conversations
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{
"from": "human",
"value": "Source: Patient: Dear Sir,First i would like to thank ypu for this informative website.Now i come to my problem.....i was feeling some uneasiness and irritation in my right part of the body since around 1 year.after consulting a doctor, he suggested for an MRI test of my Lumbar Spine.after testing the conclusion was like that : 1. Early Degenerative changes in Lumbar spine from L3 o L5 2.B/L para central disc bulge at L2-L3 and L3-L4 levels seen with diffuse disc bulge at L4-L5 causing compression on thecal sac and B/L exiting nerve roots.3.Diffuse disc bulge at L5-S1 causing compression on B/L exiting nerve roots.B/L facet joint osteoarthropathy changes noted at multiple levels.Sir one more thing...my right scrotum part or right testicle is also generating some type of uneasiness and i feel like some waves are generating from that testi to the whole leg. Tell me sir this suffering is also due to this spinal part problem or is it some thing else?????I just want to know how much risky my disease is????wat type of harm it can cause to me??and please suggest some remedial advice on that.Please help me as i have not taken a sound sleep since a long days.Thanks,T.Joshi Doctor: Hi,These symptoms are due to disc prolapse at multiple level and the involvement of l2-l3 disc causes uneasiness in testicle as the nerve supplying this region originates from this level.This has to be confirmed by clinical examination and local examination of inguino scrotal region.I treat my patients with neuralgic drugs like pregabalin , lumbosacral belt, and avoid heavy weight lifting"
},
{
"from": "gpt",
"value": "Target: Degenerative changes in the lumbar spine, disc bulge. Uneasiness in the back and testicles. Advice?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: We consulted gynacologist after a year of marriage as we were unable to conceive.The doctor has advised my wife to come for ovulation study one week later after her period has ended & also get an HSG done?My query is what exactly is \"ovulation study\".How is it carried out and how it helps us?How is it related to HSG? Doctor: Hi welcome to healthcaremagic.I have gone through your question.Ovulation study is done to know whether follicles are developing or not. Is started from 9/10th day and continued till follicles ruptured.HSG histosalpingography is done to know whether fallopian tube is blocked or open.Hope i answered your question.Would be happy to help you further.Take care."
},
{
"from": "gpt",
"value": "Target: What is ovulation study?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had an eosophagectomy open surgery 2 years ago developed a hole was tube fed for 6 weeks also dvts in my left groin area have been left with a stricture that needs disputation roughly evey six months I now have developed gall stones and have had several bouts of cholosistus also had ct scan done recently and it has confirmed a inscitional hital hernia ,question do you think my surgeon would or should consider a duel surgery, cholostectomy and hernia repair she has indicated that any surgery will again be open thus my concern to get these two problems sorted at one time can this be done regards kat Doctor: thank you for posting your query.yes, if no other complication, both surgeries maybe done at the sametime., one after the other.that is possible and should be considered.wish you speedy recovery and good health.hope to answer your question.Health professionals diagnose and suggest means of treatment.cure resides with the ONE who created us.regardsDr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: Can I have surgeries for cholecystectomy and hernia repair at a time?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, My Face often had pimples/ acne . My Doctor told me to do several test.. In which it was found that my S.G.P.T & S.G.O.T was beyond normal range. So he prescribed me Udiliv-300. And To apply Gorgeous Gel as Facewash, Ultraguard-40 as Sunscreen lotion, Peroduo gel for Acne/Pimples & Curoglow for fairness. But one day I found dark patches along my nose , a layer of black tan was formed. My Doctor told that it was due to Peroduo Gel, So he told me to apply Momate Cream, for 2 days. But for better results I used it for several weeks. Now He prescribed me Benzac Ac 2.5% to apply & also to intake Q-A21-500 tablet. I told my Doctor I don t expose in sun so much,so help me out as I can t attend the school. So I requested him for immediate remedy. Sir I applied for one weak but no improvement with black layers. The pimples minimized and thus blackheads and spots are all in my face. He also told that it became black as the skin along my nose burned.. Due to Peroduo gel.. Please Prescribed me a Immediate Remedy. Please, I Begg You Sir. Thank You. Doctor: Hi Souravdas , Thanks for writing in. Acne is caused by hormonal imbalance. Blockage of sebaceous glands causes papules and pustules.White substance is secretion of sebaceous glands. Acne is treatable now.With correct treatment all your pimples , scars and dark spots can be treated. To start with you have to apply Aziderm cream twice daily on dark spots . Also you can use anti acne face wash like actem face wash. Avoid any hair oil to hairs.Avoid any other moisturizers or cosmetics or home remedies . Use good quality sunscreen like SUNCOTE gel daily while going out. Salicylic acid and glycolic peeling can help you to get rid of acne and pigmentation. Please visit qualified dermatologist for giving you specific advise. Regards. dr Sudarshan. MD dermatology."
},
{
"from": "gpt",
"value": "Target: Dark skin on nose after applying Peroduo gel. Remedy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have constant sweating on my upper lip. I have pain both sides of my neck into my jaw and my right side that my inner thigh near the groin area. STD run-up was negative blood pressure is good and temperature is good as well. Also had HIV test at 12 days which was negative. Intermittent pain seems to come and go. What could it be? Doctor: HI I did review your concern. your problem needs to be evaluated in detail. It can be due to multiple reasons, the tests should be complete physical examination, CBC, xray neck AP and lateral view.Few things that can cause such problems are polymyalgia rheumatica or fibromyalgia or some local neck compression changes. I hope this helps.Let me know if you have more questionswish you a healthy life ahead."
},
{
"from": "gpt",
"value": "Target: What causes lip sweating with neck, jaw and thigh pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have chest pain just below the center of my breast. I do have a hianal hernia. And recently tested positive for ischemia and going for a dye test. But this pain started a couple of days ago and it is getting difficult to breath. If I move a certain way the pain is worse Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.* The hiatus hernia can give chest pain of varying degree depending upon its intensity of presentation.* Primary guidelines for better recovery- Continue cardiac drugs.- Strict dietary measures to avoid acid reflux.- Regular walk, exercises, deep breathing.- Stress management.Wish this information will help you.Thanks."
},
{
"from": "gpt",
"value": "Target: Do hiatal hernias cause chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 7 month old baby has a stuffy nose and a cough. I ve been giving him baby tylenol for his cold and cough. But it seems like hes getting worse. And at the sam time he sounds hes wheezing, last month he was in the emergency room because he had a hard time breathing. And they gave him an inhaler. Anyways he has this cold and stuffy nose and wheezing all at thw same time and i was wondering if i should take him to the doctor or should i just try to take care of him at home? Doctor: if wheezing present, what is respiratory rate, if any distress, visit your pediatrician. treatment consist of nebulisation with bronchodilator, steroids, antibiotics, influenza vaccination yearly basis."
},
{
"from": "gpt",
"value": "Target: Suggest remedies for cough,cold and wheezing in a baby"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have recently had a thyroid removal surgery which went very well however, less than 2 weeks later I have a rash on my chest that is spreading and my neck, shoulder and arm (left) has pain. could it possibly be mercer (spelling?) and what does mercer look like? Doctor: Hi, It can be allergic eruptions or hives, as a first line of management you can try antihistamines like pheniramine for symptomatic relief. If symptoms persist, better to consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes rash on the chest that spreads in to the neck and shoulder with a history of thyroid removal surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello doctor i have 4 yr old son who is suffering from cold and throat infection every 2 to 3 months.. My pediatrician is giving clampkid forte(antibiotic), water dispersible tablet.. My question is can. Give my kid this antibiotic so often,, and the same tablet was prescribed for tummy upset also diagnoised as food poisoning... Doctor: hello, thanks for your query, repeated infections could be due to tonsillitis or adenoid, check out with ent surgeon. hope I have answerd your query. all the best. take care."
