conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: Last year I developped tinnitus in both ears and it has remained perisistent - driving me nuts. At the same time I started having finger joints and finger swelling with a burning feeling and very mild pain, almost neglectable. After some momths i have started feeling the same discomfort in the ankles, knees, elbows, shoulders - without swelling or redness. The pain/stifness is not intense - and it gets better after swimming - I instated a daily hour of swimming, Some days I feel swollen in all my body and then the fingers get really swollen. I have tried Ibropfrofen occassionaly without evident results, This water retaining made me take occasionally Lasix which helps with the swelling but the fingers remain reddish and burning and swollen (less when I take Lasix). Pain or stiffness is more evident in the morning, but the swelling around the finger knuckles if permanent. I have also tried Cucurmin for the inflammation but it has not worked (after 2 months). Age 58, height 6 weight 186 lbs - primary hypercoagulability/Factor V Leiden - am on aspirin 325 mg daily. No other medical condition. Doctor: Hello,I read carefully your query and understand your concern. The pain and joint stiffness is commonly related to rheumatoid arthritis.I suggest to do a rheumatoid factor level for further evaluation. Meanwhile,I suggest using anti inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest cold compresses and gentle stretching exercises. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes joint stiffness and pains?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have deal bad pains under my ribs thru to my back seams like a knife going up and down inside me when I say or drink. Dr can t find anything first said they seen a blockage on my cat scan but. Now say they don t know I m a male 44 years old with renal failure on dialysis Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It might be gastritis. However, you can take an EKG to rule out cardiac causes. As of now take antacids like Pantoprazole for symptomatic relief. If pain persists, better to consult physician and evaluated. Thanks."
},
{
"from": "gpt",
"value": "Target: What indicates a severe pain under ribs while talking or drinking in a dialysis patient?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My sister had a endoscopy and colonocopy yesterday. She had ham and macaroni and veg. for dinner last evening and during the night felt such pain across her upper back that she could hardly move for an hour and a half. She didn t wake me and called her doctor this morning. She is waiting for him to call back and it is now 6:30 the following evening. Could this be normal? She has felt fine today except feels as though she needs to have a bowel and can t. Thank you. Doctor: For treatment of back pain you can take some pain killer like biozobid-plus or osteonac-th only when the pain is worse enough or disturbing your daily work along with some calcium supplements like shalcal-d or toscal-gem once daily. Use volidup or relax gel for local application. Do some exercises after an expert opinion of physiotherapist. I will also advice you to sleep on a plain surface."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had gallbladder surgery two days ago. I also have Diabetes type 2 and pulmonary fibrosis. I ve been extremely drowsy, weak, and dizzy. I ve also been feeling faint and having trouble with balance. My blood oxygen is 95. I m wondering if I should go to the ER or just go see my doctor in the morning or just wait it out for a few days. Doctor: HIWell come to HCMI really appreciate your concern, Diabetes is such disease that demands the close monitoring for blood glucose level, it has to be maintain on tight rule basis, if you do have a symptom of dizziness then blood pressure and hypoglycemia could be the cause.Cardiac evaluation test, blood glucose level needs to be monitor, along with this CT brain is must, in my opinion it is better to consult the physician, history gallbladder surgery, and pulmonary fibrosis is nothing to do anything with present symptoms. hope this information helps."
},
{
"from": "gpt",
"value": "Target: What causes dizziness and fatigue post a choledcystectomy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I believe I have picked up an infection from a grandson who has recently been hospitalised with atypical pneumonia. I have been taking Sudafed PE, but came across a script for Cephalexin caps 500mg. Would these do the job of clearing the system of infection? I believe my immune system is low having gone through chemo and radiation last year for breast cancer. Thank you in anticipation. Pauline McKenzie Doctor: HI, thanks for using healthcare magicIt is possible that the antibiotics (if you have no previous history of allergies to them ) may help with pneumonia if it is present. If there is no improvement in your symptoms then you may need to see your doctor for additional treatment.I hope this helps"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for typical pneumonia infection"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I was in the middle of doing crunches and a felt one of my abs bigger and tighter than usual. I found this happen to me before as a child around 13 doing the same act. It went after because I immediately panicked and stopped. What does this mean? Doctor: hello,This is not a problem. Our bodies are often a different size on one side or the other. Make sure that your exercises work out both sides of the body equally and do not worry about it.Regards"
},
{
"from": "gpt",
"value": "Target: Why one of my abs is bigger and tighter?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what birth control pills is better for PCOS? monophasic or triphasic? they foun me cyst on my ovary 1.5 cm, im gaining weight, my estrogen was high 645, i have acne, i dont have kids yet, im 32 120 lb 5'6 is lo loestrin fe good choice? or tri- sprintec? i wuld like drop down some pounds. Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] I will suggest you to use tablet that contains combination of drosperinone and estrogen- say Tab DORIS.2] This wil lhelp to have control over weight and bloating.3] Of course it will help to counter other effects of PCOD.4] I will suggest indulging in a healthy diet and regular exercise regime.Include plenty of fruits, salads, vegetables in the diet. Avoid deep fried foods, bakery products, and refined sugars.I hope my answer helps you.Thanks.Wish you great health."
},
{
"from": "gpt",
"value": "Target: Suggest a birth control pill for PCOS"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having pain over my ribs and around to the side since July. Since it had such a burning quality, my Dr. started me on Neurontin. The pain and burning are much better, but now whenever I cough or sneeze, I have to splint my ribs right in front under my breast. Yesterday, I got into a coughing fit and it felt like something was tearing. So now it hurts to take a deep breath, and it feel shredded up in there. Just today I wrapped my ribs with one of those heating pads. The pressure seems to help. What is the treatment for strained intercostal muscles or cracked and bruised ribs? Doctor: Thanks for your question on HCM.I can understand your situation.In my opinion you should first get done chest x ray to rule out internal lung damage and rib fracture.If chest x ray is normal than no need to worry much. You mostly have muscular injury.So try to follow these steps for better symptomatic relief.1. Avoid heavy weight lifting.2. Avoid strenuous exercise.3. Avoid movements causing pain.4. Avoid bad postures in sleep.5. Apply warm water pad on affected site.6. Start painkiller and muscle relaxant.7. Wear chest belt to avoid mobilisation of painful site."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for strained intercostal muscles"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: im 45 female, had shingles and mono when I was 15 or 16. I've lost 35 pounds, lost my appetite, have 'shingle' pain along the sides and lower part of my trunk, no rash. My belly button was infected and oozing but seems better. I've had ultra sound and lot's of blood and stool tests. Doc found fatty liver, elevated sed rate...not much else. I run hot alot and have had bowel issues but since I've lost my appetite that seems to have settled down. I feel like my sight is also worse at certain times... Doctor: Hi!welcome to HCM!Shingles is the infection caused by varicella-zoster virus — the same virus that causes chickenpox. After having chickenpox, the virus lies inactive in nerve tissue near your spinal cord and brain. Years later, the virus may reactivate as shingles.While it isn't a life-threatening condition, shingles can be very painful.Treatment with antiviral drugs is required only if the pain and rash occur near an eye to prevent permanent eye damage.You're 65 or older, which increases your risk of complications.You have a weakened immune system .The rash is widespread and very painful.Fatty liver can be controlled by diet and lifestyle changes.elevated ESR is nonspecific it merely denotes inflammation in the body. hope this will help.take care"
},
{
"from": "gpt",
"value": "Target: Had fatty liver, shingles, no rashes, elevated SED rate, lost appetite. Had ultrasound, blood and stool test. Suggest"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter had a spell while driving yesterday that made her pull off the road. She said her face was tingling and then it went to her arms and stomach. She said it felt like when your arm falls asleep but it was her upper body. She said it was also hard to swallow and she felt like her face was droopy. Someone told her that her blood pressure had bottomed out. Is this true and isn't that dangerous? Doctor: yes all these findings may be due to high BP or low BP...but most probably she had high BP...please get her to emergency as deranged BP may cause some other problems ..sudden rise in BP may cause such symptoms and second possibility is that your child is having cervical strain ...so please go to ER...there should be BP check up ...her ECG and cervical spine xray"
},
{
"from": "gpt",
"value": "Target: Is tingling on face,arms and stomach due to BP?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have been prescribed Citistar 500 mg to be taken once in night for 30 days. I had no symptoms or any sickness, I had accompanied my mother for her check up with the neurologist, when from a random talk the doctor noticed a very very mild tremor in my left hand (when stretched and held), he did another test where he used a small vibrating stick and made me tell the difference in sensations between 2 specific points, from all the points the sensation in the forehead area were milder (some times no vibration felt at all) compared to the rest of the face. Based on this he prescribed me citistar. I would like to know the diagnosis of this condition. Doctor: You didn't ask the doctor? Is he a neurologist? I don't quite understand his choice for your tremor since Citistar is simply citicholine which is a nutritional element. It is not what I would consider anything of a standard or definitive nature to treat either an essential tremor or a parkinsonian tremor if he is thinking along one of those lines. To my knowledge the evidence for medical use of citicholine revolves around memory and mental issues. Frankly, this sounds like some type of homeopathic medicine and you will not find it prescribed in mainstream U.S. medicine. I would advise you to not be lulled into buying large quantities of this medicine for your tremor......unless it works! LOLHere is a website you can look up that has some discussions on Citistar and decide for yourself: http://www.medschat.com/wiki/Citicoline/"
},
{
"from": "gpt",
"value": "Target: What could cause mild tremor in the left hand?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had all 4 wisdom teeth pulled. He now has a huge piece of whitish material hanging from one socket. Since its a long weekend his dentist on call said it was part of blood clot & should whipe off. It is still attached, doesn't wipe off, actually bleeds if he pulls on it and SMELLS LIKE DEATH! It has now made him I'll from the smell. I didn't believe him until he showed me & standing 3ft away I can SMELL it & man is it bad. His dentist won't see him for 2 days. What should I do? Doctor: Thanks for your query, I have gone through your query.The foul smell from the socket can be because of the following reasons,It can be because of the food debris accumulated in the socket orit can be because of the secondary infection like dry socket. The whitish material hanging near the socket can be a interdental papilla or the pericoronal flap of the extracted tooth. Nothing to be panic, Consult a oral physician and get it irrigated with betadine. Mean while you can gargle your mouth with chlorhexidine mouth wash, do it 4-5 times daily. Continue the course of antibiotics prescribed following extraction.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for a foul smelling tissue in tooth socket"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: a little over a year ago I was told that my wisdom teeth needed to be removed and that one was a cavity and that there was also an infection. I was given antibiotics for the infection, but delayed removing the tooth which is still a cavity. It has now started to hurt and I am afraid of getting a bacterial infection that will spread through my bloodstream or give me brain damage. I am also traveling internationally and cannot see a dentist for another week and a half. Any advice? Doctor: Thanks for your query, I have gone through your query.The severe pain you are describing is because of the tooth infection (acute apical periodontitis). Nothing to be panic, Consult a oral physician and get the tooth treated with root canal treatment or extraction of the tooth. Get a radiograph done to see the extent of the infection and suitability of the tooth for the treatment.Mean while till you take the treatment, If i am your treating doctor, i would have prescribed, a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). Along with antibiotics, you can an analgesics like diclofenac 50mg BID for 5 days. But these medicines will provide a temporary relief. Once you complete the course, try to get the tooth treated as early as possible. Nothing to worry about spread of infection, antibiotics will take care.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Can infection in the teeth spread?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My Mother - Niva Thakur, age 45 yrs, is suffering from excess bleeding from last one month. As per Ultra sound of abdomen everything is normal. As per blood test report hemoglobin is just 9% and thyroid hormones is just 7.55%. Pl advise suitable medicines. Doctor: Hi,Thanks for asking.Based on your clinical history and query, my opinion is as follows:1. TSH level is high indicating hypothyroidism. Both hyperthyroidism or hypothyroidism can cause excessive bleeding. However, she needs to correct her thyroid levels, as it can cause various systemic complications.2. Hemoglobin of 9% is low and needs to be corrected. Possibly iron deficinency also needs to be corrected.3. She will require a endometrial biopsy to rule out any endometrial cause as ultrasound wound not identify any specific pathology.Hope it helps.Any further queries, happy to help again."
