinion you should go for ivf and you should try soon as endometriosis tends to recur and alter ovulation.ivf is a costly affair and while arranging that you can simply try with siphene 200 from d2-6 along with fsh/hmg stimulation from d7 onwards. one more thing I want to tell you after hug injection try to love for 2- 3 days with your husband.thankyou"
},
{
"from": "gpt",
"value": "Target: How to get pregnant while suffering from PCOS?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a severe headache for the last 7 weeks now that won't ever go away. I wake up and go to sleep with it. I have gotten several shots in the rear for migraines and one shot that just put me to sleep. I have gotten an MRI which turned out to be normal. I am now seeing a neurologist who wants a more in depth MRI and blood work. I have thalassemia...could this be why I am having these headaches? I just want them to stop, no matter what they give me it doesn't help. I just want a break in the headaches if nothing else Doctor: Hi, dearI have gone through your question. I can understand your concern. You have headache. Therr are so many causes of headache. Thalassemia has no relation with your headache. You should search for other cause. Neurogenuc or psychogenic headache may be the cause. Find out the cause 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: Can thalassemia cause severe headache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 8 yr old son is suffring from astma. When he gets attach we give him levoline and seroflow pump as per dr suggestion. Now dr suggests us to give him half telekast l tablet every day. I am affraid about the side effects. Generally he gets cold and cough in 2,3 months. He has suffred with astma attach for 3 -5 times in last 2 years. Pl suggest Doctor: Hello As you have mentioned your son is suffering from Intermittent asthma. Management of this condition is inhalational bronchodilator ( levolin or seroflow) as and when required. Montelukast is actually used in treatment of persistent asthma ( attack more than one time a wk), sometimes physicians prescribe it in intermittent attack also because it reduces bronchial reactivity. Side effects of montelukast are very few like restlessness, irritability etc. I hope this answers your query effectively. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Please accept my answer in case you do not have further queries. Wishing you good health. Regards"
},
{
"from": "gpt",
"value": "Target: Child suffering with asthma, takes levolin and seroflow pump during attack, prescribed telekast. Side effects?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2 year old son has a bruised soft bump seems to be covering a hard bump on his lower mid spine and has had it for at least 2 months now. I took him to the doctor when I first noticed it and she said it looked like it may have been slightly injured. It still hasnt gone away at all should I be concerned? Doctor: Hi... by what you got I feel that It could be a lipoma or as it is in the midline, it could also be a dermoid cyst.Though as of now there are no neurological symptoms or weakness of the lower Limbs I suggest You consult your pediatrician and get an MRI spine done. I am suggesting this to rule out spinal pressure or spinal extension of the swelling.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes bumbs on the spine of a baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I fell down a few stairs about a week ago. The first day I had a small grey bruise on my rear end that was tender to touch but otherwise not painful. A couple days later it was a but more sore so I checked it out. The bruise had turned a dark purple color and had grown substantially. Now the center of the bruise is white, pretty sore when I shift on it, and has a lump in the middle. Is this normal? Doctor: Hi,Welcome to HealthcareMagic.Bruise changing colour is normal phenomenon. But developing lump indicates that you have developed haematoma. It is collection of blood. For this you need to take drugs like aceclofenac with serratiopeptidase and antibiotics like cefixime till the lump subsides. Hope I have answered your query.Regards Dr Deepika Patil"
},
{
"from": "gpt",
"value": "Target: What is the painful bruise with a lump at the site of fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: For the first time in my life, I have back pain, sometimes sharp. It s in the upper right quadrant. I ve had it for a week. Sometimes it s in my upper right arm and right wrist too, but certainly not to the same degree. I m a 51 year old male diabetic (type 2), 190 lbs, 5 10, lost 20 lbs. I smoke. I don t recall pulling a muscle, especially since I lead a rather sedentary lifestyle. Thank you. YYYY@YYYY Doctor: first of all spice you life up go to the gym, do regular mild exercise have a walk for an hour keep you body toned. your bach ache will go away on its own its no big issue just have an active life style"
},
{
"from": "gpt",
"value": "Target: How can backache be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello mam, i m in first trimester and during my first month i would hav stomach pain as tat we get during normal menstrual cycl so had consulted Dr , now every week am adviced to tak 2 injection every week ,, the name of injection is lutegin 5000 ,an harmone injection could u please let me know if it is safe to continue,,m continuing it it noww, please do advice me ,, thanks,, Doctor: Hi, Thanks for the query under health care magic platform. I understand your concern. Lutegin 5000 is a human chorionic gonadotrophin...a pregnancy hormone essential for maintenance of pregnancy. It is given in first trimaster to maintain pregnancy & avoid abortion/ it is supplemented in assisted conceptions for good results./ it is also given to avoid abortion in case of history of abortion in past. . It is very safe in pregnancy. Please don't worry & take it as advised by your doctor. Thanks.."
