conversations
listlengths 2
2
|
|---|
[
{
"from": "human",
"value": "Source: Patient: I got a mri say mild to moderate right lateralizing disc herniation at L5-s1, compressing the right s1 nerve within the spinal canal. There is right foraminal encroachment by the disc, resulting in right L5 nerve root compression. Have not seen doctor yet does this mean surgery for me. Doctor: Hi,From repoet it shows that you got slipped disc problem.Consult orthopedic surgeon and get examined.Physiotherapy, short way diathermy and lumbar traction will be much helpful.If there is no improvement then surgery is only alternative.ok and take care."
},
{
"from": "gpt",
"value": "Target: Does right foraminal encroachment by the disc indicate surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, i just got all four wisdom teeth surgically removed three days ago i was giving pain killers and anibiotics and since the surgery well shortly after ive been really dizzy and lightheaded and dealing with nausea and ive been in and outta sleep ever since. what should i do since i cant eat all i do is sleep wake up barely can walk and stay focus, im even having a hard time to write this can someone help me please and thank you im scared Doctor: hi, It seems that either your medicines are very heavy for you that why you getting nausea and dizziness. And since you got all 4 wisdom teeth removed you should take proper rest for a week or so and give proper time to heal . Visit your dentist and tell your current symptoms and he might change the medicine or dosage. Take soft and light food for some time. do not take hot and solid food. rinse and spit slowly. get a review done by your dental surgeon. your symptoms will vanish in few days. happy healing dr deepali, lucknow"
},
{
"from": "gpt",
"value": "Target: Wisdom tooth extraction, dizziness, light headed, nausea, lack of sleep, treatment of symptoms"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is suffering from a fever for almost 4 days now, we had his blood test and he has a low platelet count. according to the test, the normal platelet count is 170,000...and his platelet count is 150,000... the doctor said he has a dengue? but he has no symptoms of dengue! does his lowering of platelts already a diagnose of dengue fever? Doctor: Hello sir/madamNormal platelet count is 150,000-400,000 per cubib mm , so ur son's platelet count is within norman rangeLow platelet count is \"suggestive\" of dengue in dengue endemic areas but is NOT \"diagnostic\" of dengue fever.Antibody titer for dengue virus types , is commonly used for diagnosis of dengue feverRegardsDr.Shah"
},
{
"from": "gpt",
"value": "Target: Does low blood platelet count indicate dengue fever?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a swelling on my butt cheek. my righ one for example. i though that its just one of those pimples that i usually get. i had swellings before but theyre just the size of a quarter or lower. but now its feels like its the size of a potato. does this go away? the pain is tolerable but it just bothers me when i pee/sit/ or anything that requires my butt muscles to move. i am also a gamer so i sit in the chair alot. so im wondering if that is a contributing factor. Doctor: Hi,Thanks for your query.According to your description , pain over your buttocks seems to be inflammatory in nature. I advice you to give you rest to the part affected, take anti-inflammatory drug likemotrin 1 tablet with food as and when required (upto 4 tablets daily) to reduce pain and inflammation and consult your doctor for thorough examination and rule out any infective cause.Hope this helps. Let me know if you have any more concern.Warm Regards."
},
{
"from": "gpt",
"value": "Target: How to treat swelling in buttocks area?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Docter, I have PCOS problem and irregular periods, LMP was on 12-01-2017 from third day my Docter advised to take ovaa shield tablet from third day. From 14th day follicular track was done, four follicles was growing so Docter gave fertigyn iu 5000 HCG injection and asked us to have intercourse and also am taking rediva tablet for PCOS. I didn t get period this month backache, stomach ache is there and pain in breasts. Please tell me chance of getting pregnant if not when I will get period. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Delay in getting periods during infertility treatment could be possible due to pregnancy. Kindly get your urine tested for pregnancy. In case it is positive, confirm it by clinical examination and ultrasound scan. If the test is negative, then wait until you get your next period. Kindly consult your doctor for next course of management. Hope the information provided helps. All the best. Regards."
},
{
"from": "gpt",
"value": "Target: Are delayed periods while on infertility treatment symptom of pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Morning, I just accidentally gave my 34 month old 10ml of amoxicillin instead of 5ml. He should be taking 5ml 3 x a day. We r near the end of the bottle, I don t know what I was thinking! Too early obviously! Do I need to worry as it was a once off? Thank you Doctor: Hello,amoxicillin can be given at higher than usual doses for more severe infections, so I wouldn't expect anything serious. Despite that taking high doses increases the risk for side effects. If your child develops symptoms of any kind, you should consult the pediatrician. I hope I've answered your question. Please let me know if you need further assistance.Kind Regards,Dr Panagiotis Zografakis,Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Is an accidental overdose of amoxicillin dangerous for 34 month old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor i am 28 male from india and i have the habbit of drinking for past 11years.i drink 540 ml brandy each time.i do that thrice a week and also i smoke cigarette and weed.i stopped weed before 1 yr.i have sex 2 times or may be 3 times a week.the next day after i drink i drink plenty of water and lemon juice to detox..now my hair is 30% white.how can i clean my liver and lungs?and how to increase my metabolism and will i be able to reverse my white hair?? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. There is no such detoxification like thing for smoking and alcohol. You have to quit smoking and alcohol as soon as possible. This is the only option. Also get done liver function test(LFT) chest x ray and PFT (Pulmonary Function Test). LFT is needed to know severity of liver damage. Chest x ray and PFT are needed to know the severity of lung damage. If liver damage is present than you need liver supportive drugs. If lung functions are decreased than you need inhaled bronchodilators and inhaled corticosteroid. So consult doctor and discuss all these. First of all stop all these bad habits. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: How to cleanse liver and lungs while having the habit of drinking alchohol and smoking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter 11 months has just started being sick. She threw up what looked like her desert from dinner & now she is struggling to be sick but when she does she brings up what looks like gloopy salivia. Took her swimming today & she did swallow some water? Been generally well apart from this? Doctor: Hello,When did she threw up? Does she have temperature or other signs? How many times does she throw during a day?Try to give small portion to eat, especially crockant bread. Get her hydrated. Better visit a doctor in order to do a physical examination of your daughter and evaluate the case. Wish your daughter good health.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Emilda Belortaja"
},
{
"from": "gpt",
"value": "Target: What causes vomiting and tiredness in an infant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have spaces in between my lower teeth where it constantly feels like I have food caught in place. I am continually rubbing my tongue in between and this morning when I was looking, I noticed that part of my gum is starting to come loose from in between my teeth. Doctor: Hello,As you said there is food lodgement in between your teeth, there a high risk of gum related problems, just visit your dentist and get a thorough cleaning done, and as you suggested that your gums appear to lose it is due to calculus formation around your teeth get an orthopantomogram (OPG) done for better diagnosis. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Rakesh Mishra"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for loose skin in my gums"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My partner develops a fishy smell after we have sex, the odour is very strong and can last for days. he has been to the dr's and was given antibiotics but that hasnt helped. we had oral sex and i went down on him, he ejaculated and he then again developed the smell the following day? his seman doesnt smell or taste fishy its just the general area of his genitals..can you help as it is having a big impact on our sex life. we used to have sex at least 5 times a week but now its only once aweek because we dont want to develop that smell again. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be sign of uroinfection or other genital infection but this is less common. In every case, antibiotic therapy may be required so test should be done as soon as possible.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health."
},
{
"from": "gpt",
"value": "Target: What causes fishy smell in genital area after sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had a pain on my left side in the lower back region....frequent urination and bowel movements...this am I awoke with excruciating pain. The ER ruled out kidney stones BUT did not know what it could be. I am taking RX to control pain. Pain is manageable right now .. I am 64...do not drink or smoke Do not take medication Normal weight Healthy diet Doctor: HiThank you for asking HCMI have gone through your query. Your problem can be related to lumbar spondylosis or sacroiliac joint arthritis. A physical examination by an orthopedician will give clue for this. A X ray followed by MRI if needed will confirm the condition. Local corticosteroid injection will give pain relief in case of sacroiliac joint arthritis. NSAIDs like Nimusulide for short term will help in relieving symptoms. Muscle strengthening exercises and physiotherapy will help in case of long standing pain.Hope this may help you. Let me know if anything not clear.Thanks."
},
{
"from": "gpt",
"value": "Target: What could cause lower back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: sir,am askng this for my sister.she is 30yrs old mothr of a sngle child.having 75 kg wt.she is diagnosed with mild hepatomegali and fatty changes in liver while doing an abdominal scan(done for pcod)what may be the reason ,how can she corrct this?pls give me an answer Doctor: fatty liver is not uncommon finding in people with high triglycerides and cholesterol. PCOD predispose an individual for hyper cholesterolemia. Cure is to control the cholesterol intake and fatty liver being a reversible condition can revert back if controlled. statin can be added by treating doctor to control cholesterol. treatment of PCOD will go side by side."
},
{
"from": "gpt",
"value": "Target: Cause and cure for mild hepatomegali and fatty liver"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: All of my teeth hurt. I have trigeminal neuralgia on one side but it has been under control with medication. This pain is different from that pain and now includes the upper and lower teeth on both sides. I have been to the dentist and an endodontis and had xrays and nothing is wrong with my teeth. Doctor: Hi..Thanks for the query..The symptoms of pain in upper and lower teeth with no signs of any tooth decay can be probably due to Dentinal hypersensitivity that is due to opening of the terminal nerve endings on teeth..So my advise is to start using anti sensitivity toothpaste for at least 15 days and see if the symptoms improve..Also avoid taking very hot and cold foods , take your food only after cooling it to room temperature..If the pain is annoying you can take anti inflammatory painkillers like Ibuprofen but only if needed..Hope this helps..Regards.."
