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{
"from": "human",
"value": "Source: Patient: Hi, I am Ritobroto from Kolkata. my baby is 4 years old girl. From last few weeks she started complaining about pain inside her ear. Almost everyday she complains it. But within a few hour she forgtes about it starts playing around. Initially we thought she might be fooling us but since she had serious ear-pains 2 times in last year(due to cold, as doctors said) we are a bit worried about this complain. Can you suggest advice something Thanks Ritobroto Doctor: Hello Ritobroto. I just have gone through your query. First of all never take your child's problem for granted. By doing this you unintentionally are loosing her faith in you. Always listen to your child and try to help her as much as you can. Try to believe in your child in her every single concern.Anyhow as you said that she suffered 2 times from severe earache due to cold. I would suggest you to please get her ears checked from a good ENT specialist in your area. Only after that we would be able to judge what is wrong with her.There might be infection leading to pain, or any blockage or only earwax might be troubling her.I hope this helps you. Dr. Tripat Mehta"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for earache in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I noticed that in the flaccid state my corpus cavernosum is hard. This problem seemed to occur out of nowhere and has lasted for 2 years. Just now it is starting to cause pretty constant discomfort/occasional sharp pain. Everything else seems to be completely fine, no testicular pain , no discharge , no sores, just the hardened corpus cavernosum. Any ideas? Thank you Doctor: Hi,I would suggest that you have an ultrasound scan of the soft tissues of penis without and with a pharmacologically induced erection. This would be able to tell you if there is a plaque along the corpora cavernosa in which case you probably have an entity known as Peyronie' disease which is associated with induration of the penis with mild to moderate discomfort in it's initial stages. This test will also be able to quantify the blood flow to the phallus and indicate if there is a likelihood of erectile dysfunction which often coexists with Peyronies disease. The treatment would eventually depend on what is detected on the scan.Hope I have been able to help you.Regards."
},
{
"from": "gpt",
"value": "Target: Hard corpus cavernosum in flaccid state, discomfort, occassional sharp pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have consumed Regestrone 5 mg tablet to delay periods before two days (5 tablets) of my regular period date.However after eight days I check pregnancy test which is positive.Please let me know will it be okay to continue the pregnancy, will there be any harmful effect for child. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Progesterone is safe drug in pregnancy it does not cause any obvious problem in pregnancy, rather it is necessary for a successful pregnancy as produced by body during pregnancy. It is even some time prescribed during pregnancy to avoid loss. So no worries about that. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mahboob Ur Rahman"
},
{
"from": "gpt",
"value": "Target: Is it safe to continue pregnancy after consuming Regestrone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Partner gets a red rash that gets itchy after sex and for few days after. Been together 3 an a half years but has only been the last 3/4 months that this happens. On hotter days he does suffer with jock itch quite bad. What could be the cause of this? Doctor: dear,Rash after sex is highly unlikely as a just sex being a direct cause. Here we do need to rule out the possibility of contraception methods not suiting you, if you are using one.For which, I need to know what method do you practice and does the rash appear immediately after the act, or how long following the sex?there is a high possibility as well for it to be just a seasonal topical skin infection, intros case the rash may be associated with bouts of intense urges to itching. Here in this condition. however it may have no relation with the sex at all. meaning, it's exacerbation or appearance will not be in relation to sexual acts or its timings.treatment: if contraception method is the culprit, then in this case I advice you to change the method.if it's an infection of skin, I advice you a \"itch guard\" a topical anti fungal ointment, which will cure it within a week.For a definitive dignosis I need to see the lesion, therefore I suggest you show it to a dermatologist.hope I have satisfied your problem.thank you"
},
{
"from": "gpt",
"value": "Target: How to treat rash and itch post sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Well I am trying to figure out what is wrong with my boyfriend every couple of months he has these spells Where he starts Sweating really bad but he is really cold at the same time he can t hold down and fluids and he vomits these spells usually last a1 to 3 days... No matter how many time we go to the ER the can t figure out what is wrong with him... The just keep asking him if he does any drugs or drinks which HE DOES NOT... What could it be? Doctor: Hi,Thanks for writing in.It is possible that he is having rapid cycling vomiting syndrome. Cyclic vomiting syndrome is characterized by episodes of severe vomiting that have no apparent cause. Episodes can last for hours or days and alternate with relatively symptom-free periods of time. Each episode is similar to previous ones, meaning that episodes tend to start at the same time of day, last the same length of time and occur with the same symptoms and level of intensity.It will help to consult a gastroenterologist and get examined clinically. Treatment involves managing symptoms and lifestyle changes to help prevent the events that can trigger vomiting episodes. Medications are to be given at the time when he starts feeling nausea and the vomiting episodes might be controlled."
},
{
"from": "gpt",
"value": "Target: What causes vomiting and dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was diagnosed borderline Sjogren s a few years ago, no major problems other than dry eye , mouth, nose and skin. In this recent heat I have developed swelling in ankles and now some edema in knee , and am thirsty. I also got a case of thrush from dry mouth and am treating with Rx lozenges. Not sure if I also have a UTI as I hav a little urgency, but no burning. I plan to see the MD but in the meantime, I am worried could this be kidney related? I have no other complaints. Doctor: Yeah it look like kidney relatedGet few investigation dobeRenal function testUltrasonography of whole abdomenLiver funtion test24hrs urine proteins.electrolyteTreatment-avoid nephrotoxin drugsTab-ciplox 1tab twice a dayTab-dytor 20mg once a day if blood pressure suitableTab.rablet 1 tab once a day before breakfastGet ur blood pressur regular checkedNephrologist opinion"
},
{
"from": "gpt",
"value": "Target: Borderline Sjorgen's, have dry eye, mouth, nose and skin, excessive thirst, swollen ankles, knee edema, frequent urination. Kidney related?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I wore a holter monitor for 48 hours. I had 15 triple pvc s and 12 double pvc s during that time. I also experienced a reverse electrical shock. it started in my chest and went down my left arm. Felt just like 120 volt shock does but in reverse. My arm was numb and felt as if it went to sleep for several minutes after the shock. I had a full stress test with no signs of heart damage. I have a long family history of heart disease. Doctor: HelloThank You for contacting HCM.Electric shock damages your nerve endings resulting in numbness & pins needle sensation. It takes 2-3 weeks to regain normal activity. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: What causes numbness in hand after an electric shock?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i keep getting a sharp shooting pain through my chest so sharp i have to grip it till its gone. but its on my right side right now, but its just a dull ache and its in my right shoulder and right side of my neck its all on my right side bit shoots across to my left side every so often and the middle of my chest. i dont want to go to the hospital and waste any time or be there till 3am to be sent home feeling silly and i dont want to call nhs either. any ideas what it could be and how to shift it? i dont have heart burn i dont feel sick i dont feel sweaty my skin is as warm as it can be in this weather i feel alert its just the sharp pains that are really worrying me Doctor: Hello! Welcome and thank you for asking on HCM!Your symptoms could be related to a musculo-skeletal pain or a pinched nerve. For this reason, I would recommend avoid neck movements and take painkillers like ibuprofen or acetaminophen. I would exclude any cardiac disorders, because your symptoms are not typical of any cardiac issues. If the problem persists, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a chest X ray study- a cervical spine x ray study- complete blood count, PCR, ESR for inflammation- a nerve conduction study to exclude a pinched nerve. A cervical spine CT scan may be needed to exclude a cervical disk herniation. Hope to have been helpful!Wishing good health, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in right side of chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have had severe pain in my right kidney area for 2 days, I have had kidney stones before and that is what I thought it may be but just a couple of hours ago I peed a little and it smelled horribly, unbelievably sickening and I do not remember that happening when I had the stones before, I cannot eat or drink Doctor: Hi,It seems that there might be having urinary tract infection along with kidney stones.There is a possibility of stone coming down producing this problem as well.Take plenty of water.If needed go for one antibiotic medicine course.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What could be the reason for pain in right kidney in a person with a history of kidney stones?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, These days I feel dizziness and lightheadedness or lack of focus and concentration as if I m doing everything in sleep. Few days back I had ear pain after recording a song. I was so stresses and depressed after this though two ENT drs said that my ear is all ok and given me some medicine and don t have pain now. I am still taking medicine During the same period my mom fell ill seriously and I was feeling so anxious coz of negative thoughts. Now everything is fine but very often I still feel dizziness and as if I m doing everything in sleep ( I don t know what s this called ) also feel anxious, shivering hands (in the morning especially) and sometimes trouble in sleep though I was not having this before. I am doing meditation to rid of negative thoughts. Symptoms are not as sever as before but still there. Please help me to understand what s this. Doctor: In my opinion u need to check blood sugars, lipids , thyroid levels. There is a possibility of depression as well. Start on small dose of antidepressants and low dose Benzodiazepines. One can also undergo cognitive behavioral therapy with therapists."
},
{
"from": "gpt",
"value": "Target: What causes dizziness and lack of concentration?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: \"Hi Doc, This is suparna from calicut. I have been in mental stress past few months and now i cant concentrate in my work or anything. I am always confused. Its like i do not know at times what i'm doing, for what am i doing and all. I get so angry at times. Most of the time i'm sad. I even dont know the reason i am sad for. This kind of behavior of mine scares me and my parents also. Please advice me what to do.\" Doctor: hi suparnaI had gone through your query.Here some tips to handle daily stress.execrcise meditationdeep breathing and hyperventilationproper sleepstress free activitydo pleasurable activitymusic and hobbiesdiscuss with friendssee all thing with different anglepositive outlookconfidence all this will help you to counter daily stress.Medicines like etizolam is helpful to reduce stress and anxiety but you have to do consultation and take advise before taking any medicines.Thank you.Get well soon.Take care."
},
{
"from": "gpt",
"value": "Target: How to overcome mental stress?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just noticed my two year old daughter has what I m guessing is a scab on the inside of one of her earring holes. I rubbed her earlobe and could feel a little ball on the inside. She s had her ears pierced since she was 5 months. I haven t noticed any puss or redness to it either. I cleaned it with the piercing solution I was given and put the earring back on but she wouldn t let me look at it long enough to see if the scab would easily come out. What should I do? Is this something I should be worried about? Doctor: not to worry much as this is benign condition like keloid or just a sebaceous cyst!if really worries you can go for an FNAC test for confirmationall the best!"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump near ear piercing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a nursing student in second semester. I had a patient today in clinical for a GI bleed in the duodenum evidenced by endoscopy. Pt. history includes HTN, hyperlipidemia, osteoporosis, hypothyroidism; My question centers on the relationship of pt's lab results for RBC's, Hct, Hemoglobin, and PTT. RBC's = 2.82; hematocrit = 24.9; hemoglobin = 8.2; PTT = 33.7. I believe that the RBC, hematocrit, and hemoglobin values are explained simply from loss of blood (are there any other possible causes for these low values?). However the PTT is high indicating thin blood. (With the exception of any heparin drips pt. may have been on or any other blood thinners, could a loss of blood result in thinner blood?) Doctor: Thanks for query.blood loss may not result in significant raise in PTT.PTT is raised in warfarin heparin use .clotting factor deficiency.liver diseases etc.30 to 50 sec is normal reference range."