},
{
"from": "gpt",
"value": "Target: Is it safe to take Lutegin 5000 injection during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Dr. Rangadhar(HOmeopath).....can u pls help about my foreskin problem which has retracted from its position to backword. It is pulling backword from over my glan penis because of which l lost my glan penis sensation cause of friction with clothes and also my penis is reduced in size ie, from 6.5 inches to 4 inches when errected.I am now 34 but the problem was start at the age of 18 yr. when i was in college, whenever I got errection i felt bad about it in crowd. I used to go in Urinary and pressed my penis by palm on top of glan penis to push it inword daily...after some days i noticed that my penis is pulling itself inword in body and the foreskin also retracted from its position. A time was come in my life when my penis was only half inches appearance from body...Because of shyness and fear i had neigher disscussed this problem to anybody in my family nor to the doctor. Then after in tha age of 20 I started masterbation..and kept pulling it out by hand for some time in the hope that I penis got reduced in size if I pressed it from top then it will definitely come out by pulling and stretching it out by hand. Some what i got success too but not fully because of my foreskin. Because whenever I stretched it out with my foreskin and kept it on glan penis it was never remain on its position but soon it got over from glan penis and cause of which this force is also applied to penis shaft too...and penis had got reduced in size. I observed that i had no sensation on penis, It was totally dead. No errection at all. but now I got some errection but not full. I went totally in depression but i didn t tell anyone about this,,but now i am married and my wife is very unsatified about it and she is warning me about divorce if not treated. My problem is 1)Very loose errection (impotency). 2) errection size is only 4 inches with thinner grith 3) foreskin is behind the base of glan penis. 4) Very low glan penis sensation nearabout nothing. 5) Premature ejaculation . 6)while penetrating it gets bend 7) very low strength to coitus.or copullation..can not satisfied wife 7)Testes also got shrunkken to very small size.8) scrotum bag pulling itself into inword direction.10)burning sensation while urin 11)feeling of not urinate fully some drops are there but not comming when goes to urine 12) I am totally depressed thinking that when this fact will get known to society what happen to me. this is very embarassing to me...Pls Doctor give me best solution from your experience of homeopathy . Is it treatable? How much time it will require. Can you tell me which medicine and how much doses have to take.If possible tell me the homeopathic doctor in the area where I live..ie, in Kodinar, dist Junagad, state- Gujrat. Doctor: hi mr narendra I am dr. rajendra I will suggest for skin you have to go for circumcision because it is a sergical case and for erectyle dysfunction homeopathy can give you very good results, DAMIANA MOTHER TINCTURE IS A GOOD SEX TONIC IN HOMEOPATHY. YOU CAN TAKE IT 20DROPS TDS IN LIKE WARM WATER. thank you"
},
{
"from": "gpt",
"value": "Target: Foreskin retracted from its position backwards, loss of glans penis sensation and erection, burning urination. Best homeopathic solution?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my sister and daughter seem to be allergic to most food and.only eat a handful of diffrent things they feel bad most of the time they have been to all kinds of doctors and they cant seem to figure out why this has happened and what they can to about it Doctor: Hi i do care for your concern. The immune system over responds to normal food substance causing this type of allergic reactions. You have not mentioned the age as some type of allergy will resolve after few years. I would advise to consult your dermatologist of allergy specialist and get tested for different substance that you might be allergic with. This usually consist of introducing small amount of antigen and to find out which one they are allergic. If found then de-sensitization procedure can be done to blunt the immune response. Hope this will help then a lot. Hope i have answered your question. if you have more feel free to ask. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes allergic reactions to certain foods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I HAVE COPD. I TRIED TO TAKE MUCINEX FOR MUCULS CONTROL. HOWEVER, I HAVE BEEN GETTING PANIC/ANEXIETY ATTACKS EVERY TIME I TAKE ONE OF THE PILL.IS IT POSSIBLE TO TAKE XANAX TO ALEVIATE THIS FROM HAPPENING.I AM 72 YEARS OLD, WEIGHT 179 LBS, AND AM 6 FEET TALL.DENNIS Doctor: HiThanks for using healthcare magicXanax contains clonazepam and it does not lead to respiratory depression. You can take it. There is nothing harm in it. It would help to control the panic attack. Along with xanax, you can also try some antidepressant or relaxation exercise, that would help to keep you calm. In case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: How to get rid of the panic attacks?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father aged about 69 years had angioplasty with two stents about 18 months ago and now he is advised Thallium stress test. He was having 3-4 operations for piles earlier and another operation for urinal problems and also for getting his intestine coming out from anus. Whether CT angiogrpahy is an alternative for the same? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No, both these tests, CT angiography and thallium stress test are different. These are not alternative to each other. Basically both are done for different purposes. CT angiography is done tomorrow know if there is any coronary artery blockage or not. Thallium stress test is done to know the amount of viable heart tissue, heart function and heart contractility. So thallium stress test is more useful to see heart functions while CT angiography is done to rule out coronary artery disease. Both are not alternative. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks."
