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[ { "from": "human", "value": "Source: Patient: Hello I had unprotected sex end off may I had a positive pregnancy test Ist week in June then I bled on the 9th June for 3 days heavy red no pains I then bled on the 5 th July for few days I ve had multiple pregnancy tests mainly urine and one blood test all came bck negative is there any way I could be still pregnant? Doctor: no ur history doesnt indicate pregnancy. ur menstrual cycle consecutively on the same dates show that u have not conceived" }, { "from": "gpt", "value": "Target: Can pregnancy tests give a false positive based on your menstruation cycle?" } ]
[ { "from": "human", "value": "Source: Patient: Right in the middle of my chest where my ribs meet it feels like the two sides are getting pressed together too hard. I dont know why. The pain is completely random as I wasn t doing anything. It isn t a throbbing soreness or anything, but when I move in certain ways especially when I bring my shoulders forward , the spot about 6 inches below the center of my collar bone feels like two bones are being squeezed to tightly together. Doctor: hiHope this msg finds u in good health. i have gone through your complaints and under stand ur concern. i guess u have costochondritis which means swelling and inflammation of sternum and rib joint. u need to get an chest xray done to find out whats wrong. start on analgesics and anti inflammatory tablets rest and physiotherapy. nothing to worry about. hope your question has been answered. if u have any follow up queries, feel free to consult me anytime. thanks Take care god bless" }, { "from": "gpt", "value": "Target: What causes tightness between my ribs?" } ]
[ { "from": "human", "value": "Source: Patient: my 7 yr old daughter is having stomach cramps, vomited a few times yesterday/ last night and is feeling sick today. She also has a headache and had this yesterday too. Temperature is fine, but I mostly concerned about the headache and vomiting as she doesn t usually have a headache with vomiting. She is taking sips of water. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Has your daughter been in contact with anyone else who is ill? In an otherwise healthy child, what you describe headache, vomiting and abdominal pain is most likely due to a viral infection. There are many viruses circulating in the community now and it is probable that she caught one of them. If this is correct, she ought to be better in a few days.As for treatment, it is important that she is not given Aspirin. She may have acetaminophen or ibuprofen for headache. At this point, don't worry about her intake of solids, but concentrate on liquids. Offer her something to drink every 2-3 hours. When she is better and gets hungry, she will request something to eat.I hope she recovers soon. Please return if we can be of further help.RegardsDr. Arnold Zedd, MD, FAAP" }, { "from": "gpt", "value": "Target: What causes stomach cramps and vomiting with headaches?" } ]
[ { "from": "human", "value": "Source: Patient: i have beenn on birth control for 8 months i had unprotected sex and he ejaculated in me 3 times this month, i take it everyday around the same time i have not missed a pill this month. i have been having mild pregnancy symptoms of nausea in the morning a few days ago but i was also very nervous so my bf said it could be just all in my head from me being nervous and worried about being pregnant. i have also had frequent urinations. i took my first white pill today and i am worried i may be pregnant, i was also told that birth control (yaz, which i take) can cause thoose symptoms. i just switched back onto yaz this month so i was thinking it may be the cause of that. and if you know or are on yaz what day do you get your period like on what pill cause there are four. i use to be on yaz and im pretty sure i get it on the second pill. should i be worried at all i mean i am not going to do that again it was a very bad decision on both me and my bf but what are my chances of me being pregnant and if so what test should i take and when. thanks Doctor: Hallow Dear,If your are so regular with your birth control pills there is almost no possibility that you would be pregnant with the unprotected sex you had. You are right, the symptoms you have described like nausea and nervousness are the side effects of birth control pills. You need not worry about them. If nausea is making you uncomfortable, you may take proton pump inhibitor tablets like pantoprazole to control the acidity. Please do not change the birth control pills frequently. Continue with one brand that suits you best. I hope this helps you. Dr. Nishikant Shrotri" }, { "from": "gpt", "value": "Target: What are my chances of being pregnant at this time?" } ]
[ { "from": "human", "value": "Source: Patient: I had a root canal done about 3 years ago on the tooth next to front teeth.It was suppose to be temporary and I never went back in. It got so painful a coupledays ago I sat and cried continuously. I went to the dentist yesterday and he gave me amoxicilin and norco for pain. And he said I need to go to endo- something. Which they are suppose to call me next week. So I started the meds yesterday about 5pm. Taking them exactly how they a prescribed and I woke up this morning and my top lip is swallon from side to side. It wasn't this bad yesterday. Is this normal and can the infection spread? My other teeth are now hurting also. Thank you for your time Doctor: It could be an exacerbation of an existing chronic infection. Antibiotics and pain relief meds are only transient. See your dentist for retreatment or endoddontic sugery as required." }, { "from": "gpt", "value": "Target: What cause swollen lip and toothache post root canal treatment?" } ]
[ { "from": "human", "value": "Source: Patient: I have a small-size lump on the right-hand side of my temple. I've recently noticed this and am concerned. When I touch the lump, I can move it back and forth. As I've read online, it could be a cyst; however, I've recently been having headaches, which is not normal for me. Doctor: Hello,It Might be a Simple Dermoid Cyst or Neuro Fibroma. Please see a surgeon as early as possible.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah" }, { "from": "gpt", "value": "Target: How to treat small-size lump on temple?" } ]
[ { "from": "human", "value": "Source: Patient: i was suffering form cold, allergy,throat itching etc for a long time.and few times i got some breathing difficulty.so i met a doctor who is a allergy & astma specialist. he asked me to take telekast f everyday night and to have a spray called duonase. after starting these medicine iam completely relieved my sickness.now 2 months i had taken medicines. again doctor asked me to continue these medicines for next 4 months.many are advising to stop this medicins.what shall i do? is there any side effects for these medicins? Doctor: THESE ARE ALL SAFE MEDICINES YOU CAN CONTINUE FOR LONG AND CAN TAKE OFF AND ON AS MANY TIMES AS YOU NEED BUT THESE CAN PREVENT NOT CURE THE DISEASE YOU HAVE TO TREAT ALLERGIES AFTER FINDING CAUZSE YOUR ALLERGEOLOGIST CAN TELL YOU THE PROCEDURE I ADVISE YOU TO APPLY NEOMYCIN H EYE OINTMENT IN NOSE BD AND SEA WATER DROPS 2 DROPS AT NIGHT IN EACH NOSE THESE CAN BE USED AS PREVENTORS FOR CONTROLLING TH ALLERGIC COLD" }, { "from": "gpt", "value": "Target: Suffering from cold, allergy, throat itching, breathing difficulty. Shall i stop taking medicines?" } ]
[ { "from": "human", "value": "Source: Patient: My 18 month old girl seems to have recovered from hand foot and mouth which first showed itself 2 weeks ago today. However despite return of appetite, no fever, clearing of mouth rash her gums bleed today with no obvious provocation. The bleeding did not last long but it was quite a lot of blood. Do I need to take her back to doctors? Doctor: HiWith your query, yes no doubt keepin your baby's age in mind I would say definitely visit your doctor and get it checked thiroghly to know the status of the condition. Hope thus helps you." }, { "from": "gpt", "value": "Target: Suggest remedies for bleeding through gums in a child" } ]
[ { "from": "human", "value": "Source: Patient: hi doc. well i really need your help I have red bumps around my butt hole?and one came out near my legs and the lips of my vigina. what cold it be they burn with water or when i go pee. I dont think its herpes because the only guy i have been with for 9 months doesnt have it. What can it be? Doctor: HiWelcomeWe need to examine to say what it is.It might be folliculitis.Wash the area with lots of water and use mild soap like dermadew or dove.Apply neosporin ointmentTake care" }, { "from": "gpt", "value": "Target: What causes red bumps around the butt hole?" } ]
[ { "from": "human", "value": "Source: Patient: Hello Doctor, I am trying to use an app given to me by my surgical team the calculates the MELD score for my upcoming liver transplant. I can read my lab test results but can not determine what the prothombin number is. I use the Billirubin and the Creatine level plus the PT but I do not find anything that resembles that. Can you assist? Doctor: Hi there,Thanks for using HCM.What you have mentioned as PT is only the Prothrombin number.PT stands for prothrombin Time.The parameters used to called MELD score are bilirubin level, creatinine level and INR.INR is value calculated with prothromin time. You can see the INR number along with PT. Use it to calculate MELD score.Is this answer helpful?" }, { "from": "gpt", "value": "Target: How to determine the prothrombin number in MELD score?" } ]
[ { "from": "human", "value": "Source: Patient: hi im haveing abdominal pain in the epiggastric region ... it happens once every few months its a dull pain that gets worse and worse i can feel it in my mid back then after 10 min it gose away for like i said weeks or months ... and its only in my uper abdominal .. im M/26 Doctor: Hi.Thanks for your query.You are an young male of 26 years. The probable cause of intermittent sudden pain in the epigastric region, with pain in the mid-back can be due to the following reasons. -Gastric ulcer / cancer with involvement of the posterios (back part) of the stomach wall. -Pancreatitis, may be with stones in the pancreatic ducts. I would suggest in such a patient the following:Upper GI Endoscopy and CT can of the abdomen. MRCP if required." }, { "from": "gpt", "value": "Target: How to treat abdominal pain ?" } ]
[ { "from": "human", "value": "Source: Patient: hi,iam have undergone laproscopic surgery for endomentriosis & ovarian cyst last jan.Took lupride injection as per doctors advice which stopped periods for 4 months.I having periods normally but irregular- one month 32 day and the other 28...simultaneosly.I got my periods 17 days before this month.Having pain in lower abdomin.incresed weight by 5 kgs,blotting stomach,back pain & exterme hungry are symtoms i have.we r planning for children.Can I be pregnant? Doctor: Several side effect of lupride injection is constipation, back pain, vaginal discharge, and due to constipation bloating of stomach is also possible. But this all can be controlled now since you are not on same medication. This control can be done by improving your life style and doing certain changes like having healthy balance diet, maintaining timing for break fast, lunch and dinner. Keeping break fast good lunch average and dinner minimum that too at or before 8:00pm, also avoid spicy food. Have fruits regularly. Keep tea and coffee minimum, keep fibre diet more in your meal. Do regular exercise like walking or jogging or cycling at least 25-30 minutes per day. Next your question is how to treat back pain: I suggest if your pain is only at back and not radiating to your legs as well there is no signs like numbness in leg and tingling sensation. Then it must be related to your spinal muscle weakness. And you need to take physiotherapy treatment after proper evaluation. As well follo spinal exercises regularly to improve strength and stamina of spinal muscles.You can also use hot or cold pack frequently at home to have some more pain relief. Also check your vitamins d and calcium level in body if it is low take a supplement for the same.Next question was on pregnancy: yes you can get pregnant if there is no further gynec issues. But during the pregnancy you will put up on weight and so that you may have more back pain. So discuss with your physio and do regular spinal exercises as well take advice on posture priorly only.Another thing to answer your headline question:Increase back pain, bloating of stomach is possible during pregnancy.I am sure this must be helpful to you.Take care" }, { "from": "gpt", "value": "Target: Is lower back pain, increased weight, bloating due to pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: Hi there, i was sitting up last night and i started to get a clear double vision and my heart beat rapidly, i mean really fast. it felt as if the faster it got the more double vision i got. i wake up in the morning fine but it only happens sometimes??? please help Doctor: hello thereYou have had very discerning experience late in the nightIt seems you've experienced a PSVT short for paroxysmal supraventricular tachycardia. You need to attend a cardiology clinic and get an echo and a 24 hr holter study done to exclude that as a cause..I hope that helps you with your problem.. do update me as that would help me in helping othersstay healthy always.." }, { "from": "gpt", "value": "Target: What causes double vision with rapid heart beat?" } ]