},
{
"from": "gpt",
"value": "Target: What causes toothache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi , Need info regarding the pain management with respect to the Disc bulge my mom got operated in 2008 , Till dec 2011 she was fine and in good health. from last dec she is having pain in right leg again as earlier in 2008 . we did the MRI it does not reveal anything serious , nerve roots are free . I have checked again with neurosurgeons, and they advise to take pain killers and physiotherapy . we tried all the possible medication and therapy but all in vain. i have heard about pain management , where the options are for injection for nerve etc.etc. can you please advise what will be the best course of action now. Doctor: hithis is a long standing neuropathic painyou can start on pregablin added with methylcobalamine, on regular basis .you can take help of pain centre with anaesthetic help for injection of drugs like absolute alcohol,opiods, anaesthetic agents,neurolytic blocks with these drugs are very helpful for such longstanding neuropathic pains.all the besttake care"
},
{
"from": "gpt",
"value": "Target: Suggest pain management for bulging disc"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I used Veet Hair removal in my bikinni area this afternoon and some got in my vaginal area. I have been swollen and burning since that time. I have rinsed with cold water atleast 4 times every hour since. I am 7 months pregnant, is there anything I can do to ge the burning and irritation to stop? Doctor: Hello and welcome to healthcaremagicSeem you have developed irritant contact dermatitis to the cream. Hair removal cream contains thioglycolates which are irritating to the skin, specially the delicate genital skin. f I was the treating doctor I would suggest you to use a topical moderately potent steroid cream e.g fluticasone propionate (Flutivate cream), twice daily for a few days. That should take care of the redness and burning sensation.An OTC antihistamine e.g cetrizine 10mg once daily would help in providing symptomatic relief from burning and itching.Regards"
},
{
"from": "gpt",
"value": "Target: How to relieve burning in vaginal area after use of Veet?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have an internal lump above my belly button about half inch up, started about size of a ping pong ball, now its size of 2 fists and have smaller one starting on right side of belly button , pain started espessially when i was cleaning ,and tearing down boxes...please help, had bad experience with surgeries when i had cancer in my cervix,they couldnt wake me and my upper chamber of heart went out,still on meds,so scared to get surgery,i am on blood thinners since i was 19,55 now,ive had 22 blood clots up till 2008,please help Doctor: Hi and welocme to HCM. There are various causes of such lesions, but it sounds to me like this could be hernia, diastasis recti or some subcutaneous benign tumors (lipoma, fibroma, ). You should do ultrasound with needle aspiration test first to find exact cause, but if this is such enlarged it must be surgically managed, especially if this is hernia which can have serious complications. there is a possibility of having local or regional anasthaesia so you shouldnt be worried about happening all those things again. Wish you good health."
},
{
"from": "gpt",
"value": "Target: Having internal lump and pain above my belly button. On blood thinners. Have had blood clots before. What should I do?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My name is Aneesh ! I am in a job of weather forecasting. whenever bad whether approaches my stress level goes high and i get severe headache, irritation, sweating etc. thereafter i have problem in sleeping for next 2 -3 days. I tries all sorts of meditation and medication bt no help. Is this a case of environmental stress and should i change my profession. plz help Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I don't think you need to change your profession. You are doing well. Naturally this is a case of anxiety disorder. You are apprehensive and obsessive about the weather change and naturally you become anxious about it. Do not worry about what happens, Make sure that you are there at your forecast office when the climate changes. Never avoid such happenings. Then your anxiety should go off. We call it desensitization therapy. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: What is the treatment for stress and headache?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi doctor, I am an engineer and i masterbate very frequently and can't control myself .. even when i am sleeping and see the dream about sex i have to masterbate .. i can't control myself. is this harmmful for my married life ... would masterbate more will effect my sexual married life... Doctor: Hi, Yes, if you keep masturbating daily until marriage, sperm count will reduce when you need to make a baby. But it will revive one you reduce masturbation. Doing masturbation 2 to 3 times a week is considered normal. More than that needs proper nutrition. Regular exercise and yoga will help you reduce masturbation rate. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist"
},
{
"from": "gpt",
"value": "Target: Will frequent masturbation affect sexual life?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just had breast cancer surgery 9 days ago. the margins are clear, but it was estrogen/progesterone positive. They want to do chemo and radiation, but I feel there has to be a better approach in treating this. I work for a naturopath, but his specialty is not chemo or radiation, but would like someone who will work with him in my care. Doctor: Hi,Thanks for writing in.Cancer is a difficult condition to treat and treatment differs in every patient depending on the location, size, staging and post surgery biopsy findings. Since you have had surgery only 9 days ago, it will help to discuss with your oncologist and depending on the biopsy report, go for a comprehensive treatment. Even is the margins are clear, there is estrogen/ progesterone positive nature and this requires you to have chemotherapy and radiation. The earliest this is started the best outcome it will have.I wish you reconsider the benefits of chemotherapy and radiation in your case and start treatment on time. Naturopathy can give you comfort and detoxify your system and it is best to discuss your treating doctor on when to take simple naturopathy procedures and wait until you are done with initial chemotherapy.Even if the margins are clear, there can still be persisting microscopic invasion of cells and this can lead to flaring of cancer an a few months. Radiation is precise and specific to the region of cancer. Please do not worry."
},
{
"from": "gpt",
"value": "Target: Is there any naturopathy treatments for the post surgical breast cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Someone threw an eight pound ball at me, and it caught me off guard and hit my chest. It hurts when I bend down, when i breathe deeply, and when I put pressure on my chest. The pain is sharp, right over my heart where the ball hit me. This was during swim practice and it really affected my performance. Will it heal? I put ice on it. And how long will it take to feel better? Doctor: Hi,According to history it seems to be musculoskeletal pain secondary to trauma by ball to chest muscles. For that ibuprofen or Naproxen like anti-inflammatory drug is prescribed for five days. Avoid strenuous work and take rest. Hot compress can be applied over chest for soothing While sleeping assume supine position and avoid bad posture. Avoid movement that cause pain If no improvement than x ray and USG like further work up done to detect internal injury. Recovery usually take four to five days if injury to muscle is not much serious. Consult pulmonologoist for examination and further work up accordingly.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Parth Goswami"
},
{
"from": "gpt",
"value": "Target: Can I swim after having an 8 pound ball injury in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I WANT TO CONSULT A GASTROENTEROLOGIST FOR MY DAUGHTER -I AMFROM SION MUMBAI MY DAUGHTER WAS SUFFERING FROM SEVER ABDOMINAL PAIN RIGHT SIDE -SHE GOT ALL HER TESTS DONE, COLONOSCOPY, CT SCAN, BIOPSY -IT SHOWED ACUTE ILEAL ULCER, THERE IS NO SIGNIFICANT IMPROVEMENT EVEN AFTER A MONTH Doctor: Hi. Thanks for your query.Read the history and understood the problem. ileal ulcer- what was the biopsy report?Was the report of Widal for typhoid positive.?Your not mentioning the Biopsy reports make it difficult to comment . The differential diagnosis is ::Tuberculosis of the small intestine TyphoidChron'sThe treatment will be as per the biopsy report and she will be fine"
},
{
"from": "gpt",
"value": "Target: What causes severe abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am jus writing about a concern I have had a tooth infection for about 3 months now I have used one lot of antibiotics and that was 2 months ago. I saw a dentist a few weeks back and says I still have the infection. I am having a root canal done and have an app in two weeks. I am also worried about a rash that has come up on my face and seem to have tightness in the chest hard to breathe I have been reading and it seems that these may have something to do with the infection. I am very worried about the infection especially seeing as on the net there is a lot about tooth info tins being fatal. Eel help please.. Doctor: Hi,From history it seems that you might be having developed root abscess producing plenty of induration affecting face and chest.You might require extracrtion of decayed tooth and removal of pus.Go to ER without waiting dentist appointment and go for treatment.You might require one course of antibiotic and anti-inflammatory medicine for 5-7 days.Do antiseptic gargles daily.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Does dental infection cause rash and tightness in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I checked my sugar with a meter and noticed my blood was very thin and watery to the point my strip did not want to draw it in,Why?My age is 48,weight 116 medical history is diabetes diet control only,COPD,Diastolic heart failure,dual chamber pacemaker,CAD etc Doctor: Hi, dearI have gone through your question. I can understand your concern.You should go for routine blood examination for your hemoglobin level. Thin blood may be due to low hemoglobin. Investigate for that and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes watery and thin blood?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a smoker, well I have quit as of today due to fear. I had a chest x-Ray and MRI back in July for an anterior discetomy. I was told I was healthy. Yesterday, I went for my routine check up with my GP and he informed me that a small shadow showed up on my left lung. Of course, my response was what? And your telling me 4 mos later. His response was due to the report I am really not at all concerned and planned on talking to you about this at your next check-up . In his next breath he said I am going to send you for a CT scan anyhow. I asked him again if he thought I have lung cancer and he said No, I am quite confident it is nothing to worry about and I will see you in 2 weeks to go over the results of your CT scan and put your mind at ease. Just perplexed, not cancer than why the CT? Just a bit scared. Doctor: Thanks for your question on HCM. I can understand your situation and problem. Yhere are many causes for small shadow in lung on chest x ray.The common ones are1. Fibrotic lesion.2. Cystic lesion (benign)3. Developing cavitory lesion. 4. Early abscess. 5. Rounded pneumonia. 6. Lung nodule (benign )7. Lung nodule (malignant).So CT scan is needed to rule out all these.Characteristics of shadow on CT is very important for diagnosis like its margins, calcification is present or not, associated lymphnodes etc. So get done CT THORAX."
},
{
"from": "gpt",
"value": "Target: What does small shadow on left lung mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my nice is 17 year old. she is getting vomitting and severe headache since past one year. nothing was diagnosed by general physicians. now she was asked to see neurophysician. kindly suggest what to do and what this could be? thanks and regards, J. Kumar. Bhopal Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Headache with vomiting which is episodic is due to migraine. Persistent headache and vomiting may be due to chronic infection or tumor. Evaluation and examination by by a neurologist is required. Brain imaging may also be required. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What could cause severe headache and vomiting?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I was told by my cardiologist that I could discontinue taking Plavix after 1 year -- I had a medicated stent implanted a year ago. How do I stop? I am to replace the Plavix with a full strength aspirin. Do I just stop taking Plavix one day, and then take the aspirin the next, or do I stop taking Plavix gradually? Don L. Doctor: Thanks for your question sir.According to guidelines, medicated stent need dual antiplatelets that is Plavix (Clopidogrel) and Aspirin for 1 year. Then Aspirin alone is enough.Yes as per your cardiologist opinion, you can immediately stop Plavix and continue Aspirin same as per your daily dosage. There is nothing like gradually stopping Plavix."
},
{
"from": "gpt",
"value": "Target: Do I just stop taking Plavix and then start taking Aspirin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have a hard pea sized lump on the left side of my neck it can hurt when touched or stretching ive also been getting headaches that feel like someone is squeezing my head and at times i get these sharp pains in my head that only last for a couple seconds any ideas what this could be Doctor: Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-you may be suffering from-lymphadenitis or boil in neck.-From the facts given from your query,I feel your lump is with systemci symptoms of headache and could be due to tonsillitis with neck lymp-adenitis.Clinical examination from Surgeon would fix yor worry.-Hope this would help you to discuss with your doctor on your visit.Wellcome to HCM again for any more queries.Have a Good day."