},
{
"from": "gpt",
"value": "Target: Can antibiotic be prescribed frequently?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: wat r d precautions to b taken after an operation of ovarian cyst? age:18 height:5\\ Doctor: Hello. Thanks for choosing HealthcareMagic forum. There are no special precautions. All are the same as are expected after any major surgery like, avoid doing any heavy work or exercise for six weeks. Take a light easy to digest food for initial seven days after surgery.Have plenty of fluids post-operatively. Dr. Rakhi Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: What are the precautions to be taken after an operation of ovarian cyst ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have bad cough for about 2months now . About 4 weeks ago my doctor gave me whooping cough shot and medicine , but my cough has still not gone away and i am throwing up with cough more frequently. I cann't eat solid food because i throw up after i eat. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, in your case, possibility of lung Infection or bronchitis is more. You are having chronic cough (cough since 2 months and not improving with standard medicines), and in both these conditions it is seen. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x ray 3. PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. You may need antibiotics, antihistamines inhaled bronchodilators and inhaled corticosteroid. Don't worry, you will be alright. But first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What could severe cough and vomiting despite taking whooping cough shots indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my daughter is 5 and has a red burning rash which peels on the virgina bone and under her arms. She had it about 2months ago aswell that then spread over her body and peeled. Our doctors suspected scarlett fever on a returning visit when the peeling started?? Can you please advise as we didn't know that scarlett fever was recurring?? Doctor: Hello,I read carefully your query and understand your concern. Most cases of scarlet fever clear up after about a week without treatment. With treatment, most people recover in about four to five days after starting antibiotic treatment. Without treatment, the person can be contagious for one to two weeks after symptoms appear.It's possible to catch scarlet fever more than once, but this is rare.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: Does scarlet fever cause red, burning and peeling rashes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I injured my back in November but now my pain has increased to the point of nosebleeds. I ve taken my BP medicine but my BP is 198+/123+ and my head is hurting. How fast will my clonidine bring down my BP. Note my BP cup may be off but I get two readings that are close....Please advise. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. These symptoms are not related to each other and need to be treated separately. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can backache along with nose bleeding and high BP be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was in the hospital 3 weeks ago with what they diagnosed was a mild case of pancreatitis. My gall bladder was removed 3 years ago. I do not drink and I eat healthy. They ran several tests but could not determine the cause for my pancreatitis . I continue to have back pain at times severe mid back in same area as before. I am afraid of this pain because of how it progresses but I have spent a lot of money at hospital with no answers and no treatment. I do not take any pain medication other than Tylenol and very rarely do I take it. I am exhausted and frustrated and still do not know what to do. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your back pain may be due to pancreatitis. As pancreas is retro peritoneal organ which means situated in relation to back, pain originated from pancreas inflammation radiates to back. Still I would like to advise X-ray of the dorsolumbar spine anteroposterior and lateral views to rule out bony pathology. Meanwhile start tab Tramadol for pain relief. please take opinion from orthopedic surgeon nearby your area with X-ray report. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes backache while suffering from pancreatitis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 2 1/2 yr old grandaughter started with a cold and hives which now looks like a rash over her trunk and extremities first then face. Now she has a cough and temp of 102. She has had all her immunizatations and is very pron to hives for no reason. What could it be?? YYYY@YYYY Doctor: Hello .All these symptoms , mentioned by you in the query may be due to allergy and secondary infection ( hives , cold , cough with fever ). When such patient visit I prescribe Levofloxacin 10 mg / kg body weight . Also take montelukast syrup 0.2 mg /kg once or twice in day till complete cure .Deflazacort 6 mg in single dose . Since all these drugs are prescription drugs so get a prescription from doctor .Patient will get relief at once ( so steroid should not be given without the consultation of physician ). Once complete relief, stop the drug . if recurrence , again .Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for cold, fever, hives and cough"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have been taking propranolol 20mg in the am and 20 mg at night for about 3 years to help with my anxiety. i would like to stop taking this medication because i would like to start to have children and was wondering how to start weaning off propranolol and if it is safe? Doctor: Hi,Its dose should be gradually reduced over several days/weeks. Sudden cessation of propranolol can cause withdrawal symptoms such as increased heart beats, increased blood pressure, palpitations, and chest pain. Hence if you wish to stop taking propranolol its dose should be gradually reduced over several days or weeks under the supervision of your doctor.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: How to start weaning off propranolol safely?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My toes on both of my feet are darker than the rest, around the little joint (on the pinky toe) and it hurts sometimes when i wear my sneakers. I don't really engage in much exercise and i don't think i hurt my toe with any gym activities. I am an African American teenager and don't want to have nasty looking feet. What can i do to make my pinky toes look like the rest of my toes? Doctor: Welcome to healthcare magicI feel that the pigmentation that you have is because of constant friction. Use a shoes which is one size larger. Because of shoe bite it will pain and leave behind a pigmentation.Apply a moisturiser containing 10 % urea. Even salicylic acid 5-10% containing creams also will help.Trichloroacetic acid chemical peels one by cosmetologist will help decrease the pigmentation. Hope this helpedTake care"
},
{
"from": "gpt",
"value": "Target: Dark toes, pain in the small toe. No injury"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my names emily and I m 18... for the past year I ve been irritated to anoying little sounds like if my tap drips or my fridge making a noise or if its windy outside or if something creeks I get these feelings: tingling, emotional angry or crying, grind my teeth, my heart rate increases, I get hot ETC... how do I stop this its just getting worse... what is this called? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Anger is a negative emotion and we should learn to avoid those incidents which gives us negative emotions. Body bio changes do occur during emotions and those changes during negative emotions are harmful for the body.Therefore, please understand those incidents which gives you anger and either avoid them or change according to them.If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What causes irritability and grinding of teeth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Dr. Dinesh regarding with my chest Xray result Aug.17, 2017. Right upper lung fibrotic lesions and focal costopleural thickening with left upper lung nodulocalcific granuloma noted. TB residuals. year 2012, I already had complete the six months treatment. do i have a chance to work in Amman Jordan? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.I have gone through the x ray report you have mentioned.Yoi are having old, healed Scar lesions in both lungs due to previous tuberculosis.Now for work visa in the Jordan, we should need to prove that these lesions are not active, infectious.So consult pulmonologist and get done CT thorax and bronchoscopy.If both these are negative for infection, you can definitely argue with visa authorities.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What prognosis is recommended for this chest X-ray test result?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have the same complains like what others say.. I have been suffering from severe headache for one week now.. I went to check my health status but I found the results were normal!!But I forgot to check Hb, the next day I went to check my HB. It was 19. I told the doctor that I used to drink three beer a day!! He said, it could be reason behind!! So give me the exact answer about the relation of HB increase and beer consumption Doctor: Hello, So drinking alcohol leads to diuresis and hemoconcentration. That's why haemoglobin was recorded too high. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Deepak Sundriyal, Oncologist"
},
{
"from": "gpt",
"value": "Target: How does drinking beer affect the level of hemoglobin in blood?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am having 12 months baby who has cold , cough , and asthma while from last 5 months. some times my baby gets normal for long period but again this problem occurs in regularly basis in time gap period what should i do? because right now i m giving nemolizer and ambrodil cough syrup and i think that cough problem is not going out so what should i do Doctor: Hi, welcome to H.C.M.Forum. it is a child hood asthma effects up to 4years of age. after that usually it disappears. it is caused by allergy, effects in winter and rainy season. these two seasons never give him fruits, juices, sweets, which usually increase the frequency of the disease.in summer you can be some what liberal. when dyspnoea is more antibiotic is necessory. thank you."
},
{
"from": "gpt",
"value": "Target: Cold,cough,asthma in 1 year old"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello, my son is 7month and 6days old....i have started semi solid food after 7 month have few queries about external food... 1.how many meals introduce per day? 2.what can i give between the meal? 3.plan to start also formula milk once a day...which is best nan pro or lectogen? Doctor: Hi. I presume you are still giving mother's milk to your baby. If not continue to give as long as possible. Formula milk is only needed when you don't have enough milk. Nan pro is superior but also costlier than Lactogen. As far as other foods are concerned, usually a child needs to be given around 6 times a day(depending on the child's intake) . You can give porridges, rice with dal, idli, vegetable soups, fruit juices and boiled fruits like apple. Avoid sugar as much as possible. Can add ghee to the food. This is presuming that you are from India. If not most of what I said applies except certain food items I mentioned. All preparations made at home cleanly are best for the child. Non veg like egg, chicken soup can be started after nine months. Packet or bottle milk can be started after 1 yr."
},
{
"from": "gpt",
"value": "Target: Suggest plan and diet of food for 7 month old infant"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi madam i am indian male living in cyprus and i am student here, and cant afford dental treatment here, i think i have infection in my tooth, and i am taking from three days amoxcillin 500 mg with painkiller panadol, now my tooth is ok very little pain, do i need to vist dentist must Doctor: HelloThe drug you are taking will give relief only for 1-2 weeks usually.The infected tooth should be pulled out or root canal treatment should be done whenever possible.If you could not afford it there, try to postpone till you come to india.Try using warm saline gargle and avoid food lodgement in the cavity."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for infection in tooth"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My last two blood tests over the last few months have come back with a RBC distribution of 14.8, a little high. Should I be concerned? My albumin was also a little off at 3.2. I am 59, 5'7\", 184 lbs., never exercise, but am an active church minister. I take daily 1 Oscal w.D, 1 Vit.E 400iu, 1 multi vit. w. 100% of the basic stuff, premarin, and 25mg or mcg? (a very small dose, peach colored pill) synthroid. I always test as being a little undermedicated for the hypothyroid condition, but I can't tolerate more syntrhoid, and I couldn't tolerate any of the synthroid alternatives.. Back to my orig. question : What about the RBC and the albumin? Should I be alarmed? CRP is 1.1, also a little high. Doctor: Hi, dear. I have gone through your question. I can understand your concern. Your rbc distribution id normal. No need to worry. Your albumin is slightly low but not a cause of big worry. If you develop oedema or some sign then its of alarming. Only slight decrease is not alarming. Still you should take high protein diet.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 are the safe levels for RBC and albumin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been suffering of bleeding from my gums since last thirty years. two years earlier I used azomax. The bleeding stopped but I was a patient of high blood pressure and the hepatitis-c. I treated this disease till bleeding started again and blood pressure became in control without any other medicine related to high blood pressure. Doctor: Bleeding gums since last 30 years is a long time u must suffering from periodontists (ie gum related disease) u should soon visit an periodontist.Get an xray of your mouth (opg) and thorough cleaning with periodontal surgery may be needed.You need to first treat the local factors which is causing the gum related problems and azomax is an antibiotic it may would have help you for certain period of time but that’s not a permanent solution. Only proper oral hygiene and maintaining your hygiene is the solution. Get your professional cleaning with an periodontist fixed and get it done every 6 months, also meticulous home oral care maintenance is important.I hope this helps youRegardsDr rakesh mishra"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for bleeding gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: apendisitis Yesterday I got pain from my belly button to my rectum and it moved to the right side. and today it was manageable but still Hitler and currently I m having the smart problem but my whole abdomen hurts but only the rightside hurts to the touch. and it feels like something is pulling on my belly button on the inside. Doctor: Hello, As first-line management, you can take analgesics like paracetamol or aceclofenac for pain relief. You can opt for a CT scan to make a diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What could be the reason for having pain from my belly button to my rectum?