[ { "from": "human", "value": "Source: Patient: My puppy has taken injection of rabies and he bit my son does any need to take him injection Doctor: Hello,Welcome to HCM,Similar to humans the puppy should also given vaccines to protect themselves against the dreaded disease like rabies.If the puppy was given the injection, it suggest that your puppy is protected against the disease.As your son was bitten by the puppy, it is better to give three dose of anti rabies vaccine on days 0,3 and 7, because rabies is 100% fatal don't take risk of waiting for 10 days.You have to observe the puppy for 10 days, if it develops any symptoms of rabies in addition to the vaccine you have to give rabies immunoglobulins (RIGs).Thank you." }, { "from": "gpt", "value": "Target: What should be done after being bitten by a vaccinated puppy?" } ]
[ { "from": "human", "value": "Source: Patient: I continue to have acute sinusitis -- Have all basic symptoms -- Have been diagnosed with chronic sinusitis over last 20 plus years -- Finished antibiotic cefuroxime axetil 500mg 2-weeks back -- Still no relief -- Today is worse due to heavy biometric rainy day pressure especially in both ears. Doctor: Hello,As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your Doctor [ENT] and to know exact status please do few investigations like this [CBC with differential, Nasal endoscopy, CT scan, and a sinus culture] to confirm exact cause.2) Use saline nasal spray regularly and take other prescribed medications as per investigation reports only.Do follow lifestyle modifications like this:1) Try to avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals.2) Carefully manage your allergies. Work with your doctor to keep symptoms under control and do blood differentials count every month.3) Try to avoid cigarette smoke and polluted air. Tobacco smoke and air contaminants can irritate and inflame your lungs and nasal passages.4) Use a humidifier. If the air in your home is dry, such as it is if you have forced hot air heat, adding moisture to the air may help prevent sinusitis.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Uday Nath Sahoo" }, { "from": "gpt", "value": "Target: How can chronic sinusitis be treated?" } ]
[ { "from": "human", "value": "Source: Patient: My husband is experiencing uper abdominal pressure, that radiates to the left around to his back. He had an abdominal ultrasound that found gallbladder polyps, with the sizes not noted in the report, per the physician. I am finding that it is uncommon for the polyps to be the source of the pain, especially radiating to the left. The first few days he started experiencing the pressure, he also had an episode of left arm numbness/tingling. He was checked out in the ER and had a full cardiac work-up and was eventually admitted and released, with a 'virus.' He is now scheduled to have his GB removed, in a few days. Interestingly enough, he has a history of melanoma and an acoustic neuroma. My question is 1. should we be concerned that the polyps are cancerous? 2. should we be concerned we are not only dealing with a bad gallbladder? Thank you Doctor: Hi,Polyps are very rarely cancerous but it is recommended to do chlecystectomy if polyps are found to prevent cancer development in future. If cancer is found now after removal, it is in most cases curative surgery and then you can be happy that it was detected in such early phase. it cant be missed that this poylps is inside the galbladder, don't need to worry about this. I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards,Dr. Ivan R. Rommstein" }, { "from": "gpt", "value": "Target: How to treat polyps in gall bladder?" } ]
[ { "from": "human", "value": "Source: Patient: hi sir i am Ali from pakistan..i am a senior medical staff in emergency department in a hospital ...i would like to stat that my father is diabetic patient for last 08 years associated with hypertension..according to his saying there is abnormal development of lump behind the knee with no any pain..kindly give me suggestion that how to treat this problem...kindly reply on my email...i am so in tension .... YYYY@YYYY Doctor: Hi ! Good evening. I am Dr Shareef answering your query. From the history, it seems that it could be a popliteal cyst , which is a benign cyst behind the knee joint communicating with the joint cavity. However this can not be diagnosed with certainty without a physical examination and some other investigations. Therefore, I would advise you to take appointment with a general surgeon of your area, and get it examined for a proper management of the condition.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. Wishing you an early recovery. Dr Shareef." }, { "from": "gpt", "value": "Target: What is the cause of a lump behind the knee?" } ]
[ { "from": "human", "value": "Source: Patient: Hi doctor Today I had opened a white chocolate bar and eat some of it, suddenly my friend screamed and said there is living while worms in the chocolate!!!! I am so terrified. would you mind please let me know if I am risk of anything or nor. Thanks a lot and best regards Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should not worry.It may be possible that you do not have worm in your chocolate.Secondly catterpiller and worms like it won't cause infections.But even if you are worrying you can take the DEC treatment under your Doctors guidance.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist." }, { "from": "gpt", "value": "Target: What effect can accidental consumption of worms (in chocolate) have?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, my mother is 46 years old and is detected with uterus fibroid in the USG report. The size of the tumor is 3.61X3.62 cm. Its written hypo-echoic lesion . Is this a thing to worry if the uterus removal operation is done. Can this lead to cancer?or any other problem later on? My mother had breasts tumors 5 years ago and those were removed by operation.does that have anythng to do with her present problem?Pl help...I am very worried... Doctor: Hi and welcome to hcm. Usually ultrasound is accurate in detecting such tumors and most probably this is benign tumor as it says. WOmen who have had breast tumor in their medical history or in family have more chance of suffering from uterine and ovarian tumors. Fibroid or myoma are benign lesions and malignant alteration is extremely rare. It can cause problems if grow up to much and cause bleeding or press surrounding structures. this isnt significant size and I recommend to do frequent check ups and see is there rapid size progression or not. Uterus removal is also option and this is a routine procedure today. So you dont have to worry,cancer would have more intensive symptoms. Wish you good luck." }, { "from": "gpt", "value": "Target: Detected with Uterus fibroid, have hypo-echoic lesion. Can this lead to cancer?" } ]
[ { "from": "human", "value": "Source: Patient: Good Afternoon sir, I am 25 yeas old girl.I have completed my mba in hr..and working since 1 and half years.I am a nephrotic syndrome patient. and relapse in the interval of 4 to 5 yrs.I am going to get married in the next year in feb.Can u please suggest me can nephrotic syndome people get married and have issues in the future? Doctor: Hello and welcome to HCM Nephrotic syndrome does not interfere with conception. It is a kidney disorder. There are various disease processes which lead to nephrotic syndrome. Yhe most common disease process is glomerulonephritis which is caued due to damage to glomerulus of the kidney. Other diseases like diabetes mellitus , SLE, amyloidosis also lead to glomerulonephriris and thus nephrotic syndrome. Glomerulonephritis are also of various types. Some glomerulonephritis repond well to steroids and other do not. So it is important to get a kidney biopsy done and to know the exact cause of nephrotic syndrome. Relapsing and remitting is a feature of glomerulonephritis. You will heve to take the steroids whever there is relapse. Managing the dose will minimize the side effects if any. The disease process will not hinder conception. However, drugs have to be taken with caution during pregnancy. It has to be done in consultation with your treating doctor. Thank you and take care Dr Shailja P Wahal Majority of cases do not have underlyning cause. Others are secondary to infections, drugs and malignancies. There are various disease processes which lead to" }, { "from": "gpt", "value": "Target: Have nephrotic syndrome. Can I get married? Any issues in the future?" } ]
[ { "from": "human", "value": "Source: Patient: I'm a 25 year old female 110lbs 4'11\", my blood pressure has been jumping around for two days now that I know of, the highest it's read is 177/108 and is now 133/94 and keeps changing and I'm having troubles breathing at times, should I go to the hospital or wait til tomorrow to see my doctor Doctor: Hi,Welcome.This is Dr Sameer.Fluctuating bp can be because of lot of causes. Some are infection, stress or taking some other medicine which decrease the efficacy of the drug. Other possible cause is increased requirement of the drug. You should keep monitoring your bp & should tell your treating doctor who can modify the medicines accordingly.Shortness of breath on exertion at your age can be because of Anemia (low Hb) or due to some structural heart disease. I will recommend for a blood test, CBC(Complete blood count) & 2D Echo for it.Both are not a emergency & you could prefer to meet your treating doctor tomorrow.Thanks" }, { "from": "gpt", "value": "Target: Treatment for fluctuating blood pressure and breathing difficulty" } ]
[ { "from": "human", "value": "Source: Patient: HiI had an upper wisdom tooth removed this morning. it was really quick and I have had no pain yet (8hrs ago). I have, however just coughed and a small blood clot came out. I wasn't worried until I started reading about dry sockets on the Internet. Should I start worrying yet? Is there anything I can do to prevent infection? I can't see the wound due to its position.ThanksLeigh Doctor: hello leigh,thanks for your query.nothing to worry about that small clot of blood is normal.take soft ,non spicy ,cold diet .don't drink cold drink,juice with straw. donot smoke or take tobacco in any form.and take medication as prescribe by your dentist it will be absolutely fine and there will be no chance of dry socket.thanksDr.Rahul banerjee" }, { "from": "gpt", "value": "Target: How to prevent post wisdom tooth removal infection?" } ]
[ { "from": "human", "value": "Source: Patient: hello! i have a serious problem. my penis size is very small and ejaculate in very short time. plz suggest some tips or natural treatment to increase the size and strong. sex - male, AGE- 32, HEIGHT- 5.4, i have no disease problem since 2 yrs. B.P- NORMAL, H.B- 95% Doctor: HIWell come to HCMI really appreciate your concern, and let me tell you that premature ejaculation and small penis is not the problem and better stop worrying about this, as long as the size of penis is concern this is genetically decided and this can not be increased, second the size of penis is not matter but person relation is matter, premature ejaculation is psychological condition, because of the stress and over consciousness this may happen, just be cool and calm at the time of coitus, take care." }, { "from": "gpt", "value": "Target: Suggest natural treatment for premature ejaculation" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I'm 24 years old. I got married on June 5th and my last periods date is June 13th. I didn't get my periods this month. Mine is 24 days cycle. So, I did home test. I got one dark line in C and lite line in T. We went to doctor today. She said like kind of positive. She recommended PAN 40 and Cor-3d tablets for me. Is it safe to take in this timing? Please Advice. Thank you! Doctor: cor 3 contains folic acid and vitamin supplements...which is safe in pregnancy...pan 40 I don't give to my patients for first 3 months....it's otherwise safe...I give doXinate...u can reconsult..your gynecologist n take pan 40..." }, { "from": "gpt", "value": "Target: Are Pan 40 and Cor 3 tablets safe during pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: my son seizure he always been taking TEVA Manufacture (tegretol) carbamazephine 100mg chew tab everytime go to pharmacy at Waipahu times supermarket (per) Janis said not available - its the same ingredients (taro) or should I keep changing is medicine evey month. Doctor: if it has the same generic name then its ok, but you should not change it for another generic name because your seizure will not be controlled" }, { "from": "gpt", "value": "Target: Is it necessary to change seizure medicine every month?" } ]