},
{
"from": "gpt",
"value": "Target: Causes of low values of RBC, hematocrit, hemoglobin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 23 year old white male, and partially overweight. I have been at school and work for 3 days since the start of the quarter and am doing 14-15 hour days on my feet and walking around. This is walking from class to class and then working at a retail store as a cashier. I m just getting over a soar throat with a cough. Ive been using my normal clothes and same shampoo and soaps etc. At around 5pm (now being awake and moving for 10 hours doing my routine schedule) i started feeling heat on my legs it progressively got hotter on the extremeties of my body, including my face, ears, arms and legs. They are red blotches. Some of them are itchy and irritated but not all of them. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It looks like Keratosis Pilaris, it occurs due to dry weather though infection can always be the cause. You can use calamine lotion/topical corticosteroids. Take antihistamines it will subside if its some allergic reaction. Do not use strong soaps & take regular shower. Take Amoxicillin for sore throat & use plain saline water for gargle. Do not scratch, get your laundry washed & take care of your hygiene. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K."
},
{
"from": "gpt",
"value": "Target: What causes an outbreak of itchy red blotches on the face and arms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a soft squishy lump, about 1/2 inch diameter on my lower left calf that protrudes only when I am standing. When I am not putting pressure on my leg, there is a slight indentation in that spot. The lump does not hurt, although sometimes after exercise the area aches. I noticed that in the exact same spot on the opposite leg, there is an exact same type of lump, although not nearly as pronounced. I have been an athlete all my life, in great shape, 54 years old, no disease history or current health problems. Doctor: Hi,Welcome to HCM.Based on the facts of your query,as the lump on left calf with slight indentation at the spot ,which is painless which appears only on standing and with similar lump on the opposite leg,it seems to be caused from Varicose veins due to short saphenous incompetent vein valves.Through out the life as an athlete you did not get this,but with aging and addition of increased intra-abdominal pressure,these Long and short saphenous veins have become incompetent lately,which needs to be investigated and investigated after Venous Doppler study and treated from a Vascular Surgeon.So don't worry it.Consult your Vascular Surgeon,after consulting your Surgeon and GP doctor, who would treat this lump with all the care it needs.This reply would resolve your current issues and would reduce your anxiety with it.Hope this reply would help you to plan treatment with your doctor.Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: What causes squishy lump on the calf that protrudes while standing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a sharp pain in my lower right abdominal area for about a month. It comes and goes, but recently once it comes on, it seems to stay. A few times it has radiated upward in my abdomen . The pain is sharp, sometimes throbbing, but not disabling, enough to make me take notice and wonder what it is and why it doesn t go away. I don t seem to have any other symptoms. Doctor: Hi, Welcome to HCM, From history it seems that you might be having chronic appendicitis giving rise to this problem. Consult surgeon and get examined. Go for ultra sound to get correct picture of your problem. Avoid constipation. Take plenty of water. Ok and bye."
},
{
"from": "gpt",
"value": "Target: Abdominal pain radiating upwards. What is it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had what I thought was a rib that perhaps had a hairline fracture. It hurt when I turned or breathed deep. Then, I developed a hoarse voice, what felt like bronchitis, and then, yesterday, a fever. Today, I had straight blood coming out of my anus after a bowel movement. Just a minute ago it happened again, and I had only urinated. My fever is gone, but I still feel weak and have a pretty unproductive cough and tightness in the chest. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, possibility of bronchitis is more in your case. Most common cause for this is viral infection. Bronchitis causes bronchospasm and this causes chest tightness, cough, breathing difficulty etc. You will improve with inhaled bronchodilators and antibiotics. Steam inhalation 4-5 times a day is also beneficial. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bronchitis along with cough and fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I've done liver function tests a couple of times in the last 2 weeks. I've higher values of ALT (Liver Function Test). Value varying between 65 and 85. Can these values be brought to normal just be improving my diet?I'm 31, Male, smokes 5-8 cigrattes a day. I'll be grateful for your advice. Thanks Doctor: Hi welcome to HMC. thank you for posting your query. yes, ALT levels can be brought down by lifestyle changes and regular physical activity. ALT is the most sensitive indicator of liver cell injury. elevated ALT levels occur in fatty liver, hepatitis, liver cancer,cirrhosis.liver problems can also cause kidney problems, heart problems, strokes.i advise you to avoid alcohol completely and quit from smoking, have a healthy and balanced diet. avoid fatty foods. go for regular increased physical activities, if you have diabetes keep the blood sugar levels under control. go regular check ups from your doctor."
},
{
"from": "gpt",
"value": "Target: Can ALT values be lowered just by altering diet habits?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, last month my period was late and very light when it arrived (unusually so). I am now over a week late again, I have severe bloating (compared to normal) achy legs, nausea and indigestion (which I have never suffered before) as well as tender breasts. Pregnancy test a couple of days a go was negative. Felt sharp pain during sex which is also unusual. I was diagnosed with slight hypothyroidism last year and up until last month was on 25mg levothyroxine- my dose was increased to 50mg as I was feeling like the 25mg wasnt working. I have recently stopped taking contraceptive pills (2 months or so). I understand that my hormones may be a little out of kilter but worried it might be something else? Don't know whether to stop taking the levothyroxine and see if my period comes! Doctor: Hi, Thanks for writing to us. The chances of pregnancy in your case may be there. You should not stop taking levothyroxicin because you are a case of hypothyroidism. You should consult a gynecologist for urine, blood test and ultrasonograhy to rule out pregnancy. Good luck. Take care."
},
{
"from": "gpt",
"value": "Target: Irregular periods, stopped contraceptive pills, pain in legs,nausea, bloating, Hypothyroidism. Taking levothyroxine. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had severe abdominal pain last night--cramping---ran downstairs to bathroom--when I got there the room was spinning and i knew that my blood pressure was severely dropped--so i layed on bathroom floor--eventually started vomiting--then huge loose bowel movement---i felt like i was literally going to die--i have an autonomic dysfunction with orthostatic hypotension and labile hypertension after the epidode last night my bp was 80/55 sitting---but i am sure it was much, much lower when i ran downstairs--my bp drops with pain--all day today i have felt really weak--what do you think happened Doctor: dear friend , symptoms seems of gasrtoentritis, if severe fluid lose or hypotension restore with iv fluid, take plenty of fluis with ors. use ofloxacin+ornidazole, omeprazole+domperidon, lactic acid bacillus[sporlac ds] and pain killer like aceclofenac+drotaverine tablets. if vomiting persists take ondansetron. take all on your doctors prescription.hope this answer will be helpful to you.for more queries plz don't hassitate to ask.get well soon dear frienddr.manu khimani"
},
{
"from": "gpt",
"value": "Target: Suggest cure for severe abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I live in Richmond, Virginia....is there a stomach or flu bug going around, and if so, how long does it last?I woke this morning with aches, chills, stomach cramping, headache, and feeling exhausted. Have been sleeping most of the day. I have no fever, in fact, I am a degree below normal. Feeling very weak and tired. Wondering how long this will last. Doctor: HI, thanks for using healthcare magicYour symptom are in keeping with an infection, likely viral possibly the flu.In general symptoms last 1 week to 10 days though fatigue can persist weeks after the other viral symptoms have resolved.There are over the counter medications that can be used to help to relieve your symptoms.Paracetamol would help with your headache and stomach cramping.Rest and using enough fluids is also important.As other symptoms develop then medication can be used.I hope this helps"
},
{
"from": "gpt",
"value": "Target: How long does stomach or flu bug last?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just received my blood work results. I am a 50 year old active woman - - - - BUN 20, CA 8.3 and WBC 3.8 - everything else is normal. I had blood work last Aug and no concerns. Should I now be concerned - what may have caused this difference? Thanks so much - K OK - just knew this was too good to be true. Such a shame! Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Its only on the lower limit of normal.2. Not to worry. If it is associated with infection, then its worrisome.3. Improvement in nutrition, particularly protein rich diet along with Vit B12 is necessary.4. Stay active with moderate exercises and nutritional diet. Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: What does WBC level refer to on blood test?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have been suffering with mild Sciatica for 3 weeks now, treating it with exercise and ibruprofen. The main symptom remaining is a numb left leg, specifically in the calf and foot. This morning one of my toenails has fallen off. Is this normal, or should I seek further medical advice and treatment? David Doctor: Hello, It is not related to sciatica.Consult a physician and get it evaluated.We have to rule out possible causes like vascular occlusive disorders also. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Is it normal for the toe nail to fall off due to sciatica?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Had bronchitis for over a month have sharp, burning pain on the right side lower ribs. It hurts to breathe and nothing seems to relieve the pain. Had two different antibiotic treatments for the bronchitis and tussicaps to help with the pain but now it seems worse than ever. I still have a slight cough but the rib pain is the worst. Should I go back to my dr? Doctor: Hi and thanks for the query, It would be interesting to do a control X ray for two main reasons. Firs the treatment might be inefficient, diagnose common causes of poor response to usual antibiotics like pulmonary tuberculosis, indirect signs of asthma and exclude any localized pneumonia, abscess or pleural effusion. A repeat clinical evaluation coupled with this X ray and a complete blood count, a sputum examination to exclude TB should be quite sufficient to make a definitive diagnosis. I suggest you book an appointment with your primary care physician or pulmonologist if need be for a proper clinical evaluation. Thanks and best regards. Luchuo, MD."