},
{
"from": "gpt",
"value": "Target: What does a painful lump on neck indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Second day with fever (102.5 yesterday, 99.5 today). 9 year old child has no appetite, very lethargic, just wants to lay in bed. Stomach pain, no nausea, no vomiting. Has just started shaking like body tremors and temp is 99.2. Have been giving childrens motrin rotated with acetaminophen...suggestions? Doctor: Good evening..!!Your nine year old child most probably has a viral infection or malaria or a urinary tract infection.Continue paracetamol for fever control. ORS solution frequently as accepted, since your child has low appetite and may not accept solids.If the problem is persisting, can get checked with CBP, CUE and Peripheral smear for malarial parasite.Thank you, have a nice day..!!!"
},
{
"from": "gpt",
"value": "Target: What causes fever, no appetite with body shaking in 9 year old?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Two years ago I had surgery for carple tunnel to both my hands Ever since this time I have sudden attacks of pupatations and if my blood pressure is taken that too is high up to 220/120,but it all seems to return to normal within an hour or less,with or with out medication . I am otherwise a healthy 54 year old post menopausal female.I would be so grateful if you could help and avise me what I should do about this as I cannot believe it can be anxiety only,as I am not aware of being anxious, it also does not seem to follow any pattern as I can wake up during the night with pulpatations.Thank you or your time. Doctor: Hello,These episodes could be related to anxiety. Nevertheless, I would recommend performing some tests to investigate the possible underlying causes: - Complete blood count for anemia.- Blood electrolytes for possible imbalance.- Thyroid hormone levels for thyroid gland dysfunction.- Kidney and liver function tests.- Fasting glucose.- Cortisol and aldosterone plasma levels for adrenal gland dysfunction. If all these tests result normal, you should consider anxiety as the main cause of your complaints. In such a case, you should try to manage your anxiety. Yoga, meditation, and recreational sports can help in this regard. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ilir Sharka"
},
{
"from": "gpt",
"value": "Target: What causes high blood pressure with palpitations?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, Very recently I am having difficulty in taking complete normal breath continuously but I have no problem in taking complete breath and feeling tired almost all the time and feeling like hot flushes time to time. I am 22 yrs old 67kg 5 feet tall woman from tropical country and have irregular periods. Few months earlier I completed a course of Regestrone 3 pills per day for 2 months and I take Dexorange once in a week from last 8 years since I was diagnosed with iron deficiency. My blood sugar is 110 -140. Please suggest prognosis or medication if required. Doctor: Thanks for the your question on HCM.I can understand your problem and situation. In my opinion you are having breathing difficulty due to anaemia. Hot flushing can also be seen in anaemia.So correction of anaemia should be done in your case.You are also having hormonal imbalance. So possibility of anxiety related mood swings and breathing difficulty is also high.Hormonal imbalance is known to cause anxiety.So anaemia and anxiety both are causing you breathing difficulty.Your age is too young for cardiac cause. So no need to worry much for cardiac cause.Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution.Correction of anaemia and hormonal imbalance is needed. So consult your gynecologist and start appropriate treatment."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for difficulty in breathing"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My lungs hurt, but not all the time it comes and goes. It started 3 weeks ago after my son had viral pneumonia. When my lungs begin to hurt I also get a bad headache that Tylenol won't take away. Chest X rays are clear as well as sinus x rays. What could be going on? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of bronchitis is more likely. Bronchitis (inflammation of airways) is common after viral pneumonia. And it can also cause headache.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Oral combination of painkiller and anti inflammatory drugs will also beneficial. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What could painful lungs with headache suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, i have a delay in my periods with 40 days (last period date -29 jul-2010). Tested urine preg test & found positive. Doctor requested to scan and found that i have single intra uterine gestational sac seen.and my PUS cells count in urine is 2-4 hdf and EPI cells is 3-5 hdf. PLease confirm if am pregnant. Also i started getting brown spots today. Am a bit worried. Please help me in this. Many thanks, Sheela Doctor: Hi I have gone through your ccomplaints.its good that intrauterine gestational sac seen.you are pregnant .blood spotting is complained by few ,some times implantation bleeding,somecases associated with subchorionic hemorrhage which may lead to anembryonic gestation (no embryo formed)or early embyonic demise (embryo forms and early loss of heart beat).in blood spotting cases ,sustain tablets or progesterone injections are kept.please consult to review scan after 1 wk -10 days to assess ,is gestational sac regular or assess prognosis of pregnancy.Thank youRegardsvasundhara"
},
{
"from": "gpt",
"value": "Target: What does gestational sac on pregnancy scan suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my son is 35 and has Avoidant Personality Disorder, he is married and lives an hour away from me, we use to be so close and could talk for hours about his problems, but now his wife does not want me in his life, what can i do or should i do to be apart of their lives again ?? Doctor: hellothanks for choosing healthcare magicin your case it is the issue between you and his wife. better u people should have family therapy under a psychologist. it would help u to sort out the difference between you and other family member.Thanks"
},
{
"from": "gpt",
"value": "Target: How to cope up with a person having avoidant personality disorder?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I'm a 21 year old female who is 16 days postpartum and for the last 2-3 days i have begun to feel a tightness sort of heavy feeling around my heart/in my chest...also i'm experiencing sharp knife/stabbing pain in my abdomen/below the incision...i had a c-section but with my previous c-section i didn't experience the knife/stabbing pain...what could it be should i be worried...i do have a history of heart conditions as a baby that required yearly ekg's and etc for a while Doctor: tightness and heaviness may occur normally with muscle pain, sharp pain in abdominal incision is due to in surgery small cutaneous nerves will be cut that is not a major problem.no need to concern about it"
},
{
"from": "gpt",
"value": "Target: What is the reason for tightness and pain in the chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just noticed what seems like a pulled muscle in the top left of my right breast. It is about an inch long and half inch wide. I have been doing a lot of strenuous kayaking and did pull muscle in my right arm. Could the lump be a symptom of the strain from my arm and the kayaking? Doctor: Hi.Certainly yeas.You have rightly noticed this.The muscles here are in the form of a belly and one such belly is pulled / strained in this particular area. Simple test is to cross the arms in front ofs the chest in opposite direction and see if this is increasing the selling and pain. If this is so , this is a strained muscle. And is due to kayaking"
},
{
"from": "gpt",
"value": "Target: Could the lump be a symptom of strain from kayaking?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: While I was seeing a psychiatrist for OCD, he took phone calls from three of my family members without my knowledge or permission and then told me about their \"complaints\" about me at my next session. I was 47 years old and seeking treatment privately with my own money. I was horrified and humiliated. My question is, is this ethical and/or legal. I stopped treatment and will never try again. Thank you. Doctor: Hello Welcome to HCM OCD is a disorder which is very distressing to patient as well as to family members. If your psychiatrist was talking to your family members, it may appear unethical but what he was doing, was for well being of you and your family members. There will be no benefit to him with talking to your family members. If he talked to your family members and that was for your well being so it can't be labelled illegal. He is giving his precious time to your illness. As you are dissatisfied with this incident so you don't want to continue treatment. But who will be on losing side. Only you will suffer, I would advise you to please visit that Psychiatrist again and talk with him regarding your aggression. If your OCD is properly under control and insight is preserved then you can request him to not to talk with your family members regarding your illness. But if he thinks that talking to your family members is good for you and your family members, he can talk with them and its not illegal. If you want to stop treatment out of aggression it will affect you only. Thanks Dr. Seikhoo Bishnoi, MD"
},
{
"from": "gpt",
"value": "Target: Was seeing psychiatrist for OCD, taken information about me without permission, discontinued. Ethical?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My boyfriend ejaculated and then Wiped it off his hand with a towel he then touched my clit (short name) well being the freak I am I washed my hands and then replayed what he did to think maybe there was some leftover sperm on it. After that I touched my vagina. Could this cause possible pregnancy. My stomach feels sp bloated and I am a freak of nature. Doctor: hi healthcare magic user, if their is contact of sperm and vagina their is a possibility of getting pregnant. chances of getting pregnant with semen contact will depend upon period day. of it is in safe period then no need to worry about pregnancy"
},
{
"from": "gpt",
"value": "Target: Could sperm touching the vagina cause pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Can the effectiveness of Implanon Nxt Implant be altered after a general anaesthetic? I had Implanon inserted in October last year and had no issues at all ( had my period when it was inserted but hadn t had a period since) and had a general anaesthetic in January. I had intercourse about 2 weeks after the surgery and about 10 days after that I started spotting but no real bleeding . Since then I have been feeling nauseated, experiencing extremely tender breasts, fatigue and weight gain . Am wondering whether the Implanon could have failed as a result of the anaesthetic? Doctor: Hi,Thank you for posting your question here, I will try to answer it to the best of my abilities.I really dont think an anesthetic can effect how the implanon works, they are separate things and they both work in different ways. As for why you have your current symptoms, well I am not quite sure why you are feeling the way you are, it could be a result of whatever procedure you had done which required the anesthetic and it could be that it your PMS.Anyhow take a home pregnancy test and that should give you your answer.I hope this answered your question."