},
{
"from": "gpt",
"value": "Target: What causes excess bleeding with hemoglobin 9% and TSH 7.55%?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello my question is I am always getting bacterial infections an bv exc.. I have same partner an haven t had anything in about a month. This has been a continues thing for almost 3 years. I woke up this morning with really bad lower abdominal pain an pressure when I pee. It feels like I have someone stuck in my pee whole. Is this another infection, should I go to the er. I took 2 perkacets am there not helping I am in a lot of pain. Please help Doctor: HIWell come to HCMFirst thing is this should be infection else taking antibiotic wont work here if this is not infection, second on tentative basis antibiotic can be taken but still clinical finding should support this, any way just to keeping your history before, 'Tab Ofloxacin 400 mg twice in day can be taken just for two days, hope this information helps take care"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bacterial infection and lower abdominal pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: There is redness in both lower legs including the foot, warm to the touch, but the toes are cold to the touch. Redness only goes to below the knees. Individual is 74 years of age. Not complaining of pain or shortness of breath. Just doesn feel well and difficulty when trying to walk. Doctor: Hi, I understand your concern. Redness in both legs including foot, warm to the touch, but the toes are cold to the touch are signs of problems related to blood/lymph circulation in the lower extremities. A photo of the legs is required in order to evaluate the redness myself. Anyway, from what you are reporting, I can say it might erysipelas (skin infection) or related to arteritis or thrombophlebitis to rule out by:- clinical examination- Doppler ultrasoundFor the moment, until you see your doctor, I advise to:- apply cold compresses locally- raise your legsAsk for an immediate consultation with your doctor or go to ER if cannot see him/her ASAP. All the best!Dr.Albana"
},
{
"from": "gpt",
"value": "Target: What causes redness in lower legs and foot and difficulty in walking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am Rahul and i am suffering from Mild fatty liver many stomach problems doctor suggest me to take ganaton total early morning , Ursocol 300 twice a day and patocid 1 before dinner and Lactic fibre one spoon full in evening . Please suggest me whwt fruits, Juice, dry fruit and food should i take in this condition . 0000 Doctor: Hi, dearI have gone through your question. I can understand your concern. You have mild fatty liver and stomzch problems. You can take all fruits, juices and dry fruits there is no hram in that. You should avoid high fat diet. Avoid all spicy food. Take high protein diet. Go for regular exercise. It will help in fatty change. Avoid alcohol completely. Continue with your pentocid and ursocol according to advise. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest diet chart for mild fatty liver"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello. I am 36 weeks pregnant and I have suddenly noticed (within the last 2 days) a sharp decrease in my urine output. I drink a lot of water throughout the day (like 12 -8 oz glasses), but when I urinate, there is definitely not that much coming out. My blood pressure is normal, and there are no other symptoms. What should I do? Doctor: first cheque your dehydration levels if you are having increased sweating ,otherwise there can be a urinary tract infection"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for urinary problem during pregnancy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son moved into a room and suddenly started to get a rash. They look like mosquito bites and are itchy. They were raw looking so doctor said treat with antibotics and benedryl. they got better but now there is a new load of them. I did not see bed bugs and neither has he. We looked everywhere under mattress, walls etc. What else could it be? He also had cold symtoms and has for over a month. Doctor: Hi,From history it seems that there might be having some allergen or some thing bite present in his new room causing this problem.Bring him to his original room and observe the rashes.Meanwhile continue Benadryl or give Cetrizine tablet.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Rash, itchy, like mosquito bite, prescribed antibiotic benedryl, had symptoms of cold. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: have 2 bilateral thyroid nodules approx. 1 cm in diameter (one in each gland) & diffuse increase in vascularity throughout. Do I need biopsy if I have had Hashimotos for 20 years (now age 60)....Have severe chemical sensitivities and can not handle lidocaine/iodine so am concern with a reaction during biopsy procedure. Doctor: Hi I did review your concernI would advice you to undergo cytology rather than biopsy which can be under ultrasound guidance and vision for better accuracy. Fine needle aspiration cytology known as FNAC is performed by every pathology laboratory and you can ask for it. It uses very small needle and minimal santizer as alchohol swab and no iodine.betadiene stuff for you to be worried about. You should get a FNAC done as 20 yrs h.o of hashimoto does put you at minimal but some risk of an unwanted small growth which can then be removed if diagnosed early.FNAC procedure takes 5 minutes and report is generally issued in 4-5 hours of processing.I hope this helpsWish you all the best and a healthy life ahead."
},
{
"from": "gpt",
"value": "Target: How does the biopsy procedure work for severe chemical sensitive person?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I hurt my hand 6 weeks ago when a wardrobe fell on it iv had extrays and the couldn t see a fracture now it still hurts. But over the last week I have a continuouse burning sensation and it really hurts and I have notice what seems like a bone sticking out the side of my wrist Doctor: Hello, Consult an orthopedician and get evaluated. Detailed evaluation is required including an MRI scan is required. 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 is the bone protrusion along with pain in the wrist?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have pain in the tip of my penis while urinating and ejaculating..it is a little bit tender all the time but mainly during. i have been to a doctor and my urine has been cleared of UTI and STI's.. i have had this problem for 8 days and i have tried ural powder and also bioglan cystitis relief tablets and although it helps slightly with the pain it has not taken it away. i am quite concerned.. besides this problem i feel quite healthy.. the odd headache and slight fatigue but nothing too serius.. what could it be and what should i do Doctor: Hello,This might be a sign of any urinary tract stone. I need to see your full report of urine routine examination. I need to know if you have any blood in urine anytime? did you pass stone in the past or not? I suggest you to consult a urologist for proper examination and investigation if needed.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes pain in penis while urinating and ejaculating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I shattered my calcaneus(and fractured the ankle) last November; I also had a lot of soft tissue damage. No surgery, recovery went well and am still attending Physio. In the past 3 months I have started getting debilitating, painful spasms in the same leg. The Physios and doctors aren t concerned. What could it be? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.Muscle spasm can be due to vitamin and trace elements deficiency. You can take supplements of vitamin and trace elements. You can get your vitamin D and vitamin B12 levels and if found low you can take supplements of these.You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: What causes debilitating and painful spasms in the leg?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been taking Losartan for a few months. Around seven months ago i started to getting thinning hair on my scalp. I have such a healthy thick head of hair. I could not understand this. I started going to a doctor and he has been giving me cortisone shots for the last five months. I have one more round to go. I see very little improvment. My friend told me that Losartan could have had something to start the hair loss. Thank you. Doctor: Hello,I can confirm that losartan may indeed cause hair loss (alopecia). The frequency of this side effect has not been adequately documented. Your doctor should first exclude other potential causes like thyroid disease or iron deficiency, etc before attributing your hair loss to losartan. Unfortunately, I do not have enough information to suggest further diagnostic testing.I hope I've answered your question. Please let me know if you need further assistance.Kind Regards,Dr Panagiotis ZografakisInternal Medicien Specialist"
},
{
"from": "gpt",
"value": "Target: Can losartan cause hair loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband has PKD and is seeing a Nephrologist in our town, however in doing some research I found a specialist in a nearby city that specializes in PKD and is recommended by the Kidney Foundation. the problem is his doctor won t give him a referral. I even went back to the original doctor that made the diagnosis but his office said he can t give the referral because it s been over two years since the original doctor has seen him. HELP! Doctor: PKD is genetic kidney disease, so if we find a treatment which can eradicate PKD, our children will be free from this disease. However, how to eradicate PKD? Actually, not every person with PKD gene will definitely suffer this disease. For some people, they may live with PKD gene for a life-long time without have any kidney damages. Although this case is rare, it exists truly. Once PKD occurs, it is almost impossible for us to eradicate radically, because we have no methods to remove all the cysts from kidneys. Surgery is the traditional treatment for PKD and it treats PKD through breaking big cysts. We know PKD means there are countless cysts in the kidneys and surgery only can remove several cysts in one time, so it is impractical for us to eradicate PKD through surgery.TREATMENT TRE As for treatment for PKD, Immunotherapy is worth trying. Immunotherapy combines Chinese medicines and Stem Cell Treatment which are separately applied to shrinking cysts and increasing renal functions."