},
{
"from": "gpt",
"value": "Target: Bronchitis. Have sharp, burning pain on lower ribs. Had antibiotic treatments. Need your advise"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is a 5 yr cancer survivor (35 yrs. old, 5'8, 320 lbs, very active, farmer), Hodgkins Lymphoma. routine check up in December = scans normal - released to go one year til check up with blood work only. This weekend we found we are concerned with puffiness around lumphnode that was biopsied (right side neck, above collar bone) also where his port was - right side, very sore in that area. we have a sched. appt. with oncologist because of concern, is this something that can occur?? Doctor: Hi,Thanks for writing in.Puffiness in the neck area around the biopsy region might indicate either an inflammation of the lymphnode and biopsy area or thrombosis in the internal jugular vein.It is a concern and might require a ER visit. They will do a Doppler ultrasound scan and if it is a thrombosis then it must be treated immediately with blood thinners and the clot must be prevented from entering the superior vena cava which transmits blood from the upper part of the body to the heart. The chemo port area should also be examined. Any infection that is detected is to be treated with antibiotics. Pain relievers might be given if he is in severe pain. Please do not worry."
},
{
"from": "gpt",
"value": "Target: Why there is a puffiness around the biopsied lymph node area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had unprotected sex and thought I was pregnant so I took a pregnancy test when I thought the time was right but it came back negative. Ive been having horrible headaches and even a bladder infection. I just got my period but my minstrel blood is orange. I that a sign of pregnancy or is there just something wrong with me? Doctor: Orange blood? Did you had periods on time? Was it normal like 3 or 4 days? If upt negative, I think you are not pregnant."
},
{
"from": "gpt",
"value": "Target: Are headache and orange menstrual bleeding signs of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i want to know about autosomal dominant polycystic kidney disease....? what are the medicines should b taken and why if the disease appears in childhood , age 6 or 7 yr.....? also chances of survival & health education to the patient... Doctor: Hello and welcome to HCM.As an Urologist, APKD is an autosomal dominant kidney disease, meaning 50% of children with parents having this disease will get it. It can also be a recessive disease in children. The main finding is cysts in major organs, like kidneys, liver,spleen, pancreas, brain,blood vessels, etc.No medical treatment will revert it,once detected. The kidney function tests like urea,creatinine,urine routine and culture,micro-albumin,will give us an idea, about stage of disease,and if any surgical treatment can be done for complications. You can contact me for expert opinion,with reports.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for autosomal dominant polycystic kidney disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Dr.Rohit, Iam 42, 178cms in height and weigh 65kgs. I have warts on my genitals and was asked by doctor to apply podo wart solution. After the application the warts die out in about 2-3 days, but again reappears some times at the same places else other places around the tip of pennis. On my second visit the doctor adviced me to apply Tretinoin cram which is less irritation, how ever the wars persists. Can you please advice Doctor: Hello,Welcome to HCM,Human Papillomavirus (HPV) affects only the skin and it will be localized to the wart. Once the wart is cleared by topical application of cream you will become free from infection.It is transmitted to your partner, if you indulge in unprotected sexual activity during the presence of lesion. Once the wart is cleared by the topical medicines you can have normal sexual activity and you will be non infectious.5% Imiquade cream should be applied over the wart on alternate days for 4 months. Before application of this cream you need to apply Vaseline over the wart and then you have to apply the imiquade cream.Mean while you have to boost up your immunity which helps to clear your wart. To boost the immunity you need to take orally capsule Zincolac, daily for 30 days.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest medication for genital warts"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have recenty been on a holiday and suffered terrible swelling to my feet, ankles and calfs after both plane fights (This has never happened to me before). My feet are still slightly swollen and today a large vein in the back of my leg exploded. Do I need to go to a doctor Doctor: Hi,Definitely, visit doctor immediately.Only the doctor who will do your physical examination can tell you the treatment.He may advise you certain investigations like blood urea, serum creatinine etc.Also he may check that vessel which is causing you problem.Till then elevate limb, wear stockinet or compression bandage.Thanks."
},
{
"from": "gpt",
"value": "Target: Why my feet is swollen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am on Metpure XL 25 and Benitec 40 since last one year and maintaining BP at 130/80-85. Recently I have been diagnosed diabetic and started Pioj MF 15 (1/2 tab). My fasting sugar is 90 and below. Incidentaly my BP has gone down as low as 113/71...What I should do now with the above medicines ... Doctor: Helloyou should immedietly stop tablet benitec and continue only metpure,its sufficirnt to take care of ur bp"
},
{
"from": "gpt",
"value": "Target: Suggest medication for low BP"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my doctor recently said , unsure if its an actual diagnosis, I am hypoglycimic. I am puzzled because I ve been measuring my blood sugar levels and they seem to be in the normal range. 95-98 in the am, 105- 110 within a half hr. to an hr. after eating. I feel pretty awful after I eat, as if my sugar is off. UNsure of when I should measure and what I am looking for Doctor: Hello, The blood glucose levels mentioned (both fasting and after food) look absolutely normal. I am giving below the range of blood glucose levels for your information:1) Normal : Fasting : 70 to 110 mg / 100 ml, PP 2) Pre-diabetic : Fasting 108 to 125 mg, PP 141 to 199 mg / 100 ml, HbA1c%5.9 to 6.4 3) Diabetes : Fasting :126 mg and above, PP 200 mg and above & HbA1c%6.5 and above. Considering above criteria levels mentioned by you are within the normal range. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Prabhakar Laxman Jathar"
},
{
"from": "gpt",
"value": "Target: Suggest tests to diagnose hypoglycemia"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My dad has type 2 diabetes. He recently has been discharged from the hospital. He was prescribed ciprfloxacin 2 times a day, metroNidazole 3 times a day, & metroFormin 2 times a day. Today when I checked his sugar levels they were high (289). He has been complaining about a nauseous feeling in his stomach. Do I need to take him to Emergency ? Doctor: HelloThanks for usingHCM for your health problems.I read carefuly your question and understood your concern.You doesn't explained clearly why your dad was prescribed the antibiotic and antimicrobial therapy anyway i presume that it has an infection when he was discharged.The infectious disease and maybe the psychologic stress that is caused by the infection can raise the blood glucose in a diabetic person.His blood glucose is high and nausea can be a symptom of diabetic ketoacidosis.Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones.For this reason my advice is to check his ketone level in the blood and in the urine.If the result is positive you need to take hime in an Emergency Room as soon as possible because it can be dangerous if it is not treated. In most cases, people with diabetic ketoacidosis need to be treated in hospital.If the test of ketones in his blood and urine is negative,i suggest to consult an endocrinologist in your area because in my opinion the metformine monotherapy is not effective and it is necessary to add another antidiabetic drug.I want to remember that the diabetic diet and more physical activities(if not contraindicated)are other important elements for the control of your dad's diabetes.I recommend to not be negligent.Hope i have answered to your question.If you have further queries,feel free and ask.For treatment recommendations, and individual therapy,you can ask me at HealthCareMagic at my private link: bit.do/hcm-Dr-Xhardo.I will be happy to help.Take care."
},
{
"from": "gpt",
"value": "Target: What causes elevated blood sugar despite taking medication?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 3 in october and has been in the sun all day (with sun block on) and was shivering after his bath. I thought he was just cold after being wet but now he has vomited in his bed and probably has a little sun stroke. I gave him 5ml of Calpol should I do anything else? Doctor: Hi, this is probably sun stroke. You need to give child adequate rest. Also the child should be given more liquid diet so that dehydration doesn't occur. You can give paracetamol syrup for fever. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for vomiting and sun stroke in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am 47 years old female,i am going through menopause i m diagonsed with fatty liver im taking udiliv300 also i m suffering from vitd defficiency for which i m taking tabs bonecplus as i have pain in my knees and feet i m worried for fatty liver pls advice iam 5-7\" in height and my weight is 74kg pls advice Doctor: Hi welcome to the health care magic Continue udiliv tablet for fatty liver For fatty liver follow below instructions ... -Regular active exercise -loose weight -Avoid excess non veg and fatty meals -fruits, avocados, lemon juice, carrot, Indian gooseberry etc consumed more -vitamin E tablet also beneficial -Avoid alcohol -refined sugar restricted Regular follow up with necessary liver profile investigation needs to be done Take care Hope this will help you"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fatty liver"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor,i have pcos.lmpwas on 10th aug 2011.i took letroz from 3rd day of lmp.and now onduphaston from20th day of lmp.i did ultrasound on 26th of aug tht time two follicles were ruptured.i did home pregnancy test today .it was negetive.do i need another preg test. if yes,when should i do the test Doctor: Hi, thanks for writing..Take a pregnancy test on 10th september.. This is the time implantation occurs.. If negative you will get your periods soon. Take letroz from day 2 for 5 days.. Hope I have answered your query.. Good day"
},
{
"from": "gpt",
"value": "Target: When should i take a pregnancy test if follicles have ruptured?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having sudden onset joint and muscle discomfort, along with severe depression, ankle swelling and just generally not feeling well at all.. I m hypothyroid and take Synthroid 150 mcg each day. This is all very abnormal for me ...I am very active. Doctor: Hi Dear ,Welcome to HCM.Understanding your concern. As per your query you have muscle discomfort with ankle swelling and depression. Sometimes when ankle get twisted there occur soft tissue injury like ligament injury and sometimes fracture occur like green stick fracture which usually doesn't hurt when fresh , but with time the tissue get swelled and cause pain . Other reasons are gout , arthritis or thyroid problem. I would suggest you to take proper rest , do not put your weight on your foot , apply ice pack on it , take ibuprofen for pain , use braces or ankle stirrups and elevate your ankle on lying down . If condition doesn't get better in 2-3 days then consult orthopedic surgeon for proper examination . Doctor may order X-ray or CT scan and treat it accordingly by prescribing muscle relaxant and giving plaster . Doctor may also refer you to endocrinologist for thyroid problem . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes muscle discomfort with ankle swelling and depression?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi..my husband has been having continuous fever for last 5 days..its gets better with paracetamol but returns back to 102-103 as soon as paracetamol wears off...other symptoms are chills,rigors, running nose, body pain, and extreme weakness...his blood counts are normal...and blood culture is negative for malarial parasite as well as typhoid..can you suggest me some diagnosis?? Doctor: Hello there,If the usual causes of fever like sore throat, UTI, malaria are ruled out then the diagnosis left is viral fever. Viral fever presents with the symptoms that you have described and causes extreme weakness. It weras off in 1-2 weeks and all you have to wait it out. Please give your husband plenty of fluids and paracetamol 500 m.g thrice a day.Hope this helps,I would answer any further queris if you have any.Dr Arun A"
