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[
{
"from": "human",
"value": "Source: Patient: I fell on my right hand last Wednesday and landed palm facing down and there is a lot of swelling in my thumb and the lower part of my thumb as well as the palm itself and tenderness surrounding the thumb. I have been taking medicine that my doctor has gave me. What else should I be doing and could it be broken? Doctor: Hello,I had gone through your query and understand your concern. The chances of your thumb being broken depends on your age. If you are an aged person fracture is more likely as your bones tend be weak in old age. However, it is a good idea to get a x ray of palm to rule out any fracture.To reduce swelling you can hold your hand folding at elbow. While sleeping you can keep a pillow under your hand. To reduce pain you can continue to take medication prescribed by your doctor.I hope this helps. If you have any other queries, feel free to ask. Regards, Dr.Prathap Kumar"
},
{
"from": "gpt",
"value": "Target: Suggest remedy for swelling and tenderness in thumb"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi docter My baby is one month old and she is doing gr een motion since morning with fever .our docter advice us for the ofloxacin and metronidazole suspension and crocin drop.we are given her three dose .now fever is alright but motion still as it is.what should we do Doctor: Hi...Thank you for consulting in Health Care magic.Green watery diarrhoea could be of viral origin. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,"
},
{
"from": "gpt",
"value": "Target: What could fever with green stools in an infant indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, my three years old wake up and had red line on his body. i dont really understand why this had happned, i thought first bed buggs or bites etc. so i kept all the cleanzine in place but more and more red line kind to appear in different areas of body. if he got line on his back, than later on the line disappears and goes somewhere esle on the body, just keep repating the pattern, can you help? what are the red lines and bumps on his body? Doctor: Hi,Thank you for asking question on health care magic..Your history suggests that it is a sort of allergy.better try Cetrizine syrup 2.5 to 5ml for 5 days one at bed time in consultation with your doctor.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics"
},
{
"from": "gpt",
"value": "Target: What are the lines and bumps on my kid s body?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have recently been tested with TSH 6.2 my family doctor said it was mild and didn't want to treat it at all because I have tachycardia. I have an excessive sweating problem where the sweat drips on the floor and I just feel awful and tired of living. Should I get another oppinion from an endocrinologist? I have also had diarrhea for 3 years. My doctor said there is nothing less he can do. Am I crazy? Doctor: Hello,He is right, it's just a mild elevation of tsh and doesn't require treatment but just monitoring. Even treatment will not help you in anyway. You probably have anxiety which is causing both tachycardia and sweating. Also, get one hemoglobin level checked if not done recently. Avoid smoking alcohol if any. You should get prescribed tab Ciplar LA 20 mg once a day, which will take care of both anxiety and tachycardia. Hope this helps you and get back if you have any doubts."
},
{
"from": "gpt",
"value": "Target: What is the treatment for tachycardia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am from Philippines. I am 26 weeks pregnant and I have been sufferring from severe toothache for days now. I 24 years old, already working and I still got no time to go and see my dentist but tomorrow I will as I cannot take the pain anymore. I took one tablet of ibuprofen yesterday and one rexidol today to ease the pain but it does not work. I am afraid now that it has great impact on my baby. :( Is my baby still OK? I will not take any med without prescription from now on. Doctor: Your stress levels will surely affect ur baby. Go to a dentist and get your treatment done. Pain won't affect but taking stress for a pregnant mother isn't good for her baby"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for toothache"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My nephew is two, still does not sleep threw the night and has bags under his eyes all the time. He also is still very oral , every thing goes in the mouth , he licks my wall , puts leaves and pine needles in his mouth any thing he touches it goes in his mouth. I think something is wrong. What do you think. Doctor: Thank you for posting your question.The number of hours of sleep that can be considered adequate for any child is usually individualized. It depends on the pattern that has been formed from the beginning, the diet that the child consumes, the level of activity the child has , the routine of other members of the family, the sleep conditions provided to the child in the house etc. Although sleep is also likely to be affected in any disease process going on in the body, if decreased sleep is a routine affair for the child then it is unlikely that it would be due to any illness. The process of ensuring good sleep for the child would be long, requiring continous efforts and patience. Certain tips that could be used include increasing the level of activity in the child, avoiding day time sleep as much as possible, giving a glass of milk before bed, giving a warm bath before bed, making sure other family members are asleep and lights switched off in order to provide an ambience to the child etc.Having said so, one cause that is often overlooked and causes sleep disturbances in a lot of children is obstructive sleep apnea. This occurs due to obstruction in any part of the upper airway due to either a deviated nasal septum/ tonsillar enlargement/allergy/cold/obesity etc. It usually manifests in the form of snoring and disturbed sleep at night and is considered if it causes day time irritation/lethargy or other system involvement. If it is suspected consulting a doctor would be advisable.Apart from this, the habit of eating unedible substances also known as pica could be due to deficiency or iron or calcium which may be corrected be giving supplements."
},
{
"from": "gpt",
"value": "Target: What causes sleep disorder and bags under eyes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello Sir,I am getting confused with my lab report because the result varies from one lab to another. This is my recent report. Please tell whether i am capable to pregnant my wife or not. My Semen Analysis Report, Volume:2ml, Reaction:Alkaline, Viscosity:20 minutes liquefication, Colour:Opaque Gray, Microscopic: Active:60%, Non Active:12%, Sluggish:28%, Tpotal Sperm Count: 58million/ml,Others: pus cells:3-5, RBC cells:Nil, Epithelial Cells:2-3/HPF Doctor: Hi welcome to healthcaremagic.I have gone through your question.Your semen analysis has normal color, normal ph, normal liquefaction time.Active motile down is 60% is absolutely normal ( 30% should be active motile), count is also normal (should be atleast 20 million/ml).The mentioned pus cells, RBC and epithelial cells is in normal range.In your report morphology didn't mentioned.Otherwise mentioned all parameter are normal.Hope i answered your question.Would be happy to help you further.Take care."
},
{
"from": "gpt",
"value": "Target: What does this semen analysis indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 6 year old son fell off the monkey bars at the park a week ago hitting his forehead on a wooden cross beam, his forehead immediately came out in a very large lump, 3 days later 2 black eyes appeared after the swelling drained into his eyebrows and nose, now 6 days later he still has a lump on his forehead which is very painful for him, he will not let anyone near him to touch it, we took him to the hospital on the day this happened and the Dr said she didn t think his forehead was broken - he wasn t scanned or given an x-ray. I am still obviously worried about him, should the lump still be so visible after 6 days? Doctor: Hi,It seems that he might be having formation of big hematoma leading to swelling on forehead and black eyes.It will take some time for subsiding hematoma on forehead.Apply ice pack 2-3 times a day for few days.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes visible lump on forehead after a hit?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: for last couple of months i have feeling sense of light very light pain in my right lower abdominal i didn't have any problem condition actually i can ignore this but the sensation is always there. i had putted some more weight these days and i have a gastric problem but very slight. is it any symptoms of any critical ? Doctor: Hi.Thanks for your query and an elucidate history. Since you have a light pain in the abdomen, I would suggest you to get your blood, urine and stool checked and an ultrasonography done. Secondly you can take a course pf an antibiotic and metronidazole and probiotic for 5 days- your problem may be solved. Also take a PPI or Ranitidine."
},
{
"from": "gpt",
"value": "Target: What causes right abdominal pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I have hives just around where the suprasternal notch (jugular notch) is... it's been there for a few days but today it seemed to be getting worse. I normally don't eat fast food but today my friend kept on insisting that I eat kfc so i did... would that be enough to trigger this Doctor: Hi Dear,Understanding your concern. As per your query you are suffering from hives around suprasternal notch (jugular notch) which seems to be due to external stimuli such as environmental factors, cosmetic product or side effects of any medicine, food product. It is very important to find out what exactly causing hives or what factor is responsible for their occurrence, because treatment depends upon the causative factor. As such hives are harmless but when they start interfering in vital activities of life like breathing difficulty in your case then the condition become a kind of medical emergency . So i would suggest you to consult allergy specialist for proper diagnosis Doctor may prescribe other steroid cream, anti inflammatory drug or drugs that can suppress immune system. Apply cold compresses to body for itchiness and redness.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: How to treat hives around suprasternal notch (jugular notch)?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello my name is Mickey and i am a white male about to turn 58 yrs old and my joints in my back feel like they need to be poped or adjusted a burning type feeling and i can feel them move around when i try to twist to get releif. what can i take otc to releave some of this disconfort? Doctor: Hello,Burning sensation and pain in the joint may be due to arthritis or spondylosis with nerve compression or muscle spasm. Until examination is done it is difficult to say what it is.Use tablet pregabalin 75 mg once a day for five days. If necessary take calcium also orally. If no improvement please consult with your orthopedician he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes burning sensation in joints and back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My two-year-old had a really bad cold it turned out he had infection in both ears and he was prescribed antibiotics. Now about two days ago he was pooping with mucus on his stool and sometimes when he passes gas only mucus comes out. Should I be concerned? Doctor: Hello. I just read through your question.Diarrhea, with or without mucous, can accompany ear infections. Additionally, a potential side effect of any antibiotic is diarrhea. So it is likely that the antibiotic is contributing some way to the diarrhea you are seeing.The key, is to keep him well hydrated. As long as you are able to maintain his hydration, there is no need to be concerned."