},
{
"from": "gpt",
"value": "Target: Need of referal for nephrologist for PKD"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: While getting dressed this morning I had a sharp pain in the upper right side of my chest. While it lessened after I belched several times, I've had lesser pain on and off all day, which radiates from the right side of my chest to my mid back. Belching does seem to relieve the pressure, but the paid doesn't go away. Any suggestions? Doctor: Hi welcome to the health care magic Here pain is right sided abdominal not severe enough and not on left side It can be from referred pain of gastritis or chronic constipation It could be musculoskeletal pain if no obvious cause found and pain aggravation by some movement.. According to cause specific treatment given For gastritis antacid like pantoprazole prescribed Here EKG also done to rule out cardiac cause although seem less likely If abdominal pain associated than USG done Take care Consult physician for examination"
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in upper right side of chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son was born in India on 1 Apr 2010. I used to feed him Nestle Lacogen 1. Im in US now and searched a lot to get this product here. but didnt find it. I tried feeding him Similac, Enfamil, Kirkland and even Good start. he is not liking it. He is refusing it to have 1 oz also. Is it advisable to start up with Lactogen? As I have heard that its not recommended product. Doctor: Hi, You may give lactogen as many as you want, but try to withdraw it slowly by decreasing the dose you give daily and replace it by any other one. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Can Lactogen be given to a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Recommended medications for alopecia. Are they effective? Do they have any side effect? 0 answers, 5 views Posted in: Hair Loss Edited 3 minutes ago Intense pain after routine colonoscopy, CT shows Mesentary Panniculitis. Is surgery necessary to improve ? Doctor: Hello, Yes, partially. There is currently no cure for alopecia areata, although there are some forms of treatment that can be suggested by doctors to help hair re-grow more quickly. Other medications that can be prescribed that either promote hair growth or affect the immune system include Minoxidil, Anthralin, SADBE, and DPCP. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr AJEET SINGH, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Are recommended medications for alopecia effective?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I woke up this morning and I had this terrible pain on my upper back. It felt like I ve been punchef in the back. The pain intesifies when I take deep breathes. I went for an x-ray at an Urgent Care and was told that it has to be muscular. I started coughing also. A dry cough Doctor: hi,thank you for providing the brief history of you.A thorough clinical musculoskeletal assessment is advised.As you have pain in the upper back this could be related to inter scapular muscle spasm or trapezitis.I will recommend you to undergo physical therapy as by therapeutic ultrasound therapy and TENS therapy the pain can be reduced.most cases in my clinical practice responds well to physical therapy and exercises.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in upper back"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just found a hard white bump in my gums, underneath one of my lower canines. After poking at it with my finger, the white bit came out. My gums around the tooth are swollen and there s a pinprick of blood where the abscess popped out, but there s no pain. There was no pus, but I was able to squeeze the white bit after it came out. It made a popping sensation and a tiny bit of fluid leaked from that. Is this just an abscess? I gargled with mouthwash to kill whatever my bacteria might be around the site, but I can t afford dental care. Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some abscess formation due to gingivitis. you should take a course of antibiotics. Consult your doctor and take treatment accordingly. If ypu don't get benefits then consult dentist for further investigation. 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 is the hard lump filled with white stuff on my gums?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello miss or mister doctor! I Well I have a question that can sounds stupid or dangerous, but I d like to have an answer based on proofs if it s possible. What are the side effects of adderall? Does it create a dependency? If yes, is it hard to get out from it? Thank you very much. Doctor: Hi,As of date Adderall has been approved to treat attention deficit hyperactivity disorder and narcolepsy. Its common side effects include insomnia, loss of appetite / weight, increased heart beats / blood pressure, dry mouth, headache, nervousness, irritability, impotency, and both physical and psychological dependence. Its withdrawal may cause unpleasant symptoms the severity of which will depend upon the average amount of drug being used / abused, amongst other variables but on the whole, they are typically less dangerous than the risks posed by continued abuse.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What are the side effects of adderall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is Steve and i have a problem with my kidneys leaking pottassium, I m curintly taking 3000 mg of pottasium a day just to keep me at 3.8-4.0 in my blood , my question is how do you stop the leaking pottasium. Doctor: Hi welcome to HealthcareMagic you need to continue the potassium for life time,.. there has been excretion of potassium in kidneys due to malfunction or non function.. leading to renal failure... hence no other option only treatment is to continue... Hope I have answered your question.. TakeCare.."
},
{
"from": "gpt",
"value": "Target: How can I stop the leaking of potassium in my kidneys ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 65 year old wife has just been dropping small items held in her left hand. This seems without intention to do so. Also the left arm seems less controllable. She appears less energetic and frustrated. Your thoughts short of going to the doctor's? I've massaged her feet, back, arms, shoulders, neck, head but no dramatic results or relief. Doctor: Dropping things from the hands happens to everyone as they age. For some reason the strength of grip when picking up objects is not as \"automatically\" good as it is in younger age. And this starts happening in actuality in our late 40's early 50's. I don't think that's necessarily a problem unless it is becoming so frequent that it is clearly obvious that she is weaker on one side vs. the other. One thing she do then, would be to get a grip ball (rubber or sponge) of some stiffness and practice gripping this object while watching TV or just sitting and relaxing. This may help. As far as the control on the left arm being less than the right again, I don't know exactly how to issue advice on this if going to the doctor is not an option other than to perform focused exercise routines by going to a gym or working with someone who can recommend specific exercises that can gain coordination and strength in the left arm as a whole either with weights or perhaps something such as yoga and other exercise programs that are available in the community through Public Recreational Centers and spas.Best of luck to your wife.Please rate this advice with STARS if you find its information of use to your question. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes weakness and loss of control over the body parts?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My mom has recently been diagnosed with IDC grade 2, invasive tumour in dermis and all first 8 lymph nodes tumour free with TNM: pT1, pN0, pMx. The tumour size is 0.8x0.7cm. The epidermis of skin is tumour free however tumour is identified in lower dermis. Tumour cells express E-Cadherins and are ER/PR positive and HER +2. The doctor has done Mastectomy and now advicing us that she would have radiation therapy for 4 weeks, may or may not with chemothrapy or 5 years medicine. I don't have any idea what to do as i can't understand why radiation is needed after mastectomy. If radiation is necesaary, what type is right for this kind of cancer (external or internal) and what dose is recommended? Further, why chemotherapy is needed in this case? Early suggestions would help.Thank you.Naushad YYYY@YYYY Doctor: Gretings. If a complete mastectomy has been done and nodes are free of tumor and the tumor size is small( as in your case), then radiation therapy is not required. Now comes the question of chemotherapy. First of all she has HER-2/neu status of 2+. so a FISH test is required to confirm whether she is HER-2 positive or not. If FISH test comes out to be positive ( a bad sign) then i will suggest chemotherapy plus targeted therapy for HER-2(trastuzumab drug). If it does not come positive(good sign) then trastuzumab is not required and requirement of chemo will be decided by another test called oncotype dx. if oncotype dx is high then chemo is required otherwise not. Now comes the question of anti hormonal therapy. She requires 5 -7 years of anti hormonal therapy as she is ER positive. hope that solves your queries.regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for invasive ductal carcinoma"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a kidney transplant March 30, 2010. My new kidney is working perfectly with a creatinine of 0.9. It started working immediately and has worked beautiful. I have been on Glipizide since the transplant (5mg twice daily) to control blood sugar. I was not diabetic before the transplant and feel like if I loose weight, I could control it with diet. I weigh 165 lbs now and would like to be back to 140 lbs. Can I do the HCG diet? Doctor: Hello and welcome to HCM.As an Urologist and kidney transplant surgeon,i'll never advise a HCG diet.Your kidney graft is working well so far,then why not exercise regularly and reduce diet intake daily. HCG diet isn't safe or effective and has side-effects.It's not recommended by FDA, as HCG diet advises to take 600-800 cals/day.The side-effects of electrolyte imbalance, edema,depression,irritability,etc,are not advised for any patient. You've to be more careful than other people.If you've any doubt.you may send it as a direct question, to me.Dr.Matthew J. Mangat."
},
{
"from": "gpt",
"value": "Target: Can I do HCG diet after kidney transplant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, my baby boy is going to complete 6 month old on 29th April 2012. So i have started giving him infant Cerelac milk and rice just tow days before.wanted to inform you that I am giving him breast feeding when he is 7 days old and still now continuing. But 1st day he got rashes on face and swelling nose with cough.2nd day he just effected with few rashes.and today when he fed after 5 minutes he got effect with rashes and swelling of both eyes. so please help me with some of my quires those are - * Should i continue with stage 1 Nestle infant cerelac or not. *Why these allergies are swelling his nose or eyes. *which cerelac should i follow. *Please share good diet chart should i follow. Thanks & reards, Barnita Doctor: hallo madam thanks for the concern as the symptoms of baby are indicative of allergic action, its better to stop the food supplement that you are giving to yiur child. you can switch on to other branded infant food suppliments or best is to feed your baby with home made preparations like rice/ragi malt, mixed cereal powder malt, boiled and mashed potato mixed with milk. mild fruit juices,etc can be given. hope this helps you."