},
{
"from": "gpt",
"value": "Target: Is CT angiography an alternative for thallium stress test?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a scratchy throat and coughing for a month now..i cough up phlem every day..but don't have head cold. all of a sudden my ear swells up around the mastoid and front. it feel tight inside of ear when I swallow. do you think ive developed and ear infection from cold virus Doctor: yes,most probably.this could be tonsillitis or parotitis or ear swelling ...infections of throat can travel to ear and vice versa ..if u have scratchy throat this could lead to tonsillitis or parotitis..so visit an ENT DOCTOR.."
},
{
"from": "gpt",
"value": "Target: Can a prolonged cold lead to ear infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,I have had lower abdomen pain off and on for about two weeks. I have not felt sick to my stomach. The last two nights I awoke and had to vomit. I have a history of UTIs and took a home test today and the leukocytes were positive but negative for nitrates. I do not have a fever but I am very tired. I am a 48 year old female and had my gallbladder removed ten months ago. I weigh 150 lbs and am 5ft 3in. Thank you. Jen. Doctor: Urinary tract infection is one of the most common cause for lower abdominal pain. UTI can preceded with fever or may not. Urine culture and sensitivity is highly helpful investigation for UTI. Treatment with antibiotics depends on culture report. Plenty of fluid intake is very much needed. tab. Nitrofurantoin is the gold standard drug in UTI."
},
{
"from": "gpt",
"value": "Target: What causes lower abdomen pain with positive for leukocytes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My query concerns electro-convulsive therapy. I have had 44 ECT treatments over the past year-and-a-half. I sense that I am cognitively diminished as the result. My defacto spouse says that I am changed for the better in terms of depression. I'm not sure that overall this is a worthwhile trade off, as I doubt I'll again be employed in a professional capacity. My question is: what percentage of ECT patients feel cognitively diminished (beyond short term memory loss) and has there been any systematic evaluation of such? Doctor: A good news for you is that there are no report of memory loss after electroconvulsive therapy (ECT) beyond short term memory loss.ECT is quite safe procedure, it's wrongly stigmatized with lot of misconceptions. Most common side effects are memory loss and headache for few hours after ECT. You may have memory issues because of some other ailment. Provide me more details about your health, so that we can identify the cause of your complaints. Regards,Dr Arun"
},
{
"from": "gpt",
"value": "Target: Can electroconvulsive therapy cause short term memory loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have an infected cut on my leg, i have treated the wound and kept it clean. I am beginning to worry now as it is very painful and my ankle has begun to swell leaving it difficult for me to walk and put pressure on my foot. What steps would you advise me to take now? Doctor: Welcome to HCM.I understans your concern.I would advice a patient coming to me with such complains to keep his leg elevated.Avoid contact with water.Antibiotics like ceftum twice daily for 5 days.Application of ice pack at swollen site and lab investigation like haemogram to rule out any infection in blood.If swelling does not reduce even after these measures it would be best to take opinion of general surgeon.Hope i answered your queries.Thanks and regards."