},
{
"from": "gpt",
"value": "Target: What causes mucus in stool of a child while having ear infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: PATIENT NAME ; SK MASTHANVALI 51/M ,TAYLOR WORK FROM LONG 21 YRS , HE IS NOW SUFFERING FROM LOW BACK PAIN FROM 1YR & OCCASIONAL UPPER BACK PAIN WITH EXAGGERATED KYPHOTIC CURVE OF THORACIC VERTEBRAE ,EXCESSIVE LUMBAR LARDOTIC CURVE ,CENTRALISED BACK PAIN BILATERALLY ,BILATERAL SLR NEGATIVE ,NO RAIDIATING PAIN OF LOWER LIMBS ,PAIN INCREASE WHILE LONG STANDING ,SITTING WITH UNSUPPORT ,SUPINE LYING & SIDE LYING RELIEVES PAIN ,WITH BRISK REFLEXES OF LOWER LIMBS OF NEGATIVE BABINSKI’S SIGN, SENSATIONS NARMAL ,ROM OF LOWER LIMBS NARMAL WITH MUSCLE POWER 5/5…………………………MRI REPORT ……Dt.12/09/10 LUMBAR SPINE .1.MILD RETROLISTHESIS OF L5 OVER S12.LUMBAR CANAL STENOSIS FROM L1 TO S53.DISK BULGINGS FROM D12/L1 TO L5/S1 WITH INDENTATION OVER THECAL SAC & ENCROACHING THE NEURALFORAMEN BILATERALLY AT L4/L5 L5/S14.HYPERTROPHIED LIGAMENTUM FLAVUM AT L4/L5 5.SCHMORL NODES FROM D12 TO L3 & L5 BODIES …………………PLEASE SUGGEST THE TREATMENT WITH OUT SURGERY Doctor: Hi, welcome to our site. I am Dr Saumya Mittal, MD.Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your queryFrankly, I would have liked to see the films of the MRI. You see the report you have mentioned needs a definitive surgery. That would be the best thing that can relieve him from the pain and discomfort.Still, if you insist on not getting surgery, I would suggest finding a very good physiotherapist who can work on the back muscles and the soft tissue of the back> This will take care that while the bony disorders cannot compensate, the muscles tissues will gradually become strong enough to support him entirely. He should not lift heavy weights, should definitely avoid bending, and should rest a good bit.Medicines like pregabalin and methylcobalamin may have some effect, but the effect will be temporary and not long lasting. In fact, with that report, I have doubts as to how much relief can be obtained.I still suggest moving in for surgery.I also suggest an NCV of both lower limbs. If the test shows compression of nerves, one should really think carefully about refraining from surgery. It may be better to go for surgery.What exactly is bothering you about surgery? why dont you want surgery?I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.Please do understand that some details could be extracted from a detailed history and examination.Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.Dr Mittal.MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)Consultant Physician and DiabetologistJS HospitalEx Apollo Hospital, DelhiEx Kailash Hospital, Noida"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for back pain with bulged disc"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello I found a painful lump on the bottom of my skull between right ear and middle its a bout pea size and very tender to touch, also hurts when I move my head any direction, other symptoms not sure if related or not. Severe fatigue, my coordination is off, been dropping stuff. If I stand up to fast I get dizzy, my neck under the lump is stiff and also very painful. This really worries me What could this be? Sunny YYYY@YYYY Doctor: Hi! Good evening. I am Dr Shareef answering your query.The very fact that the lump is painful points it to be of inflammatory either primary or secondary to any other possibly benign lesion. It is more likely to be an inflamed lymph node as I suppose and there has to be an inflamed focus for it. This could be known only by a detailed physical examination. Therefore, I would advise you to get yourself examined by your family physician, who might advise you for a course of antibiotics and an anti inflammatory drug for a few days. If it does not respond, then he might advise you for a FNAC or open biopsy of the lesion for a histopathological diagnosis and further management.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef."
},
{
"from": "gpt",
"value": "Target: What is the painful lump on skull which hurts by movement?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My lmp is 24 September.i have pcods .doctor gave hmg injections but still nohealthy egg growth.at day 22 it was just 11 mm.doctor gave rogestrone tablets.after having it I had blackish discharge which lasted for not more than 3 days.it started on 26 October.I took hcg test it was negative.but now ihave watery white discharge and severe pain in back.can u suggest why is this happening. Doctor: The cause is definitely some infection or faulty posture. hCG never causes such problems. Of course, high hormone injections sometimes can cause increased discharge. So, I would advise you to correct your posture and avoid heavy weight lifting and also maintain hygiene. If not sun=bsiding, then consult doctor."
},
{
"from": "gpt",
"value": "Target: What causes vaginal discharge and back pain post HCG injection intake?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i'm having pimentation on both side of my cheek bones consulted ayurvedic,skin specialist he recommended me to apply carofit ultra azoderm and cobadex capsules but it did'nt do any wonders as the pigmentation is quiet stubborn i'm currently going through homeopathic treatment plzzz advice me what to do to get quisk results Doctor: its better you undergo cosmetic treatment by seeking appointment of a dermatologist who is MBBS &postgraduate in it.he or she will be doing a treatment on ur cheek bones. will verify if u r allergic to some topical medicines and then treat accordingly.the treatment modality will be decided depending on skin type and other factors."
},
{
"from": "gpt",
"value": "Target: Pigmentation on the cheek bones. Under homeopathic treatment. Need quick relief"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, may I answer your health queries right now ? Please type your query here... Hi doctor my question is that my and my boyfriend had sex a few days ago and we used protection however when we were finished the condom was empty and I was wet and dripping can I be pregnant? Doctor: Hello dear,I understand your concern.In my opinion this condition might be called slippage of condom.Here there might be risk of pregnancy if the intercourse is done during the fertile period.I suggest you to wait and check for the period because the first sign of pregnancy is missed period.Or you can try for emergency contraception if 72 hours have not passed from the intercourse.Avoid stress.Relax.Best regards..."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of potential pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a large slice/cut on my chest. It goes from my upper left brest area diagonally down all the way to my right pelvic area. The wound is about 2 feet long in length and the depth of the cut varys. At the worst part theres about a 12 inch area thats probably a quarter inch deep and spread apart by about a half inch. Ive been doing my best to keep the wound clean but i cant seem to keep it from infection. I also havnt eaten in about 4 days and i have been sleeping very spiradically for the last week. My biggest worry is that i have been hallucinating over the last 2-3 days, can anything ive described cause me to have hallucinations? Doctor: Hi there ~ I understand your situation as much as you describe, however you need to see a doctor immediately since this is something that needs to be looked at. I hope you walk into the nearest emergency room and see a doctor. You may have hallucinations due to having infection of your blood that has spread to your brain. I hope you understand, also I have the faintest idea as to why you have not eaten for 4 days or the cut or the sleep issues. If you see a doctor in the emergency room please be frank about what happened, even if it was abuse. Take care and have a good day!"
},
{
"from": "gpt",
"value": "Target: Cut on chest, breast and pelvic area, been sleeping, hallucinations. Help?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Doctor, my child is 20 month old. She is having vomiting and fever for last two days. Her urine frequency has been decreased and urine turns white after few minutes. Diarrohea is not so frequent but discharges white loose stool. What should I do for her relief? Doctor: probably your child has urinary tract infection. diarrhoea may be associated with that. u shd go for urine microscopy with urine culture. antibiotics and urine alkalizer is required for treatment"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever and vomiting"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: 12 years ago I had a schwannoma removed from the spine at L4-L5 and now have another, which has been confirmed via MRI , located behind my left knee . It is large enough that it can been easily felt without much effort. Can you tell me how long the surgery would last? What is the recovery time? Is there a chance that there will be another schwannoma that will show up somewhere else? Doctor: Hi welcome to health care magic forum.surgery isnt lon in most cases and last for less then 1 hours. recovers is also rapid if there is no nerve or ligament involvement and usually there is no. it is possible to have another schwannoma but this is not common and you dont have to be worried at all. Just do this procedure and frequent check ups and averything will be fine.Hope I have answered your query."
},
{
"from": "gpt",
"value": "Target: Schwannoma located behind knee. How long will the surgery last?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: at Day 12 after taking Clomid and prevarin I went to my doctor . She told me to have a schedule of IUI on Day 13 before that day. The night I was instructed to have 1 amp of pregnly as well before i undergo the IUI the next day. My question is that my doctor prescribed me to take the dupahston 1 tab/ a day staring on Day 19 to Day 29, will that induced menstruation / or treatment to get prgnant? Doctor: Duphaston can help in maintaining pregnancy if conception occurs. Please go ahead and take it as per your doctor's prescription.Take care."
},
{
"from": "gpt",
"value": "Target: What is the role of Duphaston in pregnancy ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: had some pain in lower back(traveling with loaded bike in south ecuador)and after 3hr on horseback in the mountains it got worse.had some treatment with chiropractor and felt much better.after traveling 30km and bit higher(2000m asl) experienced some dizziness .went to medical center to check blood pressure(84/120) and temperature(36.5).i m 58 years young.any thoughts Doctor: Hello. Thanks for writing to us. The pain in the lower back is likely to be due to the stress of traveling on a horseback. The feeling of dizziness could be due to change in the environment, motion sickness or vertigo due to cervical spondylottic changes. You can get appropriate medicines from your physician. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal Regards, Dr. Praveen Tayal [email protected]"
},
{
"from": "gpt",
"value": "Target: Took treatment with chiropractor for lower back pain, experiencing dizziness. Any thoughts ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor...my mothers ultrasonography in 2004 showed mild hepatomegaly measuring 188cm...yesterdai again it is 192 cm...wats normal size....n wat all possible medication for this....she is an old case of ca breast n mrm has been done in 2000...all investigation are within normal limit.....last year she developd osteoarthritisl....she is 49 yrs old...rgds simy Doctor: hi.thanks for posting query at HCM.liver is slightly enlarged. The average measured liver diameter in female subjects is around 13cm ( 130mm).if all lab values ( liver enzymes) are in normal limits , then nothing to worry.however, lab values maybe monitored every 6 to 12 months.hope to answer your concern.wish her good and sound healthregardsDr Tayyab Malik"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hepatomegaly"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been going through parmenopause Sp? my lower back is constantly hurting, my right lower abdomen is hurting. it is sometimes hard to breath when standing and sitting. the abdominal pain is getting worse. I put a call into my dr. my lower back pack is the worst. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Paramenopausal women are at increased risk of osteoporosis due to low estrogen and progesterone. This osteoporosis is the most likely cause for your lower backache. So consult orthopedic doctor and get done clinical examination of your back and x ray of lumber spine. If it is osteoporosis then you have to start supplements of calcium and vitamin D3. Right lower abdominal pain is mostly due to ovaries. So get done ultrasound examination of abdomen for this. Also consult gynecologist and get done hormone levels to rule out hormonal imbalance. You may need hormone replacement therapy (HRT). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for pain in lower back & abdomen"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi I've had a pain in my lower back for 4 or 5 weeks now, I thought I had pulled a muscle but the pain doesn't seem to have eased. It's in my lower back about 2-3 inches from my hip bone, sometimes it feels like the pain goes stright through to the front.Should it be something to be concerned about? or just getting a bad back, I'm 37.Vanessa Doctor: Hello, Welcome at HCM.I have read details of your question.Pattern of your pain in medical terms is known as pain radiating from loin to groin.Such type of pain is generally seen due to presence of stone in kidney or ureter(tube connecting kidney to urinary bladder).You should do following to have relief--Consult to a general physician.-Get routine blood investigation,ULTRASONOGRPAHY WHOLE ABDOMEN & COMPLETE URINE EXAMINATION.-Drink plenty of water,at least 6-8 glasses per day.-Take an analgesic with anti spasmodic like dicylomine .This will give you relief in pain.-In case report comes in favor of stone then depending on size of stone your doctor will advice you treatment(which can be either medicines or surgery).In other case this pain may be due to strain & you can get relief with few days course of analgesic & physiotherapy.Hope this all will help you.Wish you a happy & healthy life.With best wishes."