},
{
"from": "gpt",
"value": "Target: Can the effectiveness of Implanon be altered after the use of an anesthetic? Have tender breasts, fatigue and weight gain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I bruised my right big toenail 5 weeks ago and the last few nights when in bed I ve had immense pain on one side of the toenail. This just happens when I m lying down in bed and for a while after I get up. It looks like the toenail is curbing into my toe, like its constricting my toe Doctor: Hello, I will advise to do hot water fermentation and do gentle massage over the outer aspect of the nails and the toe muscles. Due to abnormal tissue growth, the pain can occur while providing the compression over the soft tissues nearby. Hot water fermentation will help the tissues to relax and gentle massage will help the spasm to reduce. In case the nail is growing and not relieving the pain then removal of it will be advised. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist"
},
{
"from": "gpt",
"value": "Target: How to treat for the pain and bruise in toenail?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello sir, I am a man, 30 yrs old. My height is 5.6 feet. My weight is 70 in kg. I get my penis swelled. It is thick. Little pain, checked and doctor saidmy problem is called 'elephantisis'. The medicine suggested is 'hetrazan'.Is that the correct medicine?Can this problem recover completly by medicine? Doctor: HiGREETINGS You need to confirm it with a second opinion by consulting an andrologist or urologist. The tablet you mentioned is for treating elephantiasis,but confirm the diagnosis.Hope you are convinced. Regards"
},
{
"from": "gpt",
"value": "Target: Does hetrazan help to treat elephantiasis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a bone hard lump growing on my right side of my jaw where it opens and closes. It is very sensitive it hurts when I chew and when I open my mouth it s growing at a pretty rapid pace it s about two inches long n two inches wide right now what could it be Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some salivary gland tumour or siledenitis. You should go for fine needle aspiration cytology of that lump. It will give idea regarding your lesion. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes hard lumps on jaw?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi My Name Is XXXX Im 25 Years Old, 9 Years Ago Doctors Removed My Gallbladder And Like 6 To 7 Years Ago They Removed My appendix But I Still Suffer From Pain And Its A Big Pain What Can I Take Or What Can I Do Every Day I Wake Up In Pain And With Nausea Doctor: Hello, You have to do an ultrasound for your GIT to know the source of this pain, then you can take a Panadol tab as a pain killer. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: Should I worry about the pain that I am suffering from after gall bladder and appendix removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my 10 month baby has has a heavy cold for roughly 5 weeks with loose cough and a lot of green discharge from his nose continuously, so much so he has a red sore patch under his nose from wiping. Recently however he has had lots of blood in the discharge and it keeps blocking his nostril up? Can you give me any advice please? Doctor: Hello,Your child is suffering from severe bacterial infection. He needs antibiotic, start syrup Augmentin thrice a day 5 days with syrup Jardin D half teaspoonful (tsf) thrice a day 5 days plus Calpol syrup half tsf thrice a day.Give him steam inhalation, syrup Hylixia for cough and go to see a Doctor, his chest must be listened and throat must be examined.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hina Javed"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for severe cold and cough in an infant"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello. About 5 years ago I had surgery done to remove a perennial abscess/cyst from the cleft of my buttocks right above the anus. There was only thought to be one cyst but when the surgeon removed it they found several others beneath the skin, and while the flesh that was cut away was supposed to be tested, it was discarded by accident. They cut a section of flesh 5 inches long, 1 inch wide, and 1 inch deep. It healed but I have had a tender scar there ever since. Recently I had been experiencing more tenderness than usual and today I realized their was blood and a smelly discharge coming from the scar. I looked in the mirror and it looked like there is a small slit/hole where the scar is. The soonest I can get in to see my doctor is thursday. Another thing is I just went to the hospital two weeks ago because of a cyst on my back that wouldn t pop(I ve had them before) it was a pretty big one and was putting pressure on my spine. It wasn t the first one I ve had on my back, I am very hairy and keep having problems with abbesses. They drained it for me and prescribed me antibiotics. When I was rinsing the wound with salt water like they told me to, some of the water travelled down into the cleft of my buttocks where I had the surgery. Could this be the cause of whats happening to me currently? I just have two more questions, 1. What do you think the problem is? and 2. I just went to the drug store to get bandages to keep it clean and tidy until my doctor appointment, I remember being told to use a product called bactigras when I was healing from my surgery 5 years ago. Is it a good idea to use this again right now to prevent infection and get rid of smelly discharge/bacteria? Any help and input would be greatly appreciated. Doctor: HI, thanks for using healthcare magicIt is likely that you have a recurrent cyst in this area that may also need to be incised and drained.Bactigras is an anti septic dressing that may help to keep the area clean and prevent progression but it would still need assessment.The continued use of an anti septic soap or cleanser would help to prevent future infections.I hope this helps"
},
{
"from": "gpt",
"value": "Target: What causes blood and a smelly discharge from scar?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 10 yr old son that has high liver enzymes..he has ADHD and in the last 10 months has been on vyvanse..he was diagnosed at the age of 3 with ADHD and was on stratera for 5 yrs,and when we switched his meds to adderall xr ( was on it for 2 yrs) is when we found out his liver enzymes were high..his highest was 185 and his lowest was 60..we have been to a ped.GI and have had a liver biopsy done.. All they can figure out is that it s an unknown liver disease..they have tested for EVERYTHING...My son weighs 49 pounds and is 4 foot tall..we are curently waiting on more labs on all growth hormones (pituitary glands) and on his chromizomes.. My son needs his ADHD meds but his regular doc s want to wait a month n retest his emzymes before putting him back on it....But I can t wait that long...What else can a person test for to get answers on the high liver enzymes? He is on high calorie diet and the vyvanse breaks down in the kidnies.... Doctor: Hello,Liver enzymes, liver biopsy, pituitary hormones, chromosomal studies, etc., almost everything has been done and I don't think further investigations are needed. Vyvanse (Lisdexamfetamine) can cause hepatitis and increase liver enzymes hence your doctor is not starting that medicine. You should wait for reports for retest of enzymes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad"
},
{
"from": "gpt",
"value": "Target: Will it be safe to take Vyvanse for ADHD?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My wife gave birth to a sweet baby on 4th Nov . After 1 month my wife suspected Tuberculosis of spine and started taking treatment of tuberculosis (forecox tablet) . I want to know whether is it safe for breast feeding or breast feeding should stopped. Please help me Doctor: HiWelcome to HCMIt's perfectly fine to breastfeed during antibiotics tuberculosis treatment. Just complete the whole course of anti tuberculosis treatment."
},
{
"from": "gpt",
"value": "Target: Can a person suspected of Tuberculosis of spine breastfeed a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, Im 16 years old. I recently started the Depo shot in December of 2012, and automatically stopped having periods. I didn t have one in January, and when February came along I didn t get my period when I normally would either. How ever last week on February 18th I started having a small, what I thought was a period. But it was very light and not the usually color my period normally is. It was almost like a brown color. It was very light bleeding .. Really it s just been spotting. But it s been 8 days now and I m still spotting. I also noticed last night a very weird and almost foul oder. I don t know what s wrong or if this is because of depo or not. I am sexually active and keep myself clean, I ve only been with one guy. Doctor: Hello,First thing, you must exclude possible pregnancy by undergoing one home pregnancy test or blood test for beta-hcg. Though, failure rate of depo shot is quite low (0.3%).Depo shot has several side effects like irregular spotting, delayed period or amenorrhea, headache, abdominal bloating or cramp etc. It is more common with first time user.Foul smelling occurs mostly due to vaginitis, associated with bacterial infection. One vaginal swab test can confirm this. Kindly, consult with gynecologist for overall check up and take proper antibiotic treatment to get rid of this. Till then, you would maintain genital hygiene properly. Good luck."
},
{
"from": "gpt",
"value": "Target: Am on depo. Getting strange period. Is it normal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have osteoarthrtis in my facet joints in my lower back. Hydrocodone isn t working very well. I have GERD so I can not take NSAIDs. What could I ask the pain specialist for help? The cortisone injection did not work. Please help me to know what to ask my specialist. I need to lose about 50 pounds but it is not budging. HELP!!! I am in really bad pain most of the time. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Knee replacement or injection of Hyoluronic acid will help you. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: How can osteoarthritis in the joints and lower back be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my ESR count is 60 and I had giddiness and i am 24 years old and last yr in the month of august i had an allergi cough where in to stop that doc gave me Wysalone 10mg for 5 days and i was fine after that and my cough came down and at that time my ESR count was 90 Doctor: Hi,If you don't have giddiness or cough right now and bothering about high ESR then there is no need to worry provided that you don't have any symptoms now. ESR will come down to normal after few days.The raised ESR could be because of your allergy but in case you still having giddiness on coughing then it can be due to allergic bronchitis which is not subsided yet.With proper treatment from physician you will be alright.Thanks"
},
{
"from": "gpt",
"value": "Target: What is the treatment for giddiness and cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a sharp pain in my chest near or around hear I m 14 6ft tall and around 200pounds. What could it be? It happens every now and then usually ill be in bed moving around to get comfortable and it hurts I can t do much just wait for the pain to leave Doctor: Thanks for your question on HCM. In my opinion it is mostly muscular pain only due to muscle twitching and spasm.But better to rule out cardiac cause first. So get done ECG. If this is normal than no need to worry much for cardiac cause. Try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. 5. Avoid stress and anxiety. As stress can also cause muscular twitching."
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in chest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ive been getting headaches and having sinus issues lately. My dr says allergies but I have a hard time accepting that because Im in my 30s and never had this issue before. I purchased a house cheap about 6 yrs ago that needs a lot of work, more than I realized. After moving in I was overwhelmed with a bat problem in my attic. I have paid out alot of money many times hiring people to get rid of the bats but they come back. Once in a while one will find its way in the living area and within minutes my cat kills it. A couple months ago my cat started to get bad respirtory problems and died. My doctor told me what happened to my cat and my issues is not caused from the bats. Today I went for an eye exam and the eye doctor told me I have scars on my right eye caused from fungus from bird or bat droppings. Of course Im freaking out and thinking about walking away and giving it to the bank. Im not saying anything bad about my doctor, I just I have been going to my dr regularly lately for headaches and sinus issues Ive suddenly have. My dr says allergies but I have a hard time accepting that because Im in my 30s and never had this issue before. I purchased a house cheap about 6 yrs ago that needs a lot of work, more than I realized. After moving in I was overwhelmed with a bat problem in my attic. I have paid out alot of money many times hiring people to get rid of the bats but they come back. Once in a while one will find its way in the living area and within minutes my cat kills it. A couple months ago my cat started to get bad respirtory problems and died. My doctor told me what happened to my cat and my issues is not caused from the bats. Today I went for an eye exam and the eye doctor told me I have scars on my right eye caused from fungus from bird or bat droppings. Of course Im freaking out and thinking about walking away and giving it to the bank. I really need an opinion. Please Doctor: all you have allergies and the allergies are increasing to affect the different organ systemsthe allergies can develop at any time at any age by anything you can have food drugs pollens or other allergensneed to investigate for tests to find out the cause of allergies and treat accordingly you can get all the things controlled by treatment"
},
{
"from": "gpt",
"value": "Target: Headache, sinus issues, scars in right eye from fungus. Have bats at home. Diagnosed allergies. Help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: would ciprofloxacin help with a sinus infection Doctor: 1. Ciprofloxacin (quinolone) can be used but is not the drug of choice in sinus infection. 2. If sinus infection is mild, Amoxicillin is reasonable and good, unless one is resistant to it. 3. the treatment will be good for acute sinus, but if sinusitis is chronic then apart from managing sinusitis, treatment has to given to reduce the inflammation of nasal passages so that infection can drain from sinuses. 4. make an appointment with ENT or Otolaryngiologist for further evaluation and treatment."