},
{
"from": "gpt",
"value": "Target: Infant food allergy, rashes on face, swelling nose, cough, swollen eyes, had cerelac milk and rice. Can i continue cerelac?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've been noticing the veins in my arms becoming more prominent. Darker blue, longer, more branching. I'm 28 and i just started working out on a beginners, easy level. I have tetrology of fallot(repaired) and as a heart patient when I notice these sorts of things I become concerned. Any idea what it may be caused by? Should I be worried? Doctor: Hi this may be due to variation in blood supply. Darker and more branching are due to increase in blood supply to the tissues. This type of prominence in vessels are normal in the initiation of working as the vessels dilate for increase blood supply. No need to worry for now. But if you develop any signs of cyanosis, ischemia then consult your doctor for further management.Hope this helps you.Regards"
},
{
"from": "gpt",
"value": "Target: Prominent veins in arms, have tetrology of fallot. Cause?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I feel like there is something cold in my lungs and in my throat. I have had a cough for 2 weeks that has produced a small amount of mucus. No other symptoms.The doctor gave me z-pac last Saturday, which hasn't helped. I went to the pharmacy yesterday and got a bottle of cough syrup with codine and expectorant. Doctor: thanks for asking your question I completely understand your question no need of codeine it will retain the sputum and as a side effect it can cause constipation. have a cough expectorant like a syrup containing guaphenesin and ambroxol.and along with that you need a broad spectrum antibiotic like cefexime you need to get a chest xray done to rule out tuberculosis or any infective lower resp tract infection.you need to consult a pulmonologist to rule out the above mentioned diseases and to start the above mentioned treatmentthanks / regards feel free to ask more questions may god bless you with good health"
},
{
"from": "gpt",
"value": "Target: How to treat cough and cold?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes hello I am feeling pain in my left heel towards the center of the bottom of my foot. When I get up, I can t walk on it for a bit, seems to be painfully tight. I suspect Plantar Fasciitis. I have heard that stretching is good for this but it takes a long time to heal. What are some things I can do for the pain and tightness. Doctor: Thank you very much for contacting healthcare magic. You have problem of planter fascitis that can treated by physiotherapy. In physiotherapy streching of foot muscles is helpful for this.Night splinting is helpful for relieving a pain.Ibuprofen is helpful for reduce inflammation and pain .Orthotics helpful for distribute a pressure over foot.Steroid injection is helpful for severe pain relife problem. Surgery is a last option.Consent a physician for further diagnosis. I hope my guidance is helpful to you.Take care. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in my left heel"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am writing this mail to have your specialized opinion for my aunty who is 55 years old and currently admitted at Yashoda hospital, Ghaziabad. She started with respiratory problem and could not walk even inside home due to breathlessness. Pleural effusion in the right lung was found to be the cause behind it with 3-4 liter of water filled over the lungs ( majorly covering the right lung). Around 1.5 liter of water was removed and it was analyzed with rest of the fluid leaving inside the lungs only. ADA and Gen-expert were done to test the possibility of TB however both tests were found negative. TB culture report is also awaited.On the basis of the fluid analysis report she was diagnosed with TB and medicines to cure TB were started. Later on an ovarian cyst was located with the possibility of ovarian cancer as CA -125 result was 78. She was operated and the cyst was removed ruling out the possibility of cancer (as per gynecologist), biopsy report for the same is awaited. Please suggest if on the basis of fluid analyses report, is it fine to continue with the treatment of TB with all other tests being negative or there can be some other possibility apart from TB which is yet to be find out as there are different opinions of doctors on the same. Also suggest tests ( if any ) to confirm the same. Please note that TB culture report is also negative. I would be really thankful if you can provide your valuable and expert advice on the above discussed matter.. Warm Regards Doctor: Not all the time pleural effusion is caused by tuberculosis. ADA of pleural fluid is more specific for TB which is negative, you can also go for mantoux test.if mantaux comes out to be negative there are no chances of tuberculosis and pleural effusion is due to ovarian tumour."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pleural effusion in the lung"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: good day Dr. Robert Galamaga. i would like to ask question regarding my monocytes, in the test results my monocytes is 02 i am worried about the result, i am working night shift, in the morning i go to school to study.. is there relevant causes regarding my work? Doctor: Hi there, Don't worry about monocyte count of 2%. Very rarely people with low monocyte counts can get some unusual infections such as mycobacteria, listeriosis, brucellosis etc. But I have seen many patients with less monocyte counts, but doing absolutely OK. As long as you dont have repeated bouts of fever, I would consider you as perfectly normal individual. Certainly low monocyte count is not related to your night shift work. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat"
},
{
"from": "gpt",
"value": "Target: What does this monocyte level indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my friend has pains in her appendix area and is shivering, she has no other signs of appendicitis that i know of. she is also seeing double and feels dizzy, this has been going on for about an hour and i m very concerned about her. please get back to me as soon as i can thank you Doctor: Hi. Shivering with a pain in appendix area is more suggestive of urinary tract infection or colitis, giving other symptoms. There can be a problem with a ovary or the fallopian tube too. Urgent referral to the Surgeon and an urgent sonography may be necessary."
},
{
"from": "gpt",
"value": "Target: Remedy for abdominal pain, shivering, seeing double, and dizziness?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i was pushed quite hard and hit my lower back on a unit i am in great pain i have a stinging sensation in my left side of my lower back i am finding hard to get comfortable.I get stuck in positions where i cant move then when i can i am in great pain.I have taken tramadol but nothing is helping with the pain.I am 34 years old weighing 11 stone my hieght is 5ft 7. I have a history of a prolapse disc 2 years ago i had to have a operation, Doctor: HelloThanks for your query.After going through your query I came to know that you are probably suffering from lumbar disc prolapse as you has already history of disc prolapse. It can be confirmed by MRI scan. There are two treatment options.First option is rest in position of relief(generally lateral position with both knee bend),neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeperazole before meals prevent acidity caused by analgesics .Second option is go for surgical operation(Discectomy). You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us . I will be happy to help you.You can also write to me directly on below link:https://www.bit.ly/askdrsudhirorthoWishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: What is the treatment for lower back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello,My name is Keith Mitchell,W/m 47 Y/o,Have elevated B/P occassionally but on medication.I fell and broke my neck in 2002,being the stubborn man,and did I mention I was a FireFighter/Medic for 18 years!Actually ,the emergency room doctor didnt see the fracture on the Ct scan and was more concerned with my R shoulder! I was experiencing a mild cas of verdigo,stood up on my back deck thats approx.7 from the ground and headed straight for the stairs and fell end ove end til Landing at the end of the brick steps.My wife called 911,the fire dept, that I m chief of, responded and I rode in the ambulance to the ER.The attending Doc ordered CT and Xrays and didn t find any breaks initially,major bruising and the thought that my R shoulder was fractured!It was Not...This was 2002 in 2005 the pain from my neck put me in pain management!I worked a job that required me to be out of town all the time.Long story short I missed a cople appointments and was released from the pain mangement program after 6-8 years..I started seeeing a doctor in a doc in the box,that turned out to be my pediatrician,this guy went way above the call of duty and I will ever be thankful for Not,being afrid to write the 120 norco 10mg and the 120 soma every month.A single dad with a daughter and no insurance was tough but I handled it....My doctor retired and nobody else in the practice will write ANYTHING for FEAR of getting in trouble,or thinking I m a drug seeker???I understand Doctors have limitations,but when you have tried Toraadole 50mg and injectiond of the same and tons of Ibuprofine and Tylenol,Asprin and any other NSAID and it doesnt work,What am I suppose to do?I have always been a law abiding citizen,but some patients are being forced to get it illegally and I would just rather do it the Right way..... Please help me if you can!Remember,I have No insurance nor do I have a job at this time!!?? Doctor: HelloI have read your query. I will advise you local neck area injection so that drug depends can be reduced. Physiotherapy like IFT And TENS will help you. Opioid may lead to drug dependence so avoid it.I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fracture in the neck"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor I m 21years old and I m doing masturbay when I was 15 but now a days I feel like I m doing it to many time I can t help my self to watch porn it means every time I watch porn I have to masturbay and it happens thrice times a week I m so worried I hope it s not gonna effect on my sexual life or on my health ?? Doctor: In normal condition there is no harm with masturbation. Masturbation is just kind of safe sex where you enjoy sexual activity with your own body. It has no adverse effect on sex life.If you over practice it it may have few deleterious effects. For a 21 year guy it is normal to masturbate 7-10 times per week. This is also advice not to use extra force while masturbating.Thanks"
},
{
"from": "gpt",
"value": "Target: Will regular masturbation affect my sexual life?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good morning dear sir, I am 27 year old. Some time i feel a little chest pain in a single area. ECG results shown something variations after that i ve checked TMT its also positive. Then doctor suggest angiogram. Its done and the angio report is negative. Doctor has said, your ok, nothing to worry about that. Heart is perfect condition. No blockage and anything. ECHO results also negative. But sometimes also feel some pain in single area. This is any issues? BP is something high (150-95)Cholostrol also high Doctor: Hello,You have the following issues :1. Hypertension 2. GERD 3. Hypercholesterolemia For these things take tablet Telma 40 once, tablet ecosprin gold once, and tablet pantop d twice and syrup mucaine gel.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Chandra Shekhar"
},
{
"from": "gpt",
"value": "Target: What causes intense chest pain while having high cholesterol?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello Doctors firstly can i thank you for taking the time to answer my question, secondly, i have a question concerning whether to get braces or any other treatment (except for veneers).i have an overbite, 2 protruding lateral incisors and my canines are pushed back in comparison to my other teeth. what is noteworthy is that my left canine is very small because its still a milk tooth though i'm 19 years old. A year ago i had a surgery to remove the tooth that was supposed to replace this canine (it was engraved in my palate horizontally).Hopefully you will help me out decide whether to have traditional braces,on a 6 month smile in order to enlarge my milk canine and straighten the rest of my teeth . Thank you in advance. Doctor: Thanks for your query, I have gone through your query.The malocclusion has to be corrected with braces. The milk tooth has to be removed and the space has to be closed with the help of braces. This might take a year to one and half year. Do not go for any short treatment procedures, go for conventional method. This can be decided based on the casts and radiographs like OPG and lateral cephalograph. Once the amount of space needed to be closed, the amount of over jet and overbite present determines the treatment plan.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Can i go for braces for malocclusion of teeth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Relative had the tail removed from the pancreas and spleen removed six weeks ago. Return tothe hospital with abcess draining. Temp. 103.2 WAs discharged five days after surgery. Back in to the hospital 06/18/2013 with a Temp. 103.0 again. The surgeon desires to putin a stent. Why? Doctor: Hello! one of the common complications in pancreatic surgery is leakage from the area where a tumor is removed. The stent will help the pancreas to drain towards the intestine instead of draining towards the repair, since it is still probably swollen."