},
{
"from": "gpt",
"value": "Target: Pain in the back. Anything to be concerned?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: The last couple years I seem to be ill having more and more incidences of teeth, joint, swelling general aches and pains. I don t understand why. Example, last month I have had ankle swell painful, bad pinch nerve in neck and just on Tuesday dad to have tooth pulled cause it dead. Could drinking coke zero cause any of this? I can t think of anything else done differently past 5 years. It seems like once a week I have to stay home from work because of some issue. Why do I keep getting these things happen? Please help! Thanks for your time! Doctor: Hello, The location and movement of a pain gives clues as to what is going on. And if it is ALL small joints it would certainly imply an overall inflammatory process and if it is ONE joint then either gout, infection, or doing something bad to the joint mechanically. Coke zero isn't going to cause this. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist"
},
{
"from": "gpt",
"value": "Target: What causes recurring swelling of joints and aches?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: help. I think I had food poisoning, yesterday I couldn't stop vomitting and had terrible diarreah. The vomitting has now stopped but I now have severe abdominal cramps, muscle and joint pain (especially in my jaw and chest) and I'm finding it very difficult to breath, what should I do? Doctor: Hi and welcome to hcm. You should drink plenty of fluids to avoid dehydration and eat easier food. If condition become worse you need to see infectologgist. Wish you good health. Regards"
},
{
"from": "gpt",
"value": "Target: Suggest remedies for abdominal cramps and joint pain after food poisoning"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I have noticed a small rash about 1\" 1/2 on my rib cage. It didn't bother me or have any pain, but I itched it and it burned for a short period. There's maybe two or three little bumps on it that are barely rised from the skin. What could this be? Doctor: Hello,I read carefully your query and understand your concern. The symptoms seem to be related to shingles. I suggest using Acyclovir cream for local application. I also suggest using Acyclovir tablets three times a day. I recommend using antihistamines such as Cetirizine daily to treat the itching. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician"
},
{
"from": "gpt",
"value": "Target: What is the treatment for rash on the rib with bumps?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have kidney stones embedded up high in both kidneys.i also have stones in lower region of left kidney. kub every six months.dr says just watch and wait. i also have cycsts on both kidneys. is this normal procedure with these type stones? just had kub yesterday and dr said flakes in left kidney. i am so worried dr says not to worry. can you give me your input? thanks,melissa Doctor: Doctors usually do not intervene unless the stones are obstructing the urinary tract or are large in size or are causing recurrent urine infections.Also if the stones are within the cysts then also intervened only in the presence of above mentioned complications"
},
{
"from": "gpt",
"value": "Target: Have kidney stones embedded in both kidney, developed cysts on kidneys. Suggestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I hit my leg on the tuff part right beside shine bone ... Right away it was every bit of a egg size knot ... It s been five years and never went away... It is on the front of my leg and it pokes out when I walk and goes back in when I flex my calf muscle .... It s huge Doctor: hihope this msg finds u in good health it seems there is fluid accumulation in intermuscular plainget a scan of d concerned part to xactly find out d extent of lesiond swelling can b surgically drained out.nothing to worry about thanks Take care god bless"
},
{
"from": "gpt",
"value": "Target: Remedy for a lump like in the leg caused due to a hit"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc I am a 27 year old female happily married for last 4 years. My problem is one of a kind cause i have not had sex with my husband till date (although i know him since last 12 years as we had a love marriage). We definitely have physical intimacy without intercourse and masturbate to get discharged. However, i get very scared when we think of having sex and same for my husband. I definitely want to get pregnant but have a huge sex phobia. Should i opt for IVF or IUI? Can i become pregnant without sex involved? Anxiously waiting for an answer Doctor: Hi,Yes you can get pregnant through an IUI or IVF treatment without having sex. Your husband would get a semen sample by masturbation and you will have ovarian induction therapy followed by aspiration of oocytes from your ovaries. Then fertilization will happen in the laboratory. The fertilized embryos will be transferred to your uterus after 3 or 5 days.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Salah Saad Shoman"
},
{
"from": "gpt",
"value": "Target: Is pregnancy possible through IVF or IUI without sex?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I am 39 y.o. and 7 months pregnant with my first child. Sometimes I feel like blood isn't just moving through my body but rushing as if I have been exercising even when I am still. At each doctors visit my BP has been normal though. Any ideas? Doctor: This being your 1st pregnancy you are going to have different experiences. your cardiac output that is blood pumped out each minute is increased and you feel flushed and warm. whatever you described is normal so don't worry."
},
{
"from": "gpt",
"value": "Target: Experiencing a rush of blood inside body while BP being normal"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Dear dr. Since Last few months I have dry scalp, lot of dandruff, small pimples which are itching. Whenever applied coconut oil to the hair it will be comfortable. Used 20nex-T shampoo 2. Keraglo AD Shampoo but no relief. I am 65 yrs old male and diabetic since last 5 years under control with Metformine 500mg twice a day. Kindly advise me. Thanking you. Krishna, Bangalore Doctor: Hello,Welcome to healthcare magic.I understand from your query that your are having dandruff and boils on your scalp.The shampoos that you have mentioned are good shampoos for dandruff.However, do not oil your scalp. Oiling your scalp worsens dandruff. Dandruff is caused by a yeast like fungus which grows well using the oil in the skin secretions. Oiling your scalp will further promote its growth. You could apply oil only before bathing and wash it off completely with a shampoo.The small pimples which you have described are called as folliculitis. It is an infection of the hair follicles which also could be due to excessive oiling.Use an antibiotic cream with 2 % mupirocin twice a day for 5 days.If this also does not help, you could consider a course of oral antifungal called itraconazole. This has to be prescribed by your doctor.You may also have to consider scalp psoriasis as a possibility.Please discuss with your doctor.Hope this helps you.Take care"
},
{
"from": "gpt",
"value": "Target: How should dry scalp, dandruff, pimples with itching be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello , 2 weeks back I noticed white deposits on the tongue , from internet I learned that its yeast candida overgrowth, upon reading further about systemic candidiasis , I think I am suffering from this sytemic candidiasis with occasional brain fog , confusions , memory problems, in addition to that I have noticed pale yellow stools sometimes, I have read that its cure in conventional medicine is very difficult . Please suggest which specialist/consultant should I see for yeast overgrowth and how much time it takes to get this yeast off the system. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.First of all you have to diagnose yourself with the condition.I advice you should do Grams staining from the white spot on the tounge. If the report shows it to be a Grams positive yeast cells than you can say it to be fungal infection and treatment of which becomes necessary.Systemic candida infection is suggestive of some unknown immunocomprmise state of the body and should be investigated.Systematic fungal infection should be treated with fluconazole treatment orally. Systemic infection requires long therapy to cure, so your body should ne throughout examined by the near by doctors and treatment should be taken in his guidance.Please maintains good hygiene living condition, bath once with antifungal soap and once with the common soap once in a day. I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM"
},
{
"from": "gpt",
"value": "Target: How to cure white spots on the tongue and memory problems with yeast infection?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i was diagnosed with adenocarcinoma of the endometrium and ge junction leiomyoma fro which I had radical hysterectomy - not followed by radiation or chemo. After 20 months an ultrasound indicates mildly dilated right pelvicalyceal system. How is this going to impact me? Is it something complicated? Doctor: The mildly dilated right pelvicalyceal system could be because of the previous surgery. It is possible that the ureter of the right side has partly gotten blocked due to the surgery. Another possibility is that there may be a recurrence in the area of the ureter. Lastly, it may just be the result of a mild urinary infection or stone. I would suggest that you get a contrast enhanced CT scan of the abdomen. That will settle the issue."