},
{
"from": "gpt",
"value": "Target: Would ciprofloxacin help with a sinus infection ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, it is about 16 months that my son who is five and half years old has lost his ability to speak, he does not have a good appetite, he eats very little food, and cries a lot during the day and night. I would like to seek your assistance in this regard, though I have taken to doctors many time but no improvement is observed. Doctor: Hi....I understand your concern.I have few questions and suggestions for you -1. What is his birth weight and current weight?2. When did he start walking?3. Did he cry immediately after birth or did he require any special assistance to take the first breath?4. How long does he see television or tablet or cartoons per day?5. Did any one of the parents' had a speech delay as children?6. How many word s does he speak as of now- I mean his vocabulary consists of how many words?Suggestions:1. I suggest you are doing great by singing rhymes to him.2. Do not use tablet or computer or TV or laptop for doing that.3. Do not force him too much comparing him with others.4. He might get benefited by speech therapy, but before that kindly get back with the answers to my above questions.If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696"
},
{
"from": "gpt",
"value": "Target: What causes loss of speaking ability in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My grandson had seizures frm age 2 too 12 years old,,he as born with left he pairs paralysis,,which leaves his left hand and feet trun in,,for two years he hadn t had seizures,,today he got dizzy and fell at school,what could have cause that to happen,,thank you Ida Louise Doctor: This could be a physiological phenomenon called vasovagal. However as there is history of seizure disorder in a neurologically compromised child. Reevaluating for seizure is absolutely necessary. Get a MRI brain and EEG brain done."
},
{
"from": "gpt",
"value": "Target: What causes dizziness and fainting spell in a child?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my nose is running, my throat is itching, my eyes are swollen and it is hard for me to breathe. I have taken Alka-seltza, tylenol, panadol, loratadine and none of those seems to provide any relief. Could you please tell me what to take to feel better? Doctor: hello, thanks for ur query, sequence of sneezes,running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. it is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. best street ment is avamys( fluticasone ) nasal spray twice daily , tab. Montek- lc ( montelukast+citrizine once daily at bed time . all the best. take care."
},
{
"from": "gpt",
"value": "Target: Suggest medication for runny nose, ithcy throat with swollen eyes"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my husband/49 yrs old/ 5ft 10 inches tall/weighing 66 kgs/with BP of 110/80 has had a recent TMT test. Target heart rate of 171 achieved but result shows positive for inducible ischaema. Doctors in india say that no further test is required, but to lower LDL which is 130, and moderate pace of walking. Ecosprin 75 is prescribed. Is this the right treatment? Should further tests be conducted or not. Doctor says he is ASYMPTOMATIC and heart rate/pulse is normal. Doctor: Hello, Ecosprin is a medication for heart disease (ischemia) which has its action againts platelets but without cholesterol lowering effects. I agree with the plan to lower cholesterol levels, in addition of another medication, particularly statins, which are known to lower cardiac events significantly. The target LDL level is below 70mg/dl, which is also backed by studies to lower cardiac complications. I would suggest a check-up with your doctor for a prescription for the cholesterol lowering medication, as well as to check for any co-exisiting diseases, which can be treated as well. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Daryl Derick B. Dizon, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Can taking Ecosprin 75 be safe for lower LDL?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just left the hospital in Los Angeles after 2 weeks.I had viral herpes esophagitis. During the course of exams they took a number of CT scans which showed 2.0cm spiculated density in the left lower lobe. It was compared to a CT scan of 2 years ago and it appeared to have doubled in size. I also have stage 3 emphysema. They will be doing a CT/pet scan in 3 months. Is thereby speculation on your part as to the cancer potential growth….and is it cancer based on what I have described. Thanks Doctor: Hi,Lung nodules should always be carefully analyzed for malignancy changes. A nodule that is 2.0 cm right now has to be watched for over the next 3 months to know how much doubling takes place concerning the volume of the nodule. A nodule measuring 3.0 cm or more has a higher chance of malignancy. Spiculations are linear strands extending from the lung margin and have been seen in 90 percent of carcinomas and also in some benign lesions.The average doubling time of a malignant lesion is 100 days and that is the reason you have been advised to take PET CT after 3 months duration. This is an investigation which clearly picks out cancer lesions from non cancerous ones. If the lesion has a volume doubling time of more than 6 months then it is likely to be benign. Please do not worry."
},
{
"from": "gpt",
"value": "Target: Could growing density in left lower lobe with stage 3 emphysema be cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I just had a hernia surgery. I was prescribed Percocet I received Acetaminophen325 mg/ oxycodone 5mg I usually get a write up from pharmy I did not this time and my their was questions to the person who got this prescription. I was told after surgery about getting presc and the assistant stated a step down usage. I looked this up now I have taken one and half pills tonight. it states 1 to 2 every 6 hrs as needed and for 30 pills? I have severe COPD ? I have home oxygen...This is not the med for pain given by the hospital in day operation Should I be concerned. It states I should not use if copd.. I do have hypertension and think it has been added to Doctor: Yes I agree that if you have severe COPD then u should not take codeine or oxycodone as it can cause further retention of CO2 due to respiratory depression. Safer would be to take drugs like paracetamol or tramadol"
},
{
"from": "gpt",
"value": "Target: Can i take some other medicine for pain if i have COPD?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I take warfarin at a dose of 15-18mg daily,, I'm 30 and would so so like to have another baby, I had metal heart valves replaced in 2009. Can I replace the warfarin with heperin injections, and what's the risks involved during pregnancy?Thanks shell x Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern and would explain that pregnancy in women with mechanical valve prostheses has a high maternal complication rate including valve thrombosis and death. The use of warfarin throughout pregnancy carries a risk of embryopathy of about 6%;This risk is possibly lower with a warfarin dose Substitution of warfarin with un-fractionated or low-molecular-weight heparin from the 6th to the 12th week of pregnancy eliminates the risk of embryopathy.Anyway warfarin appears to be safer for the mother with a lower incidence of thromboembolic events than unfractionated or low-molecular-weight heparin.So you should make the decision to continue on warfarine, which is more safe but carries 6% risk of possible fetal abnormalities, or start subcutaneous heparin which is more safe for the baby, but not as safe for you. Regarding anticoagulation, required dosages during pregnancy for all anticoagulants can differ from dosages outside pregnancy. The risk of valve thrombosis with unfractionated or low-molecular-weight heparin is probably lower when aggressive dose-adjustment takes place, based on monitoring of APTT or anti-Xa levels; They may need to be administered 3 times daily, because the increase of glomerular filtration. Hope to have been helpful!Best regards, Dr. Iliri"
},
{
"from": "gpt",
"value": "Target: Can I take warfarin after having metal heart valves replaced?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter was diagnised with pneumonia bacterial and was hospitalized for nine days. She is now in home care and was released after the fever was gone for 48 hours. After 5 days of home care she got a low grade fever. I took her to the doc who did an xray which was postive as the pneumonia looked like it was clearing up. She is still on lavaquin day day 8. She is very tired. Why is getting this fever. BTW fever comes every 24 hours and is about 37.8 C Doctor: get repeat sputum test and culture to find out organism's and sensitivity for antibiotic also try to rule out other cause of fever.and rule out tuberculosis if u r staying in endemic area"
},
{
"from": "gpt",
"value": "Target: What could constant fever post a pneumonia infection suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi: I was stung in the upper part of my arm but there was no stinger left behind. 2 months has passed and I have swelling in the crease of my elbow. The swelling was quite large but has gotten smaller. I think that there was some infection from the sting and it travelled down my arm. It does not hurt but the lump scares me a bit. It is not a swollen lymph gland as I had it checked so what is it? Thank you. Doctor: Hi,From history it seems that you might be having enlarged lymph nodes in your under arm.This might be due to some thing bite on upper arm producing bacterial infection.Go for one antibiotic medicine course to clear infection on thepart and lymph nodes.Ok and take care."
},
{
"from": "gpt",
"value": "Target: Can a sting infection in my bum cause a swollen lump in my arm?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: In the hallway today, I fell and hit my knee on the ground. After about 1 second my knee started pounding with Pain. Then later today after the football game I was cheering at, my knee was swollen. My knee does not look Bruised. I can still walk on it but it hurts when I do. Doctor: Hello, It could be due to contusion or sprain. As of now, you can use analgesics/anti-inflammatory combination like aceclofenac/serratiopeptidase for symptomatic relief. You can apply ice packs for symptomatic relief. If symptoms persist better to consult an orthopaedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: Have swelling, pain and bruising in the knee after a fall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I'm a 17 year old male. Recently (past 2 weeks or so) I've had some irritation in the meatus of my penis from it rubbing against the inside of my boxers. Upon further inspection I noticed that the hole appears to be getting bigger, as if splitting downwards. I'm a heavy masturbator, and I've been taking Isotretinoin for acne which has made my skin exceptionally dry. I was wondering if this could be the cause of the split? Is there any way to prevent it from splitting further and return it to its original size? I'm very concerned, but I'd rather not go see a doctor as it's very embarrassing. Could you please help? Are there any creams, or ointments, or anything that I could use? Would Vaseline or Sudocrem help? PLease please please help! Thank you so much! Doctor: Hello, Please do not try to diagnose yourself. If you think this could be serious do consult a doctor in person for physical inspection. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
},
{
"from": "gpt",
"value": "Target: What causes irritation on tip of penis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Four months ago, I had radical surgery to remove 8 tumors, One was a pheochromacytoma on my left adrenal bed, the first pheo was removed two years previous, there were two tumors on my spleen, so they removed my whole spleen, there was a tumor on the tail of my pancreas, so they removed about a third of my pancreas and then there were two that were on my liver, so they removed them too. Since this surgery, I have been rehospitalized because of vomiting and diarrhea and severe abdominal pain. I was told that I have necrosis of the fatty tissue surrounding my liver, stomach and pancreas. Ok, I have been home from the hospital this time about two weeks and for the last week, I have developed a very rattly cough, and the vomiting and diarrhea has returned. The Diarrhea is constant and I don t always make it to the bathroom in time. It is orange with allot of mucus and very liquidy. Can you help me? Doctor: Hello!Thank you for the query.Your symptoms seems to be caused by chronic pancreatitis. Due to partial pancreas removal sometimes the pancreas enzymes are secreted outside the pancreas (to the fatty tissue). This is the most probable reason of necrosis. Diarrhea with lots of mucus is characteristic for pancreas insufficiency. Due to lack of enzymes which normally digest fat, diarrhea appears. That is why you should try pancreas enzymes supplementation with every meal along with special diet (low carbohydrates, more proteins) for pancreatitis.If it wont help, you may also have partial bowels obstruction due to adhesions. To diagnose it, enteroclysis (abdominal CT with oral contrast) should be done.Cough can be caused by a connection between the abdominal and thoracic cavity or by metastases in the lungs. Please consult your doctor and consider chest CT.Hope this will help.Regards."