},
{
"from": "gpt",
"value": "Target: How to treat infected cut on leg causing pain and swelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: ive got a rotten wisdom tooth that i need to get out, recently been casueing alot of pain...although now i have a largish lump or swelling at the bottom of my gum and a lumps in my neck under the area...i am having xray's done, but i just wanted to ask it you if you think the lumps are from the infected area, or if it could be throat cancer? i am female, 28yrs, i do smoke and have been heavy drinker in past, i weigh 55kg... Doctor: Hi, dear don't worry at all for cancerous lump.My Diagnosis- -Its all due to lymphadenitis of JD glands due to infected wisdom gums with chronic gingivitis.Treatment advised by me under care of your family GP-1-Listerine gargles x 3-4 times a day - specially post meals .2- tb oflox-Oz 200 -antibiotics-x5 days with tb diclofenac.3 Zytee gel locally.After it subsides wisdom extraction by Dental Surgeon would remove your worry for lifetime.Hope this solves your query.Well come to HCM for any more help you need.Good Night."
},
{
"from": "gpt",
"value": "Target: What causes lumps at the bottom of gums?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i had a fourwheeler accident and i landed on my lower back. there is a huge bruise but no serious pain. i can move around and bend over and no serious pain. tightness, slight pain, and some swelling are the symptoms. should i be worried about it possibly being a serious matter and have it checked out or can i relax and let it heal with time Doctor: Hi Welcome to healhcaremagic After going through your query I concluded that you got soft tissue injury to your back leading to bruise and muscular injury. Treatment of it is rest and analgesic such as ibuprofen for pain relief. Vitamin B and C are helpful in recovery. Thrombophobe gel application over bruise without rubbing help in early resolution of bruise. There is no need to worry much, it will resolve with time. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link:https://www.bit.ly/askdrsudhirorthoWishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes tightness and swelling in lower back after an accident?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was eating chips this friday and cut my gum between the canine and lateral incisor. It is minimally swollen and there is a small red dot where I cut it, it does not bleed, but its slightly sensitive when flossing. Is there a way to know if there actually is something under my gum, and what are the best actions, im doing a thorough cleaning and using peroxide. Is it too early to draw any conclusions? Doctor: Hello, Thank you for consulting with HCM.If you observe a small cut on your gums it can be a small traumatic ulcer which has occurred because of trauma with this chips that is why it is only slightly sensitive.There is nothing to worry about it as if it would have some abscess or something deeper then there must be a sharp pain.You just have to apply a topical anesthetic gel like mucopain or pansoral that will give relief from symptoms.Hope it will help you."
},
{
"from": "gpt",
"value": "Target: Is it a matter of concern to have sensitivity, swelling in gums after cutting it while eating chips?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi yesterday i had one tooth extracted from top of my mouth at the back, since then i have been in a fair bit of pain,i cant chew and it hurts to swallow. where my tooth was,is now swollen red and there is white/yellow spots. i'm not sure if its normal or not? thank you for your time. Doctor: It is normal process for body to repair and heal a wound. Any injury like extraction will definitely cause swelling,pain, and redness.Do not keep inspecting the site with finger and tongue,.It will heal in 7-10 days.Do not smokeTake medication prescribedWarm water gargle thrice daily Brush carefully avoiding the extraction site.chew on the other side of the mouth left/ right i mean.If it persists more than 5 days, check it with your dentist.regards."
},
{
"from": "gpt",
"value": "Target: Are pain, redness and swelling normal after tooth extraction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I went to the dentist yesterday and had 7 cavities filled and got 10 shot and now today my face is severely swolen, and my jaw is so painful I can barely talk. I've had cavities filled many times before and this has never happened. Should I go to a doctor? Or is this normal? Thanks. Doctor: Thanks for your question..!Please note, if you have undergone fillings for your teeth. You will generally not get any pain and swelling post procedure. However due to errors in Anesthetic injection procedure you might have developed swelling in the upper jaw region.You can revisit your dentist instead of your physician, who can handle your situation by providing pain killers and drugs to reduce the swelling."