},
{
"from": "gpt",
"value": "Target: Is a mildly dilated right pelvicalyceal system complicated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello Doctor, Manjunath here from BLR, I am having hair fall now a days a lot and its getting thinner day by day... How can this be cured? Can the new hair be grown at fallen places?... I know this is a heridiatary problem.. so I want to know whether this can be just prevented or also can I get teh new hairs in the lost place? Doctor: Hi, As per your query, you have symptoms of hair loss which seems to be due to genetic factor, fungal infection, stress and hormonal changes. Need not to worry. I would suggest you consult dermatologist once for proper examination. The doctor may order skin patch test, blood test and physical examination. The doctor may prescribe you drug like finpecia at least for 3-4 months or antifungal treatment along with minoxidil spray. The doctor may also recommend hair transplant with HUE technique. Yes, hairs can be grown at fallen places. Take Indian gooseberry powder (half spoon) with water once a day and use almond oil for massage. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari, Dentist"
},
{
"from": "gpt",
"value": "Target: Suggest treatment for hair loss"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter is 18 years old and 4 year ago had a partial thoratic spinal fusion for her scoliosis. Now her lumbar is curving. We really do not want to do a full fusion. Her curve was at 48 percent pre surgery. Post surgery it went down to 30 or 32. It is almost at 40 again. What can we do to avoid surgery. Doctor: Hello welcome to HCM, It is quit understandable to avoid full spinal fusion and we as surgeons always strive for selective thoracic fusion in Lenke 1 Curves. However, there is no gold standard established as of now for selective thoracic fusion for scoliosis and we spine surgeons are still exploring the ideal lower instrumented level to avoid such a phenomenon. The postoperative deterioration or progression of the lumbar curve below the thoracic spinal fusion instrumentation resulting frequently occurs and it might require surgical revision if patients is cosmetically bothered by the appearance. As of now there is nothing which the patient or the relatives can do to avoid surgery. We will have to monitor the curve at yearly intervals or more( since she is 18 years now and completed most skeletal growth). Hope this answers your question Dr.Shashidhar B K Spine Surgeon bangalore"
},
{
"from": "gpt",
"value": "Target: What is the treatment for the spine to bring back to normal curve without surgery?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I travelled home Australia from Thailand 10 days ago, Friday morning I started to get sharp pain in the middle of my lower neck, I went and seen a chiro on Friday afternoon and it appeared to be a bit better. Saturday afternoon it became very painful again, and last night I had about 1hours sleep due to being uncomfortable, and this morning I have diarrhoea. I have another appointment with the chiro this morning at 11.30am, should I go and see him or try and see a doctor ? Doctor: Hello, Thank you for using healthcaremagic.I read your question and understood your concern.I think you should see other doctor , infection disease or internal medicne to rule out any viral infection that you may have taken in Thailand.If all the blood test for infection are Ok , then you can see your chiropractor to treat it as a simple muscle pain.Dr. Selmani"
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in the lower neck?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a 16 month old baby. For the last 4 days, he seems to have stomach aches/pains. A few times an hour, he will suddenly start crying, stamp his feet very hard and hold on to me very tight (that it actually hurts me). It is not a tantrum. And after a few minutes, he stops as if it didn t happen. Is this stomach pain, teething or something else?? His back teeth are coming through. Doctor: Hello,I can understand your concern. During teething, the gums become sore and itchy and the child constantly wants to bite or scratch on something with the teeth .This makes children to eat anything that they can put their hands on. This habit sometimes cause stomach infection and food poisoning. In addition, because the child himself is annoyed with the teething process, he screams and acts irritated and annoyed. Holding on to you very tight is a symptom not associated with the teething process. You can discuss this issue with the pediatrician. If he develops food poisoning, pediatrician should be consulted for the antibiotic course. For the sore gums, you can apply Orajel on the gums of the child to make teething little easier for him.I hope this information helps you. Thank you for choosing HealthcareMagic. Take care.Best,Dr. Viraj Shah"
},
{
"from": "gpt",
"value": "Target: Does teething in infant cause stomach pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I think I may have sciatic nerve pain. I will get a shooting pain down one side of my backside every once in a while. On my left side. Most pain is in the left buttock. Would this be sciatic nerve issue? If so, what can I do? Thank you for your time Doctor: get mri ls spine done. u need to show it u orthopedic surgeon. he will give u medication. but most imp is physiotherapy. all this things u must do"
},
{
"from": "gpt",
"value": "Target: Is pain in the back and left buttock connected with the sciatic nerve?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, my doctor says i have slipped a disk from my lower back, i am 16 years old so, obviously she dumbed everything down for me. I was wondering can i fly with this injury, i was planning on going home this summer and now this happenned... Doctor: Hithank you for trusting HCM I read your query and understand your concern You have nothing to worry too much Avoid physical stress and wear a lumbar fortressYou can fly and you will be fine Wish you good health Don't hesitate to contact me for further questions or information RegardsDr Eris Ranxha Neurologist"
},
{
"from": "gpt",
"value": "Target: How to treat slip disk from my lower back?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Just got a blood test done and my liver enzymes were AST/SGOT56 and ALT/SGPT57 I do drink almost everyday I have had an MRI on my liver about 6 months ago and results were a fatty liver 2 months ago I had a blood test and everything was normal do you think I need to worry I m trying to cut down on my drinking but I may have a problem with that Doctor: Hi, Thanks for posting in HCM. I understand your concern. Liver enzymes with AST 56 U/L and ALT 57 U/L is showing a two fold increase above normal. Drinking alcohol everyday with history of fatty liver is not good for health, as the liver damage has already been started. Even though enzyme levels do not indicate gross increase, that does not mean that the underlying pathology in liver for the progress of the disease is not taking place. You need to quit alcohol intake completely. Otherwise, you may land up in complications like cirrhosis of liver or acute liver failure. Hope the information provided would be helpful. All the best. Regards, Dr.Ashakiran.S., MBBS., MD."
},
{
"from": "gpt",
"value": "Target: What does this LFT result with history of having fatty liver indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My 17 yr old woke up yesterday morning with the left side of his face swollen. He can't hear very well from his left ear. I'm not sure if it is a medical problem or a dental problem as a few weeks ago he said his wisdom tooth was coming out. What should I do? Doctor: Thanks for your query, I have gone through your query.The pain and swelling could be because of the gum infection from the wisdom tooth (pericoronal infection leading to space infection). This can produce swelling over the face.Consult a oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed.If the space is not available then you have to get the wisdom tooth removed. you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). Do saline gargling. Regarding the hearing problem, you consult a ENT surgeon and get a opinion.I hope my answer will help you, take care."
},
{
"from": "gpt",
"value": "Target: Can tooth pain cause swollen face?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have a pea size lump way under the skin on my bikini line. It has been there a few moths now. Often times the swelling in it dies down to virtually nothing, but sometimes (often when I'm on my period) it increases is size again. It isn't always painful but sometimes it is. Doctor: Hi! Thanks for writing to us and sharing your health concerns regarding a pea size lump way under the skin on your bikini line.When a person comes to my clinic with such skin nodule first of all I examine him/her and then if not confirmed about a possibility, I go for FNAC/BIOPSY TEST from the nodule!In such cases I think of few possibilities like:1. a reactive lymph node that gets enlarged with reaction to local infection2. a sebaceous cyst getting infected intermittently3. some benign skin tumor like lipoma, neurofibroma or dermatofibromaTherefore you must see a doctor for a clinical assessment! Hope you got the answer. Please revert back to us if any more queries.wishing you good health!"
},
{
"from": "gpt",
"value": "Target: How the lump under skin can be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi i am Debdeep, My wife is suffering with a neuro problem. Bassed on previous result of EER study one very well known neuorologist gave her medication . For the first month she recovers well. But after 4 months now again some symptomps are looking. As she is telling that i do not have faith, love and let me die. Sir please advise.. Doctor: Hi, Welcome to HCM, Symptoms wich you describe are suggestive of depression hence this could be due to a Neurological disease. Please visit Neurologist again and if there is any organic causse take proper treatment and care. It would be prudent if no organic cause is there to consult a Pschiatrist as she has sucidal ideation. These diseases can be treated with good drugs please do not ignore and visit Psychiatrist as soon as possible. In such disease treatment is very long and patient may be reluctant to take medication. Take care Good Luck."
},
{
"from": "gpt",
"value": "Target: Suffering with neuro problem. Not cured by medicine. Looking for proper cure"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My stomach started hurting early this afternoon. A burning sensation. If I push on my stomach it hurst and burns. It eased so I ate a cup of soup. Now it is really hurting like someone is stretching my stomach from inside and it burns. It burns midway into the esophagus. Some burping and naseau. Doctor: Hi,From history it seems that you might be having hyper acidity or gastritis.Take Omeprazole for 2-3 days.Avoid fried, chillies and junk food.Take milk, curd, rice and buttermilk.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes stomach pain with burning sensation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello doctor, my child is 4 years old, suffering from cold and cough since 15 days 10 days back i took him to peadritican he diagnosed him ear infection as he also complained of ear pain and prescribed him amoxycillin culvunate and candid O ear drops along with ibugesic and syrup advent , after he finished his full course his ear pain disappeared but he had still cough and cold , i continued the advent vsyrup but his cough didnt subside and today he vommited and has fever of 100 degree, i gave himn ibugesic 7.5ml plz advise me which medicine shld i give and does he need antibiotic, if yes plz advise which one . Doctor: Hi...Thank you for consulting in Health Care magic. Greetings from Chennai.15 days of cough going on in this season could be an indication that it could be wheezing.By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does he cough or feel breathless?2. How many nights per month does his sleep get disturbed due to above symptoms?3. Does he feel breathless when he runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever?Please revert back to me with answers so that I can guide you better.You can approach me at the following link.Once the page opens there will be an option below my image as – ASK ME A QUESTION – click on it.Please find the link below -www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Regards - Dr. Sumanth"
},
{
"from": "gpt",
"value": "Target: Suggest medication for cough & cold"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been batteling MORGELLONS sinse 2002 when we bought a house, not realizing people had all types of parrots, birds, 2 huge flea bag dogs. We cleaned carpets, walls, patios, back screened porch. A real mess that we had not seen with our one first visit. It was on a lake in a nice older community with land. That was the main draw. MISTAKE... By the time we had it all ready to move in six weeks later, I was raw and broke out on hands , legs the worst. Thought it was cleaning chemicals. But it became worse after we were settled in. Not using chemicals any more. I went to 8 doctors, three were skin specialests over the next 5 years, They ruined my immune system with shots, cream, pills of steroids. Finally I refused them. They would not do tests on what I showed them, on slides. Did not seem to care. They thought I was funny farm material. I gave up and did my own research on every insect i could find, Bought air pure machines etc. Doubled up on my vits. One specialist even told me to stop taking them period. I started feelind bad so started taking them again after two months. I tried many things. Found NUTRASILVER, have been taking it for two years, it is helping I am 70 % better. I was so infested it takes a long time to clean the body inside and out. I became almost blind, but I take VISION CLEAR and my sight has improved. Now my question is what damage o they do to the brain, do not have a problem ? But I worry. I dig them off in herb baths. They make bloody mounds, proving they are in my blood system and organs. I have to scrub and rince several times. I stay home mostly, afraid of infecting others. My large family live 2000 miles away, contact is phone and e-mail. Do not want them or others to suffer as I have. I have a lot of parasites on sticky tape in zip lack bags. My question; is there anything that really works and will I ever be able to clean my body of this horror ? I would appreciate any advice. I am other wise quite healthy take no meds at my age. Sincerely, Carol ...age 77... in YYYY@YYYY .... Doctor: Hello, Welcome to Health Care MagicI can understand your problem. You have developed symptoms of Morgellone after moving in new house which you suspected to be infested. Since last 5 years you have consulted many doctors with no relief. Dermatologist opinion probably also resulted in nothing. Such type of symptoms at your age could occur due to some psychotic disorder most likely Delusional Parasitosis though detailed evaluation is required to make proper diagnosis. Meficines like antidepressants and antipsychotic drugs have excellent roles in such symptoms. Fluoxetine and Olanzapine can help to improve the symptoms.Consult a psychiatrist for prescription of drugs.Thanks"
},
{
"from": "gpt",
"value": "Target: Any suggestion to cure morgellon?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am a wrestler and I obtained impetigo at a tournament and I am now on antibiotics and a cream treatment. My sister is a med school student and told me to look for blood in my urine. I have no blood in my urine but I noticed some blood in my stool today and I just want to know if I should get it checked or if it is just a hemroid Doctor: Get your urine analysis also done as when very small quantity of blood pass through urine you can not detect by naked eye you got get your urine tested microscopically.It is important . DO not come to a conclusion all by yourself that you have got hemorrhoids. Let your doctor decide that.for impetigo what antibiotic orally you have not mentioned.Next time please do write all details for proper advice.Some drugs do cause Malaena that is blood in stools."