},
{
"from": "gpt",
"value": "Target: What causes fever for the last 5 days?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good day doctor. I have been diagnosed with cervical lymph node TB and I have been taking Rifafour tablets, all at the same time for five weeks now. At the beginning (the first three weeks) the painful and swollen lymph nodes appeared to disappear but later came back and for the past two weeks they have been there. They are painful and my internal jugular vein keeps bulging. Will I be fine in time if I continue taking my medication? Thanks in anticipation and kind regards. Setsile from South Africa Doctor: Hello. I had gone through your question and understand your concerns. Tuberculosis is a wide disease which can attack the lymph nodes, the lungs, intestine genitals etc. My first question on you is how it has been diagnosed? There are indirect tests of blood and direct tests like biopsy of the nodes. Tuberculosis is caused by Mycobacterium tuberculosis. Due to the particular characteristics of tubercle bacteria (acid resistent, slow growth, survival in macrophages), the clinic of the disease differs significantly from other bacterial infectious diseases. It means it needs a long term therapy for 6 months.Initial 2 months: isoniazid + rifampicin + pyrazinamide + ethambutol Continuing 4 months with isoniazid + rifampicin During the tuberculostatic therapy regular checks of blood count, uric acid, renal retention parameters and liver values must be made!Because of the side effects of the medication ORL and Ophthalmologist controls are needed as well.I wish you good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for painful lymph nodes when diagnosed with TB cervical lymphadenitis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a bump on my upper lip. It s been there for about a month and it lookd like a blackhead. I put acne spit cream on it but it didn t go away. The other day i started picking at it to see if i could pop it, but it got bigger and red. What can i do to make it go away? Doctor: Hi..Can understand your concern..As per your complain blackhead like bump on upper lip can be due to a bacterial infection or a Herpes virus infection, Acne, Fordyce's spot etc..As you popped and it got injured leading to inflammation and redness..I would suggest you to first get relieved of inflammation by applying a steroid based ointment like Prednisone 2.5% for reducing inflammation..It is better to consult a dermatologist and get clinically evaluated for the exact cause of the bump and treatment can be done accordingly..If it is a bacterial infection oral antibiotics like Amoxicillin 500mg twice daily and topical application of Triple antibiotic ointment like Polysporin can help..In case of viral infection Oral and topical antivirals like Acyclovir can help in preventing further outbursts..Fordyces spots are normal anatomical structures (Sebaceous glands) and for cosmetic purposes Carbon dioxide laser or electro dessication can be done..Acne can be treated with anti acne agents like tretinoin.Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for bump on upper lip"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i was cleaning the bath tub the other day and i stood up and my lower back on the bottom right started to hurt. that was almost a week ago. today i've had cramps in my lower stomach that kind of hurt. it feels like i have to poop a lot but when i go to the toilet it's very little. i take sleeping pills a lot because i have a hard time sleeping. i am over weight also. Doctor: Hi Welcome to HCMI have gone through your query regarding your concern over your back pain and cramp in stomach and sleep disorder and your obessity and ..... Dear your all of these sufferings are not sudden or god gifted !To be frank, they are earned by you through your lavish life styleFaulty irregular intake of food , lack of sound sleep , tention ,lack of regular exercise , are the factors leading unhealthy situations ,Proper nutrition is an integral part of a healthy immune system if we take simple ,fat free nutritious diet including all essential nutrients as fiber vitamins minerals, veges ,fruit antioxidants as garlic ,ginger onion -whole grain almonds ,walnut Amla , coconut water all help strengthening our immune system .and pave way for our disease free ,healthy life . Avoid fried , fast foods ,tea ,coffee alcohol meats colas , sodas as it can cause accumulation of toxins in the body and can enhnce further growth of any disease & hamper the process of healing.,Mental worry and axiety should be avoided at any cost as it slows down the healing process . Take good night relaxed sleep & Meditation , helps further . Exercise ,Walk , Yoga /Pranayam Deep Breathing give new life to our blood circulation and detoxify yor system . Avoid constipation as you know it is cause of all ills .Take Fenu greek / Bishop's seed with water for stomach pains and all types of pain . Coconut water being , low in calories, naturally fat- and cholesterol free, more potassium than 4 bananas Turmeric powder a tspoon with a cup of hot milk at at bed time . Lemon Juice before meal s twice a day .All above being Great antioxidants give resistace to body against diseases to adress all your prevailing problems . Hope it helps you to solve your query Take Care All the best Don't hesitate to get back if have further query ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lower back and stomach pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has been diagnosed with RSD. After she had two root canals done she immediately started having dramatic pain on the right side of her mouth. It may go away for a month and then it hits her again. She has been taking high dosages of Ibeuprophen and I know this is not good to continue this. She states it doesn t seem to help her. I believe she needs to see an RSD doctor. What would you suggest? Any relief she can receive for the pain? It is just unbearable....she is not sleeping nor able to eat much. Doctor: hi,thanks for your query.the pain your daughter complaining of pain might be because of the over extended filling that has been imposing on the nerve causing pain, or it might be even because of anesthetic injection causing nerve damage.please consult endodontist.hope this is helpful."
},
{
"from": "gpt",
"value": "Target: What is the remedy for dramatic pain in the right side of the mouth after two root canals were done for a person diagnosed with RSD?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a 44 y.o. male. I m about 5 11 , 190 lbs. I was diagnosed with a weak, enlarged heart about a year ago. Recently, I have this feeling in the middle of my chest (between my breasts) that something is leaking. This happens once in a while. However, NO PAIN. And it feels cold. Doctor: HelloThank you for asking in HCM I understand your concern.I do not thing that your complain is related with cardiac problems.It might be a gastrointestinal problem.May be a lot of gases in your intestine or an acidic reflux in your stomachFor this do the tests as follows:FibrogastrocsopyAn abdominal ultrasoundYou have to be careful with the food,no spicy ,no gases liquids,do exercises and i think you will feel better.According to the results the the specialist or GP will advise you further.Wish you good healthThank youDr.JolandaPulmonologist"
},
{
"from": "gpt",
"value": "Target: What causes feeling of fluid leaking in middle of chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I usually have irregular periods but for how irregular they are they re still consistently the same length and such. I feel and have felt like i was pregnant for about a month now and last night i had really light pink spotting. Right after i noticed, my fiancee and I had sex that was quite painful. Since then I have had bad cramps and more of a regular flow. Could I be pregnant or did i just get my period late? Doctor: Hello dear,I understand your concern.In my opinion it might be just a irregular or delayed period.But if the bleeding is less like just spotting then a urine pregnancy test might be needed.But if the period is normal flow then it is mostly a period.The cause of irregular periods like thyroid abnormalities,PCOD,overweight or obesity ,stress need to be evaluated.Avoid stress if any.Weight reduction in case of overweight or obesity is helpful.Best regards..."
},
{
"from": "gpt",
"value": "Target: What causes irregularities in periods?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I a couple hours ago punched someone with my fist (I wasn t fighting) but I hit harder than I meant to, and at first my whole knuckle area reddened on my right hand. a couple hours have passed and over time, I noticed the actual vein that runs between my ring and pinkie finger was purple and aching very badly. Is there any possibility I popped the vein? There isn t any general bruising, and my knuckles aren t red anymore, the vein is just dark purple there. and hurts when I flex my fingers Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, the fracture called boxers fracture occur in similar circumstances. the first thing you need is an X Ray of the hand to ascertain if you have any fracture or not. hurting the vein is a high probablity as the amount of trauma that can cause fracture always cause damage of small vessels and that is the cause of edema after injuryI hope that answers your query. If your want any more clarification, contact me back.Dr Narender Saini"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain and bruising after injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a bad tooth for a while, it s the very back molar on the bottom. I had a crown at one time and the crown cracked and came off some years ago. The gum around the area has been extremely sensitive for about a week and yesterday and today I started having pain in my upper right chest area and throat on the right side (same side as the bad tooth). It hurts when I take a deep breath, bend over or move my head in a certain way. It feels almost like a cracked rib would feel when I try to breath, except higher in my chest. I don t know whether it is a doctor or dentist problem. Doctor would be better since I have no dental or health insurance. Doctor: Hi, Thanks for asking the query, As per your description there is severe infection in your molar tooth and the surrounding gums . You need to visit to the dentist and get complete mouth evaluation done . Get an x-ray done . Get complete mouth scaling and polishing done . Take saline water gargles 3-4 times a day . Use 0.2% of chlorhexidine mouthwash gargles thrice daily . For chest pain you need to visit a physician and get an chest x-ray done . Hope this helps out . Regards.."
},
{
"from": "gpt",
"value": "Target: Have bad tooth, sensitive gums, chest pain and throat. Hurts to take deep breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi,I recently went for a general check up and was given a full mouth debridement, the next day i had fever and chills. I went to another dentist about a week later and was told i have NUG and was put on antibiotic. I am puzzled by this? Can someone please explain? Doctor: Hi i did review your concern .Fever with chills after a dental or a mouth procedure can be due to local infection or it can be due to a distant organ infection. i would recommend you to consult a physician for a suspected endocarditis if the fever is high grade. The tests required would be local inspection of mouth and also blood cultures as well as echocardiographyi hope this answer helps youwish you a healthy life."