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Is walamycin suspension an antibiotic n has to be followed through it s entire 3/5dwy course or can it jus be administered as and when there is a requirement during loose motions? I hav heard it is the mildest medicine for a chid in loose motions? Pl confirm also what is the recommended dosage Doctor: Hi,Yes, walamycin is an antibiotic (colistin) commonly prescribed to treat infection of the stomach and intestine caused by susceptible bacteria such as diarrhea. The recommended dose for children is 25 to 100 mg to be given three times daily for 3 to 5 days.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: Is walamycin suspension an antibiotic?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my names Louis.I think i have a male yeast infection? As i have a faint white ring around the tip of my foreskin and daily white discharge under my foreskin, and i think i've passed it onto my girlfriend.My girlfriend has a lot of white discharge from her vagina, itching and burning. Doctor: HelloYour findings may suggest fungal infection.You and your partner need clinical evaluation.You may need anti fungal agents like clotrimazole cream for local application.Culture and gram stain of discharge material can also be done after evaluation.Your partner may also need clotrimazole tablet 100 mg for vaginal use.One tablet to be inserted deep in the vagina at night during sleep time for five consecutive nights.She may also need perineal wash.It will correct local pH in vagina.Get well soon.Take CareDr.Indu Bhushan"
},
{
"from": "gpt",
"value": "Target: What does white discharge under the foreskin indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i was running and jumping and i got a little tired but i felt better after a while. Then i started to run and jump again and I got dizzy so i stopped and sat down but it didnt help so I went to the restroom to splash cold water on my face but i didnt work and then i fell and was having trouble breathing when my friends helped me get up i couldnt feel my hands or feet they were tingling. I felt good during the whole day and i ate and had a good sleep. What could I have? What should I do other than go to the doctor? Doctor: Hello, I understand your concern and would explain that your symptoms could be related to an inner ear disorder. For this reason, if the episode repeats, I would recommend consulting with an ENT specialist and performing labyrinthine tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist"
},
{
"from": "gpt",
"value": "Target: What causes breathlessness and tingling in hands/feet after running/jumping?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am a 53 you old woman. and I just got a 2 tooth partial for my left upper 15 16 teeth. When I sleep without it I have a very hard time adjusting in the am. Can I take it out at my evening brushing clean it and put it back in and then sleep with it. I can not swallow it because it is VERY hard to take out… Doctor: Thanks for your query, I have gone through your query.The wearing of denture during night time is prohibited because, there will be reduced salivary secretion during sleep and more bacterial and fungal growth will occur and results in infection so you need to remove it while sleeping. The denture can be adjusted so that you can remove it and fix it easily by modifying the boundaries. So consult a prosthodontist and get it corrected.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Suggest remedy to get accustomed to dentures"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My Daughter is 11 years old. She is having high Allergic Bronchitis probleem since last 9 months. Her Eosinophil counts were 12 and IgE level was 2800. Every alternate day she is having dry cogh, breathing problem and Wheezing sound. She was given Steroids and pumps earlier. At the moment, if we give her Asthalin ( Salbutamol Sulphate Syrup), the problem will subside for a day or two. Then agains she has the same problem. If she does little exertion, she will start having breathing problem. Doctor: Dear vaishali welcome to healthcaremagic Ist be far from allergents which are allergics for you like dust, smoke, cool etc then start medication. Especially try some alternative medicines for your cure. Ayurvedic herbal medicines are very successful for your problem rather than Chemical drugs which are dependency and recorrence. Contact your nearest Ayurvedician Thanks"
},
{
"from": "gpt",
"value": "Target: Is asthalin advised in high allergic bronchitis ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my question is I had a bad infection from I think my swimming pool. And I was sick for a few weeks. And my research has lead me to believe that it was legionella bacteria that infected me. What are the symptoms from this type of infection? As it was exactly 1 year ago that I contracted this disease. I am a lot better now,but I will not swim in a pool ever again,because in Florida it s always hot and humid and the water is easy pray to parasites. Thanks from Mike YYYY@YYYY Doctor: Hello,The symptoms of bacterial infections depend upon the mode of transmission or spread such as:1. Airborne (coughing and sneezing)2. Contact with infected people, especially through kissing and sex.3. Contact with contaminated surfaces, food, and water.4. Contact with infected creatures, including pets, livestock, and insects such as fleas and ticks.However, the most common symptoms of bacterial infection include fever, coughing, headache, inflammation, vomiting, diarrhea, fatigue, burning micturition, foul smell vaginal discharge, etcetera. Legionnaires' disease is caused by a bacterium known as Legionella. Its symptoms usually develop two to ten days after exposure to Legionella bacteria and include headache, muscle pain, and fever with chills.By the second or third day the signs and symptoms that may include cough which may bring up mucus and sometimes blood, shortness of breath, chest pain, nausea, nausea, vomiting, and diarrhea. Confusion or other mental changes appear later. Although Legionnaires' disease primarily affects the lungs, it occasionally can cause infections in wounds and in other parts of the body, including the heart. The most commonly reported infection from the swimming pool users is diarrhea which can be caused by Cryptosporidium, Giardia, Shigella, Norovirus, and E. coli.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mohammed Taher Ali"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of a bacterial infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In my family bipolar disorder, aneurysm, epilepsy and narcolepsy have been found. My cousin is a year older than I and had a ministries at 27. I recently woke up with friends over and thought they had drugged me as their voices sounded metallic and I seem traces of them when they moved. I have had what I though to be sleep paralysis. I also recently thought there was s girl in my house but the person laying next to me did not however I texted my friends & took the dog out so I did actually get up. At any rate when I went to the hospital they tested my blood and urine. Said I m fine. Doctor: Hi, . Thanks for asking your query at this forum.We understand your concern. I have read your question carefully and understood it. I will try my best to answer it.As you told there is family history of bipolar disorder, epilepsy, narcolepsy and aneurysm and recently you had a strange perceptual experience of hearing unusual sounds of friends, seeing traces of people moving out and having a belief that a girl was there with you at your house. Since these symptoms occurred suddenly, it points towards acute confusional state either may be due to intoxication with some substance like marijuana or due to effect of epilepsy. Since you became alright soon and could get your dog out for a walk it goes more towards an epileptic fit. After recovery from an epileptic fit a person remains confused for some time, unable to move limbs initially for few minutes, can hear unusual voices or can see unusual things. This is a temporary condition and it goes of gradually over a period of next 20-30 minutes. Apparently it has happened with you. A negative blood and urine report further rules out possibility of drugging. You may clarify further from your friends who might have witnessed the possible epileptic fit. If you had noticed tongue bite/involuntary micturation/defecation etc then it further goes towards epileptic fit. It is better to get evaluated further and get assessed personally by a neurologist who may advise you for EEG and MRI brain. I hope it answers your query. I wish you all the best."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for bipolar disorder and epilepsy"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my mom got cancer and she is on 30mg roxys well they put her on liquid oxycodone hydrochloride 30ml bottle 100mg/5ml trying to find out how many doses are in the bottle. the nurse dont want her to run out and i dont know nothing about this med except very strong please try to help me. Doctor: HiThanks for your query.The 30 ml bottle will contain 600 mg, ie 20 doses of 30 mg each.Hope this helps.Regards"
},
{
"from": "gpt",
"value": "Target: How many doses of Liquid Oxycodone hydrochloride will be present in 30ml?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 58 yr old white male who had a total colonectomy in 1986 due to Familial Polyposis. I have 2-3 kidney stones right now and I just wondered if you can tell me if it is normal to remove the appendix during this procedure? I just experienced a sever pain on my left side in the kidney area and a bit of the pain came thru to my front. I thought it was a kidney stone moving but now the pain has subsided. do you have an idea? V/R .. Roy McGinnis Doctor: Hello,Welcome to Healthcaremagic.There are many causes for left sided abdominal pain.Even you may have gastric ulcer.That may be a cause for your pain.Appendix lies on right lower quadrant of abdomen.Appendicitis cause abdominal pain with fever, nausea, vomiting.I think you do not have any fever or vomiting.Kidney stones may be the cause for your abdominal pain.If it is very small ie. less than 4 mm can pass spontaneously.Medical expulsive therapy (MET) like Alpha blockers can remove stone of 5 to 8 mm. More that 8 mm need intervention.So it is size of the stone is important.Consult your nephrologist for further management.Hope this helps.Take care."
},
{
"from": "gpt",
"value": "Target: Severe pain in left kidney area. Detected kidney stones. History of colonectomy due to familial polyposis. Normal to remove appendix?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A 60 year-old man reports to an Emergency Room with signs and symptoms of a Myocardial Infarction (heart attack). After testing he's found to have multiple blockages in the vessels around his heart. The Cardiologist remarks \"At least it wasn't in the \"Widow-maker\". 1: List 4 possible sites of blockage. Doctor: hellothanks for posting here. myocardial infarction or heart attack is an acute condition where one of the arteries supplying blood to the heart gets completely blocked resulting in deficiency of blood supply to that part of the heart. therefore that part of the heart starts dying and the contracting function of the heart suffers. Great blockages occur as a result of cholesterol deposits in the arteries of the heart. so this cholesterol deposition happens in everyone. but there are also risk factors for developing heart blockages. A strong family history of heart disease can lead to increased deposition of cholesterol deposits and premature heart disease. other risk factors are old age, smoking history, high blood pressure, diabetes, obesity, sedentary life style, male sex, improper diet etc. These all factors lead to increased cholesterol deposition in the arteries which become narrow. As a result when such a person exercises or runs, the blood supply to the heart reduces and hence painter gets chest pain. This is called angina. sometimes when the arteries become very narrow, the blood flow decreases and becomes slow leading to formation of class and total blockage of the blood supply. this is called myocardial infarction. so an angina attack can go away with rest since blood flow is less but not absent, but myocardial infarction doesnt resolve with rest. It requires prompt opening of the artery with either clot buster medications or with interventional procedures. the widow artery is the LAD which supplies almost 60% of the heart muscle and most often is fatal, hence called widow artery. Treatment of myocardial infarction is clot buster medications, blood thinners, international procedures like primary angioplasty, bypass surgery in some cases, blood thinner medications, anticholesterol medications, anti angina medications and drugs which help maintain heart shape and size after a heart attack. ( prevent remodeling of the heart) ."
},
{
"from": "gpt",
"value": "Target: What are the symptoms and treatment for myocardial infarction?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: doctor , my right eyebrows are often shivering automatically.. this is happening form the previous one month. plz let me know if there is any reason for it. Doctor: hello welcome to healthcaremagic, the symptoms which you are experiencing occurs due to stimulation of nerve which supplies the muscle. It happens when you are stressed or when there is calcium defficiency. so consult your doctor and take some calcium supplement. There is nothing to worry about."