},
{
"from": "gpt",
"value": "Target: Is blood in stool due to impetigo or just hemorrhoid?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: respected sir ,my wisdom tooth is producing not in correct place doctor suggest me to remove it. i m suffering from throbbing in my head and ears , and too much heaviness in my head also. so is this because of wisdom teeth or is there any another problem.. Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have misplaced wisdom tooth dont worry , Yes this Impacted tooth causes pain in head and ear . You Should consult Dentist and go for removal of wisdom tooth this will give you relief .Hope this will help you."
},
{
"from": "gpt",
"value": "Target: How to overcome the pain caused by a misplaced wisdom tooth?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had multiphase bloodwork done and got results back. My RBC was high at 4.84. WBC was 9.8. Also high were both bilirubin numbers, total was 1.0 and direct was 0.4. What does this indicate? Last tests didn t show these problems. I am a 59 yr old female Doctor: Hi, dearI have gone through your question. I can understand your concern. Your rbc, wbc and bilirubin all counts are within normal range. No to worry. Just be relaxed. No any treatment is required for that. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: What does high WBC and RBC count indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi doctor my son is 22 months now when he was 5 months old he was detected with a 10mm asd the cardiologist told us to wait till 2 years for the surgery and regular examination meanwhile his ASD has decreased to 8mm do you think this help is it possible this ASD close by itself. Doctor: Hi, yes ASD (Atrial septal defect) may close by itself if the ASD is of secundum type. You should do an echocardiography yearly which will guide you whether its closing or not. Revert back with initial echocardiography and latest echocardiography report. Take care."
},
{
"from": "gpt",
"value": "Target: Does ASD close by itself?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i have endmetrioise and both blocked tubes, had a surgery and 2 fail ivf...can u guide me further what step should i take next Doctor: hello welcome to healthcare magic. do not worry. you sholud discuss with your infertility specialist and try for another cycle of ivf. sometimes it takes more number of attempts to get successful."
},
{
"from": "gpt",
"value": "Target: What next step should I take after two failed IVF and surgery for blocked tubes ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am worried about some issues I've been having. For one, I feel like I don't get enough air at times. I am only 38 years old and have been extremely healthy all of my life, but lately I have had this breathing problem. Now sometimes when I speak I can't seem to say some words or finish my sentences when I talk. People are always saying that they didn't hear what I said or they ask me to repeat what I just said. I hate feeling this way. What could it be? Doctor: Hello dearThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with issue regarding respiratory drive .* Must see a physician , get proper work up with x-ray chest and if necessary pulmonary function test .* Suggestions for better recovery - Maintain hydration with plenty of liquids .- Deep breathing exercises , walking in fresh air , YOGA help great .- Avoid smoking of any type passive or active .- Should protect yourself from dusty weather , pollens ; if required use face mask .- Avoid stress , anxiety .- Have regular sound sleep of 8 hours .Hope this will help you for sure .Welcome for further guidance .Regards ."
},
{
"from": "gpt",
"value": "Target: Recommend treatment for breathing issues"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am from Kolkata(India), Now I am suffering from very much fear and anxity regarding rabies because once I had scratch by a dog aproxmatly 7-8 years back and was not vaccinated by myself. On that time I was not aware abaout that decease, but few days before I suddenly have noticed some article on internet that mentioned rabies can take effect by several years also. As soon as I notice this information from internet I started to feel very much fear and going to be crazy, some time I feel I would better to sucide before die with that pathetic decease. Please Please help me to get rid from that fear and kindly suggest would rabies realy take affect after 7 years if dog scratch. I am newly maried haiving younger brother, Mother and Father and I am the earning member of my family, Trust me Doctor I dont want to die now, I want to live with happy. Please advice what should I do. Doctor: Hi Biplab, Thank you for your query on Healthcare Magic. Rabies will occur if that bitten dog infected with rabies virus at the time of bite. What about the dog? Is the dog is a pet or a street dog? If the dog is a pet animal and its health was normal even after 10 days of bite there are very less chances of transmitting rabies. Usually the incubation period for rabies is 20 to 180 days and most of disease usually present within this duration. But longer incubation like 7 years is noted but it is a rare phenomenon. Don't be panic and consult your Physician for your concern and get examined for your anxiety and apprehension. Hope I have answered your query, if you have any clarification please let me know. Regards."
},
{
"from": "gpt",
"value": "Target: Concerned about contracting rabies. Had a dog scratch in the past. Anything can be done?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a boil on my mons pubis and went to the doctor and was given cleocin and it went away but left a slight scar. Then I developed genital wart and got one on that scar and the doc applied TCA to it a few months ago and every since then the scar has 3 purple spots and every now and then they will bleed alot. What could this be? Doctor: Hello and WelcomeI appreciate your concernThe discoloration can be a result of post inflammatory hyperpigmentation. The bleeding is abnormal and could be due to abnormal or incomplete healing. Superimposed infection at the wound site should be looked for and treated accordingly to facilitate the healing process.Wishing you best of healthThanks"
},
{
"from": "gpt",
"value": "Target: What does bleeding purple spots after being treated for genital warts mean?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hello - Dr, i was given the cream Nuforce-GM after i complained of some skin problem i got after a high dose of medication after my leg injury - i got like a pencil line crack under my arm and bust line...it keeps drying and then getting damaged again during warm times - at least twice a month ...the cracks don t seem to heal... what do i do..pls advice - thanks Doctor: It could be allergic reaction or it could be a skin infection. In such cases skin scrap biopsy is preferred if u are not getting treated by usual means."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pencil line crack under my arm"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my 4 month old grandson has what looks like burns on his arms... it starts of scaly and then the scales come off and looks like a burn, it started on one arm and is now on the other arm, i thought it could be baby psorasis, its not exema, or an allergic reaction to some thing... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Scaly patch may be the psoariasis or some other eczema. But skin diseases are best diagnosed by doctor on seeing the patient. So please take your child to skin specialist and he will make diagnosis. Hope I have answered your query. Let me know if I can assist you further."
},
{
"from": "gpt",
"value": "Target: What do scaly burns on a toddler s arms indicate?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Toward the end of the day and in bed I get pain in y left foot or ankle much like described on TV for persons with diabetes yet I do not have or ever have had that illness but I have had vascular surgery to improve circulation. The pain feels like numerous pins sticking me. Cause? Doctor: this needs a vascular surgeon to evaluate and treat. it seems like you may have peripheral vascular disease affecting your arteries-the arteries bring blood flow from heart to extremities- when you lay down, your legs elevate from the dependent position and the bloodflow slows to your extremities. at the end of the day your leg may swell from venous insufficiency and that may further compress the arteries."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for pain in foot and ankle"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doc, good afternoon. I am from the Phils, 28 and almost 2yrs married. We're trying to get pregnant but nothing happens. We've done our check-up and take some vits and medicines. My menstruation is irregular and I have polycystic. My husband also have problem of fertility and have varicose on her left scrotum. Plz give us some advise for us to have a baby of our own. Take care and God bless us all. Doctor: Dear phils,Thanks for writing to healthcare magic.I am Dr Bhagyashree. Consultant obgyn specialist.There are many reasons fir not conceiving easily.You mentioned irregular cycles and polycystic ovaries.In such case you may not be ovulating. also if yourhusband is having a varicocel in scrotum it may effect sperm count. The best method is to check the sperm count by semen analysis.You will need medication depending on the level of hormone abnormality.You will need tab metformin, folic acid daily for pcos.Please write back with your reports to Dr Bhagyashree.ThanksDr Bhagyashree"
},
{
"from": "gpt",
"value": "Target: Having noticed varicose on the left scrotum which is causing problem in conceiving"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a partial roof canal done yesterday morning. I m 8 1/2 months pregnant. It was abscessed so I have been on antibiotics for 2 weeks, they finally did the root canal. I was ok all day woke up to pain at 2 am. Do much that even when the side of my tongue rubs it it hurts, tooth brush hurts, I put my finger onto to see if temporary filling fell out and that hurt as well. Now I m back to being unable to sleep Doctor: It may be possible that the root canal is not yet properly done or it has some infection below. you need to undergo re root canal treatment , get it open and go for regular antibiotic dressings do decrease the infection. also get your root canal completed once your pregnancy is completed and not before it. it may be that there is some sharp portion of tooht which has rubbed against the tungue making it sore. get that rounded off. take some painkiller and antibiotics with consent of your gynaecologist as well.Reach us at www.facebook.com/adentalclinic"
},
{
"from": "gpt",
"value": "Target: Done partial root canal. Taken antibiotics. Tongue pain. Unable to sleep. Help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has been taking adderal for adult ADHD (30mg twice a day) and she suffers from body pain and anxiety and depression. She was just put on Cymbalta once a day with it and I wondered if there are any negative interactions between the two drugs. Doctor: Hi,I can understand your concerns regarding Adderal (amphetamine) and cymbalta (duloxetine). Amphetamine and duloxetine do have interactions. Duloxetine has the propensity to increase the likelihood of side effects of amphetamine like tremors and restlessness. There is also a risk of a very rare condition called serotonin syndrome. This condition occurs very rarely but has significant symptoms. It can lead to confusion, nausea, vomiting, palpitations, fever, sweating, tremors, and increase the risk of seizure. Both the medications can be used together though. But in case of any of the above mentioned symptoms, please do contact your doctor without any delay. Hope this information was helpful. Best wishes."