[ { "from": "human", "value": "Source: Patient: 8yr old daughter with flu like symptoms, fever of 103.1 and is now complaining of lower back pain. Has had several headaches but no complaints of neck pain. Is recovering from having bronchitis, currently taking 1 puff BID Fluticasone Prop. Slight crackle sounds when listening to her lower left lobe and is producing large amounts of mucous when coughing. Is this just a very bad flu or is something else making its way through my daughter? Doctor: Thanks for your question on Health Care Magic. I can understand your daughter 's situation and problem. In my opinion, you should get done chest x ray of her to rule out lower respiratory tract infection (LRTI). LRTI (pneumonia) is common after bronchitis and cold. She is also having high grade fever, plenty of mucus expectoration, crackling sound from chest and lower back pain. All these favour possibility of pneumonia more. So consult pediatrician and get done 1. Clinical examination of respiratory system 2. Chest x ray. And start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks." }, { "from": "gpt", "value": "Target: What is the cause of large amounts of mucous when coughing?" } ]
[ { "from": "human", "value": "Source: Patient: hi my 6 1/2 year old sweats excessively overnight and soaks the sheets and bedding in minutes. it also is very acidic and stains the sheets. he is large for his age (over 90th centile for height) could this be related? sleep has always been very poor too Doctor: Your concern is What is hyperhidrosis?Hyperhidrosis ,is the medical term for excessive (too much) sweating.We usually sweat to keep our body temperature constant. Sweat evaporating from the skin creates a cooling effect for the body. When the body is producing much more sweat than it needs to keep cool, this is called hyperhidrosis.Hyperhidrosis most commonly affects children, teenagers, and young adults. Its onset can occur at any age and developmental stage. Increased sweating may be triggered by certain things such as anxiety, spicy foods, cola drinks, exercise, warm air temperature, and fever. You may or may not be able to identify a specific trigger in your child. You should see a doctor if you think that the amount of sweat being produced is more than is needed to keep the body at a constant temperature. WIth his obesity ( you have not mentioned his weight and family history ) we have to investigate for Type 1 Diabetes in him esp if any family member had it. Please come back with all details as on a personal talk with your doctor. Just asking a few questions online cannot help give a scientific answer. Regards. YOu have already discussed with many doctors and I hope they have asked some questions before asking any test and deciding on their action. Take care." }, { "from": "gpt", "value": "Target: What causes excessive sweating in a child?" } ]
[ { "from": "human", "value": "Source: Patient: i was been scratch by my dog this afternoon, do i have to under go rabies vaccination? my dog was been vaccinated by anti rabies last 8 months ago, i also under go rabies vaccination last 9 months when the cat scratch me also... any suggestion? thanks Doctor: Hello, First let me tell you that there is no need to worry because: 1. It was only a scratch and not a bite 2. As your dog is already vaccinated it will need a vaccination only after one year. 3. You are unlikely to have rabies as your dog is already vaccinated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Prabhash Verma, General & Family Physician" }, { "from": "gpt", "value": "Target: For how long is anti rabies vaccination effective?" } ]
[ { "from": "human", "value": "Source: Patient: hey there Doctors ,my chest feels weak ,i feel something in my back i don't know if its pain or something ,i have shortness of breath at times and am getting a little worried ,and am fat and like to sleep late ,could it be because of that ,i also fill some unease in my stomach ,can you help me i would really be helpful ,i live in mauritius Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, obesity, poor sleep habits can stress and anxiety. And this stress and anxiety can cause all the symptoms. But better to first rule out lung related causes like bronchitis for your chest discomfort and breathlessness. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). If both these are normal then no need to worry for bronchitis. Loose weight and stay healthy. Avoid stress and tension, be relax and calm. Take 6-8 hours of night sleep regularly. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Don't worry, you will be alright. But first rule out bronchitis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What causes chest pain and shortness of breath?" } ]
[ { "from": "human", "value": "Source: Patient: I have had a swollen left knee for over a week doctor put me on voltaren for inflammation but I still cannot kneel on my knee and now I have a marble size hard lump protruding on my knee cap and it s very sore and tender no injury to my leg has accured Doctor: Hi welcome to healthcare magic forum,Looks like you are having bursitis or may be effusion or early arthritic changes requires needle examination for diagnosis, get a FNAC=fine needle aspiration cytology and X-Ray knee or if needed ultrasound to confirm. Regards,Thanks." }, { "from": "gpt", "value": "Target: What causes painful lump and swelling in the knee?" } ]
[ { "from": "human", "value": "Source: Patient: hey i am 19 and have some yellowish growths under the rim of my penis i not so sure how to decribe them. i have had them for about two years now but to embaressed to go to a gp. they do not cause any discomfort but they can some times smell. i have tryed to burst them but they do not. its like they are just bits of skin and they painfull when lots of pressure is put on them. any ideas??thanks Doctor: HiThank you for asking HCM.I have gone through your query. If you send a picture of it then it will be more helpful in identifying. It can be fungal infection or warts. Do you had any history of unprotected sexual intercourse? In case of fungal infection anti fungal creams like miconazole will be helpful. But if warts it can be removed by applying podofillin or by freezing with liquid nitrogen. This should be done by a dermatologist.Hope this may help you. Let me know if anything not clear.Thanks." }, { "from": "gpt", "value": "Target: What causes the yellow growth at the rim of the penis?" } ]
[ { "from": "human", "value": "Source: Patient: My 8 year old developed a rash overnight. Small pinpoint bumpts (flesh colored) with very minor itch at times. The skin surrounding the bump is slightly blanched. Began on hands//fingers and ankles, now elbows and legs and knees. Several food allergies, no anaphylaxis reactions though. Doctor: Hi...Thank you for consulting in Health Care magic.By what you quote it should be an urticarial or a simple skin allergy. You can use Hydroxyzine at 1-2mg/kg/dose every 6th to 8th hourly for 7-10 days. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine but I suggest you get the kid evaluated with your paediatrician.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).," }, { "from": "gpt", "value": "Target: What causes a skin rash on the fingers and hands?" } ]
[ { "from": "human", "value": "Source: Patient: My sister is having psoriasis problems since 18 years and having diabetes too she was visiting p k banerjee since 18 years it was curing nicely and almost gone bt now again it started coming out due to may be diabetes so please advise me what to do sir. Doctor: Hi,Psoriasis vulgaris is an autoimmune skin disease. Diabetes has no bad effect on psoriatic lesions. But, diabetes should be controlled with perfect medicines to avoid systemic and skin complications.Kindly consult the dermatologist have proper drugs to control the psoriasis.I would give...- tab. Methotrexate 15 mg per week in devided doses 5 mg 12 hourly in two days- cap acitretin 25 mg/d ...may be reduced to 10mg/d after control - apply salicylic acid with steroid oint like clop- S oint twice day- avoid soap bath,keep the skin moist with moisturiser - avoid stress,tension and worriesTreatment should be continued even after clinical cure to prevent the relapse.I hope this would help your sister.Thanks.Dr.Ilyas Patel MD" }, { "from": "gpt", "value": "Target: Suggest remedy for recurring psoriasis in diabetic patients" } ]
[ { "from": "human", "value": "Source: Patient: In 2003 I was diagnosed with viral hepatitis. April 2004 I was in a car wreck resulting in C6&C7 fusion. recently I had a urinary track infection. I stupidly drank alcohol and smoked after the first dose of meds. now I am having terrible pains. My urine looks Cola Champagne soda.. yellow/orange/brown. when I breathe my entire chest aches. I am currently taking bactrim forte, APO NORFLOX & BARALGIN. The urinary track has improved however the pains are persistent. especially that area below my neck on my right side under my ribcage.Can you shed some light here please? Doctor: Hi,Take Ibuprofen 400 mg twice a day along with your medications, it will help to relieve the pain.Take care" }, { "from": "gpt", "value": "Target: Suggest treatment for chest pain under rib cage after injury" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I need help with anybody who knows about Derealization I need advice and somebody to talk too but most importantly I want to get better. My symptoms are feeling like I m in a dream and not really feeling like I m here like I have a detachment from reality. This has been going on for three months now and it feels more severe. Can ANYBODY help me? Thank You.- Melissa Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. We all live in dream world. some body are creative or some are not. Both are dream world. You have not given your age, occupation etc. From the given symptoms, a diagnosis is not possible. But I can see inactivity in your life. I think you are just imagining. Don't worry. I definitely can help you 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: Why does one feel detached from reality?" } ]
[ { "from": "human", "value": "Source: Patient: I m a 25 year old female, about 5 3 and around 168 pounds. I have been doing workout programs and have been losing weight. About mid-summer, I was doing a runners stretch and the left side of my left knee felt this burning sensation. Ever since, anytime I get in a similiar position or use my legs to lift anything, it either starts burning again or feels like it. It feels weaker. It is based right on that long tendon or ligament or whatever it is that is on the outside of the knee. Doctor: Hello,The burning sensation in the knee during exercises can be related to overuse of the joints. I recommend to use anti-inflammatory medications such as Acetaminophen to relieve the inflammation. I also suggest to rest for a while and avoid activities that can trigger the symptoms.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician" }, { "from": "gpt", "value": "Target: What causes burning sensation on the knees during workouts?" } ]
[ { "from": "human", "value": "Source: Patient: Hi.My Doctor just prescribed Lithium 150 mg. I haven't taken it yet because I am always afraid when taking a new medication. I am told it is a relatively safe med. I am currently taking Paxil 40 mg, Triamterene/HCTZ 37.5/25 mg, atorvastatin 40 mg., & Ativan 2 mg. at bedtime. Do you think this is a good med for me. I have bi-polar II, anxiety, PTSD & depression.Thank you,Crystal Doctor: HiThanks for using healthcare magicIn bipolar depression, patient needs mood stabilizer. Lithium is a mood stabilizer and has very good response on depression. It would help in controlling manic switch. Ideal therapeutic dose is 900mg and you are below this dosage, so there is nothing to worry. Just regularly get your thyroid checked to rule out any side effect.Thanks" }, { "from": "gpt", "value": "Target: My Doctor prescribed Lithium. Is this medicine good for me?" } ]