},
{
"from": "gpt",
"value": "Target: What could causes fever and chills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had cervical spine surgery 1 year ago C4 C5 disk replacement and C4 C5 C6 fusion from an injury 11 years ago, I also have rsd/crps II in the right upper extremity. S/P surgery in have had problems with my voice, it is slowly getting better. I have burning in my neck, the back pain is the same and now I have intermittant blurred vision and I have noticed some hearing problems increasing over the past year, I cannot hear someone speak to me when there is a lot of back ground noise Doctor: Hello, I would explain that the hearing loss is not related to the surgery but probably related to an inner ear disorder or the head trauma. For this reason, I recommend consulting with an ENT specialist and performing a physical exam and an audiogram. Regarding the burning in your neck, I would recommend taking pregabalin or gabapentine. You should discuss with your doctor on the above tests and treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What cause burning in my neck, the back pain and blurred vision?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 yr old daughter had a 104 temp on monday and cried when she went to the bathroom. She also had a tummy ache. Tues i took her to the dr and her throat looked bad and enlarged lymph nodes. The did a UA and sent it for culture. It just came back alpha hemolytic strep. Also her rapid strep was neg. How and why is the strep in her urine? Is it dangerous? Can this cause other sx? Im sure totally unrelated but but now she is complaining of her heal hurting and wont walk on it. Thanks so much. Doctor: most likely ur child is a case of post streptococcal glomerulonephritis needs hospitalization, hence consult your pediatrician and decide it"
},
{
"from": "gpt",
"value": "Target: What causes strep in urine of a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 6 year old boy running high fever 102-103 stomach pain in the middle of his abdominal enlarged spleen ct showed no appendicitis mono was negative. He is also coughing and has been complaining of leg pain today. Was very constipated but has now been able to go to the bathroom. I m debating whether or not I should take him back to the er. Doctor: HelloHigh grade fever with stomach ache and spleen enlargement appears to be infective in origin. This infection may be bacterial,viral or parasitic in origin.Proper hematological and infection workup will be helpful in diagnosis of the condition and management accordingly. I would suggest you to visit a physician for the evaluation and treatment.Regards"
},
{
"from": "gpt",
"value": "Target: What to do if child is having high fever, stomach ache, enlarged spleen, coughing and legpain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I will be taking lovastatin ordered by my DR. But since my blood sugar is slight high I must avoid too much carbohydrates. I considered myself a moderate healthy eater and green salads with beans, a little bit of olive oil are my main meal. I am concerned about taking cholesterol med because it can interferes with my salads, since they are very high in vitamin k. Doctor: HelloThere is no problem in healthy individuals in taking good salad and STATIN medicine. However in patients who are on some kind of anticoagulation medicine like WARFARIN or ACITROM.So dont worry you can take and most importantly if you want to control your cholesterol levels then start doing exercise daily.Regards"
},
{
"from": "gpt",
"value": "Target: Is cholesterol medication safe to be taken while on Lovastatin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hey there so currently I’m ttc and it’s been a tough journey let me tell you. I’ve been trying for about four months now and still nothing. This month though has been especially odd. 8 dpo I have what I thought could have been IB when I looked in the toiled there was two little rice grain sized brown things and when I wiped it was bright pink/red. I’m cutrently 13dpo and I’m sure I have a uti and my cm is all dried up..:( am I out for this month. Btw AF is expected in 3 days.Ps.. I’ve had extremely sore boobs on and off for the past week along with cramps!!! FX!!! Doctor: Hello,As you might be aware that in woman with regular cycle, day 10 to 20 of the cycle is the most fertile period of the cycle. If you happen to have unprotected sex activity in this period, then you stand chance to get pregnant.I will suggest you to wait for your expected date of menses, if you happen to cross your dates then please get morning's first sample of urine tested for pregnancy. In case of any doubt blood beta HCG test and USG will be of help.Your present symptoms can be due to PMS- Premenstrual syndrome. Use of long acting form of vitamin B6 and vitamin E and Evening Primrose oil supplements regularly for 4 months is advisable.If you get your periods again then please get following tests done:1. Post menstrual HSG-Hysterosalpingography, to know about the patency of the fallopian tubes.2. USG to know about structural normalcy of the uterus and ovaries.3. Partner's semen analysis to know about the quality and quantity of the sperms.If these reports are within normal limits, then I will suggest you to have unprotected sex activity in the fertile period of the cycle at least on alternate days. This will help you to get pregnant in recent future.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Purushottam Neurgaonkar"
},
{
"from": "gpt",
"value": "Target: How can infertility be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Pain around kidney area my kidney area and my shoulder have been sore for 4-5 days. It has been Sharp pain; taking deep breaths make the Sharp pain also. It started with a stomach pain, after eating a gas station sandwich; then the next day I swung some golf clubs, which I haven't done in years which resulted with my pain the following next day. Doctor: Hi,Thanks for writing in.It is most likely associated with muscle spasms due to golf clubbing after a long time. You may allow yourself enough rest if it is an acute pain and apply ointments containing pain killers and muscle relaxants. There might also be herniated discs causing your pain due to pressure on nerve roots. You may try light stretching exercises once your pain decreases and always warm up before going on long golf sessions."
},
{
"from": "gpt",
"value": "Target: What causes pain around kidney area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Just after eating food, my baby is vomiting specifically the lunch and dinner. He is not eating properly and probably he has indigestion problem as well. Mostly it is happening in last 10days. He is very thin. He is 1 year 10month and his weight is around 12kg. Please let me know what I should do to make my baby healthy. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Weight at 2 years of age is around 12 kilograms so the weight of your child is absolutely normal for age. For last 10 days, child is vomiting after lunch and dinner suggest that your child is most probably having stomach infection. The child will most probably need antibiotic and an examination by doctor should be done.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Deepak Patel"
},
{
"from": "gpt",
"value": "Target: What is the treatment for vomiting in a baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 2year old is having a tempreture and this has been going off and on for the past 3month plus he s just recovering from 2weeks of vomiting and stooling, i dont know what to dont any more the doctor never does anything they said give him fluid and paracetemol but for how long. please advise me. Doctor: HI! long standing fever needs to be investigated. I would like to know whether the temp is high grade or low grade, any weight loss, any appetite loss, any other associated symptoms along with fever. blood and urine investigations needed"
},
{
"from": "gpt",
"value": "Target: What causes persisting fever and vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear Dr. Srinivasan Name - Nitin Age - 36 I have had recurring problem of red spots (isloated) on my penis head for 3-4 years. I have consulted many docs with varied diagnosis. I was single then and made to believe it was fungal, it comes on its own and have been getting treated accordingly by a dermatologist. Recently i got married and again recurringly had red infection on my penis. Along with this, my wife also developed infecion and was put under Gynea treatment, again for fungal infection and Fas Kit prescribed to both along with aplication of fungal infection creams. For the reason not transfering infection bw me and wife, we have stopped having intercourse (unprotected) however my wife was ok but I kept developing these red spots/ infection. However on repeated occurances we consulted a different dermatologist and he suggested Herpes but blood test reports ruled out. However he insisted that indeed it is Herpes and sometimes the medical reports do not show the same. I was put on Famtrax 250 for 1 week along with application of topical anti-biotic(fusidic acid cream). The red spots kept going and coming but doc clamed it is Herpes geting cured and that takes time to cure as in past i have been exposed to steriod in form of anti-fungal creams. Post a week of Famtrax, i was put on antialergic and anti-biotic cream for a week. the red spots have gone but now there is recurring white spots (small pimple types) which come and go. On showing to doc, he said its miliaria of penis and common and due to non drying of the area. I was asked to take urine test (culture and routine) and culture cam normal. Routine test pointed to some epidrmal cells (UT infection, I have mild recurring burning sensationtoo) and doc asked me to take Disodium Hydrogen Citrate (Alkasol) for a week. I am currently on Alkasol and Antialergic. But the white spots are coming and going everyday still. I am not sure if im cured yet but doc says im fully cured but the white spots can be ignored and i can have unprotected sex with my wife. Problem is i want to start a family soon but am confused due to various diagnosis. I do not want to pass on to my wife and abstain from sex. Please suggest cure for white spots. i wll be very greatful. Kind regards Nitin Doctor: Hi, The most plot might be a balanitis. You can apply topical antibiotics like mupirocin for symptomatic relief. If symptoms persist better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: How to treat red spots on penile head?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Respected Sir, I am 21 years old man, i drunk my sperm (WBC),everytime , i feel guilty .Any disease come to me please explain , i lossed my height, weight, and sight also ..please save me and help me , i am very innocent and lustful because of situation and iam studying b.sc. computerscience final year . what about my studies? reply some useful idea my e-mail id: YYYY@YYYY Doctor: Hi, There is no harm in drinking your own semen. It will not cause any problem. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. B. Radhakrishnan. Nair, OBGYN"
},
{
"from": "gpt",
"value": "Target: What to do as I have drank my sperm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 68 years old since last 20 years having b p and after taking t amlopress at 1 tab daily more than 10 year ddoctor adviced me to take amlodipine 5mg plus telma 40 i am taking these medicine more than 4year now please advice for any site affect to continue these treatment Doctor: Hello, Medicines have side effects. The most common side effects of amlodipine are swelling of the ankles. Both of them may cause headaches or lightheadedness, stomach upset. I suggest you keep under control of your blood pressure and make consult with your Cardiologist according to your condition. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Blerina Pasho, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What will be the side effects of amlodipine and telma after a prolonged use?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have multiple cysts in both kidneys and had been under the care of a Nephrologist but haven t been seen for about a year due to I had not had any problems until recently. For the past month, I have been having the symptoms of trying to pass stones again but haven t yet as far as I could see, however, my urine has been containing what looks like white pieces of tissue and at times contains tinges of what looks like blood whithin. U went to the emergency room and had bloodwork, urinalysis , and a C.T. scan done, no sign of infection, a trace of blood, Globulin level high(3.7), Ketones low(3.2), gravity low(less than 1.005, bacteria rare, and the C.T.scan said there was focal thinning of the lower pole of my right kidney where a 5 mm calculus was identified. What do you think is going on?? E.R. doctor said u was fine, figure that. Doctor: Hello. As you earlier said, you have multiple cysts in both kidneys. Such kidneys more prone to develop infections and bleeding. However it is not a rule. From your description, it looks like you have passes papilla in urine. You should consult nephrologist and urologist for the same."
},
{
"from": "gpt",
"value": "Target: Have kidney cyst, white substance in urine, low ketones, high globulin. What is going on?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am going through a severe back pain. Actually really dont know where is the pain ? about 3 years back I was performing n i fell from d back stage from that day onwards I have this pain.i have consulted few doctors but no one could find what was the problem,all they gave was a vaccination for pain relief.some times the pain increases few days before i get my periods.the pain is so severe that I cant stand, walk or sit. Doctor: welcome to healthcaremagic as you have mentioned that the pai started after a fall may be it is due to some injury sustained that time leading to some problem in lumbosacral and dorsolumbar joints please consult orthopaedic surgeao and get a check up pain increasing few days before periods may due to problems related to pelvic organs uterus/ovaries.gynecological check up will be helpful pain during periods may be relieved by colinol tablet 1 tab 3 times after meals .severe back ache not related to periods may be helped by powergesic tab hope you be all right soon"
},
{
"from": "gpt",
"value": "Target: I am experiencing Severe back pain, kindly help me out"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a severe problem with sciatic nerve pain. This is the 3rd time it has taken me down in the last year. I have injury to L2 and L3 I also have been I have nodes in those same area. I do not have insurance but I need some serious pain control. I am at wits end and have no quality of life like this. What are my options? Doctor: Dr. Hanif warmly welcomes you!Thanks for consulting at my virtual clinic HCM. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns.Such injuries usually are treated after some diagnostic tests and Neurosurgeons handle such issues and sometimes may be a need for surgical correction. But as you don't have an insurance, I am bound to symptomatic treatment options to relieve pain effectively.Apply Lumbosacral corset for support of the Lumbar region and help for pain relief.Apply Bengay ultrastretch ointment and massage gently. Then apply ThermaCare HeatWrap around the lumbar area. It will help you get relief from pain.Take Fioricet with codeine for prompt relief of extreme and unbearable pain. Otherwise take only Tylenol for pain.Take a polyvitamin with essential minerals in it daily.For patients with such issues Physical Therapy works best as an alternative treatment therapy. It is effective in relieving pain and increases ease in mobility.Hope I answered all of your questions. Please click on 'I Find This Answer Helpful' and don't forget to add your precious positive feedback to help me able to assist you better in future too. Have a wonderful time ahead. Keep in touch for a follow-up too to let me know if you have any doubts & need further assistance. I am available 24/7 for providing you my expert medical opinion on any issue. Have a blessed time ahead. Regards!DR. MUHAMMAD HANIFUSA"
},
{
"from": "gpt",
"value": "Target: How can L2 and L3 injury with sciatic nerve pain be controlled?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Dr Samuel,I have red rashes on my arms, under my breasts, over my right shoulder and on top part of my private part. I started using E45 but it was getting worse and it looked as if the moisturising cream was encouraging the rash to expand. It felt more like fungus and my arms were particularly bad and felt as if I have been beaten up and it was very painful. I did some research and found bleach bath twice a week might help and I did 3 bleach bath in two weeks and miraculously the redness and pain were gone. I have recently seen my GP who is also a dermatologist and has prescribed Betnovate cream and Epaderm for my eczema but didn't tell me how to apply them. Can I apply Epaderm straight after I've applied Betnovate? Doctor: Hi, there are several reasons for your skin rash: It could well be a fungus or a yeast infection, especially since you mentioned it got better after the bleach baths. This should be diagnosed before applying corticoid creams like the Betnovate. If it is an infection, the steroid cream will make it look better, but actually make it spread faster. My recommendation would be to find out the cause first and then treat it with either an antifungal/anti-yeast cream or a steroid cream. I personally am not a big fan of combinations unless absolutely necessary. I hope this answer helps... All the best and great success!"