},
{
"from": "gpt",
"value": "Target: Could there be any negative reactions between adderal and cymbalta?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My daughter is nearly 11 months old. Last week I noticed a spot on her top tooth that had only just broken through a week before. After a couple days watchin I noticed another spot on her bottom tooth and one on her tongue. I took her to the doctors to get it looked at, he gave me Nilstat to put on 4xdaily. Since then the ulcers have spread to the inside of her lip, over her tongue and a little at the back of her throat. Her tongue is also white. And tonight when I was brushing her teeth, I only just touched her top teeth and her gums started bleeding Doctor: Hello,I can understand your concern. The description of the symptoms give the indication that the child is suffering from fungal infection. Thus, the treating doctor has also given antifungal medication to control the infection.However, since the white patches have not decreased and instead increased along with formation of ulcers, it seems that the child is suffering from viral infection. The bleeding in the gums can be due to presence of debris or plaque at the gingival margin of the top teeth which should be cleaned by a dentist after the ulcers are healed. For the ulcers and white patches, I would recommend that you should consult a pediatrician or a pedodontist (dentist who specializes in oral cavity problems of children) for clinical examination and further investigations.I hope this information helps you. Thank you for choosing HealthcareMagic. I wish your daughter feels better soon.Best,Dr. Viraj Shah"
},
{
"from": "gpt",
"value": "Target: What causes ulcers and bleeding in the mouth of a baby?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, my son has 3 vertebrae that are wedged. After seeing ortho, she suggests just physical therapist to correct posture. Physical therapist suggest scheuermann s disease. During physical therapist evaluation, there is no flexibility in area of spone where vertebrae are wedged. What should course of treatment be? When and what should be follow up? Thank you Doctor: Physiotherapy for now. If the curvature is too big, which happens when multiple vertebrae are involved, then surgery is needed. He will do fine in long term."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for wedged vertebrae in spine"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband had a 3 pc. penile implant on Monday of this week. He came home on Tuesday. He has had severe pain ever since the operation, so bad he can not get out of a chair without help. He was told to go to the emergency room Thursday and is still in the hospital receiving strong pain meds. Dr. says the amount of pain he has is above normal. He keeps getting semi-erection, the saline seems to be going into the penis by itself, as nothing is being done to make this happen. The Dr. has had to deflate the penis a few times. My husband has such pain when this happens that he can not stand it. Is this normal? Doctor: HelloThanks for query .Severe pain in penis after penile implant surgery is mostly due to either bleeding or infection .Please consult operating surgeon for clinical assessment .You may need to do ultrasound scanning of the penis to find out the cause of such a severe pain.In the meanwhile continue pain killers.Dr.Patil."
},
{
"from": "gpt",
"value": "Target: What causes pain and semi-erection of penis after penile implant?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter had a root canal on her front tooth 2 days ago. She is still very swollen and sore. the tooth next to this one has already had a root canal but needs to be redone. There was infection around both teeth but no antibiotics were prescribed. I have a z pack that was prescribed for my other daughter that she didnt need it was a \"just in case\" script. Will this z pack help this issue or is this swelling and pain normal? The first root canal on the tooth that needs to be redone didnt give her this much trouble. Doctor: Root canal treatment generally relieves the swelling and pain and the completion of the root canal is done only after the symptoms like swelling and pain is gone. If your daughter is still having the problem you visit to the dentist and ask him or her to take an x-ray to see weather the infection has subsided or not. If the adjacent tooth is also having infection he should have restarted the root canal treatment on the same day or prescribed and antibiotic. You do not use this z pack because if the infection is still inside the tooth it will not get relieved. It is better to contact your dentist first and then use any medication."
},
{
"from": "gpt",
"value": "Target: Got root canal done. Gums still swollen, sore. Can an unused Zpack be given to relieve the pain?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, i had sex last night but used a condom, but at some point i he removed the condom and penetrated for a few minutes and then he put on another condom thats when he ejaculated, is there a possibility that i may get pregnant because of that penetration? Doctor: Hi, Thank you for choosing Healthcaremagic. Yes you could be at risk of getting pregnant, as the pre-ejaculate sometimes contains SPERMS, so you are at risk.Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!"
},
{
"from": "gpt",
"value": "Target: Is there a possibility of pregnancy after penetrating without ejaculation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My mother is having cough for the last 3 months.She constantly coughs all day.Its hardly when I find her not coughing.ANd every afternoon she has fever.Can you kindly suggest the probable causes? Just now in her blood report I saw that her ALT level in blood is also very high than the normal range.Her's is 127.So is it anyhow linked with her cough and fever? please reply soon.. Doctor: Hi, dearI have gone through your question. I can understand your concern. Constant coughing and fever are the symptoms of tuberculosis. ALT level is high, so it suggest some liver disease also. You should go for complete liver function test, ultrasound abdomen and x ray chest. It will give you exact diagnosis. 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: Does high ALT level in blood cause constant cough?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am 51 yhears old and considerably overweight a few years ago i had my gallbladder out and i lost an awful lot of weight but have gained it all and more back ... i have heavy blood loss and have to take medication for it as its caused anaemia but lately i feel totally exhausted and am sufferring an awful ache in my gut which is sometimes so sore its even too tiring to talk .. the only way i can describe how i feel is the same way your stomach feels just after you have given birth as if its falling out with no muscle tone .... my sister is dying with stomach cancer and my father died with stomach cancer do i have these symptoms Doctor: Hi.Thanks for your query. Hi.The stress and the anxiety itself increase the acidity and gastrointestinal symptoms. The best and the most simple way to get a proper diagnosis is not by discussion or assumptions particularly when there is a family history of Stomach Cancer. Simply get the Upper GI Endoscopy , Biopsy and CT scan of the abdomen to confirm or rule out the presence of stomach cancer. Yet for the sake of discussions : the earlier symptoms are rarely or never present in stomach cancer hence these are always detected late. It can present as you rightly say GI bleed, filling full on meals, regurgitation, bloating of upper abdomen and so on."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of potential stomach cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: everytime my boyfriend ejaculates he experiences chest pain and tightness. it goes after 5-10 minutes, he started smoking about a year ago and this has started about 3-4 months ago. . . im worried it could be something bad not linked to smoking. . he is vert fit, does excersise daily and his weight is normal. . . he is 21 5ft6 12 stone but very muscular, he has mild athsma Doctor: Hello, He needs to rule out any underlying cardiac disease if present by detailed evaluation. For that 2D echocardiography can be done for primary work up. The intercourse processes burn energy and some exertion occurs so it can be exertion induced effect of asthma precipitation.The spirometry will help in assessing the severity of asthma. So consult nearby pulmonologist or physician for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
},
{
"from": "gpt",
"value": "Target: What causes chest pain and tightness while ejaculating?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is taking Trelstar for reoccuring prostate cancer. He is having hot flashes, they seem to be getting stronger as time goes on, he is scheduled to get his 2nd injection in 2 weeks. Should the hot flashes be getting worse than when the injection was first given. Doctor: Hi, dearI have gone through your question. I can understand your concern. Hot may occur due to trelstar injection gicven in prostate cancer. It is uncommon side effect. You should ask yourttreating doctor about that. If it is untolerable then he need some modifications in treatment. Consult your doctor and take treatment accordingly."
},
{
"from": "gpt",
"value": "Target: Are hot flushes, a side effect of Trelstar injections?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: While doing squats I heard a pop, I didn t feel anything, but the next day my knee was twice it s size. I had a huge ball on the outside top part if the knee it also hurts to bend and experience pain on the inside part if my leg near the knee. What to do? Doctor: Hello, I have studied your case. According to your symptoms and findings there is osteoarthritis of your knee.You can start cartilage protecting medication like chondritin sulphate, that you need to take for couple of months.I will advise to do X ray knee and if required MRI knee can be done.Physiotherapy like ultrasound and tens will help, along with knee exercises.Life style changes will help in reducing pain which include,LOAD REDUCTION : Protecting the joint from excessive load may slow down the rate of cartilage loss. It is also effective in relieving pain. The heavier you are, the more stress you put on your joints. Weight reduction for obese patients, wearing shock-absorbing shoes, avoiding activities like climbing stairs and using a walking stick are worthwhile.ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling. USING CANES: Assistive devices can make it easier to go about your day without stressing your painful joint. A cane may take weight off your knee or hip as you walk. Carry the cane in the hand opposite the leg that hurts. ANALGESIC MEDICATION : Simple over the counter medications like acetaminophen is sufficient in most cases. If this fails to control pain, a non-steroidal anti-inflammatory drug may be better. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.If you are satisfied with answer do not forget to give rating to this answer. Wishing you good health.Take care."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for knee pain"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I started a cleanse where I eliminated all processed foods, including sugar & dairy products, very similar to how I normally eat but a little more intense. I started using raw honey as a sweetener about 3 days ago. I noticed a swelling on my face 2 days ago & dismissed it. Last night I had extra raw honey from the jar & this morning woke up with a large rash of red pimples on my face. I CAN ONLY CONCLUDE THAT THIS IS A REACTION TO THE HONEY?mnk Mml.le Doctor: Hi and Welcome to HCM, No honey cannot cause rashes and swelling on skin. Only processed honey should be taken. Raw honey may not be pure and may cause allergic to the skin. Wish you speedy recoveryThank you"
},
{
"from": "gpt",
"value": "Target: Can honey cause rashes and swelling on skin?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Sir gud evening iam 27y married male,from yesterday iam suffering from severe wound in my testicals,i applyied quadriderm ointment but it is too severe as i couldnt able to walk or drive a bike,iam working in marketing field so daily i need to travel in bike in hot sun so pls help me regarding this.thanking u Doctor: if you are not having any trauma history,you might be fungal infection.try clotrimazole ointment for 5 days.acoid wearing tight innerwear."
},
{
"from": "gpt",
"value": "Target: What is the treatment for the wound on the testicles?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, My boyfriend has these reddish bumps on the skin of his penis it hurts to the touch ,he is not uncircumcised so the skin with this bumps end up on the tip, they are not covered by skin... he dose masturbate so we are not sure if this has caused it.. please help thank you . sincerely GG Doctor: Hi. It could be possible due to masturbation and caused by friction. Tell him to avoid masturbation for a few days and apply an antiobiotic soothing cream like Soframycin or Siloderm after cleaning and drying the area. They should resolve over the next week to ten days and always keep the area dry. Try and avoid scratching. If it does not go away please do let us know. You can contact me directly by placing a query on 'Ask a Specialist' icon.Take care. Dr Rishi, New Delhi, India."
},
{
"from": "gpt",
"value": "Target: What are the reasons for reddish bumps on skin of penis which is painful for a person who does masturbation?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: kindly Dear Dr tell me mother age 65 is dying due to heavy increase of bilirubin which 25 mg/dl and she is also having liver tumor but her life sake kindly let us know soon she is taking her last breaths and I am tearing while writing you this. waiting for your reply its my mobile 0000 its my email YYYY@YYYY Doctor: Hi, I am sorry to hear those bad news. Unfortunately if the liver tumor is too large, there is not much to do to prolong her life. So everything depends on the size of the tumor, the number of tumors, if it is invading other organs or vessels, and if it is a primary liver tumor or if it is a metastasis from another organ. Bilirrubin is inevitably going to go up as the liver gets invaded by the tumor. This will cause liver failure, and ultimately death. If doctors have told you there is nothing else to do, then I would recommend you to keep her comfortable without suffering or pain on whatever time left she has. Let me know if you have further questions or concerns."