[ { "from": "human", "value": "Source: Patient: I have been sick for about a week now. I went to the hospital and they said I had bronchitis. They gave my antibiotics, cough syrup, and an inhaler. I'm on the 4th day of my antibiotics and a brown spot showed up on my left tonsil and it is very painful to swallow. What is it from? And what should I do? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. You are mostly having tonsillitis. Tonsillitis (infection in tonsils) is very common. It is also commonly associated with bronchitis. It needs antibiotics for treatment. Along with antibiotics do following things. 1. Drink plenty of fluids orally and keep yourself hydrated. 2. Do warm water gargles 5-6 times a day. 3. Start antihistamines and anti inflammatory drugs. Rinse your mouth thoroughly after inhaler use. This is very important because inhaler's mist can deposit on tonsils and can give rise to infection. So better to clean your mouth after inhaler use. If you are still not improving with all these then you need to consult ENT doctor and get done surgical drainage of infection. Hope I have solved your query. Wish you good health. Thanks." }, { "from": "gpt", "value": "Target: What causes painful brown spot on tonsil when on medication for bronchitis?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, last night my 30 year old daughter was bitten by a rescue dog she is fostering. The dog had gotten a rawhide treat off the floor that was given to the other dog. My daughter tried to pull the treat out of his mouth and he bit her. His tooth went completely through her fingernail. She nearly passed out from the pain. She got in touch with her doctor this morning and they said all she needs to do is get a tetnus shot. Are they correct? Thank you for your help. Doctor: Yes, only a tetanus shot is necessary. She should watch the bite for any signs of infection. If it develops, she will need antibiotics. Since she is fostering a rescue dog, I assume it has been immunized for rabies, so this should not be an issue. Hope this answers your query." }, { "from": "gpt", "value": "Target: Is only tetanus shot recommended for a dog bite?" } ]
[ { "from": "human", "value": "Source: Patient: My husband has had 3 attacks of vertigo this week. They all came early in the morning while in bed. This morning it was 3:30. This attack has lasted for hours. We originally thought they were triggered by reading or looking at the computer. He suddenly has had many attacks in the last 4 months since we moved and he took a new job. Does stress bring on attacks? He hadn't had an attack in 10 years! Will this pass? It seems very serious right now. Doctor: Hi,Thank you for posting your query.Vertigo is not caused by stress, the common causes are related to ear or brain dysfunction. Severe cervical spondylosis can also cause it.First of all, get him evaluated by a neurologist, to look for any abnormal findings on neurological examination. Then, an MRI of brain may be ordered if any abnormalities are found to rule out brain ischemia (lack of blood flow to brain). Secondly, your husband would require an ENT evaluation to exclude BPPV-benign paroxysmal positional vertigo, which is the commonest cause of recurrent vertigo.There is no need to worry, as all these are well treatable with medications.I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in" }, { "from": "gpt", "value": "Target: Vertigo attacks. Does stress cause this attack?" } ]
[ { "from": "human", "value": "Source: Patient: Have been reading article on Microvascular Angina, which I have been diagnosed with. Do the episodes of angina tend to come in cycles ....that is. go for days/weeks with angina events often once or more a day, then go for periods of no angina events? This tends to be my pattern. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Anginal pain typically occurs after exercise or stress and relieves after rest. It typically is diffused pain and can not be pin pointed. So if you are having such symptoms, I'll suggest you to ahead with further evaluation in form of stress tests. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What are the signs of microvascular angina?" } ]
[ { "from": "human", "value": "Source: Patient: Over the last few years my son, now 12, gets bright red rashes that cover his arm, hand, palm & sometimes his back on his left hand side. There is no itching or pain, and it does not bother him at all, nor is there any noticeable change in his overall health ... but it is very noticeable & unsightly, & he feels quite aware of it as he gets older. He is an extremely active, physical child & is a very good sportsman - this doesn t seem to affect him physically at all. Any ideas what it is, or what I should do? Hate to miss something. Thanks Doctor: Hi, Asymptomatic red skin lesions could be due to viral infection. Check for fever or any associated symptoms. Other causes could be a purpura. The diagnosis could only be made by a Dermatologist after proper consultation. I request you to kindly visit your Dermatologist to confirm the diagnosis and to initiate proper treatment. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What could be the cause of getting bright red rashes on the arm?" } ]
[ { "from": "human", "value": "Source: Patient: I have be diagnosed with Multiple Sclerosis and have spasticity problems. I take calcium, MSM, bilberry , a super B complex, a multi vitamin and ldn everyday. I m hoping to find something to help control the spasticity I suffer from. I lost health insurance when I had to quit working and am considered uninsurable (the one company that would give me a policy was !AMAZINGLY! expensive, preexisting condition is the phrase I hear). So, I guess I m hoping/looking for something affordable that might help. PLEASE don t say go to the doctor ... see the insurance comment previously. Doctor: Dear Dumb jerk Going by herbal medicines in your case the drug of choice is ginkoba biloba. In addition to this supportive medicines which are considered as brain tonics or medhya in ayurveda also help. Amongst these medicines Brahmi with gold and vrihat vat chintamani ras give good results. [email protected]" }, { "from": "gpt", "value": "Target: Is there anything homeopathic I can do about spasticity ?" } ]
[ { "from": "human", "value": "Source: Patient: In November of 2009 I Found a bump on the back of my head which I thought to be a boil. In December I had received a Hair cut and noticed There were 3 bald spots were I thought to be 3 boiils. The bald spots did not seem normal so I went to health services. I was able to see a Doctor a little more than a month later. The main spot had grown in size and had been draining puss and other fluid as well as blood. The doctor had taken a culture to test for MRSA. He had drained it and reported it looked like cottage cheese comming out. I was placed on a anti-biotic called Sulfa-meth tri-meth, for ten days. The MRSA test came back as negative and I was told that It came backs as coagulis negative staphaloccus. In march of 2010 I had 2 drains placed in the back of my head for proximetly 24 hours. It was then deemed I should need surgery to remove any mass that had been built up under the skin. By this time the spot was huge draining everyday but never getting smaller. I had surgery and underwent a general anesthesia. I was placed in an infirmary for 7 weeks where they were to do a wet to dry healing for the surgery. The wound never officially healed it is now October and coming upon one year from when the problem first started. I constanly have small bumps fill with fluid and puss around the region of the wound and when pressed upon or sometimes when I do not press them even it drains Blood and sometimes a snotty red mass that comes out of the surgery wound area. I do not have Insurance and I tried to clean it with peroxide on a daily basis but This does not seem to help either. I have had a MRSA test as recently as Aug. 2010 and the results were negative. My left lymph node seems to have been swollen since about April 2010 and has never gone down. I am confused and flustered about what this may be any information would be greatly appreciated. I do have photos i have taken from when I have cleaned it and photos of my head shaved to get a good view of whats going on back there. Please take a look at this it would be greatly appreciated thank you for your time. Steven Fuchs. Doctor: The swelling in question seems to be infected sebaceous cyst.with more sebaceous cysts in the adjoining area.So your doctor has done right thing of doing surgery.Take antibiotics,reguiar dressings and cleanliness." }, { "from": "gpt", "value": "Target: Suggest cure for a bump on the back of my head" } ]
[ { "from": "human", "value": "Source: Patient: hi , my wife sufffered from d12 compression fracture two weeks back. she still has pain and burning sensation at that place. This fracture was caused as she fell on her back. Can you tell me that it is normal for the pain and burning senation to be there at times and how long does it take for complete healing to take place. she is in bed rest for last 2 weeks. Doctor: Hi,It will take 6 weeks to heal, start putting spinal brace and start sitting and standing atleast.No to remain on bed whole of the day.Thanks,Dr.CHANDER MOHAN SINGH." }, { "from": "gpt", "value": "Target: How long does d12 compression fracture takes to heal?" } ]
[ { "from": "human", "value": "Source: Patient: i am 35 year old and i have been diagnosed with Fibrolipoma/lipoma on my left breast. prominent duct seen in retroareolar quadrant of left breast. Now i would like to know how dangerous is this and is there any chance of cancer occurence in future as my mother caught with breast cancer diseases. Doctor: Hello Breast lipoma rarely undergo malignant transformation and these lesions are not associated with increased risk of developing breast cancer.Lipomas are mostly asymptomatic and coincidentally noticed on routine mammography however some patients may present with a painless palpable breast lump.Mostly it doesn't require any treatment but enlargement of lipoma is an indication for biopsy.Get well soon.Take careDr.Indu Bhushan" }, { "from": "gpt", "value": "Target: What are chances of fibrolipoma in breast being cancerous?" } ]
[ { "from": "human", "value": "Source: Patient: hi, my son is 2 and has spent most of the day on the toilet, he has very watery orange coloured excrement. however, he has been normal in himself and very playfull. would it be wise for me to allow him to go to nursery tomorrow? thank you for any help Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your son have symptoms of frequent watery orange stools which is due to poor digestion, poor absorption or rapid movement through the intestines and all this leads to watery diarrhea. Need not to worry. I would suggest you to take zinc supplements along with oral rehydrating solution. Your symptoms will resolve in 3-4 days. If your symptoms keeps on persisting visit gastroenterologist once and get it examined and start treatment accordingly. You should maintain the hydration of the body by taking plenty of oral fluids. You can take Nitazoxanide twice daily to prevent diarrhea. You should start treatment after complete examination. You should take antibiotic empty stomach one hour before meal. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: What causes frequent watery orange stools?" } ]
[ { "from": "human", "value": "Source: Patient: Dear doc, I'm taking Ornof for pain in the root canal which was done two years ago. I m currently traveling. So I'm unable to go see a dentist.I have started taking ORNOF. I have taken 2 doses so far. I know I have to complete the entire course. But I don't feel it is working ... Please guide me..Warmest RegardsJenn Doctor: thanks for your query, i have gone through your query, according to the ethics and rules we are not suppose to prescribe the drugs. if i am your treating doctor i would have suggested to take penicillin 500mg and diclofenac 50mg if you are not allergic to those drugs. do saline gargling. take radiographs to rule out the reinfection. i hope my answer will help you. take care." }, { "from": "gpt", "value": "Target: Suggest medication for pain in root canal" } ]