},
{
"from": "gpt",
"value": "Target: What causes abscess after removal of pancreas tail and spleen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: L 2, L3 have severe spinal stenosus showed from recent mylogram no contrast could flow threw that part of spinal cord which is above the area I had lumbar fusion done in 09,s1,L3, L4, l5 WERE FUSED. nO BETTER SINCE OPERATION It affects burning feet excruciating daily pain, numbness on legs of all out side skin, severe leg spasms that blow ya thru the roof! ankle, feet, toes, and leg do move ments daily that I can't control. What are my next options? fused mom. Doctor: Hello, I have studied your case.You may need to do MRI spine with contrast again to see for nerve compression If your new MRI shows discitis then surgery may help.Due to spinal canal stenosis there is burning sensation in your leg and pain associated with it.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and TENS therapy will help.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: How to treat severe leg spasms, pain and numbness which has not improved despite undergoing Lumbar fusion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had this lump under my armpit for about 5 years now, it use to pus but hasnt recently. It has a hole in it that looks like a slit but pus hasnt came out of it for at least 2 years now but has become very embarassing and I never got it checked out! What could this be and should I be worried? Doctor: welcome to Health care magic.1. It looks like carbuncle / furuncle. 2.Needs medical attention.3.A surgical assistance is needed in case of pus and lumpy areas.4.Initially a course of antibiotic is given if it is resolved well and good - or else needs incision and drainage may need.5. Do not ignore, book an appointment and get treated before it gives complications.Anything to ask ? do not hesitate. Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for lump under arm pit"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6 year old son went to the dentist yesterday and they said he has an abscess tooth and gave him clindamycin hcl...he started it last night. Has had 3 pills. He has a slight fever, headache and vomited this evening. Is there a correlation or could this be something else? Doctor: Hi...Welcome to healthcare magic. As you mentioned you have problem of tooth abcess that one is a infection so may be fever is there....Clinadamycin drugs side effect is nausea...Painkiller can use for it...Mention a temperature of body....Consult a your dentist for further treatment. Still there is a symptoms than consult a physician for further diagnosis. I hope this will help. Get well soon.. Thank you."
},
{
"from": "gpt",
"value": "Target: What causes fever, headache and vomiting after taking Clindamycin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a rash that started as itchy bumps in my armpit that I scratched. And then both armpits turned bright red extremely inflamed itchy, dry and edges were like flaky. I took prednisone which seemed like was making it fade. Then when the prednisone was done, it began to spread across my breasts and down my forearms turning the inside of my elbows bright red and inflamed. Now its spread down my forearms and my inner thigh and the creases of the back of my knees. Please help it itches and burns and though my armpit seems to be fading back to normal. ...now I have painful pimples in them and my arms have all these red dots/patches Doctor: Hello, I have gone through your query and it seems to be dermatitis. I would recommend you to apply cortisone cream on the affected areas twice daily and take antihistaminic like tablet Cetirizine once or twice daily depending on the intensity of itching. Also, take tablet Prednisone once daily for 2 weeks. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist"
},
{
"from": "gpt",
"value": "Target: What is the cause of red bumps, itchy rashes in armpit and arms?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have acute knee pain. in a localized half moon area on the medial side of the knee. No trauma. No Previous knee issues. I do have a heel spur on my left heel as well due to chronic bilateral plantar fasciitis. I am wondering what is causing this? At it s worst is a 9 , at it s best is a 6 . Doctor: Hello,Thanks for the query.As of now you can use analgesics/anti inflammatory combination like aceclofenac/seratiopeptdase for symptomatic relief. If symptoms persist better to consult an orthopaedic and get evaluated. In severe cases steroid injection to the foot may be required.Wishing all the best.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe knee pain while suffering from bilateral plantar fasciitis on the left foot"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had some discomfort in my testes and in my kidneys, its has been occurring for about a year. Had a vasectomy and then a reversal about 22 years ago. Cancer runs in the family. no blood or pain associated with activity, not worse in the morning and not consistent through the day. I turn 57 in a couple days. To be clear, its mildly annoying but not pain that stops the day. Doctor: Hi, Pain in the testis may be due to Infection or hydrocele or epididymitis. Back pain may present like renal pain. Use tablet tramadol with paracetamol twice a day for five days. Get it done ultrasound abdomen and scrotum. Get it done urine examination is done. Drink plenty of liquids, avoid smoking and alcohol intake. If symptoms not improved please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes discomfort in the kidneys and testes in a 57-year-old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am have been tested having high number of pus cells of 10 to13 and was given some medicines to cure but it still seems persistent, to some extend i am afraid if it will result into infertility. else what effects do you think it carries that is the burning question i am having, please help Doctor: hello dear,i do understand your problem and anxiety.pus cell in urine suggestive of infection in urinary tract.it could me sterile pyuria in case of tuberculosis of genital tract. or it could me pyuria with bacteria. you need to urine culture sensitivity testing and take medicine accordingly.if the infection gets cured then the chances of infertility is nil.hope this will helps you."
},
{
"from": "gpt",
"value": "Target: Suggest effects of puss cells?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi there,My long distance girlfriend just txt me and she woke up in her own blood, from her nose and mouth but she's not entirely sure where it came from. Apparently it is too much to just be a nose bleed and I'm worried about her! She contacted me about an hour earlier to this saying that her stomach was hurting and now she is feeling weak, unable to concentrate and tired! Is there any possible causes for this and what can we do??Thank youAn,mon Doctor: There are two broad possibilities to consider. She might have elevated blood pressure which might have caused the bleeding. Her blood pressure needs to be checked immediately. The second probability is gastritis and a gastric ulcer. It could also be that she has developed a gastric ulcer which has bled. This also goes directly with her pain in the stomach as well as her weakness. Whatever be the case, ask her to go to a hospital emergency immediately. Be sure to ask her to take somebody along."
},
{
"from": "gpt",
"value": "Target: What causes nose and mouth bleeding early in the morning?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 45 year old, healthy female, and before going to bed two nights ago, I noticed a round, purple spot on my bottom lip. It is not raised, it is not sore--it looks like a round, purple bruise. I had spent the weekend before on vacation and my lips were chapped from sun. Thank you. Doctor: HiIn regard to your query,It looks like you had bitten your lip or injury to lip had happened. What you see purple bruises are nothing but blood clot which fades away with time without any symptoms.so forget those bruises and be happy.Consult your oral physician for the best treatment if symptoms persist.Hope I have answered your query ticyour satisfaction."
},
{
"from": "gpt",
"value": "Target: How to cure a round purple spot like bruise at the bottom of lip?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my baby is 3 month old & is passing green poop since a week, my pead gave him econorm 1/2 in morning & eve but no effect for 5 days, then he asked me to do stool test. The results say Greenish, Watery, Mucus present, pH acidic (6.0), occult blood present, pus 90-95 clumps/hpf, RBC 3-5/hpf, stool macrophages 3-5/hpf Lactose intolerance Reducing substance Present++++ Doc has asked me to give him Zifi drops 1ml morning & eve each Kindly guide me, I m worried Doctor: Welcome to ' Ask a doctor ' service .I have reviewed your query and here is my answer .Please note that zifi is a very good antibiotic and let it continue for the doctor recommended dosage and duration .I hope I have solved your query .Let me know if I can assist you further in this query .WITH REGARDS , DR VARINDER JOSHI ."
},
{
"from": "gpt",
"value": "Target: Is Zifi effective in the treatment of stomach infection in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, about 5 months ago I started getting terrible pain in the arch of my left foot where the heel meets, now the top of my right foot and the same area as my left is having horrible pain as well. I am a medical assistant, on my feet regularly, I have gained an unusual amount of weight in the last year due to another medical issue, could this be due to the weight gain or have I acquired flat foot? :( Doctor: Both possibilty are considered yet if you are seeking treatment i suggest a quick test stand on your heels toes up in dorsi flextion while leaning forwards for 1 min , if pain improves then u need wear an arch and lose weight along with professional physical therapy to shift weight from heels to toes againif that test does not help then you should consider the possibilities of stress fracture or trauma from long periods if standing Hope i could be if help Good Luck"
},
{
"from": "gpt",
"value": "Target: What causes severe pain in the arch of the foot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 50yrs old and my hair are falling day by day resulting partial baldness. Is there any oil or medicine to cure the problem?I am also having hearing problem with my right ear since last two years. Doctor advised for operation of the bone in ear. what is the proper treatment? Doctor: HIWell come to HCMIf this is male patron Baldness, then nothing can be done, Minoxidil lotion can be used but this wont give any promising result, second if you have some hearing problem due to some internal anatomical lesion then this need to be operated, (Exact pathophysiology is not given here ) better to follow the advise given by ENT surgeon, have a nice day."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe hair loss and hearing problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, 22/f... i have been getting weird spells since the summer. I get slightly dizzy with deja vu and get a dream flash back. then i gag but im not nausous. its been freaking me out and i find alot of people online with this but nobody knows what it is... Doctor: HIWell come to HCMThis is absolute hallucination and the Deja vu is it self a psychological condition try to forget this it is good for nothing better to avoid this instead of taking some medicine for this condition and this is not difficult because this is some what common to every one more or less but this need to be forgotten next, take care."
},
{
"from": "gpt",
"value": "Target: What causes a dizzy spell with deja vu and dream flash back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi. i am not a strong man in mentally. infurite complex, try to show off,lack of confidence, mod swing, uture is black to me. So i am very worried about my daughter she is only two years. i seems to me she is following same path of my. how can i protact her,not to follow my pat? Doctor: Hello,Children usually do as their parents do. It means that to raise a confident daughter, you need to improve the issues you have, and she will then look up at you and do the same.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. S.R.Raveendran"
},
{
"from": "gpt",
"value": "Target: How to build your child's self-esteem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A rash appeared on my butt a couple weeks ago. the rash was very red but not painful and not that itchy. there were bright red blotches. the rash was confined to the center of my butt cheeks where my anus is but did not go inside my crack or elsewhere. it appeared after a night of heavy drinking (beer). A few days earlier I had unprotected vaginal sex. i went to my doctor who was unsure of what it was but said it was most likely contact dermatitis and prescribes a steroid cream and said to come back if it spread. 2 weeks later the rash had basically healed and i woke up with what looks like a cluster of mosquitoe bites in the same area. 2 days after another night of drinking beer. this rash is not the same as before as it resembles mosquito bites insteas of the bright red rash i had before but it seems as though it is spreading when i scratch it. it is far itchier this time as well. any ideas as to what this may be? Doctor: Hi, Since the rash is spreading & you have itching with irritation it can be due to pin-worms, untreated yeast infection, allergic rash (lichen sclerosis), genital warts & STD. Get physically examined & have all STD screening tests done. You may need antibiotics, antivirals, avoid sex for a couple of days. Get treated along with your sexual partner. Avoid unprotected sex. In the meantime you can take Albendazole or Mebendazole under a PCP. Apply Hydrocortisone cream locally for relieve from itching. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes a red itchy rash on the body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 14 year old son recently had a stomach infection and was treated with antibiotics. The diarhorrea continued intermittently so the doctor carried out tests which revealed nothing, so he is avoiding milk and chocolate. Today he was sent home from school with dizziness, a headache and cramp but no diahorrea. He had tomato sauce in his meal last night, but otherwise nothing else we know to bring on diahorrea (tomato has not proved to do that yet.) Doctor: HiThanks for writing to Healthcare magic.Many times after a bout of diarrhoea, the intestines can become irritable. That could be reason of the cramps.I would recommend that he is seen by a doctor. Also meanwhile you may please start on Enterogemina ones a day ."