},
{
"from": "gpt",
"value": "Target: Increase in bilirubin, has liver tumor. Help"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Sir, my mother in law, 72 years old has suffered a paralytic stroke (March 4, 13). We need to admit her under your supervision. Pls advise the hospital name where we shoudl contact. We don t have any idea of your palce of attendign the patients. Need your help. In CT Scan , there seem to be minor clotting in Brain portion Rajendra Mishra Doctor: Hi,You should consult Neurologist at your locality.Stroke work up has to be done . Blood sugar, lipid profile, neck vessel doppler, 2D echo should be done to prevent further stroke"
},
{
"from": "gpt",
"value": "Target: Suffered a paralytic stroke, minor clotting in brain portion. Whom should i consult?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my blood pressure remains high around 160/100 after evening time but normal around 130/84 in daytime.my age 33 weight 92 ht-5.6,my mother & father passed away last year.i lives alone.presently iv started taking medicine TELMA 40 since 10days no result yet.sugar/lipid profile all normal only chlolestrol is bit high.im suffering from severe gastric problems for which im unable to sleep all nights .lot of anxiey & fear of getting heart attack like my parents.plz suggest Doctor: Hi... Do not worry too much about getting a heart attack... I am going to advice you on your concerns... You are on Telma 40 ( Telmisartan 40mg) for hypertension; please continue this drug along with some lifestyle modifications that I suggest. Lifestyle modifications Avoid stress - Do Yoga, meditation and involve yourself in social activities Physical activity - Exercise regularly, do brisk walking daily and avoid a sedentary lifestyle. This helps in avoiding stress also. Diet - Follow a strict diet, cut down on junk and oily food; reduce salt intake and increase fresh fruits and vegetables You haven't mentioned about the lipid levels. If it's high, it will reduce with above changes or we can add a medication for reducing the levels of it is very high. Finally continue the medications with regular blood pressure measurements and consultation with your treating physician. Once stress comes down, I hope you might need reduction in dose also. Hope this helps. Thanks."
},
{
"from": "gpt",
"value": "Target: What causes high blood pressure during evenings?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi my sister is recently being diagnosed with abdominal tuberculosis. she has also started taking AKT4 since past 3 weeks however, ascites and fluid in the pleural cavity is not reducing and her SGOT and SGPT levels are also quite high. She is having severe pain on the left side of the stomach. Please suggest on this. My email address is YYYY@YYYY . Doctor: Hi.With the proper AKT 4 the fluid may be regressing but is not evident so soon. By what criteria you/ one can say it is not regressing? Secondly How was the diagnosis made? If there is no response to the treatment other possibility of associated medical condition like anemia, hypoproteinemia and cancer has to be ruled out. Some cases do get a resistant problem , where a short course of steroids under the supervision of a Doctor can help. Rifampicin in AKT 4 may have to be changed with Injection Streptomycin. A liver protecting preparation s also needed. Request the Doctor to review the case or take a second opinion of another Doctor and to adjust the doses as per weight of the patient. To repeat rule-out MDR= Multi-Drug Resistant TB and / or cancer."
},
{
"from": "gpt",
"value": "Target: What causes stomach pain when suffering from abdominal tuberculosis?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi Doctor, I have zigzag tooth and iam 25 year old, I like to go for a treatment to make it order.How long i should put the tooth braces and some of my friends saying that after the treatment is over if i remove the braces the teeth may come forward. Please suggest ... Thanks in ADVANCE Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have mentioned that you are 25 year old now , if you go for Orthodontic treatment this time, treatment given to you is most probably Fixed Orthodontic treatment , so it takes time of atleast minimum one year , For this I will suggest you to go Orthodontist and ask for treatment plan, Orthodontist will guide you in best way , Hope this will help you. Wishing you good health."
},
{
"from": "gpt",
"value": "Target: How long should the braces be used to keep tooth in line?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter is 4 months pregnant. Baby due Feb 15. She just called me and she is having some sharp pains uncomfortable pains more on the left side. She is uncomfortable. Is it possible this is her gallbladder and is there really anything they can do. She told me that she called her drs. office Thursday or Friday and they said it was possibly a stomach virus. She is crying and when she tries to lay down she gets nauseated. Should she go to emergency room or wait until morning to call dr. office. She has a 2 year old at home and her husband is a fireman and he is on his 24 hrs. at the station. Doctor: Hello, and I hope I can help you today.It is doubtful that your daughter's symptoms are due to a gallbladder problem, since the gallbladder is on the right side of the upper abdomen, and usually the gallbladder only feels pain after eating.However there are many other causes of left abdominal pain, such as gastritis, a stomach flu, kidney stones... And if it is lower abdominal pain, it can be related to the uterus or ovaries. Her anxiety about the situation probably is also contributing to the problem.So if your daughter is in so much distress she should call her doctor. There is someone on duty for emergencies even at night for most OB practices. Her doctor can make a recommendation of whether or not to go to the emergency room or come in for a doctor's appointment.Either way, as this problem has been going on for a few days, she absolutely should be seen by a doctor soon to make a diagnosis.I hope this answer and my advice was helpful.Best wishes to your daughter for the rest of her pregnancy, Dr. Brown"
},
{
"from": "gpt",
"value": "Target: What causes sharp pain in the left side of the stomach during pregnancy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi ive recently had a ultrasound as in yesterday ,,they could not see any cysts as such but ive constant pain down my right lower abdomen when im sitting up in a chair,,hospital said that i might have to be refared to other test by my doc or blood test taken ifeel sensation there yet they seen nothing on scan do you know it could be please Doctor: HelloThanks for posting your query on Healthcare MagicPain abdomen is some time become challenging for correct diagnosis.Try to describe pain in detail for example character (sharp, dull, penetrating, spasmodic), frequency (persistent, intermittent, episodic) referred to anywhere, how it gets relieved/aggravated. These entire information help doctor to reach the diagnosisUsually the next step to evaluate the problem you described would be CT scan abdomen (preferably contrast enhanced – CECT). Contrast can cause some undesirable therefor should be performed after advise by treating doctor and kidney function test.Hope my answer will resolve your query"
},
{
"from": "gpt",
"value": "Target: Constant pain under right abdomen. Normal ultrasound. Any ideas?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had neck problem for about a year and half. the MRI showed bulging disc thru out the c spine. I went to a neurosurgeon. She was only concerned about carpel tunnel and some problem with shoulder. I have pain in neck , prickly pain in back and numbness in right hand . I stay in pain. I have arthritis also Doctor: Hi,From history it seems that you might be having this problem due to irritation and pressure on nerves due to cervical spondilitis.Go for physiotherapy, short way diathermy and cervical traction after consulting orthopedic surgeon.Ok and take care."
},
{
"from": "gpt",
"value": "Target: What causes back pain and numbness in right hand when suffering from bulging disc?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, I have started wheezing at night , it started while i went to lay down for bed and it has now continued when i sit up in bed or lye down. It has been going on for about a month and a half. I have a hyatial hyrnia also. It was told that it might go up into my lungs. Doctor: Hi,Yes,it could be possible that your hiatus hernia is causing this wheezing because in this hernia,the protruding part might cause compression over diaphragm leading to irritation of pleural tissue.This mechanism might be the reason of your wheezing and it can also cause shortness of breath and dull chest pain occasionally.Usually it is not serious but consult your doctor if it troubles you more."
},
{
"from": "gpt",
"value": "Target: Could wheezing be related to suffering from hiatal hernia?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Everytime my 2 month old son is starting to fall asleep his body stiffens, his toes point inward, and he stops breathing. This happens multiple times while trying to fall asleep. It does not happen any other time. Is this a possible seizure? should I take him to the ER? Doctor: Hello,Yes, it could be a seizure, but seizure can occur any time, it has no relevance with sleep.During seizures, the baby doesn't respond to the verbal or physical response, the body may be stiffened or complete lax or may have frothing from the mouth, may pass urine continuously.A seizure may involve the whole body, or one side of the body, it may involve only a part such as a mouth twitching, finger or arm movement.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sachin Kumar Agarwal"
},
{
"from": "gpt",
"value": "Target: What are the symptoms of seizure?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: hi, I had edema in both my legs, after elevating them, i felt hot sensations in my legs and hands. Have been experienceing joint pains for a while, hair loss, inadvertent itching on my face and chest. Fatigue is my nemisis, as it comes and goes. I noticed lately that i have sensitivity to sun. All my work up are normal. What could this be? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have edema in legs, joint pains and hair loss. Well there can be many reasons for symptoms you mention in query like medication reaction or side-effect , rheumatoid arthritis , multiple sclerosis , anemia or diabetes, type 2 . I would suggest you to consult orthopedic surgeon for proper examination . Doctor will examination physically order blood test along with other test and treat it accordingly . You should also consult dermatologist for hair loss to rule out factors like fungal infection genetic factors and side effects of some medicine . Doctor may prescribe betablockers , methotrexate , furosemide and analgesic for leg pain and joint swelling and minoxidil along with finpecia for hairs . For now keep your scalp clean , keep your legs elevated while sleeping and take ibuprofen or acetaminophen for pain . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari"
},
{
"from": "gpt",
"value": "Target: What causes edema in legs, joint pains and hair loss?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: what happens when a person having a1 blood group having an b blood group I am A+ and my boyfriend is A1+ .. is there a problem if we get married ? Doctor: Hi, Welcome to Healthcare magic forum, Group does not matter but Rh factor does, If u both are + then no problem for ur married life and ur children, only if u were -ve and ur partner +ve then the chances of problem for ur baby exists, since both are +ve u can go ahead, all the best. Hope I have answered ur question, Regards"
},
{
"from": "gpt",
"value": "Target: Is there any problem when different blood group people marry ?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have had pain in my chest rib near the sternum (maybe Costochondritis) after I had been weight training a new exercise. recently I noticed my lymph node in my left arm swollen and my arm feels weak ocassionally. This has been going on for about 4 months. Doctor: Dear Friend.Welcome to HCM. I am Dr Anshul Varshney.I have read your query in detail. I understand your concern.This can be due to an infection.It should be examined and if it is simply an abscess, you should be given a course of antibiotics like Augmentin.If it still persists, You should get a FNAC of that area, to be sure of the diagnosis.This is my best advice for you with the available details, if you have any further query, please ask us.Stay Healthy"
},
{
"from": "gpt",
"value": "Target: What caused a lymph node in my left arm to swell?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: i got symptoms of heart attack like electric shocks and i was unable to stand sit or lye down . Immediately i took a step and i went to care hospitals and took treat ment . The dostor said i got symptoms of heart attack bcz of some blocks he has prescribed clopidogrel 75mg and telmisartan 40 mg o.d. My weight is 96 kgs and my height is 5 6 . Kindly give us good remedy. Doctor: Hello, I would like to tell you that symptomatic coronary artery blockage is not resolved with remedies but need further Eva to avoid the unpleasant cardiac event. It is recommended for you to get an Echocardiography and a Coronary Angiography done and consult a cardiologist personally. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist"
},
{
"from": "gpt",
"value": "Target: Suggest therapy for heart disease"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My husband is attacked in the metro, he got a punch at his nose. The doctor has treated him , but this evening he felt a terrible toothache. His dentist told him before we went to Berlin that it could be he would have to have a root canal. He made a little hole in his old crown. He also seems to have a little fever.I don't know if it is his tooth or the nose or both. I just put him in bed. What can I do for now? Doctor: Hello Thanks for consulting hcmRead your query as yor husband have toothache and fever this can be due to trauma in tooth . Dont be worried so much I will suggest you to consult oral surgeon and for examination and investigation iopa xray of tooth . After investigation go for complete root canal treatment . Inmeantimendo warm saline rinses and take analgesic like Ketrol dt or Ibugesic plus by consulting with local doctor .Hope this will help you."