[ { "from": "human", "value": "Source: Patient: Hello,my question is about my daddy who is 63yrs old diagnosed of periumbilical hernia today who has also had 2paints of blood in the last 15days due to severe anaemia, also having serious nausea and vomitting for more than two months now,please can this medical condition be responsible for the above S/S. Doctor: Hi,Welcome to HCM.I understand your concern regarding your dad, but there is no co relation between periumbilical hernia and anemia.Other causes of anemia have to be ruled out in this case, liver pathology should be screened for.Nausea and vomiting are symptoms of gastrointestinal distress which can occur in periumbilical hernia.I suggest you discuss with his treating doctors, the causes of severe anemia in his case and complications of hernia.Thanks." }, { "from": "gpt", "value": "Target: What is the cause for anaemia and nausea with periumbilical hernia?" } ]
[ { "from": "human", "value": "Source: Patient: I have auto immune primary biliary cirrhosis of the liver. I take Ursodiol 500mg 2 times a day and azathioprine 50 mg 1 time a day.Every time I eat no matter what it is I have stomach pain and sometimes loose stools. What could be causing this. Thanks, Dawn Johnson Doctor: HIWell come to HCMSuch symptoms could be due to drug induced in my opinion as soon as you finished the course of drugs you wont be having diarrhoea any more no need to treat this condition but of course hydration would be matter of concern take care" }, { "from": "gpt", "value": "Target: Cause for stomach pain and loose stools?" } ]
[ { "from": "human", "value": "Source: Patient: when i eat fish, lemon my breathing is hard. what shall i do Doctor: you may have allergy to fish and lemon, first u should go for food allergan test and TOTAL IG E AND CLINICAL EXAMINATION AT TIME OF ATTACK...." }, { "from": "gpt", "value": "Target: What measures should I take to avoid breathing problems after eating lemon and fish ?" } ]
[ { "from": "human", "value": "Source: Patient: hi i m 90 year old man. my one kdiney is already removed on a/c of cancer abour 7yrs back. Recently I saw a slight yellowish color in my urine. did a urine routine test today. my result shows 2 results which are not normal. i.e RBC's 6-8hpf and sugar 1% . pls advice Doctor: Hello and welcome to HCM.As an Urologist,i can understand your concern.Your urine test shows,abnormal blood and sugar levels.As you had cancer in the removed kidney,you must get a CT-IVU scan.This is to know if, there's recurrence of tumor in other kidney or bladder.You should also get tests like,FBS,PP2BS,HbA1C,to know blood sugar levels.According to the reports,further treatment can be advised. If you've any doubts,send these reports to me,as a direct question.Dr.Matthew J. Mangat." }, { "from": "gpt", "value": "Target: What causes yellow colored urine with kidney removal?" } ]
[ { "from": "human", "value": "Source: Patient: I was diagnose with cancer in 2012. I have a cyst on the epididymis I was about 4cm maybe smaller. I just noticed it is probably pretty close to twice as big. Should I get it checked. I have an appointment in January .?Or should I just wait till then? Doctor: Thanks for contacting HCM with your health care concernsYou are worries about an epididymal cyst on your testicle. these cysts are very common and are not truly a concern for you. These are benign and do not cause any health care problems. If they do hurt a doctor may recommend removal but not usually. I think you can wait until your appointment in January to discuss this with your doctor.I hope this answers your question. Please contact HCM again with any of your health care concerns" }, { "from": "gpt", "value": "Target: Suggest treatment for epididymal cyst" } ]
[ { "from": "human", "value": "Source: Patient: Hello I have gained weight especially in my abdomen, my period used to be very punctual, but the last two periods were very far apart 31 days between periods and then 54 days between periods. I have been suffering pain in the left pelvic bone or around it and sometimes I have difficulty walking due to the pain on my left side. I am 41 yrs. old and I have two children. Doctor: hithank you asking HCMWITH REGARDS TO YOUR PAIN IT MAY BE RELATED WITH OVARIAN PROBLEMS , so I recommend to do abdominal ultrasound or vaginal ultrasound and consult OBGYN. wishing you all the bestdr. klerida" }, { "from": "gpt", "value": "Target: What causes abdominal pain,delayed periods and weight gain?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, I removed my final wisdom tooth (lower) five days ago. The pain was going down after a few days but it came back yesterday, and now my entire lower jaw is extremely achy. Is this normal? Should I go back to the dentist, or is it enough to take painkillers and ride it out? Doctor: hello thanks for consulting at hcm,, take analgesics for 2-3 days,,if pain doesnt come dwn,, take a iopa radiograph and consult ur dentist for check up and treatment.. hope it helps,, tc" }, { "from": "gpt", "value": "Target: What is the treatment for pain after wisdom teeth removal?" } ]
[ { "from": "human", "value": "Source: Patient: female patient admitted in the hospital complaining about joint and muscle pain, accompanied by fever her lymph nodes and spleen were enlarged patient exhibited a butterfly like red rash on both cheeks and across the bridge of the nose. what might be the problem. and what would be suggested as a treatment regimen Doctor: hi,thank-you for providing the brief history of you.a thorough musculoskeletal assessment is advised.as you were admitted in hospital for systemic pathology. Due to the stay in hospital, medication, immobility, etc there is joint and muscle pain.It happens to most patients admitted in hospital. Where post discharge they can undergo some physical therapy for maintaining their muscle property and joint mobility.As with meditation, Breathing exercises and general body exercises you will be back to normal.Also, exercises improve the metabolism and immune system which helps the healing of the body and also improve the overall feel.the aches and pains arises is due to the imbalance in the physiological system occured due to the systemic illness. with exercises most patients bounce back.RegardsJay Indravadan Patel" }, { "from": "gpt", "value": "Target: Suggest treatment for severe joint and muscle pain" } ]
[ { "from": "human", "value": "Source: Patient: Hello Doctor, I am 30 years old.This is my first pregnancy.I had my 19 weeks scan and doctor told me that i am having anterior low lying placenta covering the internal os.I need to travel to my home town for my brother s marriage.Traveling can take 6-7 hours by train.Air travel will take one hour of flight which also include 2-3 hours traveling by road.I haven t faced any bleeding yet.Is it advisable for me to travel to my home town in this condition. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Low lying placenta covering the internal OS is definitely a high risk condition. Any minimal strain can lead to sudden painless bleeding. So, better to avoid journey as per as possible. And also you have to be careful while in home also. Try to avoid stressful work, intercourse etc, be in rest. Let your family members aware of your condition, so that they will be prepared if need arises. Follow with regular antenatal check ups and ultrasound examinations to observe if migration of placenta occurs. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: Is it advisable to travel by train during pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, my mouth is sore sensitive to spicy foods and anything I eat just does not taste good.I have also found that my whole body has become really sensitive to a hot shower or even the sun I itch excessively and my skin turn red /pink and I am very irritated .please advise....also I am not on any medication . Doctor: Hi,Thanks for posting the query, According to your clinical symptoms i suppose that you are suffering from a condition known as burning mouth syndrome, i would suggest you to maintain a good oral hygiene, take multivitmain suplements, take lukewarm saline rinses, avoid hot and spicy food stuffs. Take care!" }, { "from": "gpt", "value": "Target: What causes sore and sensitive mouth to spicy foods?" } ]
[ { "from": "human", "value": "Source: Patient: Hello, My mom suffering from tuberculosis last 15 days , she is 63 ( F ), she is taking AKT-3 medicine every morning - but last 5 days she is not feeling well, even she is not able to eat anything properly due to heavy AKT-3 Medicine, i want to change her medicine, i want to divert AKT-3 to Rcinex ( morning ) & Combutol ( evening ), is it safe for her or not.? please advise me..? ( and sorry for my bad english.... ) Doctor: if your mother is not able to eat properly you need to discuss with your treating doctor regarding this. loss of appetite can be due to multiple issues and drug toxicity on liver is one of them. She needs to get her liver function tested and change of drugs must be under medical supervision only" }, { "from": "gpt", "value": "Target: Suffering from tuberculosis. Taking AKT-3. Not able to eat properly. Is it safe to replace AKT-3 to rcinex?" } ]
[ { "from": "human", "value": "Source: Patient: I have my blood tested, it showed CRP positive (8.1) I am suffering from stiffness during night, migrating joints pain, jaw pain and throat pain continuously since 4 months. what should i do. I am 32 yrs, 65 kg of weight and 5 ft 3 inch height. I am taking medicine of arthiritis for a week. before that i took Neprosyn 250mg for 10 days along with meftal 500mg for 6 days, codilone 5mg for 10 days Doctor: Hi, dear. I have gone through your question. I can understand your concern. you have migrating joint pain with high crp. High crp suggestive of some inflammation in your body. So you may have some inflammatory arthritis. You need to take antiIinflammatory and analgesic drug. Consult rheumatologist 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 causes high levels in the CRP?" } ]
[ { "from": "human", "value": "Source: Patient: I have had on one occasion chest pains that lasted around 8 or 10 seconds I wasn't counting at the time. It was coming from the middle of my chest going towards and around my heart. I could not stand it was dragging me to the floor. I am 35 and I was taking medications for inflamation for my bunion and also before for my hands as the doctor says I have rhumatism but there is not tests that have been done to prove that yet. I dont take that medication anymore as I thought it was quite possible that the medication was at fault as I checked the side effects on the internet one of them was a heart attack. Don't I have a great doctor, here take these and the pain will go away but you might have a heart attack and die instead. So was that chest pain from stress or was it a mini heart attack? Doctor: I understand your worries.To me, \"every agonizing chest pain should be considered of heart origin unless otherwise proved\". First, rule out Heart cause by doing a simple ecg which if normal go for tread meal test (TMT), if that is normal too look for other causes such as peptic ulcer disease, GERD. If everything is alright then you may simply have anxiety disorder or panic attack. Hope I have answered all of your questions. tHANKS" }, { "from": "gpt", "value": "Target: What causes pain in the middle of the chest around the heart?" } ]
[ { "from": "human", "value": "Source: Patient: I bought a small rebounder and almost instantly suffered sciatic pain such as I never had before - my whole right cheek (buttocks) is in pain. I had been diagnosed as having a periformis problem but this pain seemed to involve more than just the one small area of pain which always resolved after light yoga. Should I return my rebounder Doctor: Hi, Cannot say in your particular case, but generally, YES. The site of pain is direclty where the rebounder hits. the symptoms are directly what the pyriformis syndrome would do and the pyriformis is going to be whacked on by this sort of exercise. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist" }, { "from": "gpt", "value": "Target: Is a rebounder safe to use post a periformis problem?" } ]
[ { "from": "human", "value": "Source: Patient: i have high blood and high in uric acid.. in my hands there are like water inside when a press it it goes out like water oil what is that before i dont have that kind in my finger, and its is ichy. want to know if its is a uric acid form, what can i do Doctor: Dear patient, U should consult a physician nearby. N start medications & keep a track of your S. uric acid levels. if it becomes normal, your edema(water filled fingers as you have described) will subside." }, { "from": "gpt", "value": "Target: Why in my hands there are like water inside?" } ]