},
{
"from": "gpt",
"value": "Target: What is the treatment for skin rash?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had unprotected sex with my girlfriend around 10pm on 7 may 2016, at about 9am the following day I bought her postinor 2.... And she took the two tablets once... Then at about 11pm I had unprotected sex with her again, do I need to buy contraceptive again???? Doctor: Hello,Thanks for posting your query. When 2 tablets of Postinor are taken, the second one is to be taken exactly 12 hours after the first one. The protection offered varies depending on the time interval of pill intake after the intercourse. The pill effect is shown to remain for 5-7 days in the blood. You need not have to take a second course as there would be enough protection. Please remember that the pill use should be restricted to one or two occasions per year to avoid hormone imbalances. Regular contraception is the better alternative. Hope this helps."
},
{
"from": "gpt",
"value": "Target: What are the chances of pregnancy after taking Postinor-2?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 49 y/o male. After 3.5 days at home, my fever broke at 105.6 degrees fahrenheit saturday morning. My temperature has been normal since; so is my appetite. However, my body strength is still very weak. My energy level has decreased by 90%. I feel winded just walking short distances. I also need to nap an hour or 2 in the afternoon every day. Going to the gym sounds like an impossible feat. Do I need to give my body time to regain it's strength and energy back? Please advise, thank you. Doctor: Hello sir, You are absolutely right. Your body need time to relax and you should give it time to recover before starting any hard physical work. Take nutritious diet and plenty of water to detoxify youself."
},
{
"from": "gpt",
"value": "Target: What is the treatment for high fever and tiredness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have noticed a small bruise on the left side of my belly. It came out of nowhere. I ignored it for a few days and just noticed again. This time i felt it a little bit and there is a small pea sized lump in the middle of the bruise. What am i dealing with? Doctor: Hi.Thanks for your query and an elucidate history.''Bruise without history of trauma''- This can be due to insect bite. All the bites do not sting immediately or later. Take an antihistamine and steroid , a single dose may show effects. Consult a Doctor- He may find any possible cause of this problem."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for lump like bruises?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a lump 1 inch below my collar bone on left side went to the doctor and also have a chronically swollen auxiliary lymph node on left side he referred me to have an ultrasound done on both and took blood work CBC, CMP and ESR. Question is what are the chances that it’s cancer Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In most cases this is just a swollen lymph node which doesnt require any specific treatment. Also, considering your description this may be some other benign subcutaneous lesion such as lipoma, fibroma or atheroma and if there are no skin changes such as redness, pus discharge or pain and fever then you should not be worried since it can be easily surgically removed under local anesthesia. Then it there are doubts it can be sent to the patohistologic analysis. I hope I have answered you query. If you have any further questions you can contact us in every time. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What are the chances of a lump below the collar bone being cancerous?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am a 16 year old girl, who lost her father to suicide 2 weeks ago. i cant sleep or eat, and im always going to call him fogetting whats happened. i always feel sick cause i cant eat and always feel tired and angry cause i cant sleep. should i got to a docter for antidepression and sleeping medicine? Doctor: HiI admire your concern.I guess it is grief reaction due to decase father.It is comon reaction after lost of loved one.I can understand your emotion.No need of antidepressant. it will only given if symtoms are persist for more than 1 month.This kind of condition can be treated with mild dose of anxiolytic and which is also help to get good sleep.I prefer low dose of etizolam or lorazepam orclonazepam etc in such kind of patients.Besides this you have to keep your self busy.Try out to maintain daily routines.Keep taking with friends and family members.fix sleep schedule and stick on itno day time sleepexercise.stress free activities and meditationsavoid alcohol and smokingAvoid tea coffee soft drink at night.All of this will help you to restore good sleep.Hope for the best.Get well soon.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for depression and sleeplessness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! I have been experiencing stiff neck and shoulder on my left side for about 3 weeks now. Since then it has gone into my lower back just the left side and in the last few days my upper back, sharp pains from my tail bone shooting up through my back and now it has even started to hurt if I sit down to hard. A lot going on any advise? Doctor: This may be due to spondilytis..u have to take heat fermentation along with neck exercises.. u have need to take mentain proper posture.."
},
{
"from": "gpt",
"value": "Target: What causes spine and back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi Doctor i have a problem with my hair sue to dandruff since last 8 years.now i am having much hair fall and itching problem in my scalp. and i am getting pain in the root of my hair..i think i am running through male pattern baldness.so can u suggest me any medicine. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dandruff can take a very long time to be treated. It is important that you leave the anti-dandruff shampoo on wet scalp for at least 7 to 10 minutes before washing it off and use it at least 3 to 4 times a week. Once the dandruff subsides do not stop using the shampoo, but make sure you increase the gaps between usage. Also you could visit a dermatologist to get your scalp examined to rule out scalp psoriasis which is a chronic skin disorder which involved dryness and flakes with bleeding. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Smruti Pevekar"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for dandruff, itching, hair fall and pain in scalp"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i had a big ball on one of my legs almost 6 months ago, it was a ball red and very hot that became a bruce, it took my ankle and didnt went away untill like 5 weeks... 3 months after it went away i got the same thing over my oher legbut it was like 2 under my knee same thing a ball red hot took over all my leg froe the knee and down, now it looks like another one its coming the doctors dont know what it is... what is it its really painfull Doctor: Hello!Welcome to Ask a Doctor service!Regarding your concern, I would explain that your symptoms could be related to vasculitis or local inflammation. For this reason, it is important performing some tests in order to investigate for the possible causes: - a bump ultrasound in order to examine this tissue- inflammation tests (complete blood count, PCR, ESR)- biopsy may be needed. Hope to have been helpful!Kind regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes a ball like development near my ankle?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I was eating supper and thought I had a piece of food stuck to the inside of my cheek, but it s actually a big red pump about the size of a pea. I didn t bite the inside of my cheek, but it kinda looks like a big blood blister the side of a pea. It formed almost instatly. Do you think it s anything I should be concerned about? Doctor: Dear friend.Thanks for sharing your concern.The big bump developed inside your cheek could be the result of food impingement on gum tissue.it could also be due to traumatic injury to the surrounding tissue.you can gently brush and rinse with antiseptic mouth wash.This will relieve any food particles struck up there.If you have chronic cheek biting habit then please try and avoid.stress does this.Hope this helps.Thanks.Take care."
},
{
"from": "gpt",
"value": "Target: Big red lump inside the cheek. Formed instantly. Matter of concern?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi there, this s aparajitha. i have been suffering from cough since 15days. consulted doctor inetially they prescribed antibiotic amoxicyllin, they were severe side effects, so i stopped using it. continued with some home remedies. but it is not cured. i have seen few drops of blood in my sputum. i found it 2 to 3 times. could you suggest me any medicine.thanking youwith regardsAparajitha Doctor: Hello dear, thanks for your question on HCM. I can understand your situation and problem. You are having haemoptysis ( blood in sputum ). Following ard the possible causes for haemoptysis. 1. Pneumonia2. Tuberculosis3. Bronchitis4. Lung cancer. And treatment of all are different. So better to first diagnose the reason and then start appropriate treatment. Consult pulmonologist for this and get done1. Chest x ray2. PFT ( pulmonary function test ). Don't worry, you will be alright."
},
{
"from": "gpt",
"value": "Target: What is the treatment for cough with blood in sputum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m Mrs. Uma and I m 65 years old. For years I m feeling burning sensation in my palms & feet , especially in the night even when my A.C. is on. At times I rub ice to get temporary relief but the burning does not stop. Can you tell me the reason & advise some medicine. Thank You. Doctor: Hello, As you are 65 and there can we expect some Degenerative changes in the spine. Due to which there might be some nerve root entrapment which may lead to certain myotomes and dermatomes to have symptoms of burning and tingling etc. Doing exercises for the neck muscles and spinal muscles of the back should be helpful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What causes burning sensation in my palms and feet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i m mannu..i m suffering from chronic pain by last 5year.now i had started medication. i was taking no anxit drug by last 7months.now i suddenly stoped the drug .now again i felling pain in hand legs chest testis penis ear as like earlier..but when i wwas taking drug pain go off. Doctor: Hi MannuI would advice you to not stop the drug abruptly. The dose should be reduced gradually and tapered off. Otherwise the symptoms may come again or withdrawal symptoms may appear. So consider reducing the dose slowly and consult your pain specialist for further information. Hope this helps. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in chest and penis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am zaheer age 30 year height 5.4\" weight 57 kgs sir my semon analysis report is as under colour greamy ehite consistency thin volume 2.5 reaction alkaline liqufication time with in 30 min at 37c sperm account 80 active 35% sluggish 49% dead 16% wbc 08-10 hpf rbc 03-04 hpf epi 02-03 hpf please reply. Doctor: Hi welcome to healthcaremagic.I have gone through your question.You're semen report has normal volume, normal consistency.Liquefaction time less than 30 mind is near normal (20 mins is normal).Count 80 million/ml and active motility 35% id also normal.Wbc 8-10 suggesting infection.I would surgery to do complete hemogram and consult urologist for further management plan.Hope i answered your question.Would be happy to help you further.Take care."