},
{
"from": "gpt",
"value": "Target: Any help for suffering from constant cough, vomiting, diarrhea after had radical surgery to remove 8 tumors?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: First of all wishing you happy New year !!Sir! I just send this mail to get advice from you regards my doubt , scenario began as follows.my self and my wife be together on last November 24th 2011 but we don't want to be parents as soon because we just married and like to enjoy some days ,any how when we was be together my sperms injected in to her body but immediately used postino2 pills and she got periods on second time after one week its mean 3rd of December (last period ended on 24th November ) but its not as usual continued for long time just its happened for 3 days only.Sir is there any possibility to be pregnant after having periods according to my scenario , remember we never did sex after 24th November due to this reason.Expecting your Explanations . Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Chances of pregnancy are less.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Soumya"
},
{
"from": "gpt",
"value": "Target: Is there any chance of pregnancy after taking Postinor 2?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I am trying for a baby I visited my husband abroad and I have only 3weeks to try and get poregnant I arrived on dth of july 2011 two days before my period and we had sexual intercourse and my priod started on friday the 8th of july we waited for a while and started having sex again on monday the 11th of july towards the end of my period after that we have been having sex everyday even before my ovulion and after .do I have a high chance of getting pregnant and I should return back to uk on the 2fth of july way after ovulation Doctor: Hello,Thank you for the query at Healthcare MagicIf you are in early twenties the chances of conceiving after 1 month of trying to conceive is 25%. If you are 25-30 years old it is 20% and the probability decreases as age advances.Hope I was able to answer your questionPlease feel free to address any more concernsRegards,Dr.Lekshmi"
},
{
"from": "gpt",
"value": "Target: What are the chances of getting pregnant inspite of having intercourse during ovulation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: L.s discs L4L5. L5S1 since 2 years , epideural depomedrol 160 mg inj.Was taken in 2sets with 8 months duration Good results was obtained musle tone good, stability in walking is still with low back pain reduced with diclofinates . How can i get rid of this prblem . Thanks . Doctor: Hello, Thanks for your query.I understand you have back pain . These symptoms are part of lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc.There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.If you don’t get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptomsI do hope that you have found something helpful and I will be glad to answer any further query.Take care"
},
{
"from": "gpt",
"value": "Target: How to treat lower back pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I got married 6 years back and now trying to conceive.I have already gone through 3 Miscarriages. My all reports are ok. No Problem is there. I Consulted the doctors to know the reason why miscarriages happened (in 6 to 8 weeks only). My dr advised to take CCQ100 (5 days, from the first of periods). Fertisure F and foligel plus. I want to conceive asap, please let me know on what days will i be most fertile. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Be patient, if you rush it, the result might not be one you desire. Make sure we first concentrate on getting you a normal menstrual cycle, if your cycle is normal, your fertility will be normal.If all is well and controlled, then you can request your doctor to initiate folic acid supplements and clomiphene citrate. Usually within a few cycles of clomiphene citrate, conception is successful.I wish you loads of luck.Best wishes,Dr. Shoaib Khan"
},
{
"from": "gpt",
"value": "Target: Suggest medication to improve chances of conceiving"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi...the skin around my nose keeps drying..the dryness is so severe that it starts peeling...it started with skin on the nose folds...and then it has spread to nearby areas on my cheek..and a little bit on my chin....if i apply Moisturiser the dryness goes away...but it comes back again the next day...and this has causes a red stain on my infected skin as well...can you advice me ? Doctor: Hello. Thanks for writing to us at healthcaremagicThe dryness/scaling and redness involving the skin of nasal folds is nothing but most likely seborrheic dermatitis involving the face.Seborrheic dermatitis is an inflammatory condition of the skin which classically involves areas rich in sebaceous glands like scalp, face (eyebrows, glabella, nasolabial folds, chin etc) and chest/pre-sternal area.Itching is usually a symptom.If I was the treating doctor I would have asked you to apply a mild to moderately potent topical steroid e.g desonide 0.05%, twice daily for a few days.Seborrheic dermatitis is a steroid responsive condition and steroids bring immense improvement in this condition.Since seborrheic dematitis can recur therefore it is important to be on a maintenance regime to sustain the improvement achieved with topical steroid.Topical immunomodulators such as tacrolimus Or pimecrolimus are effective in maintaining the improvement achieved with topical steroids. This is all the more important because steroids cannot be used on face for ever I would suggest that you visit a dermatologist in your region for a confirmatory diagnosis. Your dermatologist may ask you to use a topical steroid initially for a short duration of 2 weeks and thereafter may taper them to once daily Or alternate day application before finally withdrawing and if the condition threatens to return back, he/she may substitute with one of the topical immunomodulatorsRegards"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for dry nose skin"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had my sed rate level checked a month ago and it was 47. Due to my level, the doctor tested me for lupus which came back negative. Today, I had my sed rate rechecked and it is down to a 34. I know this is still elevated but it a 34 something to be very concerned about? Doctor: I dont think so, esr is a non specific test for inflammation, unless you have some symptoms clinically, there should not be any problem.otherwise the best thing would be to get your crp tested which is more specific for inflammation"
},
{
"from": "gpt",
"value": "Target: Should i be worried about Sed rate of 34?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 21 year old niece thinks she has ADD. She went to a psychiatrist who put her on adderol (spelling) she is acting crazy, like a crystal meth tweaker... She may be doing street drugs with the adderol, or she may be taking more than the prescribed amount. I want to know what the legal limit a dr. would prescribe per month. Thank You! Family concerned about her poor choices lately. Doctor: DearWe understand your concernsI went through your details. Please understand that you need to evaluate or assess your daughter for a better diagnosis. ADD and substance abuse is different. Substance abuse related depressiona d anxiety disorder are even different. If you go and say I have ADD and put for the the relevent symptoms of ADD (she knows the symptoms and naturally she will exaggerate those symptoms), any psychiatrist will prescribe medicines for ADD. What happens to diagnosis? You should talk to your daughter and with her consult a professional clinical psychologist and get assessed for any mental disorders and then proper treatment can be started.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for ADHD"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother has adenocarcinoma of the duodenum . She had a whipple. Due to sepsis after the whipple, she was unable to receive any treatment ( chemo ) for her cancer. We were following her with serial CT scans. About 3 months ago, her cancer was found to be metastasized to her liver and all over her mesenteric cavity. She had a bile drain placed and is in hospice. She is experiencing increasing episodes of uncontrollable shaking. They are not seizures. She is fully awake and aware. She is able to respond during the episode. I gave her ativan. I also gave her candy. She wasn t eating well, and I thought that it might be a low glucose level. I have been trying to research this. I think it may be more related to her diagnosis. Can you give me any ideas? Doctor: In such advanced stage , body proteins get depleted and low metabolism renders extreme malaise,wasting, cachexia leading to chronic fatigue . Shaking is a sign of this extreme weakness-Ask your doctor for Inj durabolin 5mg daily,parenteral aminoacid/ fat supplement drips,calcium and multivitamin including vit K supplements."
},
{
"from": "gpt",
"value": "Target: Have adenocarcinoma of duodenum. Uncontrollable shaking. Given Ativan. Any ideas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir,....Some times we feel heavy to pass urine ,but no facility for urination ..this time we postpone urination until we reach a secure place...(may delay 1 or 2 hours ) if we continue this situation frequently Is this situation causing for kidney failure? (present /later) Doctor: Hello and welcome toHCM.you are worrying without any need to. Nothing happens to kidneys or bladder.So, no question of kidney failure."
},
{
"from": "gpt",
"value": "Target: What would happen to a person if he controls passing of urine for a long time?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My father has a block in an un important valve. But last week he got mild checst pain. When we consulted a doctor he diagnosed him with 2 tablets namely ismo and deplatt A75. After taking these 2 medicines he is getting heaviness in his head and also head ache. Is it normal or is it the side effect caused by the medicine?. Please help!! Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* There is documented side effects of headache and dizziness from isosorbide mononitrate .Hope this clears your query .Welcome for any further guidance .Regards dear take care ."
},
{
"from": "gpt",
"value": "Target: What is the treatment for chest pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My son is 9yrs old, 51 inch and 63lbs, his blood pressure was 110/80 at the doctors earlier today, he is going back for a recheck on 9/13. He has a cold and were at the Dr. for a growth check before school starts. What are some possibilities for his bp being high? Doctor: most common cause at this age group is acute glomerulo nephritis, u should check for hematuria, puffiness of face,and give urine routine analysis"
},
{
"from": "gpt",
"value": "Target: Why is my 9 year old son's BP high?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi. my name is kaula and me and my husband have been trying to have a baby for about a year. we wernt getting anywhere so about a two weeks ago we herd about girls getting pregnant by using softcups. so we tried. I think I might be pregnant but im not sure. what are my chances of conceiving? what are some very early signs of pregnancy? Doctor: To cofirm preg nancy only way is to do aprgnancy test. For preg nancy fertilization of ovum with sperm is requered. Your ovulation and patency test is to be done and seman analysis of your husband is to be done. Cosult doctor with doctor do not go by here say of lay man or woman."
},
{
"from": "gpt",
"value": "Target: Chances of conceiving by using softcups?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, When i went to donate blood to my sister on 20-12-2006,Blood screening found that the HBSAg is Positive in it.After that i consulted doctor for monitoring and general check up and the complete tests were done. The HBsAg is positive and the HBeAg was negative as on 27 -12-2008. Since then the doctor advised me to get checked every 6 months. I fear about this illness. Pl give me your advise about this and futher what steps could be taken in future Doctor told that its dint effect my liver as of now as the liver tests are normal , so treatment is not required for this condition, Doctor: Hi, Thanks for your query. We feel that you are an inactive Hepatitis carrier. An inactive HBsAg carrier is defined by having the presence of HBsAg in serum, no detectable HBeAg, low HBV DNA (less than 10,000 to 100,000 copies/mL), and persistently normal ALT levels for more than 6 months. (However the HBV DNA is not done in your case) Reactivation of HBV disease occurs when a person is in the inactive HBsAg carrier state and develops elevated liver enzyme and HBV DNA levels and, in some patients, detectable HBeAg if the wild type virus is the dominant infection. We would advice you to get the LFT evaluated and the antibodies of anti HBcAb and HBsAb done after 6 months. If the HBsAg is positive after 6 months then you might be going into chronicity which happens in only 10% cases. We would also suggest you to get your wife vaccinated (if married ) with Hep B vaccine if she is not yet exposed to. Further more you need your children to get vaccinated. Apart from this We would suggest you to take good nurtritious diet. We hope this informations would be useful for you in follow up. Please get back to us for futher queries or chat with our doctor from 9 to 9 IST daily. Regards"
},
{
"from": "gpt",
"value": "Target: Hepatitis B positive. I fear about this illness"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my friend consumed half a cup of harpic (toliet cleaner ) it contains hydrochloric acid . he did not vomit after consuming . it s been almost a year and now he has pain in his chest and has the problem of asthma . he consulted a doctor and the doctor said that the infection can t be cured. but there many cases that are worse than this but they have been cured . so please suggest me somthing Doctor: Your friend is lucky that he did`nt have much damage after consuming harpic which contains acid though mild and many other chemicals. He could have developed hyper reactive airways after inhaling the fumes or some of it may have gone down his airways. He may go in for chest CT to asses the damage to the lung parenchyma and a PFT. The risk is if he has any damage to lungs he may develop broncheactasis and he may get repeated chest infections.He may develop hyper reactive airways and have asthma may develop ILD. If he has no symptoms at present."