[ { "from": "human", "value": "Source: Patient: i had been masturbating a lot and pretty roughly for a week and also making myself get a boner and take myself to the point of almost ejaculating and then i would stop, keeping the boner going for a while.very shortly after this i had two thick veins bulge to the surface of my penis, one on the lower right and one on the upper left. they both hurt, like they're pinched or something(i can't really describe it, it's kind of like a throbbing) i have no pain or new veins in my testicles so i'm relatively sure i don't have vericoceles. my dad says it is because i must have irritated my penis and that the way the body reacts to inflammation is to increase blood flow to the afflicted areas, and that's why the veins are becoming more visible in those areas especially hurt.are these new veins because of my unsafe masturbation techniques and if so, if i abate from such will my pain and veins go away? please respond, as i am very uncomfortable and depressed about this Doctor: HelloThe veins you see are trying to return the blood engorged in penis . they represent alternate routes to try to evacuate corpora cavernosa. what you are doing is extremely dangerous and may lead to permanent loss of potency and or even need amputation of penis. I suggest you to immediately stop this practice.DR SAATIISH JHUNTRRAA" }, { "from": "gpt", "value": "Target: Could masturbating and stopping just before orgasm cause thick, painful vein bulge on surface of penis?" } ]
[ { "from": "human", "value": "Source: Patient: i have hair loss for more than 6 years, my hair line become so thin now, i am following good diet, used to eat iron tablets my thyriod level is good, but my hair line is not thickening, i am very much frustrated because of this, can anyone please help me on this Doctor: give me ur full details?like age,sex,past medical history,along this some other problems,dandruff,skin oily or dry,desire of ur taste,then i will surely help you," }, { "from": "gpt", "value": "Target: Suggest treatment for hair loss" } ]
[ { "from": "human", "value": "Source: Patient: Respected Doctor, i have been suffering from frequent tension out of nothing. My left side gets nubbed right from head to leg. Feeling a kind of weakness in total left side. Brain veins get crammed and seems to humming effect only towards left side of the brain around my left ear leading to have uneasiness all the time right from getting up from bed in the morning. If certain physical exercise with deep breathing etc are done, some sort of relieve can be there. Checked with various doctors. EEG done- nothing wrong found. They give certain sedetive types of medicines of epileptic nature.Please advise what I should do. My age is 57 years and working in responsible post. Due to such frequent sysmtoms, I am very much worried. Please advise for appropriate treatment. Doctor: maninaly commonly seen in one side of weakness developed at your age according to developed STROKE.you investigation to MRI BRAIN AND ROUL OUT THE PATHOLOGY." }, { "from": "gpt", "value": "Target: What causes numbness and weakness on left side of the body?" } ]
[ { "from": "human", "value": "Source: Patient: Hi Doctor, My child is 18 months old. He has been taking lactogen from his 6 months age stage by stage. Sometimes he is suffering from problem like constipation. Is that due to lactogen as he takes ample of water and fiber added food through his daily routine? Now he is taking lactogen stage 6. Can we provide him packet milk like mother dairy,metro dairy,etc. During constipation we give him evact medicine a lactulose solution 5ml. twice daily. Plese help...... Doctor: Hi...I think at this age, the child should be eating from the family pot. The home based food is the best for the child at this age. Try to give your child all the home cooked foodstuffs along with plenty of fluids.It will take care of constipation part also and you may not need to administer lactulose that frequently." }, { "from": "gpt", "value": "Target: Could constipation in a baby be due to lactogen intake?" } ]
[ { "from": "human", "value": "Source: Patient: after eating certain milk products I get thick mucus in my spit and get a pain in my back that feels like I have to burp but cant. Mostly its from protein bars or yogurt but I can drink milk and eat cheese without getting this problem so my question is if its a milk related allergy why can I eat most milk products without this happening? Doctor: Hello. Thanks for writing to us. It seems that you are allergic to a particular constituent of the products that produce such symptoms. You need to be careful in consuming such substances. An allergen testing will help in identifying the exact substance you are allergic to. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal [email protected]" }, { "from": "gpt", "value": "Target: Thick mucus in spit, back pain with an urge to burp after eating certain milk products like yogurt or protein bars, do not feel the same on drinking milk or cheese" } ]
[ { "from": "human", "value": "Source: Patient: Hi there, when i sit on a hard surface I loose feeling in my scrotum and penis, also I awake from my sleep alot with no feeling in my right arm, it is completely dead and I am required to use my left arm to bring it back. I often get pains down my right arm into my hand. Doctor: Hello, The symptoms seem to be related to a pinched nerve in the arm. I suggest using anti-inflammatory medications such as Ibuprofen to relieve the symptoms. I also recommend maintaining the area immobilized to prevent further damage. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dorina Gurabardhi, General & Family Physician" }, { "from": "gpt", "value": "Target: What causes numbness and pain in arm during sleep?" } ]
[ { "from": "human", "value": "Source: Patient: My wife has left kidney infection problem from last 10 months, sonography and urine culture reort says its pyelonephritis we have been taking treatment for same in allopathy from last six month after but from last month we get result whenever patient in hospital when we came to home it repeats now urine frequency is per minute also ometing, fever and headache problem and huge back pain hospital bill also too high please suggest now what i can do now? select ayurvedic or continue allopathy Doctor: Hello and welcome to HCM.As an Urologist, i must advise you, that treatment of acute pyelonephritis doesn't last six months, but about 10-14days. You must ensure that treatment is advised by a qualified Urologist.After a course of antibiotics,according to urine culture report, the fever, chills, vomitting,etc, subsides and patient is dicharged. One more culture and kidney function tests( urea,creatinine),are tested on review at 15 days. That's it.Allopathy doctors never recommend or know of ayurved treatment.You may contact me with all reports directly. Wish you well.Dr.Matthew J. Mangat." }, { "from": "gpt", "value": "Target: Is ayurvedic or allopathy treatment suggested for pyelonephritis?" } ]
[ { "from": "human", "value": "Source: Patient: Hi im a 46 yo male i recently noticed a pretty good sized lump on my ankle. no pain or restriction of movement. it was severly sprainged@ 25 years ago but only noticed the lump a few weeks ago. today the hard lump is gone and now its a soft mass. still no pian. Doctor: Hello, If your lump is causing you problems, may need to drain the cyst with a needle. Removing the lump surgically also is an option. But if you have no symptoms, no treatment is necessary. In many cases, the cysts go away on their own. Don't worry. 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: How to treat lump on ankle?" } ]
[ { "from": "human", "value": "Source: Patient: Hello. I have been experiencing hives for 5 days now. I have been to a doctor and have been placed on a steroid pack for 6 days. I believe my hives are a result of exposure to mold and Scrubbing Bubbles cleaning solution. I am wondering if hives are a common occurrence from mold exposure? and beyond getting rid of the mold in the home and taking over the counter anti hestimines, is there anything else I can do? Doctor: Hi, Hives or urticaria as known in the medical world, is the outbreak of swollen, pale red bumps or plaque on the skin. This is due to exposure to certain allergens. Mold or scrubbing bubbles cleaning solution that you've been using recently can explain the hives outbreak. Steroid pack will help ease the hives. Can also apply hydrocortisone cream locally or anti-histaminic lotion locally. However, keep in mind that going away from the primary causative agent is the final solution to hives. So, try not to use the cleaning solution that you think have caused hives. While, with regards to mold, well ventilation and cleaning of the house can be of help. Wish fast recovery." }, { "from": "gpt", "value": "Target: Suggest treatment for hives" } ]
[ { "from": "human", "value": "Source: Patient: yesterday after echocardiography...my heart beat for 2 times and then stop for a interval and then immediately beat again for 2 times.....and the process go on......i am 20 year male..........never touch the drugs etc.........i havent an heart patient in my whole family Doctor: Himissed beats or pauses in cardiac beating can be because of many factors it can be because of electrolyte disbalance , or it can be a arrythmia for few seconds, or it can be av blocks.advicedHolter monitoring -a Holter monitor is a portable device for continuously monitoring various electrical activity of the cardiovascular system for at least 24 hours, any arrthmia or cause of missed beat or pauses will be recorded in it,according to its report we can further progress to electrophysioogical studies to rule out and treat the cause.but initially a 2d echo and holter has to be done" }, { "from": "gpt", "value": "Target: What causes irregular heartbeat?" } ]
[ { "from": "human", "value": "Source: Patient: Three weeks ago I had frozen chicken (30 lbs) fall from 5 feet high onto the tops of my feet. Instant swelling led to a trip to the clinic. No fractures or broken bones. Brusing and swelling. We are now three weeks in with Prednizone burst...6,5,4,3,2,1,..Dicloneifac ..30 pills..Still severe pain...Feels as if it is in the bone..BUT..again..Dr says no fractures. What could cause such pain for this period of time and what else can be done Doctor: Hello,It does sound like a fracture. You may need a CT scan to detect the fractures. Sometimes they do not show up on an xray.Regards" }, { "from": "gpt", "value": "Target: What causes pain and swelling in the feet?" } ]
[ { "from": "human", "value": "Source: Patient: I was attacked by two dogs.I have 16 puncture wounds on my right leg, my upper buttock, and my left breast.i have been off my feet for two days and got medical treatment directly after the incident.Today, I went to work and now there is very dark bruising around the bites that was not there before.Should I be worried? Doctor: Hello dear,Welcome to HCM.I have read your query and understood your concern.As per details, it seems that the bruises after the dog bite are the sequel of the trauma that happened to you at the site of bite.Actually there are small blood vessels In our skin which when rupture due to trauma as dog bite in your case results in blood accumulation underneath skin. This subsequently heals and leave discoloration which appear as bruise on the skin. If you have taken antirabies injections and washed the area timely , you need not to worry for the same.I hope I am able to solve your query.Stay healthy." }, { "from": "gpt", "value": "Target: Why there are dark bruises around the dog bite marks?" } ]
[ { "from": "human", "value": "Source: Patient: I was diagnosed yesterday with bronchitis and an ear infection. They put me on the Medrol (Pak) because I have asthma. And gave me amoxicillin for seven days. I m into the second day of the steroids and have taken three doses of the antibiotic. I have never had a reaction to the antibiotics and I have been tested for allergies to it. I also been on prednisone numerous times in the past. But this afternoon my face has turned extremely red on my cheekbones and across my nose like I have a bad sunburn. It hurts and is warm to the touch. I haven t felt any constricted breathing but I just want to know if this is a normal side effect or if I should stop taking either or both meds, take Benadryl or be seen at an ER. This is new to me. Doctor: Flushing of face i.e redness of face and warmth on touch are known side effects of Medrol (Methylprenisolone). This is a very common and non serious side effect of Medrol. Usually it fades down on its own without the need of any medicine in a few days.Persistent case should be reported to the doctor and treated if needed.i wouldn't worry about it much. Hope this answers your question, Thank you." }, { "from": "gpt", "value": "Target: Are redness of the face on the cheekbones and nose signs of allergy?" } ]