},
{
"from": "gpt",
"value": "Target: My right eyebrows are shivering from last one month"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Good day,My daughter is 11 years old and has been taking Serdep together Concerta since April 2014. She is in her own world and is doing worse at school now than ever. When she falls asleep in the afternoon it is difficult to wake here again. If she opens her eyes her pupil as as large as her brown of the eye. She complains of feeling sick. Doctor: Hello; thanks for the query. I would like to know who has prescribed your daughter Serdep (Sertraline) & Concerta (methylphenidate) tablets, in what doses, what time of the day & for what set of symptoms. Usually Methylphenidate is a stimulant & if taken in morning; it helps to improve attention, concentration & helps improving tasks involving some sustained effort. So kindly let me know what time you are giving her concerta; shift it to morning & NO later than 2pm. Similarly sertraline in high doses (>100mg) may cause sedation in some patients & hence entire dose can be shifted to prior to bedtime or given in 2 divided doses with larger chunk of dose in evening. If there is recent dose change; wait for 8-10 days as most side effects of these 2 drugs occur in first 15 days & subside later as body adapts to these drugs. Do revert back for further help. Good Luck"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for mental health problem"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had problems with my stomach for a while, it never a seems settled, including diarhea, acid burn, bubbling sendations, feeling sick after eating etc Recently along with this, I have started to experience pains during intercourse, after swabs smears and an external and internal scan it appears my ovaries are fine but my bowel may not be. All of the sudden I now with this experiencing vomiting, itchy legs with no rash, discomfort and pain in my upper abdomen, sweats, nausea, headaches, fatigue and a severe lack of energy Doctor: Hi, You have diarrhea, acidburn, bubling sensation, sick after eating, pain during sex, vomiting, itchy legs, discomfert and pain in upper abdomen, and headache. You have got 2 issues, one is gastric due to pepticulcer, gastric hyperacidity, or intolarance to some foods as milk and its products, or gluten containing foods as wheet and barley. The other is recent pelvic infection, may be yeast, candidiasis, or trichomoniasis. Thank you."
},
{
"from": "gpt",
"value": "Target: Have pain during intercourse, itchy legs, vomiting, abdominal pain, nausea, fatigue, headache"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have some pain in my right shoulder which radiates up toward the neck area. I can handle the pain without meds but wonder if it might be a tumor. I notice it more at night in bed and seldom during the day. If it is just a strained muscle, I can handle it. I do workout every morning with Classical Stretch Program on TV. Have had this mild pain for a month now. My only fear is if it might be a tumor. I do have some arthritis and am a fit 79 year old. !20m lbs and cook healthful foods. Just moved here to CA so haven t found a primary care doc yet. Thanks! Doctor: Hi there, I had gone through your question and understand your concerns. I see similar cases amongst old age people who visit my clinic. As you have writtenMale aged 79 years old and having arthritic changes, so it is very common having pain and stiffness in joints in the morning as these are sign and symptoms of osteoarthritis.You are expecting a tumor to which i strictly deny as you are not experiencing any kind of continuous pain, and you have not mention any kind of swelling to the surrounding joint areas.I would suggest you to get X-ray done and of your cervical region because you might be suffering from Cervical degenrative changes which would result in pinching of the cervical nerves and giving you pain in the shoulder region. and X-ray will also rule out the tumor possibility.In the mean time you can start --heat fomentation at the neck and shoulder regionuse of proper cushion during night time to rest your head , neck isometric to strengthen your neck muscles.try this for 5-7 days and revert whether your condition is better , worsen or nothing has changedThanks and regards"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for radiating pain in shoulders"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My boyfriend had a tongue biopsy last week. He is still in a great deal of pain and is occasionally bleeding. When he called his dentist to ask for a refill for his pain medication , they seemed surprised that he was still in so much pain as to need prescription strength painkillers. Is this normal? Does this indicate a malignancy? Doctor: Hello Welcome to HCM I would like to tell you that tongue is very delicate muscular structure & its biopsy is really painful.But you don't need to worry normally we give medicines for 5 days in such cases & pain gets relieved after having this course.Still if your problem persist than consult your dentist. Take Care Regards Dr.Neha"
},
{
"from": "gpt",
"value": "Target: Tongue biopsy. Pain, bleeding. Given pain killer. Is this normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Could thickening of the ligamentum flavum at T10 cause me to have back pain on my right side that radiates around my rib cage? I have been suffering for 3.5 years and have had all injections possible, a fusion at t7-9, accupuncture, PT, biodynamic osteopathic treatment and still no resolve. Doctor: Dear patient ligamentum flavam thickening itself is painless. Pain happens when thickened ligament compresses underlying spinal cord and nerve roots. You said ligamentum flavam is thickened at T10 level then why fusion surgery was done at T7 T9? Thickening was diagnosed in mri after surgery? please give detail history of surgery and diagnosis so that I can guide you better. If pain is there even after surgery then your operating surgeon will be in better position to solve your problem."
},
{
"from": "gpt",
"value": "Target: Could thickening of ligamentum flavum at T10 cause right side back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my father is 71, has parkinsons and diabetes, and a massive heart attack 4 years ago ,he has been passing out and his neurosurgeon says its part of the parkinsons but his blood pressure readings are now 165/99 yesterday and 173/108 today. im concerned. should i take him in to see his dr? Doctor: Hi ThereI wonder why your father is not taking any anti hypertensive medicine even after having a massive heart attack. Yes definitely he needs to be started on bp lowering medicines as persistently high BP can later on lead to Stroke and other cardiac issues.I would also like to get an ECHOCARDIOGRAPHY done on your father and then plan other medicines as required after assessing his LV Function.Good Luck"
},
{
"from": "gpt",
"value": "Target: Suggest treatment high blood pressure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my grand mother aged 65 yrs she has now severe leg aches she is unable to walk,she hardly walk or get up from bed v.tender from 2 months,,her cbc & urine tests all are normal...but want to know what could be the cause of these aches in leg or it is associated with age Doctor: Hello, There are many causes for leg pain in elderly patients. The most common are arthritis, osteoporosis, thrombosis or electrolyte imbalance etc. I suggest you to consult with doctor because it isn't common she can't walk. I suggest to do X-ray and Doppler ultrasound. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for leg pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I went to have a coil fitted thismorning, unfortunately I was unable to have it done because I was told i Have a tight neck of my womb and was told to see somebody different. Do u think a a coil will be suitable for me, am 31 and have had 3 children via c-sections. Thankyou Doctor: Hello,Thanks for trusting us with your health concern. If your last cesarean section was more than a year ago and if the postoperative recovery was uneventful on all occasions, the chances of scar induration are minimal. In such a situation, you can go for the insertion of an IUD, though other modes of contraception are preferable. The tightness of the os of the cervix is more likely due to absence of a vaginal birth and this can be overcome by performing the procedure under anesthesia to help dilate the cervix. Please see a specialist for further help. Take care."
},
{
"from": "gpt",
"value": "Target: Can coil be fitted into a tight womb?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I ve been sitting down a lot for the past three-four weeks (due to lots of university work) when I am use to exercising and for the past two weeks I have had weak feelings in my legs, though they have not actually weakened, I also then began getting tingling , but my main concern is the tingling sensation in my vagina . I have heard it can be caused by a trapped nerve from sitting too much perhaps? I am a very anxious person but for the past two days I have also been feeling very nauseous and have absolutely no appetite , possibly out of concern... However, due to having lower back pain (which isn t too unusual and runs in my family) many sites on light point to a spinal tumor! Obviously this is making me more anxious, so I m just wondering if its worth seeing a doctor. Finally, I did bang my back in December 12 and 2 vertebra where very badly bruised and sore, is it possible that I have a herniated disk? My cousin (also 20) found out that he had a herniated disc last year also and my family do suffer with their lower backs. Any advice you can give me would be much appreciated. Doctor: Hi,We will work backwards in your situation.1. You had a back injury December 2012 and 2 vertebrae were bruised (no details of specific vertebrae mentioned, doesn't matter). You have not told of any resulting disc herniation at that time. There is no reason disc herniation will occur now just because of sitting down for the past 3 -4 weeks.2. Tingling sensation in your vagina could be entirely due to a small infection in the area because of your sitting down for a long time. Please visit washroom regularly and if things still dont improve, you may consult a gynaecologist for medication.Take care."
},
{
"from": "gpt",
"value": "Target: Tingling in legs, vagina. Caused by trapped nerve from sitting too much?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my name is romeo. I have had a dark, itchy spot on my inner thigh for a while now and its grown alot its even spread under my belly button on my waist and it itches so bad that ive scratched to a point where i draw blood. Any ideas on what it could be? ps ive been STD tested a while back and i was positive for chlamidia could it be a factor? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dark itchy spot may be due to fungal infection early it may start like a single red spot later it may spread circularly with central healing with elevated edges. Apply candid-B cream. Use tablet Fluconazole. If symptoms not improved please consult your dermatologist, he will examine and treat you accordingly. Take care."