},
{
"from": "gpt",
"value": "Target: What causes stomach cramps and diarrhea in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 8 year old son who weight 32kg and suffering from epilepsy. Currently I am giving epilex syrup 16 ml(8ml mornig and 8ml eve) with lavera 250mg one tablet in evening. I want to give him epilex tablet instead of epilex syrup. Could you suggest me how much tablet and what manner should I give him? Doctor: Hi...equivalent dose - you can give Epilex 200mg tablet one and half tablets twice a day.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for epilepsy in kid"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father has Binswinger disease. He has just about all the complications that come with it. But the one complication that I don t think my Mom or my Dad have really told their doctors is as serious as it is is his chronic constipation. He went for his annual physical in Dec. and had lost another 16 lbs....this makes a 30 lb weight loss in 2 years. My mom has to give him enemas usually twice a month. Recently, he had an actue episode that has now led to hernia surgery next week. I went to the doctors with them and was floored to learn that his primary doctor really did not understand how chronic the constipation has been. My dad had not been taking milk of magnesia until he thought he was in trouble and he was not taking a stool softener at all. We got him through the last constipation episode but now just learned that he has not had a bm in 3 days. He is not eating well or much these days either. So, was wondering if we are in some sort of late stages of this disease and now what are the signs we need to be looking for to tell us when my mom really can no longer be his care taker (by the way, she has COPD and has had acute issues herself this year...they just diagnosed her with an IgG deficiency that we are now starting to deal with). Thanks for any thoughts. Doctor: Hello, There is no correlation between constipation and Binswanger's disease. Dementia can occur in Binswanger's, which can progress. At late stages, patients need a full-time caregiver. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sudhir Kumar, Neurologist"
},
{
"from": "gpt",
"value": "Target: Is chronic constipation the last stage of Binswanger disease?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi! My brother recently commited suicide and the autopsy revealed he had liver cancer that spread to his brain. I looked into a lab test done over 4 years ago to see if he had any indications back then of trouble. His AST was 183 and his ALT was 173. Albumin was OK at 4 and bilirubin 1.3 Is the fact that the ratio is over 1 indicative of cerrosis even thogh it is only slightly above 1? Are the values high enough to indicate definitely liver disease at that time? Thanks!!! Doctor: Hi, dearI have gone through your question. I can understand your concern. He has high AST and ALT. They are liver enzymes and their level increase in any kind of liver damage. It may be due to hepatitis, cirrhosis, alcohol, drugs or toxins. So it need complete liver function test with ultrasound abdomen. From that result we can not say that it is due to liver cancer. But liver disease should be surely diagnosed and should further investigate.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: Is below test result high enough to indicate liver cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had a TAH with lso (right ovary was removed in a previous operation) nearly 7 weeks ago and I'm on hrt. I'm 36 years old. Over the past few days I've become extremely weepy over anything to do with children and babies. Adverts, general conversations, pictures. I have one child which was a miracle. Can you advise me what do do about the crying, I'm not sleeping properly either. Doctor: Things you can do yourself are: take a deep at that moment count to 10. Then thing about all beautiful things in your life especially that little miracle you have. But in any case you should see a psychologist who will help you realize whats happening with you . The last step is to consult a psychiatrist ."
},
{
"from": "gpt",
"value": "Target: Suggest cure for depression and difficulty in sleeping"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my daughter, age 6 and haf yrs, was playing with the dog(non-owner dog)and has got accidental tooth mark just below her nose. It seems to be the superficial one (1 mm size)but has a blood dot over it. I took her to the doctor 36 hrs. after the injury and course of rabipur has started. I want to know that since the health status of the dog is unknown, will my daughter suffer any problem in future as i couldnt take her to the doctor immediately after the incidence. we had washed the affected place with soap and water and with dettol antiseptic immediately. Please answer my question. I'm feeling guilty. Doctor: Hi,I had gone through your query and understand your concern. I want to say you thanks first because of cleaning the wound immediately with soap and water.Your daughter is safe now since the course of vaccine has been started. So please do not feel guilty yourself.People will be affected by rabies virus only when contaminated with rabies affected dog (rabid animals). It means every dog bite will not cause rabies to human. But we recommend five doses of Rabipur vaccine as a post exposure prophylaxis and for safety. If you observe the dog for 10 days and find the dog alive, then 3 doses are enough. Since you will not be able to observe the dog, I would suggest your daughter to complete the five doses according to schedule.So do not worry. Everything will be okay.Wish your daughter good health."
},
{
"from": "gpt",
"value": "Target: Will a dog bite cause infections in future?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello: I am traveling in a foreign country and have ran out of my blood pressure medication. I am taking IRBESARTAN (APROVEL) 75mg. I have been offered EZIDAY in it's place, can I take this for about one week until I get home? YYYY@YYYY Thank you Doctor: Hi & Welcome to HCM.I appreciate your concern for possible switching over of the medicines for high BP.Since you have been taking Irbesartan 75 mg once daily and now travelling to a foreign country you can be take Eziday as you have been offered.In terms of effective control of BP Irbesartan 75 mg once daily can be considered equivalent to Losartan 25 mg once daily. Wishing you best of your health."
},
{
"from": "gpt",
"value": "Target: Can I take eziday instead of irbesartan for blood pressure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a healthy but slightly overweight 41 year old, no problems and workout regularly, however today when I walk or do push ups I get short of breath and dizzy, it feels like I am having to suck the air in. I do have slight nasal allergy today but never been short of breath before. Doctor: Hi thanks for contacting HCM...Here first get your respiratory esmunation with auscultation....If rhonchi heard then bronchiolitis or COPD or asthma can lead dyspnea....Investigated with x ray and pulmonary function test....For lower respiratory infection antibiotic given....If dyspnea is by bronchoconstriction then bronchodilator might given....Avoid smoking....Keep exposure to environmental pollution less.....Get your blood pressure measurement....Here as you have dyspnea on exertion I would suggest to rule out cardiac cause like heart failure by.......ECG And 2D ECHO....If suspected pulmonary edema also has to be ruled out......Hope your concern solved.Take care...."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for shortness of breath"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have ampillary cancer, and I have had the Whipple procedure to try and deal with it. That left my liver much altered from a normal liver, depending on stents to get bile into the bowel. Recently the existing stent became blocked and I became jaundiced and had a variety of related symptoms, so my oncologist sent me to have a percutaneous drain placed. The initial placement resulted in sepsis and nearly death for me, but that got resolved a couple of weeks ago - however, the drain became blocked and I had it replaced last week. It appears to be working fine so far. My question is, how long should I expect for my bilirubin to return to a normal level and my other symptoms to go away? Doctor: Hi, dearI have gone through your question. I can understand your concern. Your stent is blocked and you replace it. So within 10 to 15 days your bilirubin will come back to normal level. You should regularly monitor your bilirubin level and liver function test. Then you should 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 is the treatment for ampullary cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , I am 30 years old lady and my husband is 34. We are trying to conceive since last one year. My doctor prescribed Clomid 100 for past 4 cycles but had no result. He also gave me HCG injections based on the reports of the follicular monitoring study. Now I have been asked to take Productive F for this cycle. How is this medicine going to help ? He did a Hystero- laproscopy and confirmed that my tubes are good with no blockage. Further , the FMS reports are also good - I generally ovulate on day 16 of my cycle. My husband s semen analysis is also normal. The sperm count is 90 Million and the motility is 60 %. The forward movement of sperm is around 30 %. Why am i not able to conceive ? Is my treatment going in the right direction? Doctor: Hi, Thanks for your query. I read your query and I understand your concerns. You are going right direction. Please continue with your doctor's advice. I am sure you will get pregnant soon. Productive F helps in growth of your eggs. Follow your doctor. All the best. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist."
},
{
"from": "gpt",
"value": "Target: Trying to conceive. Prescribed Productive F. Hystero-laproscopy shows no tube blockage. Right treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have chiari malformation and have had decompression and c1 lamiectomy. The headaches are not like they were b4 sx but I am still having issues. Every morning I wake up with headaches. My hands hurt and my fingers are locking still have balance issues but oh my had hurt terrible. I am a 49 year old woman 12 year breast cancer survivor Doctor: It is better to consult neurosurgeon. Being ca survivor, imaging brain may also exclude ca. I feel no relation wth chiari malfnrmation n cd breast. Mri brain is rqrd"
},
{
"from": "gpt",
"value": "Target: Have chiari malformation and laminectomy. Have headaches, balance issues. Breast cancer survivor. Now what?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I got into an altercation Saturday night, was checked out at the ER, said to have bruised ribs, a sprained ankle, just a headache but not a concussion and that I would be sore for 2-3 days. I just woke up and had wet the bed without knowledge. Is something else wrong? I only took ibuprofen last evening Doctor: Hello, Bed wetting without knowledge should be checked carefully. This can be a sign of spine injury. I shall advise you to consult to your doctor and at least have an X-ray. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon"
},
{
"from": "gpt",
"value": "Target: What causes bruised ribs, sprained ankles and headache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have not felt well since before thanksgiving,,it started with a stuffy nose and sneezing,,but it was getting harder for me to relief the stuffiness,,then I started to get a medtalic taste when I would blow my nose,,then I had a cough not with anything coming up,,then it becam bronchial and when i did cough it was with mucus,,then I was wheezing but not enough to be in any kind of repertory distress,,but enough for me to be uncomfortable,,I was running low grade temps 97-97.6 and very fatigue,,I am still nasal congested,,but the cough and muscus did subside some what,,but I have no energy at all,i still have the metalic taste,,and not much of a appitite,, Doctor: Hello dear,The symptoms as mentioned in your post suggest that you might be having Allergic rhino-bronchitis.Examination of the nasal cavity by a nasal endoscope and X ray of the chest will be helpful in clinching the diagnosis.Management includes:1. Asthalin & Seroflo inhaler- provide symptomatic relief from wheezing by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)2.Antihistamine preparations like Allegra & Decongestant nasal drops for symptomatic relief.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies.4. A course of antibiotics may be taken to prevent secondary bacterial attack.5. Maintain adequate hydration & take a healthy balance diet.6. Also make sure that you are well protected from cold, dust & other allergens.There is no need to worry, you will be fine.Wishing you a good health.Take care."