[ { "from": "human", "value": "Source: Patient: Brown spots pooping up all over my skin , over night ? Look like moles? Hi there, I am a 29 year old female and I am breaking out in what I think are moles, all over and over night. Everyday I see new spots. I went to my doctor because I was concerned since about 3 weeks ago I started getting tiny red blood spots on my skin also/ these look like a tiny drop of blood under my skin. He did not know what they were and ordered no blood testing. Still concerned I went to the ER and they did blood work which they said was fine. I think a CBC was done. Anyway while looking for the more little red dots everyday I started to notice that I was getting brown spot also. I took pictures of my skin to be sure that I was not imaging things and sure enough each day new spots appeared. I started to remember a funny mole on the bottom of my foot and one in the crack of my butt which I though was a pimple that never went away. Husband said it was a mole. So I go back to the doctor and let him see my pictures and show him the ugly moles/ He was concerned about the one on my back side so sent me to a dermatologist . I was seen there the next day, he looked me over and looked at the one on my butt and foot. He told me the one on my butt needed to be looked at once every six months but other then that I looked good. He did not testing and never offered an explanation on why these spots are coming up, I will admitt I was a bit anxious having looked these up on the internet so maybe he just thought I was being overly concerned I am not sure/ This is really worrying me. I have had a few moles my whole life. Suddenly though I am having an out break of them. I am also having an out break of these raised brown skin things all over my chest . Should I be worrying about this ? Doctor: Anyone?? Help please??" }, { "from": "gpt", "value": "Target: Brown spots pooping up all over my skin over night" } ]
[ { "from": "human", "value": "Source: Patient: Hi. Happy Monday to you. my gynecologist said I had a UTI on Dec 23rd. They forgot to call me to get an antibiotic until Jan 2nd and by that time I was having lower stomach pain and pressure. I went on the antibiotics and just finished three days ago. Today I am feeling the same symptoms. My bladder feels very irritated. I think I have a bladder infection now.? The antibiotic was Macrobid 100mg. Should I go on another antibiotic? Drink lots of water? Thank you for your help. Doctor: Hi,From history it seems that you might be having chronic urinary tract infection and bacteria are resistant to this antibiotic medicine.go for routine urine check up with culture and sensitivity test to know causative bacteria and antibiotic working against it.After report go for appropriate antibiotic medicine for longer time.Take plenty of water.Keep local hygiene clean and healthy.Ok and take care." }, { "from": "gpt", "value": "Target: What causes lower stomach pain after treated for UTI?" } ]
[ { "from": "human", "value": "Source: Patient: Hello doctor last month I was diagnosed with pco, only hormonal imbalance shown in blood test, tb test was negative, sonograph said few immature follicles peripherally arranged, bulky ovaries. I was asked to take metformin & krimson 35 this month I got my periods on 29th day. But yesterday doctor told me to take HSG As I had an abortion in 1.5 months of pregnancy (only two tablets were given to terminate pregnancy). Can this cause any blockage in fallopian tubes? Doctor: Hello,Thanks for posting your query.You are investigated for all primary tests to rule out cause of infertility.Hyterosalpingography is one of them.It is done to rule out cause of infertility like uterine fibroid, blockage of fallopian tubes.It is not abortion but post abortion if you are having pelvic infection can cause blockage of fallopian tube.I hope your query has been answered." }, { "from": "gpt", "value": "Target: PCO, hormonal imbalance, immature follicles, bulky ovaries. Cause of blockage in fallopian tubes?" } ]
[ { "from": "human", "value": "Source: Patient: Hi I have been bitten by stray dog and was going through my Rabipur vaccination. I have finished my 0, 3, 7 days and I am due for day 14 today unfortunately I was bitten by dog yesterday while riding my bike in that case do I just need to finish my d14 and d28 or I need to go through some other cycle please advise. Doctor: HI, thanks for using healthcare magicSince you are now going through immunization against rabies for the previous bite, you would just need to complete the course.It is important to remember that you also need to make sure that your tetanus immunization is up to date as well.I hope this helps" }, { "from": "gpt", "value": "Target: What is the best medicine for dog bite?" } ]
[ { "from": "human", "value": "Source: Patient: I have had jaw pain - almost like the roots of my teeth are all inflamed and feels swollen. Have had it for more than a month now. Went to dentist, who did x-ray ( no obvious problem there) and he then suggested a bit to sleep with at night - seems that I gnash lately, which I've never done before. This does not seem to solve the pain problem. Also had two facial physio sessions to see if this will help - not really any change. I've had a tetanus shot in January.....starting to think this might be related? Please advise! YYYY@YYYY Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As per your query, you have symptoms of jaw pain and an inflamed gum which seems to be due to pus formation involving tissue spaces and causing pain. It could be due to temporomandibular joint disorder (TMJ).I would suggest to consult an oral surgeon for proper diagnosis and to rule out causes like sinusitis and middle ear infection. You should try to relax.Take Ibuprofen and acetaminophen medicines for pain. The Penicillin-metronidazole combination with an analgesic will be effective to subside infection if you are not allergic.Maintain oral hygiene by brushing and flossing. Gargle with Listerine mouthwash.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari" }, { "from": "gpt", "value": "Target: How can jaw pain and inflamed gums be treated?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, My mom is 60 years of age and had severe pain in lower back towards the left side. When an Ultrasound was done it said, small cortical cyst in the mid region of the left kidney measuring 8 mm. She has a past history of Aneurism. What is extent of the presence of cyst and what are its causes and its treatment. At present she is maintaining a good heath record apart from the recent back pain . Doctor: HiThanks for the query.Renal cysts are often seen in otherwise healthy individuals and their incidence increases with age. With a single cyst of 8 mm, all we need to do is monitor its size by doing an ultrasound every 1-2 years. It does not require any other treatment.The cyst is not the cause of low back pain.I suggest that you take the opinion of an orthopaedic surgeon for your mother's symptoms.Hope this helpsGood luck." }, { "from": "gpt", "value": "Target: Severe pain in lower back. Small cortical cyst. Aneurism. Further?" } ]
[ { "from": "human", "value": "Source: Patient: helo doctor..i have 3 or 4 kidney stones with a size of 3mm...in both the kidneys....my age is 29....male....recently when i tested the urine ,some trace amount of albumin,few RBCs,few PUS cells,granular cast etc were found...when i consulted a doctor he said nothing to worry,just to take lot of water....but i feel some kind of pain in both my kidneys some time....pain is mild only...not severe....is there anything to worry?is these pain have any relation with CKD?PLESE GIVE A SOLUTION DOCTOR...... Doctor: Hi, thanks for using health care magic Kidney stones less than 5mm tend to pass within 4 weeks of the onset of symptoms. The use of a lot of water would aid in the passage of the stones, you should try and consume at least 8 glasses a day. Kidney stones would cause chronic kidney disease if they are large and obstruct the flow of urine for a prolonged period of time. A 3mm , your stones are small but if you remain concerned you can consider having blood tests which can assess the function of your kidneys- this would be a creatinine blood test along with an estimation of glomerular filtration rate. The glomerular filtration rate provides information on how the kidneys are filtering. I hope this helps" }, { "from": "gpt", "value": "Target: Suffer from kidney stones. Mild pain. advised to drink water. Is that enough?" } ]
[ { "from": "human", "value": "Source: Patient: I have been having a constant and daily pain in my left hip just above where I keep my wallet....on some occasions when I move or stand abruptly I get a shooting pain down my leg into my calf and it feels numb....also if I turn the wrong way in bed at night it does the same thing.....on some occasions it also effects my walking.....this has been going on for about 3 weeks now Doctor: Hello, I have studied your case. Due to compression of this nerve root there can be pain in your back of hip ,calf.I will advise you to do MRI spineFor these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care" }, { "from": "gpt", "value": "Target: Reason for constant pain in the hip?" } ]
[ { "from": "human", "value": "Source: Patient: Hi , I am 24 yrs old and my BMI is normal.Myself and my husband are planning for a baby.I had my period on 11th of this month.We had intercourse on 24th (twice),27 th and 28th.After that i lie on bed for atleast an hour.is there of chance of getting pregnant for me at the earliest now..and some say that we shouldnot have intercouse every day.is that true? Doctor: Hello. There are a number of variables that can influence a couple's chances of conceiving in any given month. If both you and your husband are fertile and in good health, there's a 15 to 25% chance of getting pregnant in each ovulatory cycle. If you look at things from a strictly statistical point of view, roughly 40% of couples conceive within the first three months of trying (which means having frequent, unprotected sex during the four or five days surrounding your ovulation date). 75% of couples will have conceived during the first six months of trying, and 85 to 90% of couples will have conceived within one year. Couples who cannot conceive within one year should consider a fertility workup. (Many couples seek help at six to nine months, though, which is fine if you're getting anxious about your failure to conceive.) Having sex every day does not decrease your chances of getting pregnant. I hope that helps, and good luck!" }, { "from": "gpt", "value": "Target: Trying to conceive, unprotected intercourse, many episodes. Chances of pregnancy?" } ]
[ { "from": "human", "value": "Source: Patient: Hi, my eight year old got a nasty bump on his forehead between his eyes while on the yard at school. Now the bump has started to go down but a hard smaller lump about a centimetre in size has come up just above his left eyebrow. What is this and will it go down itself ? Doctor: HIWell come to HCMIf this is not causing any pain, and swelling, redness, then this could be some due to injury, keep this under observation, for any changes if something goes wrong then this need to be taken for investigation and clinical examination, let me tell you that all the skin lesions demands clinical observation for right diagnosis, take care have a nice day." }, { "from": "gpt", "value": "Target: Suggest treatment for hard lump below a bump on forehead" } ]
[ { "from": "human", "value": "Source: Patient: I had bilateral knee replacements at the same time in 2013 ad manipulation 3 months later which did not help. I have very bad pain in both. Had bilateral radiofrequency ablation last year didn t work. I am so frustrated. Can I get cortisone injections in my knees??? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your history, Cortisone injections can give some relief for some days, you have to take repeated injections. So kindly consult with orthopedician regarding the same. It has side effects like decreased immunity, recurrent infections etc. Take care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale" }, { "from": "gpt", "value": "Target: Can Cortisone injections be taken on the knees?" } ]