},
{
"from": "gpt",
"value": "Target: What could be the dark,itchy spot on inner thigh that spread under belly bottom?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been on antibiotics for about a month for sinus infection and Dr. thought I had a UTI because there was blood in my urine. For the past 2 wks I have had buring in my stomach and chest. Had blood wk my liver enzymes were elevated. Dr. said wait about a month and we will check your blood again. I really do not want to wait my stomach burns with pain everyday. Any idea?? Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.Elevation in liver enzymes has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you drink.This burning sensation and pain may be due to acid peptic disease. For which I will advise you to avoid tea, coffee, oily and spicy food. Also avoid citrus fruits. Among medications take a proton pump inhibitor like rabeprazole and a prokinetic agent like domperidoneI hope I have answered your query and this will help you . Wish you a good health"
},
{
"from": "gpt",
"value": "Target: Does elevated liver enzymes result in burning stomach and chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had chest pain for several weeks now, my ECG is clear but today as been quite bad. My pulse has dropped to 60 bpm after excersize (I am unhealthy and normally have a heart rate of 80 bpm) and I feel really shakey, not sure what to do as I have been to ER three times and they say I am fine. Please help. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Since your ecg is normal, no need to worry much for cardiac diseases. But better to get done stress test. It will tell you about your heart function in stress like exercise. If this is also normal than you are mostly having stress and anxiety related symptoms. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. First get done stress test. Hope I have solved your query. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest medications for chest pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, for just over a week now I have had tender nipples. Only the nipples and only when touched. I have no discomfort in my breasts. The nipple area seems to be darker in colour than normal and there appears to be lumpy bits around them. I am on one of the mini pills and have no concerns about being pregnant so I m wondering what this could be? Any suggestions? Thanks! Doctor: Hi,Dear,Welcome to HCM. Based on the facts of your query,You seem to suffer from-Hormonal development of the nipples and its areolar Montgomeris Tubercles.Fluid Retention with growth of the breast tissue,from oral mini pills is the cause of the pain in the nipples and of the painful tubercles around it.Remedy-USG study with Tab Vit E with Tab Combiflam Fluid and Salt restriction--Voltaren Gel- locally-would resolve it.Hope this reply would help you to plan further treatment with your doctors.Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. suggestsGood Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS"
},
{
"from": "gpt",
"value": "Target: Suggest cause and remedy for small lumps around the nipples"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my dad has multiple myeloma that has spread to his cerebal spinal fluid around his spinal column . what is the prognosis. He is paralysed in the hips and one leg now. How long does he have left Doctor: Hello Thanks for nice query I am sorry to sat that Recurrence of multiple myeloma has poor prognosis,but keep the hope alive & consult oncologist. Hope I have answered your question well to your satisfaction. Wish you speedy complete recovery at the earliest."
},
{
"from": "gpt",
"value": "Target: What is the prognosis of Myeloma Relapse?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, my 10 year old son has had several ear infections throughout his early years. And has even had a drain about 5 years ago. He just confessed to me that he has a ringing in his ear - and I am so worried, because about a month ago I did take him to the ear doctor because my son complained of pain - the ear doctor removed some wax and said there was no infection. Now my son s ears have been ringing he says for months - he just told me about it last week. What is going on? - What kinds of tests should I ask for? and is there a cure for this? Doctor: Dear Parent,Ringing in the ears, also called as tinnitus can be due to various causes like listening to loud music on earphones or ear budswax build-up,middle and inner ear infections,second-hand smoke exposure, ear injuries, certain medications like some antibiotics, chemotherapy, etc. In my opinion since your pediatrician has ruled out an ear infection, you should consult a ENT specialist who can will take a thorough medical history and do a physical exam, conduct order hearing tests to find out if there is assosiated deafness and do a blood work and imaging if required. Most of the children outgrow tinnitus, however the course of tinnitus depends on the underlying cause."
},
{
"from": "gpt",
"value": "Target: What could cause constant ringing in ears with history of ear infections?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m not sure if I have schizophrenia and I need help on that. It could be bipolar, I m not sure. I m 16 and I think I have two personalities. I am usually a very happy girl with everything to live for, but last year I began to have a second side to me. Now, sometimes I will get a weird/bad/sad mood where I ll get very sad about really stupid and small things and I will feel like the world is coming to an end. I will cry about it, and I ll keep crying because then I feel like something s wrong with me for crying so easily. Then later in the day, I will get a positive attitude saying that I will stop overthinking things and that I will be happy from now on. I want a natural way to cure this, and I want to do it myself, I think I can. Doctor: HiThanks for using healthcare magicThe way, you have presented your symptoms, these are more towards bipolar disorder or borderline personality. Before age of 18, we can not diagnose a patient borderline personality. In that case, you should consult a psychiatrist for proper mental evaluation and that would help to make proper diagnosis. You can also try some relaxation exercise that would keep you calm and relax. If you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: Does extreme mood swings indicate schizophrenia or bipolar?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was stung by a bee on the sole of my feet. I took out the stinger immediately and all was well until about 12 hours later. I developed chills. I thought it was flu. I took some panadol and went to sleep. This morning, I felt better. There were no more chills. Is it ok not to see the GP. Or should I be cautious and go and see the GP to get some medication? Will the symptons come back again? Doctor: Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you nothing more is required in your case. As critical period for allergy that is more than 24 hours is already passed of. You only have to look for the further critical symptoms if any develops and should be checked of accordingly. Do not worry you dont have to see to GP now. no more drugs is required,I will be happy to answer of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease."
},
{
"from": "gpt",
"value": "Target: What causes chill after bee sting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Every now and then...every other week or so....i have a knot that shows up right next to my spine and it itches....in my lower back....by the end of the day it is gone....what could it be? Doctor: HI,Dear,Thanks for the query to HCM.I understood your concerns about the shin lump.In my opinion its -Urticaria-CIU (Chronic Idiopathic Urticaria)Treatment-a-Take opinion from your ER physicianb-He would do Blood test for eosinophilia / Stool for the worms and amoeba .Hope this would resolve your worry.Hope this would help you to plan the treatment with Your family doctor.Wishing you early recovery.You are always Wellocome for further query to HCM in this regard.Have a Good Day...!!"
},
{
"from": "gpt",
"value": "Target: What causes itchy knot next to spine in lower back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am 16. I weigh 150 pounds and am 5 4! today i came home from school and i have a bad headache , nausea , my stomach is hurting pretty bad and i am dizzy and shaky and really tired! I have trouble with my stomach all the time so the stomach thing is normal for me but not everything else because i have been tested for many things for my stomach problems since i was 13 and they have found nothing! But i am just looking to see if i can find out something without having to go to the doctor! Doctor: Hi ! I would like to know your dietary and bowel habits.If you eat frequently from outside, and that too some junk food kind of thing, then that may be the reason for your stomach problem. Many kinds of parasitic and bacterial infection may arise for those who eat frequently from outside. Apart from this, some people react to a particular component , e.g., glutten which is found more frequently in junk foods from outside. This glutten enteropathy may cause all the symptoms of yours. Such eating habits can also be a reason for your being overweight if any other hormonal causes are excluded. Try to add more roughage and liquids in your diet. Get investigated for parasitic, bacterial infections and also for glutten sensitivity. Till that you can take a proton pump inhibitor drug along with an anti spasmodic drug.Wishing you an early recovery."
},
{
"from": "gpt",
"value": "Target: Bad headaches with nausea and stomach cramps. What is it?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: A friend of mine was admitted to hospital after he blacked out and three weeks later after having shoulder surgery contacted a staph infection that they found in the stool. They think he may have contacted this in emergency. What caused this and nothing is clearing it up. He is 78 6'2 and in good health outside of this blackout which they have diagonsed as syncope? Very frustrating. Doctor: Hello and thanks for posting.Sorry to hear about your friend. As far as the infection is concerned, we do not always have the answers why certain infections are found in the intestinal tract. There are many reasons (one of them certainly being in hospitals as you have eluded to). Since you state that he is still having problems with the staph infection, please make sure this gets addressed this week to eradicate and sometimes you can also recommended a probiotic which provides beneficial bacteria to help balance the microbial population in the gut after the acute infection has been successfully treated.Best of luck to your friend."
},
{
"from": "gpt",
"value": "Target: What causes staph infection in stools?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 2 yr old dtr woke up this am with red swollen cheeks, her eyes are puffy too. she does not have a fever or appear to in any discomfort. She has a history of asthma and exzema. We are only aware she is allergic to amoxacillan as she broke out in a body rach after taking it. She has not eaten any food that she has not had in the past Doctor: Hello.Thank you for asking at HCM.From your history, I would suggest her cetirizine and motelukast for 3-5 days depending upon the response. As she has asthma and eczema, I think she is having atopy (a tendency to have allergies). And these allergies occur usually due to air-borne allergens and food allergens. Of course, she has reacted to amoxycillin in past, but drug allergy is not the only cause of asthma and eczema.So I would suggest you to consult an Allergist who will test her for food and aeroallergen allergies and suggest you how to manage her allergies.Hope this will make things clear for you and will help you.Wish your daughter the best of the health.Regards."
},
{
"from": "gpt",
"value": "Target: Will asthma and exzema be the reason for red swollen cheeks after sleep?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been having a weird almost \"tearing\" sensation in my lower left abdomen off and on for about a month. Not really painful, just irritating. Now starting last week, I've been having a lot of pressure in my lower abs and bladder. I feel like I have to urinate, but then not much comes out. Doctor: Hi. The medication for your problem will depend upon the clinical and sonography findings done by a Urologist and Sonologist.You have got a frequency of urination but not much is coming out suggests me you can have a problem either with the bladder.So please go ahead with the consultation with Urologist and the tests which he may suggest you. Taking medicines without a proper diagnosis for such a problem is not a wise decision."
},
{
"from": "gpt",
"value": "Target: Need medication for pressure in lower abs and bladder"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: today aboue a hour ago while playing with my pet dog i was bitten by him accidently.little blood came out ,i have washed the wound with soap and water and have applied Bitadine liquid medicene (anticeptic).do i have to take rabbies injection,please advice. Doctor: On safer side you should get inj. rabies vaccine. if you can't follows that perticular dog for a week."