},
{
"from": "gpt",
"value": "Target: Is the sperm count normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , I had a throat infection and i took Azee500 for three days , while my throat was ok i suddly woke up with two small bumps on my skull just behind my left ear. Its too painful and as if i have a nail stuck in it. I put some neosporin but it hasn t helped much . I spoke to a friend of mine who is a doctor and he said it might be a Hairl folicle infection. Can you please tell me why this happened and is it serious? Doctor: Hi, dearI have gone through your question. I can understand your concern. You already have sore throat due to upper respiratory tract infection. So you have high chance of reactive hyperplasia of lymphnode. You mostly they are enlarged lymphnodes due to throat infection or other infection. You should complete the course of azithromycin. If lumps remain persistent then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What could the bumps behind ear post throat infection, Azee500 medication be?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi about two years ago my body and joints were aching all over a friend of mine recomended taking serepeptase tablets. After a few days I felt a definate improvement and after a few months I felt I was cured so I stoped taking the serepeptase tablets but within a few weeks my pains returned, so I started taking the tablets again and apart from a few weeks of trying to do without them I have been taking them for over two years now. My problem is I have had to increase my dosage to keep my aches and pains at bay (I am now taking up to 10 plus tablet a day) I have seen my doctor and he says about my knees that it is probably my cartlidge and it will eventually settle down, about my back try walking and doing more exercise other pains are probably arthritis and all he prescribes are pain killers, which don t help. any suggestions please? Doctor: Hello,It is disastrous to take analgesic in such dosage for such long time. It may damage your kidney. 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.There are various reasons for such pains like:- Fibromyalgia- Gout- Rheumatoid arthritis- Liver and kidney problems- Anemia- Variant of arthritis 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 is the treatment for arthritic pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, docter . I am gurjeet. I am 19years old. I am suffred from nightfall last 3-4years. It had happend 2-3 times in a week. I had taken many medicine for this. But no one medicine satisfied me. I am Feel very weak. my weight is 55kg. I have take a high diet but all waste throw the nightfall. Pls reply me the best treatment for nightfall. thanks.. Doctor: Hi, Nightfall or nocturnal emission can be prevented byregular masturbation regular sexdecreasing erotic thoughts Feeling weakness can be due to vitamin deficiency, diet pattern and lack of exercise. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for nightfall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have a really a big issue regarding my sneezing .I over sneeze 20 times a day non stop.This leads watery eyes and headaches .I currently live in uk and I never sneeze when I travel outside uk.I have noticed my sneeze start whwhen my body temperature rise,I get less sleep and as soon as I come out of shower.I don t seem to sneeze in cold weather and when I say cold weather I mean when I m walking/travelling outside. I have tried all medicines and nothing seems to help. Doctor: hi, you clearly are allergic to something, and it looks like you are allergic to dust, may be even pollen. you need to make a note if you sneeze when you go to garden or near plants . also do you get sneezing while cleaning your house or dusting pillows bed sheet mattress etc. if this s troubling you a lot then you go to immunologist or allergy specialist . he will do skin prick test on you, by this you will surely know what your allergic to. once this is done you have to take immunotherapy ,this is the best modality of treatment available and it is very effective. but before you try immunotherapy , you try nasal steroid spray this also is very effective,consult immunologist or ent specialist for nasal sprays. thank you dr.mukesh"
},
{
"from": "gpt",
"value": "Target: Frequent sneezing causing watery eyes and headache, rise in temperature. No relief with treatment. Remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I sustained a knee injury about 2 months ago where I came off a horse in armor ( I am a professional jouster) and landed on my knee. As I was wearing armor, my knee smashed hard on the inside of the armor upon contact with ground. Finished show and was in pain for a couple of weeks after. Still a tenderness at kneecap when I palpitate knee. Recently went back to work in construction (lots of climbing, squatting, end working on knees. Have just noticed significant swelling in front of knee cap. Almost like a water balloon. Is this my bodies way of protecting my kneecap while it heals, and will it go away? Never had x-rays but could possibly have fractured patella. Would I be able to walk/run painlessly if I had? Doctor: hello thank you for writing us here.possibilities are there for the fracture. I would suggest you to take warm water soaks with cloth and using diclofenac gel and applying bandage over affected area. you should consider getting an Xray done so it doesn't complicate if its fractured. swelling do indicate a major injury. God bless you.best regards,Dr Gunjan"
},
{
"from": "gpt",
"value": "Target: Could sustaining a knee injury have led to fractured patella?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was playing basketball yesterday and I was fouled going to the hole in mid air and landed on my back and bounced head off ground as well. My back and neck is a little stiff today but trouble breathing a little since the incident happen. Should I be worried? Doctor: Hello, As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. Most probably it is due to conditions like cervical spondylitis. Consult a neurologist and plan for an MRI scan. 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 causes stiffness in back and neck with difficulty in breathing?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a high end of 18.2 and a high absolute neut of 15.00 I've been extremely tired lately and stay very thirsty and sometimes I get extremely hungry also my bilirubin is low at 0.2 and my vitamin d is 15 I am a 37 year old female. what do you think? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your weakness could be from low vitamin D level. Your vitamin D level is low for that Cholecalciferol sachet with milk is taken. Provide your reports for giving more comment. Don't worry for serum bilirubin level. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What do these blood reports for severe tiredness indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: MY HUSBAND IS A 69 YEAR OLD CAUCASION,HE HAS A DEVINCI PROSTECTOMY IN 2008 WITH WONDERFUL RESULTS. THEN IN 2010 HE HAD TWO STINTS INSERTED IN HIS HEART, 95 % BLOCKAGE IN THE WIDOW MAKE ARTERY.. ALL WENT WELL AND HE HAS HAD A GOOD LIFE, BUT ALL OF A SUDDENHE HAS BECOME ANEMIC AND IS EXTREMELY TIRED. HE IS TAKING PLAVIX, CONIDINE AAND BLOOD PRESSURE MEDS, ALSO PAXIL.. COULD ANY OF THESE PROBELMS BE CONTRIBUTING TO THIS ANEMIA?? Doctor: hi dear.good job at taking care of your husband. i will suggest you to get a complete blood test done including iron profile with perpherial smear to find out the cause of anaemia. meanwhile you can give him tab livogen once a day for 3 months. consult your docter for any other meds. if he is feeling very tierd then kindly get a cardiac consult. hope my answer helped you. please do rate my answer"
},
{
"from": "gpt",
"value": "Target: Can stents in the heart cause anemia and tiredness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have developed a lump on my forehead which is very painful. I think I hit the car door. It hurts all the time, its just above my left eyebrow. Also my rectum really burns and aches while passing stool and after I pass it. Have also developed a hard lump on my outer right thigh.. Are all these connected? Doctor: Hi ! Good evening. I am Dr Shareef answering your query. The lump on your forehead could be due to a traumatic hematoma (collection of blood) which would resolve of its own in a few days. Just take some anti inflammatory and a proton pump inhibitor for three to four days. The pain in your rectum could be due to a fissure in ano if you are constipated.In that case you should go for an anti inflammatory drug along with a proton pump inhibitor, a broad spectrum antibiotic,a stool softener like lactulose liquid at bed time and a cream containing diltiazem. Add sitz bath to it (sitting on a luke warm water filled tub) three to four time a day for five minutes each. I am hopeful that you would get relief with this strategy, but I am afraid it would return if constipation (hard stool) occurs again for you. Therefore, to prevent the constipation, please avoid high protein diet, add a lot of roughage and fresh fruits along with sufficient liquids. Go for a regular exercise programme.To know the nature of the hard lump, one has to have a personal physical examination of the swelling, and if need be an FNAC (fine needle aspiration cytology) to have a nearest diagnosis.Further management would depend on the reports of the test.I would also let you know that both the later symptoms might not be related to the lump on the forehead, and might be independent entities by themselves.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for hard lump on the right outer thigh"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 2 year old has two big bites on his face near his eye. They have been there for 2 days and are still swollen and have a small pusy-looking center. This morning he woke up and his eye is a bit swollen and looks slightly red and possibly bruised. Is this just a reaction to a mosquito bite or should I be concerned? Doctor: Hi, Welcome to HCM. I have read your question in detail and I know that you are very concerned about your child but don't worry. By what you quote, it seems that your child probably has got an insect bite. Insect bites cause redness and itching at the site of bite. It usually has a pale center. In my opinion, you should give tablet levocetrizine 5 mg two times a day for 3 days. Review after 2 days. I hope this will help you. Wishing your child good health. Take care. Regards Dr Deepak Patel, MD Pediatrics"
},
{
"from": "gpt",
"value": "Target: Suggest medication for a bruise on the face"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 26 years married female TTC.my LMP was on 26th July 2011 with a regular 28 day cycle.I ovulated on 10th Aug 2011. I was having light cramps from 12th August to 16th August 2011.Is it a matter of concern or is it normal? Doctor: Hi Welcome to HCM. Having cramps is not a concern.Have calcium rich food like milk, egg white,green leafy vegetables and lots of fresh fruits and plenty of fluid. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Is cramping after ovulation normal in a female trying to conceive ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i have lower abdominal pain and also a little lower back pain the abdominal is servere i have had it two days now i am also bleeding but it is definitly not peiod pain or my period it dont matter if i sit stand or lay down it is still pain full pain relif has done nothing nor a heat pack i had a baby 10weeks ago now and have already had my first period i had that at 4weeks after birth it also hurts going to the toliet pooing and peeing it hurts that bad i dread going i am also haveing hot and cold flushes please help Doctor: Hi angel. I recommend you to go to doctor as soon as you can. Symptoms you re describing are very serious and can be caused by pelvic infection or chronic bleeding. pelvic ultrasound should be done to exclude some serious diagnosis such as ovary torsion, endometriosis or extrauterine pregnany. Also such pain is in most cases caused by benign folicular cyst rupture but I said this needs to be evaluated definitely. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Lower abdominal pain, lower back pain, bleeding. Had childbirth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Like a lot of people this year, I am battling sinus congestion that has lingered for months this flu season. I see an allergist and have gone through all the treatments...nasal sprays, antibiotics, antihistamines, et al. I have rosacea and read an article about chronic sinusitis and the connection between the two. Can you give me some information about this? Thanks, Doctor: I will suggest you to take Ayurvedic medicinetab svasananda gutika 1tds tab Dhanvantara gutika 1ts along with chavanprash avaleha 1tds."