[ { "from": "human", "value": "Source: Patient: My baby 9 months old,he is going to have MRI for his head,is there any damage for his brain?( because he went for 9 months wellness check up,the doctor said :the percental of his head growing a little bit faster,but she check his head is nothing wrong,so,should I do or do not ? Doctor: Good evening..!!MRI dosen't cause any damage to the brain. No radiation harm.Your doctor might have thought that your baby might be having hydrocephalus.Thank you, have a nice day..!!!" }, { "from": "gpt", "value": "Target: What causes fast growth of the head in a kid?" } ]
[ { "from": "human", "value": "Source: Patient: I have pain in what feels like my left hip and when I take a step with my left leg my knee/thigh bends inward towards my groin. Pain is moderate most of the time but sharp pains shoot down my leg with a misstep. This causes me to walk with a severe limp. Any ideas? Doctor: As per your explanation I believe it can also be related to sciatica. You can test it buy lying straight on your back and keeping one leg on ground lift other leg straight up and check with other leg also doing the same. Here check how much you are able to lift and whether you have the similar feeling again like pain radiating to leg from hip and all. If yes then confirm it is related to sciatica or back spinal level disturbance. I suggest to visit physical therapist and take proper treatment along with spinal exercise. As well do use hot pack and apply some pain relieving ointment post use of it. This will give you good result. Hope this was useful to you. Take care" }, { "from": "gpt", "value": "Target: Suggest treatment for hip pain while bending my legs" } ]
[ { "from": "human", "value": "Source: Patient: I have a daughter who has just been diagnosed with dandy walker malformation , non nasal bone short long bones and has deceribrate posturing on the ultrasound. She is at 23 weeks. Her baby also has a hole in his heart. Just wondering the prognosis. Doctor: If neutodeficit is present then surgical correction is warranted. Consult your neurosurgeon. Hope my advice will help you. Take care. Don't forget to rate me." }, { "from": "gpt", "value": "Target: Suggest suitable treatment for dandy walker syndrome" } ]
[ { "from": "human", "value": "Source: Patient: I recently had an injection at the base of my skull to treat me for pain and tightness on left side neck, headaches, and feeling as though I had pressure in gland, ear and left eye. Is the myalgia the same as neuralgia and how severe is this condition? I'm a dental hygienist and not sure if my job is finally causing some damage after 27 years. Doctor: Hello and welcome to hcm, Trigeminal neuralgic pain can be treated using analgesics. Avoid stress,anxiety. Take intervals and adequate rest in between your job works. Also check whether there is sinus infection. Maintain good oral hygiene. Hygienist job has nothing to do with neuralgic pain. Take rest until you becomes physically fit. Hope this helps." }, { "from": "gpt", "value": "Target: Had pain in neck, headache, pressure in gland, ear and eye. Had injection in skull. Is it neuralgia?" } ]
[ { "from": "human", "value": "Source: Patient: My 16 year old son has a spot on his foot that the pediatrician said is infentigo. he has been using an ointment that the dr gave us for about about 2 weeks now. the sore (about the size of a quarter) is now turning black under the sore area. What could that be? It seems that it might be getting worse...? What do you think is causing it to turn black? Could it be an emergency? Doctor: Hello and welcome.Thank you for your query. I understand that your child was diagnosed to have impetigo. From the information provided, it seems most likely that the child may be developing ecthyma- a bacterial infection that usually causes skin and soft tissues to have a black discoloration. Common signs of worsening include increase in the size of the sore, pain, swelling, fever, not eating well and appearing sick.When seeing patients with similar presentation, I usually advise oral antibiotic treatment, including a \"fluoroquinolone\", and an anti MRSA antibiotic, for ecthyma especially if not responding to a topical medicine. I would suggest seeing your doctor for prescribing antibiotics and evaluation especially, if your child has any of these above mentioned signs of worsening.Another rare cause of turning black would be a reduced blood supply and gangrene formation which would be usually very painful and is an emergency and needs to be evaluated.I hope this answers your question. Please do write to us if you have any further questions and I would be happy to help. Best wishes" }, { "from": "gpt", "value": "Target: What is the treatment for infentigo causing the leg to turn black?" } ]
[ { "from": "human", "value": "Source: Patient: I sometimes wake up in the middle of the night gasping for air it feels like fluids in my lungs and I cough up phlegm. tonight I was laughing so hard I was gasping for air and walked fast to get outside to breathe in fresh air and cough up phlegm again. What is wrong with me ? Doctor: welcome to hcm, short answer : you probably have lung infection and it needs to be evaluateddetailed answer: cough with sputum worsening in the night has to be examined you may need antibiotics ,anti histamines to get out of this problem, consult your treating physician he will examine you your treating physician may ask for chest xray and some blood tests depending upon the severity of the disease.hope this explainsDr.Amarnth" }, { "from": "gpt", "value": "Target: Suggest treatment for breathing problem and lungs infection" } ]
[ { "from": "human", "value": "Source: Patient: Lately I ve noticed my head has been shacking, and now my husband has asked me about it. And then a customer asked me if I was alright. This is happening more often. I m 61 years old. I ve had a Sharkey hand for years which a doctor once told me was a familia shake. What should I do? Doctor: it's most important to tumor , where is it present in brain.it suggest in MRI brain plain with contrast report.according to allopathy medicine should be go surgery and after management to depanse on biopsy report.after advised by radiotherapy.but in homeopathy medicine is very useful in some case of brain tumor.if u r intrested to take HOMOEPATHY so cusult me , I will help u." }, { "from": "gpt", "value": "Target: Suggest treatment for head tremor" } ]
[ { "from": "human", "value": "Source: Patient: HI there, Latley ive been feelings really sluggish, ive been really stressed with everything around me and i havnt been eating properly because of it. Ive never really ate much but its to the point where i have to force myself to eat at least once a day. I went from a healthy weight for my height 5 4 weighing 120lbs, and in 3 months i managed to lose 8 lbs. im concerned because now my stomach muscles are really sore, i figured i was dehydrated so im trying to drink more water. Im wondering if im depressed. I dont think about killing myself ever because i have two beautiful children, but sometimes i just want to run away from everything. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Depression symptoms include feeling low all the time, loss of interest in previous pleasurable activity, crying spells, feeling lonely, change in appetite and sleep, low in energy, confidence, hopeless, helpless, worthless feeling and sometime even suicidal ideas. Few of them or all can be present at a time. Depression can affect anyone and you can overcome it completely. Depending on the severity your treatment will be decided. Symptoms worsens with time so its advisable to take help from mental health professionals as early as possible. Make sure you are not alone try to be with someone close to you, share your thoughts, sleep for adequate time, have healthy meals on time, involve in activities you used to enjoy earlier. Hope I have answered your query. Let me know if I can assist you further." }, { "from": "gpt", "value": "Target: What causes fatigue and severe stress?" } ]
[ { "from": "human", "value": "Source: Patient: I am having intense, shooting pain in my groin area. I can t tell if it is in my right groin or in my right ball sack. It is very sporadic and relatively infrequent. the pain is intense, like a stabbing pain. it doesn t last long. I can t point to a pattern. it s been occurring for several years at odd times and sometimes when I am in bed at night lying prone. I am a 60 year old male. Do these symptoms point to anything in particular? Doctor: Hi, It might be due to urethral stones. You can get an ultrasound scan for to look for any possible urethra stones. If symptoms persist, you can consult a urologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain" }, { "from": "gpt", "value": "Target: What causes intermittent stabbing pain in the groin area?" } ]
[ { "from": "human", "value": "Source: Patient: I get a stomach/abdomen ? cramp after I get up to urinate in the middle of the night. It takes about 1/2 hour to pass. I try to eliminate salt from diet but have had this for 1-1/2 year. Had ultra sound, cat scan and did not show anything severe. Some small stones in gall bladder and small stone in kidney. What is causing this? Thank you. Doctor: Hello and welcome to HCM. As an Urologist,i can understand your anxiety.You've not written your age,gender and if you're taking any medication.Your symptoms aren't due to small stones,seen in kidney and gall bladder.You need to do certain blood tests and an endoscopy if needed.Tests like :1. blood routine,RBS,LFT,s.proteins,A/G ratio,platelets,creatinine,lipase and electrolytes.2. OGD (endoscopy test).3. uroflowmetry.According to reports,the cause and treatment can be advised.Send the reports to me,as a direct question,for an expert opinion.Dr.Matthew J. Mangat." }, { "from": "gpt", "value": "Target: What causes stones in gallbladder and kidney?" } ]
[ { "from": "human", "value": "Source: Patient: I take pills for high blood pressure and cholesterol. I have copd. I get short of breath when I shovel snow or dig a hole. I walk about five miles a day and when I walk fast I get chest pains which disappear if I slow down. I don t feel like I am breathing hard. Lying down causes a shortness of breath for a short time. I have swelling in my ankles and feet. Doctor: Hello,These pains might have to do with cardiac problems rather than problems with chronic obstructive pulmonary disease (COPD). If you were my patient I would first see the heart with an ECG, echocardiography, and if possible (because of your lug problems) a stress test.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi" }, { "from": "gpt", "value": "Target: What causes chest pain and breathlessness while treating COPD and BP?" } ]
[ { "from": "human", "value": "Source: Patient: Hi sir,I have unprotected sex with prostitute on September 2015. I have done tridot test on Jan 2016,may 2016 and western blot test on June 2016. All the results were negative. But I have taken antitubercular medication(due to cervical and mediasternal lymphadenitis and bone tuberculosis) i.e. rifampicin, isoniazid,pyrizinamide and ethambutol during the HIV tests.Does these medications will give false negative during tridot and western blot testing? Shall I go for other confirmatory tests? Recently I got eosinophilia and last 6 months ( Oct 2016 to April 2017) my tongue becomes dry and white in colour (initially tongue becomes orange colour in mornings and now it becomes white and dry on morning ) kindly advice me. Thank s in advance. Doctor: Hi there, AntiTB medications are not known to produce false negative tridot/ westernblot tests. White colored patch on tongue could be candidiasis. Please consult a oral medicine expert. Eosinophilia has many causes such as allergic reactions, skin disorders, intestinal worms etc. Please do Serum IgE levels and get your stool tested for cyst/ova. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat" }, { "from": "gpt", "value": "Target: Suggest treatment for eosinophilia" } ]
[ { "from": "human", "value": "Source: Patient: Sir my father age is 61 years and from last two months he has been suffering from complete conduction blocks along the entire course o both peroneal nerves with no recorable CMAPS. sUGGEST US this was the report given emg. now he has problem in walking, lifting his foot , and he is diabtic since 25 years Doctor: Hello,Noncorrect treatment of diabetes and continuous high level of glucose in the blood can cause the nervous. Start with the good monitoring and treatment of diabetes. These can prevent the evolution of the damage.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Anila Skenderi" }, { "from": "gpt", "value": "Target: Suggest treatment for heart block with diabetes" } ]

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