},
{
"from": "gpt",
"value": "Target: Is it normal to have severe swelling and pain after having many cavities filled ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer yHi I have been experiencing chest pain and episodes of shortness of breath I am asthmatic and last year had mycoplasma pneumonia, I was born with a pectus excavatum (chest wall deformity), I also have low lung capacity. I have seen a heart specialist and they can’t seem to find anything wrong with my heart, I have had echo’s, heart ultra sound, blood pressure and they all came back fine. I do however have inappropriate sinus tachycardia. What do you think is causing this pain and shortness of breath; I am going to see a lung specialist soon. our health queries right now ? Please type your query here... Doctor: HelloThank you for asking in HCMOne thing is that you have excluded several heart diseases that can cause chest pain and difficulty in breathing.Given that you say that you suffer from asthma and you have a chest deformity i think that going to a pulmonologist for a consultation is the best thing.The lung doctor may perform you a test called SPIROMETRY to reevaluate your lung function and to decide further for the treatment.Thank youDr.Jolanda NikollaPulmonologist"
},
{
"from": "gpt",
"value": "Target: What causes chest pain and breathlessness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter flew to coloroda on a ski trip over Christmas . While there she had a seizure, she was stressed out about flying for the first time, an trying to learn how to ski. She had alcohol the night before, she was fatigued from skiing the first two days. She started her period the morning of the seizure. Also the altitude difference from Tennessee to coloroda. She had never shown any symptoms of seizures before. Could all of these triggers have caused the seizure? . Doctor: Your daughter needs to be evaluated by a neurologist to find the best answer to your question on seizure triggers. Mild fatigue, changes in oxygen concentration due to altitude and occasional alcohol use do not usually cause seizures."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for seizure disorder and stress"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there, i have a lump on the back of my neck, i frequently get headaches, and often these headaches are accompanied by nose bleeds, the headaches can last whole days and im getting worried, im 20 years old, medium height, weigh 65 kg and im male, please help me cheers Doctor: Hi, dearI have gone through your question. I can understand your concern. It needs examination first. You may have some lymphnode enlargement, cystic lesionor soft ttissue tumor. After examination if necessary go for fine needle aspiration cytology and then 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 treatment for lump on the back of neck"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 21 year old female, 5 10, maybe 155lbs. I have noticed slight numbness in hands and feet that comes and goes, and just noticed swelling behind my knees it is not painful. In addition my arms and feet have become more prone to totally falling asleep. Medical history includes heart problems- I also just moved to china where it is difficult to eat well. Doctor: Hi, I think you should get your spo2 checked in both upper and lower limb very week. If it is below 90% you should consult vascular surgeon. Because if there is decrease in blood flow it may cause numbness in hand and feet. You have not mentioned about parasthesia and pain. If you have that than should met MRI spine and vitamin B12 level check. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Gaurang B. Shah, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes recurring numbness in hands, feet and knee swelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi for over a month i ve been feeling numbness in both sides of my face and half my forehead with some pressure in both sides like somebody been pulling my hair but no headaches or pain at all and two days ago I have been waking up with a red eye in my left side the only time that numbness and pressure goes away is when I get off the shower and laydown for a while but then they come back after a few minutes Doctor: Hello dear,I can sense that you are a bit anxious about these things.Precisely,your symptoms of numbness on the whole face and feeling pressure on one side of forehead does not have any localising value for any organic disease.Also,the way it goes on taking a shower and lying for some time and then again returns,also points towards a non-organic disorder.This seems to be psychosomatic in nature.You should see a psychiatrist.I hope this could be of help."
},
{
"from": "gpt",
"value": "Target: What causes numbness on both sides of the face and forehead?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have found a hard, non-movable lump underneath left-side of collarbone. I believe it s the infraclavicular lymph node that is swollen and hardened. I ve done some very preliminary research but wanted to inquire as to the possible causes other than lymphoma or breast cancer. Thank you very much for your time and attention. Doctor: welcome to Health care magic.1.No, breast cancer will not be seen in supra clavicular region generally.2.I would think in terms of lipomas initially - if there are no primary pathologies known to.3.If any primary pathology is there then i would think of a lymph nodal mass.4.In any case an ultrasound scan would figure out the content of the lesion and the extensions and involvement of adjacent structures.