},
{
"from": "gpt",
"value": "Target: Should rabies injection be taken after dog bite?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi,My daughter is 4.3 years. We have relocated to noida last year. Since then she s having continuous RAD which relapses between every 1.5-2 months. In June 14, she was admitted in Fortis b coz of acute breathing problem where she was treated on nebuliser with levolin & budacorte along with steroids. Since last 2 days she s still having the same problem & we are giving her levolin & budacorte with nebuliser. This time she s also having high temperature between 100 & 102 F which is not subsiding despite giving her 250mg - thrice a day. We are too much worried because of this frequent medications. Can you suggest us something? Doctor: Give her Paracetamol every 6 hours in a dose prescribed by your physician according to the weight. if inbetween if there is raise in temperature give her tepid sponging with Luke warm water. probably she must be having some infection consult physician for further investigation and probably substitute with antibiotics"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for high temperature of 100 to 102 F"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... Hi. I am 33 year old male from India. I was having heartburn from last 6 months. The Doctor performed Gastroscopy and found that it is GERD and inflammation of Stomach and Esophages. At present I am having mild pain in upper right part of the abdomen. I had a Ultrasound of Abdomen and Pelvis before 6 months and everything was normal in the USG test. What can be the reason of my pain? Doctor: thanks for sharing your concern!there is nothing to worry about this; it is nothing but kind of some some episode of the GERD disease!depending upon the grade and control and your food/life style patterns, GERD is likely to increase or decrease in intensityhave regular check ups and take care!regards,"
},
{
"from": "gpt",
"value": "Target: What causes pain in the upper right abdomen?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a healthy 18 year old female. I am very aware of my heart beating, and sometimes see my stomach pushing up with the rhythm of my heartbeat. I am taking nexium for acid reflux. is acid reflux related to this strong awareness or is it independent? Doctor: welcome to hcm ..for acpd reflux please take tab pentprazole 40 mg and levosulopride avoid bending forward or lying on bed atleast 1 hour after meals take lighter meals avoid heavy meals avoid fried fatty fast foods avoid tight clothesraise head end of bed by 20 cm and yes the cardiac symtoms are related to acid refluxbut as an additional measure you should also maintain proper weight ..keep your BP and sugar level under control ..undergo ECG also if you have any further query then you can come back to hcm i will definitely help you with regards dr varinder joshi"
},
{
"from": "gpt",
"value": "Target: What can cause strong awareness of my heart beating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Static Buzzing and fizzing, I m glad I m not alone, but it would be nice if someone could give this thing. Ok I get sleep paralysis very often, this drives me nuts i do often try to drink a lot to knock myself out and avoid the whole paralysis terror stuff. One of the worst SP incidents i had invovled this static buzzing fizzing pressure feeling in my head, as if my skull was the exaust for a jumbo jet engine. I thought my head was going to explode with static. This was the first time I d ever felt anything quite like this. Now you can see static on a tv, hear it on a radio, and even touch it on old cathode ray tv screens. This stuff across my brain felt just like the tv screen just much stronger, It was located on my temples and at the bottom of my right ear. But a few years ago a the height of my sleep paralysis Horror (Everynight multiple times for around 3 solid months) I finally went to the doctor, and got given citalopram, for depression. Started taking the citalopram, and i turned into a zombie, and these strange static fizzy buzzes started appearing. Now every bout of SP is preceded by and accompanied with this static. Also i find for a few minutes after I wake up from an SP incident, the static buzzes, still fizz in for a few more Aftershocks . Doctor: Hello, If you suffer from SLEEP PARALYSIS I would recommend your seeing a SLEEP SPECIALIST in order to obtain a SLEEP STUDY since you may be suffering from a sleep disorder which could be related to or even NARCOLEPSY for which there is a specific medication that can help if not place into remission. The other possible set of diagnostic studies that could be obtained would be imaging studies of the brain to include an MRI of the head with gadolinium contrast looking specifically at the CEREBELLOPONTINE ANGLE to rule out the presence of a small mass lesion that may not be big enough to cause headaches, nausea, or vomiting but may be big enough to cause severe TINNITUS. I would also do an MRA of the head AND the NECK. I might even recommend that a high-resolution MRI on a 3 Tesla (or higher) magnet be performed of the INTERNAL ACOUSTIC MEATUS (IAC) looking for any evidence of a cavernous fistula or breach of the cavernous wall or ceiling with an AVM or similar which could cause bizarre and debilitating symptoms of TINNITUS. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for sleep paralysis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My cardiologist recommends my INR to be over 3. Every where I have read says between 2 and 3 are normal. They keep upping my dose of warfarin and I am more afraid ot this hemmoraging than a blood clot. How much warfarin is too much?????? I don t have money for this, I am limited income, and it said free questions. Doctor: Hi, dearI have gone through your question. I can understand your concern. INR normal level is one. If you have chance of clotting then you should take warferrin and you should maintain your INR between 2 to 3. If iNR goes above three then chances of haemorrhage is increased. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What does this INR reading indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a 73 year old male married to a 66 year old wonderful wife, who.. has ceased being very forthcoming with sex.I am easily aroused,have no trouble with erections. I tend to masturbate 2 to 3 times a week.Is this bad for my health. I am 5'9\".149 lbs and in good health.My wife is somewhat obese. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.No, masturbation is never a health related issues. There are many false belief of the masturbation in the people.In fact it never causes any health related issues.You can continue with the masturbation. You can enjoy with it. Masturbation in fact relieves your stress. You can so it as many tines as you want.Please do it with clean hand and good practice.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM."
},
{
"from": "gpt",
"value": "Target: Is masturbation a problem for health at 73?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor,My name is Kavitha and i am writing for my husband. He is 29, has come problems in the lungs. Some fluid is accumulated in the lungs and there is a mass of 7.2cm, all the test results says there is no lungs cancer cells, or tb. Can any one please help me out with this. Many Thanks for your help in advance. Kavitha Doctor: Hello dear Kavitha , hiWarm welcome to Healthcaremagic.comI have evaluated your query for your husband in details .* There must be definite diagnosis for the management .* The type of pathology is mandatory to guide further . I recommend lung biopsy from the mass for deciding further plan of action .* It would be of great help if you attach his reports of lab , x-ray , Ct scan herewith so that I can guide you still more accurately .Hope this will help you for sure .Wishing him fine recovery .Welcome for any further guidance .Regards ."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fluid in lungs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 6 year old has a rash around his groin area.. its happened before and I thought his underwear was too tight and had him stop wearing it. Its a raised red area that he says itches. He has something similar under his armpits. I don t know if its chaffing/ dry skin or something more serious. Trying to figure out how I can treat it at home and help him. Doctor: Hi...this seems to be a superficial fungal infection of the skin. I suggest you to consult your dermatologist and a mild steroid cream application topically for a week will help a lot.regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes rashes around groin and armpits?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I broke my ankle in Sep 2013. I had 2 screws and a device similar to a sling put in it. I began walking on it in Dec and had no pain until I started Cardiac rehab in Apr 2014. A recent xray says On the present examination metallic screws noted at the medial malleolus and the Union is incomplete at the medial malleolar fracture. Degenerative changes of right ankle noted with overlying soft tissue swelling . What can be done to help this ankle heal? Doctor: give trial of ankle binder and parrafin wax bathif symptoms are persistent than ankle fusion should be considered which will relieve ur pain completely.fracture is old plus your xray shows early arthritis so no meaning of doing any surgery for fracture. treatment goal is pain relief"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for tissue swelling of ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I HAVE A PILL AMOXICILLIN 500 MG THE DR. GAVE IT TO ME FOR A INFECTED TOOTH IT IS SWOLLEN AND HOT TO TOUCH I AM TRYING TO MAKE IT UNTILL TOMORROW FOR MY DENTIST CAN TAKE IT OUT IT HAS 33 ON ONE SIDE A X ON THE OTHER IS IT THE RIGHT PILL MY E MAIL ADDRESS IS YYYY@YYYY Doctor: Heloo pt-------you can take amoxicillin for an infected tooth with swelling...................................."
},
{
"from": "gpt",
"value": "Target: Can Amoxicillin be taken for an infected tooth with swelling?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. My 3 yr old boy started vomiting this morning at school and can hold anything in his stomach. He has trow up three more times in the day and he just vomit again a few minutes ago (12:43am), even the pedialite wont stay in. No fever, no diarrhea and he looks OK. The only weird thing he ate was fish fingers for the first time last night. Should I take him to the ER? Doctor: Hi...by what you say I feel that your kid might start to have diarrhea.Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes frequent vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: am a 50 year old male who is 2 years sober from a 30 year drug addiction. 2 years have been rough, but I am experiencing very deep depressing and suicidal thoughts. I have been on seroquel for about 10 years now and I am on 400 mg a night to help me sleep. I have obsessive thoughts and can not get out of this depression. I can't seem to wean myself off of this drug and I am beginning to believe that it is causing my obsessive thoughts and depression. My dr said I may have to take it for the rest of my life. Could this drug be causing my problems and, if so, do you have any advice on how to wean off of it or any other drugs that are non-narcotic/non-addictive. I can't sleep without it! I feel my only solution is either to start using again or suicide. I can't seem to find anyone who can help! Please help me! Doctor: HiThanks for using healthcare magicIn depression, you can try antidepressant drugs like mirtazapine or trazodone. That would help you to get sound sleep and elevate your mood. Seroquel is a antipsychotic. It would not help in depressive or obsessive symptoms. In that case, antidepressant would help you. Better to consult a psychiatrist for proper diagnosis and management. In case, you need further help, you can ask.Thanks"
},
{
"from": "gpt",
"value": "Target: Is it possible to sleep without the seroquel tablets?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am already taking medicine for anxiety . But I have new symptoms. Palpatations have started up again and I have need to have sharp intake of breath. like a yawn. Is this all due to stress? My heart Dr says heart is fine and I had surgery 2 years ago.what can I do to make it stop? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have anxiety disorder. Palpitations, breathlessness all occur due to anxiety. You should consult psychiatrist and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for palpitations and breathlessness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 65 years old.I have been diagnosed with mild aortic stenosis,I am in great shape,I walk 3 miles every morning,I lift weightts,and I ride my bike 15 miles every day.My doctor has not limited my exercise in any way. what is the prognosis,and time limit on putting off any surgery Doctor: Hello in mild aortic stenosis, no limitation if exercise is needed . Also there is no need for surgery at this stage or near future. The only thing you have to monitor is the progression by doing a 2 D echocardiography once a year , per say we cannot predict the progression, however I would reassure you that it's a slow process and nothing may be needed even in 10 years . So do relax and continue having a healthy lifestyle and . Regards Dr Priyank Mody"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for aortic stenosis"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I've got really bad teeth n gums I was on methadone n suffered depression n anxiety n didn't look after myself, I'm now off the methadone n doing well but for the last few months my heart's been beating g really fast then it goes really slow I get a fast pulsing in my head aswell n feel really dizzy but it only really happens at nut could my dental problems be causing this. Doctor: Hi,Thanks for posting the query, No this is related to dental symptoms.I would suggest you to get a checkup done with the Dentist.For poor oral hygiene i would suggest you to get a complete mouth scaling and polishing done.Maintain a good oral hygiene.Take care!"