},
{
"from": "gpt",
"value": "Target: Suggest treatment for fever and tooth ache"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I am concerned have implants sacs now saline was removed I had them in for 11 years before one popped. I am having pain and greenish brown discharge from the nipple bilaterally especially the one that was aspirated . One breast is 1 1/2 times larger than the other with in the last 36 hours . I dont feel any lumps but the implant itself. Could leaving the implant sacs there cause any serious disease (cancer). Doctor: Leaving the implant sacs do not cause cancer by themselves but prevent early detection of cancer if it develops. I would have liked to know your age, the number of children you have, if you have breast fed any of them, and if you have any family history of breast or ovary cancer. Either way, any nipple discharge needs to be investigated, although the history that you give is more in favour of an infection rather than cancer. To be certain, i would advise you to get a Magnetic Resonance Imaging (MRI) of both breast, alongwith cytology testing of the discharge (the lab guy will take your discharge on a glass slide and examine it under a microscope). If both these tests are normal, then you have nothing to worry about. Meanwhile, start taking Tab. Ciprofloxacin 500mg twice daily + Tab. Paracetamol 650mg thrice daily + Tab Ranitidine 150mg Twice daily for 7 days."
},
{
"from": "gpt",
"value": "Target: Pain, greenish brown discharge from nipple, on lumps. Have implant sacs. Cancer?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hello, My mother is 54. She has a history of HCV which has been treated and is on SVR, She has T2DM and on Insulin, plus she has celiac disease. The problem is, she often has low platelet counts such as 70 thousand a week ago. What could be the reason. Doctor: Hi, Low platelet counts are commonly seen in hep C infected patients. The reason is weak bone marrow which cannot synthesize platelets and large spleen which eats some of the platelets. Autoimmune destruction of platelets has also been proposed. however, you need not worry as long as platelet count is over 30000 as clinical bleeding is uncommon above that level. you need to take precautions to see that she keeps away from injuries to prevent bleeding.All the best."
},
{
"from": "gpt",
"value": "Target: What is the reason for having low platelet count for a person having history of HCV?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: My daughter has a bit of discomfort in her left shoulder blade and is home sick because of her asthma. She went to the doctor yesterday and was given steriod, antibiotic and a inhale. She is stressing about the discomfort. Is there anything to worry about? Doctor: HI WELCOME TO HCM i am a pulmonologist and i have gone through your query and will try to answer ityour daughter is complaining of pain ,discomfort in left shoulder generally asthmatics will havenight time cough,shortness of breadth ,chest tightness and the required treatment is inhalers depending on the severity we may advise oral steroids and antibiotics after having seen there xray and spirometry reportsas you are saying of shoulder pain i would advise to use some anlgesics for pain relief along with yourmedications"
},
{
"from": "gpt",
"value": "Target: Are steroid treatment, antibiotics and inhalers sufficient for discomfort in shoulder blades caused by asthma?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I had a baby a month ago. Me and my fiancée are trying to have one of our own right now and we were making love and he went in too far his penis is 10-10 1/2 inches. I was bleeding after he hit it. It hurt too if felt like someone stabbed it. The bleeding stopped. When I used the rest room it was light red. Like a pinkish orange color. Will I be okay? When will it stop bleeding ? Doctor: Hello,Rough sex is the possible cause of blunt trauma around cervix or vaginal region. Other reasons are pelvic infection, cervical polyp etc.In most cases, bleeding stops automatically and no treatment is required. If it is continued more than 3 days, then I suggest to consult with gynecologist for pelvic examination and management of the case.Good luck and practice safe sex."
},
{
"from": "gpt",
"value": "Target: Planning pregnancy, had sex, bleeding after sex, had baby month ago, pinkish discharge. Suggestion?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: initially i was enduring back pain while lying down on the bare floor and slight numbness in my thighs and my legsI consulted a ortho doctor and went through physiotherapy.Now, Back pain is relieved, but still enduring the numbness in my legs.But im still doing physio exercises... but no good..... Doctor: Hello, numbness can be due to compression of peripheral nerves at the back.You nee to do MRI of spine to know the exact reasonTill then back extension exercises,hip extension exercises can be doneAlso you can request your physio to teach you MCkenzie exercise protocol.Regards"
},
{
"from": "gpt",
"value": "Target: What is the treatment for numbness in legs which is not responding to physiotherapy?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I got a blood test back with elevated ALT at 80 - all other tests normal, except I have Vitamin D deficiency as well. I'm overweight at 190 and 5'4\", 44 yo female, but blood sugar was normal and no pre-diabetes indicated. I've lost 25 pounds over the past two years, so on the right trend with that. I have to go back for a liver panel, but in the meantime, I'm wondering if it could have been caused by any of the following: 1. gargling with Listerine; 2. eating too many nuts; 3. taking Melatonin for sleep; 4. taking one advil per day for pain of trigger thumb; 5. stress- a couple of all-nighters within the two weeks prior to test, and a lot of day-to-day stress between job and caregiving responsibilities. I'm trying not to freak out over this test result until after I have the liver panel. If I have fatty liver, I'll make further diet changes I should be/am making anyway. Just wondering about factors that could have made the test a fluke... Doctor: Hi, How are you? Where are you writing from?A raised ALT and AST level indicates that liver cells are undergoing some sort of injury. Fatty liver can be caused by excessive alcohol intake (Alcoholic steato hepatitis, ASH) or due to excessive fatty food intake and sedentary life style (Non-alcoholic steato hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary life styles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left un-checked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. Paradoxically one of the other main causes of fatty liver is \"rapid weight loss\". Also pregnancy could exacerbate it. None of the 5 things you ve stated normally cause raised ALT levels but an over dose of pain killers esp tylenol and some other NSAID s can potentially cause a reversible raise in ALT levels. So you should probably be off the painkiller for a couple of days before the liver panel.I would suggest a healthy diet and exercise regimen also. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight.Hope this helped and please do not hesitate to contact me for further details - [email protected]"
},
{
"from": "gpt",
"value": "Target: What causes the elevation of the ALT levels?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: Hi, I am Amrita from Norway. My mother just had Dengue but showed negative results now, but she was found with liver infection, Doctor said it is common after dengue. But now she has returned back from India, but suffering from so much pain in her legs, she even cries, what should i do? Doctor: Hi, dearI have gone through your question. I can understand your concern.She had dengue(viral infection). Rise in liver enzyme SGPT is common in viral infection. So don't worry about that. Just be relaxed. Muscular pain is also common in viral infection. It will disappear by itself. Just maintain proper hydration. Take large amount of fluid orally.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health."
},
{
"from": "gpt",
"value": "Target: How can liver infection with legs pain be treated?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have been extremely busy and have forgotten to drink fluids and eat for a 8 hour stretch. Due to this I have felt very light headed and have had head aches from this. I have noticed occasional cloudiness of my urine and recently an occasional acidic smell. When I drank plenty of fluids these things went away. I have also felt a bit jittery as well. I'm backing off of sugar, due to the fear of diabetes. My grandfather on my Mothers side, my mother, and my aunt on my Morhers side all have type 2 diabetes. Doctor: Hi,As you have mentioned your symptoms get relived after drinking fluids, these are most likely due to dehydration (lack of water).You also mentioned there is strong diabetes history on maternal side, that make you prone for diabetes.Following things also make person prone for diabetes-1) Over weight. (BMI >25)2) Sedentary life style, lack of exercise. 3) Family history of diabetes (as in your case)I would like to advise you 1) Drink adequate fluids.2) Daily exercise (at least 150min/week)3) Regularise your meal plan.4) Yearly screening for diabetes by doing OGTT/ HbA1c.5) Watch for symptoms of diabetes like weight loss, increased thirst, increased frequency of urination, increased hunger."
},
{
"from": "gpt",
"value": "Target: What are the symptoms of diabetes?"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: my daughter had what looked like a ump that burst and begin to bleed on her butt almost look like a small hole, it begin to bleed on it's own and it was bleeding a lot, this is the second time this has happen the blood is also thick and dries quickly and looks like jelly in terns of its texture. Doctor: Hello dear , hiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with infected boil , sebaceous cyst or else .* Needs confirmation with clinical examination or a photo pic as an attachment to decide further line of action .Hope this will help you for sure .Wishing her fine recovery .Regards ."
},
{
"from": "gpt",
"value": "Target: Suggest remedy for fluid filled lumps on the buttocks region with bleeding"
}
]
|
[
{
"from": "human",
"value": "Source: Patient: I have just been told that my 3rd 4th and 5th vertebrae are deteriorating, I have been told to take fish oil and panadol osteo how ever I still have some pain. Finding it hard to sleep at night. Need my sleep as fulltime carer for my husband. What do you advise? Thanks Ann Doctor: Hello, Might have been useful to mention your age and medical history as they influence medication recommendations. Such spinal changes as those you mention are common in many people with age. Management consists of over the counter anti-inflammatory medication like Ibuprofen and physical therapy. So you may use Ibuprofen in the evening but is not advised for prolonged periods as it may affect the kidneys, stomach and blood pressure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist"
},
{
"from": "gpt",
"value": "Target: What to do if 3rd, 4th and 5th vertebrae are deteriorating?"
}
]
|
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