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: What is the hard non-movable lump below the collar bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my wife has a blood disorder I am not sure what it is called she is seeing a cancer doctor ,her problem is she is low on platelets she had atransfusion of 2 pints a week ago and has already lost that she had a scope down the stomach to see if she was bleeding she was not ,the doctor has been giving her antibiotic transfusion also.she is real weak and she has been diabetic for more than 20 years she is 52 and I am very worried I am going to talk to doctor Monday was wondering if you would have any suggestions Doctor: Dear sir, Please note that consulting a hemato-oncologist does not mean the patient has cancer. I am a hemato-oncologist and nearly half of my patients suffer from benign blood problems. Even if she has a cancer, there is no need to get very much upset. Many of blood cancers can be treated easily, as excellent medicines which are available now. If after platelet transfusion there is no increment in counts, there is a high probability of a benign disease called as immune thrombocytopenia. For diagnosis of this problem a thorough history of symptoms, clinical examination of patient and careful look at peripheral smear would be needed. Sometimes we may do a bone marrow examination, if there suspicion of any other problem. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat"
},
{
"from": "gpt",
"value": "Target: How can low platelet count be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Doctor,After MRI's and I think Mra's with and without dye enhancement, I received the following comments.May represent Chronic Microvascular Ischemic Disease. Ischemic changes also seen in the pons. No abnormalenhancement is noted. Small pineal cyst is seen. T 2 and Flair hypertensities involving both Centrum semiovale, corona radiata and periventricular white matter likely represents ChronicMicrovascular Ischemic Disease. This test was done to investigate recent memory decline and concentration problems. I have suffered from Dystonias and retricollis for years. There is much more now.I won;t address these now but if you are available to help me I need someone help me put it all together. Doctor: hi this is called vascular dementia due to decrease blood supply to certain region inthe brain leading decrease memory called alzehimers diseses"
},
{
"from": "gpt",
"value": "Target: Diagnosed chronic microvascular ischemic disease for memory decline and problem in concentrating. Explain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Curious, if you could give me some answers. For the last 2 months we have been trying to get pg. April 12 had my cycle, so not pg. This month having tenderness in breasts, some items dont appeal to me (smell), queasy, (I havent thrown up) different times of day for last wk. However 6am today woke to spotting when I wiped not normal cycle and havent even used 1/2 of one pad today. Im extremely tired (wore down) today, possibly just cuz Im bummed a little. But any idea whats up with this? Could I be pg, just having Decidual Bleeding or implantation occuring? Thanks for any suggestions, help. CJ Doctor: Hi, Thanks fir the query.I understand your concern. There are two possibilities wuth your spotting around periods along with breast tenderness since few days -In case bleeding is scanty &stops in a day or two ( unlike routine period) ... and home prennancy test with a clean urine collected in a clean container ..done after a 8 days later turns +ve.. you are pregnant. -OR -Breast tenderness could be premenstrual .. &the spotting may be followed by normal menstrual bleeding...the menses may get few days late due to anxiety of getting pregnsnt. *please don't be scared ...provided both of you are normal (checked for fertility-before planning for a baby) you will conceive in months to come. Thanks."
},
{
"from": "gpt",
"value": "Target: What is the problem in getting pregnant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has what looks like a blister filled with blood on his inner thigh. It fills up and bleeds . We put pressure on it and a bandaid. It fills up again and so on. Now there appears to be brusing near by it which to me indicates some bleeding. My concern is cancer . His father died from melanoma . So I am looking for pictures with diagnosis. Doctor: Hi Cyoung, Thanks for writing in to Healthcare Magic! One important thing is if it developed suddenly say overnight or after a strenuous activity it is unlikely to be cancer rather it is just a blood filled bruise and will subside in a week. If it has been there for quite some time say over a week's duration and if aroused from a mole or he has similar lesion else where then he may be having a melanoma particularly in refence to strong family history and you must visit to a dermatologist as soon as possible. It would be helpful for me to provide a stronger opinion if you could load a photograph in a follow up query. If you have any further query please let me know I would try to answer it for you. Wish you a great health!"
},
{
"from": "gpt",
"value": "Target: Blister filled with blood. Cancer? Melanoma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband is a male,44 years.he had irritation in his stomach ,black stools for past 6 months.he took endoscopy today and impression shows :Mild Lax LEs with prolapsing gastric mucosa.Corporal gastritis....H.pylori:positive.and our doctor reccomend HP kid for 14 days and asked to come again.what is this.anything serious.is this lead to stomach cancer?please help us to overcome.shall we get any better treatment anywhere?suggest us sir please.....thank you. Doctor: Welcome to H.C.M. I am Dr Krishna Dubey.My dear friend, you do not need to worry because this is very common stomach problem and easily treatable. Important thing that you should remember is diet along with medicine prescribed you treating doctor. Avoid spicy foods, tea, coffee, alcohol and smoking.You are getting good treatment because this HP kit contain all important medicines including antibiotics and antacids.So just complete this course and strictly follow diets.Your husband will be fine soon.Thanx for query.Please reply."
},
{
"from": "gpt",
"value": "Target: Should I be worried about my husband's stomach conditions?"
}
]
|
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