},
{
"from": "gpt",
"value": "Target: Could my dental problems cause a fast heart beat and a slow heart beat?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband contrcted Hep B at birth in Tonga. It has bee dormant all these years that we were married [28yrs] Three weeks before he passed away we found out that he had it and that his liver was damaged. The Hep b was activated due to meds he was taking for his kidneys that weeken his ammune system. Do I need to be worried that I have it? Doctor: Hi there,Thanks for using HCM.Sexual contact is one of the ways by which hepatitis B infection gets transmitted.So obviously you were at risk of contracting it from your husband.To know whether you have got the infection from him, you can get the HBsAg test done.Is this answer helpful?"
},
{
"from": "gpt",
"value": "Target: Do i need to worry about Hepatitis B?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am having heart palpitations with and without a cough for about five weeks now. This occurs daily, sometimes throughout the day. For approximately 45 days prior to this starting I started taking prescription Integra F capsules for anemia. I also take Lexapro (10 mg) and I was taking a childrens multiple chewable viatimin. Around the 45 day mark, I not only had the heart palpitations and cough, but was also short of breath, dizzy, and felt confused. I found information indicating never to take the Integra F capsule with any type of multiple viatimin as it could cause viatimin overdose. I immediately stopped taking the children viatimin; however, after five weeks I am still getting the heart palpitations and cough. I feel like I brought this on myself taking the two together, but do not know that for sure and do not want to ignore it. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would prefer if you mention age, and if there any other chronic medical disease like diabetes. But generally, don’t worry of vitamin overdose because it is usually rare and less harmful, if administered orally and the body can get ride of it gradually from hours to days. Regarding palpitations you need to check ECG. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What causes heart palpitations with and without a cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had submission done about a year and a half ago, I have a lump on my right and left cheek. It is noticible and I can feel that it s hard. It still has not gone away. Will I have it forever? I have tried micro needling, saline injections, and a steroid injection. Nothing has worked. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This seems salivary gland lesion , should be evaluated with ultrasound examination for definite management .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards ."
},
{
"from": "gpt",
"value": "Target: What does a lump on the left cheek indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a mylogram done a week ago today. Although i had no major headache, i have been experiencing severe nerve pain in my tailbone, since Sunday. It s stiff when i awake in the morning. Some days is worse then other. I have significant new edit damage in my L5 and S1 nerves. Can they be related? Doctor: Hello, As the history don't mention about any fall than the tail bone will have no fracture. Due to nerve root entrapment at the L5-S1 levels, there will be a weakness in the gluteus muscles. Due to which there will be excessive pressure over the coccyx. Leading to inflammation and pain. I will advise you to use piles pillow to avoid pressure over the coccyx bone/ tail bone. Post which I will advise for some icing. Along with this, core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, lower limb Strengthening exercises. All of this will help to reduce pain and inflammation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: What is the reason for severe pain in tail bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a question. This is a bit personal. I am curious if youd suggest me looking into Male engagements. I am 24 years old. Its impossible to hold a erection and sex only lasts a few minutes. If you suggest me looking into some medical help please leave a suggestion on where to start. I ve tried at home treatments but nothing works. Thank you. Doctor: Hi, You can consult a urologist and get evaluated. A detailed evaluation is needed to find out what exactly causing the problem. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What kind of medical help is to be sorted for erectile dysfunction and premature ejaculation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My daughter is 19 months old and weighs approx 10.3 Kgs. She is a very picky eater. From last 3-4 days she is eating very little but having milk. But today she is not atall eating anythng. Not even milk. She also has constipation from few days. Also she vomits on most days at night. Am worried coz she has hardly had anythng today & she s too cranky. Pls advise. Doctor: Hi...Thank you for consulting in Health Care magic.I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents we need to be more patient and feed than less quantity but more aliquots per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause drowsiness.Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: What causes low appetite in a 19 month old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: been moveing for two days and started having pains in back on side area kinda like around the ribcage. I know I am some what dehidrated even thou I had water, I was in the heat moving stuff 4 am into til 2pm. I am type 2 diabetic and also on zoloft help! Doctor: If you have taken care of dehydration and your diabetes type 2 well, the only cause evident of this pain is over exertion.I would suggest simple analgesic like PCM 650 mg sos, take rest for few days, relax, have hot water baths/ steam, do little breathing, meditate a bit and if possible do stretching yoga exercises.If still it persists, go for complete check up.Hope it helps."
},
{
"from": "gpt",
"value": "Target: What causes pain in rib cage area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have chronic chondromalacia of right patella, i have liver disease and can not take anti inflammitories ive done physical therapy and everything i could do for it, it is very paifull is knee surgery my next step, i cant afford to pay you for this answer im sorry to have bothered youlike i said I can not afford this process,Ill do my own research and ask one of my doctors ,when I see him again soon. thank you for wanting to help, Doctor: Hi, you have got chondromalacia of patella, and due to the liver disease, you can't take pain killers, so i advise you to consult a gastroenterologist for prescribing the pain killers with out hepato toxicity. I to my patients with such pain prescribe injections of vitamin B1, 6, and 12. for 10 consecutive days and one injection every week. Thank you."
},
{
"from": "gpt",
"value": "Target: Have chronic chondromalacia of patella, have liver disease, painful knees. Done physical therapies. What does it sound like?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: About a month ago I had an abortion and very thing went fine after it. When the normal bleeding finished I got a vaginal infection but treated that and then I started bleeding again an it's been about a week and it seems to be going away so I think it's my period. If this is the case then I have been taking the wrong contraceptive pill during my period and I don't know what to do about it?! Doctor: Higreetings. First of all we should confirm this bleeding that it is your regular menses and not related to previous pregnancy and abortion.After confirming that only you should start your next oc pill.hope my answer helps you. Regards"
},
{
"from": "gpt",
"value": "Target: What to do for wrong contraceptive pill taken during period?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: how long does it take for your liver to return to normal after drinking ? I have to have a liver test in about 2 weeks and had a week of binge drinking about a month ago after not having an alcoholic drink for about 2 years,will my liver tests show up normal ? Doctor: Hi Welcome to HealthcareMagic forum. How much alcohol in amount did you consume in that one week ??? It depends on how far you are going to get your tests done///// I will let you know further. Are you getting any other test done than SGOT , SGPT or GGT ??"