},
{
"from": "gpt",
"value": "Target: Consumed harpic toilet cleaner, chest pain, asthma, unable to cure infection. Suggestions?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I had my gallbladder removed 3 years ago and have started to get similar discomfort in my right shoulder blade and also excessive belching after food. I have also been experiencing pain for the last couple of years in my right breast which has been diagnosed as costochondritis its like a muscular pain behind the breast. Could this be possible stones forming again even thought the gallbladder has gone? Doctor: Hi, dearI have gone through your question. I can understand your concern. You have muscular pain. Your gall bladder is removed so its not gall stone. You should take muscle relaxant and anti inflammatory drugs. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What causes discomfort in right shoulder blade after gall bladder removal?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i was advised to take goodova plus 50mg from last 3 months but egg size like this Right overy 11x10mm from day-11 to day-15 no increament in egg size. Previous year siphene used at that time egg size Right overy day-11 18x17 day-12 23x17 day-15 not visveized. Is it correct prescription or not. Please tell me the reason Doctor: Hi goodova plus and siphoned are same. So sometimes it can happen because of difference in dose. Might be the dose taken by you earlier was 100 or 150. So you need to increase the dose this time. With high dose you might respond. Even if you don't respond to higher dose, some injections might be needed."
},
{
"from": "gpt",
"value": "Target: What causes poor egg size after taking Goodova Plus?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I've recently been diagnosed with liver, heart & renal failure. Also, Hep C. However, they tell me another disease is causing my liver & kidneys to fail in addition to the Hep C. They have done numerous tests. They are leaning towards Amyloidosis, but don't have any conclusive test results. No biopsies have been done except a fat pak, which was negative. I'm losing about a pound a day. Liver function continues to go down. Renal fuction is stable, but creatine level is at 3.1. The heart condition was diagnosed as restrictive cardiomyopathy. They are stumped as to what my condition may be. I itch incessantly. Also, quite yellow, as the liver function continues to decline. Any ideas as to what may be going on? Doctor: Your are having a problem of your heart..cardiomyopathy..which lead to decrease blood flow to liver and kidney and cause all the problems you have...unfortunately the only treatment for you is heart transplantation...otherwise, try not to exert any physical exercise nowadays.."
},
{
"from": "gpt",
"value": "Target: What is the treatment for liver, heart and renal failure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: From last 1 year I am sufferng from huge hairfall i dont wats the reason pehle oil bahot jyada use krti thi hairs ko without oil nh rkhti thi bt now clg nd all ki vajah se oil lgana acha nhi lgta week me 1 tym hair wash krti hu kyuki jyada wash krti hu toh hairfall jyada hota abhi toh me shampoo use nh krti nly amla reetha nd shikakai se hair wash krti hu so plzz give me some solution for tat Doctor: Hello, you seem to be having a condition of diffuse hair loss known as telogen effluvium. I would adv you to get a serum ferritin levels and thyroid function test to rule out iron deficiency and thyroid disorders respectively, as common causes of treatable hair loss, if these investigations are normal, start hair supplements like tab Follihair 1 tab daily for atleast 3 months and use Xgain shampoo for washing scalp twice weekly.Take careThanks"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe hairfall"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello there, Things are like this, About 3 days ago i noticed an internal bump on my right buttcheek(excuse me if this word isnt so appropriate, English is not my native language) - and i didnt pay much attention to it. With time, it started growing bigger i could tell, and today i started feeling pain when i tried to get up or even to sit, and when i saw it, it had grown bigger, it was red, and warm to the touch. Now for some more info, im shooting up steroids, DECA-DURABOLIN in patricular, right on the buttcheeks, different one each saturday. And of course, because this steroid is of an estera nature, as far as i know, it stays there for some time untill the body drains it all. So after the shots, its natural to have a small(as always) non hurting small bump Or it could (given the syptoms) ah infection (after the shot). But the thing is, that the bump i currently have i on my right buttcheek whichni shooted 3 WEEKS AGO!!! So how could this be an infection? and if it is, would you suggest me to wait to see if it heals by itself? Thank you for the suggestions and for your time in advance, what you do in this page is angel-like. I trust you are an open minded person and treat the matter how it should. Thank you sir. Doctor: Hi,From history it seems that you might behaving forming abscess over the injection site.Due to oily nature of steroid injection there might be having irritation producing lump is common.But as there is throbbing pain, warm and size increases, it is likely that there might be forming abscess.Go for one antibiotic and anti-inflammatory medicine course for 5 days.Ok and take care."
},
{
"from": "gpt",
"value": "Target: How to get rid of bump on the inside of the right buttcheek?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a fall on the 1st of April sort of got over it sowent swimming, the impact was on my left side, but since then I have had a problem with my leg my mobility has not been so good. Been to see a physio, had some treatment, also went to hospital, will go to physio again. not sure how to deal with it on a daily basis. Doctor: Hi what i understand from your description is that after you fell on lest side of your body you are not able to move well . In these kind of fall you have probably injured your hip or ankle . I would recommend an X ray of Pelvis with both hips antero post view and (L) anle AP/Lat. Further treatment would depend on x ray pics."
},
{
"from": "gpt",
"value": "Target: How to treat the swell that is restricting movement caused by a fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am a 30 year old male. 6 2 and about 235lbs I have about three spots on my right side that feel tender like a bruise. I have had the tenderness for about two or three weeks now. I can also feel like a pea sized lump under each tender spot. Nothing visible. Any Ideas on what this may be? Doctor: Hi I am Dr Fahim and I will help you with your problemI have gone through question. Need further information to reach a diagnosis- Duration of the swelling in days/weeks?- When it got painful?- Can a skin move over the swelling?If it is of shorter duration, it is most likely boil/folliculitis. If the swelling was present for some time, and now got painful it is most likely an infected sebaceous cyst. If such a patient walks into my clinic I prescribe tab Augmentin (amoxicillin and clavulonic acid) along with paracetamol 500mg 8hourly. Incision and drainage in case of boil and excision of sebaceous cyst in case of infected sebaceous cyst is the main stay of treatment followed by regular antiseptic dressing.I hope my answer will help. Do rate it, if you like it.Regards"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pea sized lumps on the right side of the body"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, About four weeks ago I vomitted following eatting about a half a bottle of generic peanuts, which I am not allergic to. The day following I had a terrible burning sensation in esophagus/stomach location. It killed and took milk of magnesia and went to doctor. Doctor sent to OR and all tests normal. The next day had a slight bit of dark stool and I assumed that it was from a mild ulcer that had bled due to throwing up. Doctor had gall bladder ultrasound and had ejection fraction tested. On my own I treated the pain as an ulcer and have not had an attack since before the ejection test. I told doctor this but the test came back with ejection fraction of 8%! I do not have any pain, feel great. I am taking an antacid and plan to discontinue. Doctor wants me to see surgeon to get gall bladder removed, but he says it is up to me. What would be symptoms of having this low ejection rate? I do not have any signs or symptoms of gallbladder disease..chalky stool, pain in back, etc. I feel great. I am 52, weigh 118 and don't eat alot of fatty foods. Doctor: Hello.The usual symptoms of a gall bladder problem would be right upper quadrant pain, nausea, and abdominal cramping and it usually indicates gallstones, but gall bladder hypokinesis--a poorly emptying gall bladder--can cause the same symptoms and, if they become frequent, then it is recommended that the gall bladder be removed.In your case, this doesn't sound like it's your gall bladder acting up and, were I your doctor, I wouldn't recommend removal."
},
{
"from": "gpt",
"value": "Target: Could low ejection fraction with vomiting and esophageal burning indicate gall bladder problem?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 34 year old male. I ve had these bumps for 1-2 weeks now on my back, mainly left side. They have started to spread to the sides of my trunk. Not very itchy but uncomfortable. Hot shower water gives temporary relief. On Keppra, Depakote, xanax and )melatonin at night). Been on Benadryl for 2 days, no sign of them going away. Doctor: Hi.Your more detailed history and a picture would have helped me o help you more. Such multiple bumps on the back, mainly on left sides an now spreading to the truck is suggestive of the following:This can be due to multiple boils or herpes if spreading to only one side only. Continue your treatment and consult a Dermatologist."
},
{
"from": "gpt",
"value": "Target: How to get rid of bumps on back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi. i had an incident where the condom ripped rigth at the end. 15 minutes later I ran to CVS and got plan b. I was supposed to have my period the day before sex but now i have horrible cramps , slight spotting, and dull pain when urinating. I have taken plan b before but never had these symptoms...so im afraid the blood was an implanation bleeding ... I dont know what to do Doctor: hiiiii.Chance of pregnancy is there,if intercourse is done around ovulation time in regular cycle.Pain and cramp during urinating may be associated with some sort of infection. Do a Urine test if persist for 2-3 days or more. Drink plenty of water and maintain personal hygiene.Spotting or slight bleeding may be due to hormonal imbalance or early implantation.Do a urine test for hcg after 1 wk of missed period or a USG lower abdomen to rule out something.See result and consult with doctor. Avoid stress and practice safe sex in future.Be well."