},
{
"from": "gpt",
"value": "Target: What could stuffy nose, metallic taste while blowing nose, cough with mucus, wheezing, low grade temperature indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, November 2010, i got injury while playing cricket. The medical attendant applied tincher and i had not taken any TT injection. the wound was healed. After some days i.e., after one month the wound again come up and not healing. The color of the wound is in light red color. After that the other healed injuries on the body are also coming up. kindly help me Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some infection in your wound. You need examination. You should consult your doctor and take complete course of antibiotics. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes relapse of all the healed injuries of body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello dr i m 26 years old male . i m upset to lose my hair,when i told my friend that my hairs r falling and i lost my hair very much, then he aksed me that how many time to a doing sex in a week i replied that daily.then he said a daily mastrubating causes hair fall ...but doctor my question is that how can i regain my hairs.. Doctor: Hi,You may be having telogen effluvium or androgenetic alopecia. You consult the dermatologist for the perfect diagnosis.For telogen effluvium, there may be some cause like stress,anemia, nutritional deficiencies,thyroid dysfunction,internal disease..etc. Androgenetic alopecia is genetically influenced testosterone induced hair loss disease.I would suggest..- minoxidil 10% solution to apply on scalp twice a day- tab finesteride 1mg daily- tab biotin 10mg daily- avoid and treat the cause if foundMasurbation or sex is not responsible for hair loss. Stress or worries may cause hair fall.I hope this would help you.Thanks.Dr.Ilyas Patel MD"
},
{
"from": "gpt",
"value": "Target: Is sex or mastubation related to hairfall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughters upper stomach has been hurting since this morning. It has gotten worse throughout the day. She is shaking, seems to have a fever( out if town do not have a thermometer with us) . She s laying in bed and says it hurts to move around to turn over and makes it hard to breath. She threw up once yesterday after eating nachos from a gas station and felt fine after that. Any idea what could be going on? Doctor: Hi,thank you for providing the brief history of your daughter.As she is having pain in the upper quadrant of the abdomen, this could be related to the acidity issue. Also, vomiting frequently is the indication for the indigestion and there is nothing to worry as kids body learns to act and react the improper food. Getting a thorough examination by the pediatrician and taking proper medication for the acidity should help reduce the symptoms.Also, having a good life style and slow frequent eating with lots of water should help her to ease the pain.RegardsJay Indravadan Patel"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in upper stomach in kid"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 55 and suffer with ms I have a redundant bowel the muscle is completly dead but anal irrigation is working so far. I have had episodes of blood in the urine I have had lots of tests but they have found no reason. MY question is could the MS be damaging my kidney. I have paroxsmsmal spasms and take targin and oxynorm for pain as i had severe effects from all the neurological pain killers? Doctor: Hi,Thanks for writing in.Multiple sclerosis is condition affecting nerves and this can cause symptoms due to bladder disturbances. The symptoms can include all of those associated with both emptying and storage problems, and can also lead to kidney damage. Bladder storage dysfunction is a symptom of overactive bladder. This can cause your bladder muscles to contract more frequently with urges to urinate. There can also be an emptying dysfunction when the bladder does not empty completely. It’s possible to have both emptying and storage dysfunctions if you have multiple sclerosis.I suggest you get an ultrasound scan for your kidneys and bladder to know if there is any overfilling or obstruction in bladder."
},
{
"from": "gpt",
"value": "Target: Does multiple sclerosis effect the kidney?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, What does \"Increased osteoblastic activity in the left acromioclavicular joint, lower cervical T9, T11-T12 and L4-L5 vertebrae is more likely degenerative in nature\" means? The patient was diagnosed with prostate cancer three months ago and had undergone TURP. Doctor: Hi i am Dr Ahmed Aly thanks for using healthcaremagic site ,I had gone through your question and understand your concerns .. In my opinion it means increased the activity of bone forming cells called osteoblasts and thats is the opposite of degenerative where bone resorption cells called osteoclasts transform bone to calcium . both formation and degeneration cause joint pain and arthritis so i think your acromioclavicular joint mobility is reduced and causes pain when overstretching your muscle origins while your vertebrea may show mild cervical disc herniation so i think you may visit your neurologist for proper evaluation and management . Please click THANK YOU and consider a 5 star rating with some positive feedback if the information was helpful. Hope the above information helps you,Any further clarifications feel free to ask."
},
{
"from": "gpt",
"value": "Target: What does increased osteoblastic activity mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m a 21 yr old female . I ve had two c sections. my last one on 4-30-14. I ve been on birth control for 8 months and recently ran out due to my medicaid not paying for it anymore. I ve been off of BC for almost a month. for about a week now I ve noticed a weird pain on my right inner ankle almost like lightening strike pain. when i rub the area my skin is tender painful to the touch. could it be a blood clot? The pain goes up my leg about an inch from my ankle and inch lower into my foot. theres no signs of bruising or anything. looks normal except the pain. almost like my veins feel bruised on the inside. Doctor: Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you need to consult your doctor and let him see the appearance of the ankle, it could be anything from infection to clot, and only observing will decide the next course.I hope that answers your query. If you want any more clarification, contact me back.Thanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe ankle pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have severe lower back pain.. I went to the emergency room about two weeks ago as I couldn t stand up and was feeling weak because my back was in such bad pain... It is killing me.. It s all in my lower back.. I literally can not sit down because the pressure hurts my lower back so bad. I already know I need to see a dr and have x Rays but I just enrolled in insurance and waiting for it to finalize.. Trying to see if you may know what sounds like is going on and what I can do for relief. I tried pain medication and heat to no avail. Doctor: Hello, MRI. The incidence of SOME back pain is basically 100%. This includes enough back pain to prevent working but is not as severe as yours. I cannot say in your particular case what is going on but prostate cancer invasion of the area, blood blister on the spine, fracture due to cancer, infection of the bones of the spine, fracture due to very very thin bones are all ones I have seen. Mostly they were really obviously not the usual back pain--the infection occurred after back surgery and had pus coming out of the back for example. And an MRI but not x rays would show the problem. the most common of which is a disk popping out from between the bones of the back and hitting the spine or the nerves and this disk does not show up on regular X-rays. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes severe lower back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Yes, how can a dr.. diagnose me today with shingles, and I have never had chicken pox. I called my mother and she said I hadn't either. I went for a pulled ligament and pain, and a rash down my arm. My neck,shoulder has the turn or pulled muscle. He wouldn't do a test on me to see if I had ever had or vaccine before?? Doctor: Hello,Thanks for your query on HCM\"As\"per your clinical history is concerned shingles is diagnosed in physical examination only and main sign of it is pain on one side of your body and rash with blisters.so follow like this-1)Discuss with your treating Doctor about [Acyclovir, Capsaicin cream, lidocaine cream and codeine]2)For prevention of any complications in future you can discuss shingles vaccine and it doesn't guarantee you won't get shingles. But this vaccine will likely reduce the course and severity of the disease and reduce your risk of postherpetic neuralgia.Hope that helps"
},
{
"from": "gpt",
"value": "Target: How can shingles be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,I am 26 year old male. I did too much masturbation without knowing whether it is bad or not. Now I am feeling that I am not good enough for girl. I am fully frustrated with my future. I am confused whether I can go for marriage. Is there anyway to rectify the problem. I am looking forward your consultancy. Doctor: Hello, There should not be any confusion with masturbation practice. Masturbation is natural and normal and never unhealthy if you practice it in moderation. You can go for marriage without being worried about masturbation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
},
{
"from": "gpt",
"value": "Target: Can excess doing of masturbation be affect marriage life?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a serious problem in between my legs bellow my testical that it is very itchi and I can t stop scratching it and I believe it s called jock itch and I think it was cause by sweat I don t know but I want to know what could be the cure for this please!!!! Doctor: HiI had gone through your query.If itching is only due to sweating then following will helpful.1.Washing with warm water.2. Apply talc powder.3. Medicines like cetrizine will useful.But persistent of itching will indicate fungal infection.Examination of that part is necessary to diagnose it proper way.Anti fungal lotion or cream like terbanafin or candid cream will useful but only given after proper diagnosis.so consult dermatologist for further assistance.Still have a query then feel free to ask.Get well soon.Thank you."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to relieve itching between legs below testicles"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a painful lump on the outer side of my genitals near the groin area. I am female. It is softish but a definite lump. It is about a 1.5cm across and is redish. I can t tell if it s dimpled or not but it has what looks like a small unraised mole to one side of it. Not sure if mole or not can t remember one being there? Comes up bigger and is more painful when my period is due. Had it recurring for about a year on and off. Could you shed some light on what it could be please? Many thanks Doctor: Hi,It seems that you might be having chronic inguinal lymphadenitis giving this problem.It shows that there might be having some infection in surrounding area like inner thigh, lower genitals like labia, vagina etc.It may precipitates during period due to poor local hygiene.Consult your doctor and get examined.After examination, go for treatment accordingly.Keep local hygiene clean, well shaved,dry perticularly during period.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What could painful lumps on genitals suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm in very good health, 65 years old. have had ED for about 10 years. Recently have had very frequent problems w/ maintaining erections during intercourse. My questions: are stretchy penis constrictor rings safe? I bought one and it seems to work much of the time. Doctor: hellothank you for trusting HCM Dear as with any sex toy or device, constriction-rings are safe if used properly. But no matter if you're using an appropriate sized ring in a safe and proper manner, you must not wear a constriction-ring any longer than 30 minutes. After a few hours of having an erection for any reason (constriction, pharmaceutical drugs or herbal products, or even just being that aroused for that long) can cause permanent and irreversible nerve and vascular damage to the penis. And I mention appropriate size because even short periods of too much constriction can cause similar damage.so dear keep in mind that constriction rings may cause damage if it is not used properly. please take advice from sexologist if you face problems while using. I think I answered to your question if you have more questions feel free to ask.take care"
},
{
"from": "gpt",