},
{
"from": "gpt",
"value": "Target: How long does it take for your liver to return to normal after drinking ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my girlfriend is on Junel Fe 1mg birth control pill and has been taking it regularly at the same time for 9 days now. We had unprotected sex twice on the 8th day and once on the 9th. She also took plan b on the 9th day. I'm freaking out but I don't know if we should be ok. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is no chance of the pregnancy because:1. You did sex in the safe period of cycle and there is no release of ovum at this time2. You are on the double protection -- On birth control pill and it is very effective in preventing the pregnancy (only 0.5% failure rate).Plan B has been taken with in 24 hours and it is again 95 to 98% effective in pregnancy. So there is no chance of pregnancy in your case. But your period could be delayed by 1 to 2 week as I plan B pill cause hormone imbalance.So do not worry of period will be delayed. Avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar"
},
{
"from": "gpt",
"value": "Target: Will unprotected sex on 9th day of birth control pill cause pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a type 2 diabetic (15yrs). In November, we added AvandaMet 4/1000mg (the addition was the Metphormin) and now Onglyza 5mg. I have been having blood pressure/panic attacks at night - bp raises to 150-75/110 pulse 110-20...this when I am either in public or in bed. My regimen is 1Avandamet twice/day, Gliclazide MR 30mg x 3 in am, and Crestor in am. I have Tecta for stomach pains and Ramipril 2.5mg if either stomach or blood pressure issues arise. The only common denominator MAY be Red Wine - last night, drank 2 5oz glasses, and had an attack. I cut out caffeine this year when this all started in November/December. Been for Stress Test, heart ultrasound, thyroid test - all great. Im 39, not overweight, quit smoking 12yrs ago, poor diet, little exercise. Are one of the meds reacting with REd Wine (the only thing I drink - no beer in 10 yrs)? HELP - Ive been to hospital and they simply release when everything calms back down. Doctor: Hi,So your main concern is suspected panic attack at night. Being a long diabetic you must be well aware of sugar control, just check your blood sugar at midnight night or between 3 to 5 am sometimes mid night hypoglycemia causes hyperadrenalism causes high BP and pulse. Alcohol may be the other reason.Usually causes Atrial fibrillation. Just be careful whether your high pulse is regular or irregular. Apart from above, one of the complications of DM is autonomic neuropathy. It may be the cause of your symptoms. Otherwise sudden episodic cause of High BP and pulse may be pheochromocytoma, an endocrine tumor from suprarenal gland or other body organs. Do your 24 hours urinary metanephrin level check.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Deepesh Agarwal"
},
{
"from": "gpt",
"value": "Target: What causes high blood pressure and panic attacks at night?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi <br><br>My SGPT is high after a sever Viral Fever. I was admitted in the Hospital for Two days. After a week i felt like So weak and i checked my SGPT level. It has gone up to 63. Can you Please help me out on what are the Foods should and shouldn't i eat. Doctor: Hi thanks for contacting healthcare magic...Here you have to rest liver by taking less fried and fatty food...Avoid alcohol...Try to be away from non veg food esp meat....Pizza , cheese , baked pestry etc....not taken.Refined food avoidedUse very less oil in diet....Sunflower or canola like good oil used.Take one tsp crushed carom and cumin seed mixture with water daily....Sugar cane juice good....Hope you will recover soon.For further query you can contact healthcare magic.....Take care......Dr.Parth"
},
{
"from": "gpt",
"value": "Target: What food items should i eat in case of high SGPT levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: HELLO DOCTOR I NEED YOUR HELP.MY MOTHER WHO IS SUFFERING FROM ASTHAMA HAVE GOT ACUTE ASHTHMA ATTACK TODAY MONRING. SHE HAVE ADVISED MANY MEDICINE ALONG WITH ROMILAST 10 MG. SINCE 10 MG MEDICINE WAS NOT AVIALBLE, PHARMACY HAVEGIVEN ME 5 MG AND ASKED TO TAKE TWO OF THEM. NOW MY QUESTION, IS THERE ANY SPEFIC TIME WHEN THIS MEDICNE IS TO BE GIVEN ?? Doctor: NO SPECIFIC TIME YOU CAN TAKE AT ANY TIME THE DOSE CAN BE 10 MGM TDS YOU CAN TAKE 2 TABLETS AT ANY TIME ONCE A DAY TWICE A DAY OR THRICE A DAY DEPENDING ON THE CONDITION OF THE ASTHMA THIS IS SAFEST MED FOR ASTHMA IN ALL AGE AND IN EVERY COUNTRY TAKE LOT OF WARM WATER YOU CAN ALSO ADD LIQUID ANTACID TO CONTER THE EFFECT OF REFLUX DUE TO ASTHMA MEDICINES"
},
{
"from": "gpt",
"value": "Target: Asthmatic, had a acute attack recently, advised Romilast 10mg. Any specific time to take the medicine?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear, I have hepatitis b , and my girlfriend has vaccination b (but lower). When I have sex with her, i never use condom. My question is does she get this virus from me? Doctor: Hi. It is unfortunate that you do not care about your partner. Hepatitis B is sexually transmitted and in the US sexual contact is the most common means of transmission, followed by using contaminated needles. Get her investigated for Hep B ASAP"
},
{
"from": "gpt",
"value": "Target: Can Hepatitis B virus be transmitted during unprotected sex ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I m 18 years old. I ve had consistent, moderate to mild pain in my abdominal area. The pain switches from area to area in my abdomen constantly. I use the bathroom regularly, so I don t think it s a digestive issue.. I m just wondering what else it could be? (The pain has been going on for almost a week.) -Tori Doctor: Hi Tori ! Good evening. I am Dr Shareef answering your query.If I were your doctor, I would advise you not to eat from outside if you do, specially fried, spicy, oily fast food, which might give rise to such pain in your abdomen due to sensitivity of some component of the food to your intestinal mucosa, or due to some intestinal infections which might have creeped in from outside food. I would advise you for a routine stool test for ova and cyst, and treat it if positive which should relieve your symptoms.I would also include a urine routine/microscopic test followed by a culture and sensitivity test if need be to rule out a urinary tract infection and treat that if positive. Ultrasound of abdomen remains as a reserve if nothing relieves your symptoms.Till the above is done, I would advise you an anti spasmodic along with a proton pump inhibitor drug for a symptomatic relief and further management would depend on the reports of investigations.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What causes consistent moderate pain in abdomen area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 6 year old son. For the past week I have noticed him asking What? a lot. I have also noticed he talks loud. This evening he had to turn the T.V. up loud. I am wondering if he has hearing loss or if it is just a ear/sinus/cold issue. He has stated that his ear hurts and it feels different. I am not sure if I should take him to have his hearing checked or to the doctor. Just needing a push in the right direction.please. Doctor: Hello. I just read through your question.The most common reason for what you describe is fluid in the ear. This typically happens as a result of a cold or other upper respiratory infection. I recommend consulting with your doctor and having the ears examined."
},
{
"from": "gpt",
"value": "Target: What causes ear pain and loss of hearing in children?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have my semen report. It is showing following data Quantity:02 cc Appearance: Turbid colour: Greyish White Sperm Count: 63.4 Motality Of Spermatozoa : 60%(50% of spermatoza shows active motility + 10% of spermatozoa shows sluggish motility) abnoraml cell : 10 % Please can you let me know it is noraml(specialy quantity).if it is not then provide me medicine and diet which i need follow Doctor: hai,sperm cell is called as spermatozoa.As your report is absolutely normal.your total count(63.4) is normal (20 -200 million)your active motile sperm (60%)(active motility should be more than 50 %).all other parameters also normal.your semen report is normal.No need for any medication.follow healthy food intake.add more nuts,fruits and vegetables.avoid junk and fried foods,caffeinated drinks,tobacco,alcohol.do exercise or walk 4 to 5 kilometer.Thank youHope i answered you query."
},
{
"from": "gpt",
"value": "Target: What does spermatozoa in semen report be indicative of?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: right hand wrist bone very large due from old breaking of wrist twice once never had put in cast cause didn t tell parents it was a rebreak. now I have constant popping pain numbing and loosing feeling in right side of hand and in pinky. hands swell cant hold anything over than 10 pounds. ive been dealing with this pain for over 10 years and its worse. ive researched on it and worried its keinbocks disease Doctor: hiHope this msg finds u in good health. i have gone through your complaints and under stand your concern. ur thinking is absolutely right. possibility of kienbocks disease or wrist arthritis should b ruled out.i suggest u get an mri done to find out whats wrong. Nothing to worry about. hope this answers your question. if u have any follow up queries, feel free to consult me anytime. thanks Take care god bless"
},
{
"from": "gpt",
"value": "Target: How to treat popping pain and numbness of my right hand wrist bone?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had all 4 wisdom theeth ecxtracted I been eating Apple sauce, pudding, jello,and oatmeal. After I finish eating I rince my mouth and sometimes brush it. But then I get a sticky and soft layer on my other theeth and makes my theeth stick together now I have a little larger amount built on the other theeth pits.. What is it Doctor: Heloo pt-• Foods or drinks with a high concentration of sugar are generally foods that cause tooth decay.• Acidic drinks with a low pH value damage the tooth enamel and cause cavities.• Sticky foods, that are not washed away of teeth easily by the saliva, increase the exposure of teeth to sugar and acids and the risk of dental erosion and tooth decay."
},
{
"from": "gpt",
"value": "Target: What causes stickiness in teeth after having food?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a problem regarding my hair growth.my hair texture is extraordinarily thin.didnt even grow..and now adays i am suffering hair loss too.i have consulted a doctor he has suggested me multiviatmins but i havnot seen any differnce or improvemnt.i want long thick hair.please help me..:( Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of severe hair loss which could be due to hormonal fluctuations, improper hygiene and due to nutritional deficiency. It could be due to underlying systemic pathology as well. Need not to worry. I would suggest you maintain proper hygiene of your scalp. Start taking supplements containing biotin, Acetylcysteine, copper as active ingredients. You should consult dermatologist for proper examination and go for required testing done as without complete observation it's not safe to take treatment. The doctor may also prescribe you finasteride preparations as well. Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What is the treatment for severe hair loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my son is 10 years old he was taking attentdrol 18 he was ok now my Doctor as increased it to 25mg. with nootropil syrub.in morning.night oxetol 25. now he is not having in meals, breakfast and dinner is very much low. he is always complaining of having headache when shakes is head. Doctor: Hi, I had gone through your question and understand your concerns. Attentrol 18(Atomoxetine) can do some effects on blood pressure and heart rate: can increase blood pressure and heart rate; orthostasis, syncope. Use it with caution in your child. Check blood pressure of your son. If BP will increase Attentrol should be discontinued.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son a good health."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe headache in a child"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I slipped on some gravel and fell backwards hitting a large rock . I braced my fall slightly using my left arm but took the force of the fall to my left mid back. It happened three days ago. The pain has now centralized to my mid back. I am taking Tylenol with some relief and have no seen a Dr yet. I am worried about the injury and not sure what l need to be concerned about? Doctor: Hi,Welcome to healthcare magic.After going through your query I think You are suffering from acute backache after injury.Treatment of it is rest 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. Pantaprazole before meals prevent acidity caused by analgesics . You can discuss with your treating Doctor .There are three possibility ,one is simple muscle injury,second is disc prolapse and third is compression fracture of vertebra. To further investigate MRI of the region is advised. I think your query query answered.Welcome to any follow up query."
},
{
"from": "gpt",
"value": "Target: What causes pain in mid back due to falling down?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what homeostatic imbalances cause hypertension? what organ system is involved? why cant the feedback system maintain homeostatic balance? what are the consequences for not maintaining homeostatic balance? how are other organs and the body systems affected by hypertension? Doctor: hupertension is caused by stiffining of blood vessels as age of patient increases blood vessels starts to get calcium and ther minerals and fat cells deposit.This causes increased stiffining leading to increase in blood pressure"
},
{
"from": "gpt",
"value": "Target: Can homeostatic imbalances cause hypertension and organs involved?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here...My mother is 58 yrs old. we had her blood and urine analysis done. the findings revealed creatinine levels as 1.9mg/dl and blood urea 53mg/dl, electrolytes chloride 112.3 mmol/L, pus cells 8-10/hpf. how healthy are her kidneys. Plz answer Doctor: Hai,As from your quote creatinine is more than normal.it should be around 0.4 to 1.2 mg/dl.urea as well as chloride is slightly more than normal.normally Creatinine level around 1.9 mg/dl indicates some kidney dysfunction.however,clinical correlation with the expert opinion from the nephrologist will confirm whether kidney got any abnormality or not.thank youhope i answered your query"
},
{
"from": "gpt",
"value": "Target: Are creatinine levels of 1.9mg/dl normal for a healthy kidney?"
}
]
|
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