},
{
"from": "gpt",
"value": "Target: Spotting, cramps and dull pain while urinating. Unprotected sex. Implantation bleeding?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi. Im 19 years old, im on the micropil pills for 6 months, i ve never stop and escape to drink it, then one night i took it 1 tablet, then i drink alcohol then had sex with my boyfriend, will i get pregnant or not? Because some says that alcohol can interfere the pill. Thanks Doctor: Hello dearI understand your concernDo not worryAlcohol doesn’t impact micro pill’s effectiveness.Hormones in birth control reduce your liver’s ability to metabolize alcohol.This can lead to high blood alcohol levels and may increase your level of intoxication if you’re on the pill.But alcohol does not interfere with the action of the pill.But remember that there is no intoxication and vomiting after the alcoholIn intoxication, you may might forget to take pill.If you plan to drink, make sure you’re prepared to take your medicine at the correct time.If you drink excessively, you may become sick and vomit. If you vomit within two hours of taking your pill, you may not absorb the pill, which could increase your risk of ovulating.So if you have vomiting after 2 hour of taking pill then use barrier contraception for next week.But I think you have not any vomiting, sickness and missing pill, so no chance of the pregnancy.Hope this may help youContact HCM for further health queryBest regardsDr. Sagar"
},
{
"from": "gpt",
"value": "Target: Will alcohol nullify the medicinal effect of micropil pills?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 25yr f, 5'0, 117lbs no medical history. Went to hospital 2days ago w/shortness of breath pain upper abdomen middle of chest bone & dizzness..by time ems & fd on scene I was going into shock o2 stat was 84% w/o2, pulse 125. Hospital done ekg, blood, and Xray & diagnose me w/gas. Past 2days I've been having what feels like air bubbles/gurgling in left lung worse when I lay down what is this from? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. You current symptoms on air bubbles feeling on lying down are mostly due to GERD (gastroesophageal reflux disease). GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of central chest pain, gaseous distention, air bubbles, gurgling feeling etc. So follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Take pantoprazole tablet on empty stomach. 3. Keep 2-2 pillows under head in bed to prevent reflux. 4. Avoid hot and spicy food. Avoid junk food. 5. Avoid large meals, instead take frequent small meals. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: What does feeling of air bubbles in lung suggest?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Completely unexpectedly, with no prior history, or obvious injury, I went to get out of my car and felt like my left ball of my foot had something stuck between foot and sandal. When I looked it was VERY swollen and somewhat painful, though more uncomfortable due to swelling. After a couple of hours it subsided enough that as a coach of runners I went ahead and shuffled carefully around for 30 min. It felt better and swelling went down , now it is VERY purple in color. This same foot has been experiencing some Achilles and heel pain but this ball of foot has never been a problem Doctor: Dear patient thank you for your question.It seems to me that you have a hematoma collection in the ball of your foot.While this is nothing to be worried about and will resolve within a week max I must suggest that you do get your coagulation profile done to make sure that your platelet count etc are in order. I hope this helped"
},
{
"from": "gpt",
"value": "Target: What causes swelling and pain in the ball of the foot?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I'm 15 years old and for a while now I've been having these cyst-like bumps on my inner upper thigh and butt. Sometimes they're very hard to squeeze, but when something comes out of it, it's usually like a yellow, white -mostly white pus that comes out it. And I get pimples on my butt. Recently I've had a cyst like bump one on my butt and it was very hard and dark, though when I was able to squeeze it, a white cheese like substance came out. As well I have boils, but I don't sit on public toilets seats or anything. As well i have a lot of black heads on my inner upper thighs, and I can feel big nots-bumps under the skin that most of the time surfaces and I can see the cyst like bump, but then it may go back under after a few days or it may just go away. Also I have these dark dots on my inner upper thigh that are dark, hard dots. Oh and one more thing; these cyst like bumps on my inner upper thigh and butt sometimes hurts. Like I can't sit down properly cause it hurts - but it's not all the time. And sometimes they have like raw skin and it burns and hurts to touch them- especially on my upper inner thigh. And sometimes blood will come out of them when I squeeze them. I am not sexually active. I try to be as clean as possible. I just want to know what this is and what's causing it, and how can it be stopped. It's very aggravating, I can't wear shorts or anything, I only wear jeans. Please and thank you for you help. Doctor: Namaste Welcome to Healthcare-Magic Greetings of the day You are probably suffering recurrent folliculitis in the buttock area. Other possibility I would like to consider if you are very hairy and sit for prolonged time is Pilonidal Sinus. Both of them require assessment by General Surgeon. It will require a course of antibiotics like Augmentin for 7 - 10 days., local ointment, hot seitz bath. If it turns out to be Pilonidal sinus/ fistula in ano it will require further surgical intervention. Any case you need to see a Surgeon. Do get back if you have any doubts. Take care Regards"
},
{
"from": "gpt",
"value": "Target: Painful cyst like bumps on buttocks and upper inner thighs. Pussy and painful sometimes. Treatment?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Ive hhbeen having some pain in my left buttocks it hurts when I get up to fast and the osin does shoot to my thigh as well when I walk it hurts ar stand to long or sit certain way when I carry my daughter it hurts as well my email is YYYY@YYYY Doctor: Hi, From description it seems to be tendinitis which causes pain. Give rest to the part. Doing hot fomentation and applying muscle relaxant gel will be helpful. Hope this helps you. Warm regards."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for severe pain in the buttocks and thighs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Did the rabies can spread by having direct contact with rabies affected dog skin.?? Last monday i was going walking.on my opposite a rabies affected came across me and about to bite. i was started running bt i fell down. i was unconcious for 2 min.The dog came over my body for biting me but my friend hit the dog with a wood. The dog was died.Then my friend lift me up. Bt again i fell down over the dog.i had direct contact with the dog skin. I had wounded in my legs knee and scraches in my hand fingers.I dont know whether i was directly contacted with the saliva of the dog. Bt the dog blood was in my shirt due to falling down on the dog body. I have checked my self for any bite. bt nothing is there. I want to know whether i will get rabies are not. and any treatment is required. Pls help me out in this issue... Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should not worry.Rabies virus can only spreads via bite (Saliva). Virus survives never survives in blood so there is no point of worry to you.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: Will I get rabies by touching a rabid dog?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi i am 31 years old, i am having stress, anxiety , ocd issue for last 11 yeras, i m taking anti-depressents mediciens for last so many years now most of ocd problem has been resolved, but no apitite for last 10 years, due to this i have stammering problem sometimes a lot. my parents wants to get married, but i dont want due to this problem, a lot of heaviness in my mind dus to this i have stammering problem, never concenterate on my job and studies, nowadays i m not able to take sound slep, i sleep 10-12 hours but after getting up i found no sleep, means more sleep, a lot of heavyness in my mind and no apitite for last so many years, a lot of mediciens i have taken, now i am taking Clonil 25 mg, depxil 12.5 mg, serlift 25 mg(1-1), what i should do now pls help. Doctor: Hi Pavan, Your problems appear to be due to residual effects of the problem (ocd and anxiety) you had for years. Consult a psychiatrist for a detailed evaluation. A minor change in the dose of the medicines can help you a lot. If you can tell me where exactly you are residing in Bangalore, maybe i could guide you. All the best."
},
{
"from": "gpt",
"value": "Target: What can a person having issues with mental health do to resolve his problem of sleeplessness and loss of appetite ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I's prescribed to take antibiotic, vitamins and dietary supplements for my acne problem. After somedays I noticed that my hair is falling severely and even I an unable to comb my hair. Is it because of my medicines? I've stopped taking medicines now. What should I do? Mahi-19, Dhaka Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The medications for acne not necessarily cause hair fall, it is mostly an acute change in the system which causes that. I suggest you revert back to the doctor who prescribed the medications and maybe they can tweak them a little bit. Also consume multivitamins which have biotin in them Hope that helps!"
},
{
"from": "gpt",
"value": "Target: Can acne medications cause hair fall?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am suffering from asthma and whenever I drink milk, I suffer with respiratory problems. Any particular reason? Doctor: Hello, Welcome to HCM, It is not clear from your question that at what time you use to take milk. In my opinion if you take milk in the morning, you will get less problems. But if you take it at bed time, can create more problems. As you are suffering with asthma, you can be allergic to milk protein also. And if you are allergic to milk protein, then every time you take milk, you will suffer with respiratory problems irrespective of time. The 2nd reason, which can cause problem is poor digestion of milk protein. I want to tell you that as our age advances, our ability to digest milk generally decreases due to poor secretion of enzyme responsible for it, which can cause flatulence & thus aggravate respiratory problems. Thus you should avoid all those foods, which aggravates your respiratory problems. Wish you good health,"
},
{
"from": "gpt",
"value": "Target: Why does an asthmatic get respiratory problems on drinking milk ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor I am ashrsf 41 age since 3 monthes i was severe influmation in the lung due to the h1n1, i had taken many anti-biotec and profines after time , i sever nausea, as a result reduce my quantity of food and take fluids and simple foods, improve but after time when return to take the normal food the nausea repeated again, this matter repeated many times i take nexium 20 + ganaton 50 since 5 weeks i fell improvments but not return as i was before my personality , iam sever anxiety, panic please advisee me Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, you should definitely consult psychiatrist for control of anxiety and panic disorder. Stress, anxiety and panic disorder can worsen GERD (gastroesophageal reflux disease).Your drugs are appropriate for GERD.Now we have to control your anxiety and stress to give you better relief of symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution.You will also need anxiolytic drugs (propranolol and flunarizine combination) too.Don't worry, you will be alright with all these.Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest medication for infection in the lungs"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 2 year old has had a fever at or over 100 i have been alternating tylonol and advil throughout the night and he has been on tylenol during the day. he is drowsy and had puffy red eyes. He has been drinking and is in only his diaper. should i take him into a doctor? Doctor: hi, thanks for the question. your child might be thirsty and drowsy because of fever. yes you should see a doctor."
},
{
"from": "gpt",
"value": "Target: Suggest medication for fever"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Every following month my wife’s periods get postponed by atleast 2-3 days. This has been happening for about 3-4 months now. Because of this we are unable to identify her safe period for unprotected intercourse. Is this normal and what is the cause? She is not on any birth control measure. Are low dose contraceptive pills really safe for having unprotected intercourse around 4 times a week ? Are home pregnancy test kits 100% reliable ? When should they be used for accurate result ? Which one do you recommend ? Doctor: Every month 2-3 days delay is not abnormal.It is better to use contraceptive pills like Novelon or Femilon which are very low dose with least side effects. Home pregnancy kit is not 100% reliable.It should be done after 3 days of your expected date of menses with very first morning urine sample.You can have Pregcolour card or Accucheck card."
},
{
"from": "gpt",
"value": "Target: Periods get postponed by 2-3 days"
}
]
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.