},
{
"from": "gpt",
"value": "Target: How can sinusitis be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir i m 29 years old.i m facing the problem of very thin cheeks ,as like show that my teeth too much upper from my face .m too much worried because my marriage is delaying due to this problem.please suggest me any treatment that my cheeks become healthy and fat please regards sobia Doctor: Hello Thanks for your query. \\ Cheek muscles exercise ,using balloons will help a lot .Blow minimum 40-50 balloons per day. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and trouble free speedy recovery”"
},
{
"from": "gpt",
"value": "Target: Is there any method to make thin cheek fat ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hit my cheek against a coffee table, i have a hard lump on my cheekbone two weeks later, bruising is still all down one side of my face.To touch the lump I dont have as much feeling as I do the rest of my face, do I need to be x-rayed? Im a little embarrassed of how it came about as Im 35 not 5 lol Doctor: Hi. This is life- age does not matter in getting the problem - so no guilt is necessary. As it is more than 2 weeks , I would advise you to go for a CT scan , NOT the x-ray not to miss the small details only a CT scan can say.I hope you must have taken anti-inflammatory tablets like Ibuprofen or so in a proper doses."
},
{
"from": "gpt",
"value": "Target: What can i do for hard lump on my cheekbone as hit the table?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I underwent a discectomy in Nov 12 at L4-5 level. The sciatica (mlld) again appeared wef Jul 13.My MRI report of 14 Aug says \"L4-5 disc reveals moderate diffuse posterior bulge indenting the thecal sac and bilaterally traversing nerve roots. A focal hyperintensity is seen on T2 weighted images- High Intensity Zone within its posterior margin in midline suggestive of a partial annular tear.Presently am getting sciatica pain in my hips and ankle. Doctor: Hello,Thanks for writing to us,As per your investigations I suspect failed spine surgery as at same level there is appearance of disc bulge.As there is compression of traversing nerve root ,decompression of those segment is suggested. Mean while Muscle relaxant with neurotropic medication will help to relieve symptoms.Till that time Physiotherapy like USG and SWD will give some reliefI hope that I have answered your query. Let me know if I can help you further. Take care"
},
{
"from": "gpt",
"value": "Target: Underwent discectomy. Getting sciatica pain in hips and ankle. Suggest treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm reading the report on the 1.6 cm nodule in my upper right lung. Findings are calcification in right upper lobe. No infiltrate. No mediastinal or hilar adenopathy. No pleural effusion or thickening. No axillary adenopathy (noted on all the above). They want to wait 6 months and do an x-ray. I'm not comfortable with this. Do you have any suggestions? Doctor: The presence of calcification in a lung nodule is often a good thing. It usually means that the process is chronic, meaning that it has been going on for a long time. Usually this is an old infection that left scar tissue and calcium deposits."
},
{
"from": "gpt",
"value": "Target: Is nodule in upper lung with calcification in upper lobe serious?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello sair i am pavani my husband sperm count is 20 its verry low so we disided tretment for ivf in vellor cmc hospital.next moth they started process .so i have some doubts.plese tell me answars.1.what is the difarents ok ivf babyes and normal babys any complicatons for test tube babys2.any special care for ivf pregnent3. cmc vellor hospital is best are not tell me Doctor: Answer to your queries are as follows according to the serial number given by you: 1) IVF is of 2 types: IVF Self and IVF Donor. In IVF Self the sperm(male egg) and ovum(female egg) are of the husband and wife only and thus they are the biological father and mother of the baby.In IVF Donor either sperm or the ovum or both are of a donor/donors and thus the biological father/mother is/are different.No complications for a test tube as such.2) IVF pregnancy is a precious pregnancy so adequate ante natal care is to be taken in terms of regular check ups, medicines as prescribed by the doctor and also the instructions for delivery to be followed.3) CMC Vellore is a renowned hospital and teaching institute also.I hope I have answered your queries satisfactorily. Take Care. Stay Healthy."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for infertility"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: During afternoon following a highly active day I find I start yawning, develops into headache in forehead, some irritable moodiness, no increase in thirst, hunger, some tightness in neck and back, need to lie down. Sometimes also light / noise sensitive. Has been a rare but ongoing occurrence since teenage years - now 41 yrs. Last time it happened also vomited, and cold, shaking. Often Panadol has no effect and I just need to sleep it off. Any suggestions would be helpful - my GP said just come in when it happens next, but last time we were camping hours away from town. Connie Doctor: Hi, I had gone through your question and understand your concernsIf I were your treating doctor,I would like to exclude the following possibilities:-Hypertension which can cause continuous headache at end of the day ,visit your internist and follow blood pressure readings.- Muscle spasm in the neck muscles due to overactivity and could be relieved by muscle relaxant in addition to panadol."
},
{
"from": "gpt",
"value": "Target: What causes a sudden fatigue, pain the forehead and tightness in the neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Iv been having pain in my jaw. On the right side. Hurts to open my mouth too far as well as move jaw to the right. I also can’t line up my teeth in the same way as I could before. Having headaches for a week and now my ears are plugged. Feels like when you get water in your ears. Can not hear as well and slightly painful. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your symptoms appears to be due to jaw joint related problem also known as TMJ/TMD.It can cause difficulty in opening mouth too wide and can also cause pain in chewing. As the jaw joint is present in close proximity to ear, therefore jaw joint related problem can also cause earache, but clogged feeling and difficulty to hear well can be due to blocked Eustachian tube.So my suggestion is to consult an Oral Physician and get evaluated and a Panoramic x ray can be done for confirmation of the diagnosis.Also get an Otoscopy of the ear done.For now take muscle relaxant like Chlorzoxasone and take soft meals. Use decongestant nasal sprays like Otrivin. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: What causes jaw pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Have some dry skin on penis and dry patches of area on my scrotum. Is it due to masturbating? I really don t know. I m thinking for the penis I created friction that it is healing from excessive masturbation, but as for the dry itchy patches on scrotum I m not for sure. I believe it s from my job and pants and sweating and underwear chafing my scrotum Doctor: Hi, I have gone through your query.Dry patches you have mentioned are usually due to fungal infection. Yes, It is due to unhygienic conditions like sweating.First of all you have keep area hygienic and dry. You can apply ointment containing miconazole over the patches. It will help in resolving the problem in a week time.You can contact me on my page http://bit.ly/DrGauravWish you a good health."
},
{
"from": "gpt",
"value": "Target: How to cure dry patches of area on scortum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am not sure what type of specialist to see for swelling in both my legs. I had a tick bite in June of 2009 and I was diagnosed with Powassan Encephilitis (sp). I was under care and hospitalized with this condition. I am still seeing doctors, but they can t seem to pin point it. Doctor: Hello,Powassan is a rare tick-borne disease caused by a virus. It can cause swelling in the brain. It should be evaluated by different specialists. The more important consult is by the neurologist due tot he fact that it causes encephalitis which is an inflammation of the brain.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What type of specialist should be seen for swelling in legs?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i want to know that is there a cream or medicine that removes pimple i am 15 years old Doctor: Hi! alexander007alex, Welcome To HealthcareMagic forum, There are lot of creams available in the market for acne right from over the counter(OTC) medicine to prescribed medicines.I wouldn't recommend you any OTC preparation because they don't have any good effect .For prescribed medicines you need to consult a dermatologist .Commonly used medicines are clindamycin ,adapelene ,nadifloxacin creams etc.If acne is sever then you also need oral tablets .Along with this you should use anti acne soaps daily,avoid use of moisturizers on face or any oily stuff on face and never squeeze your pimples. regards, Dr.chawda"
},
{
"from": "gpt",
"value": "Target: Medicine for pimples"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had rotator cuff surgery on 01/30/14. Since then I have been so exhausted. Everything seems such an effort. Sometimes I can hardly keep my eyes open. I also have swelling in my hands and legs below the knees. I take furosomide but it doesn t help much. At first it did but not any longer. I also have type II diabetes. My neck is hurting all the time. I am 66 years old and also very overweight which I am working on. I have lost 17 pounds since Christmas. Kind of goes up and down but net loss is 17. Some of this has gotten worse since the surgery. Actually, my shoulder is doing quite well and have been going to physical therapy as scheduled and doing what I am required to do. I quit eating bread about two months ago and the body pain that I had from supposedly fibromyalgia ( spelling) is so much better. I stopped taking cymbalta and nabunetone (spelling?) So some things are better and some are now worse. I was checked out thoroughly for heart problems before surgery and I am fine. They did stress test and echo and all was ok. Can you give me some direction as to what might be going on? Doctor: HiPlease get kidney function tests like GFR and serum creatinine done, also serum sodium,pottassium and proteins levels..cause may be in -betweenTry dytor plus20 instead of frusemide.It will help reduce oedema of legs.Consult a physician"
},
{
"from": "gpt",
"value": "Target: What causes swelling in hands and legs below the knees?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had a therascopic wedge resection of center right lobe of Lung , 24 hrs after suregery chest tube was removed and waited 4 hrs did a chest x-ray all looked very good sent me home have been home 2 days and I can hear fliud in chest cavity, is this a problem Doctor: Thanks for your question on HCM. In my opinion you should first get done repeat chest x ray.Post procedure pleural effusion can be seen in many conditions ,but the common ones are1. Reactionary effusion. 2. Infective effusion.3. Leakage from bleeder (small arteries may left open by mistake and slow blood trickle can be seen.So better to get done chest x ray again. If fluid quantity is more than you may need diagnostic aspiration. And treatment according to the cause. So better to consult pulmonologist and discuss all these."
},
{
"from": "gpt",
"value": "Target: What causes fluid in the chest cavity after thorascopic wedge resection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can breathing paint fumes (such as in a factory with no ventilation) cause spikes in blood pressure? How can one tell if they are allergic to the fumes? My BP has spiked to 215/160 on several occasions. Heart checks out OK. Dr s can t figure what causes the BP to go up. Normally it s 120/80. I scheduled an appointment with an allergy Dr. Should I take sample of paint? I m shooting at straws here. I m 53 and able to get around. \\ Thank YOu, Ron Doctor: you may not be allergic to fumes but it can increase your baseline allergies you consult your doctor find out allergies by allergy tests and go for sublingual immunotherapy for the same"
},
{
"from": "gpt",
"value": "Target: Can breathing paint fumes cause spikes in blood pressure? Allergic to fumes?"
}
]
|
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