"value": "Target: Are stretchy penis constriction rings safe?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 4 1/2 year old has been experiencing some headaches and nausea over the last few months. Sometimes we feel it is due to motion sickness. He complains about once a week of a headache. On Friday, he came home from school with petachae like rash all over his face and neck. His teacher said told us he got really upset at school and had been crying hard and gagging at times due to being upset. I am worried that this May be signs of something bigger Doctor: Hi...Headache in kids need to be considered serious only when the below symptoms are there - 1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behaviour. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing.I have a few questions for you -1. How long has the headache been there?2. Does it occur always on forehead or keeps changing?3. Is it associated with blurring of eyes or double vision or giddiness?4. Is there any family history of migraine or single side headache?5. Is he very angry when he gets headache and does the ache get better after a good sleep?6. Does he vomit when there is headache?Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15mg/kg/dose(max ceiling dose 500mg) every 4-6th hourly.You can approach me at the following link. Please find the link below - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for headache and nausea in children"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am having a very severe hairfall, very little hair left i am undergoing a lot of stress and depression. i am having a 4 months old baby who is a down syndrome baby i am unable to cope with it,i have had my blood test done my thyroid is normal and iron level 10.5.pls help Doctor: Hello,Thank you for posting on HCM.I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions,drugs,cosmetic products etc.From your description, it seems you might be having Telogen Effluvium, which is hairfall secondary to stress.If i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc and recommend some basic investigations like CBC,blood sugar,Thyroid function test.Some other special investigations like trichogram and dermoscopy and further aid in diagnosis and prognosis.I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q sera etc). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week.Also enquire from your dermatologist about upcoming treatment options like mesotherapy and platelet-rich plasma.Avoid combing in wet hair and let them dry by wrapping in towel. Avoid blow dryers and hair-color/dyes. Take plenty of fresh fruits and vegetables in your diet and try to de-stress your routine life.Hope your queries are resolved and wish you best of health.Thank youDr Hardik Pitroda"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe hair fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: helo siri have severe mouth ulcer. i think it is a side effect of leaving habit of 10 year smoking...despite of several remedies i am not feeling relaxed....now i m feeling burning in my mouth..plz suggest me something best..i have checked by ENT and Gerointentestinal specialist..but nothing is working Doctor: HIThank for asking to HCMI really appreciate your concern and looking to the history given here I could say that this could be chronic stomatitis and in my opinion biopsy would be required and for that it would be advisable to see the dentist he would be the right parson to handle this case, hope this information helps you, take care and have a nice day."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe mouth ulcer"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i have had a ct scan recently as an ultrasound showed possible fatty liver....this is the results. the liver has a heterogenous appearance with large wedged shape areas of hypodensity in both right and left lobes which are secondary to fatty infiltration with areas of fatty sparing. No enhancing lesions are identified. Im a 28 yr old female...is this result ok?? Doctor: Hello,1) At some extent it is ok, as this is not serious condition2) But if you not take care from mow then this condition worsen and gradullay progress to severe fatty liver and then liver failure3) Alcoholism aggravate this process4) You require diet modification (less glucose, less fat, high protein), regular exercise, intermittent fasting, use of omega-3 fatty acid containing oil in diet, stop alcohol consumption.5) You might require lipid profile test along with evaluation for fatty liver"
},
{
"from": "gpt",
"value": "Target: What could fatty liver with hypodensity in lobes indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Iam 28. I delivered by caesarien section and delivered a baby 3 months back. My problem is that from that time iam getting lot of back pain these days. It is quite severe. I saw in television that the back pain can be decreased by doing some exercises. What kind of excersies will help me? Doctor: hey if it is quite severe check it with your doctor. it might be serious. don't just do any exercise it may get worse. afterall you have a baby and a home to look after. dont take chances."
},
{
"from": "gpt",
"value": "Target: Back pain after delivery"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my grand daughter was premature, born at 7 and a half mnths gestational age. She was drinking milk well but from 8 mnths of age she started vomiting her food and she s taking lanzol junior, but even today at 10 mnths of age she doesnt eat semi solid food without liquifying it. Doctor: Hi welcome to Hcm,I understand you concern and sure its very disturbing. It seems like a chronic problem and sounds to me like gastro esophageal reflux. Its a very disturbing problem for the child and parents also. However the problem needs to be diagnosed for sure by doing barium swallow study. Once confirmed it is totally controllable. For this you need to see a gastro enterlogist and be on strict follow up.Remedies like keeping child's head in an elevated position while sleeping and continue lanzol junior to a long duration on 4 weeks is what I would advice apart from this. Hope your child improves soon. Happy to clear any further queries. Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for vomiting after eating food in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've had bronchitis for 2 weeks & was prescribed Loratadine, Cephalexin & Promethazine-DM. The mucus I cough up is almost clear & I'm coughing less & starting to feel better. Am I still contagious & when is it safe to visit my quadriplegic brother again? Doctor: Hello, Welcome yo HCM,As you had symptoms of bronchitis for which your doctor has prescribed medications like antibiotic and antihistamines after which your symptoms has come down.As your symptoms have come down, by this time you would be non infectious and you will not be communicating the disease to your brother. I would suggest you to follow personal protection measures like taking protective measures while coughing, sneezing and talking. Thank you."
},
{
"from": "gpt",
"value": "Target: Will taking Loratadine,Cephalexin and Promethazine-DM be safe for bronchitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter came home from school wed with a sore throat. Right toncil swollen, some white on it, but no fever. And not coughing. Didn t go to doctor as it slowly went away. Friday she came to me w a rash on her inner thighs and under her arms. Not in pits, just the bottom side of her arms. It is not raised up and don t itch. Throat don t hurt any more. The rash goes away during the night, but gets worse as the day goes on. I read about strep rash, but it never was on her face, neck back or stomach. Any ideas? Doctor: Hi, In my opinion, the rash could be hives (Urticaria). The tonsil disease could be a cause for the urticaria. But there are other causes too such as drugs, food etc. So, I recommend you to consult a Dermatologist to confirm the diagnosis and to initiate the apt treatment after proper clinical examination. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes rashes on inner thigh ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i am 43 year old woman with severe neck pain towards lower head and shoulders to fingers.numbness and tingling in fingers, more pain in left hand. my MRI shows multilevel cervical disco vertebral degenerative changes with disc desiccation with kyphotic deformity intending the cervical cord at c4_c5, c5-c6 level with signal changes in the cord. diffuse disc bulge wiyh bilateral para central protrusions at c5-c6 causing thecal sac indentation and neural foraminal narrowing, intending the cord and existing nerve roots. centralprotrusion with annular tear at c4-c5 indenting the spinal cord. haemangioma involving the entire t12 vertebral body extendin to posterior elements.pain causes me sleeplessness Doctor: Hello ! I read carefully your question and understand your concern. I am sorry about your problems. You seem to have a very problematic cevical column. In my opinion you should consult with a neurosurgeon. It is not just a matter of pain. The signal change in the cord is indicative of a cervical myelopathy,which is caused by compression from the dislocated discs and the narrow spinal canal. With the progressive narrowing of the cervical canal you will also have gait problems besides the pain and difficulty in your everyday activities. So it is important to treat the problem before aggravating. For the pain I would recommend you to hold a cervical collar and start Gabapentine or Pregabaline which are two drugs very effective in these cases. Hope to have been helpful!Greetings!Dr. Abaz Quka"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in neck radiating towards lower head and shoulders"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was bitten by a black widow about 2 weeks ago on my forarm. The bite swelled up and I have a bruise about 3 inch radius around th bite. The bruise is still pretty big and the spot where the spider bit me is sore and has a hard lump. But the bump area did not bruise. How long does it take to heal? Is this normal for a spider bit? I was put on anitbiotics for 10 days, which was up yesterday. Doctor: Hi,In general, the bruise you're mentioning is a localised reaction to the toxins of the bite. It should be resolved itself in a few days time.However be a little cautious about it, sometimes secondary localised infection can occur at the site.If you feel something like the bruise is containing pus or is leaking liquid, should consult your GP for incision and drainage of the wound.In most probability, it should heal by itself.Get well soon."
},
{
"from": "gpt",
"value": "Target: What causes a bruise with hard lump after a bite by black widow?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My gums are really sore and my teeth very sensitive to cold and hot, I was using a tooth pick on Monday which I never do and possibly over did it, I woke up with red blotches on my cheeks the next day. I thought possibly it was my allergies. Would an antibiotic help? Doctor: Hello,Sore gums and sensitive teeth can be due to gum infection or gingivitis along with hypersensitivity of teeth. So my suggestion to you is to consult an oral physician and get evaluated, and a thorough clinical examination and investigation like x-ray should be done.In case if there is an infection in gums, then you can be advised a deep scaling followed by antibiotics like Metronidazole and gum paint massage over the gums. Also, you should use anti-sensitivity toothpaste. You can apply it over the teeth for half a minute and then brush with it. You should brink your food to room temperature and then have it.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Honey Arora"
},
{
"from": "gpt",
"value": "Target: How can sore gums be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. I am a 35-year-old female. I started noticing that my feet tingle and go numb when I sit down about 4 months ago. It began with my long daily commute to work and now extended to sitting down on any surface. I can't cross my legs comfortably.In my day job I often have to hunch over patients and occasionally help lift them. I am also an advanced ballet dancer who goes to the gym and take kickboxing. I think the tingling started around the same time I began kickboxing. I do have long-standing knee and ankle injuries that have been hurting quite badly in the past month or so. I have stopped the boxing classes and go easy in the gym. X-rays of cervical spine and MRI of lumbar spine showed everything is fine.So why do the tingling and numbness persist? What can be done about it? Thank you so much for your help. Doctor: Hello, thank you for your question.Since the results of spine xray and MRI are normal , the next more common medical condition that may cause your problem is Diabetes , by damaging the peripherical nerves of the foot.So I would check you blood sugar and all other tests for Diabetes.Other rare disease might be multiple mieloma or bilateral piriformis syndrome , but that the gives this simptoms when sitting with leg crossing nore than walking.i hope this answer will help you."
},
{
"from": "gpt",
"value": "Target: What causes tingling and numbness in feet while sitting?"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.